Merge remote-tracking branch 'origin/develop' into guanyu

2026-06-18 23:02:13 +08:00
parent 4a715d6287 f78cebdebd
commit dbda09d528
26 changed files with 2056 additions and 0 deletions
--- a/healthlink-his-server/core-common/src/main/java/com/core/common/constant/CacheConstants.java
+++ b/healthlink-his-server/core-common/src/main/java/com/core/common/constant/CacheConstants.java
@@ -46,6 +46,16 @@ public class CacheConstants {
     */
    public static final String LOGIN_SELECTED_TENANT = "login_selected_tenant:";

+    /**
+     * Token黑名单 redis key
+     */
+    public static final String TOKEN_BLACKLIST_KEY = "token_blacklist:";
+
+    /**
+     * 登录失败锁定 redis key
+     */
+    public static final String LOGIN_FAIL_LOCK_KEY = "login_fail_lock:";
+
    /**
     * 超出上限，排番失败（时间：{}，KEY：{}
     */
--- a/healthlink-his-server/core-framework/src/main/java/com/core/framework/web/service/LoginFailLockService.java
+++ b/healthlink-his-server/core-framework/src/main/java/com/core/framework/web/service/LoginFailLockService.java
@@ -0,0 +1,79 @@
+package com.core.framework.web.service;
+
+import com.core.common.constant.CacheConstants;
+import com.core.common.core.redis.RedisCache;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.beans.factory.annotation.Value;
+import org.springframework.stereotype.Component;
+
+import java.util.concurrent.TimeUnit;
+
+/**
+ * 登录失败锁定服务
+ *
+ * @author system
+ */
+@Component
+public class LoginFailLockService {
+    @Autowired
+    private RedisCache redisCache;
+
+    @Value("${user.password.maxRetryCount:5}")
+    private int maxRetryCount;
+
+    @Value("${user.password.lockTime:10}")
+    private int lockTime;
+
+    private String getLockKey(String username) {
+        return CacheConstants.LOGIN_FAIL_LOCK_KEY + username;
+    }
+
+    /**
+     * 检查用户是否被锁定
+     *
+     * @param username 用户名
+     * @return 是否被锁定
+     */
+    public boolean isLocked(String username) {
+        Integer failCount = redisCache.getCacheObject(getLockKey(username));
+        return failCount != null && failCount >= maxRetryCount;
+    }
+
+    /**
+     * 记录登录失败次数
+     *
+     * @param username 用户名
+     */
+    public void recordLoginFailure(String username) {
+        String key = getLockKey(username);
+        Integer count = redisCache.getCacheObject(key);
+        if (count == null) {
+            count = 0;
+        }
+        count++;
+        redisCache.setCacheObject(key, count, lockTime, TimeUnit.MINUTES);
+    }
+
+    /**
+     * 清除登录失败记录(登录成功时调用)
+     *
+     * @param username 用户名
+     */
+    public void clearLoginFailure(String username) {
+        redisCache.deleteObject(getLockKey(username));
+    }
+
+    /**
+     * 获取剩余锁定时间(分钟)
+     *
+     * @param username 用户名
+     * @return 剩余分钟数
+     */
+    public int getRemainingLockMinutes(String username) {
+        Long ttl = redisCache.getCacheObject(getLockKey(username) + ":ttl");
+        if (ttl == null) {
+            return 0;
+        }
+        return (int) Math.ceil(ttl / 60.0);
+    }
+}
--- a/healthlink-his-server/core-framework/src/main/java/com/core/framework/web/service/SysLoginService.java
+++ b/healthlink-his-server/core-framework/src/main/java/com/core/framework/web/service/SysLoginService.java
@@ -66,6 +66,9 @@ public class SysLoginService {
    @Autowired
    private ISysTenantOptionService sysTenantOptionService;

+    @Autowired
+    private LoginFailLockService loginFailLockService;
+
    /**
     * 登录验证
     * 
@@ -77,6 +80,11 @@ public class SysLoginService {
     * @return 结果
     */
    public String login(String username, String password, String code, String uuid, Integer tenantId) {
+        // 登录失败锁定检查
+        if (loginFailLockService.isLocked(username)) {
+            throw new com.core.common.exception.ServiceException("账号已被锁定，请稍后再试");
+        }
+
        // 验证码校验
        // validateCaptcha(username, code, uuid);

@@ -96,6 +104,8 @@ public class SysLoginService {
            // 该方法会去调用UserDetailsServiceImpl.loadUserByUsername
            authentication = authenticationManager.authenticate(authenticationToken);
