diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/esbmanage/appservice/IFhirConversionAppService.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/esbmanage/appservice/IFhirConversionAppService.java
new file mode 100644
index 000000000..516ebfc29
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/esbmanage/appservice/IFhirConversionAppService.java
@@ -0,0 +1,10 @@
+package com.healthlink.his.web.esbmanage.appservice;
+
+import com.healthlink.his.esb.domain.FhirResource;
+
+import java.util.Map;
+
+public interface IFhirConversionAppService {
+    FhirResource convertToFhir(Map<String, Object> internalData, String resourceType);
+    Map<String, Object> convertFromFhir(String resourceJson);
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/esbmanage/appservice/impl/FhirConversionAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/esbmanage/appservice/impl/FhirConversionAppServiceImpl.java
new file mode 100644
index 000000000..4797325fc
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/esbmanage/appservice/impl/FhirConversionAppServiceImpl.java
@@ -0,0 +1,151 @@
+package com.healthlink.his.web.esbmanage.appservice.impl;
+
+import com.healthlink.his.esb.domain.FhirResource;
+import com.healthlink.his.esb.service.IFhirResourceService;
+import com.healthlink.his.web.esbmanage.appservice.IFhirConversionAppService;
+import com.fasterxml.jackson.databind.ObjectMapper;
+import lombok.RequiredArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.stereotype.Service;
+
+import java.util.*;
+
+@Service
+@Slf4j
+@RequiredArgsConstructor
+public class FhirConversionAppServiceImpl implements IFhirConversionAppService {
+
+    private final IFhirResourceService fhirResourceService;
+    private final ObjectMapper objectMapper;
+
+    @Override
+    public FhirResource convertToFhir(Map<String, Object> internalData, String resourceType) {
+        try {
+            Map<String, Object> fhirBundle = new LinkedHashMap<>();
+            fhirBundle.put("resourceType", resourceType);
+            fhirBundle.put("id", UUID.randomUUID().toString());
+            fhirBundle.put("meta", Map.of("lastUpdated", new Date().toString()));
+
+            Map<String, Object> identifier = new LinkedHashMap<>();
+            identifier.put("system", "urn:oid:2.16.156.10011");
+            identifier.put("value", String.valueOf(internalData.getOrDefault("patientId", "")));
+            fhirBundle.put("identifier", List.of(identifier));
+
+            if ("Patient".equals(resourceType)) {
+                Map<String, Object> name = new LinkedHashMap<>();
+                name.put("use", "official");
+                name.put("text", String.valueOf(internalData.getOrDefault("patientName", "")));
+                fhirBundle.put("name", List.of(name));
+                fhirBundle.put("gender", internalData.getOrDefault("gender", "unknown"));
+                fhirBundle.put("birthDate", String.valueOf(internalData.getOrDefault("birthDate", "")));
+            } else if ("Encounter".equals(resourceType)) {
+                fhirBundle.put("status", "in-progress");
+                Map<String, Object> classCode = new LinkedHashMap<>();
+                classCode.put("system", "http://terminology.hl7.org/CodeSystem/v3-ActCode");
+                classCode.put("code", "IMP");
+                fhirBundle.put("class", classCode);
+                fhirBundle.put("period", Map.of("start", internalData.getOrDefault("admissionDate", "")));
+            } else if ("Observation".equals(resourceType)) {
+                fhirBundle.put("status", "final");
+                Map<String, Object> codeMap = new LinkedHashMap<>();
+                codeMap.put("coding", List.of(Map.of("system", "http://loinc.org", "code", internalData.getOrDefault("obsCode", ""))));
+                fhirBundle.put("code", codeMap);
+                Map<String, Object> valueQuantity = new LinkedHashMap<>();
+                valueQuantity.put("value", internalData.getOrDefault("obsValue", 0));
+                valueQuantity.put("unit", internalData.getOrDefault("obsUnit", ""));
+                fhirBundle.put("valueQuantity", valueQuantity);
+            } else if ("Condition".equals(resourceType)) {
+                fhirBundle.put("clinicalStatus", Map.of("coding", List.of(Map.of("code", "active"))));
+                Map<String, Object> condCode = new LinkedHashMap<>();
+                condCode.put("coding", List.of(Map.of("system", "http://snomed.info/sct", "code", internalData.getOrDefault("conditionCode", ""))));
+                fhirBundle.put("code", condCode);
+            } else if ("MedicationRequest".equals(resourceType)) {
+                fhirBundle.put("status", "active");
+                fhirBundle.put("intent", "order");
+                Map<String, Object> medCode = new LinkedHashMap<>();
