diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index cb327e48f..3529b86ad 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -965,6 +965,11 @@
             创建时间
             </summary>
         </member>
+        <member name="P:IRaCIS.Core.Application.Service.Reading.Dto.ReadingPeriodSetView.EffectOfTime">
+            <summary>
+            生效时间
+            </summary>
+        </member>
         <member name="P:IRaCIS.Core.Application.Service.Reading.Dto.ReadingPeriodSetView.CreateUserId">
             <summary>
             创建人
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingPeriodSetViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingPeriodSetViewModel.cs
index 68289fc89..1c628bff3 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingPeriodSetViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingPeriodSetViewModel.cs
@@ -260,6 +260,8 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         /// </summary>
         public int PlanCount { get; set; }
 
+        public bool IsGlobal { get; set; }
+
     }
 
     public class SetReadingPeriodSetEffect
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingPeriodSetService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingPeriodSetService.cs
index 21b920786..a9d4f3847 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingPeriodSetService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingPeriodSetService.cs
@@ -233,7 +233,7 @@ namespace IRaCIS.Application.Services
                   SubjectCode = x.SubjectVisit.Subject.Code,
                   SubjectId = x.SubjectVisit.SubjectId,
                   SubjectVisitName = x.SubjectVisit.VisitName,
-                     EffectOfTime=x.ReadingPeriodSet.EffectOfTime,
+                  EffectOfTime=x.ReadingPeriodSet.EffectOfTime,
                  });
 
            return await plans.ToPagedListAsync(inDto.PageIndex, inDto.PageSize, inDto.SortField == null ? "SubjectId" : inDto.SortField,
diff --git a/IRaCIS.Core.Application/Service/Visit/SubjectVisitService.cs b/IRaCIS.Core.Application/Service/Visit/SubjectVisitService.cs
index 250590aa2..5fb3a76cd 100644
--- a/IRaCIS.Core.Application/Service/Visit/SubjectVisitService.cs
+++ b/IRaCIS.Core.Application/Service/Visit/SubjectVisitService.cs
@@ -19,18 +19,21 @@ namespace IRaCIS.Core.Application.Services
     {
         private readonly IRepository<SubjectVisit> _subjectVisitRepository;
         private readonly IRepository<ReadModule> _readModuleRepository;
+        private readonly IRepository<Trial> _trialRepository;
         private readonly IRepository<ReadingPeriodSet> _readingPeriodSetRepository;
         private readonly IRepository<ReadingPeriodPlan> _readingPeriodPlanRepository;
         private readonly IRepository<Subject> _subjectRepository;
 
         public SubjectVisitService(IRepository<SubjectVisit> subjectVisitRepository,
             IRepository<ReadModule> readModuleRepository,
+             IRepository<Trial> trialRepository,
              IRepository<ReadingPeriodSet> readingPeriodSetRepository,
               IRepository<ReadingPeriodPlan> readingPeriodPlanRepository,
             IRepository<Subject> subjectRepository)
         {
             _subjectVisitRepository = subjectVisitRepository;
             this._readModuleRepository = readModuleRepository;
+            this._trialRepository = trialRepository;
             this._readingPeriodSetRepository = readingPeriodSetRepository;
             this._readingPeriodPlanRepository = readingPeriodPlanRepository;
             _subjectRepository = subjectRepository;
@@ -107,48 +110,56 @@ namespace IRaCIS.Core.Application.Services
                     }
                 }
 
