diff --git a/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs b/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
index cfcfc40e7..3dc67bdc4 100644
--- a/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
+++ b/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
@@ -1153,6 +1153,7 @@ namespace IRaCIS.Core.Application.Service.Common
 
             var resultList = list.Where(t => t.ReadingCategory != ReadingCategory.Judge).ToList();
 
+
             if (arbitrationRule == ArbitrationRule.Visit)
             {
 
@@ -1165,11 +1166,30 @@ namespace IRaCIS.Core.Application.Service.Common
             }
             if (arbitrationRule == ArbitrationRule.Reading)
             {
+                //先确定裁判选定的是谁
                 foreach (var item in resultList)
                 {
+                    //以最后一次裁判为准  找到最大的裁判的裁判选择的Arm,相同就设置裁判标记
                     item.IsGenerateJudge = list.Where(t => t.ReadingCategory == ReadingCategory.Judge && t.SubjectCode == item.SubjectCode && t.VisitTaskNum > item.VisitTaskNum
                    ).OrderByDescending(t => t.VisitTaskNum).FirstOrDefault()?.JudgeArmEnum == item.ArmEnum ? true : false;
+
                 }
+                //全局裁判了，选择了那个全局，那么对应全局下面的访视 设置裁判标记
+                foreach (var item in resultList.Where(t => t.ReadingCategory == ReadingCategory.Visit))
+                {
+
+                    var selectJudegeGlobalList = resultList.Where(t => t.ReadingCategory == ReadingCategory.Global && t.IsGenerateJudge == true).ToList();
+
+                    //全局修改了答案，那么给访视上赋值全局的结果  并且取的是最后的全局
+                    var existGlobalAnswer = selectJudegeGlobalList.Where(t => t.SubjectCode == item.SubjectCode).SelectMany(t => t.GlobalTaskAnswerList).Where(t => t.VisitTaskId == item.Id)
+                        .OrderByDescending(t => t.GlobalTaskVisitNum).FirstOrDefault()?.Answer;
+
+                    item.OverallTumorEvaluationResult = string.IsNullOrEmpty(existGlobalAnswer) ? item.OverallTumorEvaluationResult : existGlobalAnswer;
+
+                    item.IsGenerateJudge = true;
+                }
+
+
             }
 
             //如果没有产生裁判，默认选择R1
@@ -1247,7 +1267,7 @@ namespace IRaCIS.Core.Application.Service.Common
             //处理裁判标记
             list = DealJudgeMark(criterion.ArbitrationRule, list);
 
-            exportInfo.List = ExportExcelConverterDate.ConvertToClientTimeInObject(list, _userInfo.TimeZoneId);
+            exportInfo.List = ExportExcelConverterDate.ConvertToClientTimeInObject(list.Where(t => t.ReadingCategory != ReadingCategory.Global).ToList(), _userInfo.TimeZoneId);
             exportInfo.IsEn_US = _userInfo.IsEn_Us;
             exportInfo.ClientZoneId = _userInfo.TimeZoneId;
 
@@ -1307,7 +1327,7 @@ namespace IRaCIS.Core.Application.Service.Common
                 //处理裁判标记
                 list = DealJudgeMark(criterion.ArbitrationRule, list);
 
-                exportInfo.List = ExportExcelConverterDate.ConvertToClientTimeInObject(list, _userInfo.TimeZoneId);
+                exportInfo.List = ExportExcelConverterDate.ConvertToClientTimeInObject(list.Where(t=>t.ReadingCategory!=ReadingCategory.Global).ToList(), _userInfo.TimeZoneId);
                 exportInfo.IsEn_US = _userInfo.IsEn_Us;
                 exportInfo.ClientZoneId = _userInfo.TimeZoneId;
 
diff --git a/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs b/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs
index 82c491a75..2db5966a6 100644
--- a/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs
+++ b/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs
@@ -865,13 +865,6 @@ namespace IRaCIS.Core.Application.Contracts
         public string OverallTumorEvaluationResult { get; set; }
 
 
-        #region old 废弃
-
-        //public Guid? JudgeResultTaskId { get; set; }
-
-        //[DictionaryTranslateAttribute("YesOrNo")]
-        //public bool IsGenerateJudge => JudgeResultTaskId != null;
-        #endregion
 
 
         public Arm? JudgeArmEnum { get; set; }
@@ -882,8 +875,20 @@ namespace IRaCIS.Core.Application.Contracts
         public bool IsGenerateJudge { get; set; }
 
