diff --git a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalQuestionService.cs
index 1320f93ad..f833223d8 100644
--- a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalQuestionService.cs
@@ -232,9 +232,9 @@ namespace IRaCIS.Core.Application.Service
             {
                 if (await _trialClinicalQuestionRepository.AnyAsync(x => x.TrialClinicalId == inDto.TrialClinicalId && x.Id != inDto.Id && x.QuestionName == inDto.QuestionName))
                 {
-                    return ResponseOutput.NotOk(_localizer["ClinicalQuestion_Repeat"]);
+                    return ResponseOutput.NotOk(_localizer["ClinicalQuestion_Repeat"],string.Empty,ApiResponseCodeEnum.NeedTips);
                 }
-                return ResponseOutput.Ok(true);
+              
             }
          
 
@@ -331,9 +331,8 @@ namespace IRaCIS.Core.Application.Service
             {
                 if (await _systemClinicalQuestionRepository.AnyAsync(x => x.SystemClinicalId == inDto.SystemClinicalId && x.Id != inDto.Id && x.QuestionName == inDto.QuestionName))
                 {
-                    return ResponseOutput.NotOk(_localizer["ClinicalQuestion_Repeat"]);
+                    return ResponseOutput.NotOk(_localizer["ClinicalQuestion_Repeat"], string.Empty, ApiResponseCodeEnum.NeedTips);
                 }
-                return ResponseOutput.Ok(true);
             }
         
 
@@ -430,9 +429,8 @@ namespace IRaCIS.Core.Application.Service
             {
                 if (await _systemClinicalTableQuestionRepository.AnyAsync(x => x.QuestionId == inDto.QuestionId && x.Id != inDto.Id && x.QuestionName == inDto.QuestionName))
                 {
-                    return ResponseOutput.NotOk(_localizer["ClinicalQuestion_Repeat"]);
+                    return ResponseOutput.NotOk(_localizer["ClinicalQuestion_Repeat"], string.Empty, ApiResponseCodeEnum.NeedTips);
                 }
-                return ResponseOutput.Ok(true);
             }
 
             if (await _systemClinicalTableQuestionRepository.AnyAsync(x => x.QuestionId == inDto.QuestionId && x.Id != inDto.Id && x.ShowOrder == inDto.ShowOrder))
@@ -494,9 +492,8 @@ namespace IRaCIS.Core.Application.Service
             {
                 if (await _trialClinicalTableQuestionRepository.AnyAsync(x => x.QuestionId == inDto.QuestionId && x.Id != inDto.Id && x.QuestionName == inDto.QuestionName))
                 {
-                    return ResponseOutput.NotOk(_localizer["ClinicalQuestion_Repeat"]);
+                    return ResponseOutput.NotOk(_localizer["ClinicalQuestion_Repeat"], string.Empty, ApiResponseCodeEnum.NeedTips);
                 }
-                return ResponseOutput.Ok(true);
             }
 
             if (await _trialClinicalTableQuestionRepository.AnyAsync(x => x.QuestionId == inDto.QuestionId && x.Id != inDto.Id && x.ShowOrder == inDto.ShowOrder))