diff --git a/IRaCIS.Core.Application/Service/Fixed/CriterionAdditionalAssessment.cs b/IRaCIS.Core.Application/Service/Fixed/CriterionAdditionalAssessment.cs
index fc614efb6..ea2665111 100644
--- a/IRaCIS.Core.Application/Service/Fixed/CriterionAdditionalAssessment.cs
+++ b/IRaCIS.Core.Application/Service/Fixed/CriterionAdditionalAssessment.cs
@@ -1,6 +1,7 @@
 using IRaCIS.Core.Application.Service.Reading.Dto;
 using IRaCIS.Core.Domain.Share;
 using IRaCIS.Core.Domain.Share.Reading;
+using MassTransit;
 using NPOI.POIFS.NIO;
 using System;
 using System.Collections.Generic;
@@ -24,20 +25,46 @@ namespace IRaCIS.Core.Application.Service
     }
 
 
-    public static class AdditionalAssessment
+    public  class AdditionalAssessment
     {
 
-        public static List<CriterionAdditionalAssessment> SystemDefeaultAdditionalAssessmentList { get; set; } = new List<CriterionAdditionalAssessment>();
-        static AdditionalAssessment()
+        public  List<CriterionAdditionalAssessment> SystemDefeaultAdditionalAssessmentList { get; set; } = new List<CriterionAdditionalAssessment>();
+        public AdditionalAssessment()
         {
+
+            var gropId = NewId.NextGuid();
             //Resist1.1 脑转移 默认评估问题
             SystemDefeaultAdditionalAssessmentList.Add(new CriterionAdditionalAssessment()
             {
                 CriterionType = CriterionType.RECIST1Point1,
                 AdditionalAssessmentType = AdditionalAssessmentType.BrainMetastasis,
-                AdditionalQuestionList = new List<ReadingQuestionTrial>(){ new ReadingQuestionTrial()
+                AdditionalQuestionList = new List<ReadingQuestionTrial>(){
+
+                      new ReadingQuestionTrial()
                 {
                     LimitEdit=LimitEdit.OnlyBaseLine,
+                    Id=gropId,
+                    IsJudgeQuestion=false,
+                    IsShowInDicom=false,
+                    GlobalReadingShowType=GlobalReadingShowType.NotShow,
+                    
+                    QuestionName="脑转移评估",
+                    QuestionEnName="Brain Metastasis Assessment",
+                    GroupName="脑转移评估",
+                    GroupEnName="Brain Metastasis Assessment",
+                    Type="group",
+                    QuestionGenre=TableQuestionType.Customize,
+                    DataSource=DataSources.ManualEntry,
+                    ShowQuestion=ShowQuestion.Show,
+
+
+                    IsAdditional=true
+                } ,
+
+                    new ReadingQuestionTrial()
+                {
+                     GroupId=gropId,
+                    LimitEdit=LimitEdit.OnlyBaseLine,
                     DictionaryCode="ReadingYesOrNo",
                     IsJudgeQuestion=false,
                     IsShowInDicom=false,
@@ -51,12 +78,14 @@ namespace IRaCIS.Core.Application.Service
 
               
                     IsAdditional=true
-                } }
+                } ,
+                
+                }
             });
         }
 
 
-        public static List<CriterionAdditionalAssessment> GetSystemDefeaultAdditionalAssessmentList(CriterionType criterionType, AdditionalAssessmentType? additionalAssessmentType=null)
+        public  List<CriterionAdditionalAssessment> GetSystemDefeaultAdditionalAssessmentList(CriterionType criterionType, AdditionalAssessmentType? additionalAssessmentType=null)
         {
 
             return SystemDefeaultAdditionalAssessmentList.Where(t => t.CriterionType == criterionType)
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index 66eb29044..f4792ca6b 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -133,12 +133,12 @@ namespace IRaCIS.Application.Services
         /// <param name="inDto"></param>
         /// <returns></returns>
         [HttpPost]
-        public async Task<(List<TrialReadQuestion>,bool)> GetTaskAdditionalQuestion(GetTaskAdditionalQuestionInDto inDto)
+        public async Task<(List<TrialAdditionaQuestion>,bool)> GetTaskAdditionalQuestion(GetTaskAdditionalQuestionInDto inDto)
         {
 
             var answerList = await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId).IgnoreAutoIncludes().ToListAsync();
             var taskInfo = await _visitTaskRepository.Where(x => inDto.VisitTaskId == x.Id).FirstNotNullAsync();
-            var result= await _readingQuestionTrialRepository.Where(x => x.IsAdditional && x.ReadingQuestionCriterionTrialId == taskInfo.TrialReadingCriterionId).IgnoreAutoIncludes().IgnoreQueryFilters().ProjectTo<TrialReadQuestion>(_mapper.ConfigurationProvider).OrderBy(x => x.ShowOrder).ToListAsync();
+            var result= await _readingQuestionTrialRepository.Where(x => x.IsAdditional && x.ReadingQuestionCriterionTrialId == taskInfo.TrialReadingCriterionId).IgnoreAutoIncludes().IgnoreQueryFilters().ProjectTo<TrialAdditionaQuestion>(_mapper.ConfigurationProvider).OrderBy(x => x.ShowOrder).ToListAsync();
 
             result.ForEach(x =>
             {
@@ -151,8 +151,16 @@ namespace IRaCIS.Application.Services
             });
 
