diff --git a/IRaCIS.Core.API/Controllers/InspectionController.cs b/IRaCIS.Core.API/Controllers/InspectionController.cs
index 88534140b..f9798cd6b 100644
--- a/IRaCIS.Core.API/Controllers/InspectionController.cs
+++ b/IRaCIS.Core.API/Controllers/InspectionController.cs
@@ -351,6 +351,23 @@ namespace IRaCIS.Core.API.Controllers
             return result;
         }
 
+        /// <summary>
+        /// 提交阅片裁判表单
+        /// </summary>
+        /// <param name="opt"></param>
+        /// <returns></returns>
+        [HttpPost, Route("Inspection/ReadingImageTask/SubmitJudgeForm")]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
+
+        [UnitOfWork]
+
+        public async Task<IResponseOutput> SubmitJudgeForm(DataInspectionDto<SetJudgeFormInDto> opt)
+        {
+            var singid = await _inspectionService.RecordSing(opt.SignInfo);
+            var result = await _iReadingImageTaskService.SubmitJudgeForm(opt.Data);
+            await _inspectionService.CompletedSign(singid, result);
+            return result;
+        }
 
         /// <summary>
         /// 配置 基础逻辑信息并确认
diff --git a/IRaCIS.Core.Application/Service/Allocation/VisitTaskHelpeService.cs b/IRaCIS.Core.Application/Service/Allocation/VisitTaskHelpeService.cs
index 0ee98e373..0d195ab95 100644
--- a/IRaCIS.Core.Application/Service/Allocation/VisitTaskHelpeService.cs
+++ b/IRaCIS.Core.Application/Service/Allocation/VisitTaskHelpeService.cs
@@ -767,6 +767,7 @@ namespace IRaCIS.Core.Application.Service
                                                 TaskCode = AppSettings.GetCodeStr(currentMaxCodeInt, nameof(VisitTask)),
                                                 ReadingCategory = ReadingCategory.Visit,
 
+
                                                 TrialReadingCriterionId = trialReadingCriterionConfig.TrialReadingCriterionId,
                                                 IsNeedClinicalDataSign = isNeedClinicalDataSign,
                                                 IsClinicalDataSign = isClinicalDataSign,
@@ -1421,6 +1422,7 @@ namespace IRaCIS.Core.Application.Service
                         // AllocateTime = DateTime.Now,
                         //DoctorUserId = reReadingVisitTask.DoctorUserId,
 
+                        IsIRImageDownloaded= reReadingVisitTask.IsIRImageDownloaded,
                     });
 
                     generateTaskCommand.Action(newTask);
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
index 81092d152..34b68eac9 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
@@ -2199,6 +2199,21 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         /// </summary>
         public DefaultSegmentNameDto DefaultSegmentName { get; set; }
 
+        /// <summary>
+        /// 仲裁模式
+        /// </summary>
+        public JudgeMode JudgeModeEnum { get; set; } = JudgeMode.SelectOne;
+
+        /// <summary>
+        /// 裁判规则
+        /// </summary>
+        public JudgeRule JudgeRuleEnum { get; set; } = JudgeRule.Consistent;
+
+        /// <summary>
+        /// 仲裁对象
+        /// </summary>
+        public ArbitrationRule ArbitrationRule { get; set; } = ArbitrationRule.Reading;
+
     }
 
     public class GetReadingImgInDto
@@ -2437,6 +2452,81 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public Guid VisitTaskId { get; set; }
     }
 
+    public class GetSingleVisitJudgeAnswerInDto
+    {
+        [NotDefault]
+        public Guid VisitTaskId { get; set; }
+    }
+
+    public class GetSingleVisitJudgeAnswerOutDto
+    {
+        public Guid R1VisitTaskId { get; set; }
+        public Guid R2VisitTaskId { get; set; }
+        public List<SingleVisitJudgeAnswerItemDto> QuestionList { get; set; } = new List<SingleVisitJudgeAnswerItemDto>();
+    }
+
+    public class SingleVisitJudgeAnswerItemDto
+    {
+        public Guid ReadingQuestionId { get; set; }
+        public string QuestionName { get; set; } = string.Empty;
+        public string Type { get; set; } = string.Empty;
+        public string TypeValue { get; set; } = string.Empty;
+        public int ShowOrder { get; set; }
+        public string R1Answer { get; set; } = string.Empty;
+        public string R2Answer { get; set; } = string.Empty;
+        public TableQuestionType? QuestionGenre { get; set; }
+        public string DictionaryCode { get; set; } = string.Empty;
+        public ValueUnit? Unit { get; set; }
+        public string? CustomUnit { get; set; }
+        public ValueOfType? ValueType { get; set; }
+        public JudgeReadingQuestionType QuestionType { get; set; } = JudgeReadingQuestionType.Question;
+    }
+
+    public class GetJudgeFormInDto
+    {
+        [NotDefault]
+        public Guid VisitTaskId { get; set; }
+    }
+
+    public class GetJudgeFormOutDto
+    {
+        public List<JudgeFormQuestionDto> QuestionList { get; set; } = new List<JudgeFormQuestionDto>();
+    }
+
+    public class JudgeFormQuestionDto
+    {
+        public Guid ReadingQuestionId { get; set; }
+        public string QuestionName { get; set; } = string.Empty;
+        public string Type { get; set; } = string.Empty;
+        public string TypeValue { get; set; } = string.Empty;
+        public int ShowOrder { get; set; }
+        public string Answer { get; set; } = string.Empty;
+        public TableQuestionType? QuestionGenre { get; set; }
+        public string DictionaryCode { get; set; } = string.Empty;
+        public ValueUnit? Unit { get; set; }
+        public string? CustomUnit { get; set; }
+        public ValueOfType? ValueType { get; set; }
+        public JudgeReadingQuestionType QuestionType { get; set; } = JudgeReadingQuestionType.Question;
+    }
+
+    public class SetJudgeFormInDto
+    {
+        [NotDefault]
+        public Guid VisitTaskId { get; set; }
+
+        public string JudgeResultRemark { get; set; } = string.Empty;
+
+        public List<string> JudgeResultImagePathList { get; set; } = new List<string>();
+
+        public List<JudgeFormAnswerDto> QuestionList { get; set; } = new List<JudgeFormAnswerDto>();
+    }
+
+    public class JudgeFormAnswerDto
+    {
+        public Guid ReadingQuestionId { get; set; }
+        public string Answer { get; set; } = string.Empty;
+    }
+
     public class JudgeReadingInfoDto
     {
         public string VisitName { get; set; }
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs
index 6a130a511..75821232d 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs
@@ -6,6 +6,43 @@ using System.ComponentModel.DataAnnotations.Schema;
 namespace IRaCIS.Core.Application.Service.Reading.Dto
 {
 
