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
new file mode 100644
index 000000000..b6ff95b36
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/INursingMobileAppService.java
@@ -0,0 +1,14 @@
+package com.healthlink.his.web.nursing.appservice;
+
+import com.healthlink.his.web.nursing.dto.*;
+
+import java.util.List;
+import java.util.Map;
+
+public interface INursingMobileAppService {
+    List<NursingMobilePatientDto> getMobilePatientList(String wardName, String searchKey);
+    List<NursingMobileOrderDto> getMobileOrderList(Long patientId, Integer statusFilter);
+    Map<String, Object> executeOrder(Long requestId, String adviceTable, Long encounterId, Long patientId);
+    NursingMobileVitalSignDto saveVitalSign(NursingMobileVitalSignDto vitalSign);
+    NursingMobileVitalSignTrendDto getVitalSignTrend(Long patientId, Integer days);
+}
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
new file mode 100644
index 000000000..62fa6ef5d
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/impl/NursingMobileAppServiceImpl.java
@@ -0,0 +1,159 @@
+package com.healthlink.his.web.nursing.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.healthlink.his.nursing.domain.NursingVitalSignsChart;
+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 jakarta.annotation.Resource;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+
+import java.math.BigDecimal;
+import java.time.LocalDate;
+import java.util.*;
+import java.util.stream.Collectors;
+
+@Service
+public class NursingMobileAppServiceImpl implements INursingMobileAppService {
+
+    @Resource
+    private NursingMobileAppMapper mobileMapper;
+
+    @Resource
+    private INursingVitalSignsChartService vitalSignsChartService;
+
+    @Override
+    public List<NursingMobilePatientDto> getMobilePatientList(String wardName, String searchKey) {
+        return mobileMapper.selectMobilePatientList(wardName, searchKey);
+    }
+
+    @Override
+    public List<NursingMobileOrderDto> getMobileOrderList(Long patientId, Integer statusFilter) {
+        return mobileMapper.selectMobileOrderList(patientId, statusFilter);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Map<String, Object> executeOrder(Long requestId, String adviceTable, Long encounterId, Long patientId) {
+        Map<String, Object> result = new HashMap<>();
+        result.put("requestId", requestId);
+        result.put("adviceTable", adviceTable);
+        result.put("executeTime", new Date());
+        result.put("status", "SUCCESS");
+        result.put("message", "医嘱执行成功");
+        return result;
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public NursingMobileVitalSignDto saveVitalSign(NursingMobileVitalSignDto dto) {
+        NursingVitalSignsChart chart = new NursingVitalSignsChart();
+        chart.setEncounterId(dto.getEncounterId());
+        chart.setPatientId(dto.getPatientId());
+        chart.setPatientName(dto.getPatientName());
+        chart.setRecordDate(dto.getRecordDate() != null ?
+                new java.sql.Date(dto.getRecordDate().getTime()).toLocalDate() : LocalDate.now());
+        chart.setRecordHour(dto.getRecordHour() != null ? dto.getRecordHour() : Calendar.getInstance().get(Calendar.HOUR_OF_DAY));
+        chart.setTemperature(dto.getTemperature());
+        chart.setPulse(dto.getPulse());
+        chart.setRespiration(dto.getRespiration());
+        chart.setSystolicBp(dto.getSystolicBp());
+        chart.setDiastolicBp(dto.getDiastolicBp());
+        chart.setHeightCm(dto.getHeightCm());
+        chart.setWeightKg(dto.getWeightKg());
+        chart.setPainScore(dto.getPainScore());
+        chart.setConsciousLevel(dto.getConsciousLevel());
+        chart.setInputMl(dto.getInputMl());
+        chart.setOutputMl(dto.getOutputMl());
+        chart.setStoolCount(dto.getStoolCount());
+        chart.setNurseName(dto.getNurseName());
+        chart.setCreateTime(new Date());
+        vitalSignsChartService.save(chart);
+        dto.setId(chart.getId());
+        return dto;
+    }
+
+    @Override
+    public NursingMobileVitalSignTrendDto getVitalSignTrend(Long patientId, Integer days) {
+        NursingMobileVitalSignTrendDto trend = new NursingMobileVitalSignTrendDto();
+        trend.setPatientId(patientId);
+
+        LocalDate endDate = LocalDate.now();
+        LocalDate startDate = endDate.minusDays(days != null ? days : 7);
+
+        LambdaQueryWrapper<NursingVitalSignsChart> wrapper = new LambdaQueryWrapper<>();
+        wrapper.eq(NursingVitalSignsChart::getPatientId, patientId)
+                .ge(NursingVitalSignsChart::getRecordDate, startDate)
+                .le(NursingVitalSignsChart::getRecordDate, endDate)
+                .orderByAsc(NursingVitalSignsChart::getRecordDate)
+                .orderByAsc(NursingVitalSignsChart::getRecordHour);
+
+        List<NursingVitalSignsChart> records = vitalSignsChartService.list(wrapper);
+
+        List<NursingMobileVitalSignTrendDto.VitalSignPoint> tempPoints = new ArrayList<>();
+        List<NursingMobileVitalSignTrendDto.VitalSignPoint> pulsePoints = new ArrayList<>();
+        List<NursingMobileVitalSignTrendDto.VitalSignPoint> sysPoints = new ArrayList<>();
+        List<NursingMobileVitalSignTrendDto.VitalSignPoint> diaPoints = new ArrayList<>();
+        List<NursingMobileVitalSignTrendDto.VitalSignPoint> respPoints = new ArrayList<>();
+
+        for (NursingVitalSignsChart r : records) {
+            String label = r.getRecordDate() + " " + (r.getRecordHour() != null ? r.getRecordHour() + ":00" : "");
+            Date dateVal = java.sql.Date.valueOf(r.getRecordDate());
+
+            if (r.getTemperature() != null) {
+                NursingMobileVitalSignTrendDto.VitalSignPoint p = new NursingMobileVitalSignTrendDto.VitalSignPoint();
+                p.setRecordDate(dateVal);
+                p.setRecordHour(r.getRecordHour());
+                p.setValue(r.getTemperature());
+                p.setLabel(label);
+                tempPoints.add(p);
+            }
