diff --git a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
index d5055d242..f89332eb2 100644
--- a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
@@ -523,6 +523,22 @@ namespace IRaCIS.Core.Application.Service
                 var readModule = await _readModuleRepository.Where(x => x.Id == inDto.ReadModuleId).FirstNotNullAsync();
                 inDto.TrialReadingCriterionId = readModule.TrialReadingCriterionId;
             }
+
+            // 有全局就查全局 有肿瘤学就查肿瘤学
+
+            var clinicalDataLevelList = await _clinicalDataTrialSetRepository.Where(x => x.TrialId == inDto.TrialId && x.IsConfirm && x.UploadRole == UploadRole.CRC && x.ClinicalUploadType == ClinicalUploadType.Structuring).Select(x => x.ClinicalDataLevel).Distinct().ToListAsync();
+
+            ReadingSetType? readingSetType = null;
+            if (clinicalDataLevelList.Contains(ClinicalLevel.ImageRead) && !clinicalDataLevelList.Contains(ClinicalLevel.OncologyRead))
+            {
+                readingSetType = ReadingSetType.ImageReading;
+            }
+            else if (clinicalDataLevelList.Contains(ClinicalLevel.OncologyRead) && !clinicalDataLevelList.Contains(ClinicalLevel.ImageRead))
+            {
+                readingSetType = ReadingSetType.TumorReading;
+            }
+
+
             var query = _readModuleRepository.Where(x => x.TrialId == inDto.TrialId)
                 .WhereIf(inDto.ReadModuleId != null, x => x.Id == inDto.ReadModuleId)
                 .WhereIf(inDto.IsCRCConfirm != null, x => x.IsCRCConfirm == inDto.IsCRCConfirm)
@@ -532,6 +548,7 @@ namespace IRaCIS.Core.Application.Service
 				.WhereIf(inDto.SubjectId != null, x => x.SubjectId == inDto.SubjectId)
                 .WhereIf(inDto.StartTime != null, x => x.SubjectVisit.LatestScanDate >= inDto.StartTime)
                 .WhereIf(inDto.EndTime != null, x => x.SubjectVisit.LatestScanDate <= inDto.EndTime)
+                .WhereIf(readingSetType != null, x => x.ReadingSetType== readingSetType)
                 .Select(x => new GetCRCConfirmListOutDto()
                 {