+    public class GetTrialQuestionVisitJudgeRuleInDto
+    {
+        [NotDefault]
+        public Guid TrialId { get; set; }
+
+        [NotDefault]
+        public Guid TrialReadingCriterionId { get; set; }
+
+        [NotDefault]
+        public decimal VisitNum { get; set; }
+
+        public Guid? ReadingQuestionId { get; set; }
+    }
+
+    public class SetTrialQuestionVisitJudgeRuleInDto
+    {
+        [NotDefault]
+        public Guid TrialReadingCriterionId { get; set; }
+
+        [NotDefault]
+        public decimal VisitNum { get; set; }
+
+        public List<TrialQuestionVisitJudgeRuleItemDto> QuestionList { get; set; } = new List<TrialQuestionVisitJudgeRuleItemDto>();
+    }
+
+    public class TrialQuestionVisitJudgeRuleItemDto
+    {
+        public Guid ReadingQuestionId { get; set; }
+        public string QuestionName { get; set; } = string.Empty;
+        public int ShowOrder { get; set; }
+        public List<string> AnswerGroup { get; set; } = new List<string>();
+        public List<string> AnswerCombination { get; set; } = new List<string>();
+        public JudgeTypeEnum JudgeType { get; set; }
+        public decimal? JudgeDifferenceValue { get; set; }
+        public JudgeDifferenceType JudgeDifferenceType { get; set; }
+    }
+
 
     public class TumorAssessmentView : AddOrUpdateTumorAssessmentInDto
     {
@@ -702,6 +739,16 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public Guid TrialReadingCriterionId { get; set; }
     }
 
+    public class SetTrialJudgeRuleInfoInDto
+    {
+        [NotDefault]
+        public Guid TrialReadingCriterionId { get; set; }
+
+        public JudgeMode JudgeModeEnum { get; set; } = JudgeMode.SelectOne;
+        public JudgeRule JudgeRuleEnum { get; set; } = JudgeRule.Consistent;
+        public JudgeGenerate JudgeGenerateEnum { get; set; } = JudgeGenerate.Instant;
+    }
+
     public class GetTrialJudgyInfoOutDto
     {
         public Guid TrialId { get; set; }
@@ -717,6 +764,21 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         /// 仲裁规则
         /// </summary>
         public ArbitrationRule ArbitrationRule { get; set; }
+
+        /// <summary>
+        /// 仲裁模式
+        /// </summary>
+        public JudgeMode JudgeModeEnum { get; set; } = JudgeMode.SelectOne;
+
+        /// <summary>
+        /// 裁判规则
+        /// </summary>
+        public JudgeRule JudgeRuleEnum { get; set; } = JudgeRule.Consistent;
+
+        /// <summary>
+        /// 裁判任务生成
+        /// </summary>
+        public JudgeGenerate JudgeGenerateEnum { get; set; } = JudgeGenerate.Instant;
     }
 
     public enum NeedSynchronize
diff --git a/IRaCIS.Core.Application/Service/Reading/Interface/IReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/Interface/IReadingImageTaskService.cs
index db9ca1114..dc3a3874d 100644
--- a/IRaCIS.Core.Application/Service/Reading/Interface/IReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Interface/IReadingImageTaskService.cs
@@ -15,6 +15,7 @@ namespace IRaCIS.Core.Application.Contracts
         Task TriggerJudgeQuestion(Guid visitTaskId);
         Task<IResponseOutput> SubmitVisitTaskQuestions(SubmitVisitTaskQuestionsInDto inDto);
 
+        Task<IResponseOutput> SubmitJudgeForm(SetJudgeFormInDto inDto);
         Task<IResponseOutput> SubmitJudgeVisitTaskResult(SaveJudgeVisitTaskResult inDto);
 
         Task<GetOncologyReadingInfoOutDto> GetOncologyReadingInfo(GetOncologyReadingInfoInDto inDto);
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingCriterionService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingCriterionService.cs
index 1481e4766..b493d9e6a 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingCriterionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingCriterionService.cs
@@ -370,13 +370,32 @@ namespace IRaCIS.Core.Application.Service.RC
                 TrialId = x.TrialId,
                 IsReadingTaskViewInOrder = x.IsReadingTaskViewInOrder,
                 ArbitrationRule = x.ArbitrationRule,
-                IsArbitrationReading = x.IsArbitrationReading
+                IsArbitrationReading = x.IsArbitrationReading,
+                JudgeModeEnum = x.JudgeModeEnum,
+                JudgeRuleEnum = x.JudgeRuleEnum,
+                JudgeGenerateEnum = x.JudgeGenerateEnum,
 
