diff --git a/IRaCIS.Core.Application/Service/ImageAndDoc/DownloadAndUploadService.cs b/IRaCIS.Core.Application/Service/ImageAndDoc/DownloadAndUploadService.cs
index 21ec662fa..747214ce8 100644
--- a/IRaCIS.Core.Application/Service/ImageAndDoc/DownloadAndUploadService.cs
+++ b/IRaCIS.Core.Application/Service/ImageAndDoc/DownloadAndUploadService.cs
@@ -1118,7 +1118,7 @@ namespace IRaCIS.Core.Application.Service.ImageAndDoc
                             HtmlPath = k.HtmlPath,
                             Path = k.Path,
                             InstanceNumber = k.InstanceNumber,
-
+                            FileSize=k.FileSize,
                         }).ToList()
                     })
                 });
diff --git a/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs b/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
index 0d341df57..f0a760fe5 100644
--- a/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
+++ b/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
@@ -270,6 +270,7 @@ namespace IRaCIS.Core.Application.Contracts.DTO
 
         public QARelationInfo RelationInfo { get; set; } = new QARelationInfo();
 
+        public List<DateTime?> SecondReviewTimeList { get; set; }
     }
 
 
diff --git a/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs b/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs
index 7d610c408..50e40de83 100644
--- a/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs
+++ b/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs
@@ -2013,6 +2013,8 @@ namespace IRaCIS.Core.Application.Contracts
 
         // 1代表第一个人QC数据  2 代表第二个人QC数据
         public CurrentQC CurrentQCEnum { get; set; }
+
+        public DateTime? SecondReviewTime { get; set; }
     }
 
     public class ForwardQuery : PageInput
@@ -2167,6 +2169,7 @@ namespace IRaCIS.Core.Application.Contracts
 
     public class QCVisitBasicListViewModel
     {
+        public SecondReviewState SecondReviewState { get; set; }
         public bool IsSubjectQuit { get; set; }
         public ChallengeStateEnum ChallengeState { get; set; }
         public bool? IsConfirmedClinicalData { get; set; }
diff --git a/IRaCIS.Core.Application/Service/QC/DTO/TrialQCQuestionConfigureViewModel.cs b/IRaCIS.Core.Application/Service/QC/DTO/TrialQCQuestionConfigureViewModel.cs
index 7773d1107..d06e4253f 100644
--- a/IRaCIS.Core.Application/Service/QC/DTO/TrialQCQuestionConfigureViewModel.cs
+++ b/IRaCIS.Core.Application/Service/QC/DTO/TrialQCQuestionConfigureViewModel.cs
@@ -35,6 +35,8 @@ namespace IRaCIS.Core.Application.Contracts
         public DateTime UpdateTime { get; set; }
         public Guid UpdateUserId { get; set; }
 
+        public bool IsQuestionQCAuditPassed { get; set; }
+
     }
 
     public class QCQuestionFilterSelect
diff --git a/IRaCIS.Core.Application/Service/QC/QCListService.cs b/IRaCIS.Core.Application/Service/QC/QCListService.cs
index c3720526a..06755a396 100644
--- a/IRaCIS.Core.Application/Service/QC/QCListService.cs
+++ b/IRaCIS.Core.Application/Service/QC/QCListService.cs
@@ -7,6 +7,7 @@ using IRaCIS.Core.Infrastructure;
 using IRaCIS.Core.Infrastructure.Extention;
 using MassTransit.Initializers;
 using Microsoft.AspNetCore.Mvc;
+using System.Linq;
 
 namespace IRaCIS.Core.Application.Image.QA
 {
@@ -411,10 +412,28 @@ namespace IRaCIS.Core.Application.Image.QA
 
             var qacheckList = await GetQCQuestionAnswerList(subjectVisitId, sv.TrialId, trialQCProcess, currentQCType);
 