        } catch (Exception e) {
+            // 记录登录失败
+            loginFailLockService.recordLoginFailure(username);
            if (e instanceof BadCredentialsException ex) {
                AsyncManager.me().execute(AsyncFactory.recordLogininfor(username, Constants.LOGIN_FAIL,
                    MessageUtils.message("user.password.not.match")));
@@ -108,6 +118,8 @@ public class SysLoginService {
        } finally {
            AuthenticationContextHolder.clearContext();
        }
+        // 登录成功，清除失败记录
+        loginFailLockService.clearLoginFailure(username);
        AsyncManager.me().execute(AsyncFactory.recordLogininfor(username, Constants.LOGIN_SUCCESS,
            MessageUtils.message("user.login.success")));
        LoginUser loginUser = (LoginUser)authentication.getPrincipal();
--- a/healthlink-his-server/core-framework/src/main/java/com/core/framework/web/service/TokenService.java
+++ b/healthlink-his-server/core-framework/src/main/java/com/core/framework/web/service/TokenService.java
@@ -59,6 +59,10 @@ public class TokenService {
        String token = getToken(request);
        if (StringUtils.isNotEmpty(token)) {
            try {
+                // 检查token是否在黑名单中
+                if (isTokenBlacklisted(token)) {
+                    return null;
+                }
                Claims claims = parseToken(token);
                // 解析对应的权限以及用户信息
                String uuid = (String)claims.get(Constants.LOGIN_USER_KEY);
@@ -113,6 +117,49 @@ public class TokenService {
        }
    }

+    /**
+     * 将token加入黑名单
+     *
+     * @param token 令牌
+     * @param expireMinutes 过期时间(分钟)
+     */
+    public void blacklistToken(String token, long expireMinutes) {
+        if (StringUtils.isNotEmpty(token)) {
+            String blacklistKey = CacheConstants.TOKEN_BLACKLIST_KEY + token;
+            redisCache.setCacheObject(blacklistKey, "1", (int) expireMinutes, TimeUnit.MINUTES);
+        }
+    }
+
+    /**
+     * 检查token是否在黑名单中
+     *
+     * @param token 令牌
+     * @return 是否被黑名单
+     */
+    public boolean isTokenBlacklisted(String token) {
+        if (StringUtils.isEmpty(token)) {
+            return false;
+        }
+        String blacklistKey = CacheConstants.TOKEN_BLACKLIST_KEY + token;
+        return redisCache.getCacheObject(blacklistKey) != null;
+    }
+
+    /**
+     * 刷新令牌(生成新token)
+     *
+     * @param loginUser 用户信息
+     * @return 新令牌
+     */
+    public String refreshAccessToken(LoginUser loginUser) {
+        if (StringUtils.isNull(loginUser) || StringUtils.isEmpty(loginUser.getToken())) {
+            return null;
+        }
+        // 将旧token加入黑名单
+        blacklistToken(loginUser.getToken(), expireTime);
+        // 创建新token
+        return createToken(loginUser);
+    }
+
    /**
     * 创建令牌
     *
--- 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
@@ -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);
+}
--- 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
@@ -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;
+    }
+}
--- 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
@@ -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);
+    }
+}
--- 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
@@ -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;
+}
--- 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
@@ -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;
+}
--- 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
@@ -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;
+}
--- 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
@@ -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;
+    }
+}
--- 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
@@ -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);
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/system/appservice/IAuditEnhanceAppService.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/system/appservice/IAuditEnhanceAppService.java
@@ -0,0 +1,29 @@
+package com.healthlink.his.web.system.appservice;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.sys.domain.SysAuditLog;
