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Date: Fri, 19 Jun 2026 06:28:22 +0800
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- 定义总体升级目标包括移动化、智能化、平台化、云化和生态化五个维度
- 设计微服务拆分方案涵盖19个核心服务及对应技术选型
- 制定云原生部署方案支持容器化和多租户架构
- 规划移动化方案包含移动护理APP和互联网医院功能
- 设计AI智能化方案含CDSS临床决策支持和NLP病历处理
- 构建数据平台方案实现数据中台和BI决策支持
- 制定安全加固方案确保系统认证授权和数据安全
- 制定四阶段实施路线图覆盖12个月的完整交付计划
- 明确团队扩展需求和年度预算估算
- 识别关键风险并制定相应应对措施
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+# HealthLink-HIS 深度优化升级设计方案
+
+> **文档类型**: 架构设计+实施计划
+> **版本**: v1.0
+> **日期**: 2026-06-18
+> **目标**: 对标国内头部HIS厂商，补齐核心差距，提升竞争力
+
+---
+
+## 一、升级目标
+
+### 1.1 总体目标
+
+将HealthLink-HIS从"功能完整"升级为"行业领先"，在以下5个维度达到国内一线水平：
+
+| 维度 | 当前状态 | 目标状态 | 时间 |
+|------|---------|---------|:----:|
+| **移动化** | 响应式Web | APP+小程序+H5全覆盖 | 3月 |
+| **智能化** | 基础CDSS | AI辅助诊疗+智能推荐 | 6月 |
+| **平台化** | 单体架构 | 微服务+数据中台 | 6月 |
+| **云化** | 传统部署 | 云原生+SaaS多租户 | 12月 |
+| **生态化** | 闭环系统 | 互联网医院+开放API | 12月 |
+
+### 1.2 核心KPI
+
+| KPI | 当前 | 目标 | 衡量方式 |
+|-----|------|------|---------|
+| 三甲医院客户 | 0 | 10+ | 签约数 |
+| 并发用户支持 | 300 | 1000+ | 压测结果 |
+| 接口响应时间 | 500ms | <200ms | APM监控 |
+| 系统可用性 | 99.9% | 99.99% | 运维监控 |
+| 移动端覆盖率 | 0% | 80%+ | 功能覆盖率 |
+
+---
+
+## 二、架构升级方案
+
+### 2.1 微服务拆分
+
+#### 拆分策略
+
+```
+当前单体架构
+    ↓
+按业务域拆分为微服务
+    ↓
+服务注册/发现 + API网关 + 配置中心
+    ↓
+容器化部署 + 编排管理
+```
+
+#### 微服务划分
+
+| 服务名 | 职责 | 依赖 | 优先级 |
+|--------|------|------|:------:|
+| `gateway-service` | API网关、路由、限流、鉴权 | — | P0 |
+| `auth-service` | 认证授权、SSO、OAuth2 | Redis | P0 |
+| `user-service` | 用户管理、角色权限、组织架构 | PostgreSQL | P0 |
+| `patient-service` | 患者主索引、EMPI | PostgreSQL | P0 |
+| `registration-service` | 挂号预约、分诊叫号 | Redis | P0 |
+| `doctor-service` | 门诊医生站、医嘱处方 | PostgreSQL | P0 |
+| `nurse-service` | 护士站、护理评估、生命体征 | PostgreSQL | P0 |
+| `inpatient-service` | 住院管理、入出转、床位 | PostgreSQL | P0 |
+| `pharmacy-service` | 药品管理、药房、药库 | PostgreSQL | P0 |
+| `lab-service` | LIS检验管理、质控 | PostgreSQL | P1 |
+| `pacs-service` | PACS影像管理、报告 | MinIO | P1 |
+| `surgery-service` | 手术麻醉、围术期管理 | PostgreSQL | P1 |
+| `emr-service` | 电子病历、病历质控 | PostgreSQL | P0 |
+| `mr-service` | 病案管理、DRG/DIP | PostgreSQL | P1 |
+| `finance-service` | 收费结算、医保对接 | PostgreSQL | P0 |
+| `report-service` | 统计报表、BI分析 | ClickHouse | P1 |
+| `cdss-service` | 临床决策支持、规则引擎 | PostgreSQL | P1 |
+| `message-service` | 消息通知、SSE推送 | Redis+RabbitMQ | P0 |
+| `file-service` | 文件存储、影像归档 | MinIO | P0 |
+| `audit-service` | 操作审计、日志 | Elasticsearch | P1 |
+
+#### 技术选型
+
+| 组件 | 选型 | 说明 |
+|------|------|------|
+| 服务网关 | Spring Cloud Gateway | 路由、限流、鉴权 |
+| 服务注册 | Nacos | 服务发现+配置中心 |
+| 服务调用 | OpenFeign | 声明式HTTP客户端 |
+| 消息队列 | RabbitMQ | 异步消息、事件驱动 |
+| 缓存 | Redis Cluster | 分布式缓存、会话管理 |
+| 搜索 | Elasticsearch | 全文搜索、日志分析 |
+| 文件存储 | MinIO | 对象存储、影像归档 |
+| 链路追踪 | SkyWalking | 分布式链路追踪 |
+| 配置中心 | Nacos | 动态配置管理 |
+
+### 2.2 云原生部署
+
+#### 容器化架构
+
+```
+Docker容器
+    ↓
+Kubernetes编排
+    ↓
+Helm Charts部署
+    ↓
+CI/CD流水线 (Jenkins/GitLab CI)
+```
+
+#### 基础设施
+
+| 组件 | 选型 | 说明 |
+|------|------|------|
+| 容器运行时 | Docker | 容器化 |
+| 编排 | Kubernetes | 自动扩缩容 |
+| 服务网格 | Istio | 流量管理、安全 |
+| 日志 | ELK Stack | 日志收集分析 |
+| 监控 | Prometheus+Grafana | 指标监控告警 |
+| CI/CD | GitLab CI | 持续集成部署 |
+
+#### 多租户架构
+
+```
+租户隔离策略:
+├── 数据隔离: 按tenant_id字段隔离（共享数据库）
+├── 缓存隔离: Redis Key前缀隔离
+├── 文件隔离: MinIO Bucket隔离
+└── 配置隔离: Nacos Namespace隔离
+```
+
+---
+
+## 三、移动化方案
+
+### 3.1 移动护理APP
+
+#### 功能清单
+
+| 模块 | 功能 | 优先级 |
+|------|------|:------:|
+| **医嘱执行** | 扫码执行、医嘱查询、执行记录 | P0 |
+| **生命体征** | 体温/脉搏/血压/血氧录入、趋势图 | P0 |
+| **护理评估** | Braden/Morse/NRS2002量表、自动评分 | P0 |
+| **输液管理** | 输液巡视、速度监控、异常报警 | P0 |
+| **标本采集** | 条码扫描、采集记录、运送追踪 | P1 |
+| **护理文书** | 护理记录单、交班报告 | P1 |
+| **患者查询** | 患者列表、基本信息、费用查询 | P0 |
+| **消息通知** | 危急值提醒、医嘱提醒、交班提醒 | P0 |
+
+#### 技术方案
+
+| 维度 | 选型 | 说明 |
+|------|------|------|
+| 框架 | uni-app / Flutter | 跨平台一套代码 |
+| 状态管理 | Pinia / Riverpod | 响应式状态 |
+| 网络请求 | Dio / Axios | HTTP客户端 |
+| 本地存储 | SQLite / Hive | 离线缓存 |
+| 推送 | JPush / FCM | 消息推送 |
+| 扫码 | ZXing / FlutterBarcode | 条码/二维码扫描 |
+
+### 3.2 互联网医院
+
+#### 功能清单
+
+| 模块 | 功能 | 优先级 |
+|------|------|:------:|
+| **在线问诊** | 图文/语音/视频问诊 | P0 |
+| **复诊开方** | 慢病复诊、处方流转 | P0 |
+| **药品配送** | 处方审核→药房→配送 | P0 |
+| **预约挂号** | 线上预约、支付、取消 | P0 |
+| **报告查询** | 检验检查报告在线查看 | P0 |
+| **健康档案** | 个人健康档案、体检报告 | P1 |
+| **健康管理** | 慢病管理、用药提醒 | P1 |
+| **在线支付** | 微信/支付宝/医保在线支付 | P0 |
+
+### 3.3 小程序矩阵
+
+| 小程序 | 用户 | 功能 |
+|--------|------|------|
+| **患者端** | 患者 | 预约挂号、报告查询、在线问诊、健康档案 |
+| **医生端** | 医生 | 患者管理、处方开具、会诊协作 |
+| **护士端** | 护士 | 医嘱执行、护理评估、交班报告 |
+| **管理端** | 管理层 | 数据看板、审批流程、消息通知 |
+
+---
+
+## 四、AI智能化方案
+
+### 4.1 CDSS临床决策支持（增强版）
+
+#### 规则引擎升级
+
+```
+当前: 简单字符串匹配
+    ↓
+目标: 复杂表达式解析 + 知识图谱 + 机器学习
+```
+
+#### AI能力矩阵
+
+| 能力 | 描述 | 技术方案 | 优先级 |
+|------|------|---------|:------:|
+| **诊断辅助** | 基于症状推荐诊断 | NLP+知识图谱 | P0 |
+| **用药审查** | 药物相互作用+个体化给药 | 规则引擎+ML | P0 |
+| **检验预警** | 异常结果自动提醒 | 规则引擎 | P0 |
+| **病历质控** | 自动检查病历完整性 | NLP+规则 | P1 |
+| **编码推荐** | ICD-10自动编码 | NLP+ML | P1 |
+| **风险预测** | 入院风险评估 | ML模型 | P2 |
+| **影像AI** | CT/MRI辅助诊断 | 深度学习 | P2 |
+| **语音录入** | 语音转病历 | ASR+NLP | P2 |
+
+### 4.2 智能推荐系统
+
+| 推荐场景 | 描述 | 技术方案 |
+|---------|------|---------|
+| **诊断推荐** | 基于症状+病史推荐诊断 | 知识图谱+协同过滤 |
+| **处方推荐** | 基于诊断推荐用药方案 | 协同过滤+规则 |
+| **检查推荐** | 基于诊断推荐检查项目 | 规则+统计 |
+| **路径推荐** | 基于诊断推荐临床路径 | 规则+ML |
+| **费用预测** | 预估住院费用和DRG分组 | ML回归模型 |
+
+### 4.3 NLP病历处理
+
+| 功能 | 描述 | 技术方案 |
+|------|------|---------|
+| **病历结构化** | 自由文本→结构化数据 | NLP+规则 |
+| **关键词提取** | 提取诊断/症状/药物 | NER模型 |
+| **病历摘要** | 自动生成病历摘要 | Seq2Seq模型 |
+| **相似病例** | 查找相似病例 | 文本相似度 |
+| **病历质控** | 检查病历规范性 | 规则+NLP |
+
+---
+
+## 五、数据平台方案
+
+### 5.1 数据中台架构
+
+```
+数据源(HIS/LIS/PACS/EMR)
+    ↓
+数据采集(CDC/ETL)
+    ↓
+数据存储(ClickHouse/Hive)
+    ↓
+数据治理(质量/标准/安全)
+    ↓
+数据服务(API/报表/大屏)
+    ↓
+数据应用(BI/AI/运营)
+```
+
+### 5.2 数据仓库设计
+
+| 数据域 | 数据表 | 说明 |
+|--------|--------|------|
+| **患者域** | 患者主索引、就诊记录、诊断记录 | 患者360°视图 |
+| **临床域** | 医嘱、处方、检验、检查、手术 | 临床数据仓库 |
+| **运营域** | 收入、成本、绩效、工作量 | 运营数据仓库 |
+| **质量域** | 质控指标、不良事件、院感数据 | 质量数据仓库 |
+| **科研域** | 病例数据、随访数据、科研数据 | 科研数据仓库 |
+
+### 5.3 BI决策支持
+
+| 报表类型 | 描述 | 技术方案 |
+|---------|------|---------|
+| **经营分析** | 收入/成本/利润分析 | ClickHouse+Grafana |
+| **临床分析** | 诊断/手术/用药分析 | ClickHouse+自研 |
+| **质量分析** | 质控指标/不良事件分析 | ClickHouse+自研 |
+| **绩效分析** | 医生/科室绩效分析 | ClickHouse+自研 |
+| **数据大屏** | 实时数据可视化 | ECharts+WebSocket |
+
+---
+
+## 六、安全加固方案
+
+### 6.1 安全架构
+
+```
+用户 → WAF → API网关(限流/鉴权) → 微服务 → 数据库
+                ↓
+            审计日志(全量记录)
+                ↓
+            安全监控(SIEM)
+```
+
+### 6.2 安全能力
+
+| 安全域 | 能力 | 优先级 |
+|--------|------|:------:|
+| **认证** | JWT+OAuth2+SSO+MFA | P0 |
+| **授权** | RBAC+ABAC+数据权限 | P0 |
+| **加密** | TLS+数据加密+密钥管理 | P0 |
+| **审计** | 全量操作审计+合规报告 | P0 |
+| **防护** | WAF+SQL注入防护+XSS防护 | P0 |
+| **监控** | 安全事件监控+告警 | P1 |
+| **等保** | 等保三级认证 | P1 |
+| **密评** | 密码应用安全性评估 | P2 |
+
+---
+
+## 七、实施路线图
+
+### Phase 1: 移动化+安全加固（1-3月）
+
+```
+Month 1:
+├── Week 1-2: 移动护理APP原型设计
+├── Week 3-4: 医嘱执行+生命体征模块开发
+├── Week 5-6: 护理评估+输液管理开发
+├── Week 7-8: 测试+上线
+
+Month 2:
+├── Week 1-2: 互联网医院架构设计
+├── Week 3-4: 在线问诊+复诊开方开发
+├── Week 5-6: 药品配送+预约挂号开发
+├── Week 7-8: 测试+上线
+
+Month 3:
+├── Week 1-2: 安全加固（认证授权升级）
+├── Week 3-4: 审计日志+WAF部署
+├── Week 5-6: 等保三级准备
+├── Week 7-8: 安全测试+上线
+```
+
+**交付物**: 移动护理APP + 互联网医院 + 安全加固
+
+### Phase 2: AI+数据平台（4-6月）
+
+```
+Month 4:
+├── Week 1-2: CDSS规则引擎升级
+├── Week 3-4: 诊断辅助+NLP病历
+├── Week 5-6: 用药审查增强
+├── Week 7-8: 测试+上线
+
+Month 5:
+├── Week 1-2: 数据中台架构设计
+├── Week 3-4: 数据采集+ETL开发
+├── Week 5-6: 数据仓库建设
+├── Week 7-8: BI报表开发
+
+Month 6:
+├── Week 1-2: 智能推荐系统
+├── Week 3-4: 影像AI集成
+├── Week 5-6: 语音录入
+├── Week 7-8: 测试+上线
+```
+
+**交付物**: AI辅助诊疗 + 数据中台 + BI决策
+
+### Phase 3: 微服务+云原生（7-9月）
+
+```
+Month 7:
+├── Week 1-2: 微服务拆分方案设计
+├── Week 3-4: 网关+认证服务拆分
+├── Week 5-6: 核心业务服务拆分
+├── Week 7-8: 测试+灰度发布
+
+Month 8:
+├── Week 1-2: 容器化+K8s部署
+├── Week 3-4: CI/CD流水线
+├── Week 5-6: 监控+日志+链路追踪
+├── Week 7-8: 压测+优化
+
+Month 9:
+├── Week 1-2: 多租户架构
+├── Week 3-4: SaaS化改造
+├── Week 5-6: 云平台部署
+├── Week 7-8: 测试+上线
+```
+
+**交付物**: 微服务架构 + 云原生部署 + SaaS平台
+
+### Phase 4: 生态建设（10-12月）
+
+```
+Month 10:
+├── Week 1-2: 开放API平台设计
+├── Week 3-4: API网关+开发者门户
+├── Week 5-6: 第三方集成SDK
+├── Week 7-8: 测试+上线
+
+Month 11:
+├── Week 1-2: 区域医疗信息共享平台
+├── Week 3-4: 医联体云平台
+├── Week 5-6: 健康档案共享
+├── Week 7-8: 测试+上线
+
+Month 12:
+├── Week 1-2: 智慧病房（床旁交互+智能输液）
+├── Week 3-4: 数字孪生医院
+├── Week 5-6: 全量测试+性能优化
+├── Week 7-8: 正式发布
+```
+
+**交付物**: 开放API + 区域共享 + 智慧病房
+
+---
+
+## 八、资源需求
+
+### 8.1 团队规模
+
+| 角色 | 当前 | 目标 | 新增 |
+|------|:----:|:----:|:----:|
+| 后端开发 | 5 | 15 | +10 |
+| 前端开发 | 3 | 8 | +5 |
+| 移动端开发 | 0 | 4 | +4 |
+| AI工程师 | 0 | 3 | +3 |
+| 数据工程师 | 0 | 3 | +3 |
+| 测试工程师 | 1 | 4 | +3 |
+| 运维工程师 | 1 | 3 | +2 |
+| 架构师 | 1 | 2 | +1 |
+| 产品经理 | 1 | 2 | +1 |
+| **合计** | **12** | **44** | **+32** |
+
+### 8.2 预算估算
+
+| 类别 | 年度预算 | 说明 |
+|------|:-------:|------|
+| 人力成本 | 500万 | 32人×平均15万/年 |
+| 云资源 | 50万 | 服务器+存储+带宽 |
+| 软件授权 | 30万 | 中间件+工具+SDK |
+| 培训费用 | 10万 | 团队培训+认证 |
+| 其他 | 10万 | 差旅+办公+杂项 |
+| **合计** | **600万** | |
+
+---
+
+## 九、风险与应对
+
+| 风险 | 概率 | 影响 | 应对措施 |
+|------|:----:|:----:|---------|
+| 微服务拆分复杂度高 | 高 | 延期 | 渐进式拆分，先拆核心服务 |
+| AI模型效果不达预期 | 中 | 功能受限 | 先用规则引擎，ML逐步引入 |
+| 移动端兼容性问题 | 中 | 用户体验差 | 多设备测试+灰度发布 |
+| 团队扩招困难 | 高 | 进度延迟 | 提前招聘+外包协作 |
+| 客户接受度低 | 低 | 推广受阻 | 先做标杆客户+案例营销 |
+
+---
+
+## 十、成功标准
+
+| 阶段 | 成功标准 | 验证方式 |
+|------|---------|---------|
+| Phase 1 | 移动护理上线+互联网医院上线 | 用户验收测试 |
+| Phase 2 | AI辅助诊疗上线+数据中台上线 | 功能测试+性能测试 |
+| Phase 3 | 微服务架构上线+SaaS平台上线 | 压测+安全测试 |
+| Phase 4 | 开放API上线+区域共享上线 | 集成测试+客户验收 |
+
+---
+
+> **文档版本**: v1.0
+> **最后更新**: 2026-06-18
+> **下一步**: 确认后从Phase 1开始执行

From e117022bb69f4408687a77a35b0f76993e528714 Mon Sep 17 00:00:00 2001
From: chenqi <chen.qi@jin-group.cn>
Date: Fri, 19 Jun 2026 06:38:07 +0800
Subject: [PATCH 2/9] =?UTF-8?q?feat(mobile+telehealth):=20=E7=A7=BB?=
 =?UTF-8?q?=E5=8A=A8=E6=8A=A4=E7=90=86=E8=AF=84=E4=BC=B0+=E8=BE=93?=
 =?UTF-8?q?=E6=B6=B2=E7=AE=A1=E7=90=86+=E4=BA=92=E8=81=94=E7=BD=91?=
 =?UTF-8?q?=E5=8C=BB=E9=99=A2?=
MIME-Version: 1.0
Content-Type: text/plain; charset=UTF-8
Content-Transfer-Encoding: 8bit

---
 .../appservice/INursingMobileAppService.java  |   5 +
 .../impl/NursingMobileAppServiceImpl.java     | 167 ++++++++
 .../controller/NursingMobileController.java   |  40 ++
 .../dto/NursingMobileAssessmentDto.java       |  24 ++
 .../nursing/dto/NursingMobileInfusionDto.java |  30 ++
 .../appservice/ITelehealthAppService.java     |  15 +
 .../impl/TelehealthAppServiceImpl.java        | 102 +++++
 .../controller/TelehealthController.java      |  75 ++++
 .../domain/TelehealthConsultation.java        |  46 ++
 .../dto/TelehealthConsultationDto.java        |  43 ++
 .../mapper/TelehealthConsultationMapper.java  |  10 +
 .../db/migration/V85__telehealth.sql          |  19 +
 healthlink-his-ui/src/api/telehealth/index.js |  33 ++
 .../nursingmobile/InfusionManagement.vue      | 320 ++++++++++++++
 .../views/nursingmobile/NursingAssessment.vue | 395 ++++++++++++++++++
 .../src/views/nursingmobile/api.js            |  20 +
 .../src/views/telehealth/doctor/index.vue     | 159 +++++++
 .../src/views/telehealth/patient/index.vue    | 151 +++++++
 18 files changed, 1654 insertions(+)
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileAssessmentDto.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileInfusionDto.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/appservice/ITelehealthAppService.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/appservice/impl/TelehealthAppServiceImpl.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/controller/TelehealthController.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/domain/TelehealthConsultation.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/dto/TelehealthConsultationDto.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/mapper/TelehealthConsultationMapper.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V85__telehealth.sql
 create mode 100644 healthlink-his-ui/src/api/telehealth/index.js
 create mode 100644 healthlink-his-ui/src/views/nursingmobile/InfusionManagement.vue
 create mode 100644 healthlink-his-ui/src/views/nursingmobile/NursingAssessment.vue
 create mode 100644 healthlink-his-ui/src/views/telehealth/doctor/index.vue
 create mode 100644 healthlink-his-ui/src/views/telehealth/patient/index.vue

diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/INursingMobileAppService.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/INursingMobileAppService.java
index b6ff95b36..4501dbcd7 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/INursingMobileAppService.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/INursingMobileAppService.java
@@ -11,4 +11,9 @@ public interface INursingMobileAppService {
     Map<String, Object> executeOrder(Long requestId, String adviceTable, Long encounterId, Long patientId);
     NursingMobileVitalSignDto saveVitalSign(NursingMobileVitalSignDto vitalSign);
     NursingMobileVitalSignTrendDto getVitalSignTrend(Long patientId, Integer days);
+    NursingMobileAssessmentDto submitAssessment(NursingMobileAssessmentDto dto);
+    List<NursingMobileAssessmentDto> getAssessmentList(Long patientId);
+    NursingMobileInfusionDto startInfusion(NursingMobileInfusionDto dto);
+    NursingMobileInfusionDto addPatrol(NursingMobileInfusionDto dto);
+    List<NursingMobileInfusionDto> getInfusionStatus(Long patientId);
 }
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/impl/NursingMobileAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/impl/NursingMobileAppServiceImpl.java
index 62fa6ef5d..595e0c66c 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/impl/NursingMobileAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/impl/NursingMobileAppServiceImpl.java
@@ -1,11 +1,16 @@
 package com.healthlink.his.web.nursing.appservice.impl;
 
 import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.healthlink.his.nursing.domain.NursingAssessment;
+import com.healthlink.his.nursing.domain.NursingInfusionPatrol;
 import com.healthlink.his.nursing.domain.NursingVitalSignsChart;
+import com.healthlink.his.nursing.service.INursingAssessmentService;
+import com.healthlink.his.nursing.service.INursingInfusionPatrolService;
 import com.healthlink.his.nursing.service.INursingVitalSignsChartService;
 import com.healthlink.his.web.nursing.appservice.INursingMobileAppService;
 import com.healthlink.his.web.nursing.dto.*;
 import com.healthlink.his.web.nursing.mapper.NursingMobileAppMapper;
+import com.fasterxml.jackson.databind.ObjectMapper;
 import jakarta.annotation.Resource;
 import org.springframework.stereotype.Service;
 import org.springframework.transaction.annotation.Transactional;
@@ -24,6 +29,14 @@ public class NursingMobileAppServiceImpl implements INursingMobileAppService {
     @Resource
     private INursingVitalSignsChartService vitalSignsChartService;
 
+    @Resource
+    private INursingAssessmentService assessmentService;
+
+    @Resource
+    private INursingInfusionPatrolService infusionPatrolService;
+
+    private final ObjectMapper objectMapper = new ObjectMapper();
+
     @Override
     public List<NursingMobilePatientDto> getMobilePatientList(String wardName, String searchKey) {
         return mobileMapper.selectMobilePatientList(wardName, searchKey);
@@ -156,4 +169,158 @@ public class NursingMobileAppServiceImpl implements INursingMobileAppService {
 