+            List<DateTime?> secondReviewTimeList = new List<DateTime?>();
+
+            if (sv.SecondReviewState != SecondReviewState.None)
+            {
+                secondReviewTimeList = _trialQCQuestionAnswerRepository.Where(t => t.SubjectVisitId == subjectVisitId && t.CurrentQCEnum == CurrentQC.SecondReview).Where(t => t.SecondReviewTime != null)
+                    .Select(t => t.SecondReviewTime).Distinct().ToList();
+
+                var trialConfirmTime = _trialRepository.Where(t => t.Id == sv.TrialId).Select(t => t.QCQuestionConfirmedTime).FirstOrDefault();
+
+                if (!secondReviewTimeList.Contains(trialConfirmTime))
+                {
+                    secondReviewTimeList.Add(trialConfirmTime);
+                }
+               
+            }
+
             return new TrialVisitQADTO
             {
                 QCQuestionAnswerList = qacheckList,
 
+                SecondReviewTimeList = secondReviewTimeList,
+
                 IsHaveStudyClinicalData = await _clinicalDataTrialSetRepository.AnyAsync(x => x.IsConfirm && x.TrialId == sv.TrialId && x.ClinicalDataLevel == ClinicalLevel.Study),
                 StudyList = temp.StudyList,
                 ExistsManual = (await _IReadingImageTaskService.GetManualList(new GetManualListInDto() { TrialId = sv.TrialId })).Count() > 0,
@@ -434,8 +453,45 @@ namespace IRaCIS.Core.Application.Image.QA
         [HttpPost]
         public async Task<List<QCQuestionAnswer>> GetQCQuestionAnswer(GetQCQuestionAnswerInDto inDto)
         {
-            var questionAnswerlist = await (from data in _trialQCQuestionRepository.Where(x => x.TrialId == inDto.TrialId && x.IsEnable)
-                                            join answer in _trialQCQuestionAnswerRepository.Where(x => x.SubjectVisitId == inDto.SubjectVisitId && x.QCProcessEnum == inDto.QCProcessEnum && x.CurrentQCEnum == inDto.CurrentQCEnum).AsQueryable() on data.Id equals answer.TrialQCQuestionConfigureId into answertemp
+            var subjectVisitId = inDto.SubjectVisitId;
+
+            List<QCQuestionAnswer> questionAnswerlist = new List<QCQuestionAnswer>();
+
+            //判断当前访视质控是否完成，再判断复审是完成查看，还是添加编辑
+
+            var sv = await _subjectVisitRepository.Where(t => t.Id == subjectVisitId).FirstNotNullAsync();
+
+            if (sv.SecondReviewState == SecondReviewState.None && sv.AuditState == AuditStateEnum.QCPassed)
+            {
+
+                //现在之前历史质控的展示要从答案为主表取数据，添加和编辑按照之前方式
+
+                questionAnswerlist = await _trialQCQuestionAnswerRepository.Where(x => x.SubjectVisitId == inDto.SubjectVisitId && x.QCProcessEnum == inDto.QCProcessEnum && x.CurrentQCEnum == inDto.CurrentQCEnum)
+                    .Select(data => new QCQuestionAnswer()
+                    {
+                        Answer = data.Answer,
+                        ShowOrder = data.TrialQCQuestionConfigure.ShowOrder,
+                        QuestionName = data.TrialQCQuestionConfigure.QuestionName,
+                        Id = data.TrialQCQuestionConfigure.Id,
+                        IsRequired = data.TrialQCQuestionConfigure.IsRequired,
+                        ParentId = data.TrialQCQuestionConfigure.ParentId,
+                        ParentTriggerValue = data.TrialQCQuestionConfigure.ParentTriggerValue,
+                        Type = data.TrialQCQuestionConfigure.Type,
+                        TypeValue = data.TrialQCQuestionConfigure.TypeValue
+                    }).OrderBy(t => t.ShowOrder).ToListAsync();
+
+            }
+            else
+            {
+
+                var secondReviewTime = inDto.SecondReviewTime != null ? (DateTime)inDto.SecondReviewTime : DateTime.Now;
+
+                #region 之前编辑和审核通过后展示都是通过这个接口
+
+                questionAnswerlist = await (from data in _trialQCQuestionRepository.Where(x => x.TrialId == inDto.TrialId && x.IsEnable)
+                                            join answer in _trialQCQuestionAnswerRepository.Where(x => x.SubjectVisitId == inDto.SubjectVisitId && x.QCProcessEnum == inDto.QCProcessEnum && x.CurrentQCEnum == inDto.CurrentQCEnum)
+                                            .Where(t => inDto.CurrentQCEnum == CurrentQC.SecondReview ? t.SecondReviewTime >= secondReviewTime && t.SecondReviewTime <= secondReviewTime.AddSeconds(1) : true)
+                                            on data.Id equals answer.TrialQCQuestionConfigureId into answertemp
                                             from leftanswer in answertemp.DefaultIfEmpty()
                                             select new QCQuestionAnswer()
                                             {
@@ -449,6 +505,17 @@ namespace IRaCIS.Core.Application.Image.QA
                                                 Type = data.Type,
                                                 TypeValue = data.TypeValue
                                             }).OrderBy(t => t.ShowOrder).ToListAsync();
+                #endregion
+            }
+
+
+
+
+
+
+
+
+
 
