Merge remote-tracking branch 'origin/axr' into axr

2026-10-06 23:08:30 +08:00 · 2026-10-06 23:08:30 +08:00 · 35c6faa61a
commit 35c6faa61a
parent f882cf993b 70a7539cb3
67 changed files with 3305 additions and 0 deletions
--- a/deploy/local/initialize-health.ps1
+++ b/deploy/local/initialize-health.ps1
@ -0,0 +1,29 @@
+param([string]$SecretsFile = (Join-Path $PSScriptRoot 'secrets.psd1'))
+. (Join-Path $PSScriptRoot 'common.ps1')
+$healthSettings = Read-LocalSettings $SecretsFile
+$databaseName = $healthSettings.DatabaseName
+
+# 只操作已有的独立本地数据库，基础 system/infra 应已经初始化。
+Invoke-LocalMySql $healthSettings 'SELECT 1 FROM system_users LIMIT 1;' $databaseName | Out-Null
+$memberExists = [int]@(Invoke-LocalMySql $healthSettings "SELECT COUNT(*) FROM information_schema.TABLES WHERE TABLE_SCHEMA='$databaseName' AND TABLE_NAME='member_user';")[0]
+if ($memberExists -gt 0) {
+    $uniqueIndex = [int]@(Invoke-LocalMySql $healthSettings "SELECT COUNT(*) FROM information_schema.STATISTICS WHERE TABLE_SCHEMA='$databaseName' AND TABLE_NAME='member_user' AND INDEX_NAME='uk_member_mobile_tenant' AND NON_UNIQUE=0;")[0]
+    if ($uniqueIndex -ne 2) {
+        throw 'Existing member_user lacks the verified tenant/mobile unique index. Review duplicates and the existing schema before adding it; this initializer will not rewrite an existing table.'
+    }
+}
+foreach ($fileName in @('V000__member_schema.sql', 'V001__health_identity.sql', 'V002__health_menu.sql')) {
+    $sqlPath = Join-Path $repoPath "mysql_script/health/$fileName"
+    $sql = Get-Content -LiteralPath $sqlPath -Raw -Encoding UTF8
+    if ($sql -match '(?im)^\s*(DROP\s|TRUNCATE\s|DELETE\s|UPDATE\s|ALTER\s|USE\s|CREATE\s+DATABASE\s)') {
+        throw "Unexpected destructive or modifying statement in $fileName. Review it before applying."
+    }
+    $sourcePath = $sqlPath.Replace('\', '/')
+    Invoke-LocalMySql $healthSettings "SOURCE $sourcePath;" $databaseName | Out-Null
+    Write-Output "Applied $fileName (existing rows preserved)."
+}
+Invoke-LocalMySql $healthSettings "SELECT table_name FROM information_schema.TABLES WHERE TABLE_SCHEMA='$databaseName' AND TABLE_NAME LIKE 'health_%' ORDER BY table_name;" $databaseName
+$healthTableCount = [int]@(Invoke-LocalMySql $healthSettings "SELECT COUNT(*) FROM information_schema.TABLES WHERE TABLE_SCHEMA='$databaseName' AND TABLE_NAME IN ('health_identity','health_elderly_profile','health_volunteer_profile','health_family_relation');")[0]
+$healthPermissionCount = [int]@(Invoke-LocalMySql $healthSettings "SELECT COUNT(*) FROM system_menu WHERE permission IN ('health:identity:query','health:identity:create','health:identity:update','health:identity:audit','health:identity:update-status','health:family-relation:query','health:family-relation:create','health:family-relation:review','health:family-relation:revoke') AND deleted=b'0';" $databaseName)[0]
+if ($healthTableCount -ne 4 -or $healthPermissionCount -ne 9) { throw 'Health schema or menus were not initialized completely.' }
+Write-Output 'Health schema and menus are ready. Reload Maven and restart your IDEA backend/frontend to load the new code.'