+                medCode.put("coding", List.of(Map.of("system", "http://www.nmpa.gov.cn", "code", internalData.getOrDefault("drugCode", ""))));
+                fhirBundle.put("medicationCodeableConcept", medCode);
+                fhirBundle.put("dosageInstruction", List.of(Map.of("text", internalData.getOrDefault("dosage", ""))));
+            }
+
+            String resourceJson = objectMapper.writerWithDefaultPrettyPrinter().writeValueAsString(fhirBundle);
+
+            FhirResource resource = new FhirResource();
+            resource.setResourceType(resourceType);
+            resource.setResourceId(fhirBundle.get("id").toString());
+            resource.setPatientId(internalData.get("patientId") != null ? Long.valueOf(String.valueOf(internalData.get("patientId"))) : null);
+            resource.setEncounterId(internalData.get("encounterId") != null ? Long.valueOf(String.valueOf(internalData.get("encounterId"))) : null);
+            resource.setResourceJson(resourceJson);
+            resource.setStatus("ACTIVE");
+            resource.setVersionId(1);
+            resource.setCreateTime(new Date());
+            fhirResourceService.save(resource);
+
+            return resource;
+        } catch (Exception e) {
+            log.error("FHIR转换失败: {}", e.getMessage(), e);
+            throw new RuntimeException("FHIR R4转换失败: " + e.getMessage());
+        }
+    }
+
+    @Override
+    public Map<String, Object> convertFromFhir(String resourceJson) {
+        try {
+            Map<String, Object> fhirResource = objectMapper.readValue(resourceJson, Map.class);
+            Map<String, Object> result = new LinkedHashMap<>();
+            result.put("resourceType", fhirResource.get("resourceType"));
+            result.put("resourceId", fhirResource.get("id"));
+
+            List<Map<String, Object>> identifiers = (List<Map<String, Object>>) fhirResource.get("identifier");
+            if (identifiers != null && !identifiers.isEmpty()) {
+                result.put("patientId", identifiers.get(0).get("value"));
+            }
+
+            if ("Patient".equals(fhirResource.get("resourceType"))) {
+                List<Map<String, Object>> names = (List<Map<String, Object>>) fhirResource.get("name");
+                if (names != null && !names.isEmpty()) {
+                    result.put("patientName", names.get(0).get("text"));
+                }
+                result.put("gender", fhirResource.get("gender"));
+                result.put("birthDate", fhirResource.get("birthDate"));
+            } else if ("Encounter".equals(fhirResource.get("resourceType"))) {
+                result.put("status", fhirResource.get("status"));
+                Map<String, Object> cls = (Map<String, Object>) fhirResource.get("class");
+                if (cls != null) result.put("encounterClass", cls.get("code"));
+                Map<String, Object> period = (Map<String, Object>) fhirResource.get("period");
+                if (period != null) result.put("admissionDate", period.get("start"));
+            } else if ("Observation".equals(fhirResource.get("resourceType"))) {
+                Map<String, Object> vq = (Map<String, Object>) fhirResource.get("valueQuantity");
+                if (vq != null) {
+                    result.put("obsValue", vq.get("value"));
+                    result.put("obsUnit", vq.get("unit"));
+                }
+            } else if ("Condition".equals(fhirResource.get("resourceType"))) {
+                Map<String, Object> code = (Map<String, Object>) fhirResource.get("code");
+                if (code != null) {
+                    List<Map<String, Object>> codings = (List<Map<String, Object>>) code.get("coding");
+                    if (codings != null && !codings.isEmpty()) {
+                        result.put("conditionCode", codings.get(0).get("code"));
+                    }
+                }
+            } else if ("MedicationRequest".equals(fhirResource.get("resourceType"))) {
+                Map<String, Object> med = (Map<String, Object>) fhirResource.get("medicationCodeableConcept");
+                if (med != null) {
+                    List<Map<String, Object>> codings = (List<Map<String, Object>>) med.get("coding");
+                    if (codings != null && !codings.isEmpty()) {
+                        result.put("drugCode", codings.get(0).get("code"));
+                    }
+                }
+                List<Map<String, Object>> dosage = (List<Map<String, Object>>) fhirResource.get("dosageInstruction");
+                if (dosage != null && !dosage.isEmpty()) {
+                    result.put("dosage", dosage.get(0).get("text"));
+                }
+            }
+
+            return result;
+        } catch (Exception e) {
+            log.error("FHIR反向转换失败: {}", e.getMessage(), e);
