diff --git a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
index 41f9a834a..2a8180e03 100644
--- a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
@@ -77,14 +77,7 @@ namespace IRaCIS.Application.Services
                 .WhereIf(indto.Id != null, x => x.Id != indto.Id)
                 .Where(x => x.ClinicalDataTrialSetId == indto.ClinicalDataTrialSetId && x.ReadingId == indto.ReadingId);
 
-            if (await _subjectVisitRepository.AnyAsync(x => x.Id == indto.ReadingId))
-            {
-                indto.IsVisit = true;
-            }
-            else
-            {
-                indto.IsVisit = false;
-            }
+
 
 
             if (await existsQuery.AnyAsync())
@@ -92,6 +85,10 @@ namespace IRaCIS.Application.Services
                 return ResponseOutput.NotOk("存在同类型的临床数据");
             }
             var clinicalDataTrialSet = (await _clinicalDataTrialSetRepository.Where(x => x.Id == indto.ClinicalDataTrialSetId).FirstOrDefaultAsync()).IfNullThrowException();
+
+            //subject  或者访视级别的  都是在访视传
+            indto.IsVisit = clinicalDataTrialSet.ClinicalDataLevel == ClinicalLevel.Subject || clinicalDataTrialSet.ClinicalDataLevel == ClinicalLevel.SubjectVisit;
+
             if (indto.Id == null)
             {
                 var entity = _mapper.Map<ReadingClinicalData>(indto);
@@ -418,7 +415,7 @@ namespace IRaCIS.Application.Services
             }
 
             ReadModule readModule = null;
-            if (inDto.ReadingId != null)
+            if (inDto.IsVisit ==false)
             {
                 readModule = await _readModuleRepository.Where(x => x.Id == inDto.ReadingId).FirstOrDefaultAsync();
             }
@@ -519,13 +516,14 @@ namespace IRaCIS.Application.Services
         [HttpPost]
         public async Task<(List<GetReadingClinicalDataListOutDto>, object)> GetReadingClinicalDataList(GetReadingClinicalDataListIndto inDto)
         {
-            GetTrialClinicalDataSelectIndto getTrialClinicalDataSelectIndto = new GetTrialClinicalDataSelectIndto()
+            var getTrialClinicalDataSelectIndto = new GetTrialClinicalDataSelectIndto()
             {
                 ReadingId = inDto.ReadingId,
                 TrialId = inDto.TrialId,
                 IsBaseLine = inDto.IsBaseLine,
                 SubjectId = inDto.SubjectId,
                 IsVisit = inDto.IsVisit,
+                TrialReadingCriterionId=inDto.TrialReadingCriterionId
             };
 
             var clinicalDataList = await this.GetTrialClinicalDataSelect(getTrialClinicalDataSelectIndto);