diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicineQuestionViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicineQuestionViewModel.cs
index 86782970a..33830ba87 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicineQuestionViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicineQuestionViewModel.cs
@@ -54,6 +54,12 @@ namespace IRaCIS.Core.Application.ViewModel
 		/// 任务类型
 		/// </summary>
 		public ReadingCategory ReadingCategory { get; set; }
+
+
+		/// <summary>
+		/// 排序
+		/// </summary>
+		public int? ParentShowOrder { get; set; }
 	}
 
 	///<summary>ReadingMedicineSystemQuestionQuery  列表查询参数模型</summary>
@@ -95,6 +101,11 @@ namespace IRaCIS.Core.Application.ViewModel
 
 		public Guid Id { get; set; }
 	}
+
+	public class TrialDataFromSystem : ReadingMedicineTrialQuestion
+	{
+		public Guid SystemQuestionId { get; set; }
+	}
 	public class AddTrialDataFromSystemInDto
 	{
 		public Guid TrialId { get; set; }
@@ -123,6 +134,21 @@ namespace IRaCIS.Core.Application.ViewModel
 		public ReadingCategory ReadingCategory { get; set; }
 	}
 
+	public class GetReadingMedicineSystemOtherQuestionInDto
+	{
+		public Guid? Id { get; set; }
+
+		
+
+		public int? ShowOrder { get; set; }
+
+		/// <summary>
+		/// 任务类型
+		/// </summary>
+		public ReadingCategory? ReadingCategory { get; set; }
+
+	}
+
 	/// <summary>
 	/// 获取项目的其他问题
 	/// </summary>
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingMedicineQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingMedicineQuestionService.cs
index 251c08350..ff452c967 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingMedicineQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingMedicineQuestionService.cs
@@ -52,6 +52,35 @@ namespace IRaCIS.Core.Application.Service
 			return await query.ToListAsync();
 		}
 
+		/// <summary>
+		/// 获取系统的其他医学审核问题
+		/// </summary>
+		/// <param name="inDto"></param>
+		/// <returns></returns>
+		[HttpPost]
+		public async Task<List<GetReadingMedicineTrialOtherQuestionOutDto>> GetReadingMedicineSystemOtherQuestion(GetReadingMedicineSystemOtherQuestionInDto inDto)
+		{
+			var types = new List<string>()
+			{
+				"select","radio"
+			};
+
+			var questionList = await _readingMedicineSystemQuestionRepository
+				.Where(x => types.Contains(x.Type))
+				.WhereIf(inDto.Id != null, x => x.Id != inDto.Id && x.ParentId != inDto.Id)
+				.WhereIf(inDto.ShowOrder != null, x => x.ShowOrder < inDto.ShowOrder)
+					.WhereIf(inDto.ReadingCategory != null, x => x.ReadingCategory == inDto.ReadingCategory)
+				.Select(x => new GetReadingMedicineTrialOtherQuestionOutDto()
+				{
+					Id = x.Id,
+					QuestionName = x.QuestionName,
+					TypeValue = x.TypeValue,
+					ReadingCategory = x.ReadingCategory,
+				}).ToListAsync();
+
+			return questionList;
+		}
+
 		/// <summary>
 		/// 新增或修改系统医学审核问题
 		/// </summary>
@@ -218,7 +247,7 @@ namespace IRaCIS.Core.Application.Service
 			var maxOrder = await _readingMedicineTrialQuestionRepository.Where(x => x.TrialId == inDto.TrialId).OrderByDescending(x => x.ShowOrder).Select(x => x.ShowOrder).FirstOrDefaultAsync();
 				
 
-		   var needList= systemList.Select(x => new ReadingMedicineTrialQuestion()
+		   var needList= systemList.Select(x => new TrialDataFromSystem()
 				{
 					Id = NewId.NextGuid(),
 					ShowOrder = x.ShowOrder,
@@ -226,6 +255,8 @@ namespace IRaCIS.Core.Application.Service
 					IsRequired = x.IsRequired,
 					QuestionName = x.QuestionName,
 					Type = x.Type,
+					ParentId=x.ParentId,
+					SystemQuestionId=x.Id,
 					ReadingCategory=x.ReadingCategory,
 					TypeValue = x.TypeValue,
 					TrialId=inDto.TrialId,
@@ -235,7 +266,21 @@ namespace IRaCIS.Core.Application.Service
 				x.ShowOrder = maxOrder++;
 			});
 
-			 await _readingMedicineTrialQuestionRepository.AddRangeAsync(needList);
+			foreach (var item in needList.Where(x => x.ParentId != null))
+			{
+				var parent = needList.Where(x => x.SystemQuestionId == item.ParentId).FirstOrDefault();
+				if (parent == null)
+				{
+					item.ParentId = null;
+					item.ParentTriggerValue = String.Empty;
+				}
+				else
+				{
+					item.ParentId = parent.Id;
+				}
+			}
+
+			await _readingMedicineTrialQuestionRepository.AddRangeAsync(needList);
 			 var result = await _readingMedicineTrialQuestionRepository.SaveChangesAsync();
 			 return ResponseOutput.Result(result);
 		}
diff --git a/IRaCIS.Core.Application/Service/Reading/_MapConfig.cs b/IRaCIS.Core.Application/Service/Reading/_MapConfig.cs
index f08039714..71d8c9ecd 100644
--- a/IRaCIS.Core.Application/Service/Reading/_MapConfig.cs
+++ b/IRaCIS.Core.Application/Service/Reading/_MapConfig.cs
@@ -101,7 +101,11 @@ namespace IRaCIS.Core.Application.Service
 
             #region 医学审核
             CreateMap<ReadingMedicineSystemQuestionAddOrEdit, ReadingMedicineSystemQuestion>();
-            CreateMap<ReadingMedicineSystemQuestion, ReadingMedicineSystemQuestionView>();
+            CreateMap<ReadingMedicineSystemQuestion, ReadingMedicineSystemQuestionView>()
+                .ForMember(x => x.ParentShowOrder, y => y.MapFrom(n => n.ParentQuestion.ShowOrder));
+
+
+            CreateMap<TrialDataFromSystem, ReadingMedicineTrialQuestion>();
 
             CreateMap<ReadingMedicineTrialQuestionAddOrEdit, ReadingMedicineTrialQuestion>();
             CreateMap<ReadingMedicineTrialQuestion, ReadingMedicineTrialQuestionView>()
diff --git a/IRaCIS.Core.Domain/Reading/ReadingMedicineSystemQuestion.cs b/IRaCIS.Core.Domain/Reading/ReadingMedicineSystemQuestion.cs
index 8bb31c9a1..fdd0e5b14 100644
--- a/IRaCIS.Core.Domain/Reading/ReadingMedicineSystemQuestion.cs
+++ b/IRaCIS.Core.Domain/Reading/ReadingMedicineSystemQuestion.cs
@@ -81,5 +81,8 @@ namespace IRaCIS.Core.Domain.Models
 		/// </summary>
 		public ReadingCategory ReadingCategory { get; set; }
 
+		[ForeignKey("ParentId")]
+		public ReadingMedicineTrialQuestion ParentQuestion { get; set; }
+
 	}
 }