diff --git a/IRaCIS.Core.Application/Service/Common/Export/TumorExportService.cs b/IRaCIS.Core.Application/Service/Common/Export/TumorExportService.cs
index d9c286224..dfd222892 100644
--- a/IRaCIS.Core.Application/Service/Common/Export/TumorExportService.cs
+++ b/IRaCIS.Core.Application/Service/Common/Export/TumorExportService.cs
@@ -726,7 +726,7 @@ public class Tumor_CDISC_ExportService(IRepository<ReadingQuestionCriterionTrial
                     switch (questionAnswer.QuestionType)
                     {
                         case QuestionType.ImageQualityAssessment:
-                            co.RemarksQuote = $"{co.ArmEnumStr}__QUALITY";
+                            co.RemarksQuote = $"{co.ArmEnumStr}_QUALITY";
                             break;
                         case QuestionType.ImageQualityProblem:
                             co.RemarksQuote = $"{co.ArmEnumStr}_QUALITY_ISSUE";
@@ -796,9 +796,19 @@ public class Tumor_CDISC_ExportService(IRepository<ReadingQuestionCriterionTrial
 
         //var globalList = taskList.Where(t => t.ReadingCategory == ReadingCategory.Global).GroupBy(t => new { t.SubjectCode, t.ArmEnum }).Select(g => g.OrderByDescending(t => t.VisitNum).FirstOrDefault()).ToList();
 
+        //RS表 整体肿瘤评估了，其他病灶评估输出的也是最早的日期
 
 
 
+        foreach (var rsPd in rsList.Where(t=>t.IsOverallResponsePD==true))
+        {
+            foreach (var item in rsList.Where(t => t.VisitTaskId == rsPd.VisitTaskId))
+            {
+                item.IsOverallResponsePD = true;
+            }         
+        }
+
+
         //全局会对每个访视的结果进行更改  rs表只取最新的一次全局
         foreach (var task in taskList.Where(t => t.ReadingCategory == ReadingCategory.Global).GroupBy(t => new { t.SubjectCode, t.ArmEnum }).Select(g => g.OrderByDescending(t => t.VisitNum).FirstOrDefault()))
         {