             var result = questionAnswerlist.Where(x => x.ParentId == null).OrderBy(t => t.ShowOrder).ToList();
             result.ForEach(x =>
diff --git a/IRaCIS.Core.Application/Service/QC/QCOperationService.cs b/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
index 326fa9958..704d3b11e 100644
--- a/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
+++ b/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
@@ -730,6 +730,8 @@ namespace IRaCIS.Core.Application.Image.QA
             //验证是否能操作
             await VerifyIsCanQCAsync(null, subjectVisitId);
 
+            var trialConfirmTime = _trialRepository.Where(t => t.Id == trialId).Select(t => t.QCQuestionConfirmedTime).FirstOrDefault();
+
             //更新
             if (qcQuestionAnswerCommands.Any(t => t.Id != null))
             {
@@ -774,7 +776,9 @@ namespace IRaCIS.Core.Application.Image.QA
             {
                 var addlist = _mapper.Map<List<TrialQCQuestionAnswer>>(qcQuestionAnswerCommands);
 
-                addlist.ForEach(t => { t.TrialId = trialId; t.SubjectVisitId = subjectVisitId; t.CurrentQCEnum = currentQCType; t.QCProcessEnum = trialQCProcess; });
+
+
+                addlist.ForEach(t => { t.TrialId = trialId; t.SubjectVisitId = subjectVisitId; t.CurrentQCEnum = currentQCType; t.QCProcessEnum = trialQCProcess; t.SecondReviewTime = currentQCType == CurrentQC.SecondReview ? trialConfirmTime : null; });
 
                 await _trialQCQuestionAnswerRepository.AddRangeAsync(addlist);
 
diff --git a/IRaCIS.Core.Application/Service/QC/_MapConfig.cs b/IRaCIS.Core.Application/Service/QC/_MapConfig.cs
index 226bd8161..3212a2882 100644
--- a/IRaCIS.Core.Application/Service/QC/_MapConfig.cs
+++ b/IRaCIS.Core.Application/Service/QC/_MapConfig.cs
@@ -479,6 +479,7 @@ namespace IRaCIS.Core.Application.Service
             CreateMap<TrialQCQuestion, TrialQCQuestionAddOrEdit>();
 
             CreateMap<TrialQCQuestion, TrialQCQuestionConfigureView>()
+                .ForMember(d => d.IsQuestionQCAuditPassed, u => u.MapFrom(s => s.TrialQCQuestionAnswerList.Any(c => c.TrialQCQuestionConfigureId == s.Id && c.SubjectVisit.AuditState == AuditStateEnum.QCPassed)))
                .ForMember(d => d.ParentShowOrder, u => u.MapFrom(s => s.ParentQCQuestion.ShowOrder));
 
