diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 01aa79d6c..fd58e4f9d 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -8599,6 +8599,14 @@
             <param name="inDto"></param>
             <returns></returns>
         </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingMedicineQuestionService.VerifyIsCanConfirm(IRaCIS.Core.Application.ViewModel.VerifyIsCanConfirmInDto)">
+            <summary>
+            验证医学审核问题是否可确认
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+            <exception cref="T:IRaCIS.Core.Infrastructure.BusinessValidationFailedException"></exception>
+        </member>
         <member name="M:IRaCIS.Core.Application.Service.ReadingMedicineQuestionService.AddTrialDataFromSystem(IRaCIS.Core.Application.ViewModel.AddTrialDataFromSystemInDto)">
             <summary>
             从系统里面选择问题添加到项目里面
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicineQuestionViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicineQuestionViewModel.cs
index f6f47de0d..b231084fa 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicineQuestionViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicineQuestionViewModel.cs
@@ -263,8 +263,12 @@ namespace IRaCIS.Core.Application.ViewModel
         public ReadingCategory? ReadingCategory { get; set; }
     }
 
+    public class VerifyIsCanConfirmInDto
+    {
+		public Guid TrialReadingCriterionId { get; set; }
+	}
 
-    public class GetMedicineQuestionPreviewOutDto
+	public class GetMedicineQuestionPreviewOutDto
     {
         public Guid Id { get; set; }
 
diff --git a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicineQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicineQuestionService.cs
index 84962df64..6330be83d 100644
--- a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicineQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicineQuestionService.cs
@@ -36,6 +36,7 @@ namespace IRaCIS.Core.Application.Service
             this._readingMedicineSystemQuestionRepository = readingMedicineSystemQuestionRepository;
         }
 
+		
 
 
 		#region 系统   
@@ -605,6 +606,39 @@ namespace IRaCIS.Core.Application.Service
 
 		}
 
+		/// <summary>
+		/// 验证医学审核问题是否可确认
+		/// </summary>
+		/// <param name="inDto"></param>
+		/// <returns></returns>
+		/// <exception cref="BusinessValidationFailedException"></exception>
+		[HttpPost]
+		public async Task VerifyIsCanConfirm(VerifyIsCanConfirmInDto inDto)
+		{
+			var criterionInfo = await _readingQuestionCriterionTrialRepository.Where(x => x.Id == inDto.TrialReadingCriterionId).FirstNotNullAsync();
+
+			if (!criterionInfo.IsSigned)
+			{
+				throw new BusinessValidationFailedException(_localizer["ReadingMed_NoConfirmed"]);
+			}
+			if (!(await _readingMedicineTrialQuestionRepository.AnyAsync(x => x.TrialReadingCriterionId == inDto.TrialReadingCriterionId && x.ReadingCategory == ReadingCategory.Visit)))
+			{
+				throw new BusinessValidationFailedException(_localizer["ReadingMed_NoVisitQ"]);
+			}
+			if (criterionInfo.IsReadingPeriod&& !(await _readingMedicineTrialQuestionRepository.AnyAsync(x => x.TrialReadingCriterionId == inDto.TrialReadingCriterionId && x.ReadingCategory == ReadingCategory.Global)))
+			{
+				throw new BusinessValidationFailedException(_localizer["ReadingMed_NoGlobalQ"]);
+			}
+			if (criterionInfo.IsArbitrationReading&&!(await _readingMedicineTrialQuestionRepository.AnyAsync(x => x.TrialReadingCriterionId == inDto.TrialReadingCriterionId && x.ReadingCategory == ReadingCategory.Judge)))
+			{
+				throw new BusinessValidationFailedException(_localizer["ReadingMed_NoJudgeQ"]);
+			}
+			if (criterionInfo.IsOncologyReading&& !(await _readingMedicineTrialQuestionRepository.AnyAsync(x => x.TrialReadingCriterionId == inDto.TrialReadingCriterionId && x.ReadingCategory == ReadingCategory.Oncology)))
+			{
+				throw new BusinessValidationFailedException(_localizer["ReadingMed_NoOncologyQ"]);
+			}
+		}
+
 		/// <summary>
 		/// 从系统里面选择问题添加到项目里面
 		/// </summary>