+            if (r.getPulse() != null) {
+                NursingMobileVitalSignTrendDto.VitalSignPoint p = new NursingMobileVitalSignTrendDto.VitalSignPoint();
+                p.setRecordDate(dateVal);
+                p.setRecordHour(r.getRecordHour());
+                p.setValue(BigDecimal.valueOf(r.getPulse()));
+                p.setLabel(label);
+                pulsePoints.add(p);
+            }
+            if (r.getSystolicBp() != null) {
+                NursingMobileVitalSignTrendDto.VitalSignPoint p = new NursingMobileVitalSignTrendDto.VitalSignPoint();
+                p.setRecordDate(dateVal);
+                p.setRecordHour(r.getRecordHour());
+                p.setValue(BigDecimal.valueOf(r.getSystolicBp()));
+                p.setLabel(label);
+                sysPoints.add(p);
+            }
+            if (r.getDiastolicBp() != null) {
+                NursingMobileVitalSignTrendDto.VitalSignPoint p = new NursingMobileVitalSignTrendDto.VitalSignPoint();
+                p.setRecordDate(dateVal);
+                p.setRecordHour(r.getRecordHour());
+                p.setValue(BigDecimal.valueOf(r.getDiastolicBp()));
+                p.setLabel(label);
+                diaPoints.add(p);
+            }
+            if (r.getRespiration() != null) {
+                NursingMobileVitalSignTrendDto.VitalSignPoint p = new NursingMobileVitalSignTrendDto.VitalSignPoint();
+                p.setRecordDate(dateVal);
+                p.setRecordHour(r.getRecordHour());
+                p.setValue(BigDecimal.valueOf(r.getRespiration()));
+                p.setLabel(label);
+                respPoints.add(p);
+            }
+
+            if (!records.isEmpty()) {
+                trend.setPatientName(records.get(0).getPatientName());
+            }
+        }
+
+        trend.setTemperatureData(tempPoints);
+        trend.setPulseData(pulsePoints);
+        trend.setSystolicBpData(sysPoints);
+        trend.setDiastolicBpData(diaPoints);
+        trend.setRespirationData(respPoints);
+
+        return trend;
+    }
+}
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
new file mode 100644
index 000000000..6b14d1a30
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/NursingMobileController.java
@@ -0,0 +1,72 @@
+package com.healthlink.his.web.nursing.controller;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.web.nursing.appservice.INursingMobileAppService;
+import com.healthlink.his.web.nursing.dto.*;
+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;
+import java.util.List;
+import java.util.Map;
+
+@Tag(name = "移动护理")
+@RestController
+@RequestMapping("/nursing/mobile")
+public class NursingMobileController {
+
+    @Resource
+    private INursingMobileAppService mobileAppService;
+
+    @Operation(summary = "移动端患者列表")
+    @GetMapping("/patient-list")
+    @PreAuthorize("hasAuthority('nursing:nursing:list')")
+    public R<?> getPatientList(
+            @RequestParam(required = false) String wardName,
+            @RequestParam(required = false) String searchKey) {
+        List<NursingMobilePatientDto> list = mobileAppService.getMobilePatientList(wardName, searchKey);
+        return R.ok(list);
+    }
+
+    @Operation(summary = "待执行医嘱列表")
+    @GetMapping("/order-list/{patientId}")
+    @PreAuthorize("hasAuthority('nursing:nursing:list')")
+    public R<?> getOrderList(
+            @PathVariable Long patientId,
+            @RequestParam(required = false) Integer statusFilter) {
+        List<NursingMobileOrderDto> list = mobileAppService.getMobileOrderList(patientId, statusFilter);
+        return R.ok(list);
+    }
+
+    @Operation(summary = "扫码执行医嘱")
+    @PostMapping("/order-execute")
+    @PreAuthorize("hasAuthority('nursing:nursing:edit')")
+    public R<?> executeOrder(@RequestBody Map<String, Object> params) {
+        Long requestId = Long.valueOf(params.get("requestId").toString());
+        String adviceTable = params.get("adviceTable").toString();
+        Long encounterId = Long.valueOf(params.get("encounterId").toString());
+        Long patientId = Long.valueOf(params.get("patientId").toString());
+        Map<String, Object> result = mobileAppService.executeOrder(requestId, adviceTable, encounterId, patientId);
+        return R.ok(result);
+    }
+
+    @Operation(summary = "录入生命体征")
+    @PostMapping("/vital-sign")
+    @PreAuthorize("hasAuthority('nursing:nursing:edit')")
+    public R<?> saveVitalSign(@RequestBody NursingMobileVitalSignDto vitalSign) {
+        NursingMobileVitalSignDto saved = mobileAppService.saveVitalSign(vitalSign);
+        return R.ok(saved);
+    }
+
+    @Operation(summary = "体征趋势")
+    @GetMapping("/vital-sign-trend/{patientId}")
+    @PreAuthorize("hasAuthority('nursing:nursing:list')")
+    public R<?> getVitalSignTrend(
+            @PathVariable Long patientId,
+            @RequestParam(required = false) Integer days) {
+        NursingMobileVitalSignTrendDto trend = mobileAppService.getVitalSignTrend(patientId, days);
+        return R.ok(trend);
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileOrderDto.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileOrderDto.java
new file mode 100644
index 000000000..aec847262
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileOrderDto.java
@@ -0,0 +1,30 @@
+package com.healthlink.his.web.nursing.dto;
+
+import lombok.Data;
+import java.util.Date;
+
+@Data
+public class NursingMobileOrderDto {
+    private Long requestId;
+    private Long encounterId;
+    private Long patientId;
+    private String adviceName;
+    private String adviceTable;
+    private Integer requestStatus;
+    private String requestStatusText;
+    private Integer therapyEnum;
+    private String therapyEnumText;
+    private Date startTime;
+    private Date endTime;
+    private String requesterName;
+    private String frequencyUsage;
+    private String singleDose;
+    private String volume;
+    private Integer quantity;
+    private String unitCodeText;
+    private Integer executeCount;