             }).FirstNotNullAsync();
 
             return result;
         }
 
+        /// <summary>
+        /// 编辑裁判规则配置
+        /// </summary>
+        [HttpPost]
+        public async Task<IResponseOutput> SetTrialJudgeRuleInfo(SetTrialJudgeRuleInfoInDto inDto)
+        {
+            await _readingQuestionCriterionTrialRepository.UpdatePartialFromQueryAsync(x => x.Id == inDto.TrialReadingCriterionId, x => new ReadingQuestionCriterionTrial()
+            {
+                JudgeModeEnum = inDto.JudgeModeEnum,
+                JudgeRuleEnum = inDto.JudgeRuleEnum,
+                JudgeGenerateEnum = inDto.JudgeGenerateEnum,
+            });
+
+            return ResponseOutput.Ok(await _readingQuestionCriterionTrialRepository.SaveChangesAsync());
+        }
+
         /// <summary>
         /// 新增修改项目问题标准（项目）
         /// </summary>
@@ -482,7 +501,6 @@ namespace IRaCIS.Core.Application.Service.RC
             return ResponseOutput.Ok(result);
         }
 
-
         #endregion
 
         #region 项目阅片标准问题分页
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingQuestionService.cs
index 53c1ba5fd..c76353280 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingQuestionService.cs
@@ -33,10 +33,92 @@ namespace IRaCIS.Core.Application.Service
         IRepository<OrganInfo> _organInfoRepository,
         IRepository<ReadingTableQuestionSystem> _readingTableQuestionSystemRepository,
         IRepository<ReadingTaskQuestionAnswer> _readingTaskQuestionAnswer,
-        IRepository<PreviousPDF> _previousPDFRepository, IMapper _mapper, IUserInfo _userInfo, IStringLocalizer _localizer) : BaseService, IReadingQuestionService
+        IRepository<PreviousPDF> _previousPDFRepository,
+        IRepository<ReadingQuestionVisitJudgeRule> _readingQuestionVisitJudgeRuleRepository,
+        IMapper _mapper, IUserInfo _userInfo, IStringLocalizer _localizer) : BaseService, IReadingQuestionService
 
     {
 
+        #region 项目访视裁判规则
+
+        /// <summary>
+        /// 获取项目阅片标准各访视的裁判规则配置。
+        /// 未配置规则的访视问题也会返回，供前端直接进行配置。
+        /// </summary>
+        [HttpPost]
+        public async Task<List<TrialQuestionVisitJudgeRuleItemDto>> GetTrialQuestionVisitJudgeRule(GetTrialQuestionVisitJudgeRuleInDto inDto)
+        {
+            var questionList = await _readingQuestionTrialRepository
+                .Where(x=>!x.ExcludeShowVisitList.Contains(inDto.VisitNum))
+                .Where(x => x.ReadingQuestionCriterionTrialId == inDto.TrialReadingCriterionId && x.IsJudgeQuestion)
+                .WhereIf(inDto.ReadingQuestionId != null, x => x.Id == inDto.ReadingQuestionId)
+                .OrderBy(x => x.ShowOrder)
+                .Select(x => new TrialQuestionVisitJudgeRuleItemDto
+                {
+                    ReadingQuestionId = x.Id,
+                    QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
+                    ShowOrder = x.ShowOrder,
+                })
+                .ToListAsync();
+
+            var questionIds = questionList.Select(x => x.ReadingQuestionId).ToList();
+            var ruleList = await _readingQuestionVisitJudgeRuleRepository
+                .Where(x => x.VisitNum == inDto.VisitNum && questionIds.Contains(x.ReadingQuestionId))
+                .ToListAsync();
+
+            return questionList.Select(question =>
+            {
+                var rule = ruleList.FirstOrDefault(x => x.ReadingQuestionId == question.ReadingQuestionId);
+                return new TrialQuestionVisitJudgeRuleItemDto
+                {
+                    ReadingQuestionId = question.ReadingQuestionId,
+                    QuestionName = question.QuestionName,
+                    ShowOrder = question.ShowOrder,
+                    AnswerGroup = rule?.AnswerGroup ?? new List<string>(),
+                    AnswerCombination = rule?.AnswerCombination ?? new List<string>(),
+                    JudgeType = rule?.JudgeType ?? JudgeTypeEnum.None,
+                    JudgeDifferenceValue = rule?.JudgeDifferenceValue,
+                    JudgeDifferenceType = rule?.JudgeDifferenceType ?? default,
+                };
+            }).ToList();
+        }
+
+        /// <summary>
+        /// 编辑项目阅片标准各访视的裁判规则配置。
+        /// </summary>
+        [HttpPost]
+        public async Task<IResponseOutput> SetTrialQuestionVisitJudgeRule(SetTrialQuestionVisitJudgeRuleInDto inDto)
+        {
+            var questionIds = await _readingQuestionTrialRepository
+                .Where(x => x.ReadingQuestionCriterionTrialId == inDto.TrialReadingCriterionId && x.IsJudgeQuestion)
+                .Select(x => x.Id)
+                .ToListAsync();
+
+            await _readingQuestionVisitJudgeRuleRepository.BatchDeleteNoTrackingAsync(x =>
+                x.VisitNum == inDto.VisitNum && questionIds.Contains(x.ReadingQuestionId));
+
+            var rules = inDto.QuestionList.Select(question => new ReadingQuestionVisitJudgeRule
+            {
+                Id = NewId.NextGuid(),
+                ReadingQuestionId = question.ReadingQuestionId,
+                VisitNum = inDto.VisitNum,
+                AnswerGroup = question.AnswerGroup ?? new List<string>(),
+                AnswerCombination = question.AnswerCombination ?? new List<string>(),
+                JudgeType = question.JudgeType,
+                JudgeDifferenceValue = question.JudgeDifferenceValue,
+                JudgeDifferenceType = question.JudgeDifferenceType,
+            }).ToList();
+
+            if (rules.Count > 0)
+            {
+                await _readingQuestionVisitJudgeRuleRepository.AddRangeAsync(rules);
+            }
+
+            return ResponseOutput.Result(await _readingQuestionVisitJudgeRuleRepository.SaveChangesAsync());
+        }
+
+        #endregion
+
 
