diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs
index 231a57382..cdbc2a392 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs
@@ -18,6 +18,8 @@ namespace IRaCIS.Core.Application.ViewModel
 
         public Guid VisitTaskId { get; set; }
 
+        public Guid SubjectVisitId { get; set; }
+
         public List<QuestionInfo> QuestionInfo { get; set; } = new List<QuestionInfo>();
 
 
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
index b74434c1d..6852c140a 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
@@ -66,7 +66,12 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public List<GetTrialReadingQuestionOutDto> RelationQuestions { get; set; } = new List<GetTrialReadingQuestionOutDto>();
     }
 
+    public class GetTableAnswerRowInfoInDto
+    {
+        public Guid VisitTaskId { get; set; }
 
+        public Guid? QuestionId { get; set; }
+    }
     public class GetReadingQuestionAndAnswerInDto
     {
 
@@ -621,6 +626,11 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
         public string MeasureData { get; set; }
 
+        public Guid? SeriesId { get; set; }
+
+        public Guid? InstanceId { get; set; }
+
+
 
         public List<SubmitTableQuestionInfo> AnswerList { get; set; }
 
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingCalculateService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingCalculateService.cs
index efbcd9cc6..cef4dab3f 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingCalculateService.cs
@@ -22,19 +22,25 @@ namespace IRaCIS.Core.Application.Service
 	{
 		private readonly IRepository<ReadingTableQuestionAnswer> _readingTableQuestionAnswerRepository;
 		private readonly IRepository<VisitTask> _visitTaskRepository;
-		private readonly IRepository<TumorAssessment> _tumorAssessmentRepository;
+        private readonly IRepository<ReadingTableQuestionTrial> _readingTableQuestionTrialRepository;
+        private readonly IRepository<SubjectVisit> _subjectVisitRepository;
+        private readonly IRepository<TumorAssessment> _tumorAssessmentRepository;
 		private readonly IRepository<ReadingTaskQuestionAnswer> _readingTaskQuestionAnswerRepository;
 
 		public ReadingCalculateService(
 			IRepository<ReadingTableQuestionAnswer> readingTableQuestionAnswerRepository,
 			IRepository<VisitTask> visitTaskRepository,
-		    IRepository<TumorAssessment> tumorAssessmentRepository,
+				IRepository<ReadingTableQuestionTrial> readingTableQuestionTrialRepository,
+			IRepository<SubjectVisit> subjectVisitRepository,
+			IRepository<TumorAssessment> tumorAssessmentRepository,
 			IRepository<ReadingTaskQuestionAnswer> ReadingTaskQuestionAnswerRepository
 			)
 		{
 			this._readingTableQuestionAnswerRepository = readingTableQuestionAnswerRepository;
 			this._visitTaskRepository = visitTaskRepository;
-			this._tumorAssessmentRepository = tumorAssessmentRepository;
+            this._readingTableQuestionTrialRepository = readingTableQuestionTrialRepository;
+            this._subjectVisitRepository = subjectVisitRepository;
+            this._tumorAssessmentRepository = tumorAssessmentRepository;
 			this._readingTaskQuestionAnswerRepository = ReadingTaskQuestionAnswerRepository;
 		}
 
@@ -226,9 +232,33 @@ namespace IRaCIS.Core.Application.Service
 		/// </summary>
 		/// <param name="inDto"></param>
 		/// <returns></returns>
-		public async Task<string> GetIsAddFive(ReadingCalculateDto inDto)
+		public async Task<bool> GetIsAddFive(ReadingCalculateDto inDto)
 		{
-			return string.Empty;
+
+			var LastVisitTaskId = await this.GetLastVisitTaskId(inDto);
+
+			var questionIds = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).Select(x => x.QuestionId).ToList();
+			var lastQuestionAsnwer = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == LastVisitTaskId && questionIds.Contains(x.QuestionId)).Include(x=>x.ReadingQuestionTrial).ToListAsync();
+			var rowIndexs = lastQuestionAsnwer.Where(x=>x.ReadingTableQuestionTrial.QuestionMark==QuestionMark.IsLymph&&x.Answer=="是").Select(x => x.RowIndex).Distinct().OrderBy(x => x).ToList();
+
+			var thisQuestionAsnwer = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).ToList();
+
+			var isExists = false;
+			foreach (var item in rowIndexs)
+			{
+				var lastValue = decimal.Parse(lastQuestionAsnwer.Where(x => x.RowIndex == item && x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.ShortAxis).Select(x => x.Answer).FirstOrDefault() ?? "0");
+
+				var thisRowData = thisQuestionAsnwer.Where(x => x.RowIndex == item).SelectMany(x => x.TableQuestionList).ToList();
+				var thisValue = decimal.Parse(thisRowData.Where(x => x.QuestionMark == QuestionMark.ShortAxis).Select(x => x.Answer).FirstOrDefault() ?? "0");
+
+				if (thisValue - lastValue > 5)
+				{
+					isExists = true;
+				}
+			}
+
+			return isExists;
+			
 		}
 		#endregion
 
@@ -275,14 +305,14 @@ namespace IRaCIS.Core.Application.Service
 		/// <returns></returns>
 		private async Task<decimal> GetBaseLineSOD(ReadingCalculateDto inDto)
 		{
-			if (await _visitTaskRepository.AnyAsync(x => x.Id == inDto.VisitTaskId && x.SourceSubjectVisit.IsBaseLine))
+			if (await _visitTaskRepository.AnyAsync(x => x.Id == inDto.VisitTaskId && x.SourceSubjectVisit.IsBaseLine&&!x.IsAnalysisCreate))
 			{
 				return 0;
 			}
 