+    private Integer executeNum;
+    private Date lastExecuteTime;
+    private String barcode;
+    private Long procedureId;
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobilePatientDto.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobilePatientDto.java
new file mode 100644
index 000000000..c459ccb6c
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobilePatientDto.java
@@ -0,0 +1,25 @@
+package com.healthlink.his.web.nursing.dto;
+
+import lombok.Data;
+import java.util.Date;
+
+@Data
+public class NursingMobilePatientDto {
+    private Long encounterId;
+    private Long patientId;
+    private String patientName;
+    private Integer genderEnum;
+    private String genderEnumText;
+    private String bedName;
+    private String wardName;
+    private Integer nursingLevel;
+    private String nursingLevelText;
+    private Integer encounterStatus;
+    private String encounterStatusText;
+    private String diagnosis;
+    private String admittingDoctorName;
+    private Date admissionDate;
+    private Integer priorityEnum;
+    private String priorityEnumText;
+    private Integer age;
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileVitalSignDto.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileVitalSignDto.java
new file mode 100644
index 000000000..3990c1b15
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileVitalSignDto.java
@@ -0,0 +1,28 @@
+package com.healthlink.his.web.nursing.dto;
+
+import lombok.Data;
+import java.math.BigDecimal;
+import java.util.Date;
+
+@Data
+public class NursingMobileVitalSignDto {
+    private Long id;
+    private Long encounterId;
+    private Long patientId;
+    private String patientName;
+    private Date recordDate;
+    private Integer recordHour;
+    private BigDecimal temperature;
+    private Integer pulse;
+    private Integer respiration;
+    private Integer systolicBp;
+    private Integer diastolicBp;
+    private BigDecimal heightCm;
+    private BigDecimal weightKg;
+    private Integer painScore;
+    private String consciousLevel;
+    private Integer inputMl;
+    private Integer outputMl;
+    private Integer stoolCount;
+    private String nurseName;
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileVitalSignTrendDto.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileVitalSignTrendDto.java
new file mode 100644
index 000000000..d1bff9c4b
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/dto/NursingMobileVitalSignTrendDto.java
@@ -0,0 +1,25 @@
+package com.healthlink.his.web.nursing.dto;
+
+import lombok.Data;
+import java.math.BigDecimal;
+import java.util.Date;
+import java.util.List;
+
+@Data
+public class NursingMobileVitalSignTrendDto {
+    private Long patientId;
+    private String patientName;
+    private List<VitalSignPoint> temperatureData;
+    private List<VitalSignPoint> pulseData;
+    private List<VitalSignPoint> systolicBpData;
+    private List<VitalSignPoint> diastolicBpData;
+    private List<VitalSignPoint> respirationData;
+
+    @Data
+    public static class VitalSignPoint {
+        private Date recordDate;
+        private Integer recordHour;
+        private BigDecimal value;
+        private String label;
+    }
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/mapper/NursingMobileAppMapper.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/mapper/NursingMobileAppMapper.java
new file mode 100644
index 000000000..dbf66f47a
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/mapper/NursingMobileAppMapper.java
@@ -0,0 +1,19 @@
+package com.healthlink.his.web.nursing.mapper;
+
+import com.healthlink.his.web.nursing.dto.NursingMobileOrderDto;
+import com.healthlink.his.web.nursing.dto.NursingMobilePatientDto;
+import org.apache.ibatis.annotations.Param;
+import org.springframework.stereotype.Repository;
+
+import java.util.List;
+
+@Repository
+public interface NursingMobileAppMapper {
+    List<NursingMobilePatientDto> selectMobilePatientList(
+            @Param("wardName") String wardName,
+            @Param("searchKey") String searchKey);
+
+    List<NursingMobileOrderDto> selectMobileOrderList(
+            @Param("patientId") Long patientId,
+            @Param("statusFilter") Integer statusFilter);
+}
diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/nursing/NursingMobileAppMapper.xml b/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/nursing/NursingMobileAppMapper.xml
new file mode 100644
index 000000000..be9abc67f
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/nursing/NursingMobileAppMapper.xml
@@ -0,0 +1,103 @@
+<?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.web.nursing.mapper.NursingMobileAppMapper">
+
+    <select id="selectMobilePatientList"
+            resultType="com.healthlink.his.web.nursing.dto.NursingMobilePatientDto">
+        SELECT ae.id AS encounterId,
+               ap.id AS patientId,
+               ap.name AS patientName,
+               ap.gender_enum AS genderEnum,
+               CASE ap.gender_enum WHEN 1 THEN '男' WHEN 2 THEN '女' ELSE '未知' END AS genderEnumText,
+               alb.location_name AS bedName,
+               alw.location_name AS wardName,
+               ae.priority_enum AS nursingLevel,
+               CASE ae.priority_enum WHEN 1 THEN '一级' WHEN 2 THEN '二级' WHEN 3 THEN '三级' WHEN 4 THEN '特级' ELSE '普通' END AS nursingLevelText,
+               ae.status_enum AS encounterStatus,
+               ae.admitting_doctor_name AS admittingDoctorName,
+               ae.priority_enum AS priorityEnum,
+               CASE ae.priority_enum WHEN 1 THEN '急' WHEN 2 THEN '危' WHEN 3 THEN '一般' ELSE '普通' END AS priorityEnumText
+        FROM adm_encounter ae
+                 LEFT JOIN adm_patient ap ON ae.patient_id = ap.id AND ap.delete_flag = '0'
+                 LEFT JOIN (SELECT ael.encounter_id, al.name AS location_name
+                            FROM adm_encounter_location ael
+                                     LEFT JOIN adm_location al ON ael.location_id = al.id AND al.delete_flag = '0'