--- a/docs/健康业务模块与身份模型.md
+++ b/docs/健康业务模块与身份模型.md
@ -0,0 +1,182 @@
+# 健康业务模块与身份模型
+
+更新日期：2026-10-05。实施仓库：`elder-yudao-pro`，分支：`axr`。
+
+## 1. 本次业务决定
+
+以下规则来自用户本次确认，后续开发应沿用：
+
+- 老人、志愿者、家属使用 **手机号＋密码** 登录，短信验证后续接入。
+- **每个账号只有一种业务身份**，不能同时是老人、志愿者和家属。后台管理员属于另一套账号体系。
+- 志愿者需要管理员审核，通过且启用后才能参与志愿服务。
+- 第一版由管理员创建账号与身份档案，后续再开放本人注册。
+- 一位老人可关联多位家属，一位家属可关联多位老人。
+- 家属关联需老人本人确认；管理员也可以核实后确认，必须填写核实理由。
+- 家属只在关联已确认且双方身份有效时，才能读取关联老人的健康信息。
+- 暂不删除已有源码、模块和目录；身份使用停用，关联使用解除，保留历史。
+
+管理员核实方式、注册时的手机号验证流程，后续实现对应入口时再细化。目前没有公共密码注册接口。
+
+## 2. 账号与身份的边界
+
+```mermaid
+flowchart LR
+  System[system_users 后台管理员] --> Admin[管理端权限和审核]
+  Member[member_user 手机号账号] --> Identity[health_identity 单一业务身份]
+  Identity --> Elder[老人 health_elderly_profile]
+  Identity --> Volunteer[志愿者 health_volunteer_profile]
+  Identity --> Family[家属身份]
+  Family --> Relation[health_family_relation 待确认或已确认]
+  Relation --> Elder
+```
+
+`system` 的角色、菜单权限与 `health` 的业务身份用途不同。前台选择“老人”或“志愿者”不能获得该身份；后端按登录的 `memberId` 查询可信身份。
+
+框架区分 `/admin-api` 的后台 Token 与 `/app-api` 的会员 Token。健康 APP Controller 额外使用 `@PreAuthorize("isAuthenticated()")`，因为本版本芋道的 APP 路径默认允许匿名进入。
+
+| 名称 | 含义 | 使用位置 |
+| --- | --- | --- |
+| `adminUserId` | `system_users.id` | 审核管理员、管理端权限 |
+| `memberId` | `member_user.id` | 手机号登录账号 |
+| `identityId` | `health_identity.id` | 老人、志愿者或家属的业务身份 |
+| `elderlyProfileId` | `health_elderly_profile.id` | 老人健康档案，后续评估与预约的主体 |
+| `volunteerProfileId` | `health_volunteer_profile.id` | 志愿者服务资料，后续派单关联 |
+| `relationId` | `health_family_relation.id` | 单条家属与老人关联 |
+
+不同表的 ID 可以恰好相同，不能靠数值相同推导关联。创建账号、身份和对应档案在一个数据库事务内完成；账号密码使用芋道 BCrypt，响应不包含密码。
+
+## 3. 模块与表
+
+根 Maven 和 `yudao-server` 已启用 `member`、`health`。健康业务只有一个模块，按芋道惯例分为 `api/biz`，不引入新的微服务或通用工作流。
+
+```
+yudao-module-health/
+  yudao-module-health-api/       模块间接口、DTO、身份枚举、错误码
+  yudao-module-health-biz/       Controller、Service、DO、Mapper、测试
+yudao-ui-admin-vue3/src/
+  api/health/                   健康管理请求封装
+  views/health/identity/        身份、基础档案与志愿者审核
+  views/health/family-relation/ 家属关联确认与解除
+mysql_script/health/            独立增量 SQL
+```
+
+所有健康表继承 `TenantBaseDO`，含租户、创建/更新和逻辑删除字段；使用框架租户拦截器，关联查询与建档校验均在当前租户内完成。
+
+| 表 | 当前字段与约束 |
+| --- | --- |
+| `member_user` | 手机号、BCrypt 密码、账号状态；新建表添加 `(tenant_id,mobile)` 唯一索引 |
