diff --git a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalQuestionService.cs
index 94eb0108a..3a408f938 100644
--- a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalQuestionService.cs
@@ -96,7 +96,7 @@ namespace IRaCIS.Core.Application.Service
         [HttpPost]
         public async Task<List<TrialClinicalQuestionDto>> GetTrialClinicalGroupQuestionList(GetTrialGroupDto inDto)
         {
-            return await this._trialClinicalQuestionRepository.Where(x => x.TrialClinicalId == inDto.TrialClinicalId&&x.ClinicalQuestionTypeEnum== ClinicalQuestionType.Group)
+            return await this._trialClinicalQuestionRepository.Where(x => x.TrialClinicalId == inDto.TrialClinicalId&&x.ClinicalQuestionType== "group")
                 .ProjectTo<TrialClinicalQuestionDto>(_mapper.ConfigurationProvider).ToListAsync();
         }
 
@@ -108,7 +108,11 @@ namespace IRaCIS.Core.Application.Service
         [HttpPost]
         public async Task<List<TrialClinicalQuestionDto>> GetTrialClinicalOtherQuestionList(GetTrialGroupDto inDto)
         {
-            return await this._trialClinicalQuestionRepository.Where(x => x.TrialClinicalId == inDto.TrialClinicalId && x.ClinicalQuestionTypeEnum == ClinicalQuestionType.Select)
+            var types = new List<string>()
+            {
+                "select","radio"
+            };
+            return await this._trialClinicalQuestionRepository.Where(x => x.TrialClinicalId == inDto.TrialClinicalId && types.Contains( x.ClinicalQuestionType))
               .ProjectTo<TrialClinicalQuestionDto>(_mapper.ConfigurationProvider).ToListAsync();
         }
 
@@ -171,7 +175,7 @@ namespace IRaCIS.Core.Application.Service
         [HttpPost]
         public async Task<List<SystemClinicalQuestionDto>> GetSystemClinicalGroupQuestionList(GetSystemGroupDto inDto)
         {
-            return await this._systemClinicalQuestionRepository.Where(x => x.SystemClinicalId == inDto.SystemClinicalId && x.ClinicalQuestionTypeEnum == ClinicalQuestionType.Group)
+            return await this._systemClinicalQuestionRepository.Where(x => x.SystemClinicalId == inDto.SystemClinicalId && x.ClinicalQuestionType =="group")
                 .ProjectTo<SystemClinicalQuestionDto>(_mapper.ConfigurationProvider).ToListAsync();
         }
 
@@ -184,7 +188,11 @@ namespace IRaCIS.Core.Application.Service
         [HttpPost]
         public async Task<List<SystemClinicalQuestionDto>> GetSystemClinicalOtherQuestionList(GetSystemGroupDto inDto)
         {
-            return await this._systemClinicalQuestionRepository.Where(x => x.SystemClinicalId == inDto.SystemClinicalId && x.ClinicalQuestionTypeEnum == ClinicalQuestionType.Select)
+            var types = new List<string>()
+            {
+                "select","radio"
+            };
+            return await this._systemClinicalQuestionRepository.Where(x => x.SystemClinicalId == inDto.SystemClinicalId && types.Contains(x.ClinicalQuestionType))
                 .ProjectTo<SystemClinicalQuestionDto>(_mapper.ConfigurationProvider).ToListAsync();
         }
 
@@ -292,5 +300,31 @@ namespace IRaCIS.Core.Application.Service
         }
         #endregion
 
+
+        #region 同步系统问题
+
+        public async Task SynchronizationQuestion(List<SynchronizationQuestionDto> inDto)
+        {
+            var trialClinicalId = inDto.Select(x => x.TrialClinicalId).ToList();
+
+            var systemClinicalId = inDto.Select(x => x.SystemClinicalId).ToList();
+            var questionRelation = _trialClinicalQuestionRepository.Where(x => trialClinicalId.Contains(x.TrialClinicalId)).ToDictionary(
+                     x => x.SystemClinicalQuestionId ?? default(Guid),
+                     x => x.Id
+                     );
+
+            var tableQuestionRelation = _trialClinicalTableQuestionRepository.Where(x => trialClinicalId.Contains(x.TrialClinicalId)).ToDictionary(
+                     x => x.SystemTableQuestionId ?? default(Guid),
+                     x => x.Id
+                     );
+
+
+            //var 
+
+        }
+
+
+        #endregion
+
     }
 }
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalQuestionDto.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalQuestionDto.cs
index bc469e571..9c5cc15f5 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalQuestionDto.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalQuestionDto.cs
@@ -32,7 +32,7 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         /// <summary>
         /// 临床问题类型(分组，单选。)
         /// </summary>
-        public ClinicalQuestionType ClinicalQuestionTypeEnum { get; set; }
+        public string ClinicalQuestionType { get; set; }
 
         /// <summary>
         /// 问题标识
@@ -192,7 +192,7 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         /// <summary>
         /// 临床问题类型(分组，单选。)
         /// </summary>
-        public ClinicalTableQuestionType ClinicalTableQuestionTypeEnum { get; set; }
+        public string ClinicalTableQuestionType { get; set; }
 
         /// <summary>
         /// 问题标识
@@ -314,8 +314,25 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
     {
       
