diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialMaintenanceService.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialMaintenanceService.cs
index 09a315757..4caa5d0e5 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialMaintenanceService.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialMaintenanceService.cs
@@ -90,7 +90,7 @@ namespace IRaCIS.Core.Application.Service
 
             var query = _trialUseRoleRepository.Where(t => t.TrialId == inQuery.TrialId).IgnoreQueryFilters()
                 .Where(t => t.UserRole.UserTypeEnum == UserTypeEnum.ClinicalResearchCoordinator || t.UserRole.UserTypeEnum == UserTypeEnum.CRA)
-                 .WhereIf(inQuery.UserTypeId != null, t => t.UserRole.UserTypeId == inQuery.UserTypeId)
+                .WhereIf(inQuery.UserTypeId != null, t => t.UserRole.UserTypeId == inQuery.UserTypeId)
                 .WhereIf(!string.IsNullOrWhiteSpace(inQuery.UserRealName), t => (t.UserRole.FullName).Contains(inQuery.UserRealName))
                 .WhereIf(!string.IsNullOrWhiteSpace(inQuery.OrganizationName), t => t.UserRole.OrganizationName.Contains(inQuery.OrganizationName))
                 .ProjectTo<AssginSiteCRCListDTO>(_mapper.ConfigurationProvider, new { trialSiteId = inQuery.TrialSiteId });
diff --git a/IRaCIS.Core.Application/Service/Visit/DTO/SCUClientViewModel.cs b/IRaCIS.Core.Application/Service/Visit/DTO/SCUClientViewModel.cs
index 608979485..d0fb17dc4 100644
--- a/IRaCIS.Core.Application/Service/Visit/DTO/SCUClientViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Visit/DTO/SCUClientViewModel.cs
@@ -62,6 +62,12 @@ namespace IRaCIS.Application.Contracts
 
         public string? ModalitiesInStudy { get; set; }
 
+        public List<HospitalGroupInfo> HospitalGroupList { get; set; }
+
+        public List<HospitalGroupInfo> CurrentUserHospitalGroupList { get; set; } = new List<HospitalGroupInfo>();
+
+        public List<HospitalGroupInfo> ViewHospitalGroupList => HospitalGroupList.Where(t => CurrentUserHospitalGroupList.Any(c => c.Id == t.Id)).ToList();
+
     }
 
     public class TJCmoveStudyCommand
@@ -76,6 +82,6 @@ namespace IRaCIS.Application.Contracts
         /// <summary>
         ///PacsAE 的名字
         /// </summary>
-        public  string CalledAE { get; set; }
+        public string CalledAE { get; set; }
     }
 }
diff --git a/IRaCIS.Core.Application/Service/Visit/PatientService.cs b/IRaCIS.Core.Application/Service/Visit/PatientService.cs
index c43075507..9060f6375 100644
--- a/IRaCIS.Core.Application/Service/Visit/PatientService.cs
+++ b/IRaCIS.Core.Application/Service/Visit/PatientService.cs
@@ -55,6 +55,7 @@ using NPOI.HSSF.Record.Chart;
 using IRaCIS.Core.Application.Helper.OtherTool;
 using IRaCIS.Core.Infrastructure.Extention;
 using DocumentFormat.OpenXml.Drawing.Charts;
+using DocumentFormat.OpenXml.Drawing.Diagrams;
 
 
 namespace IRaCIS.Application.Services
@@ -819,7 +820,7 @@ namespace IRaCIS.Application.Services
         }
 
         /// <summary>
-        /// 修改检查课题组 1是添加 2是删除
+        /// 修改检查课题组 1是添加 2是删除，3是更新
         /// </summary>
         /// <param name="incommand"></param>
         /// <returns></returns>
@@ -843,7 +844,7 @@ namespace IRaCIS.Application.Services
                 }
 
             }
-            else
+            else if (incommand.AddOrDelete == 2)
             {
                 //删除
                 foreach (var item in incommand.SCPstudyIdList)
@@ -857,6 +858,22 @@ namespace IRaCIS.Application.Services
 
                 }
             }
+            else if (incommand.AddOrDelete == 3)
+            {
+                //更新  
+                foreach (var item in incommand.SCPstudyIdList)
+                {
+                    await _SCPStudyHospitalGroupRepository.BatchDeleteNoTrackingAsync(t => t.SCPStudyId == item);
+
+                    foreach (var hospitalGroupId in incommand.HospitalGroupIdList)
+                    {
+                        await _SCPStudyHospitalGroupRepository.AddAsync(new SCPStudyHospitalGroup() { SCPStudyId = item, HospitalGroupId = hospitalGroupId });
+                    }
+
+                }
+
+            }
+
 
             await _SCPStudyHospitalGroupRepository.SaveChangesAsync();
 
@@ -3364,11 +3381,29 @@ namespace IRaCIS.Application.Services
                 var resultInstanceUidList = result.Select(t => t.StudyInstanceUID).ToList();
 
                 var existStudyIdList = _studyRepository.Where(t => resultInstanceUidList.Contains(t.StudyInstanceUid))
-                   .Select(t => t.StudyInstanceUid).ToList();
+                   .Select(t => new { t.StudyInstanceUid, HospitalGroupList = t.HospitalGroupList.Select(t => new HospitalGroupInfo { Id = t.HospitalGroupId, Name = t.HospitalGroup.Name, Code = t.HospitalGroup.Code }).ToList() }).ToList();
+
+                var allHospitalGroupList = _hospitalGroupRepository.Where(t => t.IsEnable).Select(t => new HospitalGroupInfo() { Name = t.Name, Id = t.Id, Code = t.Code }).ToList();
+
+                var isAdminOrOA = _userInfo.UserTypeEnumInt == (int)UserTypeEnum.Admin || _userInfo.UserTypeEnumInt == (int)UserTypeEnum.OA || _userInfo.UserTypeEnumInt == (int)UserTypeEnum.SuperAdmin;
+
 
                 foreach (var item in result)
                 {
-                    item.IsStudyExist = existStudyIdList.Any(t => t == item.StudyInstanceUID);
+                    item.IsStudyExist = existStudyIdList.Any(t => t.StudyInstanceUid == item.StudyInstanceUID);
+                    item.HospitalGroupList = existStudyIdList.FirstOrDefault(t => t.StudyInstanceUid == item.StudyInstanceUID)?.HospitalGroupList;
+
+                    if (isAdminOrOA)
+                    {
+                        //不处理，默认看所有
+
+                        item.CurrentUserHospitalGroupList = allHospitalGroupList;
+                    }
+                    else
+                    {
+                        item.CurrentUserHospitalGroupList = _userInfo.HospitalGroupList.Select(t => new HospitalGroupInfo() { Code = t.Code, Id = t.Id, Name = t.Name }).ToList();
+
+                    }
                 }