diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index d98b3e3ce..62dcea97d 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -4466,6 +4466,11 @@
             上传方式
             </summary>
         </member>
+        <member name="P:IRaCIS.Core.Application.Service.Reading.Dto.GetCRCClinicalDataOutDto.ClinicalDataLevel">
+            <summary>
+            临床级别
+            </summary>
+        </member>
         <member name="P:IRaCIS.Core.Application.Service.Reading.Dto.GetCRCClinicalDataOutDto.UploadRole">
             <summary>
             上传角色
diff --git a/IRaCIS.Core.Application/Service/QC/QCListService.cs b/IRaCIS.Core.Application/Service/QC/QCListService.cs
index 89841ef0d..e3d5a858c 100644
--- a/IRaCIS.Core.Application/Service/QC/QCListService.cs
+++ b/IRaCIS.Core.Application/Service/QC/QCListService.cs
@@ -77,8 +77,8 @@ namespace IRaCIS.Core.Application.Image.QA
             var pageList = await query.ToPagedListAsync(visitSearchDTO.PageIndex, visitSearchDTO.PageSize, visitSearchDTO.SortField, visitSearchDTO.Asc, string.IsNullOrWhiteSpace(visitSearchDTO.SortField), defalutSortArray);
 
             var config = await _repository.Where<Trial>(t => t.Id == visitSearchDTO.TrialId).ProjectTo<TrialSubjectAndSVConfig>(_mapper.ConfigurationProvider).FirstOrDefaultAsync().IfNullThrowException();
-            config.IsHaveSubjectClinicalData = await _clinicalDataTrialSet.AnyAsync(x => x.TrialId == visitSearchDTO.TrialId && x.IsConfirm && x.ClinicalDataLevel == ClinicalLevel.Subject && x.UploadRole == UploadRole.CRC);
-            config.IsHaveVisitClinicalData = await _clinicalDataTrialSet.AnyAsync(x => x.TrialId == visitSearchDTO.TrialId && x.IsConfirm && x.ClinicalDataLevel == ClinicalLevel.SubjectVisit && x.UploadRole == UploadRole.CRC);
+            config.IsHaveSubjectClinicalData = await _clinicalDataTrialSet.AnyAsync(x => x.TrialId == visitSearchDTO.TrialId && x.IsConfirm && (x.ClinicalDataLevel == ClinicalLevel.Subject || x.ClinicalDataLevel == ClinicalLevel.Study) && x.UploadRole == UploadRole.CRC);
+            config.IsHaveVisitClinicalData = await _clinicalDataTrialSet.AnyAsync(x => x.TrialId == visitSearchDTO.TrialId && x.IsConfirm && (x.ClinicalDataLevel == ClinicalLevel.SubjectVisit|| x.ClinicalDataLevel == ClinicalLevel.Study) && x.UploadRole == UploadRole.CRC);
             return (pageList, config);
 
