diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 9b02ef678..3b5e60af4 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -3078,6 +3078,13 @@
             <param name="inDto"></param>
             <returns></returns>
         </member>
+        <member name="M:IRaCIS.Application.Services.ReadingPeriodSetService.GetPreviewTheReadingPlanList(IRaCIS.Core.Application.Service.Reading.Dto.PreviewTheReadingListInDto)">
+            <summary>
+            获取选中的计划
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
         <member name="M:IRaCIS.Application.Services.ReadingPeriodSetService.GetReadingPeriodSetList(IRaCIS.Core.Application.Service.Reading.Dto.ReadingPeriodSetQuery)">
             <summary>
             分页获取
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadModuleService.cs b/IRaCIS.Core.Application/Service/Reading/ReadModuleService.cs
index 3be4b184a..837da754b 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadModuleService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadModuleService.cs
@@ -182,7 +182,7 @@ namespace IRaCIS.Application.Services
         /// <returns></returns>
         public async Task<List<GetSubjectReadVisitsOutDto>> GetSubjectReadVisits(GetSubjectReadVisitsInDto inDto)
         {
-            var visitquery = _subjectVisitRepository.Where(x => x.SubjectId == inDto.SubjectId && x.LatestScanDate != null);
+            var visitquery = _subjectVisitRepository.Where(x => x.SubjectId == inDto.SubjectId && x.SubmitState != SubmitStateEnum.None);
 
             var finalVisitNum = await visitquery.Where(x => x.IsFinalVisit).Select(x => x.VisitNum).FirstOrDefaultAsync();
 
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingPeriodSetService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingPeriodSetService.cs
index e88ae9c47..6ac11916a 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingPeriodSetService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingPeriodSetService.cs
@@ -84,8 +84,12 @@ namespace IRaCIS.Application.Services
         /// <returns></returns>
         public async Task<List<PreviewTheReadingListOutDto>> GetPreviewTheReadingList(PreviewTheReadingListInDto inDto)
         {
+            if (await _readingPeriodPlanRepository.AnyAsync(x => x.ReadingPeriodSetId == inDto.ReadingPeriodSetId))
+            {
+                return await GetPreviewTheReadingPlanList(inDto);
+            }
             var readset = (await _readingPeriodSetRepository.Where(x => x.Id == inDto.ReadingPeriodSetId).Include(x => x.ReadingPeriodSites).FirstOrDefaultAsync()).IfNullThrowConvertException();
-            var visitquery = _subjectVisitRepository.Where(x => x.TrialId == readset.TrialId && x.LatestScanDate != null && x.InPlan);
+            var visitquery = _subjectVisitRepository.Where(x => x.TrialId == readset.TrialId && x.SubmitState != SubmitStateEnum.None && x.InPlan);
             if (readset.ReadingScope == ReadingScopeEnum.Site)
             {
                 var siteids = readset.ReadingPeriodSites.Select(x => x.SiteId);
@@ -180,7 +184,8 @@ namespace IRaCIS.Application.Services
                     ReadingPeriodSetId = inDto.ReadingPeriodSetId
                 });
             });
-
+            await _readingPeriodPlanRepository.DeleteFromQueryAsync(x => x.ReadingPeriodSetId == inDto.ReadingPeriodSetId);
+            await _readingPeriodPlanRepository.SaveChangesAsync();
             await _readingPeriodPlanRepository.AddRangeAsync(plans);
             var res = await _readingPeriodPlanRepository.SaveChangesAsync();
             return ResponseOutput.Result(res);
@@ -196,10 +201,10 @@ namespace IRaCIS.Application.Services
             var plans =await _readingPeriodPlanRepository.Where(x => x.ReadingPeriodSetId == inDto.ReadingPeriodSetId).Include(x => x.SubjectVisit).Include(x => x.SubjectVisit.TrialSite).Include(x => x.SubjectVisit.Subject)
                  .Include(x => x.ReadingPeriodSet).ToListAsync();
 
