diff --git a/IRaCIS.Core.API/Controllers/InspectionController.cs b/IRaCIS.Core.API/Controllers/InspectionController.cs
index 33736e5b7..8018bc159 100644
--- a/IRaCIS.Core.API/Controllers/InspectionController.cs
+++ b/IRaCIS.Core.API/Controllers/InspectionController.cs
@@ -272,6 +272,23 @@ namespace IRaCIS.Core.API.Controllers
         }
 
 
+         /// <summary>
+         /// 提交结构化录入并签名
+         /// </summary>
+         /// <param name="opt"></param>
+         /// <returns></returns>
+        [HttpPost, Route("Inspection/ClinicalAnswer/SubmitClinicalFormAndSign")]
+        [TypeFilter(typeof(TrialResourceFilter), Arguments = new object[] { "AfterStopCannNotOpt" })]
+
+        [UnitOfWork]
+        public async Task<IResponseOutput> SubmitClinicalFormAndSign(DataInspectionDto<SubmitClinicalFormInDto> opt)
+        {
+            var singid = await _inspectionService.RecordSing(opt.SignInfo);
+            var result = await _clinicalAnswerService.SubmitClinicalForm(opt.Data);
+            await _inspectionService.CompletedSign(singid, result);
+            return result;
+        }
+
         /// <summary>
         /// 提交阅片裁判问题
         /// </summary>
diff --git a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
index 789b5fa9d..9baaa781f 100644
--- a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
@@ -431,7 +431,13 @@ namespace IRaCIS.Core.Application.Service
                 await _clinicalAnswerRowInfoRepository.BatchDeleteNoTrackingAsync(x => x.ClinicalFormId == inDto.ClinicalFormId);
                 await _clinicalTableAnswerRepository.BatchDeleteNoTrackingAsync(x => x.ClinicalFormId == inDto.ClinicalFormId);
             }
-
+            if(inDto.ReadingId!=null)
+            {
+                await _readingClinicalDataRepository.UpdatePartialFromQueryAsync(x => x.ReadingId == inDto.ReadingId && x.ClinicalDataTrialSetId == inDto.ClinicalDataTrialSetId, x => new ReadingClinicalData()
+                {
+                    IsSign = true
+                });
+            }
             await _clinicalFormRepository.AddAsync(clinicalForm);
             await _clinicalQuestionAnswerRepository.AddRangeAsync(clinicalQuestionAnswers);
             await _clinicalAnswerRowInfoRepository.AddRangeAsync(clinicalAnswerRowInfos);
diff --git a/IRaCIS.Core.Application/Service/Reading/Interface/IClinicalAnswerService.cs b/IRaCIS.Core.Application/Service/Reading/Interface/IClinicalAnswerService.cs
index bcb350355..f2f803ee9 100644
--- a/IRaCIS.Core.Application/Service/Reading/Interface/IClinicalAnswerService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Interface/IClinicalAnswerService.cs
@@ -15,5 +15,7 @@ namespace IRaCIS.Core.Application.Service.Reading.Interface
 
         Task<IResponseOutput> PMConfirmClinical(CRCConfirmClinicalInDto inDto);
 
+        Task<IResponseOutput> SubmitClinicalForm(SubmitClinicalFormInDto inDto);
+
     }
 }