         #region 获取计算问题
 
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index 2a2ce792d..636644bd0 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -66,6 +66,7 @@ namespace IRaCIS.Core.Application.Service
         IRepository<ReadingTableQuestionTrial> _readingTableQuestionTrialRepository,
         IRepository<ReadingTaskQuestionAnswer> _readingTaskQuestionAnswerRepository,
         IRepository<ReadingQuestionCriterionTrial> _readingQuestionCriterionTrialRepository,
+        IRepository<ReadingQuestionVisitJudgeRule> _readingQuestionVisitJudgeRuleRepository,
         IRepository<ReadingQuestionSystem> _readingQuestionSystem,
           IRepository<CriterionKeyFileRead> _criterionKeyFileReadRepository,
                     IRepository<TrialCriterionKeyFile> _trialCriterionKeyFileRepository,
@@ -3934,6 +3935,10 @@ namespace IRaCIS.Core.Application.Service
                 x.ReadingToolList,
                 x.CircleRadius,
                 x.DefaultSegmentName,
+                x.JudgeGenerateEnum,
+                x.JudgeModeEnum,
+                x.JudgeRuleEnum,
+                x.ArbitrationRule,
             }).FirstNotNullAsync();
 
             task.IsReadingShowPreviousResults = criterionInfo.IsReadingShowPreviousResults;
@@ -3997,6 +4002,9 @@ namespace IRaCIS.Core.Application.Service
             task.IsViewStudyPart = visitTaskInfo.ReadingCategory == ReadingCategory.Judge || visitTaskInfo.IsViewStudyPart;
             task.IsReadKeyFile = await _criterionKeyFileReadRepository.AnyAsync(x => x.IdentityUserId == _userInfo.IdentityUserId && x.TrialCriterionId == task.TrialReadingCriterionId);
             task.IsHaveKeyFile = await _trialCriterionKeyFileRepository.AnyAsync(x => x.TrialCriterionId == task.TrialReadingCriterionId);
+            task.JudgeModeEnum = criterionInfo.JudgeModeEnum;
+            task.JudgeRuleEnum = criterionInfo.JudgeRuleEnum;
+            task.ArbitrationRule = criterionInfo.ArbitrationRule;
             // 添加默认答案
             if (inDto.VisitTaskId == null && visitTaskInfo.ReadingTaskState != ReadingTaskState.HaveSigned)
             {
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingJudgeTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingJudgeTaskService.cs
index 7b6102a48..3fcac31fb 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingJudgeTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingJudgeTaskService.cs
@@ -91,6 +91,198 @@ namespace IRaCIS.Core.Application.Service
 
