diff --git a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
index 48531f76b..d1e4634f0 100644
--- a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
+++ b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
@@ -1142,6 +1142,11 @@ namespace IRaCIS.Core.Domain.Share
         /// 间隔天数
         /// </summary>
         DaysBetween = 22,
+
+        /// <summary>
+        /// 是否脑转移
+        /// </summary>
+        IsBrainMetastasis=43,
     }
 
     /// <summary>
diff --git a/IRaCIS.Core.Domain/Reading/ReadingCriterionQuestion/ReadingQuestionTrial.cs b/IRaCIS.Core.Domain/Reading/ReadingCriterionQuestion/ReadingQuestionTrial.cs
index 69db85b8f..960f1330a 100644
--- a/IRaCIS.Core.Domain/Reading/ReadingCriterionQuestion/ReadingQuestionTrial.cs
+++ b/IRaCIS.Core.Domain/Reading/ReadingCriterionQuestion/ReadingQuestionTrial.cs
@@ -15,10 +15,14 @@ namespace IRaCIS.Core.Domain.Models
 	[Table("ReadingQuestionTrial")]
 	public class ReadingQuestionTrial : Entity, IAuditAdd
 	{
-		/// <summary>
-		/// 项目标准Id
-		/// </summary>
-		public Guid ReadingQuestionCriterionTrialId { get; set; }
+
+		public bool IsAdditional { get; set; }
+
+
+        /// <summary>
+        /// 项目标准Id
+        /// </summary>
+        public Guid ReadingQuestionCriterionTrialId { get; set; }
 
 		/// <summary>
 		/// 项目Id
diff --git a/IRaCIS.Core.Infra.EFCore/Context/IRaCISDBContext.cs b/IRaCIS.Core.Infra.EFCore/Context/IRaCISDBContext.cs
index c09d76e2d..c69be1f41 100644
--- a/IRaCIS.Core.Infra.EFCore/Context/IRaCISDBContext.cs
+++ b/IRaCIS.Core.Infra.EFCore/Context/IRaCISDBContext.cs
@@ -87,6 +87,7 @@ namespace IRaCIS.Core.Infra.EFCore
 
             //modelBuilder.HasDbFunction(typeof(DbContext).GetMethod(nameof(GetTableList)));
 
+            modelBuilder.Entity<ReadingQuestionTrial>().HasQueryFilter(p => p.IsAdditional==false);
 
 
             modelBuilder.Entity<User>().HasMany(t => t.VisitTaskList).WithOne(t => t.DoctorUser).HasForeignKey(t => t.DoctorUserId).IsRequired(false);