+            throw new RuntimeException("FHIR R4反向转换失败: " + e.getMessage());
+        }
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/esbmanage/controller/FhirConversionController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/esbmanage/controller/FhirConversionController.java
new file mode 100644
index 000000000..0f4b264c1
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/esbmanage/controller/FhirConversionController.java
@@ -0,0 +1,47 @@
+package com.healthlink.his.web.esbmanage.controller;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.esb.domain.FhirResource;
+import com.healthlink.his.web.esbmanage.appservice.IFhirConversionAppService;
+import lombok.RequiredArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.Map;
+
+/**
+ * FHIR R4消息转换 Controller — 内部数据 ↔ FHIR R4标准格式
+ */
+@RestController
+@RequestMapping("/esb/fhir")
+@Slf4j
+@RequiredArgsConstructor
+public class FhirConversionController {
+
+    private final IFhirConversionAppService fhirConversionAppService;
+
+    @PostMapping("/convert-to")
+    @PreAuthorize("hasAuthority('infection:esb:edit')")
+    public R<?> convertToFhir(@RequestBody Map<String, Object> params) {
+        String resourceType = (String) params.get("resourceType");
+        @SuppressWarnings("unchecked")
+        Map<String, Object> internalData = (Map<String, Object>) params.get("data");
+        if (resourceType == null || internalData == null) {
+            return R.fail("resourceType和data不能为空");
+        }
+        FhirResource result = fhirConversionAppService.convertToFhir(internalData, resourceType);
+        return R.ok(result);
+    }
+
+    @PostMapping("/convert-from")
+    @PreAuthorize("hasAuthority('infection:esb:edit')")
+    public R<?> convertFromFhir(@RequestBody Map<String, String> params) {
+        String resourceJson = params.get("resourceJson");
+        if (resourceJson == null || resourceJson.isBlank()) {
+            return R.fail("resourceJson不能为空");
+        }
+        Map<String, Object> result = fhirConversionAppService.convertFromFhir(resourceJson);
+        return R.ok(result);
+    }
+}
diff --git a/healthlink-his-ui/src/views/esbmanage/fhirconversion/api.js b/healthlink-his-ui/src/views/esbmanage/fhirconversion/api.js
new file mode 100644
index 000000000..9baa905b1
--- /dev/null
+++ b/healthlink-his-ui/src/views/esbmanage/fhirconversion/api.js
@@ -0,0 +1,5 @@
+import request from '@/utils/request'
+export function convertToFhir(data) { return request({ url: '/esb/fhir/convert-to', method: 'post', data }) }
+export function convertFromFhir(data) { return request({ url: '/esb/fhir/convert-from', method: 'post', data }) }
+export function getFhirPage(params) { return request({ url: '/fhir-cda/fhir/page', method: 'get', params }) }
+export function getFhirTypeStats() { return request({ url: '/fhir-cda/fhir/type-stats', method: 'get' }) }
diff --git a/healthlink-his-ui/src/views/esbmanage/fhirconversion/index.vue b/healthlink-his-ui/src/views/esbmanage/fhirconversion/index.vue
new file mode 100644
index 000000000..a45836b65
--- /dev/null
+++ b/healthlink-his-ui/src/views/esbmanage/fhirconversion/index.vue
@@ -0,0 +1,153 @@
+<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">HL7 FHIR R4 消息转换</span>
+      <el-button type="primary" @click="loadStats">刷新统计</el-button>
+    </div>
+    <el-row :gutter="12" style="margin-bottom:16px">
+      <el-col :span="4" v-for="(val, key) in typeStats" :key="key">
+        <el-card shadow="hover">
+          <div style="text-align:center">
+            <div style="font-size:20px;font-weight:bold;color:#409eff">{{ val }}</div>
+            <div style="font-size:12px;color:#999">{{ key }}</div>
+          </div>
+        </el-card>
+      </el-col>
+    </el-row>
+    <el-tabs v-model="activeTab" type="border-card">
+      <el-tab-pane label="内部→FHIR R4" name="toFhir">
+        <el-form :model="toFhirForm" label-width="120px" style="max-width:700px">
+          <el-form-item label="资源类型">
+            <el-select v-model="toFhirForm.resourceType" style="width:100%">
+              <el-option label="Patient" value="Patient" />
+              <el-option label="Encounter" value="Encounter" />
+              <el-option label="Observation" value="Observation" />
+              <el-option label="Condition" value="Condition" />
+              <el-option label="MedicationRequest" value="MedicationRequest" />
+            </el-select>
+          </el-form-item>
+          <el-form-item label="患者ID">
+            <el-input v-model="toFhirForm.patientId" />
+          </el-form-item>
+          <el-form-item label="就诊ID">
+            <el-input v-model="toFhirForm.encounterId" />
+          </el-form-item>
+          <el-form-item label="患者姓名">
+            <el-input v-model="toFhirForm.patientName" />
+          </el-form-item>