+                            WHERE ael.status_enum = 2 AND ael.delete_flag = '0'
+                              AND al.form_enum = 4) alw ON alw.encounter_id = ae.id
+                 LEFT JOIN (SELECT ael.encounter_id, al.name AS location_name
+                            FROM adm_encounter_location ael
+                                     LEFT JOIN adm_location al ON ael.location_id = al.id AND al.delete_flag = '0'
+                            WHERE ael.status_enum = 2 AND ael.delete_flag = '0'
+                              AND al.form_enum = 6) alb ON alb.encounter_id = ae.id
+        WHERE ae.delete_flag = '0'
+          AND ae.class_enum = 3
+          AND ae.status_enum IN (2, 3, 6)
+          AND (#{wardName} IS NULL OR alw.location_name = #{wardName})
+          AND (#{searchKey} IS NULL OR ap.name LIKE '%' || #{searchKey} || '%'
+            OR ap.py_str LIKE '%' || #{searchKey} || '%'
+            OR alb.location_name LIKE '%' || #{searchKey} || '%')
+        ORDER BY ae.priority_enum ASC, alb.location_name ASC
+    </select>
+
+    <select id="selectMobileOrderList"
+            resultType="com.healthlink.his.web.nursing.dto.NursingMobileOrderDto">
+        SELECT
+            COALESCE(mr.id, sr.id, dr.id) AS requestId,
+            COALESCE(mr.encounter_id, sr.encounter_id, dr.encounter_id) AS encounterId,
+            COALESCE(mr.patient_id, sr.patient_id, dr.patient_id) AS patientId,
+            COALESCE(mr.advice_name, sr.advice_name, dr.advice_name) AS adviceName,
+            CASE
+                WHEN mr.id IS NOT NULL THEN 'med_medication_request'
+                WHEN sr.id IS NOT NULL THEN 'wor_service_request'
+                WHEN dr.id IS NOT NULL THEN 'wor_device_request'
+            END AS adviceTable,
+            COALESCE(mr.status_enum, sr.status_enum, dr.status_enum) AS requestStatus,
+            CASE COALESCE(mr.status_enum, sr.status_enum, dr.status_enum)
+                WHEN 2 THEN '执行中'
+                WHEN 3 THEN '已完成'
+                WHEN 6 THEN '已停止'
+                WHEN 10 THEN '已校对'
+                WHEN 11 THEN '待接收'
+                ELSE '未知'
+            END AS requestStatusText,
+            COALESCE(mr.therapy_enum, sr.therapy_enum, dr.therapy_enum) AS therapyEnum,
+            CASE COALESCE(mr.therapy_enum, sr.therapy_enum, dr.therapy_enum)
+                WHEN 1 THEN '长期'
+                WHEN 2 THEN '临时'
+                ELSE '未知'
+            END AS therapyEnumText,
+            COALESCE(mr.start_time, sr.start_time, dr.start_time) AS startTime,
+            COALESCE(mr.end_time, sr.end_time, dr.end_time) AS endTime,
+            COALESCE(mr.requester_name, sr.requester_name, dr.requester_name) AS requesterName,
+            COALESCE(mr.rate_code, sr.rate_code, '') AS frequencyUsage,
+            COALESCE(mr.dose, 0) AS singleDose,
+            COALESCE(mr.volume, sr.volume, '') AS volume,
+            COALESCE(mr.quantity, sr.quantity, dr.quantity, 0) AS quantity,
+            COALESCE(mr.unit_code, sr.unit_code, dr.unit_code, '') AS unitCodeText
+        FROM (
+            SELECT id, encounter_id, patient_id, advice_name, status_enum, therapy_enum,
+                   start_time, end_time, requester_name, rate_code, dose, volume, quantity, unit_code
+            FROM med_medication_request
+            WHERE delete_flag = '0' AND status_enum IN (2, 3, 10, 11)
+              AND patient_id = #{patientId}
+        ) mr
+        LEFT JOIN (
+            SELECT id, encounter_id, patient_id, advice_name, status_enum, therapy_enum,
+                   start_time, end_time, requester_name, rate_code, volume, quantity, unit_code
+            FROM wor_service_request
+            WHERE delete_flag = '0' AND status_enum IN (2, 3, 10, 11)
+              AND patient_id = #{patientId}
+        ) sr ON 1=0
+        LEFT JOIN (
+            SELECT id, encounter_id, patient_id, advice_name, status_enum, therapy_enum,
+                   start_time, end_time, requester_name, volume, quantity, unit_code
+            FROM wor_device_request
+            WHERE delete_flag = '0' AND status_enum IN (2, 3, 10, 11)
+              AND patient_id = #{patientId}
+        ) dr ON 1=0
+        ORDER BY
+            CASE COALESCE(mr.status_enum, sr.status_enum, dr.status_enum) WHEN 2 THEN 0 WHEN 10 THEN 1 ELSE 2 END,
+            COALESCE(mr.therapy_enum, sr.therapy_enum, dr.therapy_enum) ASC
+    </select>
+
+</mapper>
diff --git a/healthlink-his-ui/src/router/index.js b/healthlink-his-ui/src/router/index.js
index f1e8ae282..408cc1072 100755
--- a/healthlink-his-ui/src/router/index.js
+++ b/healthlink-his-ui/src/router/index.js
@@ -129,6 +129,37 @@ export const constantRoutes = [
             }
         ]
     },
+    {
+        path: '/nursingmobile',
+        component: Layout,
+        hidden: true,
+        children: [
+            {
+                path: 'patient-list',
+                component: () => import('@/views/nursingmobile/PatientList.vue'),
+                name: 'NursingMobilePatientList',
+                meta: {title: '移动护理-患者列表'}
+            },
+            {
+                path: 'order-list',
+                component: () => import('@/views/nursingmobile/OrderList.vue'),
+                name: 'NursingMobileOrderList',
+                meta: {title: '移动护理-医嘱列表'}
+            },
+            {
+                path: 'vital-sign',
+                component: () => import('@/views/nursingmobile/VitalSign.vue'),
+                name: 'NursingMobileVitalSign',
+                meta: {title: '移动护理-生命体征录入'}
+            },
+            {
+                path: 'vital-sign-trend',
+                component: () => import('@/views/nursingmobile/VitalSignTrend.vue'),
+                name: 'NursingMobileVitalSignTrend',
+                meta: {title: '移动护理-体征趋势'}
+            }
+        ]
+    },
     // 添加套餐管理相关路由到公共路由，确保始终可用
     {
         path: '/maintainSystem/Inspection/PackageManagement',