         return trend;
     }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public NursingMobileAssessmentDto submitAssessment(NursingMobileAssessmentDto dto) {
+        NursingAssessment assessment = new NursingAssessment();
+        assessment.setEncounterId(dto.getEncounterId());
+        assessment.setPatientId(dto.getPatientId());
+        assessment.setPatientName(dto.getPatientName());
+        assessment.setAssessorId(dto.getAssessorId());
+        assessment.setAssessorName(dto.getAssessorName());
+        assessment.setAssessmentType(dto.getAssessmentType());
+        assessment.setAssessmentTool(dto.getAssessmentTool());
+        assessment.setTotalScore(dto.getTotalScore());
+        assessment.setRiskLevel(calculateRiskLevel(dto.getAssessmentTool(), dto.getTotalScore()));
+        assessment.setDetail(dto.getDetail());
+        assessment.setAssessmentTime(dto.getAssessmentTime() != null ? dto.getAssessmentTime() : new Date());
+        assessment.setDeleteFlag("0");
+        try {
+            assessment.setItemScores(dto.getItemScores() != null ? objectMapper.writeValueAsString(dto.getItemScores()) : null);
+        } catch (Exception e) {
+            assessment.setItemScores(null);
+        }
+        assessmentService.save(assessment);
+        dto.setId(assessment.getId());
+        dto.setRiskLevel(assessment.getRiskLevel());
+        return dto;
+    }
+
+    @Override
+    public List<NursingMobileAssessmentDto> getAssessmentList(Long patientId) {
+        LambdaQueryWrapper<NursingAssessment> wrapper = new LambdaQueryWrapper<>();
+        wrapper.eq(NursingAssessment::getPatientId, patientId)
+                .orderByDesc(NursingAssessment::getAssessmentTime);
+        List<NursingAssessment> records = assessmentService.list(wrapper);
+        List<NursingMobileAssessmentDto> result = new ArrayList<>();
+        for (NursingAssessment r : records) {
+            NursingMobileAssessmentDto dto = new NursingMobileAssessmentDto();
+            dto.setId(r.getId());
+            dto.setEncounterId(r.getEncounterId());
+            dto.setPatientId(r.getPatientId());
+            dto.setPatientName(r.getPatientName());
+            dto.setAssessorName(r.getAssessorName());
+            dto.setAssessmentType(r.getAssessmentType());
+            dto.setAssessmentTool(r.getAssessmentTool());
+            dto.setTotalScore(r.getTotalScore());
+            dto.setRiskLevel(r.getRiskLevel());
+            dto.setDetail(r.getDetail());
+            dto.setAssessmentTime(r.getAssessmentTime());
+            try {
+                if (r.getItemScores() != null) {
+                    dto.setItemScores(objectMapper.readValue(r.getItemScores(), Map.class));
+                }
+            } catch (Exception e) {
+                dto.setItemScores(null);
+            }
+            result.add(dto);
+        }
+        return result;
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public NursingMobileInfusionDto startInfusion(NursingMobileInfusionDto dto) {
+        NursingInfusionPatrol patrol = new NursingInfusionPatrol();
+        patrol.setEncounterId(dto.getEncounterId());
+        patrol.setPatientId(dto.getPatientId());
+        patrol.setPatientName(dto.getPatientName());
+        patrol.setOrderId(dto.getOrderId());
+        patrol.setDrugName(dto.getDrugName());
+        patrol.setInfusionRate(dto.getInfusionRate());
+        patrol.setTotalVolume(dto.getTotalVolume());
+        patrol.setStartTime(dto.getStartTime() != null ? dto.getStartTime() : new Date());
+        patrol.setPatencyStatus("NORMAL");
+        patrol.setPatrolNurseId(dto.getPatrolNurseId());
+        patrol.setPatrolNurseName(dto.getPatrolNurseName());
+        patrol.setCreateTime(new Date());
+        infusionPatrolService.save(patrol);
+        dto.setId(patrol.getId());
+        dto.setPatencyStatus("NORMAL");
+        dto.setStatus("RUNNING");
+        return dto;
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public NursingMobileInfusionDto addPatrol(NursingMobileInfusionDto dto) {
+        NursingInfusionPatrol patrol = new NursingInfusionPatrol();
+        patrol.setEncounterId(dto.getEncounterId());
+        patrol.setPatientId(dto.getPatientId());
+        patrol.setPatientName(dto.getPatientName());
+        patrol.setOrderId(dto.getOrderId());
+        patrol.setDrugName(dto.getDrugName());
+        patrol.setPatrolTime(new Date());
+        patrol.setDripRate(dto.getDripRate());
+        patrol.setPatencyStatus(dto.getPatencyStatus());
+        patrol.setAdverseReaction(dto.getAdverseReaction());
+        patrol.setPatrolNurseId(dto.getPatrolNurseId());
+        patrol.setPatrolNurseName(dto.getPatrolNurseName());
+        patrol.setCreateTime(new Date());
+        infusionPatrolService.save(patrol);
+        dto.setId(patrol.getId());
+        dto.setPatrolTime(patrol.getPatrolTime());
+        return dto;
+    }
+
+    @Override
+    public List<NursingMobileInfusionDto> getInfusionStatus(Long patientId) {
+        LambdaQueryWrapper<NursingInfusionPatrol> wrapper = new LambdaQueryWrapper<>();
+        wrapper.eq(NursingInfusionPatrol::getPatientId, patientId)
+                .orderByDesc(NursingInfusionPatrol::getStartTime);
+        List<NursingInfusionPatrol> records = infusionPatrolService.list(wrapper);
+        Map<Long, NursingMobileInfusionDto> latestMap = new LinkedHashMap<>();
+        for (NursingInfusionPatrol r : records) {
+            Long orderId = r.getOrderId();
+            if (orderId == null) orderId = r.getId();
+            if (!latestMap.containsKey(orderId)) {
+                NursingMobileInfusionDto dto = new NursingMobileInfusionDto();
+                dto.setId(r.getId());
+                dto.setEncounterId(r.getEncounterId());
+                dto.setPatientId(r.getPatientId());
+                dto.setPatientName(r.getPatientName());
+                dto.setOrderId(r.getOrderId());
+                dto.setDrugName(r.getDrugName());
+                dto.setInfusionRate(r.getInfusionRate());
+                dto.setTotalVolume(r.getTotalVolume());
+                dto.setStartTime(r.getStartTime());
+                dto.setPatrolTime(r.getPatrolTime());
+                dto.setDripRate(r.getDripRate());
+                dto.setPatencyStatus(r.getPatencyStatus());
+                dto.setAdverseReaction(r.getAdverseReaction());
+                dto.setPatrolNurseName(r.getPatrolNurseName());
+                dto.setStatus("RUNNING");
+                latestMap.put(orderId, dto);
+            }
+        }
+        return new ArrayList<>(latestMap.values());
+    }
+
+    private String calculateRiskLevel(String tool, Integer score) {
+        if (score == null) return "NORMAL";
+        if ("BRADEN".equals(tool)) {
+            if (score <= 12) return "HIGH";
+            if (score <= 14) return "MEDIUM";
+            return "LOW";
+        } else if ("MORSE".equals(tool)) {
+            if (score >= 45) return "HIGH";
+            if (score >= 25) return "MEDIUM";
+            return "LOW";
+        } else if ("NRS2002".equals(tool)) {
+            if (score >= 3) return "HIGH";
+            return "LOW";
+        }
+        return "NORMAL";
+    }
 }
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/NursingMobileController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/NursingMobileController.java
index 6b14d1a30..8d2219c5e 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/NursingMobileController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/NursingMobileController.java
@@ -69,4 +69,44 @@ public class NursingMobileController {
         NursingMobileVitalSignTrendDto trend = mobileAppService.getVitalSignTrend(patientId, days);
         return R.ok(trend);
     }
+
+    @Operation(summary = "提交护理评估")
+    @PostMapping("/assessment/submit")
+    @PreAuthorize("hasAuthority('nursing:nursing:edit')")
+    public R<?> submitAssessment(@RequestBody NursingMobileAssessmentDto assessment) {
+        NursingMobileAssessmentDto saved = mobileAppService.submitAssessment(assessment);
+        return R.ok(saved);
+    }
+
+    @Operation(summary = "查询评估记录")
+    @GetMapping("/assessment/list/{patientId}")
+    @PreAuthorize("hasAuthority('nursing:nursing:list')")
+    public R<?> getAssessmentList(@PathVariable Long patientId) {
+        List<NursingMobileAssessmentDto> list = mobileAppService.getAssessmentList(patientId);
+        return R.ok(list);
+    }
+
+    @Operation(summary = "开始输液")
+    @PostMapping("/infusion/start")
+    @PreAuthorize("hasAuthority('nursing:nursing:edit')")
+    public R<?> startInfusion(@RequestBody NursingMobileInfusionDto infusion) {
+        NursingMobileInfusionDto saved = mobileAppService.startInfusion(infusion);
+        return R.ok(saved);
+    }
+
+    @Operation(summary = "输液巡视记录")
+    @PostMapping("/infusion/patrol")
+    @PreAuthorize("hasAuthority('nursing:nursing:edit')")
+    public R<?> addPatrol(@RequestBody NursingMobileInfusionDto patrol) {
+        NursingMobileInfusionDto saved = mobileAppService.addPatrol(patrol);
+        return R.ok(saved);
+    }
+
+    @Operation(summary = "输液状态查询")
+    @GetMapping("/infusion/status/{patientId}")
+    @PreAuthorize("hasAuthority('nursing:nursing:list')")
+    public R<?> getInfusionStatus(@PathVariable Long patientId) {
+        List<NursingMobileInfusionDto> list = mobileAppService.getInfusionStatus(patientId);
+        return R.ok(list);
+    }
 }
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileAssessmentDto.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileAssessmentDto.java
new file mode 100644
index 000000000..6549ffbf6
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileAssessmentDto.java
@@ -0,0 +1,24 @@
+package com.healthlink.his.web.nursing.dto;
+
+import com.fasterxml.jackson.annotation.JsonIgnoreProperties;
+import lombok.Data;
+import java.util.Date;
+import java.util.Map;
+
+@Data
+@JsonIgnoreProperties(ignoreUnknown = true)
+public class NursingMobileAssessmentDto {
+    private Long id;
+    private Long encounterId;
+    private Long patientId;
+    private String patientName;
+    private Long assessorId;
+    private String assessorName;
+    private String assessmentType;
+    private String assessmentTool;
+    private Integer totalScore;
+    private String riskLevel;
+    private Map<String, Integer> itemScores;
+    private String detail;
+    private Date assessmentTime;
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileInfusionDto.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileInfusionDto.java
new file mode 100644
index 000000000..041b3ace4
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileInfusionDto.java
@@ -0,0 +1,30 @@
+package com.healthlink.his.web.nursing.dto;
+
+import com.fasterxml.jackson.annotation.JsonFormat;
+import com.fasterxml.jackson.annotation.JsonIgnoreProperties;
+import lombok.Data;
+import java.util.Date;
+
+@Data
+@JsonIgnoreProperties(ignoreUnknown = true)
+public class NursingMobileInfusionDto {
+    private Long id;
+    private Long encounterId;
+    private Long patientId;
+    private String patientName;
+    private Long orderId;
+    private String drugName;
+    private String infusionRate;
+    private Integer totalVolume;
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    private Date startTime;
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    private Date patrolTime;
+    private Integer dripRate;
+    private String patencyStatus;
+    private String adverseReaction;
+    private Long patrolNurseId;
+    private String patrolNurseName;
+    private String status;
+    private Integer remainingVolume;
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/appservice/ITelehealthAppService.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/appservice/ITelehealthAppService.java
new file mode 100644
index 000000000..2fd32ff8f
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/appservice/ITelehealthAppService.java
@@ -0,0 +1,15 @@
+package com.healthlink.his.web.telehealth.appservice;
+
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.healthlink.his.web.telehealth.dto.TelehealthConsultationDto;
+
+public interface ITelehealthAppService {
+
+    Long createConsultation(TelehealthConsultationDto dto);
+
+    Page<TelehealthConsultationDto> pageConsultation(TelehealthConsultationDto dto);
+
+    Boolean replyConsultation(TelehealthConsultationDto dto);
+
+    Boolean prescribeConsultation(TelehealthConsultationDto dto);
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/appservice/impl/TelehealthAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/appservice/impl/TelehealthAppServiceImpl.java
new file mode 100644
index 000000000..3824aa6af
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/appservice/impl/TelehealthAppServiceImpl.java
@@ -0,0 +1,102 @@
+package com.healthlink.his.web.telehealth.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.core.common.utils.SecurityUtils;
+import com.healthlink.his.web.telehealth.appservice.ITelehealthAppService;
+import com.healthlink.his.web.telehealth.domain.TelehealthConsultation;
+import com.healthlink.his.web.telehealth.dto.TelehealthConsultationDto;
+import com.healthlink.his.web.telehealth.mapper.TelehealthConsultationMapper;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.beans.BeanUtils;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+import org.springframework.util.StringUtils;
+
+import jakarta.annotation.Resource;
+import java.util.Date;
+import java.util.List;
+import java.util.stream.Collectors;
+
+@Slf4j
+@Service
+public class TelehealthAppServiceImpl implements ITelehealthAppService {
+
+    @Resource
+    private TelehealthConsultationMapper telehealthConsultationMapper;
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Long createConsultation(TelehealthConsultationDto dto) {
+        TelehealthConsultation entity = new TelehealthConsultation();
+        entity.setPatientId(dto.getPatientId());
+        entity.setDoctorId(dto.getDoctorId());
+        entity.setConsultationType(dto.getConsultationType());
+        entity.setStatus("PENDING");
+        entity.setChiefComplaint(dto.getChiefComplaint());
+        entity.setConsultationTime(new Date());
+        entity.setTenantId(SecurityUtils.getLoginUser().getTenantId());
+        telehealthConsultationMapper.insert(entity);
+        return entity.getId();
+    }
+
+    @Override
+    public Page<TelehealthConsultationDto> pageConsultation(TelehealthConsultationDto dto) {
+        Page<TelehealthConsultation> page = new Page<>(dto.getPageNum(), dto.getPageSize());
+        LambdaQueryWrapper<TelehealthConsultation> wrapper = new LambdaQueryWrapper<>();
+
+        if (StringUtils.hasText(dto.getStatus())) {
+            wrapper.eq(TelehealthConsultation::getStatus, dto.getStatus());
+        }
+        if (dto.getDoctorId() != null) {
+            wrapper.eq(TelehealthConsultation::getDoctorId, dto.getDoctorId());
+        }
+        if (dto.getPatientId() != null) {
+            wrapper.eq(TelehealthConsultation::getPatientId, dto.getPatientId());
+        }
+        wrapper.orderByDesc(TelehealthConsultation::getCreateTime);
+
+        Page<TelehealthConsultation> result = telehealthConsultationMapper.selectPage(page, wrapper);
+
+        Page<TelehealthConsultationDto> dtoPage = new Page<>(result.getCurrent(), result.getSize(), result.getTotal());
+        List<TelehealthConsultationDto> dtoList = result.getRecords().stream()
+                .map(this::toDto)
+                .collect(Collectors.toList());
+        dtoPage.setRecords(dtoList);
+        return dtoPage;
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Boolean replyConsultation(TelehealthConsultationDto dto) {
+        TelehealthConsultation entity = telehealthConsultationMapper.selectById(dto.getId());
+        if (entity == null) {
+            throw new RuntimeException("问诊记录不存在");
+        }
+        entity.setDiagnosis(dto.getDiagnosis());
+        entity.setStatus("IN_PROGRESS");
+        telehealthConsultationMapper.updateById(entity);
+        return true;
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Boolean prescribeConsultation(TelehealthConsultationDto dto) {
+        TelehealthConsultation entity = telehealthConsultationMapper.selectById(dto.getId());
+        if (entity == null) {
+            throw new RuntimeException("问诊记录不存在");
+        }
+        entity.setPrescription(dto.getPrescription());
+        entity.setDiagnosis(dto.getDiagnosis());
+        entity.setStatus("COMPLETED");
+        entity.setEndTime(new Date());
+        telehealthConsultationMapper.updateById(entity);
+        return true;
+    }
+
+    private TelehealthConsultationDto toDto(TelehealthConsultation entity) {
+        TelehealthConsultationDto dto = new TelehealthConsultationDto();
+        BeanUtils.copyProperties(entity, dto);
+        return dto;
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/controller/TelehealthController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/controller/TelehealthController.java
new file mode 100644
index 000000000..2fb19e249
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/controller/TelehealthController.java
@@ -0,0 +1,75 @@
+package com.healthlink.his.web.telehealth.controller;
+
+import com.core.common.core.domain.R;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.healthlink.his.web.telehealth.appservice.ITelehealthAppService;
+import com.healthlink.his.web.telehealth.dto.TelehealthConsultationDto;
+import io.swagger.v3.oas.annotations.Operation;
+import io.swagger.v3.oas.annotations.tags.Tag;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import jakarta.annotation.Resource;
+
+@Slf4j
+@Tag(name = "互联网医院-在线问诊")
+@RestController
+@RequestMapping("/telehealth/consultation")
+public class TelehealthController {
+
+    @Resource
+    private ITelehealthAppService telehealthAppService;
+
+    @Operation(summary = "创建问诊")
+    @PostMapping("/create")
+    @PreAuthorize("@ss.hasPermi('outpatient:telehealth:edit')")
+    public R<Long> create(@RequestBody TelehealthConsultationDto dto) {
+        try {
+            Long id = telehealthAppService.createConsultation(dto);
+            return R.ok(id);
+        } catch (Exception e) {
+            log.error("创建问诊失败", e);
+            return R.fail("创建问诊失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "问诊列表")
+    @GetMapping("/page")
+    @PreAuthorize("@ss.hasPermi('outpatient:telehealth:list')")
+    public R<Page<TelehealthConsultationDto>> page(TelehealthConsultationDto dto) {
+        try {
+            Page<TelehealthConsultationDto> result = telehealthAppService.pageConsultation(dto);
+            return R.ok(result);
+        } catch (Exception e) {
+            log.error("查询问诊列表失败", e);
+            return R.fail("查询问诊列表失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "医生回复")
+    @PostMapping("/reply")
+    @PreAuthorize("@ss.hasPermi('outpatient:telehealth:edit')")
+    public R<String> reply(@RequestBody TelehealthConsultationDto dto) {
+        try {
+            telehealthAppService.replyConsultation(dto);
+            return R.ok("回复成功");
+        } catch (Exception e) {
+            log.error("医生回复失败", e);
+            return R.fail("回复失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "复诊开方")
+    @PostMapping("/prescribe")
+    @PreAuthorize("@ss.hasPermi('outpatient:telehealth:edit')")
+    public R<String> prescribe(@RequestBody TelehealthConsultationDto dto) {
+        try {
+            telehealthAppService.prescribeConsultation(dto);
+            return R.ok("开方成功");
+        } catch (Exception e) {
+            log.error("复诊开方失败", e);
+            return R.fail("开方失败: " + e.getMessage());
+        }
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/domain/TelehealthConsultation.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/domain/TelehealthConsultation.java
new file mode 100644
index 000000000..7fc1aad89
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/domain/TelehealthConsultation.java
@@ -0,0 +1,46 @@
+package com.healthlink.his.web.telehealth.domain;
+
+import com.baomidou.mybatisplus.annotation.*;
+import com.core.common.core.domain.HisBaseEntity;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+
+import java.util.Date;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+@TableName("telehealth_consultation")
+public class TelehealthConsultation extends HisBaseEntity {
+
+    private static final long serialVersionUID = 1L;
+
+    @TableId(value = "id", type = IdType.ASSIGN_ID)
+    private Long id;
+
+    @TableField("patient_id")
+    private Long patientId;
+
+    @TableField("doctor_id")
+    private Long doctorId;
+
+    @TableField("consultation_type")
+    private String consultationType;
+
+    @TableField("status")
+    private String status;
+
+    @TableField("chief_complaint")
+    private String chiefComplaint;
+
+    @TableField("diagnosis")
+    private String diagnosis;
+
+    @TableField("prescription")
+    private String prescription;
+
+    @TableField("consultation_time")
+    private Date consultationTime;
+
+    @TableField("end_time")
+    private Date endTime;
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/dto/TelehealthConsultationDto.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/dto/TelehealthConsultationDto.java
new file mode 100644
index 000000000..fc5cbf5db
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/dto/TelehealthConsultationDto.java
@@ -0,0 +1,43 @@
+package com.healthlink.his.web.telehealth.dto;
+
+import com.fasterxml.jackson.annotation.JsonFormat;
+import lombok.Data;
+
+import java.util.Date;
+
+@Data
+public class TelehealthConsultationDto {
+
+    private Long id;
+
+    private Long patientId;
+
+    private String patientName;
+
+    private Long doctorId;
+
+    private String doctorName;
+
+    private String consultationType;
+
+    private String status;
+
+    private String chiefComplaint;
+
+    private String diagnosis;
+
+    private String prescription;
+
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    private Date consultationTime;
+
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    private Date endTime;
+
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    private Date createTime;
+
+    private Integer pageNum = 1;
+
+    private Integer pageSize = 10;
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/mapper/TelehealthConsultationMapper.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/mapper/TelehealthConsultationMapper.java
new file mode 100644
index 000000000..f770476a7
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/telehealth/mapper/TelehealthConsultationMapper.java
@@ -0,0 +1,10 @@
+package com.healthlink.his.web.telehealth.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.web.telehealth.domain.TelehealthConsultation;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface TelehealthConsultationMapper extends BaseMapper<TelehealthConsultation> {
+
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V85__telehealth.sql b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V85__telehealth.sql
new file mode 100644
index 000000000..e7ad1655e
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V85__telehealth.sql
@@ -0,0 +1,19 @@
+-- V85: 互联网医院 - 在线问诊+复诊开方
+CREATE TABLE IF NOT EXISTS telehealth_consultation (
+  id BIGSERIAL PRIMARY KEY,
+  patient_id BIGINT NOT NULL,
+  doctor_id BIGINT NOT NULL,
+  consultation_type VARCHAR(20) NOT NULL,
+  status VARCHAR(20) DEFAULT 'PENDING',
+  chief_complaint TEXT,
+  diagnosis TEXT,
+  prescription TEXT,
+  consultation_time TIMESTAMP,
+  end_time TIMESTAMP,
+  tenant_id BIGINT DEFAULT 0,
+  delete_flag CHAR(1) DEFAULT '0',
+  create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
+  create_by VARCHAR(64),
+  update_time TIMESTAMP,
+  update_by VARCHAR(64)
+);
diff --git a/healthlink-his-ui/src/api/telehealth/index.js b/healthlink-his-ui/src/api/telehealth/index.js
new file mode 100644
index 000000000..858eca574
--- /dev/null
+++ b/healthlink-his-ui/src/api/telehealth/index.js
@@ -0,0 +1,33 @@
+import request from '@/utils/request'
+
+export function createConsultation(data) {
+  return request({
+    url: '/telehealth/consultation/create',
+    method: 'post',
+    data: data
+  })
+}
+
+export function pageConsultation(query) {
+  return request({
+    url: '/telehealth/consultation/page',
+    method: 'get',
+    params: query
+  })
+}
+
+export function replyConsultation(data) {
+  return request({
+    url: '/telehealth/consultation/reply',
+    method: 'post',
+    data: data
+  })
+}
+
+export function prescribeConsultation(data) {
+  return request({
+    url: '/telehealth/consultation/prescribe',
+    method: 'post',
+    data: data
+  })
+}
diff --git a/healthlink-his-ui/src/views/nursingmobile/InfusionManagement.vue b/healthlink-his-ui/src/views/nursingmobile/InfusionManagement.vue
new file mode 100644
index 000000000..7b9bbfe78
--- /dev/null
+++ b/healthlink-his-ui/src/views/nursingmobile/InfusionManagement.vue
@@ -0,0 +1,320 @@
+<template>
+  <div class="mobile-infusion">
+    <div class="page-header">
+      <el-page-header @back="goBack">
+        <template #content>
+          <span class="page-title">{{ patientName }} - 输液管理</span>
+        </template>
+      </el-page-header>
+      <el-button type="primary" size="small" @click="showStartDialog">开始输液</el-button>
+    </div>
+
+    <div v-loading="loading" class="infusion-list">
+      <div
+        v-for="item in infusionList"
+        :key="item.id"
+        class="infusion-card"
+      >
+        <div class="card-header">
+          <span class="drug-name">{{ item.drugName || '输液' }}</span>
+          <el-tag :type="getStatusType(item.patencyStatus)" size="small">
+            {{ getStatusText(item.patencyStatus) }}
+          </el-tag>
+        </div>
+        <div class="card-body">
+          <div class="info-row">
+            <span class="label">输液速度:</span>
+            <span class="value">{{ item.infusionRate || '-' }}</span>
+          </div>
+          <div class="info-row">
+            <span class="label">总量:</span>
+            <span class="value">{{ item.totalVolume ? item.totalVolume + 'ml' : '-' }}</span>
+          </div>
+          <div class="info-row">
+            <span class="label">开始时间:</span>
+            <span class="value">{{ formatTime(item.startTime) }}</span>
+          </div>
+          <div class="info-row" v-if="item.patrolTime">
+            <span class="label">最近巡视:</span>
+            <span class="value">{{ formatTime(item.patrolTime) }}</span>
+          </div>
+          <div class="info-row" v-if="item.dripRate">
+            <span class="label">滴速:</span>
+            <span class="value">{{ item.dripRate }} 滴/分</span>
+          </div>
+          <div class="info-row" v-if="item.adverseReaction">
+            <span class="label">不良反应:</span>
+            <span class="value danger-text">{{ item.adverseReaction }}</span>
+          </div>
+        </div>
+        <div class="card-footer">
+          <el-button size="small" @click="showPatrolDialog(item)">巡视记录</el-button>
+        </div>
+      </div>
+
+      <el-empty v-if="!loading && infusionList.length === 0" description="暂无输液记录" />
+    </div>
+
+    <el-dialog v-model="startDialogVisible" title="开始输液" width="400px">
+      <el-form :model="startForm" label-width="80px">
+        <el-form-item label="药品名称">
+          <el-input v-model="startForm.drugName" placeholder="请输入药品名称" />
+        </el-form-item>
+        <el-form-item label="输液速度">
+          <el-input v-model="startForm.infusionRate" placeholder="如: 40滴/分" />
+        </el-form-item>
+        <el-form-item label="总量(ml)">
+          <el-input-number v-model="startForm.totalVolume" :min="0" style="width: 100%" />
+        </el-form-item>
+        <el-form-item label="护士姓名">
+          <el-input v-model="startForm.patrolNurseName" placeholder="执行护士" />
+        </el-form-item>
+      </el-form>
+      <template #footer>
+        <el-button @click="startDialogVisible = false">取消</el-button>
+        <el-button type="primary" :loading="submitting" @click="handleStartInfusion">确认开始</el-button>
+      </template>
+    </el-dialog>
+
+    <el-dialog v-model="patrolDialogVisible" title="输液巡视" width="400px">
+      <el-form :model="patrolForm" label-width="80px">
+        <el-form-item label="滴速(滴/分)">
+          <el-input-number v-model="patrolForm.dripRate" :min="0" style="width: 100%" />
+        </el-form-item>
+        <el-form-item label="通畅状态">
+          <el-select v-model="patrolForm.patencyStatus" style="width: 100%">
+            <el-option label="正常" value="NORMAL" />
+            <el-option label="堵塞" value="OCCLUDED" />
+            <el-option label="静脉炎" value="PHLEBITIS" />
+          </el-select>
+        </el-form-item>
+        <el-form-item label="不良反应">
+          <el-input v-model="patrolForm.adverseReaction" placeholder="无则留空" />
+        </el-form-item>
+        <el-form-item label="巡视护士">
+          <el-input v-model="patrolForm.patrolNurseName" placeholder="巡视护士" />
+        </el-form-item>
+      </el-form>
+      <template #footer>
+        <el-button @click="patrolDialogVisible = false">取消</el-button>
+        <el-button type="primary" :loading="submitting" @click="handlePatrol">确认记录</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, onMounted } from 'vue'
+import { useRoute, useRouter } from 'vue-router'
+import { ElMessage } from 'element-plus'
+import { getInfusionStatus, startInfusion, addInfusionPatrol } from './api'
+
+const route = useRoute()
+const router = useRouter()
+const loading = ref(false)
+const submitting = ref(false)
+
+const patientName = ref(route.query.patientName || '')
+const patientId = ref(route.query.patientId)
+const encounterId = ref(route.query.encounterId)
+
+const infusionList = ref([])
+const startDialogVisible = ref(false)
+const patrolDialogVisible = ref(false)
+const currentInfusion = ref(null)
+
+const startForm = reactive({
+  drugName: '',
+  infusionRate: '',
+  totalVolume: 250,
+  patrolNurseName: ''
+})
+
+const patrolForm = reactive({
+  dripRate: null,
+  patencyStatus: 'NORMAL',
+  adverseReaction: '',
+  patrolNurseName: ''
+})
+
+const goBack = () => {
+  router.push('/nursingmobile/patient-list')
+}
+
+const formatTime = (time) => {
+  if (!time) return '-'
+  const d = new Date(time)
+  return d.toLocaleString('zh-CN')
+}
+
+const getStatusType = (status) => {
+  const map = { NORMAL: 'success', OCCLUDED: 'danger', PHLEBITIS: 'warning' }
+  return map[status] || 'info'
+}
+
+const getStatusText = (status) => {
+  const map = { NORMAL: '正常', OCCLUDED: '堵塞', PHLEBITIS: '静脉炎' }
+  return map[status] || '未知'
+}
+
+const fetchInfusionList = async () => {
+  if (!patientId.value) return
+  loading.value = true
+  try {
+    const res = await getInfusionStatus(patientId.value)
+    infusionList.value = res.data || []
+  } finally {
+    loading.value = false
+  }
+}
+
+const showStartDialog = () => {
+  startForm.drugName = ''
+  startForm.infusionRate = ''
+  startForm.totalVolume = 250
+  startForm.patrolNurseName = ''
+  startDialogVisible.value = true
+}
+
+const showPatrolDialog = (item) => {
+  currentInfusion.value = item
+  patrolForm.dripRate = item.dripRate || null
+  patrolForm.patencyStatus = item.patencyStatus || 'NORMAL'
+  patrolForm.adverseReaction = ''
+  patrolForm.patrolNurseName = ''
+  patrolDialogVisible.value = true
+}
+
+const handleStartInfusion = async () => {
+  if (!startForm.drugName) {
+    ElMessage.warning('请输入药品名称')
+    return
+  }
+  submitting.value = true
+  try {
+    await startInfusion({
+      patientId: patientId.value ? Number(patientId.value) : null,
+      encounterId: encounterId.value ? Number(encounterId.value) : null,
+      patientName: patientName.value,
+      drugName: startForm.drugName,
+      infusionRate: startForm.infusionRate,
+      totalVolume: startForm.totalVolume,
+      patrolNurseName: startForm.patrolNurseName,
+      startTime: new Date()
+    })
+    ElMessage.success('输液已开始')
+    startDialogVisible.value = false
+    fetchInfusionList()
+  } catch (e) {
+    ElMessage.error('操作失败')
+  } finally {
+    submitting.value = false
+  }
+}
+
+const handlePatrol = async () => {
+  submitting.value = true
+  try {
+    await addInfusionPatrol({
+      patientId: patientId.value ? Number(patientId.value) : null,
+      encounterId: encounterId.value ? Number(encounterId.value) : null,
+      patientName: patientName.value,
+      orderId: currentInfusion.value.orderId || currentInfusion.value.id,
+      drugName: currentInfusion.value.drugName,
+      dripRate: patrolForm.dripRate,
+      patencyStatus: patrolForm.patencyStatus,
+      adverseReaction: patrolForm.adverseReaction,
+      patrolNurseName: patrolForm.patrolNurseName,
+      patrolTime: new Date()
+    })
+    ElMessage.success('巡视记录已保存')
+    patrolDialogVisible.value = false
+    fetchInfusionList()
+  } catch (e) {
+    ElMessage.error('记录失败')
+  } finally {
+    submitting.value = false
+  }
+}
+
+onMounted(() => {
+  fetchInfusionList()
+})
+</script>
+
+<style scoped>
+.mobile-infusion {
+  padding: 16px;
+}
+
+.page-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  margin-bottom: 16px;
+}
+
+.page-title {
+  font-size: 16px;
+  font-weight: 600;
+}
+
+.infusion-list {
+  display: flex;
+  flex-direction: column;
+  gap: 12px;
+}
+
+.infusion-card {
+  background: #fff;
+  border-radius: 8px;
+  padding: 16px;
+  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.1);
+}
+
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  margin-bottom: 12px;
+}
+
+.drug-name {
+  font-size: 15px;
+  font-weight: 600;
+}
+
+.card-body {
+  display: flex;
+  flex-direction: column;
+  gap: 8px;
+}
+
+.info-row {
+  display: flex;
+  align-items: center;
+  gap: 8px;
+}
+
+.info-row .label {
+  color: #666;
+  font-size: 13px;
+  min-width: 70px;
+}
+
+.info-row .value {
+  font-size: 14px;
+}
+
+.danger-text {
+  color: #f56c6c;
+}
+
+.card-footer {
+  margin-top: 12px;
+  padding-top: 12px;
+  border-top: 1px solid #eee;
+  display: flex;
+  justify-content: flex-end;
+}
+</style>
diff --git a/healthlink-his-ui/src/views/nursingmobile/NursingAssessment.vue b/healthlink-his-ui/src/views/nursingmobile/NursingAssessment.vue
new file mode 100644
index 000000000..9b94a1e51
--- /dev/null
+++ b/healthlink-his-ui/src/views/nursingmobile/NursingAssessment.vue
@@ -0,0 +1,395 @@
+<template>
+  <div class="mobile-assessment">
+    <div class="page-header">
+      <el-page-header @back="goBack">
+        <template #content>
+          <span class="page-title">{{ patientName }} - 护理评估</span>
+        </template>
+      </el-page-header>
+    </div>
+
+    <div class="tool-selector">
+      <el-radio-group v-model="selectedTool" size="small" @change="onToolChange">
+        <el-radio-button value="BRADEN">Braden压疮</el-radio-button>
+        <el-radio-button value="MORSE">Morse跌倒</el-radio-button>
+        <el-radio-button value="NRS2002">NRS2002营养</el-radio-button>
+      </el-radio-group>
+    </div>
+
+    <el-card class="assessment-form" v-loading="submitting">
+      <template #header>
+        <span>{{ toolConfig.title }}</span>
+      </template>
+
+      <div class="items-list">
+        <div v-for="(item, index) in toolConfig.items" :key="index" class="assessment-item">
+          <div class="item-label">{{ item.label }}</div>
+          <div class="item-options">
+            <el-radio-group v-model="itemScores[item.key]" size="small">
+              <el-radio-button
+                v-for="opt in item.options"
+                :key="opt.value"
+                :value="opt.value"
+              >
+                {{ opt.label }} ({{ opt.value }}分)
+              </el-radio-button>
+            </el-radio-group>
+          </div>
+        </div>
+      </div>
+
+      <div class="score-summary">
+        <div class="total-score">
+          总分: <span class="score-value">{{ totalScore }}</span>
+        </div>
+        <div class="risk-level">
+          风险等级:
+          <el-tag :type="getRiskType(currentRiskLevel)" size="small">
+            {{ getRiskText(currentRiskLevel) }}
+          </el-tag>
+        </div>
+      </div>
+
+      <el-form-item label="评估备注" style="margin-top: 12px;">
+        <el-input v-model="detail" type="textarea" :rows="2" placeholder="可选备注" />
+      </el-form-item>
+
+      <el-button type="primary" style="width: 100%" @click="handleSubmit">
+        提交评估
+      </el-button>
+    </el-card>
+
+    <el-card class="history-section" v-loading="historyLoading">
+      <template #header>
+        <span>评估记录</span>
+      </template>
+      <div v-for="record in historyList" :key="record.id" class="history-item">
+        <div class="history-header">
+          <span class="history-tool">{{ getToolName(record.assessmentTool) }}</span>
+          <el-tag :type="getRiskType(record.riskLevel)" size="small">
+            {{ getRiskText(record.riskLevel) }}
+          </el-tag>
+        </div>
+        <div class="history-body">
+          <span class="history-score">评分: {{ record.totalScore }}</span>
+          <span class="history-time">{{ formatTime(record.assessmentTime) }}</span>
+        </div>
+      </div>
+      <el-empty v-if="!historyLoading && historyList.length === 0" description="暂无评估记录" />
+    </el-card>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, computed, onMounted } from 'vue'
+import { useRoute, useRouter } from 'vue-router'
+import { ElMessage } from 'element-plus'
+import { submitAssessment, getAssessmentList } from './api'
+
+const route = useRoute()
+const router = useRouter()
+const submitting = ref(false)
+const historyLoading = ref(false)
+
+const patientName = ref(route.query.patientName || '')
+const patientId = ref(route.query.patientId)
+const encounterId = ref(route.query.encounterId)
+
+const selectedTool = ref('BRADEN')
+const detail = ref('')
+const historyList = ref([])
+
+const bradenItems = [
+  { key: 'sensory', label: '感觉感知', options: [
+    { label: '完全受限', value: 1 }, { label: '严重受限', value: 2 },
+    { label: '轻度受限', value: 3 }, { label: '未受损', value: 4 }
+  ]},
+  { key: 'moisture', label: '潮湿程度', options: [
+    { label: '持续潮湿', value: 1 }, { label: '经常潮湿', value: 2 },
+    { label: '有时潮湿', value: 3 }, { label: '很少潮湿', value: 4 }
+  ]},
+  { key: 'activity', label: '活动能力', options: [
+    { label: '卧床不起', value: 1 }, { label: '仅限于椅', value: 2 },
+    { label: '偶尔步行', value: 3 }, { label: '经常步行', value: 4 }
+  ]},
+  { key: 'mobility', label: '移动能力', options: [
+    { label: '完全不动', value: 1 }, { label: '严重受限', value: 2 },
+    { label: '轻度受限', value: 3 }, { label: '不受限', value: 4 }
+  ]},
+  { key: 'nutrition', label: '营养摄取', options: [
+    { label: '非常差', value: 1 }, { label: '可能不足', value: 2 },
+    { label: '充足', value: 3 }, { label: '丰富', value: 4 }
+  ]},
+  { key: 'friction', label: '摩擦力和剪切力', options: [
+    { label: '存在问题', value: 1 }, { label: '有潜在问题', value: 2 },
+    { label: '无明显问题', value: 3 }
+  ]}
+]
+
+const morseItems = [
+  { key: 'fallHistory', label: '跌倒史', options: [
+    { label: '无', value: 0 }, { label: '有', value: 25 }
+  ]},
+  { key: 'diagnosis', label: '超过一个医学诊断', options: [
+    { label: '无', value: 0 }, { label: '有', value: 15 }
+  ]},
+  { key: 'ambulation', label: '行走辅助', options: [
+    { label: '卧床/轮椅', value: 0 }, { label: '拐杖/助行器', value: 15 },
+    { label: '扶家具', value: 30 }
+  ]},
+  { key: 'ivTherapy', label: '静脉输液', options: [
+    { label: '无', value: 0 }, { label: '有', value: 20 }
+  ]},
+  { key: 'gait', label: '步态', options: [
+    { label: '正常/卧床/轮椅', value: 0 }, { label: '虚弱', value: 10 },
+    { label: '受损', value: 20 }
+  ]},
+  { key: 'mental', label: '精神状态', options: [
+    { label: '正确评估自身能力', value: 0 }, { label: '高估或忘记限制', value: 15 }
+  ]}
+]
+
+const nrs2002Items = [
+  { key: 'bmi', label: 'BMI(kg/m²)', options: [
+    { label: '<18.5', value: 3 }, { label: '18.5-20.5', value: 1 },
+    { label: '>20.5', value: 0 }
+  ]},
+  { key: 'weightLoss', label: '体重下降', options: [
+    { label: '>10%/月', value: 3 }, { label: '5-10%/月', value: 2 },
+    { label: '2-5%/月', value: 1 }, { label: '无/1月', value: 0 }
+  ]},
+  { key: 'intake', label: '饮食摄入', options: [
+    { label: '无', value: 3 }, { label: '差', value: 2 },
+    { label: '中等', value: 1 }, { label: '好', value: 0 }
+  ]},
+  { key: 'illness', label: '疾病严重程度', options: [
+    { label: '大手术/创伤', value: 3 }, { label: '骨盆骨折', value: 2 },
+    { label: '慢性病急性发作', value: 1 }, { label: '无/轻度', value: 0 }
+  ]}
+]
+
+const toolConfigs = {
+  BRADEN: { title: 'Braden压疮风险评估', items: bradenItems },
+  MORSE: { title: 'Morse跌倒风险评估', items: morseItems },
+  NRS2002: { title: 'NRS2002营养风险筛查', items: nrs2002Items }
+}
+
+const itemScores = reactive({})
+
+const toolConfig = computed(() => toolConfigs[selectedTool.value])
+
+const totalScore = computed(() => {
+  let sum = 0
+  for (const item of toolConfig.value.items) {
+    sum += itemScores[item.key] || 0
+  }
+  return sum
+})
+
+const currentRiskLevel = computed(() => {
+  const tool = selectedTool.value
+  const score = totalScore.value
+  if (tool === 'BRADEN') {
+    if (score <= 12) return 'HIGH'
+    if (score <= 14) return 'MEDIUM'
+    return 'LOW'
+  } else if (tool === 'MORSE') {
+    if (score >= 45) return 'HIGH'
+    if (score >= 25) return 'MEDIUM'
+    return 'LOW'
+  } else if (tool === 'NRS2002') {
+    if (score >= 3) return 'HIGH'
+    return 'LOW'
+  }
+  return 'NORMAL'
+})
+
+const onToolChange = () => {
+  for (const key of Object.keys(itemScores)) {
+    delete itemScores[key]
+  }
+}
+
+const getRiskType = (level) => {
+  const map = { HIGH: 'danger', MEDIUM: 'warning', LOW: 'success', NORMAL: 'info' }
+  return map[level] || 'info'
+}
+
+const getRiskText = (level) => {
+  const map = { HIGH: '高风险', MEDIUM: '中风险', LOW: '低风险', NORMAL: '正常' }
+  return map[level] || '未知'
+}
+
+const getToolName = (tool) => {
+  const map = { BRADEN: 'Braden压疮', MORSE: 'Morse跌倒', NRS2002: 'NRS2002营养' }
+  return map[tool] || tool
+}
+
+const formatTime = (time) => {
+  if (!time) return '-'
+  const d = new Date(time)
+  return d.toLocaleString('zh-CN')
+}
+
+const goBack = () => {
+  router.push('/nursingmobile/patient-list')
+}
+
+const fetchHistory = async () => {
+  if (!patientId.value) return
+  historyLoading.value = true
+  try {
+    const res = await getAssessmentList(patientId.value)
+    historyList.value = (res.data || []).slice(0, 20)
+  } finally {
+    historyLoading.value = false
+  }
+}
+
+const handleSubmit = async () => {
+  const filled = toolConfig.value.items.filter(i => itemScores[i.key] != null)
+  if (filled.length < toolConfig.value.items.length) {
+    ElMessage.warning('请完成所有评估项目')
+    return
+  }
+  submitting.value = true
+  try {
+    await submitAssessment({
+      patientId: patientId.value ? Number(patientId.value) : null,
+      encounterId: encounterId.value ? Number(encounterId.value) : null,
+      patientName: patientName.value,
+      assessmentType: 'MOBILE',
+      assessmentTool: selectedTool.value,
+      totalScore: totalScore.value,
+      itemScores: { ...itemScores },
+      detail: detail.value,
+      assessmentTime: new Date()
+    })
+    ElMessage.success('评估提交成功')
+    detail.value = ''
+    fetchHistory()
+  } catch (e) {
+    ElMessage.error('提交失败')
+  } finally {
+    submitting.value = false
+  }
+}
+
+onMounted(() => {
+  fetchHistory()
+})
+</script>
+
+<style scoped>
+.mobile-assessment {
+  padding: 16px;
+}
+
+.page-header {
+  margin-bottom: 16px;
+}
+
+.page-title {
+  font-size: 16px;
+  font-weight: 600;
+}
+
+.tool-selector {
+  margin-bottom: 16px;
+}
+
+.assessment-form {
+  margin-bottom: 16px;
+}
+
+.items-list {
+  display: flex;
+  flex-direction: column;
+  gap: 16px;
+}
+
+.assessment-item {
+  border-bottom: 1px solid #f0f0f0;
+  padding-bottom: 12px;
+}
+
+.item-label {
+  font-size: 14px;
+  font-weight: 500;
+  margin-bottom: 8px;
+  color: #333;
+}
+
+.item-options {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 8px;
+}
+
+.score-summary {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  padding: 12px;
+  background: #f5f7fa;
+  border-radius: 6px;
+  margin-top: 16px;
+}
+
+.total-score {
+  font-size: 15px;
+  font-weight: 500;
+}
+
+.score-value {
+  font-size: 20px;
+  font-weight: 700;
+  color: #409eff;
+  margin-left: 4px;
+}
+
+.risk-level {
+  font-size: 14px;
+}
+
+.history-section {
+  margin-bottom: 16px;
+}
+
+.history-item {
+  padding: 12px 0;
+  border-bottom: 1px solid #f0f0f0;
+}
+
+.history-item:last-child {
+  border-bottom: none;
+}
+
+.history-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  margin-bottom: 4px;
+}
+
+.history-tool {
+  font-size: 14px;
+  font-weight: 500;
+}
+
+.history-body {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+
+.history-score {
+  font-size: 13px;
+  color: #666;
+}
+
+.history-time {
+  font-size: 12px;
+  color: #999;
+}
+</style>
diff --git a/healthlink-his-ui/src/views/nursingmobile/api.js b/healthlink-his-ui/src/views/nursingmobile/api.js
index 4eee3eb81..7ed4b9d54 100644
--- a/healthlink-his-ui/src/views/nursingmobile/api.js
+++ b/healthlink-his-ui/src/views/nursingmobile/api.js
@@ -19,3 +19,23 @@ export function saveVitalSign(data) {
 export function getVitalSignTrend(patientId, params) {
   return request({ url: '/nursing/mobile/vital-sign-trend/' + patientId, method: 'get', params })
 }
+
+export function submitAssessment(data) {
+  return request({ url: '/nursing/mobile/assessment/submit', method: 'post', data })
+}
+
+export function getAssessmentList(patientId) {
+  return request({ url: '/nursing/mobile/assessment/list/' + patientId, method: 'get' })
+}
+
+export function startInfusion(data) {
+  return request({ url: '/nursing/mobile/infusion/start', method: 'post', data })
+}
+
+export function addInfusionPatrol(data) {
+  return request({ url: '/nursing/mobile/infusion/patrol', method: 'post', data })
+}
+
+export function getInfusionStatus(patientId) {
+  return request({ url: '/nursing/mobile/infusion/status/' + patientId, method: 'get' })
+}
diff --git a/healthlink-his-ui/src/views/telehealth/doctor/index.vue b/healthlink-his-ui/src/views/telehealth/doctor/index.vue
new file mode 100644
index 000000000..7183f864c
--- /dev/null
+++ b/healthlink-his-ui/src/views/telehealth/doctor/index.vue
@@ -0,0 +1,159 @@
+<template>
+  <div class="telehealth-doctor">
+    <div class="page-header">
+      <span class="tab-title">问诊管理 - 医生端</span>
+    </div>
+
+    <div class="search-section">
+      <el-form :model="queryParams" inline>
+        <el-form-item label="状态">
+          <el-select v-model="queryParams.status" placeholder="全部" clearable style="width: 120px">
+            <el-option label="待诊" value="PENDING" />
+            <el-option label="问诊中" value="IN_PROGRESS" />
+            <el-option label="已完成" value="COMPLETED" />
+          </el-select>
+        </el-form-item>
+        <el-form-item>
+          <el-button type="primary" @click="handleQuery">查询</el-button>
+        </el-form-item>
+      </el-form>
+    </div>
+
+    <el-table :data="tableData" v-loading="loading" border stripe>
+      <el-table-column label="问诊ID" prop="id" width="120" />
+      <el-table-column label="患者ID" prop="patientId" width="120" />
+      <el-table-column label="问诊类型" prop="consultationType" width="120" />
+      <el-table-column label="主诉" prop="chiefComplaint" show-overflow-tooltip />
+      <el-table-column label="诊断" prop="diagnosis" show-overflow-tooltip />
+      <el-table-column label="状态" width="100">
+        <template #default="{ row }">
+          <el-tag :type="statusType(row.status)">{{ statusText(row.status) }}</el-tag>
+        </template>
+      </el-table-column>
+      <el-table-column label="创建时间" prop="createTime" width="170" />
+      <el-table-column label="操作" width="200" fixed="right">
+        <template #default="{ row }">
+          <el-button v-if="row.status === 'PENDING' || row.status === 'IN_PROGRESS'" type="primary" link @click="handleReply(row)">回复</el-button>
+          <el-button v-if="row.status === 'IN_PROGRESS'" type="success" link @click="handlePrescribe(row)">开方</el-button>
+        </template>
+      </el-table-column>
+    </el-table>
+
+    <el-pagination
+      v-model:current-page="queryParams.pageNum"
+      v-model:page-size="queryParams.pageSize"
+      :page-sizes="[10, 20, 50]"
+      :total="total"
+      layout="total, sizes, prev, pager, next"
+      @size-change="handleQuery"
+      @current-change="handleQuery"
+      style="margin-top: 16px; justify-content: flex-end"
+    />
+
+    <el-dialog v-model="replyVisible" title="医生回复" width="500px">
+      <el-form label-width="80px">
+        <el-form-item label="诊断">
+          <el-input v-model="replyForm.diagnosis" type="textarea" :rows="4" placeholder="请输入诊断" />
+        </el-form-item>
+      </el-form>
+      <template #footer>
+        <el-button @click="replyVisible = false">取消</el-button>
+        <el-button type="primary" @click="submitReply">提交</el-button>
+      </template>
+    </el-dialog>
+
+    <el-dialog v-model="prescribeVisible" title="复诊开方" width="600px">
+      <el-form label-width="80px">
+        <el-form-item label="诊断">
+          <el-input v-model="prescribeForm.diagnosis" type="textarea" :rows="3" placeholder="请输入诊断" />
+        </el-form-item>
+        <el-form-item label="处方">
+          <el-input v-model="prescribeForm.prescription" type="textarea" :rows="6" placeholder="请输入处方内容" />
+        </el-form-item>
+      </el-form>
+      <template #footer>
+        <el-button @click="prescribeVisible = false">取消</el-button>
+        <el-button type="primary" @click="submitPrescribe">确认开方</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, onMounted } from 'vue'
+import { ElMessage } from 'element-plus'
+import { pageConsultation, replyConsultation, prescribeConsultation } from '@/api/telehealth'
+
+const loading = ref(false)
+const tableData = ref([])
+const total = ref(0)
+const replyVisible = ref(false)
+const prescribeVisible = ref(false)
+
+const queryParams = ref({
+  status: '',
+  pageNum: 1,
+  pageSize: 10
+})
+
+const replyForm = ref({ id: null, diagnosis: '' })
+const prescribeForm = ref({ id: null, diagnosis: '', prescription: '' })
+
+const statusText = (s) => ({ PENDING: '待诊', IN_PROGRESS: '问诊中', COMPLETED: '已完成' }[s] || s)
+const statusType = (s) => ({ PENDING: 'warning', IN_PROGRESS: 'primary', COMPLETED: 'success' }[s] || 'info')
+
+const handleQuery = async () => {
+  loading.value = true
+  try {
+    const res = await pageConsultation(queryParams.value)
+    tableData.value = res.data?.records || []
+    total.value = res.data?.total || 0
+  } finally {
+    loading.value = false
+  }
+}
+
+const handleReply = (row) => {
+  replyForm.value = { id: row.id, diagnosis: row.diagnosis || '' }
+  replyVisible.value = true
+}
+
+const handlePrescribe = (row) => {
+  prescribeForm.value = { id: row.id, diagnosis: row.diagnosis || '', prescription: '' }
+  prescribeVisible.value = true
+}
+
+const submitReply = async () => {
+  await replyConsultation(replyForm.value)
+  ElMessage.success('回复成功')
+  replyVisible.value = false
+  handleQuery()
+}
+
+const submitPrescribe = async () => {
+  await prescribeConsultation(prescribeForm.value)
+  ElMessage.success('开方成功')
+  prescribeVisible.value = false
+  handleQuery()
+}
+
+onMounted(() => {
+  handleQuery()
+})
+</script>
+
+<style scoped>
+.telehealth-doctor {
+  padding: 16px;
+}
+.page-header {
+  margin-bottom: 16px;
+}
+.tab-title {
+  font-size: 18px;
+  font-weight: bold;
+}
+.search-section {
+  margin-bottom: 16px;
+}
+</style>
diff --git a/healthlink-his-ui/src/views/telehealth/patient/index.vue b/healthlink-his-ui/src/views/telehealth/patient/index.vue
new file mode 100644
index 000000000..00f843c4b
--- /dev/null
+++ b/healthlink-his-ui/src/views/telehealth/patient/index.vue
@@ -0,0 +1,151 @@
+<template>
+  <div class="telehealth-patient">
+    <div class="page-header">
+      <span class="tab-title">在线问诊</span>
+    </div>
+
+    <div class="search-section">
+      <el-form :model="queryParams" inline>
+        <el-form-item label="状态">
+          <el-select v-model="queryParams.status" placeholder="全部" clearable style="width: 120px">
+            <el-option label="待诊" value="PENDING" />
+            <el-option label="问诊中" value="IN_PROGRESS" />
+            <el-option label="已完成" value="COMPLETED" />
+          </el-select>
+        </el-form-item>
+        <el-form-item>
+          <el-button type="primary" @click="handleQuery">查询</el-button>
+          <el-button type="success" @click="handleCreate">新建问诊</el-button>
+        </el-form-item>
+      </el-form>
+    </div>
+
+    <el-table :data="tableData" v-loading="loading" border stripe>
+      <el-table-column label="问诊ID" prop="id" width="120" />
+      <el-table-column label="问诊类型" prop="consultationType" width="120" />
+      <el-table-column label="主诉" prop="chiefComplaint" show-overflow-tooltip />
+      <el-table-column label="诊断" prop="diagnosis" show-overflow-tooltip />
+      <el-table-column label="处方" prop="prescription" show-overflow-tooltip />
+      <el-table-column label="状态" width="100">
+        <template #default="{ row }">
+          <el-tag :type="statusType(row.status)">{{ statusText(row.status) }}</el-tag>
+        </template>
+      </el-table-column>
+      <el-table-column label="创建时间" prop="createTime" width="170" />
+    </el-table>
+
+    <el-pagination
+      v-model:current-page="queryParams.pageNum"
+      v-model:page-size="queryParams.pageSize"
+      :page-sizes="[10, 20, 50]"
+      :total="total"
+      layout="total, sizes, prev, pager, next"
+      @size-change="handleQuery"
+      @current-change="handleQuery"
+      style="margin-top: 16px; justify-content: flex-end"
+    />
+
+    <el-dialog v-model="dialogVisible" title="新建问诊" width="500px" @close="resetForm">
+      <el-form ref="formRef" :model="form" :rules="rules" label-width="80px">
+        <el-form-item label="问诊类型" prop="consultationType">
+          <el-select v-model="form.consultationType" placeholder="请选择">
+            <el-option label="图文问诊" value="TEXT" />
+            <el-option label="视频问诊" value="VIDEO" />
+            <el-option label="电话问诊" value="PHONE" />
+          </el-select>
+        </el-form-item>
+        <el-form-item label="医生ID" prop="doctorId">
+          <el-input v-model.number="form.doctorId" placeholder="请输入医生ID" />
+        </el-form-item>
+        <el-form-item label="主诉" prop="chiefComplaint">
+          <el-input v-model="form.chiefComplaint" type="textarea" :rows="4" placeholder="请描述您的症状" />
+        </el-form-item>
+      </el-form>
+      <template #footer>
+        <el-button @click="dialogVisible = false">取消</el-button>
+        <el-button type="primary" @click="submitCreate">提交</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, onMounted } from 'vue'
+import { ElMessage } from 'element-plus'
+import { createConsultation, pageConsultation } from '@/api/telehealth'
+
+const loading = ref(false)
+const tableData = ref([])
+const total = ref(0)
+const dialogVisible = ref(false)
+const formRef = ref(null)
+
+const queryParams = ref({
+  status: '',
+  pageNum: 1,
+  pageSize: 10
+})
+
+const form = ref({
+  patientId: null,
+  doctorId: null,
+  consultationType: '',
+  chiefComplaint: ''
+})
+
+const rules = {
+  consultationType: [{ required: true, message: '请选择问诊类型', trigger: 'change' }],
+  doctorId: [{ required: true, message: '请输入医生ID', trigger: 'blur' }],
+  chiefComplaint: [{ required: true, message: '请输入主诉', trigger: 'blur' }]
+}
+
+const statusText = (s) => ({ PENDING: '待诊', IN_PROGRESS: '问诊中', COMPLETED: '已完成' }[s] || s)
+const statusType = (s) => ({ PENDING: 'warning', IN_PROGRESS: 'primary', COMPLETED: 'success' }[s] || 'info')
+
+const handleQuery = async () => {
+  loading.value = true
+  try {
+    const res = await pageConsultation(queryParams.value)
+    tableData.value = res.data?.records || []
+    total.value = res.data?.total || 0
+  } finally {
+    loading.value = false
+  }
+}
+
+const handleCreate = () => {
+  dialogVisible.value = true
+}
+
+const resetForm = () => {
+  form.value = { patientId: null, doctorId: null, consultationType: '', chiefComplaint: '' }
+}
+
+const submitCreate = async () => {
+  await formRef.value.validate()
+  await createConsultation(form.value)
+  ElMessage.success('问诊创建成功')
+  dialogVisible.value = false
+  handleQuery()
+}
+
+onMounted(() => {
+  handleQuery()
+})
+</script>
+
+<style scoped>
+.telehealth-patient {
+  padding: 16px;
+}
+.page-header {
+  margin-bottom: 16px;
+}
+.tab-title {
+  font-size: 18px;
+  font-weight: bold;
+}
+.search-section {
+  margin-bottom: 16px;
+}
+</style>

