diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs
index a40f2756b..0cedfe0c9 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs
@@ -186,7 +186,13 @@ namespace IRaCIS.Core.Application.Service
             #endregion
             medicalReviewInfo.QuestionAnswerList = await this.GetMedicalQuestionAnswer(inDto);
 
-            
+
+            await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(inDto.TaskMedicalReviewId, x => new TaskMedicalReview()
+            {
+                AuditState = MedicalReviewAuditState.Auditing,
+            });
+
+            var result = await _readingMedicineQuestionAnswerRepository.SaveChangesAsync();
             return medicalReviewInfo;
 
         }
@@ -263,7 +269,7 @@ namespace IRaCIS.Core.Application.Service
             {
 
                 SaveQuestionTime = DateTime.Now,
-                AuditState = MedicalReviewAuditState.Auditing,
+              
             });
 
             var result = await _readingMedicineQuestionAnswerRepository.SaveChangesAsync();
@@ -286,7 +292,6 @@ namespace IRaCIS.Core.Application.Service
                 IsSendMessage = inDto.IsSendDialog && inDto.IsHaveQuestion,
                 AuditAdviceEnum = inDto.AuditAdviceEnum,
                 SaveConclusionTime=DateTime.Now,
-                AuditState= MedicalReviewAuditState.Auditing,
 
             });
 
@@ -524,6 +529,7 @@ namespace IRaCIS.Core.Application.Service
                     IsClosedDialog=x.IsClosedDialog,
                     IsHaveQuestion=x.IsHaveQuestion,
                     
+                    
                 });
 
             var result=await taskMedicalReviewquery.ToPagedListAsync(inDto.PageIndex, inDto.PageSize, inDto.SortField.IsNullOrEmpty() ? nameof(GetIRMedicalFeedbackListOutDto.AuditState) : inDto.SortField,