     }
-
-
     #endregion
 
+
+    #region 同步临床数据
+
+    public class SynchronizationQuestionDto
+    {
+        /// <summary>
+        /// 系统临床数据Id
+        /// </summary>
+        public Guid SystemClinicalId { get; set; }
+
+
+
+        /// <summary>
+        /// 项目临床数据Id
+        /// </summary>
+        public Guid TrialClinicalId { get; set; }
+    }
+
+    #endregion
 }
diff --git a/IRaCIS.Core.Application/Service/Reading/_MapConfig.cs b/IRaCIS.Core.Application/Service/Reading/_MapConfig.cs
index d1c6e3868..2ea05fb7c 100644
--- a/IRaCIS.Core.Application/Service/Reading/_MapConfig.cs
+++ b/IRaCIS.Core.Application/Service/Reading/_MapConfig.cs
@@ -29,6 +29,13 @@ namespace IRaCIS.Core.Application.Service
 
             CreateMap<TrialClinicalTableQuestion, TrialClinicalTableQuestionDto>();
             CreateMap<TrialClinicalTableQuestionDto, TrialClinicalTableQuestion>();
+
+            CreateMap<SystemClinicalQuestion, TrialClinicalQuestion>()
+                .ForMember(d => d.SystemClinicalQuestionId, u => u.MapFrom(s => s.Id));
+
+            CreateMap<SystemClinicalTableQuestion, TrialClinicalTableQuestion>()
+             .ForMember(d => d.SystemTableQuestionId, u => u.MapFrom(s => s.Id));
+
             #endregion
 
             CreateMap<VisitTask, VisitTaskDto>();
diff --git a/IRaCIS.Core.Domain/Reading/ClinicalQuestion/SystemClinicalQuestion.cs b/IRaCIS.Core.Domain/Reading/ClinicalQuestion/SystemClinicalQuestion.cs
index 50e7e5fce..c55251892 100644
--- a/IRaCIS.Core.Domain/Reading/ClinicalQuestion/SystemClinicalQuestion.cs
+++ b/IRaCIS.Core.Domain/Reading/ClinicalQuestion/SystemClinicalQuestion.cs
@@ -35,7 +35,7 @@ namespace IRaCIS.Core.Domain.Models
         /// <summary>
         /// 临床问题类型(分组，单选。)
         /// </summary>
-        public ClinicalQuestionType ClinicalQuestionTypeEnum { get; set; }
+        public string ClinicalQuestionType { get; set; }
 
         /// <summary>
         /// 问题标识
diff --git a/IRaCIS.Core.Domain/Reading/ClinicalQuestion/SystemClinicalTableQuestion.cs b/IRaCIS.Core.Domain/Reading/ClinicalQuestion/SystemClinicalTableQuestion.cs
index 8a7eccaed..2719cfcc3 100644
--- a/IRaCIS.Core.Domain/Reading/ClinicalQuestion/SystemClinicalTableQuestion.cs
+++ b/IRaCIS.Core.Domain/Reading/ClinicalQuestion/SystemClinicalTableQuestion.cs
@@ -33,7 +33,7 @@ namespace IRaCIS.Core.Domain.Models
         /// <summary>
         /// 临床问题类型(分组，单选。)
         /// </summary>
-        public ClinicalTableQuestionType ClinicalTableQuestionTypeEnum { get; set; }
+        public string ClinicalTableQuestionType { get; set; }
 	
 		/// <summary>
         /// 问题标识
diff --git a/IRaCIS.Core.Domain/Reading/ClinicalQuestion/TrialClinicalQuestion.cs b/IRaCIS.Core.Domain/Reading/ClinicalQuestion/TrialClinicalQuestion.cs
index 81f1e4da6..20e436b36 100644
--- a/IRaCIS.Core.Domain/Reading/ClinicalQuestion/TrialClinicalQuestion.cs
+++ b/IRaCIS.Core.Domain/Reading/ClinicalQuestion/TrialClinicalQuestion.cs
@@ -35,7 +35,7 @@ namespace IRaCIS.Core.Domain.Models
         /// <summary>
         /// 临床问题类型(分组，单选。)
         /// </summary>
-        public ClinicalQuestionType ClinicalQuestionTypeEnum { get; set; }
+        public string ClinicalQuestionType { get; set; }
 
         /// <summary>
         /// 问题标识
diff --git a/IRaCIS.Core.Domain/Reading/ClinicalQuestion/TrialClinicalTableQuestion.cs b/IRaCIS.Core.Domain/Reading/ClinicalQuestion/TrialClinicalTableQuestion.cs
index 129dc32a5..73a12f283 100644
--- a/IRaCIS.Core.Domain/Reading/ClinicalQuestion/TrialClinicalTableQuestion.cs
+++ b/IRaCIS.Core.Domain/Reading/ClinicalQuestion/TrialClinicalTableQuestion.cs
@@ -33,7 +33,7 @@ namespace IRaCIS.Core.Domain.Models
         /// <summary>
         /// 临床问题类型(分组，单选。)
         /// </summary>
-        public ClinicalTableQuestionType ClinicalTableQuestionTypeEnum { get; set; }
+        public string ClinicalTableQuestionType { get; set; }
 	
 		/// <summary>
         /// 问题标识
@@ -85,6 +85,11 @@ namespace IRaCIS.Core.Domain.Models
         /// </summary>
 		public Guid QuestionId { get; set; }
 
+		/// <summary>
+		/// 系统表格问题Id
+		/// </summary>
+        public Guid? SystemTableQuestionId { get; set; }
+
         /// <summary>
         /// 自定义计算标记
         /// </summary>