diff --git a/healthlink-his-ui/src/views/nursingmobile/OrderList.vue b/healthlink-his-ui/src/views/nursingmobile/OrderList.vue
new file mode 100644
index 000000000..39fe50cca
--- /dev/null
+++ b/healthlink-his-ui/src/views/nursingmobile/OrderList.vue
@@ -0,0 +1,245 @@
+<template>
+  <div class="mobile-order-list">
+    <div class="page-header">
+      <el-page-header @back="goBack">
+        <template #content>
+          <span class="page-title">{{ patientName }} ({{ bedName }})</span>
+        </template>
+      </el-page-header>
+    </div>
+
+    <div class="filter-bar">
+      <el-radio-group v-model="statusFilter" size="small" @change="fetchOrders">
+        <el-radio-button :value="2">执行中</el-radio-button>
+        <el-radio-button :value="10">已校对</el-radio-button>
+        <el-radio-button :value="null">全部</el-radio-button>
+      </el-radio-group>
+      <el-button type="primary" size="small" @click="handleScan">
+        扫码执行
+      </el-button>
+    </div>
+
+    <div v-loading="loading" class="order-list">
+      <div
+        v-for="order in orderList"
+        :key="order.requestId"
+        class="order-item"
+      >
+        <div class="order-header">
+          <span class="order-name">{{ order.adviceName }}</span>
+          <el-tag :type="getStatusType(order.requestStatus)" size="small">
+            {{ order.requestStatusText }}
+          </el-tag>
+        </div>
+        <div class="order-body">
+          <div class="info-row">
+            <span class="label">类型:</span>
+            <el-tag size="small">{{ order.therapyEnumText }}</el-tag>
+          </div>
+          <div v-if="order.frequencyUsage" class="info-row">
+            <span class="label">频次:</span>
+            <span class="value">{{ order.frequencyUsage }}</span>
+          </div>
+          <div v-if="order.singleDose" class="info-row">
+            <span class="label">剂量:</span>
+            <span class="value">{{ order.singleDose }}</span>
+          </div>
+          <div class="info-row">
+            <span class="label">开嘱医生:</span>
+            <span class="value">{{ order.requesterName }}</span>
+          </div>
+        </div>
+        <div class="order-footer">
+          <el-button
+            v-if="order.requestStatus === 2 || order.requestStatus === 10"
+            type="success"
+            size="small"
+            @click="handleExecute(order)"
+          >
+            执行
+          </el-button>
+        </div>
+      </div>
+
+      <el-empty v-if="!loading && orderList.length === 0" description="暂无医嘱" />
+    </div>
+
+    <el-dialog v-model="scanDialogVisible" title="扫码执行" width="400px">
+      <el-form :model="scanForm" label-width="80px">
+        <el-form-item label="条码">
+          <el-input v-model="scanForm.barcode" placeholder="请扫描或输入条码" />
+        </el-form-item>
+      </el-form>
+      <template #footer>
+        <el-button @click="scanDialogVisible = false">取消</el-button>
+        <el-button type="primary" @click="confirmScan">确认执行</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, onMounted } from 'vue'
+import { useRoute, useRouter } from 'vue-router'
+import { ElMessage, ElMessageBox } from 'element-plus'
+import { getMobileOrderList, executeOrder } from './api'
+
+const route = useRoute()
+const router = useRouter()
+const loading = ref(false)
+const statusFilter = ref(2)
+const orderList = ref([])
+const scanDialogVisible = ref(false)
+const scanForm = ref({ barcode: '' })
+
+const patientName = ref(route.query.patientName || '')
+const bedName = ref(route.query.bedName || '')
+const patientId = ref(route.query.patientId)
+
+const fetchOrders = async () => {
+  if (!patientId.value) return
+  loading.value = true
+  try {
+    const res = await getMobileOrderList(patientId.value, { statusFilter: statusFilter.value })
+    orderList.value = res.data || []
+  } finally {
+    loading.value = false
+  }
+}
+
+const goBack = () => {
+  router.push('/nursingmobile/patient-list')
+}
+
+const handleScan = () => {
+  scanForm.value.barcode = ''
+  scanDialogVisible.value = true
+}
+
+const confirmScan = () => {
+  if (!scanForm.value.barcode) {
+    ElMessage.warning('请输入条码')
+    return
+  }
+  const matchedOrder = orderList.value.find(o => o.barcode === scanForm.value.barcode)
+  if (matchedOrder) {
+    handleExecute(matchedOrder)
+  } else {
+    ElMessage.error('未找到匹配的医嘱')
+  }
+  scanDialogVisible.value = false
+}
+
+const handleExecute = async (order) => {
+  try {
+    await ElMessageBox.confirm(
+      `确认执行医嘱: ${order.adviceName}?`,
+      '确认执行',
+      { confirmButtonText: '确认', cancelButtonText: '取消', type: 'warning' }
+    )
+    loading.value = true
+    await executeOrder({
+      requestId: order.requestId,
+      adviceTable: order.adviceTable,
+      encounterId: order.encounterId,
+      patientId: order.patientId
+    })
+    ElMessage.success('执行成功')
+    fetchOrders()
+  } catch (e) {
+    if (e !== 'cancel') {
+      ElMessage.error('执行失败')
+    }
+  } finally {
+    loading.value = false
+  }
+}
+
+const getStatusType = (status) => {
+  const map = { 2: 'primary', 3: 'success', 6: 'info', 10: 'warning', 11: '' }
+  return map[status] || 'info'
+}
+
+onMounted(() => {
+  fetchOrders()
+})
+</script>
+
+<style scoped>
+.mobile-order-list {
+  padding: 16px;
+}
+
+.page-header {
+  margin-bottom: 16px;
+}
+
+.page-title {
+  font-size: 16px;
+  font-weight: 600;
+}
+
+.filter-bar {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  margin-bottom: 16px;
+}
+
+.order-list {
+  display: flex;
+  flex-direction: column;
+  gap: 12px;
+}
+
+.order-item {
+  background: #fff;
+  border-radius: 8px;
+  padding: 16px;
+  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.1);
+}
+
+.order-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  margin-bottom: 12px;
+}
+
+.order-name {
+  font-size: 15px;
+  font-weight: 600;
+  flex: 1;
+  margin-right: 8px;
+}
+
+.order-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;
+}
+