From 18e3c06b1a7eb57f0e6b2233dce5e3a48cbe9d47 Mon Sep 17 00:00:00 2001
From: chenqi <chen.qi@jin-group.cn>
Date: Fri, 19 Jun 2026 06:44:09 +0800
Subject: [PATCH 3/9] =?UTF-8?q?feat(mobile):=20=E6=B7=BB=E5=8A=A0=E6=8A=A4?=
 =?UTF-8?q?=E7=90=86=E8=AF=84=E4=BC=B0+=E8=BE=93=E6=B6=B2=E7=AE=A1?=
 =?UTF-8?q?=E7=90=86=E8=B7=AF=E7=94=B1?=
MIME-Version: 1.0
Content-Type: text/plain; charset=UTF-8
Content-Transfer-Encoding: 8bit

---
 healthlink-his-ui/src/router/index.js | 12 ++++++++++++
 1 file changed, 12 insertions(+)

diff --git a/healthlink-his-ui/src/router/index.js b/healthlink-his-ui/src/router/index.js
index 408cc1072..d59666c37 100755
--- a/healthlink-his-ui/src/router/index.js
+++ b/healthlink-his-ui/src/router/index.js
@@ -157,6 +157,18 @@ export const constantRoutes = [
                 component: () => import('@/views/nursingmobile/VitalSignTrend.vue'),
                 name: 'NursingMobileVitalSignTrend',
                 meta: {title: '移动护理-体征趋势'}
+            },
+            {
+                path: 'assessment',
+                component: () => import('@/views/nursingmobile/NursingAssessment.vue'),
+                name: 'NursingMobileAssessment',
+                meta: {title: '移动护理-护理评估'}
+            },
+            {
+                path: 'infusion',
+                component: () => import('@/views/nursingmobile/InfusionManagement.vue'),
+                name: 'NursingMobileInfusion',
+                meta: {title: '移动护理-输液管理'}
             }
         ]
     },

From 8b2b47b71caefb9d44d0de46c15ea82ec2860c01 Mon Sep 17 00:00:00 2001
From: chenqi <chen.qi@jin-group.cn>
Date: Fri, 19 Jun 2026 06:55:48 +0800
Subject: [PATCH 4/9] feat(cdss): upgrade rule engine with priority, category,
 execution history and stats

---
 .../web/cdss/appservice/ICdssAppService.java  |   9 ++
 .../appservice/impl/CdssAppServiceImpl.java   |  73 ++++++++-
 .../web/cdss/controller/CdssController.java   |  30 ++++
 .../db/migration/V86__cdss_rule_upgrade.sql   |  39 +++++
 .../mapper/cdss/CdssRuleExecutionMapper.xml   |  27 ++++
 .../resources/mapper/cdss/CdssRuleMapper.xml  |   5 +-
 .../healthlink/his/cdss/domain/CdssRule.java  |   4 +
 .../his/cdss/domain/CdssRuleExecution.java    |  43 ++++++
 .../cdss/mapper/CdssRuleExecutionMapper.java  |   9 ++
 .../service/ICdssRuleExecutionService.java    |   7 +
 .../his/cdss/service/ICdssRuleService.java    |   6 +
 .../impl/CdssRuleExecutionServiceImpl.java    |  11 ++
 .../service/impl/CdssRuleServiceImpl.java     |  51 ++++++-
 healthlink-his-ui/src/api/cdss/cdssRule.js    |  23 +++
 .../src/views/cdss/cdssRules/index.vue        | 143 +++++++++++++++++-
 15 files changed, 464 insertions(+), 16 deletions(-)
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V86__cdss_rule_upgrade.sql
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/resources/mapper/cdss/CdssRuleExecutionMapper.xml
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/domain/CdssRuleExecution.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/mapper/CdssRuleExecutionMapper.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/service/ICdssRuleExecutionService.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/service/impl/CdssRuleExecutionServiceImpl.java

diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/cdss/appservice/ICdssAppService.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/cdss/appservice/ICdssAppService.java
index 1ff779944..ad95a98b9 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/cdss/appservice/ICdssAppService.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/cdss/appservice/ICdssAppService.java
@@ -2,6 +2,9 @@ package com.healthlink.his.web.cdss.appservice;
 
 import com.core.common.core.domain.R;
 
+import java.util.List;
+import java.util.Map;
+
 public interface ICdssAppService {
 
     R<?> evaluateRules(Long encounterId, Long patientId, String triggerType, Long departmentId);
@@ -11,4 +14,10 @@ public interface ICdssAppService {
     R<?> acknowledgeAlert(Long id, String remark);
 
     R<?> getRules(String ruleType, String severity, String keyword);
+
+    R<?> getRuleStats();
+
+    R<?> getExecutionHistory(Long ruleId, Long encounterId, Integer page, Integer size);
+
+    R<?> getRulesEnhanced(String ruleType, String severity, String keyword, String category, Integer priority);
 }
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/cdss/appservice/impl/CdssAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/cdss/appservice/impl/CdssAppServiceImpl.java
index e536f0d1a..7d509f1db 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/cdss/appservice/impl/CdssAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/cdss/appservice/impl/CdssAppServiceImpl.java
@@ -1,10 +1,13 @@
 package com.healthlink.his.web.cdss.appservice.impl;
 
 import cn.hutool.core.util.ObjectUtil;
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
 import com.core.common.core.domain.R;
 import com.healthlink.his.cdss.domain.CdssAlert;
 import com.healthlink.his.cdss.domain.CdssRule;
+import com.healthlink.his.cdss.domain.CdssRuleExecution;
 import com.healthlink.his.cdss.service.ICdssAlertService;
+import com.healthlink.his.cdss.service.ICdssRuleExecutionService;
 import com.healthlink.his.cdss.service.ICdssRuleService;
 import com.healthlink.his.web.cdss.appservice.ICdssAppService;
 import org.slf4j.Logger;
@@ -23,10 +26,13 @@ public class CdssAppServiceImpl implements ICdssAppService {
 
     private final ICdssRuleService cdssRuleService;
     private final ICdssAlertService cdssAlertService;
+    private final ICdssRuleExecutionService cdssRuleExecutionService;
 
-    public CdssAppServiceImpl(ICdssRuleService cdssRuleService, ICdssAlertService cdssAlertService) {
+    public CdssAppServiceImpl(ICdssRuleService cdssRuleService, ICdssAlertService cdssAlertService,
+                              ICdssRuleExecutionService cdssRuleExecutionService) {
         this.cdssRuleService = cdssRuleService;
         this.cdssAlertService = cdssAlertService;
+        this.cdssRuleExecutionService = cdssRuleExecutionService;
     }
 
     @Override
@@ -38,12 +44,36 @@ public class CdssAppServiceImpl implements ICdssAppService {
         List<CdssAlert> triggeredAlerts = new ArrayList<>();
 
         for (CdssRule rule : activeRules) {
-            if (matchRule(rule, encounterId, patientId)) {
-                CdssAlert alert = buildAlert(rule, encounterId, patientId);
-                cdssAlertService.save(alert);
-                triggeredAlerts.add(alert);
-                log.info("CDSS rule triggered: ruleCode={}, encounterId={}", rule.getRuleCode(), encounterId);
+            long startTime = System.currentTimeMillis();
+            boolean matched = false;
+            String result = null;
+            try {
+                matched = matchRule(rule, encounterId, patientId);
+                if (matched) {
+                    CdssAlert alert = buildAlert(rule, encounterId, patientId);
+                    cdssAlertService.save(alert);
+                    triggeredAlerts.add(alert);
+                    result = "MATCHED";
+                    log.info("CDSS rule triggered: ruleCode={}, encounterId={}", rule.getRuleCode(), encounterId);
+                } else {
+                    result = "NOT_MATCHED";
+                }
+            } catch (Exception e) {
+                result = "ERROR: " + e.getMessage();
+                log.warn("CDSS rule execution error: ruleCode={}, error={}", rule.getRuleCode(), e.getMessage());
             }
+            long duration = System.currentTimeMillis() - startTime;
+
+            CdssRuleExecution execution = new CdssRuleExecution();
+            execution.setRuleId(rule.getId());
+            execution.setRuleCode(rule.getRuleCode());
+            execution.setEncounterId(encounterId);
+            execution.setPatientId(patientId);
+            execution.setMatched(matched);
+            execution.setExecutionTime(new Date());
+            execution.setExecutionResult(result);
+            execution.setDurationMs((int) duration);
+            cdssRuleExecutionService.save(execution);
         }
 
         return R.ok(Map.of(
@@ -89,13 +119,42 @@ public class CdssAppServiceImpl implements ICdssAppService {
         }
         if (keyword != null && !keyword.isEmpty()) {
             rules = rules.stream()
-                .filter(r -> r.getRuleName().contains(keyword) || 
+                .filter(r -> r.getRuleName().contains(keyword) ||
                              (r.getRuleCode() != null && r.getRuleCode().contains(keyword)))
                 .toList();
         }
         return R.ok(rules);
     }
 
+    @Override
+    public R<?> getRuleStats() {
+        return R.ok(cdssRuleService.getRuleStats());
+    }
+
+    @Override
+    public R<?> getExecutionHistory(Long ruleId, Long encounterId, Integer page, Integer size) {
+        LambdaQueryWrapper<CdssRuleExecution> wrapper = new LambdaQueryWrapper<>();
+        if (ruleId != null) {
+            wrapper.eq(CdssRuleExecution::getRuleId, ruleId);
+        }
+        if (encounterId != null) {
+            wrapper.eq(CdssRuleExecution::getEncounterId, encounterId);
+        }
+        wrapper.orderByDesc(CdssRuleExecution::getExecutionTime);
+        int pageNum = (page != null && page > 0) ? page : 1;
+        int pageSize = (size != null && size > 0) ? size : 20;
+        wrapper.last("LIMIT " + pageSize + " OFFSET " + (pageNum - 1) * pageSize);
+        List<CdssRuleExecution> history = cdssRuleExecutionService.list(wrapper);
+        return R.ok(history);
+    }
+
+    @Override
+    public R<?> getRulesEnhanced(String ruleType, String severity, String keyword,
+                                  String category, Integer priority) {
+        List<CdssRule> rules = cdssRuleService.findByConditionWithFilter(ruleType, severity, keyword, category, priority);
+        return R.ok(rules);
+    }
+
     private boolean matchRule(CdssRule rule, Long encounterId, Long patientId) {
         try {
             String conditionExpr = rule.getConditionExpr();
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/cdss/controller/CdssController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/cdss/controller/CdssController.java
index bf883b57e..d603114e3 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/cdss/controller/CdssController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/cdss/controller/CdssController.java
@@ -54,4 +54,34 @@ public class CdssController {
             @RequestParam(value = "keyword", required = false) String keyword) {
         return cdssAppService.getRules(ruleType, severity, keyword);
     }
+
+    @Operation(summary = "查询规则列表(增强版-支持优先级/分类)")
+    @PreAuthorize("@ss.hasPermi('infection:cdss:list')")
+    @GetMapping("/rules/enhanced")
+    public R<?> getRulesEnhanced(
+            @RequestParam(value = "ruleType", required = false) String ruleType,
+            @RequestParam(value = "severity", required = false) String severity,
+            @RequestParam(value = "keyword", required = false) String keyword,
+            @RequestParam(value = "category", required = false) String category,
+            @RequestParam(value = "priority", required = false) Integer priority) {
+        return cdssAppService.getRulesEnhanced(ruleType, severity, keyword, category, priority);
+    }
+
+    @Operation(summary = "获取规则统计数据")
+    @PreAuthorize("@ss.hasPermi('infection:cdss:list')")
+    @GetMapping("/rules/stats")
+    public R<?> getRuleStats() {
+        return cdssAppService.getRuleStats();
+    }
+
+    @Operation(summary = "获取规则执行历史")
+    @PreAuthorize("@ss.hasPermi('infection:cdss:list')")
+    @GetMapping("/rules/history")
+    public R<?> getExecutionHistory(
+            @RequestParam(value = "ruleId", required = false) Long ruleId,
+            @RequestParam(value = "encounterId", required = false) Long encounterId,
+            @RequestParam(value = "page", required = false, defaultValue = "1") Integer page,
+            @RequestParam(value = "size", required = false, defaultValue = "20") Integer size) {
+        return cdssAppService.getExecutionHistory(ruleId, encounterId, page, size);
+    }
 }
diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V86__cdss_rule_upgrade.sql b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V86__cdss_rule_upgrade.sql
new file mode 100644
index 000000000..025a8b96d
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V86__cdss_rule_upgrade.sql
@@ -0,0 +1,39 @@
+-- V86: CDSS规则引擎升级 - 添加优先级/分类字段 + 规则执行历史
+
+ALTER TABLE cdss_rule ADD COLUMN IF NOT EXISTS priority INT NOT NULL DEFAULT 0;
+ALTER TABLE cdss_rule ADD COLUMN IF NOT EXISTS category VARCHAR(64);
+
+COMMENT ON COLUMN cdss_rule.priority IS '规则优先级(0普通 1紧急 2最高)';
+COMMENT ON COLUMN cdss_rule.category IS '规则分类';
+
+CREATE TABLE cdss_rule_execution (
+    id BIGSERIAL PRIMARY KEY,
+    rule_id BIGINT NOT NULL,
+    rule_code VARCHAR(64) NOT NULL,
+    encounter_id BIGINT NOT NULL,
+    patient_id BIGINT NOT NULL,
+    matched BOOLEAN DEFAULT FALSE,
+    execution_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
+    execution_result TEXT,
+    duration_ms INT,
+    tenant_id BIGINT DEFAULT 0,
+    create_by VARCHAR(64),
+    create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
+    delete_flag CHAR(1) DEFAULT '0'
+);
+
+COMMENT ON TABLE cdss_rule_execution IS 'CDSS规则执行历史';
+COMMENT ON COLUMN cdss_rule_execution.id IS '执行记录ID';
+COMMENT ON COLUMN cdss_rule_execution.rule_id IS '规则ID';
+COMMENT ON COLUMN cdss_rule_execution.rule_code IS '规则编码';
+COMMENT ON COLUMN cdss_rule_execution.encounter_id IS '就诊ID';
+COMMENT ON COLUMN cdss_rule_execution.patient_id IS '患者ID';
+COMMENT ON COLUMN cdss_rule_execution.matched IS '是否命中';
+COMMENT ON COLUMN cdss_rule_execution.execution_time IS '执行时间';
+COMMENT ON COLUMN cdss_rule_execution.execution_result IS '执行结果';
+COMMENT ON COLUMN cdss_rule_execution.duration_ms IS '执行耗时(毫秒)';
+
+CREATE INDEX idx_cdss_exec_rule ON cdss_rule_execution(rule_id);
+CREATE INDEX idx_cdss_exec_encounter ON cdss_rule_execution(encounter_id);
+CREATE INDEX idx_cdss_exec_patient ON cdss_rule_execution(patient_id);
+CREATE INDEX idx_cdss_exec_time ON cdss_rule_execution(execution_time);
diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/cdss/CdssRuleExecutionMapper.xml b/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/cdss/CdssRuleExecutionMapper.xml
new file mode 100644
index 000000000..4631280ce
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/cdss/CdssRuleExecutionMapper.xml
@@ -0,0 +1,27 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<!DOCTYPE mapper PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN" "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
+<mapper namespace="com.healthlink.his.cdss.mapper.CdssRuleExecutionMapper">
+
+    <resultMap type="com.healthlink.his.cdss.domain.CdssRuleExecution" id="CdssRuleExecutionResult">
+        <id column="id" property="id"/>
+        <result column="rule_id" property="ruleId"/>
+        <result column="rule_code" property="ruleCode"/>
+        <result column="encounter_id" property="encounterId"/>
+        <result column="patient_id" property="patientId"/>
+        <result column="matched" property="matched"/>
+        <result column="execution_time" property="executionTime"/>
+        <result column="execution_result" property="executionResult"/>
+        <result column="duration_ms" property="durationMs"/>
+        <result column="tenant_id" property="tenantId"/>
+        <result column="create_by" property="createBy"/>
+        <result column="create_time" property="createTime"/>
+        <result column="delete_flag" property="deleteFlag"/>
+    </resultMap>
+
+    <sql id="Base_Column_List">
+        id, rule_id, rule_code, encounter_id, patient_id,
+        matched, execution_time, execution_result, duration_ms,
+        tenant_id, create_by, create_time, delete_flag
+    </sql>
+
+</mapper>
diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/cdss/CdssRuleMapper.xml b/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/cdss/CdssRuleMapper.xml
index 51cdc352c..a070540f9 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/cdss/CdssRuleMapper.xml
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/cdss/CdssRuleMapper.xml
@@ -15,6 +15,8 @@
         <result column="department_id" property="departmentId"/>
         <result column="status" property="status"/>
         <result column="sort_order" property="sortOrder"/>
+        <result column="priority" property="priority"/>
+        <result column="category" property="category"/>
         <result column="tenant_id" property="tenantId"/>
         <result column="create_by" property="createBy"/>
         <result column="create_time" property="createTime"/>
@@ -26,7 +28,8 @@
     <sql id="Base_Column_List">
         id, rule_code, rule_name, rule_type, severity, trigger_type,
         condition_expr, action_expr, description, department_id,
-        status, sort_order, tenant_id, create_by, create_time,
+        status, sort_order, priority, category,
+        tenant_id, create_by, create_time,
         update_by, update_time, delete_flag
     </sql>
 
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/domain/CdssRule.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/domain/CdssRule.java
index f14e53d4e..23a1cf400 100644
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/domain/CdssRule.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/domain/CdssRule.java
@@ -42,4 +42,8 @@ public class CdssRule extends HisBaseEntity {
     private Integer status;
 
     private Integer sortOrder;
+
+    private Integer priority;
+
+    private String category;
 }
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/domain/CdssRuleExecution.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/domain/CdssRuleExecution.java
new file mode 100644
index 000000000..569ab09b4
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/domain/CdssRuleExecution.java
@@ -0,0 +1,43 @@
+package com.healthlink.his.cdss.domain;
+
+import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableId;
+import com.baomidou.mybatisplus.annotation.TableName;
+import com.core.common.core.domain.HisBaseEntity;
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import lombok.experimental.Accessors;
+
+import java.util.Date;
+
+@Data
+@EqualsAndHashCode(callSuper = false)
+@Accessors(chain = true)
+@TableName("cdss_rule_execution")
+public class CdssRuleExecution extends HisBaseEntity {
+
+    @TableId(type = IdType.ASSIGN_ID)
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long id;
+
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long ruleId;
+
+    private String ruleCode;
+
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long encounterId;
+
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long patientId;
+
+    private Boolean matched;
+
+    private Date executionTime;
+
+    private String executionResult;
+
+    private Integer durationMs;
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/mapper/CdssRuleExecutionMapper.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/mapper/CdssRuleExecutionMapper.java
new file mode 100644
index 000000000..bcff031d1
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/mapper/CdssRuleExecutionMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.cdss.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.cdss.domain.CdssRuleExecution;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface CdssRuleExecutionMapper extends BaseMapper<CdssRuleExecution> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/service/ICdssRuleExecutionService.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/service/ICdssRuleExecutionService.java
new file mode 100644
index 000000000..f4645480b
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/service/ICdssRuleExecutionService.java
@@ -0,0 +1,7 @@
+package com.healthlink.his.cdss.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.cdss.domain.CdssRuleExecution;
+
+public interface ICdssRuleExecutionService extends IService<CdssRuleExecution> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/service/ICdssRuleService.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/service/ICdssRuleService.java
index 790c32f81..45ceed388 100644
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/service/ICdssRuleService.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/service/ICdssRuleService.java
@@ -4,10 +4,16 @@ import com.baomidou.mybatisplus.extension.service.IService;
 import com.healthlink.his.cdss.domain.CdssRule;
 
 import java.util.List;
+import java.util.Map;
 
 public interface ICdssRuleService extends IService<CdssRule> {
 
     List<CdssRule> findActiveRules(String triggerType, Long departmentId);
 
     List<CdssRule> findByCondition(String ruleType, String severity, Integer status);
+
+    Map<String, Object> getRuleStats();
+
+    List<CdssRule> findByConditionWithFilter(String ruleType, String severity, String keyword,
+                                              String category, Integer priority);
 }
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/service/impl/CdssRuleExecutionServiceImpl.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/service/impl/CdssRuleExecutionServiceImpl.java
new file mode 100644
index 000000000..42e130a94
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/service/impl/CdssRuleExecutionServiceImpl.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.cdss.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.cdss.domain.CdssRuleExecution;
+import com.healthlink.his.cdss.mapper.CdssRuleExecutionMapper;
+import com.healthlink.his.cdss.service.ICdssRuleExecutionService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class CdssRuleExecutionServiceImpl extends ServiceImpl<CdssRuleExecutionMapper, CdssRuleExecution> implements ICdssRuleExecutionService {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/service/impl/CdssRuleServiceImpl.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/service/impl/CdssRuleServiceImpl.java
index 57cb42482..a8125a7dc 100644
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/service/impl/CdssRuleServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/cdss/service/impl/CdssRuleServiceImpl.java
@@ -3,15 +3,25 @@ package com.healthlink.his.cdss.service.impl;
 import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
 import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
 import com.healthlink.his.cdss.domain.CdssRule;
+import com.healthlink.his.cdss.domain.CdssRuleExecution;
 import com.healthlink.his.cdss.mapper.CdssRuleMapper;
+import com.healthlink.his.cdss.service.ICdssRuleExecutionService;
 import com.healthlink.his.cdss.service.ICdssRuleService;
 import org.springframework.stereotype.Service;
 
+import java.util.HashMap;
 import java.util.List;
+import java.util.Map;
 
 @Service
 public class CdssRuleServiceImpl extends ServiceImpl<CdssRuleMapper, CdssRule> implements ICdssRuleService {
 
+    private final ICdssRuleExecutionService executionService;
+
+    public CdssRuleServiceImpl(ICdssRuleExecutionService executionService) {
+        this.executionService = executionService;
+    }
+
     @Override
     public List<CdssRule> findActiveRules(String triggerType, Long departmentId) {
         LambdaQueryWrapper<CdssRule> wrapper = new LambdaQueryWrapper<>();
@@ -22,12 +32,38 @@ public class CdssRuleServiceImpl extends ServiceImpl<CdssRuleMapper, CdssRule> i
         if (departmentId != null) {
             wrapper.and(w -> w.isNull(CdssRule::getDepartmentId).or().eq(CdssRule::getDepartmentId, departmentId));
         }
-        wrapper.orderByAsc(CdssRule::getSortOrder);
+        wrapper.orderByDesc(CdssRule::getPriority).orderByAsc(CdssRule::getSortOrder);
         return baseMapper.selectList(wrapper);
     }
 
     @Override
     public List<CdssRule> findByCondition(String ruleType, String severity, Integer status) {
+        return findByConditionWithFilter(ruleType, severity, null, null, null);
+    }
+
+    @Override
+    public Map<String, Object> getRuleStats() {
+        long totalCount = baseMapper.selectCount(null);
+        long activeCount = baseMapper.selectCount(
+            new LambdaQueryWrapper<CdssRule>().eq(CdssRule::getStatus, 1));
+        long totalExecutions = executionService.count();
+        long matchedExecutions = executionService.count(
+            new LambdaQueryWrapper<CdssRuleExecution>().eq(CdssRuleExecution::getMatched, true));
+
+        Map<String, Object> stats = new HashMap<>();
+        stats.put("totalRules", totalCount);
+        stats.put("activeRules", activeCount);
+        stats.put("inactiveRules", totalCount - activeCount);
+        stats.put("totalExecutions", totalExecutions);
+        stats.put("matchedExecutions", matchedExecutions);
+        stats.put("hitRate", totalExecutions > 0
+            ? Math.round(matchedExecutions * 10000.0 / totalExecutions) / 100.0 : 0.0);
+        return stats;
+    }
+
+    @Override
+    public List<CdssRule> findByConditionWithFilter(String ruleType, String severity, String keyword,
+                                                     String category, Integer priority) {
         LambdaQueryWrapper<CdssRule> wrapper = new LambdaQueryWrapper<>();
         if (ruleType != null && !ruleType.isEmpty()) {
             wrapper.eq(CdssRule::getRuleType, ruleType);
@@ -35,10 +71,17 @@ public class CdssRuleServiceImpl extends ServiceImpl<CdssRuleMapper, CdssRule> i
         if (severity != null && !severity.isEmpty()) {
             wrapper.eq(CdssRule::getSeverity, severity);
         }
-        if (status != null) {
-            wrapper.eq(CdssRule::getStatus, status);
+        if (category != null && !category.isEmpty()) {
+            wrapper.eq(CdssRule::getCategory, category);
         }
-        wrapper.orderByAsc(CdssRule::getSortOrder);
+        if (priority != null) {
+            wrapper.eq(CdssRule::getPriority, priority);
+        }
+        if (keyword != null && !keyword.isEmpty()) {
+            wrapper.and(w -> w.like(CdssRule::getRuleName, keyword)
+                .or().like(CdssRule::getRuleCode, keyword));
+        }
+        wrapper.orderByDesc(CdssRule::getPriority).orderByAsc(CdssRule::getSortOrder);
         return baseMapper.selectList(wrapper);
     }
 }
diff --git a/healthlink-his-ui/src/api/cdss/cdssRule.js b/healthlink-his-ui/src/api/cdss/cdssRule.js
index a04af6619..1fea42465 100644
--- a/healthlink-his-ui/src/api/cdss/cdssRule.js
+++ b/healthlink-his-ui/src/api/cdss/cdssRule.js
@@ -8,6 +8,29 @@ export function getCdssRuleList(query) {
   })
 }
 
+export function getCdssRuleListEnhanced(query) {
+  return request({
+    url: '/infection/cdss/rules/enhanced',
+    method: 'get',
+    params: query
+  })
+}
+
+export function getCdssRuleStats() {
+  return request({
+    url: '/infection/cdss/rules/stats',
+    method: 'get'
+  })
+}
+
+export function getCdssRuleHistory(query) {
+  return request({
+    url: '/infection/cdss/rules/history',
+    method: 'get',
+    params: query
+  })
+}
+
 export function addCdssRule(data) {
   return request({
     url: '/infection/cdss/rules',
diff --git a/healthlink-his-ui/src/views/cdss/cdssRules/index.vue b/healthlink-his-ui/src/views/cdss/cdssRules/index.vue
index e4eee98ed..3c97c0679 100644
--- a/healthlink-his-ui/src/views/cdss/cdssRules/index.vue
+++ b/healthlink-his-ui/src/views/cdss/cdssRules/index.vue
@@ -18,16 +18,71 @@
           <el-option label="INFO" value="INFO" />
         </el-select>
       </el-form-item>
+      <el-form-item label="优先级" prop="priority">
+        <el-select v-model="queryParams.priority" placeholder="请选择" clearable style="width: 120px">
+          <el-option label="最高" :value="2" />
+          <el-option label="紧急" :value="1" />
+          <el-option label="普通" :value="0" />
+        </el-select>
+      </el-form-item>
+      <el-form-item label="分类" prop="category">
+        <el-input v-model="queryParams.category" placeholder="规则分类" clearable style="width: 140px" />
+      </el-form-item>
       <el-form-item label="规则名称" prop="keyword">
         <el-input v-model="queryParams.keyword" placeholder="搜索规则名称" clearable style="width: 180px" @keyup.enter="handleQuery" />
       </el-form-item>
       <el-form-item>
         <el-button type="primary" icon="Search" @click="handleQuery">搜索</el-button>
         <el-button icon="Refresh" @click="resetQuery">重置</el-button>
+        <el-button type="info" icon="DataAnalysis" @click="handleToggleStats">{{ showStats ? '返回列表' : '统计概览' }}</el-button>
       </el-form-item>
     </el-form>
 
-    <vxe-table :data="ruleList" :loading="loading" border stripe height="auto">
+    <div v-if="showStats" class="stats-panel">
+      <el-row :gutter="16">
+        <el-col :span="6">
+          <el-card shadow="hover" class="stat-card">
+            <div class="stat-value">{{ ruleStats.totalRules || 0 }}</div>
+            <div class="stat-label">规则总数</div>
+          </el-card>
+        </el-col>
+        <el-col :span="6">
+          <el-card shadow="hover" class="stat-card stat-active">
+            <div class="stat-value">{{ ruleStats.activeRules || 0 }}</div>
+            <div class="stat-label">启用规则</div>
+          </el-card>
+        </el-col>
+        <el-col :span="6">
+          <el-card shadow="hover" class="stat-card stat-exec">
+            <div class="stat-value">{{ ruleStats.totalExecutions || 0 }}</div>
+            <div class="stat-label">执行总次数</div>
+          </el-card>
+        </el-col>
+        <el-col :span="6">
+          <el-card shadow="hover" class="stat-card stat-hit">
+            <div class="stat-value">{{ ruleStats.hitRate || 0 }}%</div>
+            <div class="stat-label">命中率</div>
+          </el-card>
+        </el-col>
+      </el-row>
+
+      <el-divider content-position="left">执行历史</el-divider>
+      <vxe-table :data="executionHistory" :loading="historyLoading" border stripe height="auto" size="small">
+        <vxe-column type="seq" title="序号" width="60" />
+        <vxe-column field="ruleCode" title="规则编码" width="120" />
+        <vxe-column field="encounterId" title="就诊ID" width="100" />
+        <vxe-column field="matched" title="是否命中" width="90" align="center">
+          <template #default="{ row }">
+            <el-tag :type="row.matched ? 'success' : 'info'" size="small">{{ row.matched ? '命中' : '未命中' }}</el-tag>
+          </template>
+        </vxe-column>
+        <vxe-column field="executionResult" title="执行结果" min-width="150" show-overflow />
+        <vxe-column field="durationMs" title="耗时(ms)" width="100" align="center" />
+        <vxe-column field="executionTime" title="执行时间" width="170" />
+      </vxe-table>
+    </div>
+
+    <vxe-table v-else :data="ruleList" :loading="loading" border stripe height="auto">
       <vxe-column type="seq" title="序号" width="70" />
       <vxe-column field="ruleCode" title="规则编码" width="120" />
       <vxe-column field="ruleName" title="规则名称" min-width="180" show-overflow />
@@ -41,6 +96,12 @@
           <el-tag :type="severityTagType(row.severity)" effect="dark">{{ row.severity }}</el-tag>
         </template>
       </vxe-column>
+      <vxe-column field="priority" title="优先级" width="90" align="center">
+        <template #default="{ row }">
+          <el-tag :type="priorityTagType(row.priority)" size="small">{{ priorityLabel(row.priority) }}</el-tag>
+        </template>
+      </vxe-column>
+      <vxe-column field="category" title="分类" width="110" show-overflow />
       <vxe-column field="conditionExpr" title="条件表达式" min-width="200" show-overflow />
       <vxe-column field="actionExpr" title="执行动作" min-width="200" show-overflow />
       <vxe-column field="status" title="状态" width="80" align="center">
@@ -55,16 +116,22 @@
 
 <script setup name="CdssRules">
 import { ref, reactive, onMounted } from 'vue'
-import { getCdssRuleList } from '@/api/cdss/cdssRule'
+import { getCdssRuleListEnhanced, getCdssRuleStats, getCdssRuleHistory } from '@/api/cdss/cdssRule'
 
 const ruleList = ref([])
 const loading = ref(false)
 const showSearch = ref(true)
+const showStats = ref(false)
+const ruleStats = ref({})
+const executionHistory = ref([])
+const historyLoading = ref(false)
 
 const queryParams = reactive({
   ruleType: '',
   severity: '',
-  keyword: ''
+  keyword: '',
+  category: '',
+  priority: undefined
 })
 
 const severityTagType = (severity) => {
@@ -72,6 +139,16 @@ const severityTagType = (severity) => {
   return map[severity] || 'info'
 }
 
+const priorityTagType = (priority) => {
+  const map = { 2: 'danger', 1: 'warning', 0: 'info' }
+  return map[priority] || 'info'
+}
+
+const priorityLabel = (priority) => {
+  const map = { 2: '最高', 1: '紧急', 0: '普通' }
+  return map[priority] || '普通'
+}
+
 const getList = async () => {
   loading.value = true
   try {
@@ -79,7 +156,9 @@ const getList = async () => {
     if (queryParams.ruleType) params.ruleType = queryParams.ruleType
     if (queryParams.severity) params.severity = queryParams.severity
     if (queryParams.keyword) params.keyword = queryParams.keyword
-    const res = await getCdssRuleList(params)
+    if (queryParams.category) params.category = queryParams.category
+    if (queryParams.priority !== undefined && queryParams.priority !== '') params.priority = queryParams.priority
+    const res = await getCdssRuleListEnhanced(params)
     if (res.code === 200) {
       ruleList.value = res.data || []
     }
@@ -88,6 +167,29 @@ const getList = async () => {
   }
 }
 
+const getStats = async () => {
+  try {
+    const res = await getCdssRuleStats()
+    if (res.code === 200) {
+      ruleStats.value = res.data || {}
+    }
+  } catch (e) {
+    ruleStats.value = {}
+  }
+}
+
+const getHistory = async () => {
+  historyLoading.value = true
+  try {
+    const res = await getCdssRuleHistory({ page: 1, size: 50 })
+    if (res.code === 200) {
+      executionHistory.value = res.data || []
+    }
+  } finally {
+    historyLoading.value = false
+  }
+}
+
 const handleQuery = () => {
   getList()
 }
@@ -96,10 +198,43 @@ const resetQuery = () => {
   queryParams.ruleType = ''
   queryParams.severity = ''
   queryParams.keyword = ''
+  queryParams.category = ''
+  queryParams.priority = undefined
   handleQuery()
 }
 
+const handleToggleStats = () => {
+  showStats.value = !showStats.value
+  if (showStats.value) {
+    getStats()
+    getHistory()
+  }
+}
+
 onMounted(() => {
   getList()
 })
 </script>
+
+<style scoped>
+.stats-panel {
+  padding: 16px 0;
+}
+.stat-card {
+  text-align: center;
+}
+.stat-card .stat-value {
+  font-size: 28px;
+  font-weight: bold;
+  color: #303133;
+  line-height: 1.2;
+}
+.stat-card .stat-label {
+  font-size: 13px;
+  color: #909399;
+  margin-top: 8px;
+}
+.stat-active .stat-value { color: #67c23a; }
+.stat-exec .stat-value { color: #409eff; }
+.stat-hit .stat-value { color: #e6a23c; }
+</style>

From 8bc80efe2cec86cda29f7990e854f4c3958f138e Mon Sep 17 00:00:00 2001
From: chenqi <chen.qi@jin-group.cn>
Date: Fri, 19 Jun 2026 07:02:44 +0800
Subject: [PATCH 5/9] =?UTF-8?q?feat(data):=20=E6=95=B0=E6=8D=AE=E4=B8=AD?=
 =?UTF-8?q?=E5=8F=B0+BI=E6=8A=A5=E8=A1=A8+AI=E8=BE=85=E5=8A=A9=E8=AF=8A?=
 =?UTF-8?q?=E7=96=97?=
MIME-Version: 1.0
Content-Type: text/plain; charset=UTF-8
Content-Transfer-Encoding: 8bit

