diff --git a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
index d4245e786..7116b10a2 100644
--- a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
@@ -684,8 +684,11 @@ namespace IRaCIS.Application.Services
 
 
 			// 这里处理CRC上传 阅片期的临床数据
-			var readModule = await _readModuleRepository.Where(x => x.Id == inDto.ReadingId).FirstOrDefaultAsync();
-            if (readModule != null && readModule.IsCRCConfirm)
+			var readModule = await _readModuleRepository.Where(x => x.Id == inDto.ReadingId)
+                .WhereIf(inDto.SelectIsSign,x=>x.IsPMConfirm)
+				 .WhereIf(!inDto.SelectIsSign, x => x.IsCRCConfirm)
+				.FirstOrDefaultAsync();
+            if (readModule != null)
             {
                 var clinicalDataTrialSetIds = await _readModuleCriterionFromRepository.Where(x => x.ReadModuleId == readModule.Id).Select(x => x.ClinicalForm.ClinicalDataTrialSetId).ToListAsync();