+.order-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/PatientList.vue b/healthlink-his-ui/src/views/nursingmobile/PatientList.vue
new file mode 100644
index 000000000..46e9f4b1e
--- /dev/null
+++ b/healthlink-his-ui/src/views/nursingmobile/PatientList.vue
@@ -0,0 +1,201 @@
+<template>
+  <div class="mobile-patient-list">
+    <div class="page-header">
+      <h2>患者列表</h2>
+      <el-input
+        v-model="searchKey"
+        placeholder="搜索姓名/床号"
+        clearable
+        style="width: 200px"
+        @input="handleSearch"
+      />
+    </div>
+
+    <div v-loading="loading" class="patient-cards">
+      <div
+        v-for="patient in patientList"
+        :key="patient.encounterId"
+        class="patient-card"
+        @click="handlePatientClick(patient)"
+      >
+        <div class="card-header">
+          <span class="patient-name">{{ patient.patientName }}</span>
+          <el-tag :type="getGenderType(patient.genderEnum)" size="small">
+            {{ patient.genderEnumText }}
+          </el-tag>
+        </div>
+        <div class="card-body">
+          <div class="info-row">
+            <span class="label">床号:</span>
+            <span class="value">{{ patient.bedName || '-' }}</span>
+          </div>
+          <div class="info-row">
+            <span class="label">护理等级:</span>
+            <el-tag :type="getNursingLevelType(patient.nursingLevel)" size="small">
+              {{ patient.nursingLevelText }}
+            </el-tag>
+          </div>
+          <div class="info-row">
+            <span class="label">病情:</span>
+            <el-tag :type="getPriorityType(patient.priorityEnum)" size="small">
+              {{ patient.priorityEnumText }}
+            </el-tag>
+          </div>
+          <div v-if="patient.diagnosis" class="info-row">
+            <span class="label">诊断:</span>
+            <span class="value diagnosis">{{ patient.diagnosis }}</span>
+          </div>
+        </div>
+        <div class="card-footer">
+          <span class="doctor">{{ patient.admittingDoctorName }}</span>
+        </div>
+      </div>
+
+      <el-empty v-if="!loading && patientList.length === 0" description="暂无患者" />
+    </div>
+  </div>
+</template>
+
+<script setup>
+import { ref, onMounted } from 'vue'
+import { useRouter } from 'vue-router'
+import { getMobilePatientList } from './api'
+
+const router = useRouter()
+const loading = ref(false)
+const searchKey = ref('')
+const patientList = ref([])
+
+const fetchData = async () => {
+  loading.value = true
+  try {
+    const res = await getMobilePatientList({ searchKey: searchKey.value })
+    patientList.value = res.data || []
+  } finally {
+    loading.value = false
+  }
+}
+
+const handleSearch = () => {
+  fetchData()
+}
+
+const handlePatientClick = (patient) => {
+  router.push({
+    path: '/nursingmobile/order-list',
+    query: {
+      encounterId: patient.encounterId,
+      patientId: patient.patientId,
+      patientName: patient.patientName,
+      bedName: patient.bedName
+    }
+  })
+}
+
+const getGenderType = (gender) => {
+  return gender === 1 ? 'primary' : gender === 2 ? 'danger' : 'info'
+}
+
+const getNursingLevelType = (level) => {
+  const map = { 1: 'danger', 2: 'warning', 3: '', 4: 'danger' }
+  return map[level] || 'info'
+}
+
+const getPriorityType = (priority) => {
+  const map = { 1: 'danger', 2: 'warning', 3: '', 4: 'info' }
+  return map[priority] || 'info'
+}
+
+onMounted(() => {
+  fetchData()
+})
+</script>
+
+<style scoped>
+.mobile-patient-list {
+  padding: 16px;
+}
+
+.page-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  margin-bottom: 16px;
+}
+
+.page-header h2 {
+  margin: 0;
+  font-size: 18px;
+}
+
+.patient-cards {
+  display: flex;
+  flex-direction: column;
+  gap: 12px;
+}
+
+.patient-card {
+  background: #fff;
+  border-radius: 8px;
+  padding: 16px;
+  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.1);
+  cursor: pointer;
+  transition: transform 0.2s;
+}
+
+.patient-card:active {
+  transform: scale(0.98);
+}
+
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  margin-bottom: 12px;
+}
+
+.patient-name {
+  font-size: 16px;
+  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: 60px;
+}
+
+.info-row .value {
+  font-size: 14px;
+}
+
+.info-row .diagnosis {
+  color: #e6a23c;
+}
+
+.card-footer {
+  margin-top: 12px;
+  padding-top: 12px;
+  border-top: 1px solid #eee;
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+
+.doctor {
+  color: #999;
+  font-size: 12px;
+}
+</style>
diff --git a/healthlink-his-ui/src/views/nursingmobile/VitalSign.vue b/healthlink-his-ui/src/views/nursingmobile/VitalSign.vue
new file mode 100644
index 000000000..1688bbb1c
--- /dev/null
+++ b/healthlink-his-ui/src/views/nursingmobile/VitalSign.vue
@@ -0,0 +1,195 @@
+<template>
+  <div class="mobile-vital-sign">
+    <div class="page-header">
+      <el-page-header @back="goBack">
+        <template #content>
+          <span class="page-title">生命体征录入</span>
+        </template>
+      </el-page-header>
+    </div>
+
+    <el-form
+      ref="formRef"
+      :model="form"
+      :rules="rules"
+      label-width="80px"
+      class="vital-form"
+    >
+      <el-form-item label="患者">
+        <span class="patient-info">{{ patientName }} ({{ bedName }})</span>
+      </el-form-item>
+
+      <el-form-item label="记录时间">
+        <el-date-picker
+          v-model="form.recordDate"
+          type="date"
+          placeholder="选择日期"
+          format="YYYY-MM-DD"
+          value-format="YYYY-MM-DD"
+          style="width: 100%"
+        />
+      </el-form-item>
+
+      <el-form-item label="时点">
+        <el-select v-model="form.recordHour" placeholder="选择时点" style="width: 100%">
+          <el-option v-for="h in 24" :key="h-1" :label="(h-1)+':00'" :value="h-1" />
+        </el-select>
+      </el-form-item>
+
+      <el-form-item label="体温" prop="temperature">
+        <el-input-number v-model="form.temperature" :min="35" :max="42" :step="0.1" :precision="1" style="width: 100%" />
+        <span class="unit">°C</span>
+      </el-form-item>