+
+import java.util.Map;
+
+/**
+ * 审计日志增强服务接口
+ */
+public interface IAuditEnhanceAppService {
+
+    /**
+     * 分页查询增强审计日志
+     */
+    R<?> getEnhancedLogs(String userName, String module, String action, String riskLevel,
+                         String businessType, String startDate, String endDate,
+                         Integer pageNo, Integer pageSize);
+
+    /**
+     * 获取审计日志统计数据
+     */
+    R<?> getAuditStats(String startDate, String endDate);
+
+    /**
+     * 记录增强审计日志
+     */
+    void recordEnhancedLog(SysAuditLog log);
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/system/appservice/impl/AuditEnhanceAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/system/appservice/impl/AuditEnhanceAppServiceImpl.java
@@ -0,0 +1,109 @@
+package com.healthlink.his.web.system.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.core.common.core.domain.R;
+import com.healthlink.his.sys.domain.SysAuditLog;
+import com.healthlink.his.sys.mapper.SysAuditLogMapper;
+import com.healthlink.his.web.system.appservice.IAuditEnhanceAppService;
+import lombok.RequiredArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.stereotype.Service;
+import org.springframework.util.StringUtils;
+
+import java.text.ParseException;
+import java.text.SimpleDateFormat;
+import java.util.*;
+
+/**
+ * 审计日志增强服务实现
+ */
+@Service
+@RequiredArgsConstructor
+@Slf4j
+public class AuditEnhanceAppServiceImpl implements IAuditEnhanceAppService {
+
+    private final SysAuditLogMapper auditLogMapper;
+
+    @Override
+    public R<?> getEnhancedLogs(String userName, String module, String action, String riskLevel,
+                                 String businessType, String startDate, String endDate,
+                                 Integer pageNo, Integer pageSize) {
+        LambdaQueryWrapper<SysAuditLog> wrapper = new LambdaQueryWrapper<>();
+        wrapper.like(StringUtils.hasText(userName), SysAuditLog::getUserName, userName)
+               .eq(StringUtils.hasText(module), SysAuditLog::getModule, module)
+               .eq(StringUtils.hasText(action), SysAuditLog::getAction, action)
+               .eq(StringUtils.hasText(riskLevel), SysAuditLog::getRiskLevel, riskLevel)
+               .eq(StringUtils.hasText(businessType), SysAuditLog::getBusinessType, businessType);
+
+        if (StringUtils.hasText(startDate)) {
+            try {
+                Date start = new SimpleDateFormat("yyyy-MM-dd").parse(startDate);
+                wrapper.ge(SysAuditLog::getCreateTime, start);
+            } catch (ParseException e) {
+                log.warn("日期解析失败: {}", startDate);
+            }
+        }
+        if (StringUtils.hasText(endDate)) {
+            try {
+                Date end = new SimpleDateFormat("yyyy-MM-dd").parse(endDate);
+                wrapper.le(SysAuditLog::getCreateTime, end);
+            } catch (ParseException e) {
+                log.warn("日期解析失败: {}", endDate);
+            }
+        }
+
+        wrapper.orderByDesc(SysAuditLog::getCreateTime);
+        Page<SysAuditLog> page = auditLogMapper.selectPage(new Page<>(pageNo, pageSize), wrapper);
+        return R.ok(page);
+    }
+
+    @Override
+    public R<?> getAuditStats(String startDate, String endDate) {
+        Map<String, Object> stats = new HashMap<>();
+
+        // 按模块统计
+        String moduleSql = "SELECT module, COUNT(*) as count FROM sys_audit_log WHERE delete_flag = '0'";
+        // 按风险级别统计
+        String riskSql = "SELECT risk_level, COUNT(*) as count FROM sys_audit_log WHERE delete_flag = '0'";
+        // 按业务类型统计
+        String businessSql = "SELECT business_type, COUNT(*) as count FROM sys_audit_log WHERE delete_flag = '0'";
+
+        if (StringUtils.hasText(startDate)) {
+            moduleSql += " AND create_time >= '" + startDate + "'";
+            riskSql += " AND create_time >= '" + startDate + "'";
+            businessSql += " AND create_time >= '" + startDate + "'";
+        }
+        if (StringUtils.hasText(endDate)) {
+            moduleSql += " AND create_time <= '" + endDate + " 23:59:59'";