+          <el-form-item label="性别">
+            <el-select v-model="toFhirForm.gender" style="width:100%">
+              <el-option label="男" value="male" />
+              <el-option label="女" value="female" />
+              <el-option label="未知" value="unknown" />
+            </el-select>
+          </el-form-item>
+          <el-form-item label="出生日期">
+            <el-input v-model="toFhirForm.birthDate" placeholder="YYYY-MM-DD" />
+          </el-form-item>
+          <el-form-item label="诊断编码">
+            <el-input v-model="toFhirForm.conditionCode" />
+          </el-form-item>
+          <el-form-item label="药物编码">
+            <el-input v-model="toFhirForm.drugCode" />
+          </el-form-item>
+          <el-form-item label="用法用量">
+            <el-input v-model="toFhirForm.dosage" />
+          </el-form-item>
+          <el-form-item>
+            <el-button type="primary" @click="doConvertToFhir">转换为FHIR R4</el-button>
+          </el-form-item>
+        </el-form>
+        <el-divider v-if="toFhirResult" content-position="left">转换结果</el-divider>
+        <el-input v-if="toFhirResult" v-model="toFhirResult" type="textarea" :rows="12" readonly />
+      </el-tab-pane>
+      <el-tab-pane label="FHIR R4→内部" name="fromFhir">
+        <el-form label-width="120px" style="max-width:700px">
+          <el-form-item label="FHIR JSON">
+            <el-input v-model="fromFhirJson" type="textarea" :rows="10" placeholder="粘贴FHIR R4 Resource JSON" />
+          </el-form-item>
+          <el-form-item>
+            <el-button type="primary" @click="doConvertFromFhir">转换为内部格式</el-button>
+          </el-form-item>
+        </el-form>
+        <el-divider v-if="fromFhirResult" content-position="left">转换结果</el-divider>
+        <el-descriptions v-if="fromFhirResult" :column="2" border>
+          <el-descriptions-item v-for="(val, key) in fromFhirResult" :key="key" :label="key">{{ val }}</el-descriptions-item>
+        </el-descriptions>
+      </el-tab-pane>
+      <el-tab-pane label="已有FHIR资源" name="list">
+        <el-table :data="fhirList" border stripe>
+          <el-table-column prop="resourceType" label="资源类型" width="150" />
+          <el-table-column prop="resourceId" label="资源ID" width="200" show-overflow-tooltip />
+          <el-table-column prop="status" label="状态" width="80">
+            <template #default="{row}">
+              <el-tag :type="row.status==='ACTIVE'?'success':'info'" size="small">{{ row.status }}</el-tag>
+            </template>
+          </el-table-column>
+          <el-table-column prop="versionId" label="版本" width="60" align="center" />
+          <el-table-column prop="createTime" label="创建时间" width="170" />
+        </el-table>
+        <el-pagination
+          v-model:current-page="listPage.pageNo"
+          v-model:page-size="listPage.pageSize"
+          style="margin-top:12px;justify-content:flex-end"
+          :total="listTotal"
+          layout="total,prev,pager,next"
+          @current-change="loadList"
+        />
+      </el-tab-pane>
+    </el-tabs>
+  </div>
+</template>
+<script setup>
+import { ref, onMounted } from 'vue'
+import { ElMessage } from 'element-plus'
+import { convertToFhir, convertFromFhir, getFhirPage, getFhirTypeStats } from './api'
+
+const activeTab = ref('toFhir')
+const typeStats = ref({})
+const toFhirForm = ref({ resourceType: 'Patient', patientId: '', encounterId: '', patientName: '', gender: 'male', birthDate: '', conditionCode: '', drugCode: '', dosage: '' })
+const toFhirResult = ref('')
+const fromFhirJson = ref('')
+const fromFhirResult = ref('')
+const fhirList = ref([])
+const listTotal = ref(0)
+const listPage = ref({ pageNo: 1, pageSize: 20 })
+
+const loadStats = async () => {
+  const r = await getFhirTypeStats()
+  typeStats.value = r.data || {}
+}
+
+const loadList = async () => {
+  const r = await getFhirPage(listPage.value)
+  fhirList.value = r.data?.records || []
+  listTotal.value = r.data?.total || 0
+}
+
+const doConvertToFhir = async () => {
+  const data = { ...toFhirForm.value }
+  if (!data.patientId) { ElMessage.warning('患者ID必填'); return }
+  const r = await convertToFhir({ resourceType: data.resourceType, data })
+  if (r.code === 200) {
+    toFhirResult.value = JSON.stringify(JSON.parse(r.data?.resourceJson || '{}'), null, 2)
+    ElMessage.success('转换成功')
+    loadList()
+  } else {
+    ElMessage.error(r.msg || '转换失败')
+  }
+}
+
+const doConvertFromFhir = async () => {
+  if (!fromFhirJson.value) { ElMessage.warning('请输入FHIR JSON'); return }
+  const r = await convertFromFhir({ resourceJson: fromFhirJson.value })
+  if (r.code === 200) {
+    fromFhirResult.value = r.data
+    ElMessage.success('转换成功')
+  } else {
+    ElMessage.error(r.msg || '转换失败')
+  }
+}
+
+onMounted(() => { loadStats(); loadList() })
+</script>