diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/IVUSCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/IVUSCalculateService.cs
index 11c01d139..51733f545 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/IVUSCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/IVUSCalculateService.cs
@@ -588,7 +588,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             List<IVUSMeasuredValue> measuredValueList = new List<IVUSMeasuredValue>();
             var errorRow = new List<int> { };
 
-            for (int i = 3; i < dataTable.Rows.Count; i++)
+            for (int i = 8; i < dataTable.Rows.Count; i++)
             {
                 IVUSMeasuredValue iVUSMeasuredValue = new IVUSMeasuredValue() { };
                 try
@@ -750,7 +750,100 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 }
             }
 
+            #region 构造外层问题答案
+            List<ReadingTaskQuestionAnswer> questionAnswers = new List<ReadingTaskQuestionAnswer>();
 
+            var readingQuestionList = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == taskinfo.TrialReadingCriterionId).ToListAsync();
+            var targetSegmentAnswer = dataTable.Rows[2]["B"].ToString();
+          
+            if (targetSegmentAnswer.IsNotNullOrEmpty())
+            {
+                var targetSegmentValues = targetSegmentAnswer.Replace("，", ",").Split(",").ToList();
+                var targetSegmentdic = await _dictionaryRepository.Where(x => x.Parent.Code == "TargetSegment").ToListAsync();
+                targetSegmentAnswer = JsonConvert.SerializeObject(targetSegmentdic.Where(x => targetSegmentValues.Contains(x.Value)).Select(x => x.Code).ToList());
+            }
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer= targetSegmentAnswer??string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.TargetSegment).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId= taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = dataTable.Rows[3]["B"].ToString()??string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.TargetSegmentRemarks).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = dataTable.Rows[4]["B"].ToString() ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.ROIAllLength).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = dataTable.Rows[5]["B"].ToString() ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.PullbackFrameCount).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+
+            var plaqueTypeAnswer = dataTable.Rows[6]["B"].ToString();
+
+            if (plaqueTypeAnswer.IsNotNullOrEmpty())
+            {
+                var plaqueTypeAnswerValues = plaqueTypeAnswer.Replace("，", ",").Split(",").ToList();
+                var plaqueTypeAnswerdic = await _dictionaryRepository.Where(x => x.Parent.Code == "PlaqueType").ToListAsync();
+                plaqueTypeAnswer = JsonConvert.SerializeObject(plaqueTypeAnswerdic
+                   .Where(x => plaqueTypeAnswerValues.Any(val => x.Value.Contains(val)))
+                   .Select(x => x.Code)
+                   .ToList());
+            }
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = plaqueTypeAnswer ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.PlaqueType).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = dataTable.Rows[7]["B"].ToString() ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.AdjustReason).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+            var questionids = questionAnswers.Select(x => x.ReadingQuestionTrialId).ToList();
+            await _readingTaskQuestionAnswerRepository.DeleteFromQueryAsync(x => x.VisitTaskId == taskinfo.Id && questionids.Contains(x.ReadingQuestionTrialId));
+            await _readingTableQuestionAnswerRepository.SaveChangesAsync();
+            await _readingTaskQuestionAnswerRepository.AddRangeAsync(questionAnswers);
+            await _readingTaskQuestionAnswerRepository.SaveChangesAsync();
+            #endregion
             await _readingTableAnswerRowInfoRepository.DeleteFromQueryAsync(x => x.QuestionId == questionInfo.Id && x.VisitTaskId == taskinfo.Id);
             await _readingTableQuestionAnswerRepository.DeleteFromQueryAsync(x => x.QuestionId == questionInfo.Id && x.VisitTaskId == taskinfo.Id);
             await _readingTableQuestionAnswerRepository.SaveChangesAsync();
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/OCTCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/OCTCalculateService.cs
index 8f2bcc7ab..5f0d3c305 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/OCTCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/OCTCalculateService.cs
@@ -329,8 +329,9 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 TargetSegmentRemarks = awswerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.TargetSegmentRemarks).Select(x => x.Answer).FirstOrDefault() ?? string.Empty,
                 ROIAllLength = awswerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.ROIAllLength).Select(x => x.Answer).FirstOrDefault() ?? string.Empty,
                 //PullbackFrameCount = awswerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.PullbackFrameCount).Select(x => x.Answer).FirstOrDefault() ?? string.Empty,
-                AdjustReason = awswerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.AdjustReason).Select(x => x.Answer).FirstOrDefault() ?? string.Empty,
                 PlaqueType = plaqueTypeAnswer,
+                AdjustReason = awswerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.AdjustReason).Select(x => x.Answer).FirstOrDefault() ?? string.Empty,
+           
 
 
 
@@ -723,6 +724,91 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 }
 
             }
+
+            #region 构造外层问题答案
+            List<ReadingTaskQuestionAnswer> questionAnswers = new List<ReadingTaskQuestionAnswer>();
+
+            var readingQuestionList = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == taskinfo.TrialReadingCriterionId).ToListAsync();
+            var targetSegmentAnswer = dataTable.Rows[2]["B"].ToString();
+
+            if (targetSegmentAnswer.IsNotNullOrEmpty())
+            {
+                var targetSegmentValues = targetSegmentAnswer.Replace("，", ",").Split(",").ToList();
+                var targetSegmentdic = await _dictionaryRepository.Where(x => x.Parent.Code == "TargetSegment").ToListAsync();
+                targetSegmentAnswer = JsonConvert.SerializeObject(targetSegmentdic.Where(x => targetSegmentValues.Contains(x.Value)).Select(x => x.Code).ToList());
+            }
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = targetSegmentAnswer ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.TargetSegment).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = dataTable.Rows[3]["B"].ToString() ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.TargetSegmentRemarks).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = dataTable.Rows[4]["B"].ToString() ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.ROIAllLength).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+
+            var plaqueTypeAnswer = dataTable.Rows[5]["B"].ToString();
+
+            if (plaqueTypeAnswer.IsNotNullOrEmpty())
+            {
+                var plaqueTypeAnswerValues = plaqueTypeAnswer.Replace("，", ",").Split(",").ToList();
+                var plaqueTypeAnswerdic = await _dictionaryRepository.Where(x => x.Parent.Code == "PlaqueType").ToListAsync();
+                plaqueTypeAnswer = JsonConvert.SerializeObject(plaqueTypeAnswerdic
+                   .Where(x => plaqueTypeAnswerValues.Any(val => x.Value.Contains(val)))
+                   .Select(x => x.Code)
+                   .ToList());
+            }
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = plaqueTypeAnswer ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.PlaqueType).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = dataTable.Rows[6]["B"].ToString() ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.AdjustReason).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+            var questionids = questionAnswers.Select(x => x.ReadingQuestionTrialId).ToList();
+            await _readingTaskQuestionAnswerRepository.DeleteFromQueryAsync(x => x.VisitTaskId == taskinfo.Id && questionids.Contains(x.ReadingQuestionTrialId));
+            await _readingTableQuestionAnswerRepository.SaveChangesAsync();
+            await _readingTaskQuestionAnswerRepository.AddRangeAsync(questionAnswers);
+            await _readingTaskQuestionAnswerRepository.SaveChangesAsync();
+            #endregion
+
             await _readingTableAnswerRowInfoRepository.DeleteFromQueryAsync(x => x.QuestionId == questionInfo.Id && x.VisitTaskId == taskinfo.Id);
             await _readingTableQuestionAnswerRepository.DeleteFromQueryAsync(x => x.QuestionId == questionInfo.Id && x.VisitTaskId == taskinfo.Id);
             await _readingTableQuestionAnswerRepository.SaveChangesAsync();