 
         #region 获取裁判阅片任务信息
+
+        /// <summary>
+        /// 获取单访视裁判答案
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        [HttpPost]
+        public async Task<GetSingleVisitJudgeAnswerOutDto> GetSingleVisitJudgeAnswer(GetSingleVisitJudgeAnswerInDto inDto)
+        {
+            var judgeDataInfo = await _readingJudgeInfoRepository
+                .Where(x => x.JudgeTaskId == inDto.VisitTaskId)
+                .FirstNotNullAsync();
+
+            var taskIds = new List<Guid> { judgeDataInfo.TaskIdOne, judgeDataInfo.TaskIdTwo };
+            var readingTasks = await _visitTaskRepository
+                .Where(x => taskIds.Contains(x.Id))
+                .Select(x => new
+                {
+                    x.Id,
+                    x.ArmEnum,
+                    x.TrialReadingCriterionId,
+                    x.VisitTaskNum,
+                })
+                .ToListAsync();
+
+            var r1Task = readingTasks.First(x => x.ArmEnum == Arm.DoubleReadingArm1);
+            var r2Task = readingTasks.First(x => x.ArmEnum == Arm.DoubleReadingArm2);
+
+            var judgeRule = await _readingQuestionCriterionTrialRepository
+                .Where(x => x.Id == r1Task.TrialReadingCriterionId)
+                .Select(x => x.JudgeRuleEnum)
+                .FirstNotNullAsync();
+
+            var displayQuestions = await GetJudgeDisplayQuestions(r1Task.TrialReadingCriterionId, r1Task.VisitTaskNum, judgeRule);
+            var judgeAnswers = displayQuestions
+                .Select(x => new SingleVisitJudgeAnswerItemDto
+                {
+                    ReadingQuestionId = x.Id,
+                    QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
+                    Type = x.Type,
+                    TypeValue = x.TypeValue,
+                    ShowOrder = x.ShowOrder,
+                    QuestionGenre = x.QuestionGenre,
+                    DictionaryCode = x.DictionaryCode,
+                    Unit = x.Unit,
+                    CustomUnit = x.CustomUnit,
+                    ValueType = x.ValueType,
+                })
+                .ToList();
+
+            var displayQuestionIds = judgeAnswers.Select(x => x.ReadingQuestionId).ToList();
+            var answerList = await _readingTaskQuestionAnswerRepository
+                .Where(x => taskIds.Contains(x.VisitTaskId) && displayQuestionIds.Contains(x.ReadingQuestionTrialId))
+                .Select(x => new
+                {
+                    x.VisitTaskId,
+                    x.ReadingQuestionTrialId,
+                    x.Answer,
+                })
+                .ToListAsync();
+
+            judgeAnswers.ForEach(question =>
+            {
+                question.R1Answer = answerList.FirstOrDefault(x => x.VisitTaskId == r1Task.Id && x.ReadingQuestionTrialId == question.ReadingQuestionId)?.Answer ?? string.Empty;
+                question.R2Answer = answerList.FirstOrDefault(x => x.VisitTaskId == r2Task.Id && x.ReadingQuestionTrialId == question.ReadingQuestionId)?.Answer ?? string.Empty;
+            });
+
+            return new GetSingleVisitJudgeAnswerOutDto
+            {
+                R1VisitTaskId = r1Task.Id,
+                R2VisitTaskId = r2Task.Id,
+                QuestionList = judgeAnswers,
+            };
+        }
+
+        /// <summary>
+        /// 获取裁判表单
+        /// </summary>
+        [HttpPost]
+        public async Task<GetJudgeFormOutDto> GetJudgeForm(GetJudgeFormInDto inDto)
+        {
+            var taskInfo = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId).FirstNotNullAsync();
+            var judgeRule = await _readingQuestionCriterionTrialRepository.Where(x => x.Id == taskInfo.TrialReadingCriterionId).Select(x => x.JudgeRuleEnum).FirstNotNullAsync();
+            var questionList = await GetJudgeDisplayQuestions(taskInfo.TrialReadingCriterionId, taskInfo.VisitTaskNum, judgeRule);
+            var questionIds = questionList.Select(x => x.Id).ToList();
+            var answers = await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && questionIds.Contains(x.ReadingQuestionTrialId)).ToListAsync();
+
+            return new GetJudgeFormOutDto
+            {
+                QuestionList = questionList.Select(x => new JudgeFormQuestionDto
+                {
+                    ReadingQuestionId = x.Id,
+                    QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
+                    Type = x.Type,
+                    TypeValue = x.TypeValue,
+                    ShowOrder = x.ShowOrder,
+                    Answer = answers.FirstOrDefault(answer => answer.ReadingQuestionTrialId == x.Id)?.Answer ?? string.Empty,
+                    QuestionGenre = x.QuestionGenre,
+                    DictionaryCode = x.DictionaryCode,
+                    Unit = x.Unit,
+                    CustomUnit = x.CustomUnit,
+                    ValueType = x.ValueType,
+                }).ToList(),
+            };
+        }
+
+        /// <summary>
+        /// 编辑裁判表单
+        /// </summary>
+        [HttpPost]
+        public async Task<IResponseOutput> SetJudgeForm(SetJudgeFormInDto inDto)
+        {
+           
+            await SaveJudgeForm(inDto);
+            await _visitTaskRepository.UpdatePartialFromQueryAsync(inDto.VisitTaskId, x => new VisitTask()
+            {
+                JudgeResultRemark = inDto.JudgeResultRemark,
+                JudgeResultImagePath = string.Join(',', inDto.JudgeResultImagePathList),
+
+            });
+
+            return ResponseOutput.Result(await _readingTaskQuestionAnswerRepository.SaveChangesAsync());
+        }
+
+
+        private async Task SaveJudgeForm(SetJudgeFormInDto inDto)
+        {
+            var taskInfo = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId).FirstNotNullAsync();
+            var judgeRule = await _readingQuestionCriterionTrialRepository.Where(x => x.Id == taskInfo.TrialReadingCriterionId).Select(x => x.JudgeRuleEnum).FirstNotNullAsync();
+            var displayQuestionIds = (await GetJudgeDisplayQuestions(taskInfo.TrialReadingCriterionId, taskInfo.VisitTaskNum, judgeRule)).Select(x => x.Id).ToList();
+            var submittedQuestionIds = inDto.QuestionList.Select(x => x.ReadingQuestionId).ToList();
+
+
+            await _readingTaskQuestionAnswerRepository.BatchDeleteNoTrackingAsync(x => x.VisitTaskId == inDto.VisitTaskId && submittedQuestionIds.Contains(x.ReadingQuestionTrialId));
+            if (inDto.QuestionList.Count > 0)
+            {
+                await _readingTaskQuestionAnswerRepository.AddRangeAsync(inDto.QuestionList.Select(x => new ReadingTaskQuestionAnswer
+                {
+                    ReadingQuestionTrialId = x.ReadingQuestionId,
+                    ReadingQuestionCriterionTrialId = taskInfo.TrialReadingCriterionId,
+                    TrialId = taskInfo.TrialId,
+                    SubjectId = taskInfo.SubjectId,
+                    VisitTaskId = inDto.VisitTaskId,
+                    Answer = x.Answer,
+                }).ToList());
+            }
+
+        }
+
+        /// <summary>
+        /// 提交裁判表单
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        [HttpPost]
+        public async Task<IResponseOutput> SubmitJudgeForm(SetJudgeFormInDto inDto)
+        {
+
+            await SaveJudgeForm(inDto);
+            await _visitTaskRepository.UpdatePartialFromQueryAsync(inDto.VisitTaskId, x => new VisitTask()
+            {
+                JudgeResultRemark = inDto.JudgeResultRemark,
+                ReadingTaskState = ReadingTaskState.HaveSigned,
+                SignTime=DateTime.Now,
+                JudgeResultImagePath = string.Join(',', inDto.JudgeResultImagePathList),
+
+            });
+            await _readingTaskQuestionAnswerRepository.SaveChangesAsync();
+
+            await SignatureAfter(inDto.VisitTaskId);
+            return ResponseOutput.Ok();
+        }
+
+
+        private async Task<List<ReadingQuestionTrial>> GetJudgeDisplayQuestions(Guid trialReadingCriterionId, decimal visitNum, JudgeRule judgeRule)
+        {
+            var questionList = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == trialReadingCriterionId && x.IsJudgeQuestion)
+                .Where(x=>x.ShowQuestion== ShowQuestion.Show)
+                .OrderBy(x => x.ShowOrder).ToListAsync();
+            var questionIds = questionList.Select(x => x.Id).ToList();
+            var visitJudgeRules = judgeRule == JudgeRule.Difference
+                ? await _readingQuestionVisitJudgeRuleRepository.Where(x => questionIds.Contains(x.ReadingQuestionId) && (x.VisitNum == visitNum || x.VisitNum == -1)).ToListAsync()
+                : new List<ReadingQuestionVisitJudgeRule>();
+
+            return questionList.Where(x => !x.ExcludeShowVisitList.Contains(visitNum))
+                .Where(x => judgeRule == JudgeRule.Consistent
+                    ? x.JudgeType != JudgeTypeEnum.NotApplicable
+                    : (visitJudgeRules.FirstOrDefault(rule => rule.ReadingQuestionId == x.Id && rule.VisitNum == visitNum)
+                        ?? visitJudgeRules.FirstOrDefault(rule => rule.ReadingQuestionId == x.Id && rule.VisitNum == -1))?.JudgeType != JudgeTypeEnum.NotApplicable)
+                .ToList();
+        }
+
         /// <summary>
         /// 获取裁判阅片任务信息
         /// </summary>
@@ -476,8 +668,15 @@ namespace IRaCIS.Core.Application.Service
             });
             var result = await _visitTaskRepository.SaveChangesAsync();
 
