diff --git a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
index 021fd97fd..072f703f3 100644
--- a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
@@ -406,7 +406,7 @@ namespace IRaCIS.Application.Services
             }
             var isBaseLine = await _subjectVisitRepository.AnyAsync(x => x.Id == inDto.ReadingId && x.IsBaseLine);
 
-
+         
             var result = await this.GetReadingClinicalList(inDto);
             var readingIds = result.Select(x => x.ReadingId).ToList();
 
@@ -507,10 +507,10 @@ namespace IRaCIS.Application.Services
             var criterionType = await _readingQuestionCriterionTrialRepository.Where(x => x.Id == inDto.TrialReadingCriterionId).Select(x => x.CriterionType).FirstNotNullAsync();
    
 
-            var resultQuery = _readingClinicalDataRepository.Where(x => x.SubjectId == inDto.SubjectId)
-              .Where(x => x.ReadingId == inDto.ReadingId)
-              .WhereIf(inDto.UploadRole == UploadRole.CRC, x => x.ClinicalDataTrialSet.UploadRole == UploadRole.CRC)
-              .Include(x=>x.ClinicalDataTrialSet)
+            var resultQuery = _readingClinicalDataRepository.Where(x => x.SubjectId == inDto.SubjectId).Include(x => x.ClinicalDataTrialSet)
+             .Where(x => x.ReadingId == inDto.ReadingId || (x.SubjectId == inDto.SubjectId && x.ClinicalDataTrialSet.ClinicalDataLevel == ClinicalLevel.Subject))
+              //.WhereIf(inDto.UploadRole == UploadRole.CRC, x => x.ClinicalDataTrialSet.UploadRole == UploadRole.CRC)
+             
               .Where(x=>x.ClinicalDataTrialSet.CriterionEnumListStr.Contains(((int)criterionType).ToString()))
               .Select(x => new GetReadingClinicalDataListOutDto()
               {
@@ -540,7 +540,7 @@ namespace IRaCIS.Application.Services
               });
 
             var result = await resultQuery.ToListAsync();
-            result = result.Where(x => !(x.UploadRole == UploadRole.CRC && x.ClinicalUploadType == ClinicalUploadType.PDF && x.FileList.Count() == 0)).ToList();
+            //result = result.Where(x => !(x.UploadRole == UploadRole.CRC && x.ClinicalUploadType == ClinicalUploadType.PDF && x.FileList.Count() == 0)).ToList();
             return result;
         }
 
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
index 9634614ae..9e79e33f4 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
@@ -373,6 +373,9 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public string TaskBlindName { get; set; }
 
 
+        public string ReadingUser { get; set; }
+
+
         public bool IsReadingTaskViewInOrder { get; set; }
 
         public Guid VisitTaskId { get; set; }
@@ -571,7 +574,7 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         /// <summary>
         /// 是否有全局更新
         /// </summary>
-        public bool IsGlobalChange { get; set; }
+        public bool IsGlobalChange { get; set; } = false;
 
         /// <summary>
         /// 盲态名称
@@ -580,6 +583,9 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
         public Arm ArmEnum { get; set; }
 
+
+      
+
         /// <summary>
         /// 评估结果
         /// </summary>
diff --git a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
index bdd7bd992..b83000c77 100644
--- a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
@@ -80,7 +80,7 @@ namespace IRaCIS.Core.Application.Service
             MedicalReviewInfo reviewInfo= await _taskMedicalReviewRepository.Where(x => x.Id == inDto.TaskMedicalReviewId)
                  .ProjectTo<MedicalReviewInfo>(_mapper.ConfigurationProvider).FirstNotNullAsync();
 
-            var taskInfo = await _visitTaskRepository.Where(x => x.Id == reviewInfo.VisitTaskId).Include(x => x.Subject).FirstNotNullAsync();
+            var taskInfo = await _visitTaskRepository.Where(x => x.Id == reviewInfo.VisitTaskId).Include(x=>x.DoctorUser).Include(x => x.Subject).FirstNotNullAsync();
             inDto.TrialReadingCriterionId = taskInfo.TrialReadingCriterionId;
             var medicalReviewInfo = await _readingQuestionCriterionTrial.Where(x => x.Id == taskInfo.TrialReadingCriterionId).Select(x => new GetMedicalReviewReadingTaskOutDto()
 			{
@@ -97,6 +97,8 @@ namespace IRaCIS.Core.Application.Service
             medicalReviewInfo.ArmEnum = taskInfo.ArmEnum;
             medicalReviewInfo.SubjectCode = taskInfo.Subject.Code;
             medicalReviewInfo.TaskBlindName = taskInfo.TaskBlindName;
+            medicalReviewInfo.ReadingUser = taskInfo.DoctorUser.FirstName + taskInfo.DoctorUser.LastName;
+
             medicalReviewInfo.IsClosedDialog = medicalReviewInfo.MedicalReviewInfo.IsClosedDialog;
             medicalReviewInfo.AuditState = medicalReviewInfo.MedicalReviewInfo.AuditState;
             medicalReviewInfo.IsSendMessage = medicalReviewInfo.MedicalReviewInfo.IsSendMessage;
@@ -127,6 +129,7 @@ namespace IRaCIS.Core.Application.Service
                                   ReadingCategory = x.ReadingCategory,
                                   TaskBlindName = x.TaskBlindName,
                                   ArmEnum = x.ArmEnum,
+                              
                                   TaskName = x.TaskName,
                                   SouceReadModuleId = x.SouceReadModuleId,
                                   SourceSubjectVisitId = x.SourceSubjectVisitId,
@@ -328,14 +331,25 @@ namespace IRaCIS.Core.Application.Service
 
                     visitTaskAnswer.AddRange(globalTaskAnswer);
 
+
+
+
+                    var globalChangeAnswer = await _readingGlobalTaskInfoRepository.Where(x => taskIds.Contains(x.GlobalTaskId) && x.GlobalAnswerType == GlobalAnswerType.Question).ToListAsync();
+
+
                     medicalReviewInfo.TaskList.ForEach(x =>
                     {
+                        x.IsGlobalChange = globalChangeAnswer.Any(y => y.TaskId == x.TaskId);
                         x.JudgeQuestionAnswerInfoList = visitTaskAnswer.Where(y => y.VisitTaskId == x.TaskId).OrderBy(y => y.ShowOrder).ToList();
                     });
                 }
             }
 
-          
+            medicalReviewInfo.TaskList.ForEach(x =>
+            {
+                
+                x.IsCurrentTask = x.TaskId == taskInfo.Id;
+            });
             #endregion
             return medicalReviewInfo;
 
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingGlobalTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingGlobalTaskService.cs
index f8871131e..caef56f17 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingGlobalTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingGlobalTaskService.cs
@@ -104,8 +104,8 @@ namespace IRaCIS.Application.Services
                .Where(x => x.DoctorUserId == taskInfo.DoctorUserId)
                 .OrderBy(x => x.VisitTaskNum).Select(x => new GlobalVisitInfo()
                 {
-                    VisitName = x.SourceSubjectVisit.VisitName,
-                    BlindName = x.SourceSubjectVisit.BlindName,
+                    VisitName = x.TaskName,
+                    BlindName = x.TaskBlindName,
                     VisitTaskId = x.Id,
                     ArmEnum = taskInfo.ArmEnum,
                     VisitNum = x.SourceSubjectVisit.VisitNum,