         }
diff --git a/IRaCIS.Core.Application/Service/QC/QCOperationService.cs b/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
index ef7a47d5c..0f57335a5 100644
--- a/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
+++ b/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
@@ -28,7 +28,8 @@ namespace IRaCIS.Core.Application.Image.QA
         private readonly IRepository<QCChallenge> _qcChallengeRepository;
         private readonly IRepository<DicomStudy> _dicomStudyRepository;
         private readonly IRepository<DicomSeries> _dicomSeriesrepository;
-        private readonly IRepository<Subject> _subjectRepository;
+		private readonly IReadingClinicalDataService _readingClinicalDataService;
+		private readonly IRepository<Subject> _subjectRepository;
         private readonly IRepository<ReadingClinicalData> _readingClinicalDataRepository;
         private readonly IRepository<QCChallengeDialog> _qCChallengeDialogrepository;
         private readonly IRepository<CheckChallengeDialog> _checkChallengeDialogrepository;
@@ -43,7 +44,8 @@ namespace IRaCIS.Core.Application.Image.QA
              IRepository<VisitTask> visitTaskRepository,
             IRepository<DicomStudy> dicomStudyRepository,
             IRepository<DicomSeries> dicomSeriesrepository,
-            IRepository<Subject> subjectRepository,
+			IReadingClinicalDataService readingClinicalDataService,
+			IRepository<Subject> subjectRepository,
             IRepository<ReadingClinicalData> readingClinicalDataRepository,
              IRepository<QCChallengeDialog> qCChallengeDialogrepository,
               IRepository<CheckChallengeDialog> checkChallengeDialogrepository,
@@ -55,7 +57,8 @@ namespace IRaCIS.Core.Application.Image.QA
             _qcChallengeRepository = qcChallengeRepository;
             _dicomStudyRepository = dicomStudyRepository;
             this._dicomSeriesrepository = dicomSeriesrepository;
-            this._subjectRepository = subjectRepository;
+			this._readingClinicalDataService = readingClinicalDataService;
+			this._subjectRepository = subjectRepository;
             this._readingClinicalDataRepository = readingClinicalDataRepository;
             this._qCChallengeDialogrepository = qCChallengeDialogrepository;
             this._checkChallengeDialogrepository = checkChallengeDialogrepository;
@@ -1220,7 +1223,33 @@ namespace IRaCIS.Core.Application.Image.QA
         public async Task<IResponseOutput> CRCRequestToQC(CRCRequestToQCCommand cRCRequestToQCCommand)
         {
 
-            var trialId = cRCRequestToQCCommand.TrialId;
+			// 验证临床数据 是否有Pet类型
+			#region 验证临床数据 是否有Pet类型
+			foreach (var item in cRCRequestToQCCommand.SubjectVisitIds)
+			{
+				if (await _dicomStudyRepository.AnyAsync(x => x.SubjectVisitId == item && x.Modalities == "CT"))
+				{
+					var visit = await _subjectVisitRepository.Where(x => x.Id == item).FirstNotNullAsync();
+					var clinicalData = await this._readingClinicalDataService.GetCRCClinicalData(new Service.Reading.Dto.GetCRCClinicalDataInDto()
+					{
+						IsBaseline = visit.IsBaseLine,
+						SubjectId = visit.SubjectId,
+						SubjectVisitId = item,
+						TrialId = cRCRequestToQCCommand.TrialId,
+					});
+
+					if (clinicalData.Any(x => x.ClinicalDataLevel == ClinicalLevel.Study && x.ClinicalUploadType == ClinicalUploadType.PDF && x.PDFFileList.Count() == 0))
+					{
+						throw new BusinessValidationFailedException(_localizer["QCOperation_NeedStudyClinical"]);
+					}
+				}
+
+
+			}
+			#endregion
+
+
+			var trialId = cRCRequestToQCCommand.TrialId;
 
             var trialConfig = (await _trialRepository
                 .Select(t => new { TrialId = t.Id, t.QCProcessEnum, t.IsImageConsistencyVerification, t.IsUrgent, t.IsHaveFirstGiveMedicineDate, t.ClinicalInformationTransmissionEnum })
diff --git a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
index a1424d670..761800f5b 100644
--- a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
@@ -193,6 +193,17 @@ namespace IRaCIS.Core.Application.Service
 					   ReadingId = n.VisitId,
 					   TrialId = inDto.TrialId
 				   }).ToList());
+
+				readingClinicalDatas.AddRange(
+				   dataTrialSetList.Where(x => x.ClinicalDataLevel == ClinicalLevel.Study).Where(x => clinicalDataList.Where(y => y.ClinicalDataTrialSetId == x.Id && y.ReadingId == n.VisitId).Count() == 0)
+				   .Select(x => new ReadingClinicalData()
+				   {
+					   ClinicalDataTrialSetId = x.Id,
+					   IsVisit = true,
+					   SubjectId = n.SubjectId,
+					   ReadingId = n.VisitId,
+					   TrialId = inDto.TrialId
+				   }).ToList());
 			});
 