+            riskSql += " AND create_time <= '" + endDate + " 23:59:59'";
+            businessSql += " AND create_time <= '" + endDate + " 23:59:59'";
+        }
+
+        moduleSql += " GROUP BY module ORDER BY count DESC";
+        riskSql += " GROUP BY risk_level ORDER BY count DESC";
+        businessSql += " GROUP BY business_type ORDER BY count DESC";
+
+        try {
+            stats.put("moduleStats", auditLogMapper.selectMaps(
+                new LambdaQueryWrapper<SysAuditLog>().last(moduleSql)));
+            stats.put("riskStats", auditLogMapper.selectMaps(
+                new LambdaQueryWrapper<SysAuditLog>().last(riskSql)));
+            stats.put("businessStats", auditLogMapper.selectMaps(
+                new LambdaQueryWrapper<SysAuditLog>().last(businessSql)));
+        } catch (Exception e) {
+            log.error("统计审计日志失败", e);
+        }
+
+        return R.ok(stats);
+    }
+
+    @Override
+    public void recordEnhancedLog(SysAuditLog auditLog) {
+        try {
+            auditLogMapper.insert(auditLog);
+        } catch (Exception e) {
+            log.error("记录审计日志失败: {}", e.getMessage());
+        }
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/system/controller/AuditEnhanceController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/system/controller/AuditEnhanceController.java
@@ -0,0 +1,48 @@
+package com.healthlink.his.web.system.controller;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.web.system.appservice.IAuditEnhanceAppService;
+import lombok.RequiredArgsConstructor;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+/**
+ * 审计日志增强 Controller
+ */
+@RestController
+@RequestMapping("/audit/enhanced")
+@RequiredArgsConstructor
+public class AuditEnhanceController {
+
+    private final IAuditEnhanceAppService auditEnhanceAppService;
+
+    /**
+     * 分页查询增强审计日志
+     */
+    @GetMapping("/logs")
+    @PreAuthorize("@ss.hasPermi('system:audit:list')")
+    public R<?> getEnhancedLogs(
+            @RequestParam(value = "userName", required = false) String userName,
+            @RequestParam(value = "module", required = false) String module,
+            @RequestParam(value = "action", required = false) String action,
+            @RequestParam(value = "riskLevel", required = false) String riskLevel,
+            @RequestParam(value = "businessType", required = false) String businessType,
+            @RequestParam(value = "startDate", required = false) String startDate,
+            @RequestParam(value = "endDate", required = false) String endDate,
+            @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+            @RequestParam(value = "pageSize", defaultValue = "20") Integer pageSize) {
+        return auditEnhanceAppService.getEnhancedLogs(userName, module, action, riskLevel,
+                businessType, startDate, endDate, pageNo, pageSize);
+    }
+
+    /**
+     * 获取审计日志统计数据
+     */
+    @GetMapping("/stats")
+    @PreAuthorize("@ss.hasPermi('system:audit:list')")
+    public R<?> getAuditStats(
+            @RequestParam(value = "startDate", required = false) String startDate,
+            @RequestParam(value = "endDate", required = false) String endDate) {
+        return auditEnhanceAppService.getAuditStats(startDate, endDate);
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V84__audit_enhancement.sql
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V84__audit_enhancement.sql
@@ -0,0 +1,21 @@
+-- V84: 审计日志增强 - 扩展字段
+-- 为系统操作审计日志添加增强字段
+
+-- 添加新字段
+ALTER TABLE sys_audit_log ADD COLUMN IF NOT EXISTS user_agent VARCHAR(512) DEFAULT NULL COMMENT '用户代理';
+ALTER TABLE sys_audit_log ADD COLUMN IF NOT EXISTS request_method VARCHAR(10) DEFAULT NULL COMMENT '请求方法(GET/POST/PUT/DELETE)';
+ALTER TABLE sys_audit_log ADD COLUMN IF NOT EXISTS response_code INT DEFAULT NULL COMMENT '响应状态码';
+ALTER TABLE sys_audit_log ADD COLUMN IF NOT EXISTS response_time_ms BIGINT DEFAULT NULL COMMENT '响应时间(毫秒)';
+ALTER TABLE sys_audit_log ADD COLUMN IF NOT EXISTS client_ip VARCHAR(50) DEFAULT NULL COMMENT '客户端IP';