 
+        [JsonIgnore]
+
+        public List<GlobalAnswerInfo> GlobalTaskAnswerList { get; set; }
+
     }
 
+    public class GlobalAnswerInfo
+    {
+        public decimal GlobalTaskVisitNum { get; set; }
+        public Guid VisitTaskId { get; set; }
+
+        public string Answer { get; set; }
+        
+    }
 
 
     public class RECIST1Point1EvaluationOfTumorEfficacyExport : OverallTumorEvaluationExport
diff --git a/IRaCIS.Core.Application/Service/QC/_MapConfig.cs b/IRaCIS.Core.Application/Service/QC/_MapConfig.cs
index 7bb30bb77..2110ce0bd 100644
--- a/IRaCIS.Core.Application/Service/QC/_MapConfig.cs
+++ b/IRaCIS.Core.Application/Service/QC/_MapConfig.cs
@@ -182,7 +182,12 @@ namespace IRaCIS.Core.Application.Service
 
                 .ForMember(o => o.TrialSiteCode, t => t.MapFrom(u => u.Subject.TrialSite.TrialSiteCode))
                 .ForMember(o => o.SubjectCode, t => t.MapFrom(u => u.Subject.Code))
-                .ForMember(o => o.UserName, t => t.MapFrom(u => u.DoctorUser.UserName));
+                .ForMember(o => o.UserName, t => t.MapFrom(u => u.DoctorUser.UserName))
+                 .ForMember(o => o.GlobalTaskAnswerList, t => t.MapFrom(u => u.GlobalVisitResultList.Where(t=>t.GlobalAnswerType== GlobalAnswerType.Question)
+                 .Select(c=>new GlobalAnswerInfo() { GlobalTaskVisitNum=c.VisitTask.VisitTaskNum,VisitTaskId=c.TaskId ,Answer=c.Answer})))
+
+
+                ;
 
             CreateMap<VisitTask, RECIST1Point1EvaluationOfTumorEfficacyExport>().IncludeBase<VisitTask, OverallTumorEvaluationExport>()
                  .ForMember(o => o.TargetlesionEvaluationResult, t => t.MapFrom(u => u.ReadingTaskQuestionAnswerList.Where(c => c.ReadingQuestionTrial.QuestionType == QuestionType.TargetLesion).FirstOrDefault()!.Answer))
diff --git a/IRaCIS.Core.Domain/Reading/ClinicalData/ReadingConsistentClinicalData.cs b/IRaCIS.Core.Domain/Reading/ClinicalData/ReadingConsistentClinicalData.cs
index 66c216fc9..c57fc08e7 100644
--- a/IRaCIS.Core.Domain/Reading/ClinicalData/ReadingConsistentClinicalData.cs
+++ b/IRaCIS.Core.Domain/Reading/ClinicalData/ReadingConsistentClinicalData.cs
@@ -9,7 +9,7 @@ using System.Collections.Generic;
 namespace IRaCIS.Core.Domain.Models
 {
 	///<summary>
-	/// 项目的临床数据
+	/// 一致性分析临床数据
 	///</summary>
 	[Table("ReadingConsistentClinicalData")]
 	public class ReadingConsistentClinicalData : Entity, IAuditAdd
diff --git a/IRaCIS.Core.Domain/Reading/ClinicalData/ReadingConsistentClinicalDataPDF.cs b/IRaCIS.Core.Domain/Reading/ClinicalData/ReadingConsistentClinicalDataPDF.cs
index ce3183971..ab442df64 100644
--- a/IRaCIS.Core.Domain/Reading/ClinicalData/ReadingConsistentClinicalDataPDF.cs
+++ b/IRaCIS.Core.Domain/Reading/ClinicalData/ReadingConsistentClinicalDataPDF.cs
@@ -7,10 +7,10 @@ using System.ComponentModel.DataAnnotations.Schema;
 
 namespace IRaCIS.Core.Domain.Models
 {
-	///<summary>
-	/// 项目的临床数据
-	///</summary>
-	[Table("ReadingConsistentClinicalDataPDF")]
+    ///<summary>
+    /// 一致性分析临床数据
+    ///</summary>
+    [Table("ReadingConsistentClinicalDataPDF")]
 	public class ReadingConsistentClinicalDataPDF : Entity, IAuditAdd
 	{
 		[JsonIgnore]