diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
index f3385181c..cfef7885f 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
@@ -506,6 +506,8 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
         public Guid VisitTaskId { get; set; }
 
+        public GlobalAnswerType GlobalAnswerType { get; set; }
+
         public string Answer { get; set; }
     }
 
@@ -517,6 +519,8 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public string QuestionName { get; set; }
 
         public string Answer { get; set; }
+
+
     }
 
     public class OncologyVisitTaskInfo
@@ -656,7 +660,12 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public List<GlobalQuestionInfo> AfterQuestionList { get; set; }
     }
 
+    public class GetGlobalQuestionType
+    {
+        public GlobalAnswerType GlobalAnswerType { get; set; }
 
+        public string QuestionName { get; set; }
+    }
     public class GlobalQuestionInfo
     {
         public Guid? QuestionId { get; set; }
@@ -694,6 +703,9 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         /// 类型
         /// </summary>
         public string Type { get; set; }
+
+
+        public GlobalAnswerType GlobalAnswerType { get; set; }
     }
 
     public class GetReadingImgOutDto
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTaskService.cs
index 4df57cb5d..2f8f2e28f 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTaskService.cs
@@ -1134,7 +1134,7 @@ namespace IRaCIS.Application.Services
                       QuestionId = lr.question.QuestionId,
                       QuestionName = lr.question.QuestionName,
                       Type = lr.question.Type,
-
+                      GlobalAnswerType=GlobalAnswerType.Question,
                       AnswerGroup = lr.question.AnswerGroup,
                       AnswerCombination = lr.question.AnswerCombination,
                       JudgeType = lr.question.JudgeType,
@@ -1142,16 +1142,26 @@ namespace IRaCIS.Application.Services
 
                   }).ToList();
 
-                var reason = new GlobalQuestionInfo()
+                List<GetGlobalQuestionType> questionTypes = new List<GetGlobalQuestionType>()
                 {
-                    Answer = globalReadingQuestion.Where(y => y.TaskId == x.VisitTaskId && y.QuestionId == null).Select(x => x.Answer).FirstOrDefault() ?? String.Empty,
-                    QuestionName = "原因",
-                    Type = "input",
-
-
+                    new GetGlobalQuestionType (){GlobalAnswerType=GlobalAnswerType.Reason,QuestionName="原因" },
+                    new GetGlobalQuestionType (){GlobalAnswerType=GlobalAnswerType.AgreeOrNot,QuestionName="是否同意访视结果" },
+                    new GetGlobalQuestionType (){GlobalAnswerType=GlobalAnswerType.UpdateType,QuestionName="评估更新类型" },
                 };
 
-                x.AfterQuestionList.Add(reason);
+
+                foreach (var item in questionTypes)
+                {
+                    x.AfterQuestionList.Add(new GlobalQuestionInfo()
+                    {
+                        Answer = globalReadingQuestion.Where(y => y.TaskId == x.VisitTaskId && y.GlobalAnswerType == item.GlobalAnswerType).Select(x => x.Answer).FirstOrDefault() ?? String.Empty,
+                        QuestionName = item.QuestionName,
+                        Type = "input",
+                        GlobalAnswerType=item.GlobalAnswerType,
+
+                    });
+                }
+               
 
 
             });
diff --git a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
index 4bf4fc194..660170b70 100644
--- a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
+++ b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
@@ -574,6 +574,32 @@ namespace IRaCIS.Core.Domain.Share
         OncologyRead = 3,
     }
 
+    /// <summary>
+    /// 全局答案类型
+    /// </summary>
+    public enum GlobalAnswerType
+    {
+
+        /// <summary>
+        /// 问题答案
+        /// </summary>
+        Question = 0,
+
+        /// <summary>
+        /// 原因
+        /// </summary>
+        Reason = 1,
+
+        /// <summary>
+        /// 是否同意
+        /// </summary>
+        AgreeOrNot = 2,
+
+        /// <summary>
+        /// 评估更新类型
+        /// </summary>
+        UpdateType = 3
+    }
     public enum QuestionMark
     {
         /// <summary>
diff --git a/IRaCIS.Core.Domain/Reading/ReadingGlobalTaskInfo.cs b/IRaCIS.Core.Domain/Reading/ReadingGlobalTaskInfo.cs
index a8885a942..b6b89f0f6 100644
--- a/IRaCIS.Core.Domain/Reading/ReadingGlobalTaskInfo.cs
+++ b/IRaCIS.Core.Domain/Reading/ReadingGlobalTaskInfo.cs
@@ -63,10 +63,15 @@ namespace IRaCIS.Core.Domain.Models
         /// </summary>
 	
 		public Guid TrialId { get; set; }
-	
+
 		/// <summary>
-        /// SubjectId
-        /// </summary>
+		/// 全局答案类型
+		/// </summary>
+		public GlobalAnswerType GlobalAnswerType { get; set; }
+
+		/// <summary>
+		/// SubjectId
+		/// </summary>
 		public Guid SubjectId { get; set; }
 	 
 	 }