+            await SignatureAfter(inDto.VisitTaskId);
+
+            return ResponseOutput.Ok(result);
+        }
+
+        private async Task SignatureAfter(Guid visitTaskId)
+        {
             // 需要判断是否添加肿瘤学任务
-            var taskInfo = await _visitTaskRepository.Where(x => x.JudgeVisitTaskId == inDto.VisitTaskId).Include(x => x.TrialReadingCriterion).FirstNotNullAsync();
+            var taskInfo = await _visitTaskRepository.Where(x => x.JudgeVisitTaskId == visitTaskId).Include(x => x.TrialReadingCriterion).FirstNotNullAsync();
 
             if (taskInfo.ReadingCategory == ReadingCategory.Visit)
             {
@@ -514,11 +713,9 @@ namespace IRaCIS.Core.Application.Service
 
 
             // 创建任务关联关系
-            await this.CreateTaskRelated(inDto.VisitTaskId);
+            await this.CreateTaskRelated(visitTaskId);
 
-            await SafeMailHelper.Run(async () => await _trialEmailNoticeConfigService.BaseBusinessScenarioSendEmailAsync(inDto.VisitTaskId));
-
-            return ResponseOutput.Ok(result);
+            await SafeMailHelper.Run(async () => await _trialEmailNoticeConfigService.BaseBusinessScenarioSendEmailAsync(visitTaskId));
         }
 
         /// <summary>
@@ -624,6 +821,7 @@ namespace IRaCIS.Core.Application.Service
                 x.ArbitrationRule,
                 x.IsGlobalReading,
                 x.IsReadingPeriod,
+                x.JudgeRuleEnum,
             }).FirstNotNullAsync();
 
             var noteEqual = false;
@@ -667,6 +865,7 @@ namespace IRaCIS.Core.Application.Service
                                                                    VisitTaskId = questionAnswer.VisitTaskId,
                                                                };
                                 var globalVisitAnswerlist = await globalVisitQuestionQuery.ToListAsync();
+                                await ApplyVisitJudgeRules(globalVisitAnswerlist, criterionInfo.JudgeRuleEnum);
 
                                 var taskNums = globalVisitAnswerlist.Select(x => x.VisitTaskNum).Distinct().OrderBy(x => x).ToList();
 
@@ -697,11 +896,13 @@ namespace IRaCIS.Core.Application.Service
                                                 AnswerCombination = question.AnswerCombination,
                                                 JudgeType = question.JudgeType,
                                                 QuestionId = question.Id,
-                                                JudgeDifferenceValue = question.JudgeDifferenceValue,
-                                                JudgeDifferenceType = question.JudgeDifferenceType,
-                                                VisitTaskId = questionAnswet.VisitTaskId,
-                                            };
+                                            JudgeDifferenceValue = question.JudgeDifferenceValue,
+                                            JudgeDifferenceType = question.JudgeDifferenceType,
+                                            VisitTaskId = questionAnswet.VisitTaskId,
+                                            VisitTaskNum = questionAnswet.VisitTask.VisitTaskNum,
+                                        };
                                 var questionAnswerlist = await query.ToListAsync();
+                                await ApplyVisitJudgeRules(questionAnswerlist, criterionInfo.JudgeRuleEnum);
 
                                 // 将答案进行分组
                                 List<GroupTaskAnswerDto> groupTasks = questionAnswerlist.GroupBy(x => new { x.JudgeDifferenceValue, x.JudgeDifferenceType, x.QuestionId, x.AnswerGroup, x.JudgeType, x.AnswerCombination }).Select(x => new GroupTaskAnswerDto
@@ -749,6 +950,8 @@ namespace IRaCIS.Core.Application.Service
                                     }
                                     else
                                     {
+                                        await ApplyVisitJudgeRules(item.AfterQuestionList, item.VisitNum, criterionInfo.JudgeRuleEnum);
+                                        await ApplyVisitJudgeRules(twoItem.AfterQuestionList, twoItem.VisitNum, criterionInfo.JudgeRuleEnum);
                                         var newlist = item.AfterQuestionList.Where(x => x.QuestionId != null && x.IsJudgeQuestion).ToList().Union(
                                             twoItem.AfterQuestionList.Where(x => x.QuestionId != null && x.IsJudgeQuestion).ToList()
                                             ).ToList();
@@ -811,6 +1014,8 @@ namespace IRaCIS.Core.Application.Service
                                         };
 