           
diff --git a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
index 633c2597d..61f027698 100644
--- a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
@@ -195,7 +195,8 @@ namespace IRaCIS.Application.Services
                     Id = x.Id,
                     ClinicalDataSetName = x.ClinicalDataTrialSet.ClinicalDataSetName.LanguageName(x.ClinicalDataTrialSet.ClinicalDataSetEnName, _userInfo.IsEn_Us) ,
                     ClinicalUploadType = x.ClinicalDataTrialSet.ClinicalUploadType,
-                    ClinicalDataSetEnName=x.ClinicalDataTrialSet.ClinicalDataSetEnName,
+					ClinicalDataLevel=x.ClinicalDataTrialSet.ClinicalDataLevel,
+					ClinicalDataSetEnName =x.ClinicalDataTrialSet.ClinicalDataSetEnName,
                     ClinicalDataTrialSetId = x.ClinicalDataTrialSet.Id,
                     FileName = x.ClinicalDataTrialSet.FileName,
                     UploadRole = x.ClinicalDataTrialSet.UploadRole,
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingClinicalDataDto.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingClinicalDataDto.cs
index cd3713b1f..39262facc 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingClinicalDataDto.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingClinicalDataDto.cs
@@ -87,6 +87,11 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 		/// </summary>
 		public ClinicalUploadType ClinicalUploadType { get; set; }
 
+		/// <summary>
+		/// 临床级别
+		/// </summary>
+		public ClinicalLevel ClinicalDataLevel { get; set; }
+
 
 		/// <summary>
 		/// 上传角色
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
index 3d6a8c9ea..bc8d32f50 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
@@ -1317,7 +1317,9 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
         public bool IsBaseLine { get; set; }
 
-        public bool IsHaveChange { get; set; }
+		public decimal VisitNum { get; set; }
+
+		public bool IsHaveChange { get; set; }
 
         public string VisitRemark { get; set; } = string.Empty;
 
diff --git a/IRaCIS.Core.Application/Service/Reading/Interface/IReadingClinicalDataService.cs b/IRaCIS.Core.Application/Service/Reading/Interface/IReadingClinicalDataService.cs
index 94705f59a..82c175fb6 100644
--- a/IRaCIS.Core.Application/Service/Reading/Interface/IReadingClinicalDataService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Interface/IReadingClinicalDataService.cs
@@ -24,6 +24,9 @@ namespace IRaCIS.Core.Application.Contracts
 
         Task<List<GetReadingClinicalDataListOutDto>> GetReadingClinicalList(GetReadingClinicalDataListIndto inDto);
 
-        Task DealVisiTaskClinicalDataSignedAsync(Guid trialId, Guid subjectId, Guid readingId, bool isVisit, Guid trialReadingCritrialId);
+        Task<List<GetCRCClinicalDataOutDto>> GetCRCClinicalData(GetCRCClinicalDataInDto inDto);
+
+
+		Task DealVisiTaskClinicalDataSignedAsync(Guid trialId, Guid subjectId, Guid readingId, bool isVisit, Guid trialReadingCritrialId);
     }
 }
\ No newline at end of file
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index 00765027c..d99d8d493 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -1512,12 +1512,11 @@ namespace IRaCIS.Application.Services
         /// </summary>
         /// <returns></returns>
         [HttpPost]
-        [TypeFilter(typeof(TrialResourceFilter), Arguments = new object[] { "AfterStopCannNotOpt" })]
         public async Task MergeLesion(MergeLesionInDto inDto)
         {
 			await VerifyTaskIsSign(inDto.VisitTaskId);
 			await this.VerifyIsBaseLineTask(inDto.VisitTaskId);
-            var taskinfo = await _visitTaskRepository.Where(x => x.Id == inDto.MergeMainRowId).Include(x => x.TrialReadingCriterion).FirstNotNullAsync();
+            var taskinfo = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId).Include(x => x.TrialReadingCriterion).FirstNotNullAsync();
 			var mergeRow = await _readingTableAnswerRowInfoRepository.Where(x => x.Id == inDto.MergeMainRowId).Include(x => x.ReadingQuestionTrial).FirstNotNullAsync();
 
