diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
index c63e757d2..b89ece8e1 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
@@ -32,7 +32,21 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public bool IsApplyHeavyReading { get; set; } = false;
     }
 
-    public class GetIRMedicalFeedbackListInDto:PageInput
+    public class GetNextIRMedicalFeedbackInDto
+    {
+		/// <summary>
+		/// 项目Id
+		/// </summary>
+		[NotDefault]
+		public Guid TrialId { get; set; }
+
+		public Guid TrialReadingCriterionId { get; set; }
+
+		public Guid SubjectId { get; set; }
+	}
+
+
+	public class GetIRMedicalFeedbackListInDto:PageInput
     {
         /// <summary>
         /// 项目Id
@@ -43,7 +57,10 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
         public bool? IsUrgent { get; set; }
 
-        public MedicalReviewAuditState? AuditState { get; set; }
+        public Guid? SubjectId { get; set; }
+
+
+		public MedicalReviewAuditState? AuditState { get; set; }
 
         public string SubjectCode { get; set; } = string.Empty;
 
@@ -78,7 +95,13 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public bool? IsInvalid { get; set; }
 
         public Guid? TrialReadingCriterionId { get; set; }
-    }
+
+        /// <summary>
+        /// 获取不加急的
+        /// </summary>
+        public bool IsNotHaveSigned { get; set; } = false;
+
+	}
 
     public class GetIRMedicalFeedbackListOutDto
     {
diff --git a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
index b59c45897..3a16532c3 100644
--- a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
@@ -780,22 +780,71 @@ namespace IRaCIS.Core.Application.Service
             return ResponseOutput.Result(result);
         }
 
-
         /// <summary>
-        /// 获取IR医学审核信息
+        /// 获取下一个IR医学反馈
         /// </summary>
         /// <param name="inDto"></param>
         /// <returns></returns>
+        /// <exception cref="BusinessValidationFailedException"></exception>
         [HttpPost]
+        public async Task<GetIRMedicalFeedbackListOutDto> GetNextIRMedicalFeedback(GetNextIRMedicalFeedbackInDto inDto)
+        {
+            var list = await GetIRMedicalFeedbackList(new GetIRMedicalFeedbackListInDto()
+            {
+                TrialId=inDto.TrialId,
+                AuditState= MedicalReviewAuditState.Auditing,
+                TrialReadingCriterionId=inDto.TrialReadingCriterionId,
+                SubjectId=inDto.SubjectId,
+                PageIndex=1,
+                PageSize=1,
+            });
+
+
+			if (list.CurrentPageData.Count() == 0)
+			{
+				list = await GetIRMedicalFeedbackList(new GetIRMedicalFeedbackListInDto()
+				{
+					TrialId = inDto.TrialId,
+					AuditState = MedicalReviewAuditState.Auditing,
+					TrialReadingCriterionId = inDto.TrialReadingCriterionId,
+					PageIndex = 1,
+					PageSize = 1,
+				});
+			}
+
+
+			if (list.CurrentPageData.Count() > 0)
+            {
+                return list.CurrentPageData[0];
+            }
+            else
+            {
+				throw new BusinessValidationFailedException(_localizer["MedicalReview_IRFinish"], ApiResponseCodeEnum.CloseCurrentWindows);
+			}
+
+
+
+
+
+		}
+
+		/// <summary>
+		/// 获取IR医学审核信息
+		/// </summary>
+		/// <param name="inDto"></param>
+		/// <returns></returns>
+		[HttpPost]
         public async Task<PageOutput<GetIRMedicalFeedbackListOutDto>> GetIRMedicalFeedbackList(GetIRMedicalFeedbackListInDto inDto)
         {
             var taskMedicalReviewquery = _taskMedicalReviewRepository.Where(x => x.TrialId == inDto.TrialId).Include(x => x.VisitTask)
                 .Where(x => x.VisitTask.DoctorUserId == _userInfo.Id)
                 .Where(x => x.IsHaveQuestion)
                 .WhereIf(!inDto.TaskBlindName.IsNullOrEmpty(), x => x.VisitTask.TaskBlindName == inDto.TaskBlindName)
-                 .WhereIf(inDto.IsUrgent != null, x => x.VisitTask.IsUrgent == inDto.IsUrgent!)
+			     .WhereIf(inDto.SubjectId != null, x => x.VisitTask.SubjectId == inDto.SubjectId!)
+				 .WhereIf(inDto.IsUrgent != null, x => x.VisitTask.IsUrgent == inDto.IsUrgent!)
                  .WhereIf(inDto.AuditState != null, x => x.AuditState == inDto.AuditState!)
-                 .WhereIf(inDto.ReadingCategory != null, x => x.VisitTask.ReadingCategory == inDto.ReadingCategory!)
+				 .WhereIf(inDto.IsNotHaveSigned, x => x.AuditState != MedicalReviewAuditState.HaveSigned)
+				 .WhereIf(inDto.ReadingCategory != null, x => x.VisitTask.ReadingCategory == inDto.ReadingCategory!)
                  .WhereIf(inDto.AuditAdviceEnum != null, x => x.AuditAdviceEnum == inDto.AuditAdviceEnum!)
                  .WhereIf(inDto.DoctorUserIdeaEnum != null, x => x.DoctorUserIdeaEnum == inDto.DoctorUserIdeaEnum!)
                  .WhereIf(inDto.IsClosedDialog != null, x => x.IsClosedDialog == inDto.IsClosedDialog!)