diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
index a899318c4..1a4b37e65 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
@@ -1131,7 +1131,7 @@ namespace IRaCIS.Core.Application
         {
             var canOPt = await _trialRepository.AnyAsync(trial =>
                 trial.Id == trialId && trial.IsTrialBasicLogicConfirmed && trial.IsTrialProcessConfirmed &&
-                trial.IsTrialUrgentConfirmed && trial.VisitPlanConfirmed);
+                trial.IsTrialUrgentConfirmed && trial.VisitPlanConfirmed && trial.IsTrialPACSConfirmed);
             //---该项目的项目配置（基础配置、流程配置、加急配置） 、访视管理，有配置未确认，不能设置项目状态为启动。
             return ResponseOutput.Ok(canOPt, msg: canOPt ? "" : _localizer["TrialConfig_UnconfirmedConfiguration"]);
         }
@@ -1154,7 +1154,7 @@ namespace IRaCIS.Core.Application
 
             if (trialStatusStr == StaticData.TrialState.TrialOngoing)
             {
-                if (trial.IsTrialBasicLogicConfirmed && trial.IsTrialProcessConfirmed && trial.IsTrialUrgentConfirmed && trial.VisitPlanConfirmed)
+                if (trial.IsTrialBasicLogicConfirmed && trial.IsTrialProcessConfirmed && trial.IsTrialUrgentConfirmed && trial.VisitPlanConfirmed && trial.IsTrialPACSConfirmed)
                 {
 
                 }