+| `health_identity` | 账号、单一身份、姓名、性别、生日、联系方式、地址、启用状态、审核结果；`(tenant_id,member_id)` 唯一 |
+| `health_elderly_profile` | 紧急联系人、健康摘要、病史、用药、特殊需求；每个老人身份一份基础档案 |
+| `health_volunteer_profile` | 技能、服务区域、可服务时间说明、服务经验；每个志愿者身份一份服务档案 |
+| `health_family_relation` | 家属身份、老人档案、亲属关系、确认/解除状态、处理账号类型与编号、时间、理由；同一配对唯一 |
+
+当前不采集身份证号。生日存储为 `date`，年龄后续按生日计算。性别沿用芋道：`1=男、2=女、3=未知`；旧系统 `0=男、1=女` 必须显式转换。
+
+手机号用于登录；`contactPhone` 是档案联系方式，不会因编辑档案而更改登录手机号。已有会员账号通过 `memberId` 显式绑定，建档不会重置其密码。身份类型和绑定账号创建后不可变更，避免后续服务记录主体发生变化。
+
+账号停用和身份停用均会使业务身份校验失败。模板会员模块仍保留积分、等级等源码与空表，本次管理页面只展示健康相关功能。
+
+## 4. 审核与关联状态
+
+业务身份：`10=老人、20=志愿者、30=家属`。
+
+启用状态：`0=启用、1=停用`。审核状态：`0=待审核、1=通过、2=驳回`。两者独立，启用一个待审志愿者不能使其获得服务权限。
+
+- 管理员创建老人和家属身份时直接通过；创建志愿者时进入待审。
+- 只有待审志愿者能审核；驳回必须填写理由。
+- 驳回后可修改资料并重新提审；重复审核由条件更新拦截。
+- 编辑档案不会修改启用或审核状态。
+
+家属关联：`0=待确认、1=已确认、2=已拒绝、3=已解除`。
+
+- 新增关联仅创建申请，不能自动获得读取权限。
+- 本人端申请的家属身份取自登录账号，忽略请求中伪造的 `familyIdentityId`。
+- 老人只能处理自己的关联；管理员核实确认或拒绝时必须填写理由。
+- 老人、家属可解除本人的待确认/已确认关联；管理员也可解除，均需填写理由。
+- 管理员可将已拒绝/已解除关联重新申请，此时必须重新确认才恢复授权。
+- 处理字段保留最近一次审核/解除痕迹，尚不是完整的每次变更事件流水。
+- 当前确认代表该家属可读取关联老人的基础健康档案；第一阶段不提供家属代预约。
+
+## 5. 接口与权限
+
+管理端前缀 `/admin-api`：
+
+| 路径 | 功能 | 权限 |
+| --- | --- | --- |
+| `POST /health/identity/create` | 创建账号与身份档案，或绑定已有会员账号 | `health:identity:create` |
+| `PUT /health/identity/update` | 编辑基本资料及对应档案 | `health:identity:update` |
+| `GET /health/identity/get`、`/page` | 详情与分页筛选 | `health:identity:query` |
+| `PUT /health/identity/audit`、`/resubmit` | 志愿者审核与重新提审 | `health:identity:audit` |
+| `PUT /health/identity/update-status` | 身份启用与停用 | `health:identity:update-status` |
+| `GET /health/family-relation/page` | 查看关联列表 | `health:family-relation:query` |
+| `POST /health/family-relation/create` | 提交关联申请 | `health:family-relation:create` |
+| `PUT /health/family-relation/review`、`/reopen` | 核实处理与重新申请 | `health:family-relation:review` |
+| `PUT /health/family-relation/revoke` | 解除关联 | `health:family-relation:revoke` |
+
+新增关联页面按姓名搜索老人和家属，同时需要 `health:identity:query`。普通后台角色应通过系统角色管理授予所需菜单与按钮权限；超级管理员默认拥有全部菜单。
+
+会员端前缀 `/app-api`：
+
+| 路径 | 当前行为 |
+| --- | --- |
+| `POST /member/auth/login` | 复用芋道的手机号与密码登录、Token 颁发 |
+| `GET /health/identity/me` | 读取当前会员的单一身份与对应档案；可查看本人志愿者待审结果 |