 
+            var resultData = result.Where(x => x.Type == "group").ToList();
 
-            return (result,true);
+            resultData.ForEach(x =>
+            {
+                x.Childrens = result.Where(y => y.GroupId == x.Id).ToList();
+
+            });
+
+
+            return (resultData, true);
         }
 
 
diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/DTO/TrialConfigDTO.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/DTO/TrialConfigDTO.cs
index cf3c2906c..17eaad0cd 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/DTO/TrialConfigDTO.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/DTO/TrialConfigDTO.cs
@@ -550,10 +550,16 @@ namespace IRaCIS.Core.Application.Contracts
 
         public int? ParentQuestionShowOrder { get; set; }
 
-        public string Answer { get; set; } = string.Empty;
+      
 
     }
 
+    public class TrialAdditionaQuestion: TrialReadQuestion
+    {
+        public List<TrialAdditionaQuestion> Childrens { get; set; } = new List<TrialAdditionaQuestion>();
+        public string Answer { get; set; } = string.Empty;
+    }
+
     public class TrialJudgeQuestion
     {
 
diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
index c3701c13d..4711debda 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
@@ -567,7 +567,8 @@ namespace IRaCIS.Core.Application
             {
                 if (!await _trialCriterionAdditionalAssessmentTypeRepository.AnyAsync(t => t.TrialReadingCriterionId == inDto.TrialReadingCriterionId))
                 {
-                    var addList = AdditionalAssessment.GetSystemDefeaultAdditionalAssessmentList(inDto.CriterionType);
+                    AdditionalAssessment additional = new AdditionalAssessment();
+                    var addList = additional.GetSystemDefeaultAdditionalAssessmentList(inDto.CriterionType);
 
                     foreach (var addItem in addList)
                     {
@@ -622,8 +623,8 @@ namespace IRaCIS.Core.Application
                 if (updateItem.IsSelected == true)
                 {
                     //添加默认问题
-
-                    var addTypeList = AdditionalAssessment.GetSystemDefeaultAdditionalAssessmentList(updateItem.CriterionType, updateItem.AdditionalAssessmentType);
+                    AdditionalAssessment additional = new AdditionalAssessment();
+                    var addTypeList = additional.GetSystemDefeaultAdditionalAssessmentList(updateItem.CriterionType, updateItem.AdditionalAssessmentType);
 
                     foreach (var addType in addTypeList)
                     {
diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/_MapConfig.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/_MapConfig.cs
index 55b688ef4..9741f1e55 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/_MapConfig.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/_MapConfig.cs
@@ -243,7 +243,16 @@ namespace IRaCIS.Core.Application.Service
             CreateMap<ReadingQuestionCriterionTrial, GetTrialReadingInfoOutDto>();
 
 
-
+            CreateMap<ReadingQuestionTrial, TrialAdditionaQuestion>()
+                 .ForMember(d => d.GroupName, u => u.MapFrom(s => s.GroupInfo == null ? s.GroupName : s.GroupInfo.GroupName))
+           .ForMember(d => d.GroupEnName, u => u.MapFrom(s => s.GroupInfo == null ? s.GroupEnName : s.GroupInfo.GroupEnName))
+       .ForMember(t => t.PageName, u => u.MapFrom(c => c.ReadingCriterionPage.PageName))
+          .ForMember(d => d.ParentQuestionGenre, u => u.MapFrom(s => s.ParentReadingQuestionTrial.QuestionGenre))
+             .ForMember(d => d.ParentDictionaryCode, u => u.MapFrom(s => s.ParentReadingQuestionTrial.DictionaryCode))
+        .ForMember(t => t.ParentQuestionName, u => u.MapFrom(c => c.ParentReadingQuestionTrial.QuestionName))
+          .ForMember(t => t.RelevanceShowOrder, u => u.MapFrom(c => c.RelevanceReadingQuestionTrial.ShowOrder))
+              .ForMember(t => t.ParentQuestionShowOrder, u => u.MapFrom(c => c.ParentReadingQuestionTrial.ShowOrder));
+            
             CreateMap<ReadingQuestionTrial, TrialReadQuestion>()
             .ForMember(d => d.GroupName, u => u.MapFrom(s => s.GroupInfo == null ? s.GroupName : s.GroupInfo.GroupName))
            .ForMember(d => d.GroupEnName, u => u.MapFrom(s => s.GroupInfo == null ? s.GroupEnName : s.GroupInfo.GroupEnName))