diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
index a7307b0fc..5b67008c3 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
@@ -896,6 +896,10 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
         public bool IsExistsClinicalData { get; set; }
 
+        public bool IsNeedReadClinicalData { get; set; }
+
+        public bool IsReadClinicalData { get; set; }
+
         /// <summary>
         /// 修约小数点
         /// </summary>
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index 0f335c5b3..0000f8de5 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -1306,17 +1306,32 @@ namespace IRaCIS.Application.Services
 
             task.IsReadingShowPreviousResults = criterionInfo.IsReadingShowPreviousResults;
             task.IsReadingShowSubjectInfo = criterionInfo.IsReadingShowSubjectInfo;
+            var isBaseLine = false;
             if (visitTaskInfo.SourceSubjectVisitId != null)
             {
                 task.IsExistsNoDicomFile = await _noneDicomStudyRepository.AnyAsync(x => x.SubjectVisitId == visitTaskInfo.SourceSubjectVisitId && x.FileCount > 0);
+                isBaseLine = await _subjectVisitRepository.Where(x => x.Id == visitTaskInfo.SourceSubjectVisitId).Select(x => x.IsBaseLine).FirstOrDefaultAsync();
             }
-            task.IsExistsClinicalData = (await _readingClinicalDataService.GetClinicalDataList(new GetReadingOrTaskClinicalDataListInDto()
+
+            var clinicalDataList = await _readingClinicalDataService.GetClinicalDataList(new GetReadingOrTaskClinicalDataListInDto()
             {
 
                 SubjectId = task.SubjectId,
                 TrialId = inDto.TrialId,
                 VisitTaskId = task.VisitTaskId,
-            })).Count() > 0;
+            });
+
+            task.IsExistsClinicalData = clinicalDataList.Count() > 0;
+            task.IsReadClinicalData = visitTaskInfo.IsReadClinicalData;
+
+            if (isBaseLine)
+            {
+                task.IsNeedReadClinicalData = clinicalDataList.Count() > 0;
+            }
+            else
+            {
+                task.IsNeedReadClinicalData = clinicalDataList.Where(x => x.ClinicalDataLevel != ClinicalLevel.Subject).Count() > 0;
+            }
 
             task.DigitPlaces = criterionInfo.DigitPlaces;
             task.CriterionType = criterionInfo.CriterionType;