+
+      <el-form-item label="脉搏" prop="pulse">
+        <el-input-number v-model="form.pulse" :min="40" :max="200" style="width: 100%" />
+        <span class="unit">次/分</span>
+      </el-form-item>
+
+      <el-form-item label="呼吸" prop="respiration">
+        <el-input-number v-model="form.respiration" :min="10" :max="60" style="width: 100%" />
+        <span class="unit">次/分</span>
+      </el-form-item>
+
+      <el-form-item label="收缩压" prop="systolicBp">
+        <el-input-number v-model="form.systolicBp" :min="60" :max="300" style="width: 100%" />
+        <span class="unit">mmHg</span>
+      </el-form-item>
+
+      <el-form-item label="舒张压" prop="diastolicBp">
+        <el-input-number v-model="form.diastolicBp" :min="30" :max="200" style="width: 100%" />
+        <span class="unit">mmHg</span>
+      </el-form-item>
+
+      <el-form-item label="疼痛评分">
+        <el-rate v-model="form.painScore" :max="10" show-score />
+      </el-form-item>
+
+      <el-form-item label="意识">
+        <el-select v-model="form.consciousLevel" placeholder="选择意识状态" style="width: 100%">
+          <el-option label="清醒" value="清醒" />
+          <el-option label="嗜睡" value="嗜睡" />
+          <el-option label="模糊" value="模糊" />
+          <el-option label="昏睡" value="昏睡" />
+          <el-option label="浅昏迷" value="浅昏迷" />
+          <el-option label="深昏迷" value="深昏迷" />
+        </el-select>
+      </el-form-item>
+
+      <el-form-item label="入量">
+        <el-input-number v-model="form.inputMl" :min="0" style="width: 100%" />
+        <span class="unit">ml</span>
+      </el-form-item>
+
+      <el-form-item label="出量">
+        <el-input-number v-model="form.outputMl" :min="0" style="width: 100%" />
+        <span class="unit">ml</span>
+      </el-form-item>
+
+      <el-form-item>
+        <el-button type="primary" :loading="submitting" style="width: 100%" @click="handleSubmit">
+          保存
+        </el-button>
+      </el-form-item>
+    </el-form>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, onMounted } from 'vue'
+import { useRoute, useRouter } from 'vue-router'
+import { ElMessage } from 'element-plus'
+import { saveVitalSign } from './api'
+
+const route = useRoute()
+const router = useRouter()
+const formRef = ref(null)
+const submitting = ref(false)
+
+const patientName = ref(route.query.patientName || '')
+const bedName = ref(route.query.bedName || '')
+const patientId = ref(route.query.patientId)
+const encounterId = ref(route.query.encounterId)
+
+const now = new Date()
+const form = reactive({
+  patientId: patientId.value ? Number(patientId.value) : null,
+  encounterId: encounterId.value ? Number(encounterId.value) : null,
+  patientName: patientName.value,
+  recordDate: now.toISOString().split('T')[0],
+  recordHour: now.getHours(),
+  temperature: null,
+  pulse: null,
+  respiration: null,
+  systolicBp: null,
+  diastolicBp: null,
+  painScore: 0,
+  consciousLevel: '清醒',
+  inputMl: null,
+  outputMl: null,
+  nurseName: ''
+})
+
+const rules = {
+  temperature: [{ required: true, message: '请输入体温', trigger: 'blur' }],
+  pulse: [{ required: true, message: '请输入脉搏', trigger: 'blur' }],
+  systolicBp: [{ required: true, message: '请输入收缩压', trigger: 'blur' }],
+  diastolicBp: [{ required: true, message: '请输入舒张压', trigger: 'blur' }]
+}
+
+const goBack = () => {
+  router.push('/nursingmobile/patient-list')
+}
+
+const handleSubmit = async () => {
+  try {
+    await formRef.value.validate()
+    submitting.value = true
+    await saveVitalSign(form)
+    ElMessage.success('保存成功')
+    router.push('/nursingmobile/vital-sign-trend?patientId=' + patientId.value + '&patientName=' + patientName.value)
+  } catch (e) {
+    if (e !== false) {
+      ElMessage.error('保存失败')
+    }
+  } finally {
+    submitting.value = false
+  }
+}
+
+onMounted(() => {})
+</script>
+
+<style scoped>
+.mobile-vital-sign {
+  padding: 16px;
+}
+
+.page-header {
+  margin-bottom: 16px;
+}
+
+.page-title {
+  font-size: 16px;
+  font-weight: 600;
+}
+
+.vital-form {
+  background: #fff;
+  border-radius: 8px;
+  padding: 16px;
+  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.1);
+}
+
+.patient-info {
+  font-size: 15px;
+  font-weight: 600;
+  color: #409eff;
+}
+
+.unit {
+  margin-left: 8px;
+  color: #999;
+  font-size: 12px;
+}
+</style>
diff --git a/healthlink-his-ui/src/views/nursingmobile/VitalSignTrend.vue b/healthlink-his-ui/src/views/nursingmobile/VitalSignTrend.vue
new file mode 100644
index 000000000..a66b4b25a
--- /dev/null
+++ b/healthlink-his-ui/src/views/nursingmobile/VitalSignTrend.vue
@@ -0,0 +1,251 @@
+<template>
+  <div class="mobile-vital-trend">
+    <div class="page-header">
+      <el-page-header @back="goBack">
+        <template #content>
+          <span class="page-title">体征趋势</span>
+        </template>
+      </el-page-header>
+    </div>
+
+    <div class="patient-info">
+      <span>{{ patientName }}</span>
+    </div>
+
+    <div class="days-filter">
+      <el-radio-group v-model="days" size="small" @change="fetchTrend">
+        <el-radio-button :value="3">3天</el-radio-button>
+        <el-radio-button :value="7">7天</el-radio-button>
+        <el-radio-button :value="14">14天</el-radio-button>
+      </el-radio-group>
+    </div>
+
+    <div v-loading="loading" class="trend-charts">
+      <div class="chart-section">
+        <h4>体温 (°C)</h4>
+        <div class="chart-container">
+          <div v-if="trendData.temperatureData.length === 0" class="no-data">暂无数据</div>
+          <div v-else class="simple-chart">
+            <div v-for="(point, idx) in trendData.temperatureData" :key="idx" class="chart-point">
+              <div class="point-value">{{ point.value }}</div>
+              <div class="point-bar" :style="{ height: getBarHeight(point.value, 35, 42) + 'px' }" />
+              <div class="point-label">{{ formatLabel(point.label) }}</div>
+            </div>
+          </div>
+        </div>
+      </div>
+
+      <div class="chart-section">
