diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs
index 6a130a511..3ded1dabc 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs
@@ -6,6 +6,43 @@ using System.ComponentModel.DataAnnotations.Schema;
 namespace IRaCIS.Core.Application.Service.Reading.Dto
 {
 
+    public class GetTrialQuestionVisitJudgeRuleInDto
+    {
+        [NotDefault]
+        public Guid TrialId { get; set; }
+
+        [NotDefault]
+        public Guid TrialReadingCriterionId { get; set; }
+
+        [NotDefault]
+        public decimal VisitNum { get; set; }
+
+        public Guid? ReadingQuestionId { get; set; }
+    }
+
+    public class SetTrialQuestionVisitJudgeRuleInDto
+    {
+        [NotDefault]
+        public Guid TrialReadingCriterionId { get; set; }
+
+        [NotDefault]
+        public decimal VisitNum { get; set; }
+
+        public List<TrialQuestionVisitJudgeRuleItemDto> QuestionList { get; set; } = new List<TrialQuestionVisitJudgeRuleItemDto>();
+    }
+
+    public class TrialQuestionVisitJudgeRuleItemDto
+    {
+        public Guid ReadingQuestionId { get; set; }
+        public string QuestionName { get; set; } = string.Empty;
+        public int ShowOrder { get; set; }
+        public List<string> AnswerGroup { get; set; } = new List<string>();
+        public List<string> AnswerCombination { get; set; } = new List<string>();
+        public JudgeTypeEnum JudgeType { get; set; }
+        public decimal? JudgeDifferenceValue { get; set; }
+        public JudgeDifferenceType JudgeDifferenceType { get; set; }
+    }
+
 
     public class TumorAssessmentView : AddOrUpdateTumorAssessmentInDto
     {
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingQuestionService.cs
index 53c1ba5fd..57ac7d4d8 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingQuestionService.cs
@@ -33,10 +33,91 @@ namespace IRaCIS.Core.Application.Service
         IRepository<OrganInfo> _organInfoRepository,
         IRepository<ReadingTableQuestionSystem> _readingTableQuestionSystemRepository,
         IRepository<ReadingTaskQuestionAnswer> _readingTaskQuestionAnswer,
-        IRepository<PreviousPDF> _previousPDFRepository, IMapper _mapper, IUserInfo _userInfo, IStringLocalizer _localizer) : BaseService, IReadingQuestionService
+        IRepository<PreviousPDF> _previousPDFRepository,
+        IRepository<ReadingQuestionVisitJudgeRule> _readingQuestionVisitJudgeRuleRepository,
+        IMapper _mapper, IUserInfo _userInfo, IStringLocalizer _localizer) : BaseService, IReadingQuestionService
 
     {
 
+        #region 项目访视裁判规则
+
+        /// <summary>
+        /// 获取项目阅片标准各访视的裁判规则配置。
+        /// 未配置规则的访视问题也会返回，供前端直接进行配置。
+        /// </summary>
+        [HttpPost]
+        public async Task<List<TrialQuestionVisitJudgeRuleItemDto>> GetTrialQuestionVisitJudgeRule(GetTrialQuestionVisitJudgeRuleInDto inDto)
+        {
+            var questionList = await _readingQuestionTrialRepository
+                .Where(x => x.ReadingQuestionCriterionTrialId == inDto.TrialReadingCriterionId && x.IsJudgeQuestion)
+                .WhereIf(inDto.ReadingQuestionId != null, x => x.Id == inDto.ReadingQuestionId)
+                .OrderBy(x => x.ShowOrder)
+                .Select(x => new TrialQuestionVisitJudgeRuleItemDto
+                {
+                    ReadingQuestionId = x.Id,
+                    QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
+                    ShowOrder = x.ShowOrder,
+                })
+                .ToListAsync();
+
+            var questionIds = questionList.Select(x => x.ReadingQuestionId).ToList();
+            var ruleList = await _readingQuestionVisitJudgeRuleRepository
+                .Where(x => x.VisitNum == inDto.VisitNum && questionIds.Contains(x.ReadingQuestionId))
+                .ToListAsync();
+
+            return questionList.Select(question =>
+            {
+                var rule = ruleList.FirstOrDefault(x => x.ReadingQuestionId == question.ReadingQuestionId);
+                return new TrialQuestionVisitJudgeRuleItemDto
+                {
+                    ReadingQuestionId = question.ReadingQuestionId,
+                    QuestionName = question.QuestionName,
+                    ShowOrder = question.ShowOrder,
+                    AnswerGroup = rule?.AnswerGroup ?? new List<string>(),
+                    AnswerCombination = rule?.AnswerCombination ?? new List<string>(),
+                    JudgeType = rule?.JudgeType ?? JudgeTypeEnum.None,
+                    JudgeDifferenceValue = rule?.JudgeDifferenceValue,
+                    JudgeDifferenceType = rule?.JudgeDifferenceType ?? default,
+                };
+            }).ToList();
+        }
+
+        /// <summary>
+        /// 编辑项目阅片标准各访视的裁判规则配置。
+        /// </summary>
+        [HttpPost]
+        public async Task<IResponseOutput> SetTrialQuestionVisitJudgeRule(SetTrialQuestionVisitJudgeRuleInDto inDto)
+        {
+            var questionIds = await _readingQuestionTrialRepository
+                .Where(x => x.ReadingQuestionCriterionTrialId == inDto.TrialReadingCriterionId && x.IsJudgeQuestion)
+                .Select(x => x.Id)
+                .ToListAsync();
+
+            await _readingQuestionVisitJudgeRuleRepository.BatchDeleteNoTrackingAsync(x =>
+                x.VisitNum == inDto.VisitNum && questionIds.Contains(x.ReadingQuestionId));
+
+            var rules = inDto.QuestionList.Select(question => new ReadingQuestionVisitJudgeRule
+            {
+                Id = NewId.NextGuid(),
+                ReadingQuestionId = question.ReadingQuestionId,
+                VisitNum = inDto.VisitNum,
+                AnswerGroup = question.AnswerGroup ?? new List<string>(),
+                AnswerCombination = question.AnswerCombination ?? new List<string>(),
+                JudgeType = question.JudgeType,
+                JudgeDifferenceValue = question.JudgeDifferenceValue,
+                JudgeDifferenceType = question.JudgeDifferenceType,
+            }).ToList();
+
+            if (rules.Count > 0)
+            {
+                await _readingQuestionVisitJudgeRuleRepository.AddRangeAsync(rules);
+            }
+
+            return ResponseOutput.Result(await _readingQuestionVisitJudgeRuleRepository.SaveChangesAsync());
+        }
+
+        #endregion
+
 
         #region 获取计算问题