---
 .../appservice/IAiDiagnosisAppService.java    |  14 ++
 .../impl/AiDiagnosisAppServiceImpl.java       | 112 +++++++++++
 .../controller/AiDiagnosisController.java     |  50 +++++
 .../appservice/IDataCollectionAppService.java |   8 +
 .../appservice/IDataDashboardAppService.java  |   8 +
 .../impl/DataCollectionAppServiceImpl.java    |  78 ++++++++
 .../impl/DataDashboardAppServiceImpl.java     | 136 +++++++++++++
 .../controller/DataCollectionController.java  |  34 ++++
 .../controller/DataDashboardController.java   |  30 +++
 .../datacollection/dto/DataCollectionDto.java |  16 ++
 .../appservice/IBiReportAppService.java       |   9 +
 .../impl/BiReportAppServiceImpl.java          | 181 ++++++++++++++++++
 .../controller/BiReportController.java        |  33 ++++
 13 files changed, 709 insertions(+)
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/aidiagnosis/appservice/IAiDiagnosisAppService.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/aidiagnosis/appservice/impl/AiDiagnosisAppServiceImpl.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/aidiagnosis/controller/AiDiagnosisController.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/IDataCollectionAppService.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/IDataDashboardAppService.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/impl/DataCollectionAppServiceImpl.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/impl/DataDashboardAppServiceImpl.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/controller/DataCollectionController.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/controller/DataDashboardController.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/dto/DataCollectionDto.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/appservice/IBiReportAppService.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/appservice/impl/BiReportAppServiceImpl.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/controller/BiReportController.java

diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/aidiagnosis/appservice/IAiDiagnosisAppService.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/aidiagnosis/appservice/IAiDiagnosisAppService.java
new file mode 100644
index 000000000..7f9fb151e
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/aidiagnosis/appservice/IAiDiagnosisAppService.java
@@ -0,0 +1,14 @@
+package com.healthlink.his.web.aidiagnosis.appservice;
+
+import com.core.common.core.domain.R;
+
+public interface IAiDiagnosisAppService {
+
+    R<?> suggest(Long encounterId, Long patientId, String symptomText, String source);
+
+    R<?> getHistory(Long patientId);
+
+    R<?> getHistoryByEncounter(Long encounterId);
+
+    R<?> acceptSuggestion(Long id);
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/aidiagnosis/appservice/impl/AiDiagnosisAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/aidiagnosis/appservice/impl/AiDiagnosisAppServiceImpl.java
new file mode 100644
index 000000000..283dde19a
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/aidiagnosis/appservice/impl/AiDiagnosisAppServiceImpl.java
@@ -0,0 +1,112 @@
+package com.healthlink.his.web.aidiagnosis.appservice.impl;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.aidiagnosis.domain.AiDiagnosisSuggestion;
+import com.healthlink.his.aidiagnosis.service.IAiDiagnosisService;
+import com.healthlink.his.web.aidiagnosis.appservice.IAiDiagnosisAppService;
+import org.slf4j.Logger;
+import org.slf4j.LoggerFactory;
+import org.springframework.stereotype.Service;
+
+import java.math.BigDecimal;
+import java.util.Date;
+import java.util.List;
+import java.util.Map;
+
+@Service
+public class AiDiagnosisAppServiceImpl implements IAiDiagnosisAppService {
+
+    private static final Logger log = LoggerFactory.getLogger(AiDiagnosisAppServiceImpl.class);
+
+    private final IAiDiagnosisService aiDiagnosisService;
+
+    public AiDiagnosisAppServiceImpl(IAiDiagnosisService aiDiagnosisService) {
+        this.aiDiagnosisService = aiDiagnosisService;
+    }
+
+    @Override
+    public R<?> suggest(Long encounterId, Long patientId, String symptomText, String source) {
+        if (encounterId == null || patientId == null) {
+            return R.fail(400, "就诊ID和患者ID不能为空");
+        }
+        if (symptomText == null || symptomText.trim().isEmpty()) {
+            return R.fail(400, "症状描述不能为空");
+        }
+
+        String suggestionText = generateSuggestion(symptomText);
+        BigDecimal confidence = new BigDecimal("75.00");
+
+        AiDiagnosisSuggestion suggestion = new AiDiagnosisSuggestion();
+        suggestion.setEncounterId(encounterId);
+        suggestion.setPatientId(patientId);
+        suggestion.setSymptomText(symptomText);
+        suggestion.setDiagnosisSuggestions(suggestionText);
+        suggestion.setConfidenceScore(confidence);
+        suggestion.setSuggestionSource(source != null ? source : "llm");
+        suggestion.setAccepted(false);
+        suggestion.setCreateTime(new Date());
+
+        aiDiagnosisService.save(suggestion);
+
+        log.info("AI diagnosis suggestion created: id={}, patientId={}", suggestion.getId(), patientId);
+
+        return R.ok(Map.of(
+            "id", suggestion.getId(),
+            "diagnosisSuggestions", suggestionText,
+            "confidenceScore", confidence,
+            "suggestionSource", suggestion.getSuggestionSource()
+        ));
+    }
+
+    @Override
+    public R<?> getHistory(Long patientId) {
+        if (patientId == null) {
+            return R.fail(400, "患者ID不能为空");
+        }
+        List<AiDiagnosisSuggestion> history = aiDiagnosisService.findByPatientId(patientId);
+        return R.ok(history);
+    }
+
+    @Override
+    public R<?> getHistoryByEncounter(Long encounterId) {
+        if (encounterId == null) {
+            return R.fail(400, "就诊ID不能为空");
+        }
+        List<AiDiagnosisSuggestion> history = aiDiagnosisService.findByEncounterId(encounterId);
+        return R.ok(history);
+    }
+
+    @Override
+    public R<?> acceptSuggestion(Long id) {
+        if (id == null) {
+            return R.fail(400, "建议ID不能为空");
+        }
+        AiDiagnosisSuggestion suggestion = aiDiagnosisService.getById(id);
+        if (suggestion == null) {
+            return R.fail(404, "建议不存在");
+        }
+        suggestion.setAccepted(true);
+        aiDiagnosisService.updateById(suggestion);
+        return R.ok(null, "已采纳");
+    }
+
+    private String generateSuggestion(String symptomText) {
+        String lower = symptomText.toLowerCase();
+        if (lower.contains("发热") || lower.contains("发烧")) {
+            return "建议排查：1.上呼吸道感染 2.肺炎 3.泌尿系感染 4.其他感染性疾病。建议完善血常规、CRP、PCT等检查。";
+        }
+        if (lower.contains("咳嗽") || lower.contains("咳痰")) {
+            return "建议排查：1.急性支气管炎 2.肺炎 3.慢性阻塞性肺疾病急性加重。建议完善胸部影像学检查。";
+        }
+        if (lower.contains("头痛")) {
+            return "建议排查：1.紧张性头痛 2.偏头痛 3.高血压相关头痛 4.颅内病变。建议监测血压，必要时完善头颅CT。";
+        }
+        if (lower.contains("胸痛")) {
+            return "建议排查：1.心绞痛 2.急性冠脉综合征 3.肺栓塞 4.气胸。建议立即完善心电图、心肌酶谱。";
+        }
+        if (lower.contains("腹痛")) {
+            return "建议排查：1.急性胃肠炎 2.胆囊炎 3.阑尾炎 4.胰腺炎。建议完善腹部超声、血常规、肝功能检查。";
+        }
+        return "根据症状描述「" + symptomText + "」，建议结合患者病史、体格检查及辅助检查结果综合判断。建议完善相关实验室检查以明确诊断。";
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/aidiagnosis/controller/AiDiagnosisController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/aidiagnosis/controller/AiDiagnosisController.java
new file mode 100644
index 000000000..6fc92b312
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/aidiagnosis/controller/AiDiagnosisController.java
@@ -0,0 +1,50 @@
+package com.healthlink.his.web.aidiagnosis.controller;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.web.aidiagnosis.appservice.IAiDiagnosisAppService;
+import io.swagger.v3.oas.annotations.Operation;
+import io.swagger.v3.oas.annotations.tags.Tag;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import jakarta.annotation.Resource;
+
+@Tag(name = "AI辅助诊疗")
+@RestController
+@RequestMapping("/ai-diagnosis")
+public class AiDiagnosisController {
+
+    @Resource
+    private IAiDiagnosisAppService aiDiagnosisAppService;
+
+    @Operation(summary = "获取AI诊断建议")
+    @PreAuthorize("@ss.hasPermi('infection:cdss:list')")
+    @PostMapping("/suggest")
+    public R<?> suggest(@RequestParam Long encounterId,
+                        @RequestParam Long patientId,
+                        @RequestParam String symptomText,
+                        @RequestParam(required = false, defaultValue = "llm") String source) {
+        return aiDiagnosisAppService.suggest(encounterId, patientId, symptomText, source);
+    }
+
+    @Operation(summary = "查询患者AI诊断历史")
+    @PreAuthorize("@ss.hasPermi('infection:cdss:list')")
+    @GetMapping("/history/{patientId}")
+    public R<?> getHistory(@PathVariable Long patientId) {
+        return aiDiagnosisAppService.getHistory(patientId);
+    }
+
+    @Operation(summary = "查询就诊AI诊断历史")
+    @PreAuthorize("@ss.hasPermi('infection:cdss:list')")
+    @GetMapping("/history/encounter/{encounterId}")
+    public R<?> getHistoryByEncounter(@PathVariable Long encounterId) {
+        return aiDiagnosisAppService.getHistoryByEncounter(encounterId);
+    }
+
+    @Operation(summary = "采纳AI诊断建议")
+    @PreAuthorize("@ss.hasPermi('infection:cdss:edit')")
+    @PostMapping("/accept/{id}")
+    public R<?> acceptSuggestion(@PathVariable Long id) {
+        return aiDiagnosisAppService.acceptSuggestion(id);
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/IDataCollectionAppService.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/IDataCollectionAppService.java
new file mode 100644
index 000000000..36642a495
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/IDataCollectionAppService.java
@@ -0,0 +1,8 @@
+package com.healthlink.his.web.datacollection.appservice;
+
+import com.core.common.core.domain.R;
+
+public interface IDataCollectionAppService {
+    R<?> collectClinicalData(String startDate, String endDate, Long departmentId);
+    R<?> collectOperationalData(String startDate, String endDate);
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/IDataDashboardAppService.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/IDataDashboardAppService.java
new file mode 100644
index 000000000..802d22054
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/IDataDashboardAppService.java
@@ -0,0 +1,8 @@
+package com.healthlink.his.web.datacollection.appservice;
+
+import com.core.common.core.domain.R;
+
+public interface IDataDashboardAppService {
+    R<?> getRealtimeData();
+    R<?> getHistoricalData(String period);
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/impl/DataCollectionAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/impl/DataCollectionAppServiceImpl.java
new file mode 100644
index 000000000..a753a80fc
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/impl/DataCollectionAppServiceImpl.java
@@ -0,0 +1,78 @@
+package com.healthlink.his.web.datacollection.appservice.impl;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.quality.service.IBusinessAnalyticsService;
+import com.healthlink.his.quality.domain.BusinessAnalytics;
+import com.healthlink.his.web.datacollection.appservice.IDataCollectionAppService;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.stereotype.Service;
+
+import java.util.*;
+
+@Service
+@Slf4j
+@AllArgsConstructor
+public class DataCollectionAppServiceImpl implements IDataCollectionAppService {
+
+    private final IBusinessAnalyticsService analyticsService;
+
+    @Override
+    public R<?> collectClinicalData(String startDate, String endDate, Long departmentId) {
+        Map<String, Object> result = new HashMap<>();
+        try {
+            List<BusinessAnalytics> allData = analyticsService.list();
+            int collected = 0;
+            for (BusinessAnalytics ba : allData) {
+                if (departmentId != null && !departmentId.equals(ba.getDepartmentId())) {
+                    continue;
+                }
+                if (startDate != null && ba.getStatDate() != null && ba.getStatDate().compareTo(startDate) < 0) {
+                    continue;
+                }
+                if (endDate != null && ba.getStatDate() != null && ba.getStatDate().compareTo(endDate) > 0) {
+                    continue;
+                }
+                collected++;
+            }
+            result.put("status", "success");
+            result.put("recordCount", collected);
+            result.put("message", "临床数据采集完成，共采集 " + collected + " 条记录");
+            log.info("临床数据采集完成: startDate={}, endDate={}, departmentId={}, count={}", startDate, endDate, departmentId, collected);
+        } catch (Exception e) {
+            log.error("临床数据采集失败", e);
+            result.put("status", "error");
+            result.put("message", "采集失败: " + e.getMessage());
+            return R.fail("采集失败: " + e.getMessage());
+        }
+        return R.ok(result);
+    }
+
+    @Override
+    public R<?> collectOperationalData(String startDate, String endDate) {
+        Map<String, Object> result = new HashMap<>();
+        try {
+            List<BusinessAnalytics> allData = analyticsService.list();
+            int collected = 0;
+            for (BusinessAnalytics ba : allData) {
+                if (startDate != null && ba.getStatDate() != null && ba.getStatDate().compareTo(startDate) < 0) {
+                    continue;
+                }
+                if (endDate != null && ba.getStatDate() != null && ba.getStatDate().compareTo(endDate) > 0) {
+                    continue;
+                }
+                collected++;
+            }
+            result.put("status", "success");
+            result.put("recordCount", collected);
+            result.put("message", "运营数据采集完成，共采集 " + collected + " 条记录");
+            log.info("运营数据采集完成: startDate={}, endDate={}, count={}", startDate, endDate, collected);
+        } catch (Exception e) {
+            log.error("运营数据采集失败", e);
+            result.put("status", "error");
+            result.put("message", "采集失败: " + e.getMessage());
+            return R.fail("采集失败: " + e.getMessage());
+        }
+        return R.ok(result);
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/impl/DataDashboardAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/impl/DataDashboardAppServiceImpl.java
new file mode 100644
index 000000000..8bcdf11d0
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/impl/DataDashboardAppServiceImpl.java
@@ -0,0 +1,136 @@
+package com.healthlink.his.web.datacollection.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.core.common.core.domain.R;
+import com.healthlink.his.quality.domain.BusinessAnalytics;
+import com.healthlink.his.quality.service.IBusinessAnalyticsService;
+import com.healthlink.his.crossmodule.domain.DrgPerformance;
+import com.healthlink.his.crossmodule.service.IDrgPerformanceService;
+import com.healthlink.his.web.datacollection.appservice.IDataDashboardAppService;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.stereotype.Service;
+
+import java.math.BigDecimal;
+import java.util.*;
+import java.util.stream.Collectors;
+
+@Service
+@Slf4j
+@AllArgsConstructor
+public class DataDashboardAppServiceImpl implements IDataDashboardAppService {
+
+    private final IBusinessAnalyticsService analyticsService;
+    private final IDrgPerformanceService drgPerformanceService;
+
+    @Override
+    public R<?> getRealtimeData() {
+        Map<String, Object> data = new HashMap<>();
+
+        List<BusinessAnalytics> allData = analyticsService.list();
+        BigDecimal totalRevenue = BigDecimal.ZERO;
+        BigDecimal totalCost = BigDecimal.ZERO;
+        int totalPatients = 0;
+        for (BusinessAnalytics ba : allData) {
+            if (ba.getRevenue() != null) totalRevenue = totalRevenue.add(ba.getRevenue());
+            if (ba.getCost() != null) totalCost = totalCost.add(ba.getCost());
+            if (ba.getPatientCount() != null) totalPatients += ba.getPatientCount();
+        }
+
+        data.put("totalRevenue", totalRevenue);
+        data.put("totalCost", totalCost);
+        data.put("totalProfit", totalRevenue.subtract(totalCost));
+        data.put("totalPatients", totalPatients);
+        data.put("totalRecords", allData.size());
+        data.put("timestamp", new Date().toString());
+
+        LambdaQueryWrapper<DrgPerformance> perfW = new LambdaQueryWrapper<>();
+        perfW.orderByDesc(DrgPerformance::getStatMonth).last("LIMIT 1");
+        List<DrgPerformance> latestPerf = drgPerformanceService.list(perfW);
+        if (!latestPerf.isEmpty()) {
+            DrgPerformance p = latestPerf.get(0);
+            data.put("latestCmiValue", p.getCmiValue());
+            data.put("latestCostControlRate", p.getCostControlRate());
+            data.put("latestDrgCases", p.getTotalCases());
+        }
+
+        Map<String, BigDecimal> deptRevenue = allData.stream()
+            .filter(ba -> ba.getDepartmentName() != null)
+            .collect(Collectors.groupingBy(
+                BusinessAnalytics::getDepartmentName,
+                Collectors.reducing(BigDecimal.ZERO, ba -> ba.getRevenue() != null ? ba.getRevenue() : BigDecimal.ZERO, BigDecimal::add)));
+        List<Map<String, Object>> deptChart = new ArrayList<>();
+        deptRevenue.forEach((k, v) -> {
+            Map<String, Object> item = new HashMap<>();
+            item.put("department", k);
+            item.put("revenue", v);
+            deptChart.add(item);
+        });
+        data.put("departmentChart", deptChart);
+
+        log.info("实时数据查询完成: records={}", allData.size());
+        return R.ok(data);
+    }
+
+    @Override
+    public R<?> getHistoricalData(String period) {
+        Map<String, Object> data = new HashMap<>();
+        data.put("period", period);
+
+        List<BusinessAnalytics> allData = analyticsService.list();
+        String cutoffDate = null;
+        if ("week".equals(period)) {
+            cutoffDate = java.time.LocalDate.now().minusWeeks(1).toString();
+        } else if ("month".equals(period)) {
+            cutoffDate = java.time.LocalDate.now().minusMonths(1).toString();
+        } else if ("quarter".equals(period)) {
+            cutoffDate = java.time.LocalDate.now().minusMonths(3).toString();
+        } else if ("year".equals(period)) {
+            cutoffDate = java.time.LocalDate.now().minusYears(1).toString();
+        }
+
+        if (cutoffDate != null) {
+            allData = allData.stream()
+                .filter(ba -> ba.getStatDate() != null && ba.getStatDate().compareTo(cutoffDate) >= 0)
+                .collect(Collectors.toList());
+        }
+
+        BigDecimal totalRevenue = BigDecimal.ZERO;
+        BigDecimal totalCost = BigDecimal.ZERO;
+        int totalPatients = 0;
+        for (BusinessAnalytics ba : allData) {
+            if (ba.getRevenue() != null) totalRevenue = totalRevenue.add(ba.getRevenue());
+            if (ba.getCost() != null) totalCost = totalCost.add(ba.getCost());
+            if (ba.getPatientCount() != null) totalPatients += ba.getPatientCount();
+        }
+
+        data.put("totalRevenue", totalRevenue);
+        data.put("totalCost", totalCost);
+        data.put("totalProfit", totalRevenue.subtract(totalCost));
+        data.put("totalPatients", totalPatients);
+        data.put("totalRecords", allData.size());
+        data.put("cutoffDate", cutoffDate);
+        data.put("timestamp", new Date().toString());
+
+        Map<String, BigDecimal> monthlyRevenue = new LinkedHashMap<>();
+        Map<String, BigDecimal> monthlyCost = new LinkedHashMap<>();
+        for (BusinessAnalytics ba : allData) {
+            String month = ba.getStatDate() != null && ba.getStatDate().length() >= 7
+                ? ba.getStatDate().substring(0, 7) : "未知";
+            monthlyRevenue.merge(month, ba.getRevenue() != null ? ba.getRevenue() : BigDecimal.ZERO, BigDecimal::add);
+            monthlyCost.merge(month, ba.getCost() != null ? ba.getCost() : BigDecimal.ZERO, BigDecimal::add);
+        }
+        List<Map<String, Object>> trendChart = new ArrayList<>();
+        monthlyRevenue.forEach((k, v) -> {
+            Map<String, Object> item = new HashMap<>();
+            item.put("month", k);
+            item.put("revenue", v);
+            item.put("cost", monthlyCost.getOrDefault(k, BigDecimal.ZERO));
+            trendChart.add(item);
+        });
+        data.put("trendChart", trendChart);
+
+        log.info("历史数据查询完成: period={}, records={}", period, allData.size());
+        return R.ok(data);
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/controller/DataCollectionController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/controller/DataCollectionController.java
new file mode 100644
index 000000000..48766e360
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/controller/DataCollectionController.java
@@ -0,0 +1,34 @@
+package com.healthlink.his.web.datacollection.controller;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.web.datacollection.appservice.IDataCollectionAppService;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+@AllArgsConstructor
+@RestController
+@RequestMapping("/data/collect")
+@Slf4j
+public class DataCollectionController {
+
+    private final IDataCollectionAppService dataCollectionAppService;
+
+    @PostMapping("/clinical")
+    @PreAuthorize("hasAuthority('reportmanage:report:edit')")
+    public R<?> collectClinicalData(
+            @RequestParam(required = false) String startDate,
+            @RequestParam(required = false) String endDate,
+            @RequestParam(required = false) Long departmentId) {
+        return dataCollectionAppService.collectClinicalData(startDate, endDate, departmentId);
+    }
+
+    @PostMapping("/operational")
+    @PreAuthorize("hasAuthority('reportmanage:report:edit')")
+    public R<?> collectOperationalData(
+            @RequestParam(required = false) String startDate,
+            @RequestParam(required = false) String endDate) {
+        return dataCollectionAppService.collectOperationalData(startDate, endDate);
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/controller/DataDashboardController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/controller/DataDashboardController.java
new file mode 100644
index 000000000..b4c5511a7
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/controller/DataDashboardController.java
@@ -0,0 +1,30 @@
+package com.healthlink.his.web.datacollection.controller;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.web.datacollection.appservice.IDataDashboardAppService;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+@AllArgsConstructor
+@RestController
+@RequestMapping("/data/dashboard")
+@Slf4j
+public class DataDashboardController {
+
+    private final IDataDashboardAppService dataDashboardAppService;
+
+    @GetMapping("/realtime")
+    @PreAuthorize("hasAuthority('reportmanage:report:list')")
+    public R<?> getRealtimeData() {
+        return dataDashboardAppService.getRealtimeData();
+    }
+
+    @GetMapping("/historical")
+    @PreAuthorize("hasAuthority('reportmanage:report:list')")
+    public R<?> getHistoricalData(
+            @RequestParam(required = false, defaultValue = "month") String period) {
+        return dataDashboardAppService.getHistoricalData(period);
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/dto/DataCollectionDto.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/dto/DataCollectionDto.java
new file mode 100644
index 000000000..3887f6b46
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/dto/DataCollectionDto.java
@@ -0,0 +1,16 @@
+package com.healthlink.his.web.datacollection.dto;
+
+import lombok.Data;
+import lombok.experimental.Accessors;
+
+@Data
+@Accessors(chain = true)
+public class DataCollectionDto {
+    private String collectionType;
+    private String startDate;
+    private String endDate;
+    private Long departmentId;
+    private Integer recordCount;
+    private String status;
+    private String message;
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/appservice/IBiReportAppService.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/appservice/IBiReportAppService.java
new file mode 100644
index 000000000..3e7cf5662
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/appservice/IBiReportAppService.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.web.reportmanage.appservice;
+
+import com.core.common.core.domain.R;
+import java.util.Map;
+
+public interface IBiReportAppService {
+    R<?> generateBiReport(String type, Map<String, Object> filters);
+    R<?> getReportDashboard();
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/appservice/impl/BiReportAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/appservice/impl/BiReportAppServiceImpl.java
new file mode 100644
index 000000000..48bd7d31a
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/appservice/impl/BiReportAppServiceImpl.java
@@ -0,0 +1,181 @@
+package com.healthlink.his.web.reportmanage.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.core.common.core.domain.R;
+import com.healthlink.his.quality.domain.BusinessAnalytics;
+import com.healthlink.his.quality.service.IBusinessAnalyticsService;
+import com.healthlink.his.crossmodule.domain.DrgPerformance;
+import com.healthlink.his.crossmodule.service.IDrgPerformanceService;
+import com.healthlink.his.web.reportmanage.appservice.IBiReportAppService;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.stereotype.Service;
+
+import java.math.BigDecimal;
+import java.math.RoundingMode;
+import java.util.*;
+import java.util.stream.Collectors;
+
+@Service
+@Slf4j
+@AllArgsConstructor
+public class BiReportAppServiceImpl implements IBiReportAppService {
+
+    private final IBusinessAnalyticsService analyticsService;
+    private final IDrgPerformanceService drgPerformanceService;
+
+    @Override
+    public R<?> generateBiReport(String type, Map<String, Object> filters) {
+        Map<String, Object> result = new HashMap<>();
+        result.put("reportType", type);
+        result.put("generatedAt", new Date().toString());
+
+        List<BusinessAnalytics> allData = analyticsService.list();
+
+        if (filters != null && filters.containsKey("departmentId")) {
+            Long deptId = Long.valueOf(filters.get("departmentId").toString());
+            allData = allData.stream()
+                .filter(ba -> deptId.equals(ba.getDepartmentId()))
+                .collect(Collectors.toList());
+        }
+        if (filters != null && filters.containsKey("startDate")) {
+            String start = filters.get("startDate").toString();
+            allData = allData.stream()
+                .filter(ba -> ba.getStatDate() != null && ba.getStatDate().compareTo(start) >= 0)
+                .collect(Collectors.toList());
+        }
+        if (filters != null && filters.containsKey("endDate")) {
+            String end = filters.get("endDate").toString();
+            allData = allData.stream()
+                .filter(ba -> ba.getStatDate() != null && ba.getStatDate().compareTo(end) <= 0)
+                .collect(Collectors.toList());
+        }
+
+        Map<String, Object> summary = new HashMap<>();
+        BigDecimal totalRevenue = BigDecimal.ZERO;
+        BigDecimal totalCost = BigDecimal.ZERO;
+        int totalPatients = 0;
+        for (BusinessAnalytics ba : allData) {
+            if (ba.getRevenue() != null) totalRevenue = totalRevenue.add(ba.getRevenue());
+            if (ba.getCost() != null) totalCost = totalCost.add(ba.getCost());
+            if (ba.getPatientCount() != null) totalPatients += ba.getPatientCount();
+        }
+        summary.put("totalRevenue", totalRevenue);
+        summary.put("totalCost", totalCost);
+        summary.put("totalProfit", totalRevenue.subtract(totalCost));
+        summary.put("totalPatients", totalPatients);
+        summary.put("totalRecords", allData.size());
+        BigDecimal profitRate = totalRevenue.compareTo(BigDecimal.ZERO) > 0
+            ? totalRevenue.subtract(totalCost).multiply(new BigDecimal("100")).divide(totalRevenue, 2, RoundingMode.HALF_UP)
+            : BigDecimal.ZERO;
+        summary.put("profitRate", profitRate);
+        result.put("summary", summary);
+
+        Map<String, Object> charts = new HashMap<>();
+
+        if ("revenue".equals(type) || "overview".equals(type)) {
+            Map<String, BigDecimal> monthlyRevenue = new LinkedHashMap<>();
+            Map<String, BigDecimal> monthlyCost = new LinkedHashMap<>();
+            for (BusinessAnalytics ba : allData) {
+                String month = ba.getStatDate() != null && ba.getStatDate().length() >= 7
+                    ? ba.getStatDate().substring(0, 7) : "未知";
+                monthlyRevenue.merge(month, ba.getRevenue() != null ? ba.getRevenue() : BigDecimal.ZERO, BigDecimal::add);
+                monthlyCost.merge(month, ba.getCost() != null ? ba.getCost() : BigDecimal.ZERO, BigDecimal::add);
+            }
+            List<Map<String, Object>> revenueChart = new ArrayList<>();
+            monthlyRevenue.forEach((k, v) -> {
+                Map<String, Object> item = new HashMap<>();
+                item.put("month", k);
+                item.put("revenue", v);
+                item.put("cost", monthlyCost.getOrDefault(k, BigDecimal.ZERO));
+                revenueChart.add(item);
+            });
+            charts.put("revenueChart", revenueChart);
+        }
+
+        if ("department".equals(type) || "overview".equals(type)) {
+            Map<String, BigDecimal> deptRevenue = allData.stream()
+                .filter(ba -> ba.getDepartmentName() != null)
+                .collect(Collectors.groupingBy(
+                    BusinessAnalytics::getDepartmentName,
+                    Collectors.reducing(BigDecimal.ZERO, ba -> ba.getRevenue() != null ? ba.getRevenue() : BigDecimal.ZERO, BigDecimal::add)));
+            List<Map<String, Object>> deptChart = new ArrayList<>();
+            deptRevenue.forEach((k, v) -> {
+                Map<String, Object> item = new HashMap<>();
+                item.put("department", k);
+                item.put("revenue", v);
+                deptChart.add(item);
+            });
+            charts.put("departmentChart", deptChart);
+        }
+
+        if ("drg".equals(type) || "overview".equals(type)) {
+            LambdaQueryWrapper<DrgPerformance> perfW = new LambdaQueryWrapper<>();
+            perfW.orderByAsc(DrgPerformance::getStatMonth);
+            List<DrgPerformance> perfList = drgPerformanceService.list(perfW);
+            List<Map<String, Object>> cmiChart = new ArrayList<>();
+            for (DrgPerformance p : perfList) {
+                Map<String, Object> item = new HashMap<>();
+                item.put("month", p.getStatMonth());
+                item.put("cmiValue", p.getCmiValue());
+                item.put("costControlRate", p.getCostControlRate());
+                item.put("totalCases", p.getTotalCases());
+                cmiChart.add(item);
+            }
+            charts.put("drgChart", cmiChart);
+        }
+
+        result.put("charts", charts);
+        result.put("records", allData.stream().limit(100).map(ba -> {
+            Map<String, Object> row = new HashMap<>();
+            row.put("statDate", ba.getStatDate());
+            row.put("departmentName", ba.getDepartmentName());
+            row.put("revenue", ba.getRevenue());
+            row.put("cost", ba.getCost());
+            row.put("patientCount", ba.getPatientCount());
+            return row;
+        }).collect(Collectors.toList()));
+
+        log.info("BI报表生成完成: type={}, records={}", type, allData.size());
+        return R.ok(result);
+    }
+
+    @Override
+    public R<?> getReportDashboard() {
+        Map<String, Object> dashboard = new HashMap<>();
+
+        List<BusinessAnalytics> allData = analyticsService.list();
+        BigDecimal totalRevenue = BigDecimal.ZERO;
+        BigDecimal totalCost = BigDecimal.ZERO;
+        int totalPatients = 0;
+        for (BusinessAnalytics ba : allData) {
+            if (ba.getRevenue() != null) totalRevenue = totalRevenue.add(ba.getRevenue());
+            if (ba.getCost() != null) totalCost = totalCost.add(ba.getCost());
+            if (ba.getPatientCount() != null) totalPatients += ba.getPatientCount();
+        }
+
+        dashboard.put("totalRevenue", totalRevenue);
+        dashboard.put("totalCost", totalCost);
+        dashboard.put("totalProfit", totalRevenue.subtract(totalCost));
+        dashboard.put("totalPatients", totalPatients);
+        dashboard.put("totalRecords", allData.size());
+        dashboard.put("reportTypes", Arrays.asList(
+            Map.of("value", "overview", "label", "综合概览"),
+            Map.of("value", "revenue", "label", "收入分析"),
+            Map.of("value", "department", "label", "科室分析"),
+            Map.of("value", "drg", "label", "DRG分析")
+        ));
+
+        LambdaQueryWrapper<DrgPerformance> perfW = new LambdaQueryWrapper<>();
+        perfW.orderByDesc(DrgPerformance::getStatMonth).last("LIMIT 1");
+        List<DrgPerformance> latestPerf = drgPerformanceService.list(perfW);
+        if (!latestPerf.isEmpty()) {
+            DrgPerformance p = latestPerf.get(0);
+            dashboard.put("latestCmiValue", p.getCmiValue());
+            dashboard.put("latestCostControlRate", p.getCostControlRate());
+            dashboard.put("latestDrgCases", p.getTotalCases());
+        }
+
+        return R.ok(dashboard);
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/controller/BiReportController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/controller/BiReportController.java
new file mode 100644
index 000000000..a7d3dbcd0
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/controller/BiReportController.java
@@ -0,0 +1,33 @@
+package com.healthlink.his.web.reportmanage.controller;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.web.reportmanage.appservice.IBiReportAppService;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.Map;
+
+@AllArgsConstructor
+@RestController("reportBiReportController")
+@RequestMapping("/report/bi")
+@Slf4j
+public class BiReportController {
+
+    private final IBiReportAppService biReportAppService;
+
+    @PostMapping("/generate")
+    @PreAuthorize("hasAuthority('reportmanage:report:edit')")
+    public R<?> generateBiReport(
+            @RequestParam(required = false, defaultValue = "overview") String type,
+            @RequestBody(required = false) Map<String, Object> filters) {
+        return biReportAppService.generateBiReport(type, filters);
+    }
+
+    @GetMapping("/dashboard")
+    @PreAuthorize("hasAuthority('reportmanage:report:list')")
+    public R<?> getReportDashboard() {
+        return biReportAppService.getReportDashboard();
+    }
+}

From 91236c54998277bfb8b0a4c97c5fcab7d22a5d86 Mon Sep 17 00:00:00 2001
From: chenqi <chen.qi@jin-group.cn>
Date: Fri, 19 Jun 2026 07:17:13 +0800
Subject: [PATCH 6/9] feat(aidiagnosis): add AI-assisted diagnosis suggestion
 module

---
 .../db/migration/V87__ai_diagnosis.sql        |  32 +++
 .../AiDiagnosisSuggestionMapper.xml           |  28 +++
 .../domain/AiDiagnosisSuggestion.java         |  40 ++++
 .../mapper/AiDiagnosisSuggestionMapper.java   |   9 +
 .../service/IAiDiagnosisService.java          |  13 ++
 .../service/impl/AiDiagnosisServiceImpl.java  |  30 +++
 .../src/api/aidiagnosis/aiDiagnosis.js        |  30 +++
 .../views/aidiagnosis/AiDiagnosisSuggest.vue  | 186 ++++++++++++++++++
 8 files changed, 368 insertions(+)
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V87__ai_diagnosis.sql
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/resources/mapper/aidiagnosis/AiDiagnosisSuggestionMapper.xml
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/aidiagnosis/domain/AiDiagnosisSuggestion.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/aidiagnosis/mapper/AiDiagnosisSuggestionMapper.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/aidiagnosis/service/IAiDiagnosisService.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/aidiagnosis/service/impl/AiDiagnosisServiceImpl.java
 create mode 100644 healthlink-his-ui/src/api/aidiagnosis/aiDiagnosis.js
 create mode 100644 healthlink-his-ui/src/views/aidiagnosis/AiDiagnosisSuggest.vue

diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V87__ai_diagnosis.sql b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V87__ai_diagnosis.sql
new file mode 100644
index 000000000..d58771a63
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V87__ai_diagnosis.sql
@@ -0,0 +1,32 @@
+-- V87: AI辅助诊疗 - AI诊断建议表
+
+CREATE TABLE ai_diagnosis_suggestion (
+    id BIGSERIAL PRIMARY KEY,
+    encounter_id BIGINT NOT NULL,
+    patient_id BIGINT NOT NULL,
+    symptom_text TEXT,
+    diagnosis_suggestions TEXT,
+    confidence_score DECIMAL(5,2),
+    suggestion_source VARCHAR(32),
+    accepted BOOLEAN DEFAULT FALSE,
+    tenant_id BIGINT DEFAULT 0,
+    delete_flag CHAR(1) DEFAULT '0',
+    create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
+    create_by VARCHAR(64),
+    update_time TIMESTAMP,
+    update_by VARCHAR(64)
+);
+
+COMMENT ON TABLE ai_diagnosis_suggestion IS 'AI辅助诊疗建议';
+COMMENT ON COLUMN ai_diagnosis_suggestion.id IS '建议ID';
+COMMENT ON COLUMN ai_diagnosis_suggestion.encounter_id IS '就诊ID';
+COMMENT ON COLUMN ai_diagnosis_suggestion.patient_id IS '患者ID';
+COMMENT ON COLUMN ai_diagnosis_suggestion.symptom_text IS '症状描述';
+COMMENT ON COLUMN ai_diagnosis_suggestion.diagnosis_suggestions IS '诊断建议';
+COMMENT ON COLUMN ai_diagnosis_suggestion.confidence_score IS '置信度(0-100)';
+COMMENT ON COLUMN ai_diagnosis_suggestion.suggestion_source IS '建议来源(llm/rule/manual)';
+COMMENT ON COLUMN ai_diagnosis_suggestion.accepted IS '是否采纳';
+
+CREATE INDEX idx_ai_diag_encounter ON ai_diagnosis_suggestion(encounter_id);
+CREATE INDEX idx_ai_diag_patient ON ai_diagnosis_suggestion(patient_id);
+CREATE INDEX idx_ai_diag_source ON ai_diagnosis_suggestion(suggestion_source);
diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/aidiagnosis/AiDiagnosisSuggestionMapper.xml b/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/aidiagnosis/AiDiagnosisSuggestionMapper.xml
new file mode 100644
index 000000000..5beb677e4
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/aidiagnosis/AiDiagnosisSuggestionMapper.xml
@@ -0,0 +1,28 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<!DOCTYPE mapper PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN" "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
+<mapper namespace="com.healthlink.his.aidiagnosis.mapper.AiDiagnosisSuggestionMapper">
+
+    <resultMap type="com.healthlink.his.aidiagnosis.domain.AiDiagnosisSuggestion" id="AiDiagnosisSuggestionResult">
+        <id column="id" property="id"/>
+        <result column="encounter_id" property="encounterId"/>
+        <result column="patient_id" property="patientId"/>
+        <result column="symptom_text" property="symptomText"/>
+        <result column="diagnosis_suggestions" property="diagnosisSuggestions"/>
+        <result column="confidence_score" property="confidenceScore"/>
+        <result column="suggestion_source" property="suggestionSource"/>
+        <result column="accepted" property="accepted"/>
+        <result column="tenant_id" property="tenantId"/>
+        <result column="create_by" property="createBy"/>
+        <result column="create_time" property="createTime"/>
+        <result column="update_by" property="updateBy"/>
+        <result column="update_time" property="updateTime"/>
+        <result column="delete_flag" property="deleteFlag"/>
+    </resultMap>
+
+    <sql id="Base_Column_List">
+        id, encounter_id, patient_id, symptom_text, diagnosis_suggestions,
+        confidence_score, suggestion_source, accepted,
+        tenant_id, create_by, create_time, update_by, update_time, delete_flag
+    </sql>
+
+</mapper>
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/aidiagnosis/domain/AiDiagnosisSuggestion.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/aidiagnosis/domain/AiDiagnosisSuggestion.java
new file mode 100644
index 000000000..b65568325
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/aidiagnosis/domain/AiDiagnosisSuggestion.java
@@ -0,0 +1,40 @@
+package com.healthlink.his.aidiagnosis.domain;
+
+import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableId;
+import com.baomidou.mybatisplus.annotation.TableName;
+import com.core.common.core.domain.HisBaseEntity;
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import lombok.experimental.Accessors;
+
+import java.math.BigDecimal;
+
+@Data
+@EqualsAndHashCode(callSuper = false)
+@Accessors(chain = true)
+@TableName("ai_diagnosis_suggestion")
+public class AiDiagnosisSuggestion extends HisBaseEntity {
+
+    @TableId(type = IdType.ASSIGN_ID)
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long id;
+
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long encounterId;
+
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long patientId;
+
+    private String symptomText;
+
+    private String diagnosisSuggestions;
+
+    private BigDecimal confidenceScore;
+
+    private String suggestionSource;
+
+    private Boolean accepted;
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/aidiagnosis/mapper/AiDiagnosisSuggestionMapper.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/aidiagnosis/mapper/AiDiagnosisSuggestionMapper.java
new file mode 100644
index 000000000..2094ed8ba
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/aidiagnosis/mapper/AiDiagnosisSuggestionMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.aidiagnosis.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.aidiagnosis.domain.AiDiagnosisSuggestion;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface AiDiagnosisSuggestionMapper extends BaseMapper<AiDiagnosisSuggestion> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/aidiagnosis/service/IAiDiagnosisService.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/aidiagnosis/service/IAiDiagnosisService.java
new file mode 100644
index 000000000..b382a6df3
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/aidiagnosis/service/IAiDiagnosisService.java
@@ -0,0 +1,13 @@
+package com.healthlink.his.aidiagnosis.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.aidiagnosis.domain.AiDiagnosisSuggestion;
+
+import java.util.List;
+
+public interface IAiDiagnosisService extends IService<AiDiagnosisSuggestion> {
+
+    List<AiDiagnosisSuggestion> findByPatientId(Long patientId);
+
+    List<AiDiagnosisSuggestion> findByEncounterId(Long encounterId);
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/aidiagnosis/service/impl/AiDiagnosisServiceImpl.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/aidiagnosis/service/impl/AiDiagnosisServiceImpl.java
new file mode 100644
index 000000000..ded74494b
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/aidiagnosis/service/impl/AiDiagnosisServiceImpl.java
@@ -0,0 +1,30 @@
+package com.healthlink.his.aidiagnosis.service.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.aidiagnosis.domain.AiDiagnosisSuggestion;
+import com.healthlink.his.aidiagnosis.mapper.AiDiagnosisSuggestionMapper;
+import com.healthlink.his.aidiagnosis.service.IAiDiagnosisService;
+import org.springframework.stereotype.Service;
+
+import java.util.List;
+
+@Service
+public class AiDiagnosisServiceImpl extends ServiceImpl<AiDiagnosisSuggestionMapper, AiDiagnosisSuggestion> implements IAiDiagnosisService {
+
+    @Override
+    public List<AiDiagnosisSuggestion> findByPatientId(Long patientId) {
+        LambdaQueryWrapper<AiDiagnosisSuggestion> wrapper = new LambdaQueryWrapper<>();
+        wrapper.eq(AiDiagnosisSuggestion::getPatientId, patientId)
+               .orderByDesc(AiDiagnosisSuggestion::getCreateTime);
+        return baseMapper.selectList(wrapper);
+    }
+
+    @Override
+    public List<AiDiagnosisSuggestion> findByEncounterId(Long encounterId) {
+        LambdaQueryWrapper<AiDiagnosisSuggestion> wrapper = new LambdaQueryWrapper<>();
+        wrapper.eq(AiDiagnosisSuggestion::getEncounterId, encounterId)
+               .orderByDesc(AiDiagnosisSuggestion::getCreateTime);
+        return baseMapper.selectList(wrapper);
+    }
+}
diff --git a/healthlink-his-ui/src/api/aidiagnosis/aiDiagnosis.js b/healthlink-his-ui/src/api/aidiagnosis/aiDiagnosis.js
new file mode 100644
index 000000000..4cb5ec09b
--- /dev/null
+++ b/healthlink-his-ui/src/api/aidiagnosis/aiDiagnosis.js
@@ -0,0 +1,30 @@
+import request from '@/utils/request'
+
+export function aiDiagnosisSuggest(data) {
+  return request({
+    url: '/ai-diagnosis/suggest',
+    method: 'post',
+    params: data
+  })
+}
+
+export function getAiDiagnosisHistory(patientId) {
+  return request({
+    url: '/ai-diagnosis/history/' + patientId,
+    method: 'get'
+  })
+}
+
+export function getAiDiagnosisHistoryByEncounter(encounterId) {
+  return request({
+    url: '/ai-diagnosis/history/encounter/' + encounterId,
+    method: 'get'
+  })
+}
+
+export function acceptAiDiagnosis(id) {
+  return request({
+    url: '/ai-diagnosis/accept/' + id,
+    method: 'post'
+  })
+}
diff --git a/healthlink-his-ui/src/views/aidiagnosis/AiDiagnosisSuggest.vue b/healthlink-his-ui/src/views/aidiagnosis/AiDiagnosisSuggest.vue
new file mode 100644
index 000000000..5e92d576a
--- /dev/null
+++ b/healthlink-his-ui/src/views/aidiagnosis/AiDiagnosisSuggest.vue
@@ -0,0 +1,186 @@
+<template>
+  <div class="app-container">
+    <el-form :model="queryParams" ref="queryFormRef" :inline="true" v-show="showSearch" label-width="100px">
+      <el-form-item label="患者ID" prop="patientId">
+        <el-input v-model="queryParams.patientId" placeholder="请输入患者ID" clearable style="width: 180px" @keyup.enter="handleQuery" />
+      </el-form-item>
+      <el-form-item>
+        <el-button type="primary" icon="Search" @click="handleQuery">查询历史</el-button>
+        <el-button icon="Refresh" @click="resetQuery">重置</el-button>
+        <el-button type="success" icon="MagicStick" @click="handleNewSuggest">AI辅助诊断</el-button>
+      </el-form-item>
+    </el-form>
+
+    <vxe-table :data="historyList" :loading="loading" border stripe height="auto">
+      <vxe-column type="seq" title="序号" width="70" />
+      <vxe-column field="encounterId" title="就诊ID" width="100" />
+      <vxe-column field="symptomText" title="症状描述" min-width="200" show-overflow />
+      <vxe-column field="diagnosisSuggestions" title="AI诊断建议" min-width="300" show-overflow />
+      <vxe-column field="confidenceScore" title="置信度" width="100" align="center">
+        <template #default="{ row }">
+          <el-progress :percentage="Number(row.confidenceScore) || 0" :stroke-width="12" :text-inside="true" />
+        </template>
+      </vxe-column>
+      <vxe-column field="suggestionSource" title="来源" width="90" align="center">
+        <template #default="{ row }">
+          <el-tag size="small" :type="row.suggestionSource === 'llm' ? 'success' : 'info'">{{ row.suggestionSource }}</el-tag>
+        </template>
+      </vxe-column>
+      <vxe-column field="accepted" title="状态" width="90" align="center">
+        <template #default="{ row }">
+          <el-tag :type="row.accepted ? 'success' : 'warning'" size="small">{{ row.accepted ? '已采纳' : '待处理' }}</el-tag>
+        </template>
+      </vxe-column>
+      <vxe-column field="createTime" title="创建时间" width="170" />
+      <vxe-column title="操作" width="120" fixed="right" align="center">
+        <template #default="{ row }">
+          <el-button v-if="!row.accepted" link type="primary" icon="Check" v-hasPermi="['cdss:alert:acknowledge']" @click="handleAccept(row)">采纳</el-button>
+          <span v-else class="text-gray">-</span>
+        </template>
+      </vxe-column>
+    </vxe-table>
+
+    <el-dialog title="AI辅助诊断" v-model="suggestDialogVisible" width="600px" append-to-body>
+      <el-form :model="suggestForm" label-width="100px">
+        <el-form-item label="就诊ID" required>
+          <el-input v-model="suggestForm.encounterId" placeholder="请输入就诊ID" />
+        </el-form-item>
+        <el-form-item label="患者ID" required>
+          <el-input v-model="suggestForm.patientId" placeholder="请输入患者ID" />
+        </el-form-item>
+        <el-form-item label="症状描述" required>
+          <el-input v-model="suggestForm.symptomText" type="textarea" :rows="4" placeholder="请输入患者症状描述，如：发热3天，伴咳嗽" />
+        </el-form-item>
+        <el-form-item label="建议来源">
+          <el-select v-model="suggestForm.source" placeholder="请选择" clearable>
+            <el-option label="AI大模型" value="llm" />
+            <el-option label="规则引擎" value="rule" />
+          </el-select>
+        </el-form-item>
+      </el-form>
+      <div v-if="suggestResult" class="suggest-result">
+        <el-divider content-position="left">AI诊断结果</el-divider>
+        <el-descriptions :column="1" border size="small">
+          <el-descriptions-item label="诊断建议">{{ suggestResult.diagnosisSuggestions }}</el-descriptions-item>
+          <el-descriptions-item label="置信度">
+            <el-progress :percentage="Number(suggestResult.confidenceScore) || 0" :stroke-width="14" :text-inside="true" />
+          </el-descriptions-item>
+          <el-descriptions-item label="建议来源">{{ suggestResult.suggestionSource }}</el-descriptions-item>
+        </el-descriptions>
+      </div>
+      <template #footer>
+        <el-button @click="suggestDialogVisible = false">关闭</el-button>
+        <el-button v-if="!suggestResult" type="primary" :loading="suggestLoading" @click="submitSuggest">获取建议</el-button>
+        <el-button v-if="suggestResult" type="success" @click="handleQuery">查看历史</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup name="AiDiagnosisSuggest">
+import { ref, reactive } from 'vue'
+import { ElMessage } from 'element-plus'
+import { aiDiagnosisSuggest, getAiDiagnosisHistory, acceptAiDiagnosis } from '@/api/aidiagnosis/aiDiagnosis'
+
+const historyList = ref([])
+const loading = ref(false)
+const showSearch = ref(true)
+
+const queryParams = reactive({
+  patientId: ''
+})
+
+const suggestDialogVisible = ref(false)
+const suggestLoading = ref(false)
+const suggestResult = ref(null)
+const suggestForm = reactive({
+  encounterId: '',
+  patientId: '',
+  symptomText: '',
+  source: 'llm'
+})
+
+const getList = async () => {
+  if (!queryParams.patientId) {
+    historyList.value = []
+    return
+  }
+  loading.value = true
+  try {
+    const res = await getAiDiagnosisHistory(queryParams.patientId)
+    if (res.code === 200) {
+      historyList.value = res.data || []
+    }
+  } finally {
+    loading.value = false
+  }
+}
+
+const handleQuery = () => {
+  getList()
+}
+
+const resetQuery = () => {
+  queryParams.patientId = ''
+  historyList.value = []
+}
+
+const handleNewSuggest = () => {
+  suggestForm.encounterId = ''
+  suggestForm.patientId = ''
+  suggestForm.symptomText = ''
+  suggestForm.source = 'llm'
+  suggestResult.value = null
+  suggestDialogVisible.value = true
+}
+
+const submitSuggest = async () => {
+  if (!suggestForm.encounterId || !suggestForm.patientId) {
+    ElMessage.error('就诊ID和患者ID不能为空')
+    return
+  }
+  if (!suggestForm.symptomText.trim()) {
+    ElMessage.error('症状描述不能为空')
+    return
+  }
+  suggestLoading.value = true
+  try {
+    const res = await aiDiagnosisSuggest({
+      encounterId: suggestForm.encounterId,
+      patientId: suggestForm.patientId,
+      symptomText: suggestForm.symptomText,
+      source: suggestForm.source
+    })
+    if (res.code === 200) {
+      suggestResult.value = res.data
+      ElMessage.success('AI诊断建议已生成')
+    } else {
+      ElMessage.error(res.msg || '生成建议失败')
+    }
+  } catch (e) {
+    ElMessage.error('生成建议失败')
+  } finally {
+    suggestLoading.value = false
+  }
+}
+
+const handleAccept = async (row) => {
+  try {
+    const res = await acceptAiDiagnosis(row.id)
+    if (res.code === 200) {
+      ElMessage.success('已采纳该建议')
+      getList()
+    } else {
+      ElMessage.error(res.msg || '操作失败')
+    }
+  } catch (e) {
+    ElMessage.error('操作失败')
+  }
+}
+</script>
+
+<style scoped>
+.suggest-result {
+  margin-top: 16px;
+}
+</style>

From 554c1fe97b25daceddb1001cf890759a3a75c854 Mon Sep 17 00:00:00 2001
From: chenqi <chen.qi@jin-group.cn>
Date: Fri, 19 Jun 2026 07:17:15 +0800
Subject: [PATCH 7/9] feat(data-platform): implement P2.2 data collection, BI
 report engine, and data dashboard

- DataCollection module: clinical/operational data collection APIs
- BiReport engine: generate reports (revenue/department/drg) + dashboard
- DataDashboard: realtime and historical data screen with ECharts-style cards
- All endpoints secured with @PreAuthorize
- Frontend: BiDashboard.vue + DataDashboard.vue + API files
---
 .../impl/DataDashboardAppServiceImpl.java     |   5 +-
 .../his/web/reportmanage/dto/BiReportDto.java |  17 +++
 .../src/api/datacollection/index.js           |  32 ++++
 healthlink-his-ui/src/api/reportmanage/bi.js  |  17 +++
 .../views/datacollection/DataDashboard.vue    | 144 ++++++++++++++++++
 .../src/views/reportmanage/BiDashboard.vue    | 131 ++++++++++++++++
 6 files changed, 344 insertions(+), 2 deletions(-)
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/dto/BiReportDto.java
 create mode 100644 healthlink-his-ui/src/api/datacollection/index.js
 create mode 100644 healthlink-his-ui/src/api/reportmanage/bi.js
 create mode 100644 healthlink-his-ui/src/views/datacollection/DataDashboard.vue
 create mode 100644 healthlink-his-ui/src/views/reportmanage/BiDashboard.vue

diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/impl/DataDashboardAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/impl/DataDashboardAppServiceImpl.java
index 8bcdf11d0..d54a69182 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/impl/DataDashboardAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/datacollection/appservice/impl/DataDashboardAppServiceImpl.java
@@ -89,9 +89,10 @@ public class DataDashboardAppServiceImpl implements IDataDashboardAppService {
             cutoffDate = java.time.LocalDate.now().minusYears(1).toString();
         }
 
-        if (cutoffDate != null) {
+        final String finalCutoff = cutoffDate;
+        if (finalCutoff != null) {
             allData = allData.stream()
-                .filter(ba -> ba.getStatDate() != null && ba.getStatDate().compareTo(cutoffDate) >= 0)
+                .filter(ba -> ba.getStatDate() != null && ba.getStatDate().compareTo(finalCutoff) >= 0)
                 .collect(Collectors.toList());
         }
 
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/dto/BiReportDto.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/dto/BiReportDto.java
new file mode 100644
index 000000000..7dcb036bb
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/dto/BiReportDto.java
@@ -0,0 +1,17 @@
+package com.healthlink.his.web.reportmanage.dto;
+
+import lombok.Data;
+import lombok.experimental.Accessors;
+
+import java.util.List;
+import java.util.Map;
+
+@Data
+@Accessors(chain = true)
+public class BiReportDto {
+    private String reportType;
+    private String title;
+    private List<Map<String, Object>> records;
+    private Map<String, Object> summary;
+    private List<Map<String, Object>> charts;
+}
diff --git a/healthlink-his-ui/src/api/datacollection/index.js b/healthlink-his-ui/src/api/datacollection/index.js
new file mode 100644
index 000000000..8a8d3099e
--- /dev/null
+++ b/healthlink-his-ui/src/api/datacollection/index.js
@@ -0,0 +1,32 @@
+import request from '@/utils/request'
+
+export function collectClinicalData(data) {
+  return request({
+    url: '/data/collect/clinical',
+    method: 'post',
+    params: data
+  })
+}
+
+export function collectOperationalData(data) {
+  return request({
+    url: '/data/collect/operational',
+    method: 'post',
+    params: data
+  })
+}
+
+export function getRealtimeData() {
+  return request({
+    url: '/data/dashboard/realtime',
+    method: 'get'
+  })
+}
+
+export function getHistoricalData(params) {
+  return request({
+    url: '/data/dashboard/historical',
+    method: 'get',
+    params: params
+  })
+}
diff --git a/healthlink-his-ui/src/api/reportmanage/bi.js b/healthlink-his-ui/src/api/reportmanage/bi.js
new file mode 100644
index 000000000..35fe3b024
--- /dev/null
+++ b/healthlink-his-ui/src/api/reportmanage/bi.js
@@ -0,0 +1,17 @@
+import request from '@/utils/request'
+
+export function generateBiReport(data) {
+  return request({
+    url: '/report/bi/generate',
+    method: 'post',
+    params: { type: data.type },
+    data: data.filters || {}
+  })
+}
+
+export function getBiDashboard() {
+  return request({
+    url: '/report/bi/dashboard',
+    method: 'get'
+  })
+}
diff --git a/healthlink-his-ui/src/views/datacollection/DataDashboard.vue b/healthlink-his-ui/src/views/datacollection/DataDashboard.vue
new file mode 100644
index 000000000..edce28fed
--- /dev/null
+++ b/healthlink-his-ui/src/views/datacollection/DataDashboard.vue
@@ -0,0 +1,144 @@
+<template>
+  <div class="app-container">
+    <el-card shadow="never">
+      <template #header>
+        <div class="card-header">
+          <span>数据大屏</span>
+          <div>
+            <el-select v-model="period" placeholder="时间范围" style="margin-right:10px;width:120px" @change="loadHistorical">
+              <el-option label="本周" value="week" />
+              <el-option label="本月" value="month" />
+              <el-option label="本季度" value="quarter" />
+              <el-option label="本年度" value="year" />
+              <el-option label="全部" value="all" />
+            </el-select>
+            <el-button type="primary" :loading="loading" @click="loadData">刷新</el-button>
+          </div>
+        </div>
+      </template>
+
+      <el-row :gutter="16" class="mb16">
+        <el-col :span="6">
+          <el-card shadow="hover" :body-style="{padding:'16px'}" class="stat-card">
+            <div style="text-align:center">
+              <div style="font-size:28px;font-weight:bold;color:#409eff">{{ formatMoney(screenData.totalRevenue) }}</div>
+              <div style="font-size:13px;color:#999;margin-top:4px">总收入(万)</div>
+            </div>
+          </el-card>
+        </el-col>
+        <el-col :span="6">
+          <el-card shadow="hover" :body-style="{padding:'16px'}" class="stat-card">
+            <div style="text-align:center">
+              <div style="font-size:28px;font-weight:bold;color:#67c23a">{{ formatMoney(screenData.totalProfit) }}</div>
+              <div style="font-size:13px;color:#999;margin-top:4px">总利润(万)</div>
+            </div>
+          </el-card>
+        </el-col>
+        <el-col :span="6">
+          <el-card shadow="hover" :body-style="{padding:'16px'}" class="stat-card">
+            <div style="text-align:center">
+              <div style="font-size:28px;font-weight:bold;color:#e6a23c">{{ screenData.totalPatients || 0 }}</div>
+              <div style="font-size:13px;color:#999;margin-top:4px">总患者数</div>
+            </div>
+          </el-card>
+        </el-col>
+        <el-col :span="6">
+          <el-card shadow="hover" :body-style="{padding:'16px'}" class="stat-card">
+            <div style="text-align:center">
+              <div style="font-size:28px;font-weight:bold;color:#f56c6c">{{ screenData.latestDrgCases || 0 }}</div>
+              <div style="font-size:13px;color:#999;margin-top:4px">DRG病例数</div>
+            </div>
+          </el-card>
+        </el-col>
+      </el-row>
+
+      <el-row :gutter="16" class="mb16">
+        <el-col :span="6">
+          <el-card shadow="hover" :body-style="{padding:'16px'}">
+            <div style="text-align:center">
+              <div style="font-size:22px;font-weight:bold;color:#409eff">{{ formatMoney(screenData.totalCost) }}</div>
+              <div style="font-size:13px;color:#999;margin-top:4px">总成本(万)</div>
+            </div>
+          </el-card>
+        </el-col>
+        <el-col :span="6">
+          <el-card shadow="hover" :body-style="{padding:'16px'}">
+            <div style="text-align:center">
+              <div style="font-size:22px;font-weight:bold;color:#67c23a">{{ screenData.latestCmiValue || '-' }}</div>
+              <div style="font-size:13px;color:#999;margin-top:4px">最新CMI值</div>
+            </div>
+          </el-card>
+        </el-col>
+        <el-col :span="6">
+          <el-card shadow="hover" :body-style="{padding:'16px'}">
+            <div style="text-align:center">
+              <div style="font-size:22px;font-weight:bold;color:#e6a23c">{{ screenData.latestCostControlRate || '-' }}%</div>
+              <div style="font-size:13px;color:#999;margin-top:4px">成本控制率</div>
+            </div>
+          </el-card>
+        </el-col>
+        <el-col :span="6">
+          <el-card shadow="hover" :body-style="{padding:'16px'}">
+            <div style="text-align:center">
+              <div style="font-size:22px;font-weight:bold;color:#909399">{{ screenData.totalRecords || 0 }}</div>
+              <div style="font-size:13px;color:#999;margin-top:4px">数据记录数</div>
+            </div>
+          </el-card>
+        </el-col>
+      </el-row>
+    </el-card>
+
+    <el-card shadow="never" class="mt16">
+      <template #header>
+        <span>科室收入分布</span>
+      </template>
+      <el-table :data="screenData.departmentChart || []" border stripe size="small">
+        <el-table-column prop="department" label="科室" width="180" show-overflow-tooltip />
+        <el-table-column label="收入(万)" align="right">
+          <template #default="{ row }">{{ formatMoney(row.revenue) }}</template>
+        </el-table-column>
+      </el-table>
+    </el-card>
+  </div>
+</template>
+
+<script setup name="DataDashboard" lang="ts">
+import { ref, onMounted } from 'vue'
+import { getRealtimeData, getHistoricalData } from '@/api/datacollection'
+
+const loading = ref(false)
+const period = ref('month')
+const screenData = ref({})
+
+function formatMoney(val) {
+  if (!val) return '0.00'
+  return (val / 10000).toFixed(2)
+}
+
+function loadData() {
+  loading.value = true
+  if (period.value === 'all') {
+    getRealtimeData().then(res => {
+      screenData.value = res.data || {}
+    }).finally(() => { loading.value = false })
+  } else {
+    getHistoricalData({ period: period.value }).then(res => {
+      screenData.value = res.data || {}
+    }).finally(() => { loading.value = false })
+  }
+}
+
+function loadHistorical() {
+  loadData()
+}
+
+onMounted(() => loadData())
+</script>
+
+<style lang="scss" scoped>
+.app-container { padding: 20px; }
+.mt16 { margin-top: 16px; }
+.mb16 { margin-bottom: 16px; }
+.stat-card { border-left: 3px solid; }
+.card-header { display: flex; justify-content: space-between; align-items: center; }
+</style>
diff --git a/healthlink-his-ui/src/views/reportmanage/BiDashboard.vue b/healthlink-his-ui/src/views/reportmanage/BiDashboard.vue
new file mode 100644
index 000000000..aac17cefe
--- /dev/null
+++ b/healthlink-his-ui/src/views/reportmanage/BiDashboard.vue
@@ -0,0 +1,131 @@
+<template>
+  <div class="app-container">
+    <el-card shadow="never">
+      <template #header>
+        <div class="card-header">
+          <span>BI决策报表</span>
+          <div>
+            <el-select v-model="reportType" placeholder="报表类型" style="margin-right:10px;width:140px" @change="loadDashboard">
+              <el-option v-for="item in reportTypes" :key="item.value" :label="item.label" :value="item.value" />
+            </el-select>
+            <el-button type="primary" :loading="loading" @click="handleGenerate">生成报表</el-button>
+          </div>
+        </div>
+      </template>
+
+      <el-row :gutter="16" class="mb16">
+        <el-col :span="4" v-for="card in summaryCards" :key="card.label">
+          <el-card shadow="hover" :body-style="{padding:'12px'}">
+            <div style="text-align:center">
+              <div :style="{fontSize:'20px',fontWeight:'bold',color:card.color}">{{ card.value }}</div>
+              <div style="font-size:12px;color:#999;margin-top:4px">{{ card.label }}</div>
+            </div>
+          </el-card>
+        </el-col>
+      </el-row>
+    </el-card>
+
+    <el-card v-if="report" shadow="never" class="mt16">
+      <template #header>
+        <span>报表数据 — {{ report.reportType }}</span>
+      </template>
+      <el-table :data="report.records || []" border stripe size="small" max-height="400">
+        <el-table-column prop="statDate" label="日期" width="110" align="center" />
+        <el-table-column prop="departmentName" label="科室" width="140" show-overflow-tooltip />
+        <el-table-column label="收入(万)" width="110" align="right">
+          <template #default="{ row }">{{ formatMoney(row.revenue) }}</template>
+        </el-table-column>
+        <el-table-column label="成本(万)" width="110" align="right">
+          <template #default="{ row }">{{ formatMoney(row.cost) }}</template>
+        </el-table-column>
+        <el-table-column prop="patientCount" label="患者数" width="90" align="center" />
+      </el-table>
+    </el-card>
+
+    <el-row v-if="report && report.charts" :gutter="16" class="mt16">
+      <el-col :span="12" v-if="report.charts.revenueChart && report.charts.revenueChart.length">
+        <el-card shadow="never">
+          <template #header><span>月度收支趋势</span></template>
+          <el-table :data="report.charts.revenueChart" border size="small">
+            <el-table-column prop="month" label="月份" width="100" align="center" />
+            <el-table-column label="收入(万)" align="right">
+              <template #default="{ row }">{{ formatMoney(row.revenue) }}</template>
+            </el-table-column>
+            <el-table-column label="成本(万)" align="right">
+              <template #default="{ row }">{{ formatMoney(row.cost) }}</template>
+            </el-table-column>
+          </el-table>
+        </el-card>
+      </el-col>
+      <el-col :span="12" v-if="report.charts.departmentChart && report.charts.departmentChart.length">
+        <el-card shadow="never">
+          <template #header><span>科室收入分布</span></template>
+          <el-table :data="report.charts.departmentChart" border size="small">
+            <el-table-column prop="department" label="科室" width="160" show-overflow-tooltip />
+            <el-table-column label="收入(万)" align="right">
+              <template #default="{ row }">{{ formatMoney(row.revenue) }}</template>
+            </el-table-column>
+          </el-table>
+        </el-card>
+      </el-col>
+    </el-row>
+  </div>
+</template>
+
+<script setup name="BiDashboard" lang="ts">
+import { ref, computed, onMounted } from 'vue'
+import { ElMessage } from 'element-plus'
+import { generateBiReport, getBiDashboard } from '@/api/reportmanage/bi'
+
+const loading = ref(false)
+const reportType = ref('overview')
+const dashboard = ref(null)
+const report = ref(null)
+const reportTypes = ref([])
+
+const summaryCards = computed(() => {
+  if (!dashboard.value) return []
+  const d = dashboard.value
+  return [
+    { label: '总收入(万)', value: formatMoney(d.totalRevenue), color: '#409eff' },
+    { label: '总成本(万)', value: formatMoney(d.totalCost), color: '#67c23a' },
+    { label: '总利润(万)', value: formatMoney(d.totalProfit), color: '#e6a23c' },
+    { label: '总患者数', value: d.totalPatients || 0, color: '#f56c6c' },
+    { label: '数据记录数', value: d.totalRecords || 0, color: '#909399' },
+    { label: 'CMI值', value: d.latestCmiValue || '-', color: '#409eff' }
+  ]
+})
+
+function formatMoney(val) {
+  if (!val) return '0.00'
+  return (val / 10000).toFixed(2)
+}
+
+function loadDashboard() {
+  loading.value = true
+  getBiDashboard().then(res => {
+    dashboard.value = res.data || {}
+    reportTypes.value = res.data?.reportTypes || []
+  }).finally(() => { loading.value = false })
+}
+
+function handleGenerate() {
+  loading.value = true
+  generateBiReport({ type: reportType.value }).then(res => {
+    report.value = res.data
+    ElMessage.success('报表生成完成')
+  }).catch(() => {
+    report.value = null
+    ElMessage.error('生成失败')
+  }).finally(() => { loading.value = false })
+}
+
+onMounted(() => loadDashboard())
+</script>
+
+<style lang="scss" scoped>
+.app-container { padding: 20px; }
+.mt16 { margin-top: 16px; }
+.mb16 { margin-bottom: 16px; }
+.card-header { display: flex; justify-content: space-between; align-items: center; }
+</style>

From deafee06217142a4c53fa03b5f3627acfc9b25b9 Mon Sep 17 00:00:00 2001
From: chenqi <chen.qi@jin-group.cn>
Date: Fri, 19 Jun 2026 07:41:03 +0800
Subject: [PATCH 8/9] =?UTF-8?q?feat(kg):=20=E5=8C=BB=E7=96=97=E7=9F=A5?=
 =?UTF-8?q?=E8=AF=86=E5=9B=BE=E8=B0=B1=E5=85=A8=E6=A0=88=E5=AE=9E=E7=8E=B0?=
MIME-Version: 1.0
Content-Type: text/plain; charset=UTF-8
Content-Transfer-Encoding: 8bit

---
 .../appservice/IKgEntityAppService.java       |  47 +++
 .../impl/KgEntityAppServiceImpl.java          | 256 +++++++++++++++
 .../controller/KgEntityController.java        | 301 ++++++++++++++++++
 .../web/knowledgegraph/dto/KgDiseaseDto.java  |  27 ++
 .../his/web/knowledgegraph/dto/KgDrugDto.java |  29 ++
 .../knowledgegraph/dto/KgExaminationDto.java  |  27 ++
 .../web/knowledgegraph/dto/KgSymptomDto.java  |  25 ++
 .../his/knowledgegraph/domain/KgDisease.java  |  32 ++
 .../his/knowledgegraph/domain/KgDrug.java     |  34 ++
 .../knowledgegraph/domain/KgExamination.java  |  32 ++
 .../his/knowledgegraph/domain/KgSymptom.java  |  30 ++
 .../mapper/KgDiseaseMapper.java               |   9 +
 .../knowledgegraph/mapper/KgDrugMapper.java   |   9 +
 .../mapper/KgExaminationMapper.java           |   9 +
 .../mapper/KgSymptomMapper.java               |   9 +
 .../service/IKgDiseaseService.java            |   7 +
 .../service/IKgDrugService.java               |   7 +
 .../service/IKgExaminationService.java        |   7 +
 .../service/IKgSymptomService.java            |   7 +
 .../service/impl/KgDiseaseServiceImpl.java    |  11 +
 .../service/impl/KgDrugServiceImpl.java       |  11 +
 .../impl/KgExaminationServiceImpl.java        |  11 +
 .../service/impl/KgSymptomServiceImpl.java    |  11 +
 .../mapper/knowledgegraph/KgDiseaseMapper.xml |   7 +
 .../mapper/knowledgegraph/KgDrugMapper.xml    |   7 +
 .../knowledgegraph/KgExaminationMapper.xml    |   7 +
 .../mapper/knowledgegraph/KgSymptomMapper.xml |   7 +
 .../src/api/knowledgegraph/api.js             | 105 ++++++
 .../src/views/knowledgegraph/DiseaseForm.vue  |  94 ++++++
 .../src/views/knowledgegraph/DiseaseList.vue  | 121 +++++++
 .../src/views/knowledgegraph/DrugList.vue     | 146 +++++++++
 .../views/knowledgegraph/ExaminationList.vue  | 143 +++++++++
 .../views/knowledgegraph/KnowledgeGraph.vue   | 178 +++++++++++
 .../src/views/knowledgegraph/PathwayEdit.vue  | 120 +++++++
 .../src/views/knowledgegraph/PathwayList.vue  | 119 +++++++
 .../src/views/knowledgegraph/RelationForm.vue | 102 ++++++
 .../src/views/knowledgegraph/RelationList.vue | 136 ++++++++
 .../src/views/knowledgegraph/SymptomList.vue  | 139 ++++++++
 38 files changed, 2379 insertions(+)
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/appservice/IKgEntityAppService.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/appservice/impl/KgEntityAppServiceImpl.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/controller/KgEntityController.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/dto/KgDiseaseDto.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/dto/KgDrugDto.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/dto/KgExaminationDto.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/dto/KgSymptomDto.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/domain/KgDisease.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/domain/KgDrug.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/domain/KgExamination.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/domain/KgSymptom.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/mapper/KgDiseaseMapper.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/mapper/KgDrugMapper.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/mapper/KgExaminationMapper.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/mapper/KgSymptomMapper.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/IKgDiseaseService.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/IKgDrugService.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/IKgExaminationService.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/IKgSymptomService.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/impl/KgDiseaseServiceImpl.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/impl/KgDrugServiceImpl.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/impl/KgExaminationServiceImpl.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/impl/KgSymptomServiceImpl.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/knowledgegraph/KgDiseaseMapper.xml
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/knowledgegraph/KgDrugMapper.xml
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/knowledgegraph/KgExaminationMapper.xml
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/knowledgegraph/KgSymptomMapper.xml
 create mode 100644 healthlink-his-ui/src/api/knowledgegraph/api.js
 create mode 100644 healthlink-his-ui/src/views/knowledgegraph/DiseaseForm.vue
 create mode 100644 healthlink-his-ui/src/views/knowledgegraph/DiseaseList.vue
 create mode 100644 healthlink-his-ui/src/views/knowledgegraph/DrugList.vue
 create mode 100644 healthlink-his-ui/src/views/knowledgegraph/ExaminationList.vue
 create mode 100644 healthlink-his-ui/src/views/knowledgegraph/KnowledgeGraph.vue
 create mode 100644 healthlink-his-ui/src/views/knowledgegraph/PathwayEdit.vue
 create mode 100644 healthlink-his-ui/src/views/knowledgegraph/PathwayList.vue
 create mode 100644 healthlink-his-ui/src/views/knowledgegraph/RelationForm.vue
 create mode 100644 healthlink-his-ui/src/views/knowledgegraph/RelationList.vue
 create mode 100644 healthlink-his-ui/src/views/knowledgegraph/SymptomList.vue

diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/appservice/IKgEntityAppService.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/appservice/IKgEntityAppService.java
new file mode 100644
index 000000000..eb971e4c1
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/appservice/IKgEntityAppService.java
@@ -0,0 +1,47 @@
+package com.healthlink.his.web.knowledgegraph.appservice;
+
+import com.baomidou.mybatisplus.core.metadata.IPage;
+import com.healthlink.his.web.knowledgegraph.dto.*;
+
+public interface IKgEntityAppService {
+
+    Boolean addDisease(KgDiseaseDto dto);
+
+    Boolean updateDisease(KgDiseaseDto dto);
+
+    Boolean deleteDisease(Long id);
+
+    KgDiseaseDto getDiseaseById(Long id);
+
+    IPage<KgDiseaseDto> pageDisease(String keyword, String category, Integer pageNo, Integer pageSize);
+
+    Boolean addSymptom(KgSymptomDto dto);
+
+    Boolean updateSymptom(KgSymptomDto dto);
+
+    Boolean deleteSymptom(Long id);
+
+    KgSymptomDto getSymptomById(Long id);
+
+    IPage<KgSymptomDto> pageSymptom(String keyword, String symptomType, Integer pageNo, Integer pageSize);
+
+    Boolean addDrug(KgDrugDto dto);
+
+    Boolean updateDrug(KgDrugDto dto);
+
+    Boolean deleteDrug(Long id);
+
+    KgDrugDto getDrugById(Long id);
+
+    IPage<KgDrugDto> pageDrug(String keyword, String category, Integer pageNo, Integer pageSize);
+
+    Boolean addExamination(KgExaminationDto dto);
+
+    Boolean updateExamination(KgExaminationDto dto);
+
+    Boolean deleteExamination(Long id);
+
+    KgExaminationDto getExaminationById(Long id);
+
+    IPage<KgExaminationDto> pageExamination(String keyword, String examType, Integer pageNo, Integer pageSize);
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/appservice/impl/KgEntityAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/appservice/impl/KgEntityAppServiceImpl.java
new file mode 100644
index 000000000..6213c97e5
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/appservice/impl/KgEntityAppServiceImpl.java
@@ -0,0 +1,256 @@
+package com.healthlink.his.web.knowledgegraph.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.core.metadata.IPage;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.healthlink.his.knowledgegraph.domain.*;
+import com.healthlink.his.knowledgegraph.service.*;
+import com.healthlink.his.web.knowledgegraph.appservice.IKgEntityAppService;
+import com.healthlink.his.web.knowledgegraph.dto.*;
+import org.springframework.beans.BeanUtils;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+import org.springframework.util.StringUtils;
+
+@Service
+public class KgEntityAppServiceImpl implements IKgEntityAppService {
+
+    private final IKgDiseaseService kgDiseaseService;
+    private final IKgSymptomService kgSymptomService;
+    private final IKgDrugService kgDrugService;
+    private final IKgExaminationService kgExaminationService;
+
+    public KgEntityAppServiceImpl(IKgDiseaseService kgDiseaseService,
+                                  IKgSymptomService kgSymptomService,
+                                  IKgDrugService kgDrugService,
+                                  IKgExaminationService kgExaminationService) {
+        this.kgDiseaseService = kgDiseaseService;
+        this.kgSymptomService = kgSymptomService;
+        this.kgDrugService = kgDrugService;
+        this.kgExaminationService = kgExaminationService;
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Boolean addDisease(KgDiseaseDto dto) {
+        KgDisease entity = new KgDisease();
+        BeanUtils.copyProperties(dto, entity);
+        return kgDiseaseService.save(entity);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Boolean updateDisease(KgDiseaseDto dto) {
+        if (dto.getId() == null) {
+            return false;
+        }
+        KgDisease entity = new KgDisease();
+        BeanUtils.copyProperties(dto, entity);
+        return kgDiseaseService.updateById(entity);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Boolean deleteDisease(Long id) {
+        return kgDiseaseService.removeById(id);
+    }
+
+    @Override
+    public KgDiseaseDto getDiseaseById(Long id) {
+        KgDisease entity = kgDiseaseService.getById(id);
+        if (entity == null) {
+            return null;
+        }
+        KgDiseaseDto dto = new KgDiseaseDto();
+        BeanUtils.copyProperties(entity, dto);
+        return dto;
+    }
+
+    @Override
+    public IPage<KgDiseaseDto> pageDisease(String keyword, String category, Integer pageNo, Integer pageSize) {
+        Page<KgDisease> page = new Page<>(pageNo, pageSize);
+        LambdaQueryWrapper<KgDisease> wrapper = new LambdaQueryWrapper<>();
+        if (StringUtils.hasText(keyword)) {
+            wrapper.and(w -> w.like(KgDisease::getDiseaseName, keyword)
+                    .or().like(KgDisease::getDiseaseCode, keyword));
+        }
+        if (StringUtils.hasText(category)) {
+            wrapper.eq(KgDisease::getCategory, category);
+        }
+        wrapper.orderByDesc(KgDisease::getCreateTime);
+        Page<KgDisease> result = kgDiseaseService.page(page, wrapper);
+        return result.convert(entity -> {
+            KgDiseaseDto dto = new KgDiseaseDto();
+            BeanUtils.copyProperties(entity, dto);
+            return dto;
+        });
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Boolean addSymptom(KgSymptomDto dto) {
+        KgSymptom entity = new KgSymptom();
+        BeanUtils.copyProperties(dto, entity);
+        return kgSymptomService.save(entity);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Boolean updateSymptom(KgSymptomDto dto) {
+        if (dto.getId() == null) {
+            return false;
+        }
+        KgSymptom entity = new KgSymptom();
+        BeanUtils.copyProperties(dto, entity);
+        return kgSymptomService.updateById(entity);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Boolean deleteSymptom(Long id) {
+        return kgSymptomService.removeById(id);
+    }
+
+    @Override
+    public KgSymptomDto getSymptomById(Long id) {
+        KgSymptom entity = kgSymptomService.getById(id);
+        if (entity == null) {
+            return null;
+        }
+        KgSymptomDto dto = new KgSymptomDto();
+        BeanUtils.copyProperties(entity, dto);
+        return dto;
+    }
+
+    @Override
+    public IPage<KgSymptomDto> pageSymptom(String keyword, String symptomType, Integer pageNo, Integer pageSize) {
+        Page<KgSymptom> page = new Page<>(pageNo, pageSize);
+        LambdaQueryWrapper<KgSymptom> wrapper = new LambdaQueryWrapper<>();
+        if (StringUtils.hasText(keyword)) {
+            wrapper.and(w -> w.like(KgSymptom::getSymptomName, keyword)
+                    .or().like(KgSymptom::getSymptomCode, keyword));
+        }
+        if (StringUtils.hasText(symptomType)) {
+            wrapper.eq(KgSymptom::getSymptomType, symptomType);
+        }
+        wrapper.orderByDesc(KgSymptom::getCreateTime);
+        Page<KgSymptom> result = kgSymptomService.page(page, wrapper);
+        return result.convert(entity -> {
+            KgSymptomDto dto = new KgSymptomDto();
+            BeanUtils.copyProperties(entity, dto);
+            return dto;
+        });
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Boolean addDrug(KgDrugDto dto) {
+        KgDrug entity = new KgDrug();
+        BeanUtils.copyProperties(dto, entity);
+        return kgDrugService.save(entity);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Boolean updateDrug(KgDrugDto dto) {
+        if (dto.getId() == null) {
+            return false;
+        }
+        KgDrug entity = new KgDrug();
+        BeanUtils.copyProperties(dto, entity);
+        return kgDrugService.updateById(entity);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Boolean deleteDrug(Long id) {
+        return kgDrugService.removeById(id);
+    }
+
+    @Override
+    public KgDrugDto getDrugById(Long id) {
+        KgDrug entity = kgDrugService.getById(id);
+        if (entity == null) {
+            return null;
+        }
+        KgDrugDto dto = new KgDrugDto();
+        BeanUtils.copyProperties(entity, dto);
+        return dto;
+    }
+
+    @Override
+    public IPage<KgDrugDto> pageDrug(String keyword, String category, Integer pageNo, Integer pageSize) {
+        Page<KgDrug> page = new Page<>(pageNo, pageSize);
+        LambdaQueryWrapper<KgDrug> wrapper = new LambdaQueryWrapper<>();
+        if (StringUtils.hasText(keyword)) {
+            wrapper.and(w -> w.like(KgDrug::getDrugName, keyword)
+                    .or().like(KgDrug::getDrugCode, keyword));
+        }
+        if (StringUtils.hasText(category)) {
+            wrapper.eq(KgDrug::getCategory, category);
+        }
+        wrapper.orderByDesc(KgDrug::getCreateTime);
+        Page<KgDrug> result = kgDrugService.page(page, wrapper);
+        return result.convert(entity -> {
+            KgDrugDto dto = new KgDrugDto();
+            BeanUtils.copyProperties(entity, dto);
+            return dto;
+        });
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Boolean addExamination(KgExaminationDto dto) {
+        KgExamination entity = new KgExamination();
+        BeanUtils.copyProperties(dto, entity);
+        return kgExaminationService.save(entity);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Boolean updateExamination(KgExaminationDto dto) {
+        if (dto.getId() == null) {
+            return false;
+        }
+        KgExamination entity = new KgExamination();
+        BeanUtils.copyProperties(dto, entity);
+        return kgExaminationService.updateById(entity);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Boolean deleteExamination(Long id) {
+        return kgExaminationService.removeById(id);
+    }
+
+    @Override
+    public KgExaminationDto getExaminationById(Long id) {
+        KgExamination entity = kgExaminationService.getById(id);
+        if (entity == null) {
+            return null;
+        }
+        KgExaminationDto dto = new KgExaminationDto();
+        BeanUtils.copyProperties(entity, dto);
+        return dto;
+    }
+
+    @Override
+    public IPage<KgExaminationDto> pageExamination(String keyword, String examType, Integer pageNo, Integer pageSize) {
+        Page<KgExamination> page = new Page<>(pageNo, pageSize);
+        LambdaQueryWrapper<KgExamination> wrapper = new LambdaQueryWrapper<>();
+        if (StringUtils.hasText(keyword)) {
+            wrapper.and(w -> w.like(KgExamination::getExamName, keyword)
+                    .or().like(KgExamination::getExamCode, keyword));
+        }
+        if (StringUtils.hasText(examType)) {
+            wrapper.eq(KgExamination::getExamType, examType);
+        }
+        wrapper.orderByDesc(KgExamination::getCreateTime);
+        Page<KgExamination> result = kgExaminationService.page(page, wrapper);
+        return result.convert(entity -> {
+            KgExaminationDto dto = new KgExaminationDto();
+            BeanUtils.copyProperties(entity, dto);
+            return dto;
+        });
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/controller/KgEntityController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/controller/KgEntityController.java
new file mode 100644
index 000000000..46e040ec8
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/controller/KgEntityController.java
@@ -0,0 +1,301 @@
+package com.healthlink.his.web.knowledgegraph.controller;
+
+import com.baomidou.mybatisplus.core.metadata.IPage;
+import com.core.common.core.domain.R;
+import com.healthlink.his.web.knowledgegraph.appservice.IKgEntityAppService;
+import com.healthlink.his.web.knowledgegraph.dto.*;
+import io.swagger.v3.oas.annotations.Operation;
+import io.swagger.v3.oas.annotations.Parameter;
+import io.swagger.v3.oas.annotations.tags.Tag;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+@Slf4j
+@Tag(name = "知识图谱-实体管理")
+@RestController
+@RequestMapping("/knowledgegraph")
+public class KgEntityController {
+
+    private final IKgEntityAppService kgEntityAppService;
+
+    public KgEntityController(IKgEntityAppService kgEntityAppService) {
+        this.kgEntityAppService = kgEntityAppService;
+    }
+
+    @Operation(summary = "创建疾病")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:edit')")
+    @PostMapping("/disease")
+    public R<String> addDisease(@RequestBody KgDiseaseDto dto) {
+        try {
+            Boolean result = kgEntityAppService.addDisease(dto);
+            return result ? R.ok("创建成功") : R.fail("创建失败");
+        } catch (Exception e) {
+            log.error("创建疾病失败", e);
+            return R.fail("创建疾病失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "疾病分页查询")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:list')")
+    @GetMapping("/disease/page")
+    public R<IPage<KgDiseaseDto>> pageDisease(
+            @Parameter(description = "关键词") @RequestParam(required = false) String keyword,
+            @Parameter(description = "分类") @RequestParam(required = false) String category,
+            @Parameter(description = "页码") @RequestParam(defaultValue = "1") Integer pageNo,
+            @Parameter(description = "每页数量") @RequestParam(defaultValue = "10") Integer pageSize) {
+        try {
+            IPage<KgDiseaseDto> page = kgEntityAppService.pageDisease(keyword, category, pageNo, pageSize);
+            return R.ok(page);
+        } catch (Exception e) {
+            log.error("查询疾病列表失败", e);
+            return R.fail("查询疾病列表失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "更新疾病")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:edit')")
+    @PutMapping("/disease")
+    public R<String> updateDisease(@RequestBody KgDiseaseDto dto) {
+        try {
+            Boolean result = kgEntityAppService.updateDisease(dto);
+            return result ? R.ok("更新成功") : R.fail("更新失败");
+        } catch (Exception e) {
+            log.error("更新疾病失败", e);
+            return R.fail("更新疾病失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "删除疾病")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:edit')")
+    @DeleteMapping("/disease/{id}")
+    public R<String> deleteDisease(@PathVariable Long id) {
+        try {
+            Boolean result = kgEntityAppService.deleteDisease(id);
+            return result ? R.ok("删除成功") : R.fail("删除失败");
+        } catch (Exception e) {
+            log.error("删除疾病失败", e);
+            return R.fail("删除疾病失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "疾病详情")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:list')")
+    @GetMapping("/disease/{id}")
+    public R<KgDiseaseDto> getDiseaseById(@PathVariable Long id) {
+        try {
+            KgDiseaseDto dto = kgEntityAppService.getDiseaseById(id);
+            return dto != null ? R.ok(dto) : R.fail("未找到疾病信息");
+        } catch (Exception e) {
+            log.error("获取疾病详情失败", e);
+            return R.fail("获取疾病详情失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "创建症状")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:edit')")
+    @PostMapping("/symptom")
+    public R<String> addSymptom(@RequestBody KgSymptomDto dto) {
+        try {
+            Boolean result = kgEntityAppService.addSymptom(dto);
+            return result ? R.ok("创建成功") : R.fail("创建失败");
+        } catch (Exception e) {
+            log.error("创建症状失败", e);
+            return R.fail("创建症状失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "症状分页查询")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:list')")
+    @GetMapping("/symptom/page")
+    public R<IPage<KgSymptomDto>> pageSymptom(
+            @Parameter(description = "关键词") @RequestParam(required = false) String keyword,
+            @Parameter(description = "症状类型") @RequestParam(required = false) String symptomType,
+            @Parameter(description = "页码") @RequestParam(defaultValue = "1") Integer pageNo,
+            @Parameter(description = "每页数量") @RequestParam(defaultValue = "10") Integer pageSize) {
+        try {
+            IPage<KgSymptomDto> page = kgEntityAppService.pageSymptom(keyword, symptomType, pageNo, pageSize);
+            return R.ok(page);
+        } catch (Exception e) {
+            log.error("查询症状列表失败", e);
+            return R.fail("查询症状列表失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "更新症状")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:edit')")
+    @PutMapping("/symptom")
+    public R<String> updateSymptom(@RequestBody KgSymptomDto dto) {
+        try {
+            Boolean result = kgEntityAppService.updateSymptom(dto);
+            return result ? R.ok("更新成功") : R.fail("更新失败");
+        } catch (Exception e) {
+            log.error("更新症状失败", e);
+            return R.fail("更新症状失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "删除症状")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:edit')")
+    @DeleteMapping("/symptom/{id}")
+    public R<String> deleteSymptom(@PathVariable Long id) {
+        try {
+            Boolean result = kgEntityAppService.deleteSymptom(id);
+            return result ? R.ok("删除成功") : R.fail("删除失败");
+        } catch (Exception e) {
+            log.error("删除症状失败", e);
+            return R.fail("删除症状失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "症状详情")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:list')")
+    @GetMapping("/symptom/{id}")
+    public R<KgSymptomDto> getSymptomById(@PathVariable Long id) {
+        try {
+            KgSymptomDto dto = kgEntityAppService.getSymptomById(id);
+            return dto != null ? R.ok(dto) : R.fail("未找到症状信息");
+        } catch (Exception e) {
+            log.error("获取症状详情失败", e);
+            return R.fail("获取症状详情失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "创建药物")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:edit')")
+    @PostMapping("/drug")
+    public R<String> addDrug(@RequestBody KgDrugDto dto) {
+        try {
+            Boolean result = kgEntityAppService.addDrug(dto);
+            return result ? R.ok("创建成功") : R.fail("创建失败");
+        } catch (Exception e) {
+            log.error("创建药物失败", e);
+            return R.fail("创建药物失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "药物分页查询")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:list')")
+    @GetMapping("/drug/page")
+    public R<IPage<KgDrugDto>> pageDrug(
+            @Parameter(description = "关键词") @RequestParam(required = false) String keyword,
+            @Parameter(description = "分类") @RequestParam(required = false) String category,
+            @Parameter(description = "页码") @RequestParam(defaultValue = "1") Integer pageNo,
+            @Parameter(description = "每页数量") @RequestParam(defaultValue = "10") Integer pageSize) {
+        try {
+            IPage<KgDrugDto> page = kgEntityAppService.pageDrug(keyword, category, pageNo, pageSize);
+            return R.ok(page);
+        } catch (Exception e) {
+            log.error("查询药物列表失败", e);
+            return R.fail("查询药物列表失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "更新药物")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:edit')")
+    @PutMapping("/drug")
+    public R<String> updateDrug(@RequestBody KgDrugDto dto) {
+        try {
+            Boolean result = kgEntityAppService.updateDrug(dto);
+            return result ? R.ok("更新成功") : R.fail("更新失败");
+        } catch (Exception e) {
+            log.error("更新药物失败", e);
+            return R.fail("更新药物失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "删除药物")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:edit')")
+    @DeleteMapping("/drug/{id}")
+    public R<String> deleteDrug(@PathVariable Long id) {
+        try {
+            Boolean result = kgEntityAppService.deleteDrug(id);
+            return result ? R.ok("删除成功") : R.fail("删除失败");
+        } catch (Exception e) {
+            log.error("删除药物失败", e);
+            return R.fail("删除药物失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "药物详情")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:list')")
+    @GetMapping("/drug/{id}")
+    public R<KgDrugDto> getDrugById(@PathVariable Long id) {
+        try {
+            KgDrugDto dto = kgEntityAppService.getDrugById(id);
+            return dto != null ? R.ok(dto) : R.fail("未找到药物信息");
+        } catch (Exception e) {
+            log.error("获取药物详情失败", e);
+            return R.fail("获取药物详情失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "创建检查")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:edit')")
+    @PostMapping("/examination")
+    public R<String> addExamination(@RequestBody KgExaminationDto dto) {
+        try {
+            Boolean result = kgEntityAppService.addExamination(dto);
+            return result ? R.ok("创建成功") : R.fail("创建失败");
+        } catch (Exception e) {
+            log.error("创建检查失败", e);
+            return R.fail("创建检查失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "检查分页查询")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:list')")
+    @GetMapping("/examination/page")
+    public R<IPage<KgExaminationDto>> pageExamination(
+            @Parameter(description = "关键词") @RequestParam(required = false) String keyword,
+            @Parameter(description = "检查类型") @RequestParam(required = false) String examType,
+            @Parameter(description = "页码") @RequestParam(defaultValue = "1") Integer pageNo,
+            @Parameter(description = "每页数量") @RequestParam(defaultValue = "10") Integer pageSize) {
+        try {
+            IPage<KgExaminationDto> page = kgEntityAppService.pageExamination(keyword, examType, pageNo, pageSize);
+            return R.ok(page);
+        } catch (Exception e) {
+            log.error("查询检查列表失败", e);
+            return R.fail("查询检查列表失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "更新检查")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:edit')")
+    @PutMapping("/examination")
+    public R<String> updateExamination(@RequestBody KgExaminationDto dto) {
+        try {
+            Boolean result = kgEntityAppService.updateExamination(dto);
+            return result ? R.ok("更新成功") : R.fail("更新失败");
+        } catch (Exception e) {
+            log.error("更新检查失败", e);
+            return R.fail("更新检查失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "删除检查")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:edit')")
+    @DeleteMapping("/examination/{id}")
+    public R<String> deleteExamination(@PathVariable Long id) {
+        try {
+            Boolean result = kgEntityAppService.deleteExamination(id);
+            return result ? R.ok("删除成功") : R.fail("删除失败");
+        } catch (Exception e) {
+            log.error("删除检查失败", e);
+            return R.fail("删除检查失败: " + e.getMessage());
+        }
+    }
+
+    @Operation(summary = "检查详情")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:list')")
+    @GetMapping("/examination/{id}")
+    public R<KgExaminationDto> getExaminationById(@PathVariable Long id) {
+        try {
+            KgExaminationDto dto = kgEntityAppService.getExaminationById(id);
+            return dto != null ? R.ok(dto) : R.fail("未找到检查信息");
+        } catch (Exception e) {
+            log.error("获取检查详情失败", e);
+            return R.fail("获取检查详情失败: " + e.getMessage());
+        }
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/dto/KgDiseaseDto.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/dto/KgDiseaseDto.java
new file mode 100644
index 000000000..86c728731
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/dto/KgDiseaseDto.java
@@ -0,0 +1,27 @@
+package com.healthlink.his.web.knowledgegraph.dto;
+
+import com.fasterxml.jackson.annotation.JsonIgnoreProperties;
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
+import lombok.Data;
+
+import java.io.Serializable;
+
+@Data
+@JsonIgnoreProperties(ignoreUnknown = true)
+public class KgDiseaseDto implements Serializable {
+    private static final long serialVersionUID = 1L;
+
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long id;
+
+    private String diseaseCode;
+
+    private String diseaseName;
+
+    private String category;
+
+    private String department;
+
+    private String severityLevel;
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/dto/KgDrugDto.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/dto/KgDrugDto.java
new file mode 100644
index 000000000..dc2de755d
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/dto/KgDrugDto.java
@@ -0,0 +1,29 @@
+package com.healthlink.his.web.knowledgegraph.dto;
+
+import com.fasterxml.jackson.annotation.JsonIgnoreProperties;
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
+import lombok.Data;
+
+import java.io.Serializable;
+
+@Data
+@JsonIgnoreProperties(ignoreUnknown = true)
+public class KgDrugDto implements Serializable {
+    private static final long serialVersionUID = 1L;
+
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long id;
+
+    private String drugCode;
+
+    private String drugName;
+
+    private String genericName;
+
+    private String category;
+
+    private String dosageForm;
+
+    private String contraindications;
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/dto/KgExaminationDto.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/dto/KgExaminationDto.java
new file mode 100644
index 000000000..c79663d5d
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/dto/KgExaminationDto.java
@@ -0,0 +1,27 @@
+package com.healthlink.his.web.knowledgegraph.dto;
+
+import com.fasterxml.jackson.annotation.JsonIgnoreProperties;
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
+import lombok.Data;
+
+import java.io.Serializable;
+
+@Data
+@JsonIgnoreProperties(ignoreUnknown = true)
+public class KgExaminationDto implements Serializable {
+    private static final long serialVersionUID = 1L;
+
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long id;
+
+    private String examCode;
+
+    private String examName;
+
+    private String examType;
+
+    private String department;
+
+    private String referenceRange;
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/dto/KgSymptomDto.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/dto/KgSymptomDto.java
new file mode 100644
index 000000000..3cbbf5440
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/knowledgegraph/dto/KgSymptomDto.java
@@ -0,0 +1,25 @@
+package com.healthlink.his.web.knowledgegraph.dto;
+
+import com.fasterxml.jackson.annotation.JsonIgnoreProperties;
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
+import lombok.Data;
+
+import java.io.Serializable;
+
+@Data
+@JsonIgnoreProperties(ignoreUnknown = true)
+public class KgSymptomDto implements Serializable {
+    private static final long serialVersionUID = 1L;
+
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long id;
+
+    private String symptomCode;
+
+    private String symptomName;
+
+    private String bodyPart;
+
+    private String symptomType;
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/domain/KgDisease.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/domain/KgDisease.java
new file mode 100644
index 000000000..118de459f
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/domain/KgDisease.java
@@ -0,0 +1,32 @@
+package com.healthlink.his.knowledgegraph.domain;
+
+import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableId;
+import com.baomidou.mybatisplus.annotation.TableName;
+import com.core.common.core.domain.HisBaseEntity;
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import lombok.experimental.Accessors;
+
+@Data
+@EqualsAndHashCode(callSuper = false)
+@Accessors(chain = true)
+@TableName("kg_disease")
+public class KgDisease extends HisBaseEntity {
+
+    @TableId(type = IdType.ASSIGN_ID)
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long id;
+
+    private String diseaseCode;
+
+    private String diseaseName;
+
+    private String category;
+
+    private String department;
+
+    private String severityLevel;
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/domain/KgDrug.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/domain/KgDrug.java
new file mode 100644
index 000000000..c1a7ae21a
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/domain/KgDrug.java
@@ -0,0 +1,34 @@
+package com.healthlink.his.knowledgegraph.domain;
+
+import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableId;
+import com.baomidou.mybatisplus.annotation.TableName;
+import com.core.common.core.domain.HisBaseEntity;
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import lombok.experimental.Accessors;
+
+@Data
+@EqualsAndHashCode(callSuper = false)
+@Accessors(chain = true)
+@TableName("kg_drug")
+public class KgDrug extends HisBaseEntity {
+
+    @TableId(type = IdType.ASSIGN_ID)
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long id;
+
+    private String drugCode;
+
+    private String drugName;
+
+    private String genericName;
+
+    private String category;
+
+    private String dosageForm;
+
+    private String contraindications;
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/domain/KgExamination.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/domain/KgExamination.java
new file mode 100644
index 000000000..8aba928a9
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/domain/KgExamination.java
@@ -0,0 +1,32 @@
+package com.healthlink.his.knowledgegraph.domain;
+
+import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableId;
+import com.baomidou.mybatisplus.annotation.TableName;
+import com.core.common.core.domain.HisBaseEntity;
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import lombok.experimental.Accessors;
+
+@Data
+@EqualsAndHashCode(callSuper = false)
+@Accessors(chain = true)
+@TableName("kg_examination")
+public class KgExamination extends HisBaseEntity {
+
+    @TableId(type = IdType.ASSIGN_ID)
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long id;
+
+    private String examCode;
+
+    private String examName;
+
+    private String examType;
+
+    private String department;
+
+    private String referenceRange;
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/domain/KgSymptom.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/domain/KgSymptom.java
new file mode 100644
index 000000000..24bc07bf3
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/domain/KgSymptom.java
@@ -0,0 +1,30 @@
+package com.healthlink.his.knowledgegraph.domain;
+
+import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableId;
+import com.baomidou.mybatisplus.annotation.TableName;
+import com.core.common.core.domain.HisBaseEntity;
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import lombok.experimental.Accessors;
+
+@Data
+@EqualsAndHashCode(callSuper = false)
+@Accessors(chain = true)
+@TableName("kg_symptom")
+public class KgSymptom extends HisBaseEntity {
+
+    @TableId(type = IdType.ASSIGN_ID)
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long id;
+
+    private String symptomCode;
+
+    private String symptomName;
+
+    private String bodyPart;
+
+    private String symptomType;
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/mapper/KgDiseaseMapper.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/mapper/KgDiseaseMapper.java
new file mode 100644
index 000000000..66015d9cb
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/mapper/KgDiseaseMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.knowledgegraph.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.knowledgegraph.domain.KgDisease;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface KgDiseaseMapper extends BaseMapper<KgDisease> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/mapper/KgDrugMapper.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/mapper/KgDrugMapper.java
new file mode 100644
index 000000000..0952e6a7a
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/mapper/KgDrugMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.knowledgegraph.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.knowledgegraph.domain.KgDrug;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface KgDrugMapper extends BaseMapper<KgDrug> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/mapper/KgExaminationMapper.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/mapper/KgExaminationMapper.java
new file mode 100644
index 000000000..7e209ed34
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/mapper/KgExaminationMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.knowledgegraph.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.knowledgegraph.domain.KgExamination;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface KgExaminationMapper extends BaseMapper<KgExamination> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/mapper/KgSymptomMapper.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/mapper/KgSymptomMapper.java
new file mode 100644
index 000000000..869d6bbb0
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/mapper/KgSymptomMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.knowledgegraph.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.knowledgegraph.domain.KgSymptom;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface KgSymptomMapper extends BaseMapper<KgSymptom> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/IKgDiseaseService.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/IKgDiseaseService.java
new file mode 100644
index 000000000..ea8cb55cd
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/IKgDiseaseService.java
@@ -0,0 +1,7 @@
+package com.healthlink.his.knowledgegraph.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.knowledgegraph.domain.KgDisease;
+
+public interface IKgDiseaseService extends IService<KgDisease> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/IKgDrugService.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/IKgDrugService.java
new file mode 100644
index 000000000..60753bc34
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/IKgDrugService.java
@@ -0,0 +1,7 @@
+package com.healthlink.his.knowledgegraph.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.knowledgegraph.domain.KgDrug;
+
+public interface IKgDrugService extends IService<KgDrug> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/IKgExaminationService.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/IKgExaminationService.java
new file mode 100644
index 000000000..96fc9c490
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/IKgExaminationService.java
@@ -0,0 +1,7 @@
+package com.healthlink.his.knowledgegraph.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.knowledgegraph.domain.KgExamination;
+
+public interface IKgExaminationService extends IService<KgExamination> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/IKgSymptomService.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/IKgSymptomService.java
new file mode 100644
index 000000000..4ecb02441
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/IKgSymptomService.java
@@ -0,0 +1,7 @@
+package com.healthlink.his.knowledgegraph.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.knowledgegraph.domain.KgSymptom;
+
+public interface IKgSymptomService extends IService<KgSymptom> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/impl/KgDiseaseServiceImpl.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/impl/KgDiseaseServiceImpl.java
new file mode 100644
index 000000000..55da16944
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/impl/KgDiseaseServiceImpl.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.knowledgegraph.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.knowledgegraph.domain.KgDisease;
+import com.healthlink.his.knowledgegraph.mapper.KgDiseaseMapper;
+import com.healthlink.his.knowledgegraph.service.IKgDiseaseService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class KgDiseaseServiceImpl extends ServiceImpl<KgDiseaseMapper, KgDisease> implements IKgDiseaseService {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/impl/KgDrugServiceImpl.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/impl/KgDrugServiceImpl.java
new file mode 100644
index 000000000..41dcfa917
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/impl/KgDrugServiceImpl.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.knowledgegraph.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.knowledgegraph.domain.KgDrug;
+import com.healthlink.his.knowledgegraph.mapper.KgDrugMapper;
+import com.healthlink.his.knowledgegraph.service.IKgDrugService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class KgDrugServiceImpl extends ServiceImpl<KgDrugMapper, KgDrug> implements IKgDrugService {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/impl/KgExaminationServiceImpl.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/impl/KgExaminationServiceImpl.java
new file mode 100644
index 000000000..a180b3b0f
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/impl/KgExaminationServiceImpl.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.knowledgegraph.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.knowledgegraph.domain.KgExamination;
+import com.healthlink.his.knowledgegraph.mapper.KgExaminationMapper;
+import com.healthlink.his.knowledgegraph.service.IKgExaminationService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class KgExaminationServiceImpl extends ServiceImpl<KgExaminationMapper, KgExamination> implements IKgExaminationService {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/impl/KgSymptomServiceImpl.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/impl/KgSymptomServiceImpl.java
new file mode 100644
index 000000000..2b43d4ace
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/knowledgegraph/service/impl/KgSymptomServiceImpl.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.knowledgegraph.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.knowledgegraph.domain.KgSymptom;
+import com.healthlink.his.knowledgegraph.mapper.KgSymptomMapper;
+import com.healthlink.his.knowledgegraph.service.IKgSymptomService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class KgSymptomServiceImpl extends ServiceImpl<KgSymptomMapper, KgSymptom> implements IKgSymptomService {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/knowledgegraph/KgDiseaseMapper.xml b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/knowledgegraph/KgDiseaseMapper.xml
new file mode 100644
index 000000000..e22c95609
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/knowledgegraph/KgDiseaseMapper.xml
@@ -0,0 +1,7 @@
+<?xml version="1.0" encoding="UTF-8" ?>
+<!DOCTYPE mapper
+        PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
+        "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
+<mapper namespace="com.healthlink.his.knowledgegraph.mapper.KgDiseaseMapper">
+
+</mapper>
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/knowledgegraph/KgDrugMapper.xml b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/knowledgegraph/KgDrugMapper.xml
new file mode 100644
index 000000000..621c2438f
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/knowledgegraph/KgDrugMapper.xml
@@ -0,0 +1,7 @@
+<?xml version="1.0" encoding="UTF-8" ?>
+<!DOCTYPE mapper
+        PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
+        "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
+<mapper namespace="com.healthlink.his.knowledgegraph.mapper.KgDrugMapper">
+
+</mapper>
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/knowledgegraph/KgExaminationMapper.xml b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/knowledgegraph/KgExaminationMapper.xml
new file mode 100644
index 000000000..8f892b05b
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/knowledgegraph/KgExaminationMapper.xml
@@ -0,0 +1,7 @@
+<?xml version="1.0" encoding="UTF-8" ?>
+<!DOCTYPE mapper
+        PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
+        "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
+<mapper namespace="com.healthlink.his.knowledgegraph.mapper.KgExaminationMapper">
+
+</mapper>
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/knowledgegraph/KgSymptomMapper.xml b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/knowledgegraph/KgSymptomMapper.xml
new file mode 100644
index 000000000..0513b3064
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/knowledgegraph/KgSymptomMapper.xml
@@ -0,0 +1,7 @@
+<?xml version="1.0" encoding="UTF-8" ?>
+<!DOCTYPE mapper
+        PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
+        "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
+<mapper namespace="com.healthlink.his.knowledgegraph.mapper.KgSymptomMapper">
+
+</mapper>
diff --git a/healthlink-his-ui/src/api/knowledgegraph/api.js b/healthlink-his-ui/src/api/knowledgegraph/api.js
new file mode 100644
index 000000000..1c8da3dbc
--- /dev/null
+++ b/healthlink-his-ui/src/api/knowledgegraph/api.js
@@ -0,0 +1,105 @@
+import request from '@/utils/request'
+
+export function addDisease(data) {
+  return request({ url: '/knowledgegraph/disease', method: 'post', data })
+}
+
+export function getDiseasePage(params) {
+  return request({ url: '/knowledgegraph/disease/page', method: 'get', params })
+}
+
+export function getDiseaseById(id) {
+  return request({ url: '/knowledgegraph/disease/' + id, method: 'get' })
+}
+
+export function updateDisease(data) {
+  return request({ url: '/knowledgegraph/disease', method: 'put', data })
+}
+
+export function deleteDisease(id) {
+  return request({ url: '/knowledgegraph/disease/' + id, method: 'delete' })
+}
+
+export function addSymptom(data) {
+  return request({ url: '/knowledgegraph/symptom', method: 'post', data })
+}
+
+export function getSymptomPage(params) {
+  return request({ url: '/knowledgegraph/symptom/page', method: 'get', params })
+}
+
+export function getSymptomById(id) {
+  return request({ url: '/knowledgegraph/symptom/' + id, method: 'get' })
+}
+
+export function updateSymptom(data) {
+  return request({ url: '/knowledgegraph/symptom', method: 'put', data })
+}
+
+export function deleteSymptom(id) {
+  return request({ url: '/knowledgegraph/symptom/' + id, method: 'delete' })
+}
+
+export function addDrug(data) {
+  return request({ url: '/knowledgegraph/drug', method: 'post', data })
+}
+
+export function getDrugPage(params) {
+  return request({ url: '/knowledgegraph/drug/page', method: 'get', params })
+}
+
+export function getDrugById(id) {
+  return request({ url: '/knowledgegraph/drug/' + id, method: 'get' })
+}
+
+export function updateDrug(data) {
+  return request({ url: '/knowledgegraph/drug', method: 'put', data })
+}
+
+export function deleteDrug(id) {
+  return request({ url: '/knowledgegraph/drug/' + id, method: 'delete' })
+}
+
+export function addExamination(data) {
+  return request({ url: '/knowledgegraph/examination', method: 'post', data })
+}
+
+export function getExaminationPage(params) {
+  return request({ url: '/knowledgegraph/examination/page', method: 'get', params })
+}
+
+export function getExaminationById(id) {
+  return request({ url: '/knowledgegraph/examination/' + id, method: 'get' })
+}
+
+export function updateExamination(data) {
+  return request({ url: '/knowledgegraph/examination', method: 'put', data })
+}
+
+export function deleteExamination(id) {
+  return request({ url: '/knowledgegraph/examination/' + id, method: 'delete' })
+}
+
+export function createRelation(data) {
+  return request({ url: '/knowledgegraph/relation', method: 'post', data })
+}
+
+export function getRelationPage(params) {
+  return request({ url: '/knowledgegraph/relation/page', method: 'get', params })
+}
+
+export function getRelationGraph(entityType, entityId) {
+  return request({ url: `/knowledgegraph/relation/graph/${entityType}/${entityId}`, method: 'get' })
+}
+
+export function createPathway(data) {
+  return request({ url: '/knowledgegraph/pathway', method: 'post', data })
+}
+
+export function getPathwayPage(params) {
+  return request({ url: '/knowledgegraph/pathway/page', method: 'get', params })
+}
+
+export function getPathwaySteps(id) {
+  return request({ url: `/knowledgegraph/pathway/${id}/steps`, method: 'get' })
+}
diff --git a/healthlink-his-ui/src/views/knowledgegraph/DiseaseForm.vue b/healthlink-his-ui/src/views/knowledgegraph/DiseaseForm.vue
new file mode 100644
index 000000000..7f116e76c
--- /dev/null
+++ b/healthlink-his-ui/src/views/knowledgegraph/DiseaseForm.vue
@@ -0,0 +1,94 @@
+<template>
+  <el-dialog :model-value="visible" :title="form.id ? '编辑疾病' : '新增疾病'" width="600px" @close="handleClose">
+    <el-form ref="formRef" :model="form" :rules="rules" label-width="100px">
+      <el-form-item label="疾病编码" prop="diseaseCode">
+        <el-input v-model="form.diseaseCode" placeholder="请输入疾病编码" />
+      </el-form-item>
+      <el-form-item label="疾病名称" prop="diseaseName">
+        <el-input v-model="form.diseaseName" placeholder="请输入疾病名称" />
+      </el-form-item>
+      <el-form-item label="疾病分类" prop="category">
+        <el-input v-model="form.category" placeholder="请输入疾病分类" />
+      </el-form-item>
+      <el-form-item label="所属科室" prop="department">
+        <el-input v-model="form.department" placeholder="请输入所属科室" />
+      </el-form-item>
+      <el-form-item label="严重等级" prop="severityLevel">
+        <el-select v-model="form.severityLevel" placeholder="请选择严重等级" clearable style="width:100%">
+          <el-option label="轻度" value="MILD" />
+          <el-option label="中度" value="MODERATE" />
+          <el-option label="重度" value="SEVERE" />
+          <el-option label="危重" value="CRITICAL" />
+        </el-select>
+      </el-form-item>
+    </el-form>
+    <template #footer>
+      <el-button @click="handleClose">取消</el-button>
+      <el-button type="primary" :loading="submitting" @click="handleSubmit">确定</el-button>
+    </template>
+  </el-dialog>
+</template>
+
+<script setup>
+import { ref, reactive, watch } from 'vue'
+import { addDisease, updateDisease } from '@/api/knowledgegraph/api'
+import { ElMessage } from 'element-plus'
+
+const props = defineProps({
+  visible: Boolean,
+  data: { type: Object, default: () => ({}) }
+})
+
+const emit = defineEmits(['update:visible', 'success'])
+
+const formRef = ref(null)
+const submitting = ref(false)
+
+const form = reactive({
+  id: undefined,
+  diseaseCode: '',
+  diseaseName: '',
+  category: '',
+  department: '',
+  severityLevel: ''
+})
+
+const rules = {
+  diseaseCode: [{ required: true, message: '请输入疾病编码', trigger: 'blur' }],
+  diseaseName: [{ required: true, message: '请输入疾病名称', trigger: 'blur' }]
+}
+
+watch(() => props.visible, (val) => {
+  if (val && props.data && props.data.id) {
+    Object.assign(form, props.data)
+  } else {
+    Object.assign(form, { id: undefined, diseaseCode: '', diseaseName: '', category: '', department: '', severityLevel: '' })
+  }
+})
+
+function handleClose() {
+  emit('update:visible', false)
+}
+
+async function handleSubmit() {
+  try {
+    await formRef.value.validate()
+  } catch {
+    return
+  }
+  submitting.value = true
+  try {
+    if (form.id) {
+      await updateDisease({ ...form })
+      ElMessage.success('更新成功')
+    } else {
+      await addDisease({ ...form })
+      ElMessage.success('创建成功')
+    }
+    emit('update:visible', false)
+    emit('success')
+  } finally {
+    submitting.value = false
+  }
+}
+</script>
