diff --git a/IRaCIS.Core.Application/Service/Allocation/VisitTaskService.cs b/IRaCIS.Core.Application/Service/Allocation/VisitTaskService.cs
index f3f8344e2..e2b6895e0 100644
--- a/IRaCIS.Core.Application/Service/Allocation/VisitTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Allocation/VisitTaskService.cs
@@ -1741,8 +1741,11 @@ public class VisitTaskService(IRepository<VisitTask> _visitTaskRepository,
         }
         else
         {
-            //默认影响的都是该标准的任务
-            filterExpression = filterExpression.And(t => t.TrialReadingCriterionId == origenalTask.TrialReadingCriterionId);
+            if (requestReReadingType != RequestReReadingType.TrialGroupApply)
+            {
+                //默认影响的都是该标准的任务
+                filterExpression = filterExpression.And(t => t.TrialReadingCriterionId == origenalTask.TrialReadingCriterionId);
+            }
         }
 
         //PM申请   SPM / CPM审批   回退访视，因此这里不生成访视任务  影响多个标准的任务
@@ -2661,13 +2664,16 @@ public class VisitTaskService(IRepository<VisitTask> _visitTaskRepository,
         //IR 申请1.1 基线重阅，影响附加评估所有的任务
         var isIR1Point1AdditionalAssessmentBaseline = false;
 
+        //是IR 申请 PM 审批流程
+        var isIRApplyPMApprovalProcess = (IsPMOrAPm() && applyId != null && await _visitTaskReReadingRepository.AnyAsync(t => t.Id == applyId && t.CreateUserRole.UserTypeEnum == UserTypeEnum.IndependentReviewer))
+            || (_userInfo.UserTypeEnumInt == (int)UserTypeEnum.IndependentReviewer && applyId == null);
+
         //附加评估  IR  和PM 看到的影响列表不一样
         if (criterionConfig.CriterionType == CriterionType.RECIST1Point1 && criterionConfig.IsAdditionalAssessment)
         {
 
             //  IR 申请  PM 同意  
-            if (((IsPMOrAPm() && applyId != null && await _visitTaskReReadingRepository.AnyAsync(t => t.Id == applyId && t.CreateUserRole.UserTypeEnum == UserTypeEnum.IndependentReviewer))
-                || (_userInfo.UserTypeEnumInt == (int)UserTypeEnum.IndependentReviewer && applyId == null)))
+            if (isIRApplyPMApprovalProcess)
             {
 
                 // 1.1 基线任务影响BM任务
@@ -2695,13 +2701,11 @@ public class VisitTaskService(IRepository<VisitTask> _visitTaskRepository,
         }
         else
         {
-            if (isReReading == true)
+            if (isReReading == true && isIRApplyPMApprovalProcess)
             {
                 //默认影响的都是该标准的任务
                 filterExpression = filterExpression.And(t => t.TrialReadingCriterionId == filterObj.TrialReadingCriterionId);
             }
-
-
         }
 
 
diff --git a/IRaCIS.Core.Application/TestService.cs b/IRaCIS.Core.Application/TestService.cs
index 82afeaeff..57c3ad1a3 100644
--- a/IRaCIS.Core.Application/TestService.cs
+++ b/IRaCIS.Core.Application/TestService.cs
@@ -130,6 +130,35 @@ namespace IRaCIS.Core.Application.Service
             return ResponseOutput.Ok();
         }
 
+        //添加医学审核问题
+        [AllowAnonymous]
+        public async Task<IResponseOutput> AddReadingMedicineSystemQuestion([FromServices] IRepository<ReadingMedicineSystemQuestion> _readingMedicineSystemQuestion)
+        {
+            if (!_readingMedicineSystemQuestion.Any(t => t.CriterionTypeEnum == CriterionType.mRECISTHCC))
+            {
+                var list = _readingMedicineSystemQuestion.Where(t => t.CriterionTypeEnum == CriterionType.RECIST1Point1).ToList();
+
+                var initOrder = 500;
+                foreach (var item in list)
+                {
+                    item.Id = NewId.NextSequentialGuid();
+
+                    item.CriterionTypeEnum = CriterionType.mRECISTHCC;
+
+                    item.CreateTime = DateTime.Now;
+                    item.ShowOrder = initOrder;
+
+                    initOrder = initOrder + 1;
+                }
+
+                await _readingMedicineSystemQuestion.AddRangeAsync(list,true);
+            }
+
+           
+
+            return ResponseOutput.Ok();
+        }
+
         /// <summary>
         /// IQC 回退到影像上传
         /// </summary>