             CreateMap<TrialQCQuestionSelect, TrialQCQuestionConfigureView>();
diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
index 6461ea27c..94bfbd0b3 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
@@ -41,6 +41,7 @@ namespace IRaCIS.Core.Application
         IRepository<SystemBasicData> _systemBasicDataRepository,
         IRepository<SubjectVisit> _subjectVisitRepository,
         IRepository<Enroll> _enrollRepository,
+         IRepository<TrialQCQuestionAnswer> _qcQuestionAnswerRepository,
         IRepository<TrialStateChange> _trialStateChangeRepository,
         IRepository<ReadingTableQuestionTrial> _readingTableQuestionTrialRepository, IRepository<TrialDicomAE> _dicomAERepository,
         IMapper _mapper, IUserInfo _userInfo, IStringLocalizer _localizer, IFusionCache _fusionCache) : BaseService, ITrialConfigService
@@ -861,9 +862,18 @@ namespace IRaCIS.Core.Application
             {
                 await _trialRepository.UpdatePartialFromQueryAsync(t => t.Id == signConfirmDTO.TrialId, u => new Trial() { IsTrialUrgentConfirmed = true });
             }
-            else
+            else if (signConfirmDTO.SignCode == ((int)SignEnum.TrialQCQuestionConfirmUpdate).ToString())
+            {
+                await _trialRepository.UpdatePartialFromQueryAsync(t => t.Id == signConfirmDTO.TrialId, u => new Trial() { QCQuestionConfirmedTime = null, QCQuestionConfirmedUserId = null, IsQCQuestionConfirmed = false });
+            }
+            else if (signConfirmDTO.SignCode == ((int)SignEnum.SecondReviewConfirm).ToString())
+            {
+                await _subjectVisitRepository.BatchUpdateNoTrackingAsync(t => t.Id == signConfirmDTO.TrialId && t.AuditState == AuditStateEnum.QCPassed, u => new SubjectVisit() { SecondReviewState = SecondReviewState.WaitAudit });
 
-            if (signConfirmDTO.SignCode == ((int)SignEnum.TrialQCQuestionConfirm).ToString())
+                //删除复审中间临时数据
+                await _qcQuestionAnswerRepository.BatchDeleteNoTrackingAsync(t => t.SubjectVisit.TrialId == signConfirmDTO.TrialId && t.SubjectVisit.AuditState != AuditStateEnum.QCPassed && t.CurrentQCEnum == CurrentQC.SecondReview);
+            }
+            else if (signConfirmDTO.SignCode == ((int)SignEnum.TrialQCQuestionConfirm).ToString())
             {
 
                 var trialConfig = (await _trialRepository
@@ -909,9 +919,9 @@ namespace IRaCIS.Core.Application
                     IsConfirm = true
                 });
                 await _trialRepository.UpdatePartialFromQueryAsync(t => t.Id == signConfirmDTO.TrialId, u => new Trial() { QCQuestionConfirmedTime = DateTime.Now, QCQuestionConfirmedUserId = _userInfo.UserRoleId, IsQCQuestionConfirmed = true });
-                await _trialRepository.SaveChangesAsync();
             }
 
+            await _trialRepository.SaveChangesAsync();
 
 
             return ResponseOutput.Ok();
diff --git a/IRaCIS.Core.Domain.Share/Common/SignEnum.cs b/IRaCIS.Core.Domain.Share/Common/SignEnum.cs
index 43cbcf9f7..98c3eed27 100644
--- a/IRaCIS.Core.Domain.Share/Common/SignEnum.cs
+++ b/IRaCIS.Core.Domain.Share/Common/SignEnum.cs
@@ -29,6 +29,13 @@ namespace IRaCIS.Core.Domain.Share
 
         TrialQCQuestionConfirm=107,
 
+
+        //重置质控问题配置
+
+        TrialQCQuestionConfirmUpdate=112,
+
+        SecondReviewConfirm = 219,
+
     }
   
 }
diff --git a/IRaCIS.Core.Domain.Share/QC/CheckChanllengeTypeEnum.cs b/IRaCIS.Core.Domain.Share/QC/CheckChanllengeTypeEnum.cs
index d242c1f2b..5c2e94ab8 100644
--- a/IRaCIS.Core.Domain.Share/QC/CheckChanllengeTypeEnum.cs
+++ b/IRaCIS.Core.Domain.Share/QC/CheckChanllengeTypeEnum.cs
@@ -19,4 +19,14 @@ namespace IRaCIS.Core.Domain.Share
 