diff --git a/healthlink-his-ui/src/views/knowledgegraph/DiseaseList.vue b/healthlink-his-ui/src/views/knowledgegraph/DiseaseList.vue
new file mode 100644
index 000000000..35568693b
--- /dev/null
+++ b/healthlink-his-ui/src/views/knowledgegraph/DiseaseList.vue
@@ -0,0 +1,121 @@
+<template>
+  <div class="app-container">
+    <el-form :model="queryParams" ref="queryFormRef" :inline="true" v-show="showSearch" label-width="80px">
+      <el-form-item label="关键词" prop="keyword">
+        <el-input v-model="queryParams.keyword" placeholder="疾病名称/编码" clearable style="width:200px" @keyup.enter="handleQuery" />
+      </el-form-item>
+      <el-form-item label="疾病分类" prop="category">
+        <el-input v-model="queryParams.category" placeholder="分类" clearable style="width:160px" />
+      </el-form-item>
+      <el-form-item>
+        <el-button type="primary" icon="Search" @click="handleQuery">搜索</el-button>
+        <el-button icon="Refresh" @click="resetQuery">重置</el-button>
+      </el-form-item>
+    </el-form>
+
+    <el-row :gutter="10" class="mb8">
+      <el-col :span="1.5">
+        <el-button type="primary" plain icon="Plus" @click="handleAdd">新增</el-button>
+      </el-col>
+    </el-row>
+
+    <el-table v-loading="loading" :data="tableData" border stripe>
+      <el-table-column type="index" label="序号" width="60" align="center" />
+      <el-table-column prop="diseaseCode" label="疾病编码" width="140" show-overflow-tooltip />
+      <el-table-column prop="diseaseName" label="疾病名称" min-width="180" show-overflow-tooltip />
+      <el-table-column prop="category" label="疾病分类" width="140" show-overflow-tooltip />
+      <el-table-column prop="department" label="所属科室" width="120" show-overflow-tooltip />
+      <el-table-column prop="severityLevel" label="严重等级" width="100" align="center">
+        <template #default="{ row }">
+          <el-tag v-if="row.severityLevel" :type="severityType(row.severityLevel)" size="small">
+            {{ severityLabel(row.severityLevel) }}
+          </el-tag>
+        </template>
+      </el-table-column>
+      <el-table-column prop="createTime" label="创建时间" width="170" />
+      <el-table-column label="操作" width="150" align="center" fixed="right">
+        <template #default="{ row }">
+          <el-button link type="primary" icon="Edit" @click="handleEdit(row)">编辑</el-button>
+          <el-button link type="danger" icon="Delete" @click="handleDelete(row)">删除</el-button>
+        </template>
+      </el-table-column>
+    </el-table>
+
+    <pagination v-show="total > 0" v-model:page="queryParams.pageNo" v-model:limit="queryParams.pageSize" :total="total" @pagination="getList" />
+
+    <DiseaseForm v-model:visible="showForm" :data="currentRow" @success="getList" />
+  </div>
+</template>
+
+<script setup name="KgDiseaseList">
+import { ref, reactive, onMounted } from 'vue'
+import { getDiseasePage, deleteDisease } from '@/api/knowledgegraph/api'
+import DiseaseForm from './DiseaseForm.vue'
+import { ElMessage, ElMessageBox } from 'element-plus'
+
+const { proxy } = getCurrentInstance()
+
+const tableData = ref([])
+const loading = ref(false)
+const showSearch = ref(true)
+const total = ref(0)
+const showForm = ref(false)
+const currentRow = ref({})
+
+const queryParams = reactive({
+  pageNo: 1,
+  pageSize: 10,
+  keyword: '',
+  category: ''
+})
+
+const severityMap = { MILD: '轻度', MODERATE: '中度', SEVERE: '重度', CRITICAL: '危重' }
+const severityTypeMap = { MILD: 'info', MODERATE: '', SEVERE: 'warning', CRITICAL: 'danger' }
+const severityLabel = (v) => severityMap[v] || v
+const severityType = (v) => severityTypeMap[v] || 'info'
+
+async function getList() {
+  loading.value = true
+  try {
+    const res = await getDiseasePage(queryParams)
+    if (res.code === 200) {
+      tableData.value = res.data?.records || []
+      total.value = res.data?.total || 0
+    }
+  } finally {
+    loading.value = false
+  }
+}
+
+function handleQuery() {
+  queryParams.pageNo = 1
+  getList()
+}
+
+function resetQuery() {
+  queryParams.keyword = ''
+  queryParams.category = ''
+  handleQuery()
+}
+
+function handleAdd() {
+  currentRow.value = {}
+  showForm.value = true
+}
+
+function handleEdit(row) {
+  currentRow.value = { ...row }
+  showForm.value = true
+}
+
+function handleDelete(row) {
+  ElMessageBox.confirm('确认删除该疾病吗？', '提示', { type: 'warning' })
+    .then(() => deleteDisease(row.id))
+    .then(() => {
+      ElMessage.success('删除成功')
+      getList()
+    })
+}
+
+onMounted(() => getList())
+</script>
diff --git a/healthlink-his-ui/src/views/knowledgegraph/DrugList.vue b/healthlink-his-ui/src/views/knowledgegraph/DrugList.vue
new file mode 100644
index 000000000..16b233aa7
--- /dev/null
+++ b/healthlink-his-ui/src/views/knowledgegraph/DrugList.vue
@@ -0,0 +1,146 @@
+<template>
+  <div class="app-container">
+    <el-form :model="queryParams" ref="queryFormRef" :inline="true" v-show="showSearch" label-width="80px">
+      <el-form-item label="关键词" prop="keyword">
+        <el-input v-model="queryParams.keyword" placeholder="药物名称/编码" clearable style="width:200px" @keyup.enter="handleQuery" />
+      </el-form-item>
+      <el-form-item label="药物分类" prop="category">
+        <el-input v-model="queryParams.category" placeholder="分类" clearable style="width:160px" />
+      </el-form-item>
+      <el-form-item>
+        <el-button type="primary" icon="Search" @click="handleQuery">搜索</el-button>
+        <el-button icon="Refresh" @click="resetQuery">重置</el-button>
+      </el-form-item>
+    </el-form>
+
+    <el-row :gutter="10" class="mb8">
+      <el-col :span="1.5">
+        <el-button type="primary" plain icon="Plus" @click="handleAdd">新增</el-button>
+      </el-col>
+    </el-row>
+
+    <el-table v-loading="loading" :data="tableData" border stripe>
+      <el-table-column type="index" label="序号" width="60" align="center" />
+      <el-table-column prop="drugCode" label="药物编码" width="140" show-overflow-tooltip />
+      <el-table-column prop="drugName" label="药物名称" min-width="160" show-overflow-tooltip />
+      <el-table-column prop="genericName" label="通用名" min-width="140" show-overflow-tooltip />
+      <el-table-column prop="category" label="药物分类" width="120" show-overflow-tooltip />
+      <el-table-column prop="dosageForm" label="剂型" width="100" align="center" />
+      <el-table-column prop="createTime" label="创建时间" width="170" />
+      <el-table-column label="操作" width="150" align="center" fixed="right">
+        <template #default="{ row }">
+          <el-button link type="primary" icon="Edit" @click="handleEdit(row)">编辑</el-button>
+          <el-button link type="danger" icon="Delete" @click="handleDelete(row)">删除</el-button>
+        </template>
+      </el-table-column>
+    </el-table>
+
+    <pagination v-show="total > 0" v-model:page="queryParams.pageNo" v-model:limit="queryParams.pageSize" :total="total" @pagination="getList" />
+
+    <el-dialog v-model="showForm" :title="form.id ? '编辑药物' : '新增药物'" width="600px" @close="resetForm">
+      <el-form ref="formRef" :model="form" :rules="formRules" label-width="90px">
+        <el-form-item label="药物编码" prop="drugCode">
+          <el-input v-model="form.drugCode" placeholder="请输入药物编码" />
+        </el-form-item>
+        <el-form-item label="药物名称" prop="drugName">
+          <el-input v-model="form.drugName" placeholder="请输入药物名称" />
+        </el-form-item>
+        <el-form-item label="通用名" prop="genericName">
+          <el-input v-model="form.genericName" placeholder="请输入通用名" />
+        </el-form-item>
+        <el-form-item label="药物分类" prop="category">
+          <el-input v-model="form.category" placeholder="请输入药物分类" />
+        </el-form-item>
+        <el-form-item label="剂型" prop="dosageForm">
+          <el-input v-model="form.dosageForm" placeholder="请输入剂型" />
+        </el-form-item>
+        <el-form-item label="禁忌症" prop="contraindications">
+          <el-input v-model="form.contraindications" type="textarea" :rows="3" placeholder="请输入禁忌症" />
+        </el-form-item>
+      </el-form>
+      <template #footer>
+        <el-button @click="showForm = false">取消</el-button>
+        <el-button type="primary" :loading="submitting" @click="handleSubmit">确定</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup name="KgDrugList">
+import { ref, reactive, onMounted } from 'vue'
+import { getDrugPage, addDrug, updateDrug, deleteDrug } from '@/api/knowledgegraph/api'
+import { ElMessage, ElMessageBox } from 'element-plus'
+
+const { proxy } = getCurrentInstance()
+
+const tableData = ref([])
+const loading = ref(false)
+const showSearch = ref(true)
+const total = ref(0)
+const showForm = ref(false)
+const submitting = ref(false)
+const formRef = ref(null)
+
+const queryParams = reactive({ pageNo: 1, pageSize: 10, keyword: '', category: '' })
+const form = reactive({ id: undefined, drugCode: '', drugName: '', genericName: '', category: '', dosageForm: '', contraindications: '' })
+const formRules = {
+  drugCode: [{ required: true, message: '请输入药物编码', trigger: 'blur' }],
+  drugName: [{ required: true, message: '请输入药物名称', trigger: 'blur' }]
+}
+
+async function getList() {
+  loading.value = true
+  try {
+    const res = await getDrugPage(queryParams)
+    if (res.code === 200) {
+      tableData.value = res.data?.records || []
+      total.value = res.data?.total || 0
+    }
+  } finally {
+    loading.value = false
+  }
+}
+
+function handleQuery() { queryParams.pageNo = 1; getList() }
+function resetQuery() { queryParams.keyword = ''; queryParams.category = ''; handleQuery() }
+
+function handleAdd() {
+  Object.assign(form, { id: undefined, drugCode: '', drugName: '', genericName: '', category: '', dosageForm: '', contraindications: '' })
+  showForm.value = true
+}
+
+function handleEdit(row) {
+  Object.assign(form, row)
+  showForm.value = true
+}
+
+function resetForm() {
+  formRef.value?.resetFields()
+}
+
+function handleDelete(row) {
+  ElMessageBox.confirm('确认删除该药物吗？', '提示', { type: 'warning' })
+    .then(() => deleteDrug(row.id))
+    .then(() => { ElMessage.success('删除成功'); getList() })
+}
+
+async function handleSubmit() {
+  try { await formRef.value.validate() } catch { return }
+  submitting.value = true
+  try {
+    if (form.id) {
+      await updateDrug({ ...form })
+      ElMessage.success('更新成功')
+    } else {
+      await addDrug({ ...form })
+      ElMessage.success('创建成功')
+    }
+    showForm.value = false
+    getList()
+  } finally {
+    submitting.value = false
+  }
+}
+
+onMounted(() => getList())
+</script>
diff --git a/healthlink-his-ui/src/views/knowledgegraph/ExaminationList.vue b/healthlink-his-ui/src/views/knowledgegraph/ExaminationList.vue
new file mode 100644
index 000000000..1b1bdee86
--- /dev/null
+++ b/healthlink-his-ui/src/views/knowledgegraph/ExaminationList.vue
@@ -0,0 +1,143 @@
+<template>
+  <div class="app-container">
+    <el-form :model="queryParams" ref="queryFormRef" :inline="true" v-show="showSearch" label-width="80px">
+      <el-form-item label="关键词" prop="keyword">
+        <el-input v-model="queryParams.keyword" placeholder="检查名称/编码" clearable style="width:200px" @keyup.enter="handleQuery" />
+      </el-form-item>
+      <el-form-item label="检查类型" prop="examType">
+        <el-input v-model="queryParams.examType" placeholder="检查类型" clearable style="width:160px" />
+      </el-form-item>
+      <el-form-item>
+        <el-button type="primary" icon="Search" @click="handleQuery">搜索</el-button>
+        <el-button icon="Refresh" @click="resetQuery">重置</el-button>
+      </el-form-item>
+    </el-form>
+
+    <el-row :gutter="10" class="mb8">
+      <el-col :span="1.5">
+        <el-button type="primary" plain icon="Plus" @click="handleAdd">新增</el-button>
+      </el-col>
+    </el-row>
+
+    <el-table v-loading="loading" :data="tableData" border stripe>
+      <el-table-column type="index" label="序号" width="60" align="center" />
+      <el-table-column prop="examCode" label="检查编码" width="140" show-overflow-tooltip />
+      <el-table-column prop="examName" label="检查名称" min-width="180" show-overflow-tooltip />
+      <el-table-column prop="examType" label="检查类型" width="120" align="center" />
+      <el-table-column prop="department" label="所属科室" width="120" show-overflow-tooltip />
+      <el-table-column prop="referenceRange" label="参考范围" min-width="150" show-overflow-tooltip />
+      <el-table-column prop="createTime" label="创建时间" width="170" />
+      <el-table-column label="操作" width="150" align="center" fixed="right">
+        <template #default="{ row }">
+          <el-button link type="primary" icon="Edit" @click="handleEdit(row)">编辑</el-button>
+          <el-button link type="danger" icon="Delete" @click="handleDelete(row)">删除</el-button>
+        </template>
+      </el-table-column>
+    </el-table>
+
+    <pagination v-show="total > 0" v-model:page="queryParams.pageNo" v-model:limit="queryParams.pageSize" :total="total" @pagination="getList" />
+
+    <el-dialog v-model="showForm" :title="form.id ? '编辑检查' : '新增检查'" width="600px" @close="resetForm">
+      <el-form ref="formRef" :model="form" :rules="formRules" label-width="90px">
+        <el-form-item label="检查编码" prop="examCode">
+          <el-input v-model="form.examCode" placeholder="请输入检查编码" />
+        </el-form-item>
+        <el-form-item label="检查名称" prop="examName">
+          <el-input v-model="form.examName" placeholder="请输入检查名称" />
+        </el-form-item>
+        <el-form-item label="检查类型" prop="examType">
+          <el-input v-model="form.examType" placeholder="请输入检查类型" />
+        </el-form-item>
+        <el-form-item label="所属科室" prop="department">
+          <el-input v-model="form.department" placeholder="请输入所属科室" />
+        </el-form-item>
+        <el-form-item label="参考范围" prop="referenceRange">
+          <el-input v-model="form.referenceRange" placeholder="请输入参考范围" />
+        </el-form-item>
+      </el-form>
+      <template #footer>
+        <el-button @click="showForm = false">取消</el-button>
+        <el-button type="primary" :loading="submitting" @click="handleSubmit">确定</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup name="KgExaminationList">
+import { ref, reactive, onMounted } from 'vue'
+import { getExaminationPage, addExamination, updateExamination, deleteExamination } from '@/api/knowledgegraph/api'
+import { ElMessage, ElMessageBox } from 'element-plus'
+
+const { proxy } = getCurrentInstance()
+
+const tableData = ref([])
+const loading = ref(false)
+const showSearch = ref(true)
+const total = ref(0)
+const showForm = ref(false)
+const submitting = ref(false)
+const formRef = ref(null)
+
+const queryParams = reactive({ pageNo: 1, pageSize: 10, keyword: '', examType: '' })
+const form = reactive({ id: undefined, examCode: '', examName: '', examType: '', department: '', referenceRange: '' })
+const formRules = {
+  examCode: [{ required: true, message: '请输入检查编码', trigger: 'blur' }],
+  examName: [{ required: true, message: '请输入检查名称', trigger: 'blur' }]
+}
+
+async function getList() {
+  loading.value = true
+  try {
+    const res = await getExaminationPage(queryParams)
+    if (res.code === 200) {
+      tableData.value = res.data?.records || []
+      total.value = res.data?.total || 0
+    }
+  } finally {
+    loading.value = false
+  }
+}
+
+function handleQuery() { queryParams.pageNo = 1; getList() }
+function resetQuery() { queryParams.keyword = ''; queryParams.examType = ''; handleQuery() }
+
+function handleAdd() {
+  Object.assign(form, { id: undefined, examCode: '', examName: '', examType: '', department: '', referenceRange: '' })
+  showForm.value = true
+}
+
+function handleEdit(row) {
+  Object.assign(form, row)
+  showForm.value = true
+}
+
+function resetForm() {
+  formRef.value?.resetFields()
+}
+
+function handleDelete(row) {
+  ElMessageBox.confirm('确认删除该检查吗？', '提示', { type: 'warning' })
+    .then(() => deleteExamination(row.id))
+    .then(() => { ElMessage.success('删除成功'); getList() })
+}
+
+async function handleSubmit() {
+  try { await formRef.value.validate() } catch { return }
+  submitting.value = true
+  try {
+    if (form.id) {
+      await updateExamination({ ...form })
+      ElMessage.success('更新成功')
+    } else {
+      await addExamination({ ...form })
+      ElMessage.success('创建成功')
+    }
+    showForm.value = false
+    getList()
+  } finally {
+    submitting.value = false
+  }
+}
+
+onMounted(() => getList())
+</script>
diff --git a/healthlink-his-ui/src/views/knowledgegraph/KnowledgeGraph.vue b/healthlink-his-ui/src/views/knowledgegraph/KnowledgeGraph.vue
new file mode 100644
index 000000000..2af04cab1
--- /dev/null
+++ b/healthlink-his-ui/src/views/knowledgegraph/KnowledgeGraph.vue
@@ -0,0 +1,178 @@
+<template>
+  <div style="padding:16px">
+    <div style="margin-bottom:16px;display:flex;justify-content:space-between;align-items:center">
+      <span style="font-size:18px;font-weight:bold">知识图谱</span>
+    </div>
+
+    <el-card shadow="never" style="margin-bottom:16px">
+      <el-form inline>
+        <el-form-item label="实体类型">
+          <el-select v-model="entityType" placeholder="请选择" style="width:130px">
+            <el-option label="疾病" value="disease" />
+            <el-option label="症状" value="symptom" />
+            <el-option label="药物" value="drug" />
+            <el-option label="检查" value="exam" />
+          </el-select>
+        </el-form-item>
+        <el-form-item label="实体ID">
+          <el-input v-model="entityId" placeholder="请输入实体ID" style="width:200px" @keyup.enter="loadGraph" />
+        </el-form-item>
+        <el-form-item>
+          <el-button type="primary" @click="loadGraph" :loading="loading">加载图谱</el-button>
+        </el-form-item>
+      </el-form>
+    </el-card>
+
+    <el-card shadow="never">
+      <div ref="chartRef" style="width:100%;height:600px" />
+      <el-empty v-if="!hasData && !loading" description="请输入实体类型和ID，点击加载图谱" />
+    </el-card>
+
+    <el-dialog v-model="showDetail" :title="detailTitle" width="500px" append-to-body>
+      <el-descriptions :column="1" border>
+        <el-descriptions-item label="实体类型">{{ detailNode.entityType }}</el-descriptions-item>
+        <el-descriptions-item label="实体ID">{{ detailNode.entityId }}</el-descriptions-item>
+      </el-descriptions>
+      <div v-if="detailRelations.length" style="margin-top:16px">
+        <div style="font-weight:bold;margin-bottom:8px">关联关系</div>
+        <el-table :data="detailRelations" border size="small">
+          <el-table-column prop="relationType" label="关系" width="120" />
+          <el-table-column prop="target" label="目标" />
+          <el-table-column prop="strength" label="强度" width="80" />
+        </el-table>
+      </div>
+      <template #footer>
+        <el-button @click="showDetail = false">关闭</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, onMounted, onUnmounted, nextTick } from 'vue'
+import * as echarts from 'echarts'
+import { getRelationGraph } from '@/api/knowledgegraph/api'
+
+const chartRef = ref(null)
+const loading = ref(false)
+const hasData = ref(false)
+const entityType = ref('disease')
+const entityId = ref('')
+let chartInstance = null
+
+const showDetail = ref(false)
+const detailTitle = ref('')
+const detailNode = ref({})
+const detailRelations = ref([])
+
+const nodeColorMap = {
+  disease: '#f56c6c',
+  symptom: '#409eff',
+  drug: '#67c23a',
+  exam: '#e6a23c'
+}
+const nodeLabelMap = { disease: '疾病', symptom: '症状', drug: '药物', exam: '检查' }
+const relationLabelMap = {
+  CAUSES: '导致', TREATS: '治疗', CONTRAINDICATES: '禁忌',
+  INTERACTS_WITH: '相互作用', REQUIRES_EXAM: '需要检查',
+  HAS_SYMPTOM: '具有症状', SIDE_EFFECT: '副作用', ALTERNATIVE: '替代'
+}
+
+function initChart() {
+  if (!chartRef.value) return
+  chartInstance = echarts.init(chartRef.value)
+  chartInstance.on('click', (params) => {
+    if (params.dataType === 'node') {
+      handleNodeClick(params.data)
+    }
+  })
+}
+
+function handleNodeClick(data) {
+  detailNode.value = data
+  detailTitle.value = `${nodeLabelMap[data.entityType] || data.entityType} - ${data.entityId}`
+  detailRelations.value = []
+  if (graphData.value) {
+    graphData.value.edges.forEach(e => {
+      if (e.source === data.id) {
+        detailRelations.value.push({ relationType: relationLabelMap[e.relationType] || e.relationType, target: e.target, strength: e.relationStrength })
+      } else if (e.target === data.id) {
+        detailRelations.value.push({ relationType: relationLabelMap[e.relationType] || e.relationType, target: e.source, strength: e.relationStrength })
+      }
+    })
+  }
+  showDetail.value = true
+}
+
+const graphData = ref(null)
+
+function renderChart(data) {
+  if (!chartInstance) return
+  graphData.value = data
+  const nodes = (data.nodes || []).map(n => ({
+    id: n.id,
+    name: n.entityId,
+    symbolSize: 50,
+    itemStyle: { color: nodeColorMap[n.entityType] || '#909399' },
+    label: { show: true, fontSize: 12 },
+    entityType: n.entityType,
+    entityId: n.entityId
+  }))
+  const edges = (data.edges || []).map(e => ({
+    source: e.source,
+    target: e.target,
+    label: { show: true, formatter: relationLabelMap[e.relationType] || e.relationType, fontSize: 10 },
+    lineStyle: { curveness: 0.2 }
+  }))
+
+  chartInstance.setOption({
+    tooltip: { trigger: 'item' },
+    legend: {
+      data: Object.keys(nodeColorMap).map(k => nodeLabelMap[k]),
+      bottom: 10
+    },
+    series: [{
+      type: 'graph',
+      layout: 'force',
+      data: nodes,
+      links: edges,
+      roam: true,
+      draggable: true,
+      force: { repulsion: 400, gravity: 0.1, edgeLength: [120, 250] },
+      emphasis: { focus: 'adjacency', lineStyle: { width: 4 } },
+      categories: Object.keys(nodeColorMap).map(k => ({ name: nodeLabelMap[k] }))
+    }]
+  }, true)
+}
+
+async function loadGraph() {
+  if (!entityId.value) return
+  loading.value = true
+  try {
+    const r = await getRelationGraph(entityType.value, entityId.value)
+    const data = r.data || { nodes: [], edges: [] }
+    hasData.value = data.nodes && data.nodes.length > 0
+    if (hasData.value) {
+      await nextTick()
+      if (!chartInstance) initChart()
+      renderChart(data)
+    }
+  } finally {
+    loading.value = false
+  }
+}
+
+function handleResize() {
+  chartInstance && chartInstance.resize()
+}
+
+onMounted(() => {
+  initChart()
+  window.addEventListener('resize', handleResize)
+})
+
+onUnmounted(() => {
+  window.removeEventListener('resize', handleResize)
+  chartInstance && chartInstance.dispose()
+})
+</script>
diff --git a/healthlink-his-ui/src/views/knowledgegraph/PathwayEdit.vue b/healthlink-his-ui/src/views/knowledgegraph/PathwayEdit.vue
new file mode 100644
index 000000000..b28673f6f
--- /dev/null
+++ b/healthlink-his-ui/src/views/knowledgegraph/PathwayEdit.vue
@@ -0,0 +1,120 @@
+<template>
+  <el-dialog v-model="visible" title="新增临床路径" width="750px" append-to-body @close="handleClose">
+    <el-form ref="formRef" :model="form" :rules="rules" label-width="100px">
+      <el-form-item label="路径编码" prop="pathwayCode">
+        <el-input v-model="form.pathwayCode" placeholder="如: CP-DM-001" />
+      </el-form-item>
+      <el-form-item label="路径名称" prop="pathwayName">
+        <el-input v-model="form.pathwayName" placeholder="如: 2型糖尿病标准路径" />
+      </el-form-item>
+      <el-form-item label="疾病编码">
+        <el-input v-model="form.diseaseCode" placeholder="ICD-10编码" />
+      </el-form-item>
+      <el-form-item label="疾病名称">
+        <el-input v-model="form.diseaseName" placeholder="疾病名称" />
+      </el-form-item>
+      <el-form-item label="标准天数">
+        <el-input-number v-model="form.standardDays" :min="1" :max="365" />
+      </el-form-item>
+      <el-form-item label="路径描述">
+        <el-input v-model="form.description" type="textarea" :rows="3" placeholder="路径说明" />
+      </el-form-item>
+    </el-form>
+
+    <div style="margin-top:16px;display:flex;justify-content:space-between;align-items:center">
+      <span style="font-weight:bold">路径步骤</span>
+      <el-button size="small" type="primary" @click="addStep">添加步骤</el-button>
+    </div>
+
+    <div style="margin-top:8px;min-height:80px;max-height:300px;overflow-y:auto">
+      <div v-for="(step, idx) in steps" :key="idx"
+        style="display:flex;align-items:center;gap:8px;padding:8px;margin-bottom:8px;background:#f5f7fa;border-radius:4px;cursor:move"
+        draggable="true"
+        @dragstart="onDragStart(idx)"
+        @dragover.prevent
+        @drop="onDrop(idx)"
+      >
+        <span style="color:#999;cursor:grab;width:20px;text-align:center">⋮⋮</span>
+        <el-tag size="small" type="info">{{ idx + 1 }}</el-tag>
+        <el-select v-model="step.dayNumber" placeholder="天" style="width:80px" size="small">
+          <el-option v-for="d in 30" :key="d" :label="`第${d}天`" :value="d" />
+        </el-select>
+        <el-select v-model="step.stepType" placeholder="类型" style="width:100px" size="small">
+          <el-option label="检查" value="exam" />
+          <el-option label="治疗" value="treatment" />
+          <el-option label="护理" value="nursing" />
+          <el-option label="用药" value="medication" />
+        </el-select>
+        <el-input v-model="step.stepContent" placeholder="步骤内容" size="small" style="flex:1" />
+        <el-button link type="danger" @click="removeStep(idx)" size="small">删除</el-button>
+      </div>
+      <el-empty v-if="!steps.length" description="点击上方添加步骤" :image-size="60" />
+    </div>
+
+    <template #footer>
+      <el-button @click="handleClose">取消</el-button>
+      <el-button type="primary" :loading="submitting" @click="handleSubmit">确定</el-button>
+    </template>
+  </el-dialog>
+</template>
+
+<script setup>
+import { ref, watch } from 'vue'
+import { ElMessage } from 'element-plus'
+import { createPathway } from '@/api/knowledgegraph/api'
+
+const props = defineProps({ visible: Boolean })
+const emit = defineEmits(['update:visible', 'success'])
+
+const formRef = ref(null)
+const submitting = ref(false)
+const steps = ref([])
+let dragIdx = -1
+
+const defaultForm = () => ({
+  pathwayCode: '', pathwayName: '', diseaseCode: '',
+  diseaseName: '', standardDays: 7, description: ''
+})
+const form = ref(defaultForm())
+
+const rules = {
+  pathwayCode: [{ required: true, message: '请输入路径编码', trigger: 'blur' }],
+  pathwayName: [{ required: true, message: '请输入路径名称', trigger: 'blur' }]
+}
+
+watch(() => props.visible, (v) => {
+  if (v) { form.value = defaultForm(); steps.value = [] }
+})
+
+function handleClose() { emit('update:visible', false) }
+
+function addStep() {
+  steps.value.push({ dayNumber: 1, stepType: 'exam', stepContent: '' })
+}
+
+function removeStep(idx) {
+  steps.value.splice(idx, 1)
+}
+
+function onDragStart(idx) { dragIdx = idx }
+
+function onDrop(idx) {
+  if (dragIdx < 0 || dragIdx === idx) return
+  const item = steps.value.splice(dragIdx, 1)[0]
+  steps.value.splice(idx, 0, item)
+  dragIdx = -1
+}
+
+async function handleSubmit() {
+  await formRef.value.validate()
+  submitting.value = true
+  try {
+    await createPathway({ pathway: form.value, steps: steps.value })
+    ElMessage.success('创建成功')
+    emit('update:visible', false)
+    emit('success')
+  } finally {
+    submitting.value = false
+  }
+}
+</script>
diff --git a/healthlink-his-ui/src/views/knowledgegraph/PathwayList.vue b/healthlink-his-ui/src/views/knowledgegraph/PathwayList.vue
new file mode 100644
index 000000000..7b528fbe5
--- /dev/null
+++ b/healthlink-his-ui/src/views/knowledgegraph/PathwayList.vue
@@ -0,0 +1,119 @@
+<template>
+  <div style="padding:16px">
+    <div style="margin-bottom:16px;display:flex;justify-content:space-between;align-items:center">
+      <span style="font-size:18px;font-weight:bold">临床路径管理</span>
+      <div>
+        <el-button type="primary" @click="loadData">刷新</el-button>
+        <el-button type="success" @click="showEdit = true">新增路径</el-button>
+      </div>
+    </div>
+
+    <el-card shadow="never" style="margin-bottom:16px">
+      <el-form inline>
+        <el-form-item label="关键词">
+          <el-input v-model="keyword" placeholder="路径名称/疾病名称/编码" clearable style="width:220px" @keyup.enter="loadData" />
+        </el-form-item>
+        <el-form-item>
+          <el-button type="primary" @click="loadData">搜索</el-button>
+          <el-button @click="keyword = ''; loadData()">重置</el-button>
+        </el-form-item>
+      </el-form>
+    </el-card>
+
+    <el-table v-loading="loading" :data="tableData" border stripe>
+      <el-table-column prop="pathwayCode" label="路径编码" width="140" />
+      <el-table-column prop="pathwayName" label="路径名称" min-width="180" show-overflow-tooltip />
+      <el-table-column prop="diseaseCode" label="疾病编码" width="120" />
+      <el-table-column prop="diseaseName" label="疾病名称" width="150" show-overflow-tooltip />
+      <el-table-column prop="standardDays" label="标准天数" width="90" align="center" />
+      <el-table-column prop="status" label="状态" width="80" align="center">
+        <template #default="{row}">
+          <el-tag :type="row.status === 'ACTIVE' ? 'success' : 'info'" size="small">
+            {{ row.status === 'ACTIVE' ? '启用' : '停用' }}
+          </el-tag>
+        </template>
+      </el-table-column>
+      <el-table-column prop="createTime" label="创建时间" width="160" />
+      <el-table-column label="操作" width="120" fixed="right">
+        <template #default="{row}">
+          <el-button link type="primary" @click="viewSteps(row)">查看步骤</el-button>
+        </template>
+      </el-table-column>
+    </el-table>
+
+    <el-pagination
+      v-model:current-page="pageNo"
+      v-model:page-size="pageSize"
+      style="margin-top:12px;justify-content:flex-end"
+      :total="total"
+      layout="total, sizes, prev, pager, next, jumper"
+      @size-change="loadData"
+      @current-change="loadData"
+    />
+
+    <PathwayEdit v-model:visible="showEdit" @success="loadData" />
+
+    <el-dialog v-model="showSteps" :title="stepsTitle" width="700px" append-to-body>
+      <el-timeline>
+        <el-timeline-item
+          v-for="step in stepsData"
+          :key="step.id"
+          :type="stepTypeColor(step.stepType)"
+          :timestamp="`第${step.dayNumber || '-'}天 - ${stepTypeName(step.stepType)}`"
+          placement="top"
+        >
+          <el-card shadow="never" :body-style="{padding:'10px'}">
+            <div style="font-size:13px">{{ step.stepContent }}</div>
+          </el-card>
+        </el-timeline-item>
+      </el-timeline>
+      <el-empty v-if="!stepsData.length" description="暂无步骤" />
+      <template #footer>
+        <el-button @click="showSteps = false">关闭</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, onMounted } from 'vue'
+import { getPathwayPage, getPathwaySteps } from '@/api/knowledgegraph/api'
+import PathwayEdit from './PathwayEdit.vue'
+
+const loading = ref(false)
+const tableData = ref([])
+const total = ref(0)
+const pageNo = ref(1)
+const pageSize = ref(20)
+const keyword = ref('')
+const showEdit = ref(false)
+const showSteps = ref(false)
+const stepsTitle = ref('')
+const stepsData = ref([])
+
+const stepTypeMap = { exam: '检查', treatment: '治疗', nursing: '护理', medication: '用药' }
+const stepColorMap = { exam: 'warning', treatment: 'primary', nursing: 'success', medication: 'danger' }
+const stepTypeName = (t) => stepTypeMap[t] || t
+const stepTypeColor = (t) => stepColorMap[t] || 'info'
+
+async function loadData() {
+  loading.value = true
+  try {
+    const r = await getPathwayPage({ keyword: keyword.value, pageNo: pageNo.value, pageSize: pageSize.value })
+    tableData.value = r.data?.records || []
+    total.value = r.data?.total || 0
+  } finally {
+    loading.value = false
+  }
+}
+
+async function viewSteps(row) {
+  stepsTitle.value = `${row.pathwayName} - 路径步骤`
+  stepsData.value = []
+  showSteps.value = true
+  const r = await getPathwaySteps(row.id)
+  stepsData.value = r.data || []
+}
+
+onMounted(() => loadData())
+</script>
diff --git a/healthlink-his-ui/src/views/knowledgegraph/RelationForm.vue b/healthlink-his-ui/src/views/knowledgegraph/RelationForm.vue
new file mode 100644
index 000000000..9586dc07a
--- /dev/null
+++ b/healthlink-his-ui/src/views/knowledgegraph/RelationForm.vue
@@ -0,0 +1,102 @@
+<template>
+  <el-dialog v-model="visible" title="新增实体关系" width="600px" append-to-body @close="handleClose">
+    <el-form ref="formRef" :model="form" :rules="rules" label-width="110px">
+      <el-form-item label="源实体类型" prop="sourceType">
+        <el-select v-model="form.sourceType" placeholder="请选择" style="width:100%">
+          <el-option v-for="t in entityTypes" :key="t.code" :label="t.name" :value="t.code" />
+        </el-select>
+      </el-form-item>
+      <el-form-item label="源实体ID" prop="sourceId">
+        <el-input v-model="form.sourceId" placeholder="请输入源实体ID" />
+      </el-form-item>
+      <el-form-item label="目标实体类型" prop="targetType">
+        <el-select v-model="form.targetType" placeholder="请选择" style="width:100%">
+          <el-option v-for="t in entityTypes" :key="t.code" :label="t.name" :value="t.code" />
+        </el-select>
+      </el-form-item>
+      <el-form-item label="目标实体ID" prop="targetId">
+        <el-input v-model="form.targetId" placeholder="请输入目标实体ID" />
+      </el-form-item>
+      <el-form-item label="关系类型" prop="relationType">
+        <el-select v-model="form.relationType" placeholder="请选择" style="width:100%">
+          <el-option v-for="r in relationTypes" :key="r.code" :label="r.name" :value="r.code" />
+        </el-select>
+      </el-form-item>
+      <el-form-item label="关系强度">
+        <el-slider v-model="form.relationStrength" :min="0" :max="1" :step="0.1" show-input />
+      </el-form-item>
+      <el-form-item label="描述">
+        <el-input v-model="form.description" type="textarea" :rows="3" placeholder="关系描述" />
+      </el-form-item>
+    </el-form>
+    <template #footer>
+      <el-button @click="handleClose">取消</el-button>
+      <el-button type="primary" :loading="submitting" @click="handleSubmit">确定</el-button>
+    </template>
+  </el-dialog>
+</template>
+
+<script setup>
+import { ref, watch } from 'vue'
+import { ElMessage } from 'element-plus'
+import { createRelation } from '@/api/knowledgegraph/api'
+
+const props = defineProps({ visible: Boolean })
+const emit = defineEmits(['update:visible', 'success'])
+
+const formRef = ref(null)
+const submitting = ref(false)
+
+const entityTypes = [
+  { code: 'disease', name: '疾病' },
+  { code: 'symptom', name: '症状' },
+  { code: 'drug', name: '药物' },
+  { code: 'exam', name: '检查' }
+]
+
+const relationTypes = [
+  { code: 'CAUSES', name: '导致' },
+  { code: 'TREATS', name: '治疗' },
+  { code: 'CONTRAINDICATES', name: '禁忌' },
+  { code: 'INTERACTS_WITH', name: '相互作用' },
+  { code: 'REQUIRES_EXAM', name: '需要检查' },
+  { code: 'HAS_SYMPTOM', name: '具有症状' },
+  { code: 'SIDE_EFFECT', name: '副作用' },
+  { code: 'ALTERNATIVE', name: '替代' }
+]
+
+const defaultForm = () => ({
+  sourceType: '', sourceId: '', targetType: '', targetId: '',
+  relationType: '', relationStrength: 1.0, description: ''
+})
+const form = ref(defaultForm())
+
+const rules = {
+  sourceType: [{ required: true, message: '请选择源实体类型', trigger: 'change' }],
+  sourceId: [{ required: true, message: '请输入源实体ID', trigger: 'blur' }],
+  targetType: [{ required: true, message: '请选择目标实体类型', trigger: 'change' }],
+  targetId: [{ required: true, message: '请输入目标实体ID', trigger: 'blur' }],
+  relationType: [{ required: true, message: '请选择关系类型', trigger: 'change' }]
+}
+
+watch(() => props.visible, (v) => {
+  if (v) form.value = defaultForm()
+})
+
+function handleClose() {
+  emit('update:visible', false)
+}
+
+async function handleSubmit() {
+  await formRef.value.validate()
+  submitting.value = true
+  try {
+    await createRelation(form.value)
+    ElMessage.success('创建成功')
+    emit('update:visible', false)
+    emit('success')
+  } finally {
+    submitting.value = false
+  }
+}
+</script>
diff --git a/healthlink-his-ui/src/views/knowledgegraph/RelationList.vue b/healthlink-his-ui/src/views/knowledgegraph/RelationList.vue
new file mode 100644
index 000000000..576983dbd
--- /dev/null
+++ b/healthlink-his-ui/src/views/knowledgegraph/RelationList.vue
@@ -0,0 +1,136 @@
+<template>
+  <div style="padding:16px">
+    <div style="margin-bottom:16px;display:flex;justify-content:space-between;align-items:center">
+      <span style="font-size:18px;font-weight:bold">实体关系管理</span>
+      <div>
+        <el-button type="primary" @click="loadData">刷新</el-button>
+        <el-button type="success" @click="showForm = true">新增关系</el-button>
+      </div>
+    </div>
+
+    <el-card shadow="never" style="margin-bottom:16px">
+      <el-form inline>
+        <el-form-item label="源实体类型">
+          <el-select v-model="filters.sourceType" clearable placeholder="全部" style="width:130px">
+            <el-option v-for="t in entityTypes" :key="t.code" :label="t.name" :value="t.code" />
+          </el-select>
+        </el-form-item>
+        <el-form-item label="目标实体类型">
+          <el-select v-model="filters.targetType" clearable placeholder="全部" style="width:130px">
+            <el-option v-for="t in entityTypes" :key="t.code" :label="t.name" :value="t.code" />
+          </el-select>
+        </el-form-item>
+        <el-form-item label="关系类型">
+          <el-select v-model="filters.relationType" clearable placeholder="全部" style="width:150px">
+            <el-option v-for="r in relationTypes" :key="r.code" :label="r.name" :value="r.code" />
+          </el-select>
+        </el-form-item>
+        <el-form-item>
+          <el-button type="primary" @click="loadData">搜索</el-button>
+          <el-button @click="resetFilters">重置</el-button>
+        </el-form-item>
+      </el-form>
+    </el-card>
+
+    <el-table v-loading="loading" :data="tableData" border stripe>
+      <el-table-column prop="sourceType" label="源实体类型" width="120" align="center">
+        <template #default="{row}">
+          <el-tag size="small" :style="{background: typeColor(row.sourceType), color:'#fff', border:'none'}">
+            {{ typeName(row.sourceType) }}
+          </el-tag>
+        </template>
+      </el-table-column>
+      <el-table-column prop="sourceId" label="源实体ID" width="140" show-overflow-tooltip />
+      <el-table-column prop="targetType" label="目标实体类型" width="120" align="center">
+        <template #default="{row}">
+          <el-tag size="small" :style="{background: typeColor(row.targetType), color:'#fff', border:'none'}">
+            {{ typeName(row.targetType) }}
+          </el-tag>
+        </template>
+      </el-table-column>
+      <el-table-column prop="targetId" label="目标实体ID" width="140" show-overflow-tooltip />
+      <el-table-column prop="relationType" label="关系类型" width="140" align="center">
+        <template #default="{row}">
+          <el-tag size="small" type="warning">{{ relationName(row.relationType) }}</el-tag>
+        </template>
+      </el-table-column>
+      <el-table-column prop="relationStrength" label="强度" width="80" align="center" />
+      <el-table-column prop="description" label="描述" min-width="150" show-overflow-tooltip />
+      <el-table-column prop="createTime" label="创建时间" width="160" />
+    </el-table>
+
+    <el-pagination
+      v-model:current-page="pageNo"
+      v-model:page-size="pageSize"
+      style="margin-top:12px;justify-content:flex-end"
+      :total="total"
+      layout="total, sizes, prev, pager, next, jumper"
+      @size-change="loadData"
+      @current-change="loadData"
+    />
+
+    <RelationForm v-model:visible="showForm" @success="loadData" />
+  </div>
+</template>
+
+<script setup>
+import { ref, onMounted } from 'vue'
+import { getRelationPage } from '@/api/knowledgegraph/api'
+import RelationForm from './RelationForm.vue'
+
+const loading = ref(false)
+const tableData = ref([])
+const total = ref(0)
+const pageNo = ref(1)
+const pageSize = ref(20)
+const showForm = ref(false)
+
+const filters = ref({ sourceType: '', targetType: '', relationType: '' })
+
+const entityTypes = [
+  { code: 'disease', name: '疾病' },
+  { code: 'symptom', name: '症状' },
+  { code: 'drug', name: '药物' },
+  { code: 'exam', name: '检查' }
+]
+
+const relationTypes = [
+  { code: 'CAUSES', name: '导致' },
+  { code: 'TREATS', name: '治疗' },
+  { code: 'CONTRAINDICATES', name: '禁忌' },
+  { code: 'INTERACTS_WITH', name: '相互作用' },
+  { code: 'REQUIRES_EXAM', name: '需要检查' },
+  { code: 'HAS_SYMPTOM', name: '具有症状' },
+  { code: 'SIDE_EFFECT', name: '副作用' },
+  { code: 'ALTERNATIVE', name: '替代' }
+]
+
+const typeColorMap = { disease: '#f56c6c', symptom: '#409eff', drug: '#67c23a', exam: '#e6a23c' }
+const typeColor = (t) => typeColorMap[t] || '#909399'
+const typeName = (t) => (entityTypes.find(e => e.code === t) || {}).name || t
+const relationName = (r) => (relationTypes.find(e => e.code === r) || {}).name || r
+
+function resetFilters() {
+  filters.value = { sourceType: '', targetType: '', relationType: '' }
+  loadData()
+}
+
+async function loadData() {
+  loading.value = true
+  try {
+    const r = await getRelationPage({
+      sourceType: filters.value.sourceType,
+      targetType: filters.value.targetType,
+      relationType: filters.value.relationType,
+      pageNo: pageNo.value,
+      pageSize: pageSize.value
+    })
+    tableData.value = r.data?.records || []
+    total.value = r.data?.total || 0
+  } finally {
+    loading.value = false
+  }
+}
+
+onMounted(() => loadData())
+</script>
diff --git a/healthlink-his-ui/src/views/knowledgegraph/SymptomList.vue b/healthlink-his-ui/src/views/knowledgegraph/SymptomList.vue
new file mode 100644
index 000000000..5b27ca94c
--- /dev/null
+++ b/healthlink-his-ui/src/views/knowledgegraph/SymptomList.vue
@@ -0,0 +1,139 @@
+<template>
+  <div class="app-container">
+    <el-form :model="queryParams" ref="queryFormRef" :inline="true" v-show="showSearch" label-width="80px">
+      <el-form-item label="关键词" prop="keyword">
+        <el-input v-model="queryParams.keyword" placeholder="症状名称/编码" clearable style="width:200px" @keyup.enter="handleQuery" />
+      </el-form-item>
+      <el-form-item label="症状类型" prop="symptomType">
+        <el-input v-model="queryParams.symptomType" placeholder="症状类型" clearable style="width:160px" />
+      </el-form-item>
+      <el-form-item>
+        <el-button type="primary" icon="Search" @click="handleQuery">搜索</el-button>
+        <el-button icon="Refresh" @click="resetQuery">重置</el-button>
+      </el-form-item>
+    </el-form>
+
+    <el-row :gutter="10" class="mb8">
+      <el-col :span="1.5">
+        <el-button type="primary" plain icon="Plus" @click="handleAdd">新增</el-button>
+      </el-col>
+    </el-row>
+
+    <el-table v-loading="loading" :data="tableData" border stripe>
+      <el-table-column type="index" label="序号" width="60" align="center" />
+      <el-table-column prop="symptomCode" label="症状编码" width="140" show-overflow-tooltip />
+      <el-table-column prop="symptomName" label="症状名称" min-width="180" show-overflow-tooltip />
+      <el-table-column prop="bodyPart" label="所属部位" width="120" show-overflow-tooltip />
+      <el-table-column prop="symptomType" label="症状类型" width="120" align="center" />
+      <el-table-column prop="createTime" label="创建时间" width="170" />
+      <el-table-column label="操作" width="150" align="center" fixed="right">
+        <template #default="{ row }">
+          <el-button link type="primary" icon="Edit" @click="handleEdit(row)">编辑</el-button>
+          <el-button link type="danger" icon="Delete" @click="handleDelete(row)">删除</el-button>
+        </template>
+      </el-table-column>
+    </el-table>
+
+    <pagination v-show="total > 0" v-model:page="queryParams.pageNo" v-model:limit="queryParams.pageSize" :total="total" @pagination="getList" />
+
+    <el-dialog v-model="showForm" :title="form.id ? '编辑症状' : '新增症状'" width="550px" @close="resetForm">
+      <el-form ref="formRef" :model="form" :rules="formRules" label-width="90px">
+        <el-form-item label="症状编码" prop="symptomCode">
+          <el-input v-model="form.symptomCode" placeholder="请输入症状编码" />
+        </el-form-item>
+        <el-form-item label="症状名称" prop="symptomName">
+          <el-input v-model="form.symptomName" placeholder="请输入症状名称" />
+        </el-form-item>
+        <el-form-item label="所属部位" prop="bodyPart">
+          <el-input v-model="form.bodyPart" placeholder="请输入所属部位" />
+        </el-form-item>
+        <el-form-item label="症状类型" prop="symptomType">
+          <el-input v-model="form.symptomType" placeholder="请输入症状类型" />
+        </el-form-item>
+      </el-form>
+      <template #footer>
+        <el-button @click="showForm = false">取消</el-button>
+        <el-button type="primary" :loading="submitting" @click="handleSubmit">确定</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup name="KgSymptomList">
+import { ref, reactive, onMounted } from 'vue'
+import { getSymptomPage, addSymptom, updateSymptom, deleteSymptom } from '@/api/knowledgegraph/api'
+import { ElMessage, ElMessageBox } from 'element-plus'
+
+const { proxy } = getCurrentInstance()
+
+const tableData = ref([])
+const loading = ref(false)
+const showSearch = ref(true)
+const total = ref(0)
+const showForm = ref(false)
+const submitting = ref(false)
+const formRef = ref(null)
+
+const queryParams = reactive({ pageNo: 1, pageSize: 10, keyword: '', symptomType: '' })
+const form = reactive({ id: undefined, symptomCode: '', symptomName: '', bodyPart: '', symptomType: '' })
+const formRules = {
+  symptomCode: [{ required: true, message: '请输入症状编码', trigger: 'blur' }],
+  symptomName: [{ required: true, message: '请输入症状名称', trigger: 'blur' }]
+}
+
+async function getList() {
+  loading.value = true
+  try {
+    const res = await getSymptomPage(queryParams)
+    if (res.code === 200) {
+      tableData.value = res.data?.records || []
+      total.value = res.data?.total || 0
+    }
+  } finally {
+    loading.value = false
+  }
+}
+
+function handleQuery() { queryParams.pageNo = 1; getList() }
+function resetQuery() { queryParams.keyword = ''; queryParams.symptomType = ''; handleQuery() }
+
+function handleAdd() {
+  Object.assign(form, { id: undefined, symptomCode: '', symptomName: '', bodyPart: '', symptomType: '' })
+  showForm.value = true
+}
+
+function handleEdit(row) {
+  Object.assign(form, row)
+  showForm.value = true
+}
+
+function resetForm() {
+  formRef.value?.resetFields()
+}
+
+function handleDelete(row) {
+  ElMessageBox.confirm('确认删除该症状吗？', '提示', { type: 'warning' })
+    .then(() => deleteSymptom(row.id))
+    .then(() => { ElMessage.success('删除成功'); getList() })
+}
+
+async function handleSubmit() {
+  try { await formRef.value.validate() } catch { return }
+  submitting.value = true
+  try {
+    if (form.id) {
+      await updateSymptom({ ...form })
+      ElMessage.success('更新成功')
+    } else {
+      await addSymptom({ ...form })
+      ElMessage.success('创建成功')
+    }
+    showForm.value = false
+    getList()
+  } finally {
+    submitting.value = false
+  }
+}
+
+onMounted(() => getList())
+</script>

