diff --git a/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs b/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
index bac7d39c6..92c61d06c 100644
--- a/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
+++ b/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
@@ -2124,6 +2124,57 @@ namespace IRaCIS.Core.Application.Service.Common
             //处理裁判标记
             list = DealJudgeMark(criterion.ArbitrationRule, list);
 
+
+            #region 系统标准处理整体肿瘤评估合并
+
+            //针对1.1 整体肿瘤评估 有的两列要合并一列
+            if (criterion.CriterionType == CriterionType.RECIST1Point1 || criterion.CriterionType == CriterionType.RECIST1Pointt1_MB || criterion.CriterionType == CriterionType.IRECIST1Point1)
+            {
+                foreach (var item in list)
+                {
+                    var removeList = item.QuestionAnswerList.Where(t => t.QuestionType == QuestionType.ExistDisease || t.QuestionType == QuestionType.Tumor).ToList();
+
+                    if (item.IsBaseline == true)
+                    {
+                        item.OverallTumorEvaluationResult = removeList.Where(t => t.QuestionType == QuestionType.ExistDisease).FirstOrDefault()?.QuestionValue;
+                    }
+                    else
+                    {
+                        item.OverallTumorEvaluationResult = removeList.Where(t => t.QuestionType != QuestionType.ExistDisease).FirstOrDefault()?.QuestionValue;
+                    }
+
+                    item.QuestionAnswerList = item.QuestionAnswerList.Where(t => !(t.QuestionType == QuestionType.ExistDisease || t.QuestionType == QuestionType.Tumor)).ToList();
+                }
+            }
+            else if (criterion.CriterionType == CriterionType.Lugano2014 || criterion.CriterionType == CriterionType.Lugano2014WithoutPET)
+            {
+
+                foreach (var item in list)
+                {
+                    var removeList = item.QuestionAnswerList.Where(t => t.QuestionType == QuestionType.ExistDisease || t.QuestionType == QuestionType.ImgOncology).ToList();
+
+                    if (item.IsBaseline == true)
+                    {
+                        item.OverallTumorEvaluationResult = removeList.Where(t => t.QuestionType == QuestionType.ExistDisease).FirstOrDefault()?.QuestionValue;
+                    }
+                    else
+                    {
+                        item.OverallTumorEvaluationResult = removeList.Where(t => t.QuestionType != QuestionType.ExistDisease).FirstOrDefault()?.QuestionValue;
+                    }
+
+                    item.QuestionAnswerList = item.QuestionAnswerList.Where(t => !(t.QuestionType == QuestionType.ExistDisease || t.QuestionType == QuestionType.ImgOncology)).ToList();
+                }
+            }
+            else if (criterion.CriterionType == CriterionType.PCWG3)
+            {
+
+            }
+
+            #endregion
+
+
+
+
             exportInfo.List = ExportExcelConverterDate.ConvertToClientTimeInObject(list.Where(t => t.ReadingCategory != ReadingCategory.Global).ToList(), _userInfo.TimeZoneId);
             exportInfo.CurrentTime = ExportExcelConverterDate.DateTimeInternationalToString(DateTime.Now, _userInfo.TimeZoneId);
 
@@ -2140,6 +2191,11 @@ namespace IRaCIS.Core.Application.Service.Common
                 TranslateDicNameList = list.FirstOrDefault()?.QuestionAnswerList.Select(t => t.TranslateDicName).ToList() ?? new List<string>()
             };
 
+
+
+
+
+
             var (memoryStream, fileName) = await ExcelExportHelper.DataExport_NpoiTestAsync(export_Template, exportInfo, _commonDocumentRepository, _hostEnvironment, _dictionaryService, typeof(CommonEvaluationExport), criterion.CriterionType, dynamicColumnConfig);
 
 
diff --git a/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs b/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs
index d02b358e3..4d129aa2c 100644
--- a/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs
+++ b/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs
@@ -1061,6 +1061,8 @@ namespace IRaCIS.Core.Application.Contracts
 
     public class CommonQuesionInfo
     {
+
+        public QuestionType? QuestionType { get; set; }
         public string QuestionName { get; set; }
 
         public string QuestionValue { get; set; }
diff --git a/IRaCIS.Core.Application/Service/QC/_MapConfig.cs b/IRaCIS.Core.Application/Service/QC/_MapConfig.cs
index 4c516cec8..83b36aaa7 100644
--- a/IRaCIS.Core.Application/Service/QC/_MapConfig.cs
+++ b/IRaCIS.Core.Application/Service/QC/_MapConfig.cs
@@ -6,6 +6,7 @@ using IRaCIS.Core.Application.Contracts.DTO;
 using IRaCIS.Core.Application.MassTransit.Command;
 using IRaCIS.Core.Application.ViewModel;
 using IRaCIS.Core.Domain.Share;
+using System.Linq;
 
 namespace IRaCIS.Core.Application.Service
 {
@@ -19,7 +20,7 @@ namespace IRaCIS.Core.Application.Service
 
             var isEn_Us = false;
 