 			// 先找到基线的任务
 			var baseLineTaskId = await _visitTaskRepository.Where(x => x.SubjectId == inDto.SubjectId && x.ReadingCategory == ReadingCategory.Visit
-																  && x.SourceSubjectVisit.IsBaseLine && x.TaskState == TaskState.Effect)
+																  && x.SourceSubjectVisit.IsBaseLine && x.TaskState == TaskState.Effect&&!x.IsAnalysisCreate)
 																   .Select(x => x.Id).FirstOrDefaultAsync();
 
 
@@ -317,7 +347,24 @@ namespace IRaCIS.Core.Application.Service
 		}
 		#endregion
 
+		/// <summary>
+		/// 获取上一个访视任务Id
+		/// </summary>
+		/// <returns></returns>
+		private async Task<Guid> GetLastVisitTaskId(ReadingCalculateDto inDto)
+		{
+			// 拿到这一个访视
+			var thisNum = await _subjectVisitRepository.Where(x => x.Id == inDto.SubjectVisitId).Select(x => x.VisitNum).FirstOrDefaultAsync();
 
+			// 先找到上一个访视
+			var lastVisitId = await _subjectVisitRepository.Where(x => x.SubjectId == inDto.SubjectId && x.VisitNum < thisNum).OrderByDescending(x => x.VisitNum).Select(x => x.Id).FirstOrDefaultAsync();
+
+			// 找到访视任务Id
+
+			var LastVisitTaskId = await _visitTaskRepository.Where(x => x.ReadingCategory == ReadingCategory.Visit && x.TaskState == TaskState.Effect && !x.IsAnalysisCreate && x.SourceSubjectVisitId == lastVisitId).Select(x => x.Id).FirstOrDefaultAsync();
+
+			return LastVisitTaskId;
+		}
 		#endregion
 
 	}
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTaskService.cs
index 087962e32..734b67a89 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTaskService.cs
@@ -123,6 +123,20 @@ namespace IRaCIS.Application.Services
         //    result.SinglePage = groupList;
         //}
 
+        /// <summary>
+        /// 获取表格答案行信息 
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <remarks>
+        /// (QuestionId) 可为空
+        /// </remarks>
+        /// <returns></returns>
+        public async Task<List<ReadingTableAnswerRowInfo>> GetTableAnswerRowInfo(GetTableAnswerRowInfoInDto inDto)
+        {
+            return await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId)
+                .WhereIf(inDto.QuestionId != null, x => x.QuestionId == inDto.QuestionId)
+                .ToListAsync();
+        }
 
         /// <summary>
         /// 获取表格问题及答案（2022-08-26）
@@ -279,6 +293,8 @@ namespace IRaCIS.Application.Services
 
                 answers.Add("MeasureData", rowInfo==null?string.Empty:rowInfo.MeasureData);
                 answers.Add("RowIndex", x.ToString());
+                answers.Add("InstanceId", rowInfo == null ? string.Empty : rowInfo.InstanceId.ToString());
+                answers.Add("SeriesId", rowInfo == null ? string.Empty : rowInfo.SeriesId.ToString());
 
                 item.TableQuestions.Answers.Add(answers);
             });
@@ -1532,6 +1548,7 @@ namespace IRaCIS.Application.Services
                 QuestionId=inDto.QuestionId,
                 TableQuestionId=x.TableQuestionId,
                 RowIndex=inDto.RowIndex,
+              
                 VisitTaskId = inDto.VisitTaskId
             }).ToList();
 
@@ -1542,6 +1559,8 @@ namespace IRaCIS.Application.Services
                 QuestionId = inDto.QuestionId,
                 MeasureData = inDto.MeasureData,
                 RowIndex = inDto.RowIndex,
+                InstanceId=inDto.InstanceId,
+                SeriesId=inDto.SeriesId,
                 VisitTaskId = inDto.VisitTaskId,
 
 
diff --git a/IRaCIS.Core.Domain/Reading/ReadingTableAnswerRowInfo.cs b/IRaCIS.Core.Domain/Reading/ReadingTableAnswerRowInfo.cs
index 6f2aba2d0..7aa6de1d4 100644
--- a/IRaCIS.Core.Domain/Reading/ReadingTableAnswerRowInfo.cs
+++ b/IRaCIS.Core.Domain/Reading/ReadingTableAnswerRowInfo.cs
@@ -29,10 +29,21 @@ namespace IRaCIS.Core.Domain.Models
         /// TrialId
         /// </summary>
 		public Guid TrialId { get; set; }
-	
+
+
 		/// <summary>
-        /// RowIndex
-        /// </summary>
+		/// InstanceId
+		/// </summary>
+		public Guid? InstanceId { get; set; }
+
+		/// <summary>
+		/// SeriesId
+		/// </summary>
+		public Guid? SeriesId { get; set; }
+
+		/// <summary>
+		/// RowIndex
+		/// </summary>
 		public int RowIndex { get; set; }
 	
 		/// <summary>
diff --git a/IRaCIS.Core.Domain/Reading/ReadingTableQuestionAnswer.cs b/IRaCIS.Core.Domain/Reading/ReadingTableQuestionAnswer.cs
index 5ceb1f6c2..8357efdb4 100644
--- a/IRaCIS.Core.Domain/Reading/ReadingTableQuestionAnswer.cs
+++ b/IRaCIS.Core.Domain/Reading/ReadingTableQuestionAnswer.cs
@@ -60,6 +60,10 @@ namespace IRaCIS.Core.Domain.Models
 
 		public ReadingQuestionTrial ReadingQuestionTrial { get; set; }
 
+		[ForeignKey("TableQuestionId")]
+
+		public ReadingTableQuestionTrial ReadingTableQuestionTrial { get; set; }
+
 	}