diff --git a/IRaCIS.Core.Application/Service/Doctor/DoctorService.cs b/IRaCIS.Core.Application/Service/Doctor/DoctorService.cs
index dfdbd58fd..b42df0107 100644
--- a/IRaCIS.Core.Application/Service/Doctor/DoctorService.cs
+++ b/IRaCIS.Core.Application/Service/Doctor/DoctorService.cs
@@ -230,7 +230,7 @@ namespace IRaCIS.Core.Application.Service
         /// <param name="inDto"></param>
         /// <returns></returns>
         [HttpPost]
-        public async Task<DoctorSummarize> AddOrUpdateGneralSituation(SummarizeInfoDto inDto)
+        public async Task<(DoctorSummarize,bool)> AddOrUpdateGneralSituation(SummarizeInfoDto inDto)
         {
             if (inDto.TrialId != null&&inDto.Id==null)
             {
@@ -262,6 +262,7 @@ namespace IRaCIS.Core.Application.Service
                     inDto.IndicationEn = "Default";
                 }
                 var exists = await _doctorSummarizeRepository
+                     .Where(x=> x.IndicationEn!=string.Empty && x.Indication!=string.Empty)
                      .Where( x => x.IndicationEn == inDto.IndicationEn|| x.Indication == inDto.Indication)
                   
                      .AnyAsync(x => x.DoctorId == inDto.DoctorId && x.TrialId == null&&x.Id!=inDto.Id);
@@ -320,7 +321,7 @@ namespace IRaCIS.Core.Application.Service
            
               
             var entity = await _doctorSummarizeRepository.InsertOrUpdateAsync(inDto, true);
-            return entity;
+            return (entity,true);
         }
 
         /// <summary>
diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialService.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialService.cs
index 3bb6cc9d6..35a02e814 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialService.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialService.cs
@@ -500,6 +500,9 @@ namespace IRaCIS.Core.Application.Service
 
                 await _repository.BatchDeleteNoTrackingAsync<ReadingTableQuestionAnswer>(t => t.TrialId == trialId);
                 await _repository.BatchDeleteNoTrackingAsync<ReadingTableQuestionTrial>(t => t.TrialId == trialId);
+                await _repository.BatchDeleteNoTrackingAsync<ReadingTaskQuestionAnswer>(t => t.TrialId == trialId);
+                await _repository.BatchDeleteNoTrackingAsync<ReadingTaskQuestionMark>(t => t.VisitTask.TrialId == trialId);
+
                 await _repository.BatchDeleteNoTrackingAsync<ReadingTaskQuestionAnswer>(t => t.TrialId == trialId);
 
                 await _repository.BatchDeleteNoTrackingAsync<ReadingTaskRelation>(t => t.VisitTask.TrialId == trialId);