-            CreateMap<Trial, ReadingPeriodJudgeExportInfo>();     
+            CreateMap<Trial, ReadingPeriodJudgeExportInfo>();
             CreateMap<Trial, VisitJudgeExportInfo>();
             CreateMap<Trial, ExcelExportInfo>();
             CreateMap<SubjectVisit, CRCVisitExportDTO>()
@@ -199,7 +200,7 @@ namespace IRaCIS.Core.Application.Service
             Guid trialReadingCriterionId = Guid.Empty;
             ArbitrationRule? arbitrationRule = null;
             CriterionType? criterionType = null;
-            ReadingExportType? readingExportType=null;
+            ReadingExportType? readingExportType = null;
 
             CreateMap<VisitTask, OverallTumorEvaluationExport>()
                 // .ForMember(o => o.TrialReadingCriterionName, t => t.MapFrom(u => u.TrialReadingCriterion.CriterionName))
@@ -226,7 +227,7 @@ namespace IRaCIS.Core.Application.Service
                 .ForMember(o => o.SubjectCode, t => t.MapFrom(u => u.Subject.Code))
                 .ForMember(o => o.UserName, t => t.MapFrom(u => u.DoctorUser.UserName));
 
-            
+
 
             CreateMap<VisitTask, CommonEvaluationExport>()
                .ForMember(o => o.IsBaseline, t => t.MapFrom(u => u.SourceSubjectVisit.IsBaseLine))
@@ -241,10 +242,14 @@ namespace IRaCIS.Core.Application.Service
                .ForMember(o => o.SubjectCode, t => t.MapFrom(u => u.Subject.Code))
                .ForMember(o => o.UserName, t => t.MapFrom(u => u.DoctorUser.UserName))
                .ForMember(o => o.QuestionAnswerList, t => t.MapFrom(u => u.ReadingTaskQuestionAnswerList
-                   .Where(c => readingExportType == ReadingExportType.ReadingDetailResult ? c.ReadingQuestionTrial.IsJudgeQuestion : c.ReadingQuestionTrial.IsJudgeQuestion)
+                   .Where(c => readingExportType == ReadingExportType.ReadingResult ?
+                   c.ReadingQuestionTrial.ExportResultStr.Contains( ((int)ExportResult.TableOfAssessmentResults).ToString()) :
+                   (readingExportType == ReadingExportType.ReadingDetailResult ? c.ReadingQuestionTrial.ExportResultStr.Contains(((int)ExportResult.DetailedTableOfAssessmentResults).ToString()) : 
+                   c.ReadingQuestionTrial.ExportResultStr.Contains(((int)ExportResult.DetailedTableOfAdjudicationResults).ToString())))
                    .OrderBy(k => k.ReadingQuestionTrial.ShowOrder)
                 .Select(c => new CommonQuesionInfo()
                 {
+                    QuestionType = c.ReadingQuestionTrial.QuestionType,
                     QuestionName = isEn_Us ? c.ReadingQuestionTrial.QuestionEnName : c.ReadingQuestionTrial.QuestionName,
                     QuestionValue = c.Answer,
                     TranslateDicName = c.ReadingQuestionTrial.DictionaryCode
diff --git a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
index 6afaaeb0e..cdaf1ce05 100644
--- a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
+++ b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
@@ -378,7 +378,7 @@ namespace IRaCIS.Core.Domain.Share
         /// 无
         /// </summary>
         None = 0,
-
+      
     }
 
     /// <summary>
@@ -391,6 +391,31 @@ namespace IRaCIS.Core.Domain.Share
         /// </summary>
         None = 0,
 
+        /// <summary>
+        /// <summary>
+        /// 阅片结果表
+        /// </summary>
+        TableOfAssessmentResults = 1,
+
+        /// <summary>
+        /// 阅片结果明细表
+        /// </summary>
+        DetailedTableOfAssessmentResults = 2,
+
+        /// <summary>
+        /// 裁判阅片明细表
+        /// </summary>
+        DetailedTableOfAdjudicationResults = 3,
+
+        /// <summary>
+        /// 自身一致性分析结果表
+        /// </summary>
+        DetailedTableOfIntraReaderAnalysisResults = 4,
+
+        /// <summary>
+        /// 组间一致性分析结果表
+        /// </summary>
+        DetailedTableOfInterReaderAnalysisResults = 5,
     }