+ALTER TABLE sys_audit_log ADD COLUMN IF NOT EXISTS tenant_name VARCHAR(100) DEFAULT NULL COMMENT '租户名称';
+ALTER TABLE sys_audit_log ADD COLUMN IF NOT EXISTS org_name VARCHAR(100) DEFAULT NULL COMMENT '科室名称';
+ALTER TABLE sys_audit_log ADD COLUMN IF NOT EXISTS risk_level VARCHAR(20) DEFAULT 'LOW' COMMENT '风险级别(LOW/MEDIUM/HIGH/CRITICAL)';
+ALTER TABLE sys_audit_log ADD COLUMN IF NOT EXISTS business_type VARCHAR(50) DEFAULT NULL COMMENT '业务类型(login/logout/query/insert/update/delete/export)';
+
+-- 创建索引
+CREATE INDEX IF NOT EXISTS idx_audit_log_user_id ON sys_audit_log(user_id);
+CREATE INDEX IF NOT EXISTS idx_audit_log_module ON sys_audit_log(module);
+CREATE INDEX IF NOT EXISTS idx_audit_log_action ON sys_audit_log(action);
+CREATE INDEX IF NOT EXISTS idx_audit_log_create_time ON sys_audit_log(create_time);
+CREATE INDEX IF NOT EXISTS idx_audit_log_risk_level ON sys_audit_log(risk_level);
+CREATE INDEX IF NOT EXISTS idx_audit_log_business_type ON sys_audit_log(business_type);
--- 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
@@ -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>
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/sys/domain/SysAuditLog.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/sys/domain/SysAuditLog.java
@@ -25,4 +25,13 @@ public class SysAuditLog extends HisBaseEntity {
    private String result;
    private String errorMsg;
    private Integer durationMs;
+    private String userAgent;
+    private String requestMethod;
+    private Integer responseCode;
+    private Long responseTimeMs;
+    private String clientIp;
+    private String tenantName;
+    private String orgName;
+    private String riskLevel;
+    private String businessType;
 }
--- 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',
--- a/healthlink-his-ui/src/views/auditlog-enhanced/api.js
+++ b/healthlink-his-ui/src/views/auditlog-enhanced/api.js
@@ -0,0 +1,19 @@
+import request from '@/utils/request'
+
+// 增强审计日志查询
+export function getEnhancedLogs(params) {
+  return request({
+    url: '/audit/enhanced/logs',
+    method: 'get',
+    params
+  })
+}
+
+// 审计日志统计
+export function getAuditStats(params) {
+  return request({
+    url: '/audit/enhanced/stats',
+    method: 'get',
+    params
+  })
+}
--- a/healthlink-his-ui/src/views/auditlog-enhanced/index.vue
+++ b/healthlink-his-ui/src/views/auditlog-enhanced/index.vue
@@ -0,0 +1,254 @@
+<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">审计日志管理</span>
+      <el-button @click="showStats = !showStats">
+        {{ showStats ? '隐藏统计' : '查看统计' }}
+      </el-button>
+    </div>
+
+    <!-- 统计面板 -->
+    <el-card v-if="showStats" style="margin-bottom:16px">
+      <template #header>
+        <span>审计统计</span>
+      </template>
+      <el-row :gutter="20">
+        <el-col :span="8">
+          <div style="text-align:center">
+            <div style="font-size:24px;font-weight:bold;color:#409eff">{{ stats.totalCount || 0 }}</div>
+            <div style="color:#909399">总日志数</div>
+          </div>
+        </el-col>
+        <el-col :span="8">
+          <div style="text-align:center">
+            <div style="font-size:24px;font-weight:bold;color:#e6a23c">{{ stats.highRiskCount || 0 }}</div>
+            <div style="color:#909399">高风险操作</div>
+          </div>
+        </el-col>
+        <el-col :span="8">
+          <div style="text-align:center">
+            <div style="font-size:24px;font-weight:bold;color:#f56c6c">{{ stats.criticalCount || 0 }}</div>
+            <div style="color:#909399">严重风险</div>
+          </div>
+        </el-col>
+      </el-row>
+      <el-divider />
+      <el-row :gutter="20">
+        <el-col :span="12">
+          <div style="font-weight:bold;margin-bottom:8px">按模块分布</div>
+          <div v-for="item in stats.moduleStats" :key="item.module" style="display:flex;justify-content:space-between;margin-bottom:4px">
+            <span>{{ item.module || '未知' }}</span>
+            <el-tag size="small">{{ item.count }}</el-tag>
+          </div>
+        </el-col>
+        <el-col :span="12">
+          <div style="font-weight:bold;margin-bottom:8px">按风险级别分布</div>
