diff --git a/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs b/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
index bea2328b0..acd44980c 100644
--- a/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
+++ b/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
@@ -1476,19 +1476,29 @@ namespace IRaCIS.Core.Application.Service.Common
                    ).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
+               
+                //访视、全局列表中过滤出访视进行处理
                 foreach (var item in resultList.Where(t => t.ReadingCategory == ReadingCategory.Visit))
                 {
+                    //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
 
                     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;
+                    if (selectJudegeGlobalList.Count == 0)
+                    {
+                        //生成了裁判，但是裁判没有做
 
-                    item.OverallTumorEvaluationResult = string.IsNullOrEmpty(existGlobalAnswer) ? item.OverallTumorEvaluationResult : existGlobalAnswer;
+                        item.IsGenerateJudge = null;
+                    }
+                    else
+                    {
 
-                    item.IsGenerateJudge = true;
+                        if(selectJudegeGlobalList.Where(t => t.SubjectCode == item.SubjectCode).SelectMany(t => t.GlobalTaskAnswerList).Any(t => t.VisitTaskId == item.Id))
+                        {
+                            item.IsGenerateJudge = true;
+                        }
+
+                    }                  
                 }
 
 
diff --git a/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs b/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs
index 7740b145b..e011609f2 100644
--- a/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs
+++ b/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs
@@ -935,6 +935,9 @@ namespace IRaCIS.Core.Application.Contracts
         public string SubjectCode { get; set; } = String.Empty;
 
         public Guid Id { get; set; }
+
+        public Guid DoctorUserId { get; set; }
+
         public string TaskName { get; set; }
         public string TaskBlindName { get; set; }
 
@@ -964,7 +967,7 @@ namespace IRaCIS.Core.Application.Contracts
 
         //根据裁判的任务结果 设置访视任务的这个字段  该字段表示  裁判认同该任务的结果
         [DictionaryTranslateAttribute("YesOrNo")]
-        public bool IsGenerateJudge { get; set; }
+        public bool? IsGenerateJudge { get; set; }
 
 
         [JsonIgnore]
diff --git a/IRaCIS.Core.Application/Service/QC/_MapConfig.cs b/IRaCIS.Core.Application/Service/QC/_MapConfig.cs
index d9c9aa987..71f380b62 100644
--- a/IRaCIS.Core.Application/Service/QC/_MapConfig.cs
+++ b/IRaCIS.Core.Application/Service/QC/_MapConfig.cs
@@ -192,7 +192,7 @@ namespace IRaCIS.Core.Application.Service
 
                 .ForMember(o => o.OverallTumorEvaluationResult, t => t.MapFrom(u =>
                criterionType == CriterionType.RECIST1Point1 ?( u.SourceSubjectVisit.IsBaseLine==true ? u.ReadingTaskQuestionAnswerList.Where(c => c.ReadingQuestionTrial.QuestionType == QuestionType.ExistDisease).FirstOrDefault()!.Answer:
-               u.ReadingTaskQuestionAnswerList.Where(c => c.ReadingQuestionTrial.QuestionType == QuestionType.Tumor).FirstOrDefault()!.Answer)
+               u.ReadingTaskQuestionAnswerList.Where(c => c.ReadingQuestionTrial.QuestionType == QuestionType.Tumor).Select(t=>t.IsGlobalChange?t.GlobalChangeAnswer:t.Answer).FirstOrDefault())
                 : criterionType == CriterionType.PCWG3 ? u.ReadingTaskQuestionAnswerList.Where(c => c.ReadingQuestionTrial.QuestionType == QuestionType.SiteVisitForTumorEvaluation).FirstOrDefault()!.Answer : String.Empty
                 ))