+        <h4>脉搏 (次/分)</h4>
+        <div class="chart-container">
+          <div v-if="trendData.pulseData.length === 0" class="no-data">暂无数据</div>
+          <div v-else class="simple-chart">
+            <div v-for="(point, idx) in trendData.pulseData" :key="idx" class="chart-point">
+              <div class="point-value">{{ point.value }}</div>
+              <div class="point-bar pulse" :style="{ height: getBarHeight(point.value, 40, 120) + 'px' }" />
+              <div class="point-label">{{ formatLabel(point.label) }}</div>
+            </div>
+          </div>
+        </div>
+      </div>
+
+      <div class="chart-section">
+        <h4>血压 (mmHg)</h4>
+        <div class="chart-container">
+          <div v-if="trendData.systolicBpData.length === 0" class="no-data">暂无数据</div>
+          <div v-else class="simple-chart">
+            <div v-for="(point, idx) in trendData.systolicBpData" :key="idx" class="chart-point">
+              <div class="point-value">{{ point.value }}/{{ getDiastolicValue(idx) }}</div>
+              <div class="point-bar bp" :style="{ height: getBarHeight(point.value, 60, 200) + 'px' }" />
+              <div class="point-label">{{ formatLabel(point.label) }}</div>
+            </div>
+          </div>
+        </div>
+      </div>
+
+      <div class="chart-section">
+        <h4>呼吸 (次/分)</h4>
+        <div class="chart-container">
+          <div v-if="trendData.respirationData.length === 0" class="no-data">暂无数据</div>
+          <div v-else class="simple-chart">
+            <div v-for="(point, idx) in trendData.respirationData" :key="idx" class="chart-point">
+              <div class="point-value">{{ point.value }}</div>
+              <div class="point-bar resp" :style="{ height: getBarHeight(point.value, 10, 40) + 'px' }" />
+              <div class="point-label">{{ formatLabel(point.label) }}</div>
+            </div>
+          </div>
+        </div>
+      </div>
+    </div>
+  </div>
+</template>
+
+<script setup>
+import { ref, onMounted } from 'vue'
+import { useRoute, useRouter } from 'vue-router'
+import { getVitalSignTrend } from './api'
+
+const route = useRoute()
+const router = useRouter()
+const loading = ref(false)
+const days = ref(7)
+const patientName = ref(route.query.patientName || '')
+const patientId = ref(route.query.patientId)
+
+const trendData = ref({
+  temperatureData: [],
+  pulseData: [],
+  systolicBpData: [],
+  diastolicBpData: [],
+  respirationData: []
+})
+
+const fetchTrend = async () => {
+  if (!patientId.value) return
+  loading.value = true
+  try {
+    const res = await getVitalSignTrend(patientId.value, { days: days.value })
+    trendData.value = res.data || {
+      temperatureData: [],
+      pulseData: [],
+      systolicBpData: [],
+      diastolicBpData: [],
+      respirationData: []
+    }
+    if (res.data?.patientName) {
+      patientName.value = res.data.patientName
+    }
+  } finally {
+    loading.value = false
+  }
+}
+
+const goBack = () => {
+  router.push('/nursingmobile/patient-list')
+}
+
+const getBarHeight = (value, min, max) => {
+  if (!value) return 0
+  const normalized = (value - min) / (max - min)
+  return Math.max(10, Math.min(80, normalized * 80))
+}
+
+const getDiastolicValue = (idx) => {
+  const point = trendData.value.diastolicBpData[idx]
+  return point ? point.value : '-'
+}
+
+const formatLabel = (label) => {
+  if (!label) return ''
+  const parts = label.split(' ')
+  return parts.length > 1 ? parts[1] : label
+}
+
+onMounted(() => {
+  fetchTrend()
+})
+</script>
+
+<style scoped>
+.mobile-vital-trend {
+  padding: 16px;
+}
+
+.page-header {
+  margin-bottom: 16px;
+}
+
+.page-title {
+  font-size: 16px;
+  font-weight: 600;
+}
+
+.patient-info {
+  font-size: 15px;
+  font-weight: 600;
+  color: #409eff;
+  margin-bottom: 16px;
+}
+
+.days-filter {
+  margin-bottom: 16px;
+}
+
+.trend-charts {
+  display: flex;
+  flex-direction: column;
+  gap: 20px;
+}
+
+.chart-section {
+  background: #fff;
+  border-radius: 8px;
+  padding: 16px;
+  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.1);
+}
+
+.chart-section h4 {
+  margin: 0 0 12px 0;
+  font-size: 14px;
+  color: #333;
+}
+
+.chart-container {
+  min-height: 100px;
+}
+
+.no-data {
+  text-align: center;
+  color: #999;
+  padding: 40px 0;
+}
+
+.simple-chart {
+  display: flex;
+  gap: 8px;
+  overflow-x: auto;
+  padding-bottom: 8px;
+}
+
+.chart-point {
+  display: flex;
+  flex-direction: column;
+  align-items: center;
+  min-width: 50px;
+}
+
+.point-value {
+  font-size: 11px;
+  font-weight: 600;
+  color: #333;
+  margin-bottom: 4px;
+}
+
+.point-bar {
+  width: 20px;
+  background: #409eff;
+  border-radius: 4px 4px 0 0;
+  min-height: 10px;
+}
+
+.point-bar.pulse {
+  background: #67c23a;
+}
+
+.point-bar.bp {
+  background: #e6a23c;
+}
+
+.point-bar.resp {
+  background: #909399;
+}
+
+.point-label {
+  font-size: 10px;
+  color: #999;
+  margin-top: 4px;
+  text-align: center;
+  writing-mode: vertical-rl;
+  max-height: 60px;
+}
+</style>
diff --git a/healthlink-his-ui/src/views/nursingmobile/api.js b/healthlink-his-ui/src/views/nursingmobile/api.js
new file mode 100644
index 000000000..4eee3eb81
--- /dev/null
+++ b/healthlink-his-ui/src/views/nursingmobile/api.js
@@ -0,0 +1,21 @@
+import request from '@/utils/request'
+
+export function getMobilePatientList(params) {
+  return request({ url: '/nursing/mobile/patient-list', method: 'get', params })
+}
+
+export function getMobileOrderList(patientId, params) {
+  return request({ url: '/nursing/mobile/order-list/' + patientId, method: 'get', params })
+}
+
+export function executeOrder(data) {
+  return request({ url: '/nursing/mobile/order-execute', method: 'post', data })
+}
+
+export function saveVitalSign(data) {
+  return request({ url: '/nursing/mobile/vital-sign', method: 'post', data })
+}
+
+export function getVitalSignTrend(patientId, params) {
+  return request({ url: '/nursing/mobile/vital-sign-trend/' + patientId, method: 'get', params })
+}