     }
 
+    public enum SecondReviewState
+    {
+        None = 0,
+
+        WaitAudit=1,
+
+        AuditPassed=2,
+
+        AuditFailed=3,
+    }
 }
diff --git a/IRaCIS.Core.Domain.Share/QC/TrialQCProcess.cs b/IRaCIS.Core.Domain.Share/QC/TrialQCProcess.cs
index bffe7530f..dd5bd63a2 100644
--- a/IRaCIS.Core.Domain.Share/QC/TrialQCProcess.cs
+++ b/IRaCIS.Core.Domain.Share/QC/TrialQCProcess.cs
@@ -14,7 +14,11 @@
 
         First = 1,
 
-        Second = 2
+        Second = 2,
+
+
+        //二次复核，只会一个人
+        SecondReview=3,
     }
 
 
diff --git a/IRaCIS.Core.Domain/QC/TrialQCQuestionAnswer.cs b/IRaCIS.Core.Domain/QC/TrialQCQuestionAnswer.cs
index 24680ec64..822638e74 100644
--- a/IRaCIS.Core.Domain/QC/TrialQCQuestionAnswer.cs
+++ b/IRaCIS.Core.Domain/QC/TrialQCQuestionAnswer.cs
@@ -8,6 +8,9 @@ public class TrialQCQuestionAnswer : BaseFullAuditEntity
     #region 导航属性
     [JsonIgnore]
     public TrialQCQuestion TrialQCQuestionConfigure { get; set; }
+
+    [JsonIgnore]
+    public SubjectVisit SubjectVisit { get; set; }
     #endregion
     public Guid TrialId { get; set; }
 
@@ -20,4 +23,7 @@ public class TrialQCQuestionAnswer : BaseFullAuditEntity
 
     public Guid SubjectVisitId { get; set; }
     public Guid TrialQCQuestionConfigureId { get; set; }
+
+
+    public DateTime? SecondReviewTime { get; set; }
 }
diff --git a/IRaCIS.Core.Domain/Visit/SubjectVisit.cs b/IRaCIS.Core.Domain/Visit/SubjectVisit.cs
index f95d5c47a..862560d79 100644
--- a/IRaCIS.Core.Domain/Visit/SubjectVisit.cs
+++ b/IRaCIS.Core.Domain/Visit/SubjectVisit.cs
@@ -75,7 +75,7 @@ public class SubjectVisit : BaseFullDeleteAuditEntity
     public List<SubjectCriteriaEvaluationVisitFilter> SubjectCriteriaEvaluationVisitFilterList { get; set; }
 
     [JsonIgnore]
-    public List<SubjectVisitImageBackRecord> SubjectVisitImageBackRecordList {  get; set; }
+    public List<SubjectVisitImageBackRecord> SubjectVisitImageBackRecordList { get; set; }
     #endregion
 
     public Guid TrialSiteId { get; set; }
@@ -188,7 +188,7 @@ public class SubjectVisit : BaseFullDeleteAuditEntity
     public Guid? SubmitUserId { get; set; }
     public ReadingStatusEnum ReadingStatus { get; set; }
 
-
+    public SecondReviewState SecondReviewState { get; set; }
 }
 
 [Comment("受试者访视影像回退记录表")]
diff --git a/IRaCIS.Core.Infra.EFCore/Common/AuditingData.cs b/IRaCIS.Core.Infra.EFCore/Common/AuditingData.cs
index 07727f137..60c69dfda 100644
--- a/IRaCIS.Core.Infra.EFCore/Common/AuditingData.cs
+++ b/IRaCIS.Core.Infra.EFCore/Common/AuditingData.cs
@@ -217,6 +217,13 @@ namespace IRaCIS.Core.Infra.EFCore.Common
 
                         extraIdentification = oldentity.IsConfigureEmail ? "/EmailUpdate" : "/EmailSave";
                         break;
+                    case "configTrialBasicInfo/TrialConfigSignatureConfirm":
+
+                        if (entity.IsQCQuestionConfirmed == false)
+                        {
+                            extraIdentification = $"/ConfirmReset";
+                        }
+                        break;
                 }
 
                 //var trialDicomAE = await _dbContext.TrialDicomAE.Where(t => t.TrialId == entity.Id).FirstOrDefaultAsync();