+| `GET /health/identity/family-relations` | 本人相关关联列表 |
+| `POST /health/identity/family-relation/request` | 家属提交关联申请 |
+| `PUT /health/identity/family-relation/review` | 老人本人确认或拒绝 |
+| `PUT /health/identity/family-relation/revoke` | 老人或家属解除本人关联 |
+| `GET /health/identity/family-elderly-profile` | 已确认家属按老人档案编号读取健康档案 |
+
+本次提供 APP 后端接口，没有改造旧移动端。请求需正确的 Token 和 `tenant-id`；家属和老人账号类型同为 MEMBER，具体业务权限仍须健康服务校验。
+
+其他模块调用 `HealthIdentityApi`：
+
+- `getIdentityByMemberId` 仅查询身份，不表示身份有效。
+- `requireActiveIdentity(memberId, identityType)` 检查账号存在/启用、业务身份类型、启用状态与审核结果。后续预约与接单使用此方法。
+- `requireConfirmedFamilyRelation(familyMemberId, elderlyProfileId)` 检查双方有效及已确认关联。后续家属访问评估、运动与告警记录使用此方法。
+- 本次没有提供志愿者读取任意老人健康档案的入口；后续必须结合已分配工单校验访问范围。
+
+## 6. 数据库与 IDEA 运行
+
+按顺序执行：
+
+1. `V000__member_schema.sql`：从模板提取的 11 张会员表的纯 DDL，去掉 DROP、示例账号、演示数据及自增起点。
+2. `V001__health_identity.sql`：新增 4 张健康业务表与唯一索引。
+3. `V002__health_menu.sql`：新增“健康服务 → 身份与档案、家属关联”及按钮权限。
+
+均使用存在性判断，不清空数据。`CREATE TABLE IF NOT EXISTS` 不会升级已有旧表结构；若已有 member_user 缺少约定唯一索引，初始化脚本会停止并提示核实，不能直接覆盖已有表。
+
+在项目根目录执行：
+
+```powershell
+powershell -ExecutionPolicy Bypass -File .\deploy\local\initialize-health.ps1
+```
+
+脚本读取已有的私有 `secrets.psd1`，仅允许操作 `elder_yudao_*` 本地独立数据库。不会导入旧老年系统数据，不会初始化摄像头、短信或外部呼叫服务。
+
+IDEA 点击 Maven 的 Reload All Maven Projects，再重新运行已有的后端和前端启动配置。前端 `.env` 已增加 `health`；模板会员商城页面未加入产品菜单。
+
+管理端重新登录后进入“健康服务”，可以新建老人、志愿者和家属档案，审批志愿者、申请和核实家属关联。
+
+## 7. 旧系统迁移注意事项与下一步
+
+旧数据库 `sys_user.user_id` 是登录编号，`elderly_info.elderly_id` 是档案编号；一些旧家属代码把 `elderly_id` 当作登录编号。不能直接沿用旧字段名解释。正式导入时需要 legacy ID 映射，明确旧登录 ID → 新 memberId、旧档案 ID → 新 elderlyProfileId、旧采集记录 ID → 新 assessmentId。
+
+旧健康采集和评估允许多次记录。当前 `health_elderly_profile` 是基础档案，不能把所有历史评估覆盖到这一行。下一阶段应建立独立评估记录、保存时间及原始指标，再逐项迁移已核实的评分逻辑。
+
+后续既定顺序：健康采集与评估 → 轻量运动/场地/设备 → 自由预约与活动报名 → 志愿者匹配/派单/按月拒单理由 → 提醒；LLM/智能体和固定场地摄像头另行接入。摄像头跌倒检测、最近 72 小时视频保存、自动呼叫 120 都尚未实现，老人无回应的判定仍待讨论。
+
+新增能力继续放在 health 的独立包与表中，预约使用老人档案编号，派单使用志愿者身份/服务档案编号，健康历史数据单独保存。不要将手机号、密码或管理员角色塞进健康评估表。
+
+参考：[迁移上下文](芋道框架迁移上下文.md)、[扩展需求草案](老年健康系统扩展需求与设计草案.md)、[项目目录说明](项目目录说明.md)。扩展草案是历史需求记录，具体已实现内容以本文和代码为准。
+
+## 8. 验证记录
+
+- Maven 后端打包通过，`HealthIdentityServiceTest` 的 9 项测试全部通过：加密账号/档案创建、事务回滚、单身份约束、重复手机号不重置密码、志愿者审核与停用、家属确认与解除、伪造身份拦截及多对多、租户隔离、匿名 APP 调用拦截。