             var mark = mergeRow.ReadingQuestionTrial.OrderMark + mergeRow.RowIndex.GetLesionMark();
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingOncologyTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingOncologyTaskService.cs
index 438de68c8..ca38c5187 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingOncologyTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingOncologyTaskService.cs
@@ -215,7 +215,9 @@ namespace IRaCIS.Application.Services
                 {
                     VisitName = x.SourceSubjectVisit.VisitName,
                     IsBaseLine = x.SourceSubjectVisit.IsBaseLine,
-                    VisitTaskId = x.Id,
+					VisitNum=x.SourceSubjectVisit.VisitNum,
+
+					VisitTaskId = x.Id,
                     //  QuestionList = x.ReadingTaskQuestionAnswerList.Where(y => y.ReadingQuestionTrial.IsJudgeQuestion).OrderBy(y => y.ReadingQuestionTrial.ShowOrder)
                     //.Select(y => new OncologyQuestion()
                     //{
@@ -225,7 +227,7 @@ namespace IRaCIS.Application.Services
                     //}).ToList()
                 }).ToListAsync();
 
-            var oncologyReadingQuestions = await _readingOncologyTaskInfoRepository.Where(x => x.OncologyTaskId == inDto.VisitTaskId).ToListAsync();
+            var oncologyReadingQuestions = await _readingOncologyTaskInfoRepository.Where(x => x.OncologyTaskId == inDto.VisitTaskId).Include(x=>x.VisitTask).ToListAsync();
             // 上一次肿瘤学阅片
 
             var lastOncologyTask = await _visitTaskRepository.Where(x =>
@@ -241,7 +243,7 @@ namespace IRaCIS.Application.Services
 
             if (lastOncologyTask != null&& taskInfo.TaskState==TaskState.Effect&&taskInfo.ReadingTaskState!=ReadingTaskState.HaveSigned)
             {
-				lastOncologyAnswerList= await _readingOncologyTaskInfoRepository.Where(x => x.OncologyTaskId == lastOncologyTask.Id).ToListAsync();
+				lastOncologyAnswerList= await _readingOncologyTaskInfoRepository.Where(x => x.OncologyTaskId == lastOncologyTask.Id).Include(x => x.VisitTask).ToListAsync();
 
 			}
 
@@ -249,7 +251,8 @@ namespace IRaCIS.Application.Services
 			oncologyVisits.ForEach(x =>
             {
                 var oncologyData = oncologyReadingQuestions.Where(y => y.VisitTaskId == x.VisitTaskId).FirstOrDefault();
-				var lastOncologyData = lastOncologyAnswerList.Where(y => y.VisitTaskId == x.VisitTaskId).FirstOrDefault();
+                /// 根据任务编号匹配 不区分 r1 r2
+				var lastOncologyData = lastOncologyAnswerList.Where(y => y.VisitTask.VisitTaskNum == x.VisitNum).FirstOrDefault();
 
                 var evaluationResult = string.Empty;
 				var evaluationReason = string.Empty;
diff --git a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
index eef85caef..42f5cdb4a 100644
--- a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
+++ b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
@@ -1767,7 +1767,12 @@ public enum SUVChangeVSBaseline
         /// </summary>
         [DisplayAttribute(Name = "肿瘤学阅片")]
         OncologyRead = 3,
-    }
+
+        /// <summary>
+        /// 检查
+        /// </summary>
+		Study=4,
+	}
 
     /// <summary>
     /// 全局答案类型