diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
index 74b2d2297..60cc90cc6 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
@@ -332,6 +332,54 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public List<AdditionalQuestionAnswer> AnswerList { get; set; } = new List<AdditionalQuestionAnswer>();
     }
 
+    public class GetCustomTagInDto
+    {
+        /// <summary>
+        /// 任务Id
+        /// </summary>
+        public Guid VisitTaskId { get; set; }
+    }
+
+    public class ReadingCustomTagDto
+    {
+        public Guid? Id { get; set; }
+
+        /// <summary>
+        /// 任务Id
+        /// </summary>
+        public Guid VisitTaskId { get; set; }
+
+        /// <summary>
+        /// StudyId
+        /// </summary>
+        public Guid? StudyId { get; set; }
+
+        /// <summary>
+        /// SeriesId
+        /// </summary>
+        public Guid? SeriesId { get; set; }
+
+        /// <summary>
+        /// InstanceId
+        /// </summary>
+        public Guid? InstanceId { get; set; }
+
+        /// <summary>
+        /// MeasureData
+        /// </summary>
+        public string MeasureData { get; set; }
+
+        /// <summary>
+        /// CreateTime
+        /// </summary>
+        public DateTime CreateTime { get; set; }
+
+        /// <summary>
+        /// CreateUserId
+        /// </summary>
+        public Guid CreateUserId { get; set; }
+    }
+
     public class GetManualListInDto 
     {
 		public Guid TrialId { get; set; }
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index ba791cea0..a3b19fcf6 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -45,6 +45,7 @@ namespace IRaCIS.Application.Services
         private readonly IRepository<OrganInfo> _organInfoRepository;
         private readonly IRepository<TrialDocument> _trialDocumentRepository;
         private readonly IRepository<User> _userRepository;
+        private readonly IRepository<ReadingCustomTag> _readingCustomTagRepository;
         private readonly IRepository<ReadingSystemCriterionDictionary> _readingCriterionDictionaryRepository;
         private readonly IRepository<ReadingTrialCriterionDictionary> _readingTrialCriterionDictionaryRepository;
         private readonly IRepository<TumorAssessment_RECIST1Point1> _tumorAssessmentRepository;
@@ -84,6 +85,7 @@ namespace IRaCIS.Application.Services
                   IRepository<OrganInfo> organInfoRepository,
                   IRepository<TrialDocument> trialDocumentRepository,
                   IRepository<User> userRepository,
+                  IRepository<ReadingCustomTag> readingCustomTagRepository,
                   IMemoryCache cache,
                   IRepository<ReadingSystemCriterionDictionary> readingCriterionDictionaryRepository,
                   IRepository<ReadingTrialCriterionDictionary> readingTrialCriterionDictionaryRepository,
@@ -121,6 +123,7 @@ namespace IRaCIS.Application.Services
             this._organInfoRepository = organInfoRepository;
             this._trialDocumentRepository = trialDocumentRepository;
             this._userRepository = userRepository;
+            this._readingCustomTagRepository = readingCustomTagRepository;
             this._readingCriterionDictionaryRepository = readingCriterionDictionaryRepository;
             this._tumorAssessmentRepository = tumorAssessmentRepository;
             this._readingTableAnswerRowInfoRepository = readingTableAnswerRowInfoRepository;
@@ -138,6 +141,43 @@ namespace IRaCIS.Application.Services
             this._trialEmailNoticeConfigService = trialEmailNoticeConfigService;
         }
 
+        /// <summary>
+        /// 提交自定义标记
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        [HttpPost]
+        public async Task<IResponseOutput> SubmitCustomTag(ReadingCustomTagDto inDto)
+        {
+            var entity = await _readingCustomTagRepository.InsertOrUpdateAsync(inDto, true);
+            return ResponseOutput.Ok(entity.Id.ToString());
+        }
+
+        /// <summary>
+        /// 删除自定义标记
+        /// </summary>
+        /// <param name="id"></param>
+        /// <returns></returns>
+        [HttpPost("{id:guid}")]
+        public async Task<IResponseOutput> DeleteCustomTag(Guid id)
+        {
+            var success = await _readingCustomTagRepository.DeleteFromQueryAsync(t => t.Id == id, true);
+            return ResponseOutput.Ok();
+        }
+
+
+        /// <summary>
+        /// 获取项目临床问题
+        /// </summary>
+        /// <param name="inQuery"></param>
+        /// <returns></returns>
+        [HttpPost]
+        public async Task<List<ReadingCustomTagDto>> GetCustomTag(GetCustomTagInDto inQuery)
+        {
+            var result= await _readingCustomTagRepository.Where(x => x.VisitTaskId == inQuery.VisitTaskId).ProjectTo<ReadingCustomTagDto>(_mapper.ConfigurationProvider).ToListAsync();
+            return result;
+        }
+
         /// <summary>
         /// 获取手册
         /// </summary>
diff --git a/IRaCIS.Core.Application/Service/Reading/_MapConfig.cs b/IRaCIS.Core.Application/Service/Reading/_MapConfig.cs
index 1919f105d..47aff4eb7 100644
--- a/IRaCIS.Core.Application/Service/Reading/_MapConfig.cs
+++ b/IRaCIS.Core.Application/Service/Reading/_MapConfig.cs
@@ -59,7 +59,10 @@ namespace IRaCIS.Core.Application.Service
             CreateMap<ShortcutKey, DefaultShortcutKeyView>();
 