+- Vue 管理端 desktop 生产构建通过，新增文件 ESLint 检查通过。
+- 前端原始全量 `vue-tsc` 因既有类型声明路径配置报 TS2688；使用临时检查配置补充核实后，新增 health 页面/API 没有类型错误，但模板其他页面/组件仍有既有错误，不能宣称全仓库类型检查通过。
+- 本地 `elder_yudao_local` 增量初始化完成，共 76 张表（原 61＋member 11＋health 4）；脚本重复执行验证通过，健康账号与关联表保持空数据。
+- 临时后端在 `48081`、Redis DB 14 验证后已关闭；已有 `48080` 后端和 `5173` 前端进程未重启。新代码需要由用户在 IDEA 重新运行。
+- 实际 HTTP 验证通过：管理员登录、身份与关联分页、新增两个健康菜单、匿名 APP 拒绝（业务码 403）、后台 Token 调用 APP 拒绝（403）、错误手机号拒绝（400）、匿名后台接口拒绝（401）。未创建演示会员账号。
+
+未迁移旧数据，未改造移动端页面，未实现历次健康评估、预约派单或设备/智能体接入；这些仍是后续阶段。
--- a/docs/老年健康系统扩展需求与设计草案.md
+++ b/docs/老年健康系统扩展需求与设计草案.md
@ -0,0 +1,435 @@
+# 老年健康系统：运动预约、志愿者协助、智能体与摄像头扩展
+
+> 更新日期：2026-10-05（Asia/Shanghai）。本文保存用户新增愿景和实现约束，作为旧项目迁移到芋道后的设计上下文。
+
+> 历史设计快照：健康身份与基础档案已开始实施；最新确认规则及已完成内容见 [健康业务模块与身份模型](健康业务模块与身份模型.md)。每个账号仅允许一种业务身份，第一版由管理员建号建档，志愿者须审核，家属关联须确认；本文其余设计建议不代表已实现。
+>
+> 文档状态：用户需求已记录；数据模型、状态名、实现阶段是设计建议，尚未写入业务代码。未启动服务、接入设备、大模型、短信或外部呼叫服务。
+>
+> 来源：本次用户对 7 个需求问题的回答；目标模板静态检查。不要把“目标能力”“预留接口”“已经实现”混为一谈。旧系统既有功能仍按此前迁移分析处理。
+
+## 1. 用户已经确认的范围
+
+### 1.1 场地与多人活动
+
+- 需要轻量的场地、人数、设备管理。
+- 允许多个老人一起参加运动。
+- 保留扩展性，但不过度复杂，便于维护。
+- 第一版不需要复杂排班平台、物联网平台、独立微服务或通用资源调度引擎。
+
+### 1.2 老人预约与运动提醒
+
+- 暂时只允许老人本人发起预约。
+- 老人可以安排想运动的时间，系统应有提醒功能。
+- 需要协助时，系统可自动向志愿者派单。
+- 不是所有运动都需要志愿者协助。
+- 管理员可以设置运动类别是否强制需要协助；部分情况下可由老人自行选择。
+- 未来可以根据年龄、基础病等指标，由大模型/智能体判断是否需要协助。
+- 已确认同时支持自主预约（项目与期望时间）和管理员发布活动场次供老人报名；具体预约时间/时长限制仍待后续确定。
+
+### 1.3 志愿者安排
+
+- 自动匹配派单与管理员派单都需要支持。
+- 需要根据条件进行智能匹配。
+- 志愿者可以拒单，但拒单次数有限制。
+- 已确认拒单按月限制，每次拒单必须填写理由；具体上限由管理员配置。
+- 拒单理由是否可申请例外、达到上限后的处理、取消/超时是否计入仍需在实施时细化。
+
+### 1.4 健康评估与活动建议
+
+- 希望通过大模型分析，将健康评估结果与活动关联。
+- 老人可以自由选择运动，也可以接受大模型建议或安排。
+- 预期会使用智能体，不能只做固定页面里的文字聊天。
+- 医学限制、建议适用范围与智能安排的确认方式尚未最终确定。
+
+### 1.5 服务过程和投诉
+
+- 认可基本流程：提交预约 → 分配志愿者 → 接单 → 到场签到 → 开始运动 → 结束记录。
+- 志愿者可以点击按钮结束服务，类似配送员确认送达。
+- 老人或家属可以投诉异常情况。
+- 不要求将老人/家属确认作为普通服务完成的必经步骤。
+
+### 1.6 摄像头与视频
+
+- 摄像头固定在场地中，后续接入。
+- 计划输出骨骼信息、动作类型、次数、动作是否标准/动作评分，以及跌倒等异常检测结果。
+- 希望循环保存最近 72 小时视频，超过时间自动清理。
+- 当前需预留接口，识别算法和设备协议尚未确定。
+
+### 1.7 安全告警愿景
+
+- 检测到异常应通知管理员。
+- 中控页面应有声音和视觉提示。
+- 希望无回应时自动拨打 120，并给家属发短信。
+- “老人是否回应”的判断尚待商榷；回应渠道、超时、复核、自动呼叫渠道均未定。
+- 该愿景不代表目前已有可用的 120 呼叫 API 或接入授权；一期保留能力接口和升级规则，不把号码当成可直接调用的服务。
+
+## 2. 本轮追加确认的实施约束
+
+| 项目 | 用户确认 | 实施含义 |
+| --- | --- | --- |
+| 第一阶段范围 | 健康档案与评估迁移＋运动预约＋志愿者派单＋提醒，同时预留摄像头和智能体接口 | 一期不要求真实设备/模型接入；原系统核心评估能力需要迁移 |