-         return    plans.Select(x => new PreviewTheReadingListOutDto
+               return  plans.Select(x => new PreviewTheReadingListOutDto
               {
                   ExpirationDate = x.ReadingPeriodSet.ExpirationDate,
-                  SubjectVisitId = x.Id,
+                  SubjectVisitId = x.SubjectVisitId,
                   TrialSiteCode = x.SubjectVisit.TrialSite.TrialSiteCode,
                   LatestScanDate =x.SubjectVisit.LatestScanDate,
                   ReadingPeriodName = x.ReadingPeriodSet.ReadingPeriodName,
@@ -207,6 +212,7 @@ namespace IRaCIS.Application.Services
                   SubjectCode = x.SubjectVisit.Subject.Code,
                   SubjectId = x.SubjectVisit.SubjectId,
                   SubjectVisitName = x.SubjectVisit.VisitName,
+                 
                     //Remark= readset.Remark
                 }).ToList();
         }
@@ -258,6 +264,8 @@ namespace IRaCIS.Application.Services
                 var plans = _readingPeriodPlanRepository.Where(x => x.ReadingPeriodSetId == indto.Id).Include(x=>x.SubjectVisit)
                     .Include(x => x.ReadingPeriodSet).ToList();
 
+                plans = plans.Where(x => _readModuleRepository.Where(y => x.SubjectVisitId == y.SubjectVisitId && x.ReadingPeriodSet.ReadingSetType == y.ReadingSetType).Count() == 0).ToList();
+
                 List<ReadModule> readModules = new List<ReadModule>();
                 foreach (var item in plans)
                 {
diff --git a/IRaCIS.Core.Application/Service/Visit/SubjectVisitService.cs b/IRaCIS.Core.Application/Service/Visit/SubjectVisitService.cs
index 0bca3bbdb..9a1d69528 100644
--- a/IRaCIS.Core.Application/Service/Visit/SubjectVisitService.cs
+++ b/IRaCIS.Core.Application/Service/Visit/SubjectVisitService.cs
@@ -8,6 +8,7 @@ using IRaCIS.Core.Application.Contracts;
 using IRaCIS.Core.Application.Interfaces;
 using IRaCIS.Core.Infrastructure;
 using IRaCIS.Core.Application.Auth;
+using IRaCIS.Core.Domain.Share.Reading;
 
 namespace IRaCIS.Core.Application.Services
 {
@@ -15,11 +16,15 @@ namespace IRaCIS.Core.Application.Services
     public class SubjectVisitService : BaseService, ISubjectVisitService
     {
         private readonly IRepository<SubjectVisit> _subjectVisitRepository;
+        private readonly IRepository<ReadModule> _readModuleRepository;
         private readonly IRepository<Subject> _subjectRepository;
 
-        public SubjectVisitService(IRepository<SubjectVisit> subjectVisitRepository, IRepository<Subject> subjectRepository)
+        public SubjectVisitService(IRepository<SubjectVisit> subjectVisitRepository,
+            IRepository<ReadModule> readModuleRepository,
+            IRepository<Subject> subjectRepository)
         {
             _subjectVisitRepository = subjectVisitRepository;
+            this._readModuleRepository = readModuleRepository;
             _subjectRepository = subjectRepository;
         }
 
@@ -74,6 +79,7 @@ namespace IRaCIS.Core.Application.Services
             else
             {
                 dbBeforeEntity = await _subjectVisitRepository.UpdateFromDTOAsync(svCommand, false, false, verifyExp1, verifyExp2, verifyExp3);
+               
 
                 if (svCommand.PDState != dbBeforeEntity.PDState && dbBeforeEntity.SubmitState == SubmitStateEnum.Submitted)
                 {
@@ -92,6 +98,21 @@ namespace IRaCIS.Core.Application.Services
                         throw new BusinessValidationFailedException("当前访视已经有有影像上传，不允许设置为失访。");
                     }
                 }
+
+                //// 末次访视添加全局阅片
+                //if (dbBeforeEntity.IsFinalVisit == false && svCommand.IsFinalVisit == true)
+                //{
+                //    if (!await _readModuleRepository.AnyAsync(x => x.SubjectVisitId == svCommand.Id && x.ReadingSetType == ReadingSetType.ImageReading))
+                //    {
+                //        _readModuleRepository.AddAsync(new ReadModule()
+                //        {
+                //            IsUrgent= dbBeforeEntity.IsUrgent,
+                //            SubjectVisitId= svCommand.Id.Value,
+                //            Status=
+
+                //        });
+                //    }
+                //}
             }