 
-			CreateMap<UserWLTemplate, UserWLTemplateView>();
+            CreateMap<ReadingCustomTag, ReadingCustomTagDto>();
+            CreateMap<ReadingCustomTagDto, ReadingCustomTag>();
+
+            CreateMap<UserWLTemplate, UserWLTemplateView>();
 			 CreateMap<UserWLTemplate,UserWLTemplateAddOrEdit>().ReverseMap();
 
 			CreateMap<ReadingPeriodSetAddOrEdit, ReadingPeriodSet>();
diff --git a/IRaCIS.Core.Domain/Reading/ReadingFormAnswer/ReadingCustomTag.cs b/IRaCIS.Core.Domain/Reading/ReadingFormAnswer/ReadingCustomTag.cs
new file mode 100644
index 000000000..1409e8f3f
--- /dev/null
+++ b/IRaCIS.Core.Domain/Reading/ReadingFormAnswer/ReadingCustomTag.cs
@@ -0,0 +1,56 @@
+
+//--------------------------------------------------------------------
+//     此代码由T4模板自动生成  byzhouhang 20210918
+//	   生成时间 2023-07-31 11:12:15 
+//     对此文件的更改可能会导致不正确的行为，并且如果重新生成代码，这些更改将会丢失。
+using System;
+using IRaCIS.Core.Domain.Share;
+using System.ComponentModel.DataAnnotations;
+using System.ComponentModel.DataAnnotations.Schema;
+namespace IRaCIS.Core.Domain.Models
+{
+	 ///<summary>
+	 ///ReadingCustomTag
+	 ///</summary>
+	 [Table("ReadingCustomTag")]	
+	 public class ReadingCustomTag : Entity, IAuditAdd
+	 {
+		/// <summary>
+        /// 任务Id
+        /// </summary>
+		public Guid VisitTaskId { get; set; }
+	
+		/// <summary>
+        /// StudyId
+        /// </summary>
+		public Guid? StudyId { get; set; }
+	
+		/// <summary>
+        /// SeriesId
+        /// </summary>
+		public Guid? SeriesId { get; set; }
+	
+		/// <summary>
+        /// InstanceId
+        /// </summary>
+		public Guid? InstanceId { get; set; }
+	
+		/// <summary>
+        /// MeasureData
+        /// </summary>
+		public string MeasureData { get; set; }
+	
+		/// <summary>
+        /// CreateTime
+        /// </summary>
+		public DateTime CreateTime { get; set; }
+	
+		/// <summary>
+        /// CreateUserId
+        /// </summary>
+		public Guid CreateUserId { get; set; }
+	 
+	 }
+
+
+}	 
diff --git a/IRaCIS.Core.Infra.EFCore/Context/IRaCISDBContext.cs b/IRaCIS.Core.Infra.EFCore/Context/IRaCISDBContext.cs
index 344cd1c73..9d2f16f52 100644
--- a/IRaCIS.Core.Infra.EFCore/Context/IRaCISDBContext.cs
+++ b/IRaCIS.Core.Infra.EFCore/Context/IRaCISDBContext.cs
@@ -216,6 +216,7 @@ namespace IRaCIS.Core.Infra.EFCore
         #region Reading
         public virtual DbSet<TrialCriterionDictionaryCode> TrialCriterionDictionaryCode { get; set; }
 
+        public virtual DbSet<ReadingCustomTag> ReadingCustomTag { get; set; }
         public virtual DbSet<SystemCriterionDictionaryCode> SystemCriterionDictionaryCode { get; set; }
         public virtual DbSet<ReadingTaskRelation> ReadingTaskRelation { get; set; }
         public virtual DbSet<OrganInfo> OrganInfo { get; set; }
diff --git a/IRaCIS.Core.Test/DbHelper.ttinclude b/IRaCIS.Core.Test/DbHelper.ttinclude
index b0b701547..415c2a1c0 100644
--- a/IRaCIS.Core.Test/DbHelper.ttinclude
+++ b/IRaCIS.Core.Test/DbHelper.ttinclude
@@ -4,7 +4,7 @@
         public static readonly string ConnectionString = "Server=123.56.94.154,1433\\MSSQLSERVER;Database=IRaCIS_New_Tet;User ID=sa;Password=dev123456DEV;TrustServerCertificate=true";
         public static readonly string DbDatabase = "IRaCIS_New_Tet";
         //���������ַ���,ƴ��
-        public static readonly string TableName = "ReadModuleCriterionFrom";
+        public static readonly string TableName = "ReadingCustomTag";
         //�����ļ�����  ����service ���������Ƿ��ҳ
 	}
 #>