From be90a13cd6a82d32991397fe897891ba11028690 Mon Sep 17 00:00:00 2001
From: chenqi <chen.qi@jin-group.cn>
Date: Fri, 19 Jun 2026 08:06:38 +0800
Subject: [PATCH 9/9] =?UTF-8?q?feat(kg):=20=E5=85=B3=E7=B3=BB=E7=AE=A1?=
 =?UTF-8?q?=E7=90=86+=E7=9F=A5=E8=AF=86=E5=9B=BE=E8=B0=B1=E5=8F=AF?=
 =?UTF-8?q?=E8=A7=86=E5=8C=96?=
MIME-Version: 1.0
Content-Type: text/plain; charset=UTF-8
Content-Transfer-Encoding: 8bit

---
 .../appservice/IKgRelationAppService.java     |  18 +++
 .../impl/KgRelationAppServiceImpl.java        | 146 ++++++++++++++++++
 .../controller/KgRelationController.java      |  79 ++++++++++
 .../his/web/clinical/dto/KgPathwayDto.java    |  13 ++
 .../his/common/enums/KgEntityType.java        |  28 ++++
 .../his/common/enums/KgRelationType.java      |  32 ++++
 .../clinical/domain/KgClinicalPathway.java    |  22 +++
 .../his/clinical/domain/KgEntityRelation.java |  24 +++
 .../his/clinical/domain/KgPathwayStep.java    |  20 +++
 .../mapper/KgClinicalPathwayMapper.java       |   9 ++
 .../mapper/KgEntityRelationMapper.java        |   9 ++
 .../clinical/mapper/KgPathwayStepMapper.java  |   9 ++
 .../service/IKgClinicalPathwayService.java    |   7 +
 .../service/IKgEntityRelationService.java     |   7 +
 .../service/IKgPathwayStepService.java        |   7 +
 .../impl/KgClinicalPathwayServiceImpl.java    |  11 ++
 .../impl/KgEntityRelationServiceImpl.java     |  11 ++
 .../impl/KgPathwayStepServiceImpl.java        |  11 ++
 .../clinical/KgClinicalPathwayMapper.xml      |   6 +
 .../clinical/KgEntityRelationMapper.xml       |   6 +
 .../mapper/clinical/KgPathwayStepMapper.xml   |   6 +
 .../src/views/knowledgegraph/PathwayEdit.vue  |  22 ++-
 .../src/views/knowledgegraph/RelationForm.vue |  15 +-
 23 files changed, 508 insertions(+), 10 deletions(-)
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/appservice/IKgRelationAppService.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/appservice/impl/KgRelationAppServiceImpl.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/controller/KgRelationController.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/dto/KgPathwayDto.java
 create mode 100644 healthlink-his-server/healthlink-his-common/src/main/java/com/healthlink/his/common/enums/KgEntityType.java
 create mode 100644 healthlink-his-server/healthlink-his-common/src/main/java/com/healthlink/his/common/enums/KgRelationType.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/domain/KgClinicalPathway.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/domain/KgEntityRelation.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/domain/KgPathwayStep.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/mapper/KgClinicalPathwayMapper.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/mapper/KgEntityRelationMapper.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/mapper/KgPathwayStepMapper.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/IKgClinicalPathwayService.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/IKgEntityRelationService.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/IKgPathwayStepService.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/impl/KgClinicalPathwayServiceImpl.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/impl/KgEntityRelationServiceImpl.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/impl/KgPathwayStepServiceImpl.java
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/clinical/KgClinicalPathwayMapper.xml
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/clinical/KgEntityRelationMapper.xml
 create mode 100644 healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/clinical/KgPathwayStepMapper.xml

diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/appservice/IKgRelationAppService.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/appservice/IKgRelationAppService.java
new file mode 100644
index 000000000..4b8154225
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/appservice/IKgRelationAppService.java
@@ -0,0 +1,18 @@
+package com.healthlink.his.web.clinical.appservice;
+
+import com.baomidou.mybatisplus.core.metadata.IPage;
+import com.healthlink.his.clinical.domain.KgClinicalPathway;
+import com.healthlink.his.clinical.domain.KgEntityRelation;
+import com.healthlink.his.clinical.domain.KgPathwayStep;
+
+import java.util.List;
+import java.util.Map;
+
+public interface IKgRelationAppService {
+    void createRelation(KgEntityRelation relation);
+    IPage<KgEntityRelation> pageRelations(String sourceType, String targetType, String relationType, Integer pageNo, Integer pageSize);
+    Map<String, Object> getRelationGraph(String entityType, String entityId);
+    void createPathway(KgClinicalPathway pathway, List<KgPathwayStep> steps);
+    IPage<KgClinicalPathway> pagePathways(String keyword, Integer pageNo, Integer pageSize);
+    List<KgPathwayStep> getPathwaySteps(Long pathwayId);
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/appservice/impl/KgRelationAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/appservice/impl/KgRelationAppServiceImpl.java
new file mode 100644
index 000000000..4eac09a18
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/appservice/impl/KgRelationAppServiceImpl.java
@@ -0,0 +1,146 @@
+package com.healthlink.his.web.clinical.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.core.metadata.IPage;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.healthlink.his.clinical.domain.KgClinicalPathway;
+import com.healthlink.his.clinical.domain.KgEntityRelation;
+import com.healthlink.his.clinical.domain.KgPathwayStep;
+import com.healthlink.his.clinical.service.IKgClinicalPathwayService;
+import com.healthlink.his.clinical.service.IKgEntityRelationService;
+import com.healthlink.his.clinical.service.IKgPathwayStepService;
+import com.healthlink.his.web.clinical.appservice.IKgRelationAppService;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+import org.springframework.util.StringUtils;
+
+import java.math.BigDecimal;
+import java.util.*;
+import java.util.stream.Collectors;
+
+@Service
+public class KgRelationAppServiceImpl implements IKgRelationAppService {
+
+    @Autowired
+    private IKgEntityRelationService relationService;
+
+    @Autowired
+    private IKgClinicalPathwayService pathwayService;
+
+    @Autowired
+    private IKgPathwayStepService stepService;
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public void createRelation(KgEntityRelation relation) {
+        if (relation.getRelationStrength() == null) {
+            relation.setRelationStrength(BigDecimal.ONE);
+        }
+        relation.setCreateTime(new Date());
+        relationService.save(relation);
+    }
+
+    @Override
+    public IPage<KgEntityRelation> pageRelations(String sourceType, String targetType, String relationType, Integer pageNo, Integer pageSize) {
+        LambdaQueryWrapper<KgEntityRelation> w = new LambdaQueryWrapper<>();
+        w.eq(StringUtils.hasText(sourceType), KgEntityRelation::getSourceType, sourceType)
+         .eq(StringUtils.hasText(targetType), KgEntityRelation::getTargetType, targetType)
+         .eq(StringUtils.hasText(relationType), KgEntityRelation::getRelationType, relationType)
+         .orderByDesc(KgEntityRelation::getCreateTime);
+        return relationService.page(new Page<>(pageNo, pageSize), w);
+    }
+
+    @Override
+    public Map<String, Object> getRelationGraph(String entityType, String entityId) {
+        Set<String> nodeKeys = new LinkedHashSet<>();
+        List<Map<String, Object>> nodes = new ArrayList<>();
+        List<Map<String, Object>> edges = new ArrayList<>();
+
+        // Find all relations where this entity is source or target
+        LambdaQueryWrapper<KgEntityRelation> w1 = new LambdaQueryWrapper<>();
+        w1.eq(KgEntityRelation::getSourceType, entityType)
+          .eq(KgEntityRelation::getSourceId, entityId);
+        List<KgEntityRelation> outgoing = relationService.list(w1);
+
+        LambdaQueryWrapper<KgEntityRelation> w2 = new LambdaQueryWrapper<>();
+        w2.eq(KgEntityRelation::getTargetType, entityType)
+          .eq(KgEntityRelation::getTargetId, entityId);
+        List<KgEntityRelation> incoming = relationService.list(w2);
+
+        List<KgEntityRelation> all = new ArrayList<>();
+        all.addAll(outgoing);
+        all.addAll(incoming);
+
+        for (KgEntityRelation rel : all) {
+            String srcKey = rel.getSourceType() + ":" + rel.getSourceId();
+            String tgtKey = rel.getTargetType() + ":" + rel.getTargetId();
+
+            if (nodeKeys.add(srcKey)) {
+                nodes.add(buildNode(srcKey, rel.getSourceType(), rel.getSourceId()));
+            }
+            if (nodeKeys.add(tgtKey)) {
+                nodes.add(buildNode(tgtKey, rel.getTargetType(), rel.getTargetId()));
+            }
+
+            Map<String, Object> edge = new LinkedHashMap<>();
+            edge.put("source", srcKey);
+            edge.put("target", tgtKey);
+            edge.put("relationType", rel.getRelationType());
+            edge.put("relationStrength", rel.getRelationStrength());
+            edge.put("description", rel.getDescription());
+            edges.add(edge);
+        }
+
+        Map<String, Object> result = new LinkedHashMap<>();
+        result.put("nodes", nodes);
+        result.put("edges", edges);
+        return result;
+    }
+
+    private Map<String, Object> buildNode(String key, String type, String id) {
+        Map<String, Object> node = new LinkedHashMap<>();
+        node.put("id", key);
+        node.put("entityType", type);
+        node.put("entityId", id);
+        return node;
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public void createPathway(KgClinicalPathway pathway, List<KgPathwayStep> steps) {
+        pathway.setStatus("ACTIVE");
+        pathway.setCreateTime(new Date());
+        pathwayService.save(pathway);
+
+        if (steps != null) {
+            for (int i = 0; i < steps.size(); i++) {
+                KgPathwayStep step = steps.get(i);
+                step.setPathwayId(pathway.getId());
+                step.setStepOrder(i + 1);
+                step.setCreateTime(new Date());
+            }
+            stepService.saveBatch(steps);
+        }
+    }
+
+    @Override
+    public IPage<KgClinicalPathway> pagePathways(String keyword, Integer pageNo, Integer pageSize) {
+        LambdaQueryWrapper<KgClinicalPathway> w = new LambdaQueryWrapper<>();
+        w.eq(KgClinicalPathway::getStatus, "ACTIVE")
+         .and(StringUtils.hasText(keyword), q -> q
+             .like(KgClinicalPathway::getPathwayName, keyword)
+             .or().like(KgClinicalPathway::getDiseaseName, keyword)
+             .or().like(KgClinicalPathway::getPathwayCode, keyword))
+         .orderByDesc(KgClinicalPathway::getCreateTime);
+        return pathwayService.page(new Page<>(pageNo, pageSize), w);
+    }
+
+    @Override
+    public List<KgPathwayStep> getPathwaySteps(Long pathwayId) {
+        LambdaQueryWrapper<KgPathwayStep> w = new LambdaQueryWrapper<>();
+        w.eq(KgPathwayStep::getPathwayId, pathwayId)
+         .orderByAsc(KgPathwayStep::getStepOrder);
+        return stepService.list(w);
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/controller/KgRelationController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/controller/KgRelationController.java
new file mode 100644
index 000000000..843fbc300
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/controller/KgRelationController.java
@@ -0,0 +1,79 @@
+package com.healthlink.his.web.clinical.controller;
+
+import com.core.common.core.domain.AjaxResult;
+import com.core.common.core.domain.R;
+import com.healthlink.his.clinical.domain.KgClinicalPathway;
+import com.healthlink.his.clinical.domain.KgEntityRelation;
+import com.healthlink.his.clinical.domain.KgPathwayStep;
+import com.healthlink.his.web.clinical.appservice.IKgRelationAppService;
+import com.healthlink.his.web.clinical.dto.KgPathwayDto;
+import io.swagger.v3.oas.annotations.Operation;
+import io.swagger.v3.oas.annotations.tags.Tag;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.List;
+
+@Tag(name = "知识图谱管理")
+@RestController
+@RequestMapping("/knowledgegraph")
+@Slf4j
+@AllArgsConstructor
+public class KgRelationController {
+
+    private final IKgRelationAppService kgRelationAppService;
+
+    @Operation(summary = "创建关系")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:edit')")
+    @PostMapping("/relation")
+    public AjaxResult createRelation(@RequestBody KgEntityRelation relation) {
+        kgRelationAppService.createRelation(relation);
+        return AjaxResult.success();
+    }
+
+    @Operation(summary = "关系分页查询")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:list')")
+    @GetMapping("/relation/page")
+    public R<?> pageRelations(
+            @RequestParam(value = "sourceType", required = false) String sourceType,
+            @RequestParam(value = "targetType", required = false) String targetType,
+            @RequestParam(value = "relationType", required = false) String relationType,
+            @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+            @RequestParam(value = "pageSize", defaultValue = "20") Integer pageSize) {
+        return R.ok(kgRelationAppService.pageRelations(sourceType, targetType, relationType, pageNo, pageSize));
+    }
+
+    @Operation(summary = "查询实体关系图")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:list')")
+    @GetMapping("/relation/graph/{entityType}/{entityId}")
+    public R<?> getRelationGraph(@PathVariable String entityType, @PathVariable String entityId) {
+        return R.ok(kgRelationAppService.getRelationGraph(entityType, entityId));
+    }
+
+    @Operation(summary = "创建临床路径")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:edit')")
+    @PostMapping("/pathway")
+    public AjaxResult createPathway(@RequestBody KgPathwayDto dto) {
+        kgRelationAppService.createPathway(dto.getPathway(), dto.getSteps());
+        return AjaxResult.success();
+    }
+
+    @Operation(summary = "路径分页查询")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:list')")
+    @GetMapping("/pathway/page")
+    public R<?> pagePathways(
+            @RequestParam(value = "keyword", required = false) String keyword,
+            @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+            @RequestParam(value = "pageSize", defaultValue = "20") Integer pageSize) {
+        return R.ok(kgRelationAppService.pagePathways(keyword, pageNo, pageSize));
+    }
+
+    @Operation(summary = "查询路径步骤")
+    @PreAuthorize("@ss.hasPermi('system:knowledgegraph:list')")
+    @GetMapping("/pathway/{id}/steps")
+    public R<?> getPathwaySteps(@PathVariable Long id) {
+        return R.ok(kgRelationAppService.getPathwaySteps(id));
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/dto/KgPathwayDto.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/dto/KgPathwayDto.java
new file mode 100644
index 000000000..857404027
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/dto/KgPathwayDto.java
@@ -0,0 +1,13 @@
+package com.healthlink.his.web.clinical.dto;
+
+import com.healthlink.his.clinical.domain.KgClinicalPathway;
+import com.healthlink.his.clinical.domain.KgPathwayStep;
+import lombok.Data;
+
+import java.util.List;
+
+@Data
+public class KgPathwayDto {
+    private KgClinicalPathway pathway;
+    private List<KgPathwayStep> steps;
+}
diff --git a/healthlink-his-server/healthlink-his-common/src/main/java/com/healthlink/his/common/enums/KgEntityType.java b/healthlink-his-server/healthlink-his-common/src/main/java/com/healthlink/his/common/enums/KgEntityType.java
new file mode 100644
index 000000000..5e6976726
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-common/src/main/java/com/healthlink/his/common/enums/KgEntityType.java
@@ -0,0 +1,28 @@
+package com.healthlink.his.common.enums;
+
+import com.baomidou.mybatisplus.annotation.EnumValue;
+import lombok.AllArgsConstructor;
+import lombok.Getter;
+
+@Getter
+@AllArgsConstructor
+public enum KgEntityType implements HisEnumInterface {
+
+    DISEASE(1, "disease", "疾病"),
+    SYMPTOM(2, "symptom", "症状"),
+    DRUG(3, "drug", "药物"),
+    EXAM(4, "exam", "检查");
+
+    @EnumValue
+    private final Integer value;
+    private final String code;
+    private final String info;
+
+    public static KgEntityType getByCode(String code) {
+        if (code == null) return null;
+        for (KgEntityType e : values()) {
+            if (e.getCode().equals(code)) return e;
+        }
+        return null;
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-common/src/main/java/com/healthlink/his/common/enums/KgRelationType.java b/healthlink-his-server/healthlink-his-common/src/main/java/com/healthlink/his/common/enums/KgRelationType.java
new file mode 100644
index 000000000..9c118937b
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-common/src/main/java/com/healthlink/his/common/enums/KgRelationType.java
@@ -0,0 +1,32 @@
+package com.healthlink.his.common.enums;
+
+import com.baomidou.mybatisplus.annotation.EnumValue;
+import lombok.AllArgsConstructor;
+import lombok.Getter;
+
+@Getter
+@AllArgsConstructor
+public enum KgRelationType implements HisEnumInterface {
+
+    CAUSES(1, "CAUSES", "导致"),
+    TREATS(2, "TREATS", "治疗"),
+    CONTRAINDICATES(3, "CONTRAINDICATES", "禁忌"),
+    INTERACTS_WITH(4, "INTERACTS_WITH", "相互作用"),
+    REQUIRES_EXAM(5, "REQUIRES_EXAM", "需要检查"),
+    HAS_SYMPTOM(6, "HAS_SYMPTOM", "具有症状"),
+    SIDE_EFFECT(7, "SIDE_EFFECT", "副作用"),
+    ALTERNATIVE(8, "ALTERNATIVE", "替代");
+
+    @EnumValue
+    private final Integer value;
+    private final String code;
+    private final String info;
+
+    public static KgRelationType getByCode(String code) {
+        if (code == null) return null;
+        for (KgRelationType e : values()) {
+            if (e.getCode().equals(code)) return e;
+        }
+        return null;
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/domain/KgClinicalPathway.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/domain/KgClinicalPathway.java
new file mode 100644
index 000000000..988aa7f6e
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/domain/KgClinicalPathway.java
@@ -0,0 +1,22 @@
+package com.healthlink.his.clinical.domain;
+
+import com.baomidou.mybatisplus.annotation.*;
+import com.core.common.core.domain.HisBaseEntity;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+@TableName("kg_clinical_pathway")
+public class KgClinicalPathway extends HisBaseEntity {
+    @TableId(value = "id", type = IdType.ASSIGN_ID)
+    private Long id;
+    @TableField("pathway_code") private String pathwayCode;
+    @TableField("pathway_name") private String pathwayName;
+    @TableField("disease_code") private String diseaseCode;
+    @TableField("disease_name") private String diseaseName;
+    @TableField("department") private String department;
+    @TableField("standard_days") private Integer standardDays;
+    @TableField("description") private String description;
+    @TableField("status") private String status;
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/domain/KgEntityRelation.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/domain/KgEntityRelation.java
new file mode 100644
index 000000000..4a72ae10c
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/domain/KgEntityRelation.java
@@ -0,0 +1,24 @@
+package com.healthlink.his.clinical.domain;
+
+import com.baomidou.mybatisplus.annotation.*;
+import com.core.common.core.domain.HisBaseEntity;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+
+import java.math.BigDecimal;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+@TableName("kg_entity_relation")
+public class KgEntityRelation extends HisBaseEntity {
+    @TableId(value = "id", type = IdType.ASSIGN_ID)
+    private Long id;
+    @TableField("source_type") private String sourceType;
+    @TableField("source_id") private String sourceId;
+    @TableField("target_type") private String targetType;
+    @TableField("target_id") private String targetId;
+    @TableField("relation_type") private String relationType;
+    @TableField("relation_strength") private BigDecimal relationStrength;
+    @TableField("description") private String description;
+    @TableField("evidence_source") private String evidenceSource;
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/domain/KgPathwayStep.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/domain/KgPathwayStep.java
new file mode 100644
index 000000000..9735ba0d9
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/domain/KgPathwayStep.java
@@ -0,0 +1,20 @@
+package com.healthlink.his.clinical.domain;
+
+import com.baomidou.mybatisplus.annotation.*;
+import com.core.common.core.domain.HisBaseEntity;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+@TableName("kg_pathway_step")
+public class KgPathwayStep extends HisBaseEntity {
+    @TableId(value = "id", type = IdType.ASSIGN_ID)
+    private Long id;
+    @TableField("pathway_id") private Long pathwayId;
+    @TableField("step_order") private Integer stepOrder;
+    @TableField("day_number") private Integer dayNumber;
+    @TableField("step_type") private String stepType;
+    @TableField("step_content") private String stepContent;
+    @TableField("required") private String required;
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/mapper/KgClinicalPathwayMapper.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/mapper/KgClinicalPathwayMapper.java
new file mode 100644
index 000000000..7d9451861
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/mapper/KgClinicalPathwayMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.clinical.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.clinical.domain.KgClinicalPathway;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface KgClinicalPathwayMapper extends BaseMapper<KgClinicalPathway> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/mapper/KgEntityRelationMapper.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/mapper/KgEntityRelationMapper.java
new file mode 100644
index 000000000..e858d863f
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/mapper/KgEntityRelationMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.clinical.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.clinical.domain.KgEntityRelation;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface KgEntityRelationMapper extends BaseMapper<KgEntityRelation> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/mapper/KgPathwayStepMapper.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/mapper/KgPathwayStepMapper.java
new file mode 100644
index 000000000..2c7ff3b8a
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/mapper/KgPathwayStepMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.clinical.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.clinical.domain.KgPathwayStep;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface KgPathwayStepMapper extends BaseMapper<KgPathwayStep> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/IKgClinicalPathwayService.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/IKgClinicalPathwayService.java
new file mode 100644
index 000000000..3d1a5e676
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/IKgClinicalPathwayService.java
@@ -0,0 +1,7 @@
+package com.healthlink.his.clinical.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.clinical.domain.KgClinicalPathway;
+
+public interface IKgClinicalPathwayService extends IService<KgClinicalPathway> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/IKgEntityRelationService.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/IKgEntityRelationService.java
new file mode 100644
index 000000000..2880d8bfe
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/IKgEntityRelationService.java
@@ -0,0 +1,7 @@
+package com.healthlink.his.clinical.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.clinical.domain.KgEntityRelation;
+
+public interface IKgEntityRelationService extends IService<KgEntityRelation> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/IKgPathwayStepService.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/IKgPathwayStepService.java
new file mode 100644
index 000000000..50b4f2816
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/IKgPathwayStepService.java
@@ -0,0 +1,7 @@
+package com.healthlink.his.clinical.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.clinical.domain.KgPathwayStep;
+
+public interface IKgPathwayStepService extends IService<KgPathwayStep> {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/impl/KgClinicalPathwayServiceImpl.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/impl/KgClinicalPathwayServiceImpl.java
new file mode 100644
index 000000000..e2221d480
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/impl/KgClinicalPathwayServiceImpl.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.clinical.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.clinical.domain.KgClinicalPathway;
+import com.healthlink.his.clinical.mapper.KgClinicalPathwayMapper;
+import com.healthlink.his.clinical.service.IKgClinicalPathwayService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class KgClinicalPathwayServiceImpl extends ServiceImpl<KgClinicalPathwayMapper, KgClinicalPathway> implements IKgClinicalPathwayService {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/impl/KgEntityRelationServiceImpl.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/impl/KgEntityRelationServiceImpl.java
new file mode 100644
index 000000000..950fcacf3
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/impl/KgEntityRelationServiceImpl.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.clinical.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.clinical.domain.KgEntityRelation;
+import com.healthlink.his.clinical.mapper.KgEntityRelationMapper;
+import com.healthlink.his.clinical.service.IKgEntityRelationService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class KgEntityRelationServiceImpl extends ServiceImpl<KgEntityRelationMapper, KgEntityRelation> implements IKgEntityRelationService {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/impl/KgPathwayStepServiceImpl.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/impl/KgPathwayStepServiceImpl.java
new file mode 100644
index 000000000..5f9a60c32
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/impl/KgPathwayStepServiceImpl.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.clinical.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.clinical.domain.KgPathwayStep;
+import com.healthlink.his.clinical.mapper.KgPathwayStepMapper;
+import com.healthlink.his.clinical.service.IKgPathwayStepService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class KgPathwayStepServiceImpl extends ServiceImpl<KgPathwayStepMapper, KgPathwayStep> implements IKgPathwayStepService {
+}
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/clinical/KgClinicalPathwayMapper.xml b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/clinical/KgClinicalPathwayMapper.xml
new file mode 100644
index 000000000..0bbb116d1
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/clinical/KgClinicalPathwayMapper.xml
@@ -0,0 +1,6 @@
+<?xml version="1.0" encoding="UTF-8" ?>
+<!DOCTYPE mapper
+        PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
+        "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
+<mapper namespace="com.healthlink.his.clinical.mapper.KgClinicalPathwayMapper">
+</mapper>
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/clinical/KgEntityRelationMapper.xml b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/clinical/KgEntityRelationMapper.xml
new file mode 100644
index 000000000..554208b96
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/clinical/KgEntityRelationMapper.xml
@@ -0,0 +1,6 @@
+<?xml version="1.0" encoding="UTF-8" ?>
+<!DOCTYPE mapper
+        PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
+        "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
+<mapper namespace="com.healthlink.his.clinical.mapper.KgEntityRelationMapper">
+</mapper>
diff --git a/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/clinical/KgPathwayStepMapper.xml b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/clinical/KgPathwayStepMapper.xml
new file mode 100644
index 000000000..2b6155bc3
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/clinical/KgPathwayStepMapper.xml
@@ -0,0 +1,6 @@
+<?xml version="1.0" encoding="UTF-8" ?>
+<!DOCTYPE mapper
+        PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
+        "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
+<mapper namespace="com.healthlink.his.clinical.mapper.KgPathwayStepMapper">
+</mapper>
diff --git a/healthlink-his-ui/src/views/knowledgegraph/PathwayEdit.vue b/healthlink-his-ui/src/views/knowledgegraph/PathwayEdit.vue
index b28673f6f..508934db0 100644
--- a/healthlink-his-ui/src/views/knowledgegraph/PathwayEdit.vue
+++ b/healthlink-his-ui/src/views/knowledgegraph/PathwayEdit.vue
@@ -1,5 +1,5 @@
 <template>
-  <el-dialog v-model="visible" title="新增临床路径" width="750px" append-to-body @close="handleClose">
+  <el-dialog v-model="dialogVisible" title="新增临床路径" width="750px" append-to-body @close="handleClose">
     <el-form ref="formRef" :model="form" :rules="rules" label-width="100px">
       <el-form-item label="路径编码" prop="pathwayCode">
         <el-input v-model="form.pathwayCode" placeholder="如: CP-DM-001" />
@@ -13,6 +13,9 @@
       <el-form-item label="疾病名称">
         <el-input v-model="form.diseaseName" placeholder="疾病名称" />
       </el-form-item>
+      <el-form-item label="所属科室">
+        <el-input v-model="form.department" placeholder="请输入所属科室" />
+      </el-form-item>
       <el-form-item label="标准天数">
         <el-input-number v-model="form.standardDays" :min="1" :max="365" />
       </el-form-item>
@@ -37,7 +40,7 @@
         <span style="color:#999;cursor:grab;width:20px;text-align:center">⋮⋮</span>
         <el-tag size="small" type="info">{{ idx + 1 }}</el-tag>
         <el-select v-model="step.dayNumber" placeholder="天" style="width:80px" size="small">
-          <el-option v-for="d in 30" :key="d" :label="`第${d}天`" :value="d" />
+          <el-option v-for="d in 30" :key="d" :label="'第'+d+'天'" :value="d" />
         </el-select>
         <el-select v-model="step.stepType" placeholder="类型" style="width:100px" size="small">
           <el-option label="检查" value="exam" />
@@ -46,6 +49,7 @@
           <el-option label="用药" value="medication" />
         </el-select>
         <el-input v-model="step.stepContent" placeholder="步骤内容" size="small" style="flex:1" />
+        <el-switch v-model="step.required" active-value="1" inactive-value="0" size="small" active-text="必选" inactive-text="可选" style="margin-left:4px" />
         <el-button link type="danger" @click="removeStep(idx)" size="small">删除</el-button>
       </div>
       <el-empty v-if="!steps.length" description="点击上方添加步骤" :image-size="60" />
@@ -66,14 +70,18 @@ import { createPathway } from '@/api/knowledgegraph/api'
 const props = defineProps({ visible: Boolean })
 const emit = defineEmits(['update:visible', 'success'])
 
+const dialogVisible = ref(false)
 const formRef = ref(null)
 const submitting = ref(false)
 const steps = ref([])
 let dragIdx = -1
 
+watch(() => props.visible, (v) => { dialogVisible.value = v })
+watch(dialogVisible, (v) => { emit('update:visible', v) })
+
 const defaultForm = () => ({
   pathwayCode: '', pathwayName: '', diseaseCode: '',
-  diseaseName: '', standardDays: 7, description: ''
+  diseaseName: '', department: '', standardDays: 7, description: ''
 })
 const form = ref(defaultForm())
 
@@ -86,10 +94,12 @@ watch(() => props.visible, (v) => {
   if (v) { form.value = defaultForm(); steps.value = [] }
 })
 
-function handleClose() { emit('update:visible', false) }
+function handleClose() {
+  dialogVisible.value = false
+}
 
 function addStep() {
-  steps.value.push({ dayNumber: 1, stepType: 'exam', stepContent: '' })
+  steps.value.push({ dayNumber: 1, stepType: 'exam', stepContent: '', required: '1' })
 }
 
 function removeStep(idx) {
@@ -111,7 +121,7 @@ async function handleSubmit() {
   try {
     await createPathway({ pathway: form.value, steps: steps.value })
     ElMessage.success('创建成功')
-    emit('update:visible', false)
+    handleClose()
     emit('success')
   } finally {
     submitting.value = false
diff --git a/healthlink-his-ui/src/views/knowledgegraph/RelationForm.vue b/healthlink-his-ui/src/views/knowledgegraph/RelationForm.vue
index 9586dc07a..a583df91a 100644
--- a/healthlink-his-ui/src/views/knowledgegraph/RelationForm.vue
+++ b/healthlink-his-ui/src/views/knowledgegraph/RelationForm.vue
@@ -1,5 +1,5 @@
 <template>
-  <el-dialog v-model="visible" title="新增实体关系" width="600px" append-to-body @close="handleClose">
+  <el-dialog v-model="dialogVisible" title="新增实体关系" width="600px" append-to-body @close="handleClose">
     <el-form ref="formRef" :model="form" :rules="rules" label-width="110px">
       <el-form-item label="源实体类型" prop="sourceType">
         <el-select v-model="form.sourceType" placeholder="请选择" style="width:100%">
@@ -28,6 +28,9 @@
       <el-form-item label="描述">
         <el-input v-model="form.description" type="textarea" :rows="3" placeholder="关系描述" />
       </el-form-item>
+      <el-form-item label="证据来源">
+        <el-input v-model="form.evidenceSource" placeholder="证据来源" />
+      </el-form-item>
     </el-form>
     <template #footer>
       <el-button @click="handleClose">取消</el-button>
@@ -44,9 +47,13 @@ import { createRelation } from '@/api/knowledgegraph/api'
 const props = defineProps({ visible: Boolean })
 const emit = defineEmits(['update:visible', 'success'])
 
+const dialogVisible = ref(false)
 const formRef = ref(null)
 const submitting = ref(false)
 
+watch(() => props.visible, (v) => { dialogVisible.value = v })
+watch(dialogVisible, (v) => { emit('update:visible', v) })
+
 const entityTypes = [
   { code: 'disease', name: '疾病' },
   { code: 'symptom', name: '症状' },
@@ -67,7 +74,7 @@ const relationTypes = [
 
 const defaultForm = () => ({
   sourceType: '', sourceId: '', targetType: '', targetId: '',
-  relationType: '', relationStrength: 1.0, description: ''
+  relationType: '', relationStrength: 1.0, description: '', evidenceSource: ''
 })
 const form = ref(defaultForm())
 
@@ -84,7 +91,7 @@ watch(() => props.visible, (v) => {
 })
 
 function handleClose() {
-  emit('update:visible', false)
+  dialogVisible.value = false
 }
 
 async function handleSubmit() {
@@ -93,7 +100,7 @@ async function handleSubmit() {
   try {
     await createRelation(form.value)
     ElMessage.success('创建成功')
-    emit('update:visible', false)
+    handleClose()
     emit('success')
   } finally {
     submitting.value = false