-                // 末次访视添加全局阅片
-                if (dbBeforeEntity.IsFinalVisit == false && svCommand.IsFinalVisit == true)
+                // 是否全局阅片
+                var isGlobalReading = await _trialRepository.Where(x => x.Id == dbBeforeEntity.TrialId).Select(x => x.IsGlobalReading).FirstOrDefaultAsync();
+                if (isGlobalReading)
                 {
-
-                    ReadingPeriodSet? readingPeriodSet =await _readingPeriodSetRepository.FirstOrDefaultNoTrackingAsync(x => x.TrialId == dbBeforeEntity.TrialId && x.ReadingPeriodName == "Global");
-
-                    if (readingPeriodSet == null)
+                    // 末次访视添加全局阅片
+                    if (dbBeforeEntity.IsFinalVisit == false && svCommand.IsFinalVisit == true)
                     {
-                        readingPeriodSet = new ReadingPeriodSet()
+
+                        ReadingPeriodSet? readingPeriodSet = await _readingPeriodSetRepository.FirstOrDefaultNoTrackingAsync(x => x.TrialId == dbBeforeEntity.TrialId && x.ReadingPeriodName == "Global");
+
+                        if (readingPeriodSet == null)
                         {
-                            Id = NewId.NextGuid(),
-                            ReadingScope = ReadingScopeEnum.All,
-                            ReadingSetType = ReadingSetType.ImageReading,
-                            IsTakeEffect = ReadingPeriodStatus.TakeEffect,
-                            ReadingPeriodName = "Global",
-                            TrialId = dbBeforeEntity.TrialId,
-                        };
+                            readingPeriodSet = new ReadingPeriodSet()
+                            {
+                                Id = NewId.NextGuid(),
+                                ReadingScope = ReadingScopeEnum.All,
+                                ReadingSetType = ReadingSetType.ImageReading,
+                                IsTakeEffect = ReadingPeriodStatus.TakeEffect,
+                                ReadingPeriodName = "Global",
+                                TrialId = dbBeforeEntity.TrialId,
+                                EffectOfTime = DateTime.Now,
+                                IsGlobal = true,
+                            };
 
 
-                        await _readingPeriodSetRepository.AddAsync(readingPeriodSet);
+                            await _readingPeriodSetRepository.AddAsync(readingPeriodSet);
 
-                    }
+                        }
 
-                    await _readingPeriodPlanRepository.AddAsync(new ReadingPeriodPlan()
-                    {
-                        SubjectVisitId = dbBeforeEntity.Id,
-                        ReadingPeriodSetId = readingPeriodSet.Id,
-                    });
-
-                    // 当前访视没有阅片期才添加
-                    if (!await _readModuleRepository.AnyAsync(x => x.SubjectVisitId == svCommand.Id && x.ReadingSetType == ReadingSetType.ImageReading))
-                    {
-                        await _readModuleRepository.AddAsync(new ReadModule()
+                        await _readingPeriodPlanRepository.AddAsync(new ReadingPeriodPlan()
                         {
-                            IsUrgent = dbBeforeEntity.IsUrgent,
-                            SubjectVisitId = svCommand.Id.Value,
-                            Status = ReadModuleEnum.TaskAllocation,
-                            SubjectId = dbBeforeEntity.SubjectId,
-                            ModuleName= "Global",// 全局阅片
-                            ReadingSetType= ReadingSetType.ImageReading,
-                            ModuleType=ModuleTypeEnum.Global,
+                            SubjectVisitId = dbBeforeEntity.Id,
+                            ReadingPeriodSetId = readingPeriodSet.Id,
                         });
+
+                        // 当前访视没有阅片期才添加
+                        if (!await _readModuleRepository.AnyAsync(x => x.SubjectVisitId == svCommand.Id && x.ReadingSetType == ReadingSetType.ImageReading))
+                        {
+                            await _readModuleRepository.AddAsync(new ReadModule()
+                            {
+                                ReadingPeriodSetId = readingPeriodSet.Id,
+                                IsUrgent = dbBeforeEntity.IsUrgent,
+                                SubjectVisitId = svCommand.Id.Value,
+                                Status = ReadModuleEnum.TaskAllocation,
+                                SubjectId = dbBeforeEntity.SubjectId,
+                                ModuleName = "Global",// 全局阅片
+                                ReadingSetType = ReadingSetType.ImageReading,
+                                ModuleType = ModuleTypeEnum.Global,
+                            });
+                        }
                     }
                 }
             }
diff --git a/IRaCIS.Core.Domain/Reading/ReadingPeriodSet.cs b/IRaCIS.Core.Domain/Reading/ReadingPeriodSet.cs
index 3fea312fc..090198b6f 100644
--- a/IRaCIS.Core.Domain/Reading/ReadingPeriodSet.cs
+++ b/IRaCIS.Core.Domain/Reading/ReadingPeriodSet.cs
@@ -72,6 +72,11 @@ namespace IRaCIS.Core.Domain.Models
 		/// </summary>
 		public Guid CreateUserId { get; set; }
 
+		/// <summary>
+		/// 是否为全局阅片
+		/// </summary>
+		public bool IsGlobal { get; set; }
+
 		/// <summary>
 		/// 阅片配置的类型
 		/// </summary>