diff --git a/IRaCIS.Core.API/Controllers/InspectionController.cs b/IRaCIS.Core.API/Controllers/InspectionController.cs
index 8ef86050d..b9a7877bc 100644
--- a/IRaCIS.Core.API/Controllers/InspectionController.cs
+++ b/IRaCIS.Core.API/Controllers/InspectionController.cs
@@ -254,6 +254,24 @@ namespace IRaCIS.Core.API.Controllers
             return result;
         }
 
+
+        /// <summary>
+        /// CRC确认临床数据
+        /// </summary>
+        /// <param name="opt"></param>
+        /// <returns></returns>
+        [HttpPost, Route("Inspection/ClinicalAnswer/CRCConfirmClinical")]
+        [TypeFilter(typeof(TrialResourceFilter), Arguments = new object[] { "AfterStopCannNotOpt" })]
+
+        [UnitOfWork]
+        public async Task<IResponseOutput> CRCConfirmClinical(DataInspectionDto<CRCConfirmClinicalInDto> opt)
+        {
+            var singid = await _inspectionService.RecordSing(opt.SignInfo);
+            var result = await _clinicalAnswerService.CRCConfirmClinical(opt.Data);
+            await _inspectionService.CompletedSign(singid, result);
+            return result;
+        }
+
         /// <summary>
         /// CRC撤销临床数据
         /// </summary>
diff --git a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
index 6ec0c5aa2..d16354bd0 100644
--- a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
@@ -530,6 +530,7 @@ namespace IRaCIS.Core.Application.Service
                 {
                  
                     SubjectId = x.SubjectId,
+                    IsNotNeedPMConfirm=x.IsNotNeedPMConfirm,
                     IsCRCConfirm = x.IsCRCConfirm,
                     IsCRCApplicationRevoke=x.IsCRCApplicationRevoke,
                     VisitBlindName=x.SubjectVisit.BlindName,
@@ -792,11 +793,16 @@ namespace IRaCIS.Core.Application.Service
 				});
             });
 
-            var readModuleIds = confirmlist.Select(x => x.ReadModuleId).ToList();
+            foreach (var item in confirmlist)
+            {
+                await _readModuleRepository.UpdatePartialFromQueryAsync(x =>x.Id==item.ReadModuleId , x => new ReadModule()
+                {
+                    IsCRCConfirm = true,
+                    IsPMConfirm=item.ClinicalFormList.Count()==0?true:false,
+                    IsNotNeedPMConfirm= item.ClinicalFormList.Count() == 0 ? true : false,
+                });
+            }
 
-            await _readModuleRepository.UpdatePartialFromQueryAsync(x => readModuleIds.Contains(x.Id),x=>new ReadModule() { 
-            IsCRCConfirm=true
-            });
             await _readModuleCriterionFromRepository.AddRangeAsync(needAddList);
 
             await _readModuleCriterionFromRepository.SaveChangesAsync();
@@ -835,11 +841,23 @@ namespace IRaCIS.Core.Application.Service
 				throw new BusinessValidationFailedException("PM已确认,无法取消！");
 			}
 
-
-			await _readModuleRepository.UpdatePartialFromQueryAsync(x => presentData.ReadModuleId==x.Id, x => new ReadModule()
-			{
-				IsCRCApplicationRevoke = true
-			});
+            if (presentData.IsNotNeedPMConfirm)
+            {
+                await _readModuleRepository.UpdatePartialFromQueryAsync(x => presentData.ReadModuleId == x.Id, x => new ReadModule()
+                {
+                    IsPMConfirm = false,
+                    IsCRCConfirm = false,
+                    IsNotNeedPMConfirm = false,
+                });
+            }
+            else
+            {
+                await _readModuleRepository.UpdatePartialFromQueryAsync(x => presentData.ReadModuleId == x.Id, x => new ReadModule()
+                {
+                    IsCRCApplicationRevoke = true,
+                });
+            }
+			
 
 			//await _readModuleCriterionFromRepository.BatchDeleteNoTrackingAsync(x=>x.ReadModuleId== presentData.ReadModuleId);
 
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalAnswerDto.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalAnswerDto.cs
index 1cb030cc3..eb05dd111 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalAnswerDto.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalAnswerDto.cs
@@ -270,7 +270,9 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 		/// 受试者ID
 		/// </summary>
 		public Guid SubjectId { get; set; }
-		public Guid ReadModuleId { get; set; }
+
+        public bool IsNotNeedPMConfirm { get; set; } = false;
+        public Guid ReadModuleId { get; set; }
 
         /// <summary>
         /// 模块名称
diff --git a/IRaCIS.Core.Application/Service/Reading/Interface/IClinicalAnswerService.cs b/IRaCIS.Core.Application/Service/Reading/Interface/IClinicalAnswerService.cs
index 802c97fa7..a7b15aee6 100644
--- a/IRaCIS.Core.Application/Service/Reading/Interface/IClinicalAnswerService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Interface/IClinicalAnswerService.cs
@@ -17,6 +17,8 @@ namespace IRaCIS.Core.Application.Service.Reading.Interface
 
         Task<IResponseOutput> SubmitClinicalForm(SubmitClinicalFormInDto inDto);
 
+        Task<IResponseOutput> CRCConfirmClinical(CRCConfirmClinicalInDto inDto);
+
         Task<IResponseOutput> CRCCancelConfirmClinical(CRCCancelConfirmClinicalInDto inDto);
 
     }
diff --git a/IRaCIS.Core.Domain/Reading/ReadingPeriod/ReadModule.cs b/IRaCIS.Core.Domain/Reading/ReadingPeriod/ReadModule.cs
index bd4d29278..e45d82b4b 100644
--- a/IRaCIS.Core.Domain/Reading/ReadingPeriod/ReadModule.cs
+++ b/IRaCIS.Core.Domain/Reading/ReadingPeriod/ReadModule.cs
@@ -80,10 +80,12 @@ namespace IRaCIS.Core.Domain.Models
 
 		public bool IsPMConfirm { get; set; } = false;
 
-		/// <summary>
-		/// CRC是否正在申请撤回
-		/// </summary>
-		public bool IsCRCApplicationRevoke { get; set; } = false;
+		public bool IsNotNeedPMConfirm { get; set; } = false;
+
+        /// <summary>
+        /// CRC是否正在申请撤回
+        /// </summary>
+        public bool IsCRCApplicationRevoke { get; set; } = false;
         public bool IsDeleted { get; set; }
 
 		public DateTime? DeletedTime { get; set; }