+          <div v-for="item in stats.riskStats" :key="item.risk_level" style="display:flex;justify-content:space-between;margin-bottom:4px">
+            <span>{{ getRiskLabel(item.risk_level) }}</span>
+            <el-tag :type="getRiskType(item.risk_level)" size="small">{{ item.count }}</el-tag>
+          </div>
+        </el-col>
+      </el-row>
+    </el-card>
+
+    <!-- 查询条件 -->
+    <div style="margin-bottom:12px;display:flex;gap:8px;flex-wrap:wrap">
+      <el-input
+        v-model="q.userName"
+        placeholder="用户名"
+        clearable
+        style="width:120px"
+      />
+      <el-input
+        v-model="q.module"
+        placeholder="模块"
+        clearable
+        style="width:120px"
+      />
+      <el-input
+        v-model="q.action"
+        placeholder="操作"
+        clearable
+        style="width:120px"
+      />
+      <el-select
+        v-model="q.riskLevel"
+        placeholder="风险级别"
+        clearable
+        style="width:120px"
+      >
+        <el-option label="低" value="LOW" />
+        <el-option label="中" value="MEDIUM" />
+        <el-option label="高" value="HIGH" />
+        <el-option label="严重" value="CRITICAL" />
+      </el-select>
+      <el-select
+        v-model="q.businessType"
+        placeholder="业务类型"
+        clearable
+        style="width:120px"
+      >
+        <el-option label="登录" value="login" />
+        <el-option label="登出" value="logout" />
+        <el-option label="查询" value="query" />
+        <el-option label="新增" value="insert" />
+        <el-option label="修改" value="update" />
+        <el-option label="删除" value="delete" />
+        <el-option label="导出" value="export" />
+      </el-select>
+      <el-date-picker
+        v-model="dateRange"
+        type="daterange"
+        range-separator="至"
+        start-placeholder="开始日期"
+        end-placeholder="结束日期"
+        value-format="YYYY-MM-DD"
+        style="width:240px"
+      />
+      <el-button type="primary" @click="loadData">查询</el-button>
+      <el-button @click="resetQuery">重置</el-button>
+    </div>
+
+    <!-- 数据表格 -->
+    <el-table :data="tableData" border stripe>
+      <el-table-column prop="userName" label="用户" width="100" />
+      <el-table-column prop="module" label="模块" width="120" />
+      <el-table-column prop="action" label="操作" width="100" />
+      <el-table-column prop="businessType" label="业务类型" width="100">
+        <template #default="{row}">
+          <el-tag size="small">{{ getBusinessLabel(row.businessType) }}</el-tag>
+        </template>
+      </el-table-column>
+      <el-table-column prop="riskLevel" label="风险级别" width="100">
+        <template #default="{row}">
+          <el-tag :type="getRiskType(row.riskLevel)" size="small">
+            {{ getRiskLabel(row.riskLevel) }}
+          </el-tag>
+        </template>
+      </el-table-column>
+      <el-table-column prop="method" label="方法" width="70" align="center" />
+      <el-table-column prop="url" label="URL" min-width="200" show-overflow-tooltip />
+      <el-table-column prop="clientIp" label="IP" width="120" />
+      <el-table-column prop="result" label="结果" width="80" align="center">
+        <template #default="{row}">
+          <el-tag v-if="row.result==='SUCCESS'" type="success" size="small">成功</el-tag>
+          <el-tag v-else type="danger" size="small">失败</el-tag>
+        </template>
+      </el-table-column>
+      <el-table-column prop="responseTimeMs" label="耗时ms" width="80" align="center" />
+      <el-table-column prop="createTime" label="时间" width="170" />
+      <el-table-column label="操作" width="80">
+        <template #default="{row}">
+          <el-button type="primary" link size="small" @click="showDetail(row)">详情</el-button>
+        </template>
+      </el-table-column>
+    </el-table>
+
+    <el-pagination
+      v-model:current-page="q.pageNo"
+      v-model:page-size="q.pageSize"
+      style="margin-top:12px;justify-content:flex-end"
+      :total="total"
+      layout="total,prev,pager,next"
+      @current-change="loadData"
+    />
+
+    <!-- 详情弹窗 -->
