diff --git a/IRaCIS.Core.API/Controllers/InspectionController.cs b/IRaCIS.Core.API/Controllers/InspectionController.cs
index 0abd96915..44d9a86ec 100644
--- a/IRaCIS.Core.API/Controllers/InspectionController.cs
+++ b/IRaCIS.Core.API/Controllers/InspectionController.cs
@@ -849,6 +849,7 @@ namespace IRaCIS.Core.API.Controllers
         public async Task<IResponseOutput> UpdateSubjectStatus(InsUpdateSubjectStatus opt)
         {
             var fun = _subjectService.UpdateSubjectStatus;
+           
             return await _inspectionService.Enforcement(opt.OptCommand, opt.AuditInfo, opt.SignInfo, fun);
         }
 
diff --git a/IRaCIS.Core.Application/Service/QC/QCOperationService.cs b/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
index c4b37e1e1..084e5dd34 100644
--- a/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
+++ b/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
@@ -1817,22 +1817,25 @@ namespace IRaCIS.Core.Application.Image.QA
                     FirstGiveMedicineTime = command.SubjectFirstGiveMedicineTime,
 
                 });
-
-                datas.Add(new DataInspection()
+                if (data.IsBaseLine)
                 {
-
-                    SubjectId = command.SubjectId,
-                    SiteId = data.SiteId,
-                    TrialId = data.TrialId,
-                    IsSign = false,
-                    Identification= "Edit|Subject|Info|Subject",
-                    CreateTime =DateTime.Now.AddSeconds(1),
-                    JsonDetail = JsonConvert.SerializeObject(new
+                    datas.Add(new DataInspection()
                     {
-                        FirstGiveMedicineTime= command.SubjectFirstGiveMedicineTime.Value.ToString("yyyy-MM-dd")
 
-                    })
-                }) ;
+                        SubjectId = command.SubjectId,
+                        SiteId = data.SiteId,
+                        TrialId = data.TrialId,
+                        IsSign = false,
+                        Identification = "Edit|Subject|Info|Subject",
+                        CreateTime = DateTime.Now.AddSeconds(1),
+                        JsonDetail = JsonConvert.SerializeObject(new
+                        {
+                            FirstGiveMedicineTime = command.SubjectFirstGiveMedicineTime.Value.ToString("yyyy-MM-dd")
+
+                        })
+                    });
+                }
+              
 
               await  _inspectionService.AddListInspectionRecordAsync(datas);
             }
diff --git a/IRaCIS.Core.Application/Service/Visit/SubjectVisitService.cs b/IRaCIS.Core.Application/Service/Visit/SubjectVisitService.cs
index 89f29482b..8ca7c0f5e 100644
--- a/IRaCIS.Core.Application/Service/Visit/SubjectVisitService.cs
+++ b/IRaCIS.Core.Application/Service/Visit/SubjectVisitService.cs
@@ -33,7 +33,7 @@ namespace IRaCIS.Core.Application.Services
         {
             bool isadd=false;
 
-            if (svCommand.Id != null)
+            if (svCommand.Id == null)
             {
                 isadd=true;
             }
@@ -118,27 +118,28 @@ namespace IRaCIS.Core.Application.Services
             //更新受试者 首次给药日期 是否入组确认
             if (svCommand.SubjectFirstGiveMedicineTime != null)
             {
-                List<DataInspection> datas = new List<DataInspection>();
 
-                //  更新受试者
-
-                subject.FirstGiveMedicineTime = svCommand.SubjectFirstGiveMedicineTime;
-                datas.Add(new DataInspection()
+                if (svCommand.IsBaseLine)
                 {
-
-                    SubjectId = subject.Id,
-                    SiteId = subject.SiteId,
-                    TrialId = subject.TrialId,
-                    IsSign = false,
-                    Identification= "Edit|Subject|Info|Subject",
-                    CreateTime = DateTime.Now.AddSeconds(1),
-                    JsonDetail = JsonConvert.SerializeObject(new
+                    List<DataInspection> datas = new List<DataInspection>();
+                    //  更新受试者
+                    subject.FirstGiveMedicineTime = svCommand.SubjectFirstGiveMedicineTime;
+                    datas.Add(new DataInspection()
                     {
-                        FirstGiveMedicineTime = subject.FirstGiveMedicineTime.Value.ToString("yyyy-MM-dd")
-
-                    })
-                });
-                await _inspectionService.AddListInspectionRecordAsync(datas);
+                        SubjectId = subject.Id,
+                        SiteId = subject.SiteId,
+                        TrialId = subject.TrialId,
+                        IsSign = false,
+                        Identification = "Edit|Subject|Info|Subject",
+                        CreateTime = DateTime.Now.AddSeconds(1),
+                        JsonDetail = JsonConvert.SerializeObject(new
+                        {
+                            FirstGiveMedicineTime = subject.FirstGiveMedicineTime.Value.ToString("yyyy-MM-dd")
+                        })
+                    });
+                    await _inspectionService.AddListInspectionRecordAsync(datas);
+                }
+                
             }
 
             if (svCommand.IsEnrollmentConfirm != null)