                             var visitTaskQuestions = await query.ToListAsync();
+                            await ApplyVisitJudgeRules(visitTaskQuestions, lastTask.VisitNum, criterionInfo.JudgeRuleEnum);
+                            await ApplyVisitJudgeRules(lastTask.AfterQuestionList, lastTask.VisitNum, criterionInfo.JudgeRuleEnum);
 
                             var newlist = visitTaskQuestions.Where(x => x.QuestionId != null).ToList().Union(
                                             lastTask.AfterQuestionList.Where(x => x.QuestionId != null).ToList()
@@ -929,6 +1134,102 @@ namespace IRaCIS.Core.Application.Service
 
         }
 
+        /// <summary>
+        /// 应用访视裁判规则 以及剔除排除的问题
+        /// </summary>
+        private async Task ApplyVisitJudgeRules(List<TaskAnswerDto> answerList, JudgeRule judgeRule)
+        {
+            if (answerList.Count == 0)
+            {
+                return;
+            }
+
+            var questionIds = answerList.Select(x => x.QuestionId).Distinct().ToList();
+            var questions = await _readingQuestionTrialRepository.Where(x => questionIds.Contains(x.Id)).Select(x => new
+            {
+                x.Id,
+                x.ExcludeShowVisitList,
+            }).ToListAsync();
+            var excludedQuestionIds = answerList
+                .Where(x => questions.FirstOrDefault(question => question.Id == x.QuestionId)?.ExcludeShowVisitList.Contains(x.VisitTaskNum) == true)
+                .Select(x => x.QuestionId)
+                .Distinct()
+                .ToList();
+            answerList.RemoveAll(x => excludedQuestionIds.Contains(x.QuestionId));
+
+            if (judgeRule != JudgeRule.Difference || answerList.Count == 0)
+            {
+                return;
+            }
+
+            questionIds = answerList.Select(x => x.QuestionId).Distinct().ToList();
+            var visitNums = answerList.Select(x => x.VisitTaskNum).Distinct().ToList();
+            var visitRules = await _readingQuestionVisitJudgeRuleRepository
+                .Where(x => questionIds.Contains(x.ReadingQuestionId) && (visitNums.Contains(x.VisitNum) || x.VisitNum == -1))
+                .ToListAsync();
+
+            answerList.ForEach(answer =>
+            {
+                var rule = visitRules.FirstOrDefault(x => x.ReadingQuestionId == answer.QuestionId && x.VisitNum == answer.VisitTaskNum)
+                    ?? visitRules.FirstOrDefault(x => x.ReadingQuestionId == answer.QuestionId && x.VisitNum == -1);
+                if (rule != null)
+                {
+                    answer.AnswerGroup = JsonConvert.SerializeObject(rule.AnswerGroup);
+                    answer.AnswerCombination = JsonConvert.SerializeObject(rule.AnswerCombination);
+                    answer.JudgeType = rule.JudgeType;
+                    answer.JudgeDifferenceValue = rule.JudgeDifferenceValue;
+                    answer.JudgeDifferenceType = rule.JudgeDifferenceType;
+                }
+            });
+        }
+
+        /// <summary>
+        /// 应用访视裁判规则 以及剔除排除的问题
+        /// </summary>
+        private async Task ApplyVisitJudgeRules(List<GlobalQuestionInfo> questionList, decimal visitNum, JudgeRule judgeRule)
+        {
+            if (questionList.Count == 0)
+            {
+                return;
+            }
+
+            var questionIds = questionList.Where(x => x.QuestionId != null).Select(x => x.QuestionId!.Value).Distinct().ToList();
+            var excludedQuestionIds = await _readingQuestionTrialRepository
+                .Where(x => questionIds.Contains(x.Id) && x.ExcludeShowVisitList.Contains(visitNum))
+                .Select(x => x.Id)
+                .ToListAsync();
+            questionList.RemoveAll(x => x.QuestionId != null && excludedQuestionIds.Contains(x.QuestionId.Value));
+
+            if (judgeRule != JudgeRule.Difference || questionList.Count == 0)
+            {
+                return;
+            }
+
+            questionIds = questionList.Where(x => x.QuestionId != null).Select(x => x.QuestionId!.Value).Distinct().ToList();
+            var visitRules = await _readingQuestionVisitJudgeRuleRepository
+                .Where(x => questionIds.Contains(x.ReadingQuestionId) && (x.VisitNum == visitNum || x.VisitNum == -1))
+                .ToListAsync();
+
+            questionList.ForEach(question =>
+            {
+                if (question.QuestionId == null)
+                {
+                    return;
+                }
+
+                var rule = visitRules.FirstOrDefault(x => x.ReadingQuestionId == question.QuestionId && x.VisitNum == visitNum)
+                    ?? visitRules.FirstOrDefault(x => x.ReadingQuestionId == question.QuestionId && x.VisitNum == -1);
+                if (rule != null)
+                {
+                    question.AnswerGroup = JsonConvert.SerializeObject(rule.AnswerGroup);
+                    question.AnswerCombination = JsonConvert.SerializeObject(rule.AnswerCombination);
+                    question.JudgeType = rule.JudgeType;
+                    question.JudgeDifferenceValue = rule.JudgeDifferenceValue;
+                    question.JudgeDifferenceType = rule.JudgeDifferenceType;
+                }
+            });
+        }
+
 
