diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs
index ec1729328..fecc69269 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs
@@ -174,8 +174,16 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 		public string ValueCN { get; set; } = string.Empty;
 	}
 
-	
 
+	public class GetSystemGlobalInfoOutDto
+	{
+		/// <summary>
+		/// 是否必须全局阅片
+		/// </summary>
+		public bool IsMustGlobalReading { get; set; } = false;
+
+		public List<CriterionDictionaryInfo> DictionaryList { get; set; }
+	}
 	public class GetSystemOncologyInfoOutDto
 	{
 		public bool IsOncologyReading { get; set; }
@@ -183,6 +191,16 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 		public List<CriterionDictionaryInfo> DictionaryList { get; set; }
 	}
 
+	public class SetSystemGlobalInfoInDto
+	{
+		[NotDefault]
+		public Guid SystemCriterionId { get; set; }
+
+		public bool IsMustGlobalReading { get; set; }
+
+		public List<Guid> DictionaryIds { get; set; }
+	}
+
 	public class SetSystemOncologyInfoInDto
 	{
 		[NotDefault]
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingCriterionService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingCriterionService.cs
index a21980cf5..1ab07abf4 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingCriterionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingCriterionService.cs
@@ -71,6 +71,55 @@ namespace IRaCIS.Core.Application.Service.RC
             return ResponseOutput.Ok();
         }
 
+        /// <summary>
+        /// 设置系统全局阅片阅片信息
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        [HttpPost]
+        public async Task<IResponseOutput> SetSystemGlobalInfo(SetSystemGlobalInfoInDto inDto)
+        {
+
+            await _readingCriterionDictionaryRepository.BatchDeleteNoTrackingAsync(x => x.CriterionId == inDto.SystemCriterionId && x.ParentCode == ReadingCommon.CriterionDictionary.GlobalAssess);
+
+            await _readingCriterionDictionaryRepository.AddRangeAsync(inDto.DictionaryIds.Select(x => new ReadingCriterionDictionary
+            {
+                CriterionId = inDto.SystemCriterionId,
+                DictionaryId = x,
+                IsSystemCriterion = true,
+                ParentCode = ReadingCommon.CriterionDictionary.GlobalAssess
+            }));
+
+            await _readingQuestionCriterionSystemRepository.UpdatePartialFromQueryAsync(inDto.SystemCriterionId, x => new ReadingQuestionCriterionSystem()
+            {
+                IsMustGlobalReading = inDto.IsMustGlobalReading
+
+            });
+
+            var result = await _readingQuestionCriterionTrialRepository.SaveChangesAsync();
+
+            return ResponseOutput.Ok(result);
+        }
+
+        /// <summary>
+        /// 获取系统全局阅片信息
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        [HttpPost]
+        public async Task<GetSystemGlobalInfoOutDto> GetSystemGlobalInfo(GetSystemOncologyInfoInDto inDto)
+        {
+            GetSystemGlobalInfoOutDto result = new GetSystemGlobalInfoOutDto()
+            {
+                IsMustGlobalReading = await _readingQuestionCriterionSystemRepository.Where(x => x.Id == inDto.SystemCriterionId).Select(x => x.IsMustGlobalReading).FirstOrDefaultAsync(),
+                DictionaryList = await _readingCriterionDictionaryRepository.AsQueryable().Where(x => x.CriterionId == inDto.SystemCriterionId && x.ParentCode == ReadingCommon.CriterionDictionary.OncologyAssess)
+              .ProjectTo<CriterionDictionaryInfo>(_mapper.ConfigurationProvider).OrderBy(x => x.ShowOrder).ToListAsync()
+
+            };
+
+            return result;
+        }
+
         /// <summary>
         /// 获取系统肿瘤信息
         /// </summary>
diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/DTO/TrialConfigDTO.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/DTO/TrialConfigDTO.cs
index 01598e76b..e7c5b6874 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/DTO/TrialConfigDTO.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/DTO/TrialConfigDTO.cs
@@ -697,6 +697,12 @@ namespace IRaCIS.Core.Application.Contracts
             }
         }
 
+
+        /// <summary>
+		/// 是否必须全局阅片
+		/// </summary>
+		public bool IsMustGlobalReading { get; set; } = false;
+
         /// <summary>
         /// 修约小数点
         /// </summary>
diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
index e05c614dc..f1e518206 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
@@ -392,8 +392,7 @@ namespace IRaCIS.Core.Application
                 result.TrialCriterionId = trialCriterion.Id;
                 result.FormType = trialCriterion.FormType;
                 result.IsFromSystem = trialCriterion.ReadingQuestionCriterionSystemId != null;
-
-               
+                result.IsMustGlobalReading = trialCriterion.IsMustGlobalReading;
                 result.IsSystemCriterion = trialCriterion.ReadingQuestionCriterionSystemId != null;
             };
 
diff --git a/IRaCIS.Core.Domain/Reading/ReadingCriterion/ReadingQuestionCriterionSystem.cs b/IRaCIS.Core.Domain/Reading/ReadingCriterion/ReadingQuestionCriterionSystem.cs
index ba3bf9724..400593611 100644
--- a/IRaCIS.Core.Domain/Reading/ReadingCriterion/ReadingQuestionCriterionSystem.cs
+++ b/IRaCIS.Core.Domain/Reading/ReadingCriterion/ReadingQuestionCriterionSystem.cs
@@ -65,6 +65,11 @@ namespace IRaCIS.Core.Domain.Models
 		/// </summary>
 		public bool IsOncologyReading { get; set; } = false;
 
+		/// <summary>
+		/// 是否必须全局阅片
+		/// </summary>
+		public bool IsMustGlobalReading { get; set; } = false;
+
 		[JsonIgnore]
 		public List<ReadingQuestionSystem> ReadingQuestionSystemList { get; set; } = new List<ReadingQuestionSystem>();
 
diff --git a/IRaCIS.Core.Domain/Reading/ReadingCriterion/ReadingQuestionCriterionTrial.cs b/IRaCIS.Core.Domain/Reading/ReadingCriterion/ReadingQuestionCriterionTrial.cs
index 110f0a399..37d48fafe 100644
--- a/IRaCIS.Core.Domain/Reading/ReadingCriterion/ReadingQuestionCriterionTrial.cs
+++ b/IRaCIS.Core.Domain/Reading/ReadingCriterion/ReadingQuestionCriterionTrial.cs
@@ -210,6 +210,11 @@ namespace IRaCIS.Core.Domain.Models
 		/// </summary>
 		public DateTime? ReadingInfoSignTime { get; set; }
 
+		/// <summary>
+		/// 是否必须全局阅片
+		/// </summary>
+		public bool IsMustGlobalReading { get; set; } = false;
+
 		#endregion
 
 		/// <summary>