diff --git a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
index 4cbbb16cc..8c993e283 100644
--- a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
@@ -341,7 +341,7 @@ namespace IRaCIS.Core.Application.Service
 
 
 
-                    var globalChangeAnswer = await _readingGlobalTaskInfoRepository.Where(x => taskIds.Contains(x.GlobalTaskId)&&x.Answer!=string.Empty && x.GlobalAnswerType == GlobalAnswerType.Question).ToListAsync();
+                    var globalChangeAnswer = await _readingGlobalTaskInfoRepository.Where(x => taskIds.Contains(x.GlobalTaskId)&&x.Answer!=string.Empty && x.GlobalAnswerType == GlobalAnswerType.Question&&x.GlobalVisitTask.TaskState==TaskState.Effect).ToListAsync();
 
 
                     medicalReviewInfo.TaskList.ForEach(x =>