         /// <summary>
         /// 发送微信通知
diff --git a/IRaCIS.Core.Application/Service/SiteSurvey/DTO/TrialSiteSurveyViewModel.cs b/IRaCIS.Core.Application/Service/SiteSurvey/DTO/TrialSiteSurveyViewModel.cs
index 23e704458..2bca8a9a7 100644
--- a/IRaCIS.Core.Application/Service/SiteSurvey/DTO/TrialSiteSurveyViewModel.cs
+++ b/IRaCIS.Core.Application/Service/SiteSurvey/DTO/TrialSiteSurveyViewModel.cs
@@ -457,10 +457,13 @@ namespace IRaCIS.Core.Application.Contracts
     {
         [NotDefault]
         public Guid TrialSiteSurveyId { get; set; }
+
+        public Guid? Id { get; set; }
     }
 
     public class SiteSurveyLogDTO
     {
+        public Guid Id { get; set; }
         public Guid TrialSiteSurveyId { get; set; }
 
         public string Name { get; set; }
diff --git a/IRaCIS.Core.Application/Service/SiteSurvey/TrialSiteSurveyService.cs b/IRaCIS.Core.Application/Service/SiteSurvey/TrialSiteSurveyService.cs
index 23a027cf6..ef3201bfb 100644
--- a/IRaCIS.Core.Application/Service/SiteSurvey/TrialSiteSurveyService.cs
+++ b/IRaCIS.Core.Application/Service/SiteSurvey/TrialSiteSurveyService.cs
@@ -661,7 +661,7 @@ namespace IRaCIS.Core.Application.Contracts
                 //找到最新的调研表
 
                 var currentLatest = await _trialSiteSurveyRepository.Where(t => t.TrialId == userInfo.TrialId && t.TrialSiteId == userInfo.TrialSiteId, true)
-                     .Include(u => u.TrialSiteEquipmentSurveyList).Include(u => u.TrialSiteUserSurveyList).OrderByDescending(t => t.CreateTime).FirstOrDefaultAsync();
+                     .Include(u => u.TrialSiteEquipmentSurveyList).Include(u => u.TrialSiteUserSurveyList).Include(t => t.SiteSurveyLogList).OrderByDescending(t => t.CreateTime).FirstOrDefaultAsync();
 
                 if (currentLatest == null)
                 {
@@ -688,7 +688,7 @@ namespace IRaCIS.Core.Application.Contracts
                 }
 
                 //更新调研表日志 - 老的调研表
-                currentLatest.SiteSurveyLogList.Add(new SiteSurveyLog() { Name = userInfo.ReplaceUserEmailOrPhone, OptType = SiteSurveyOptTyp.Over });
+                //currentLatest.SiteSurveyLogList.Add(new SiteSurveyLog() { Name = userInfo.ReplaceUserEmailOrPhone, OptType = SiteSurveyOptTyp.Over });
 
                 var copy = currentLatest.Clone();
 
@@ -707,6 +707,7 @@ namespace IRaCIS.Core.Application.Contracts
                     copy.Phone = String.Empty;
 
                     //更新调研表日志
+
                     var info = await GetSiteSurveyInfo(currentLatest.Id, currentLatest.TrialId);
                     copy.SiteSurveyLogList.Add(new SiteSurveyLog() { Name = userInfo.ReplaceUserEmailOrPhone, OptType = SiteSurveyOptTyp.Update, OriginTrialSiteSurveyId = currentLatest.Id, Json = info.ToJsonStr() });
                 }
@@ -1455,7 +1456,9 @@ namespace IRaCIS.Core.Application.Contracts
         [HttpPost]
         public async Task<List<SiteSurveyLogDTO>> GetSiteSurveyLogList(SiteSurveyLogQuery inQuery)
         {
-            return _siteSurveyLogRepository.Where(t => t.TrialSiteSurveyId == inQuery.TrialSiteSurveyId).ProjectTo<SiteSurveyLogDTO>(_mapper.ConfigurationProvider).ToList();
+            return _siteSurveyLogRepository.Where(t => t.TrialSiteSurveyId == inQuery.TrialSiteSurveyId)
+                 .WhereIf(inQuery.Id != null, t => t.Id == inQuery.Id)
+                .ProjectTo<SiteSurveyLogDTO>(_mapper.ConfigurationProvider).ToList();
         }
 
         /// <summary>
@@ -1467,7 +1470,7 @@ namespace IRaCIS.Core.Application.Contracts
         public async Task<IResponseOutput> GetSiteSurveyEquipmentList(SiteSurveyEquipmentQuery inQuery)
         {
             var pageList = await _trialSiteEquipmentSurveyRepository.Where(t => t.TrialSiteSurvey.TrialId == inQuery.TrialId)
-                .WhereIf(inQuery.TrialSiteId != null, t => t.TrialSiteSurvey.TrialSiteId==inQuery.TrialSiteId)
+                .WhereIf(inQuery.TrialSiteId != null, t => t.TrialSiteSurvey.TrialSiteId == inQuery.TrialSiteId)
                 .WhereIf(inQuery.TrialSiteCode.IsNotNullOrEmpty(), t => t.TrialSiteSurvey.TrialSite.TrialSiteCode.Contains(inQuery.TrialSiteCode))
                 .WhereIf(inQuery.TrialSiteName.IsNotNullOrEmpty(), t => t.TrialSiteSurvey.TrialSite.TrialSiteAliasName.Contains(inQuery.TrialSiteName) ||
                  t.TrialSiteSurvey.TrialSite.TrialSiteName.Contains(inQuery.TrialSiteName))