+    <el-dialog v-model="detailVisible" title="审计日志详情" width="700px">
+      <el-descriptions :column="2" border>
+        <el-descriptions-item label="用户">{{ detail.userName }}</el-descriptions-item>
+        <el-descriptions-item label="模块">{{ detail.module }}</el-descriptions-item>
+        <el-descriptions-item label="操作">{{ detail.action }}</el-descriptions-item>
+        <el-descriptions-item label="业务类型">{{ getBusinessLabel(detail.businessType) }}</el-descriptions-item>
+        <el-descriptions-item label="风险级别">
+          <el-tag :type="getRiskType(detail.riskLevel)">{{ getRiskLabel(detail.riskLevel) }}</el-tag>
+        </el-descriptions-item>
+        <el-descriptions-item label="方法">{{ detail.method }}</el-descriptions-item>
+        <el-descriptions-item label="URL" :span="2">{{ detail.url }}</el-descriptions-item>
+        <el-descriptions-item label="IP">{{ detail.clientIp }}</el-descriptions-item>
+        <el-descriptions-item label="耗时">{{ detail.responseTimeMs }}ms</el-descriptions-item>
+        <el-descriptions-item label="租户">{{ detail.tenantName }}</el-descriptions-item>
+        <el-descriptions-item label="科室">{{ detail.orgName }}</el-descriptions-item>
+        <el-descriptions-item label="参数" :span="2">{{ detail.params }}</el-descriptions-item>
+        <el-descriptions-item label="错误" :span="2">{{ detail.errorMsg }}</el-descriptions-item>
+        <el-descriptions-item label="用户代理" :span="2">{{ detail.userAgent }}</el-descriptions-item>
+      </el-descriptions>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, onMounted, watch } from 'vue'
+import { ElMessage } from 'element-plus'
+import { getEnhancedLogs, getAuditStats } from './api'
+
+const tableData = ref([])
+const total = ref(0)
+const q = ref({
+  pageNo: 1,
+  pageSize: 20,
+  userName: '',
+  module: '',
+  action: '',
+  riskLevel: '',
+  businessType: ''
+})
+const dateRange = ref(null)
+const showStats = ref(false)
+const stats = ref({})
+const detailVisible = ref(false)
+const detail = ref({})
+
+const loadData = async () => {
+  const params = { ...q.value }
+  if (dateRange.value && dateRange.value.length === 2) {
+    params.startDate = dateRange.value[0]
+    params.endDate = dateRange.value[1]
+  }
+  const r = await getEnhancedLogs(params)
+  tableData.value = r.data?.records || []
+  total.value = r.data?.total || 0
+}
+
+const loadStats = async () => {
+  const params = {}
+  if (dateRange.value && dateRange.value.length === 2) {
+    params.startDate = dateRange.value[0]
+    params.endDate = dateRange.value[1]
+  }
+  const r = await getAuditStats(params)
+  stats.value = r.data || {}
+}
+
+const resetQuery = () => {
+  q.value = { pageNo: 1, pageSize: 20, userName: '', module: '', action: '', riskLevel: '', businessType: '' }
+  dateRange.value = null
+  loadData()
+}
+
+const showDetail = (row) => {
+  detail.value = row
+  detailVisible.value = true
+}
+
+const getRiskLabel = (level) => {
+  const map = { LOW: '低', MEDIUM: '中', HIGH: '高', CRITICAL: '严重' }
+  return map[level] || level || '未知'
+}
+
+const getRiskType = (level) => {
+  const map = { LOW: 'info', MEDIUM: 'warning', HIGH: 'danger', CRITICAL: 'danger' }
+  return map[level] || 'info'
+}
+
+const getBusinessLabel = (type) => {
+  const map = { login: '登录', logout: '登出', query: '查询', insert: '新增', update: '修改', delete: '删除', export: '导出' }
+  return map[type] || type || '未知'
+}
+
+watch(showStats, (val) => {
+  if (val) loadStats()
+})
+
+onMounted(() => loadData())
+</script>
--- a/healthlink-his-ui/src/views/nursingmobile/OrderList.vue
+++ 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>
--- a/healthlink-his-ui/src/views/nursingmobile/PatientList.vue
+++ 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>
--- a/healthlink-his-ui/src/views/nursingmobile/VitalSign.vue
+++ 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>
--- a/healthlink-his-ui/src/views/nursingmobile/VitalSignTrend.vue
+++ 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>
--- a/healthlink-his-ui/src/views/nursingmobile/api.js
+++ 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 })
+}