+| 预约形态 | 自主预约与管理员发布活动场次并存 | 老人可安排个人运动，也可报名多人活动 |
+| 拒单计数周期与理由 | 按月限制，每次必须写理由；次数由管理员配置 | 保存拒单历史和理由，按月份统计，不用按天/周规则 |
+
+以上三项已收到用户明确答复，属于确认需求。其他章节具体字段、状态和技术选型仍为设计建议；第 16 节列出尚待细化的事项。
+
+## 3. 已探索的芋道模板事实
+
+目标源码位置：`C:/Users/Administrator/Desktop/projects/elder-yudao`。
+
+- `pom.xml`：`2.0.1-jdk8-snapshot`，Java 8，Spring Boot 2.7.18。
+- `yudao-dependencies/pom.xml`：MyBatis-Plus 3.5.5，Flowable 6.8.0。
+- 根 Maven 构建和 `yudao-server/pom.xml` 当前只接入 system、infra 业务模块；member/bpm/report 等有源码但未加载。
+- 默认 `application.yaml` 选择 local 环境，多租户开启；local HTTP 端口 48080。
+- 当前目录没有前端工程、health 业务模块或 ai 模块。
+- 后台账号与 App 会员是两种主体：`system_users` / `member_user`。
+- Web 框架按 controller.admin/controller.app 包自动添加 `/admin-api` / `/app-api`。
+- system 已有短信、站内信 API，均能区分 admin/member。
+- infra 已有文件配置、文件管理、定时任务和接口日志。
+- framework 已有 WebSocket、Redis、锁/幂等/限流、数据权限和租户隔离。
+
+可复用接口的位置：
+
+```text
+yudao-module-system/yudao-module-system-api/src/main/java/cn/iocoder/yudao/module/system/api/sms/SmsSendApi.java
+  sendSingleSmsToAdmin / sendSingleSmsToMember
+
+yudao-module-system/yudao-module-system-api/src/main/java/cn/iocoder/yudao/module/system/api/notify/NotifyMessageSendApi.java
+  sendSingleMessageToAdmin / sendSingleMessageToMember
+
+yudao-framework/yudao-spring-boot-starter-job/src/main/java/cn/iocoder/yudao/framework/quartz/core/handler/JobHandler.java
+  execute(String param)
+
+yudao-module-infra/yudao-module-infra-biz/src/main/java/cn/iocoder/yudao/module/infra/framework/file/core/client/FileClient.java
+  upload / delete / getContent / getPresignedObjectUrl
+```
+
+注意：FileClient 的 getPresignedObjectUrl 默认实现是不支持；S3FileClient 的现有实现生成的是 PUT 上传预签名 URL，不能直接当成私有视频 GET 播放签名。实际播放适配、视频流/录像服务需额外核对。
+
+## 4. 建议的业务结构：一个健康模块，按职责分包
+
+保留 system、infra，启用 member，新增 `yudao-module-health`；是否拆为 api/biz 跟随目标项目现有结构。健康业务分包，不先拆成独立服务：
+
+| 包/职责 | 内容 |
+| --- | --- |
+| profile / assessment | 老人档案、志愿者资料、家属关系、问卷、评分、评估结果 |
+| activity / booking | 运动项目、场地、活动场次、预约、报名与人数 |
+| service | 协助工单、志愿者匹配、派单、接单/拒单、签到/开始/结束、投诉 |
+| exercise | 实际运动会话、参与者、运动结果、既有运动记录与汇总 |
+| monitoring | 设备、检测事件、异常、安全告警、中控和录像索引 |
+| notification | 运动提醒、派单提醒、告警升级、渠道发送与重试 |
+| intelligence / integration | 模型分析、智能体工具、摄像头协议适配、外部呼叫适配 |
+
+老人和家属采用 member 主体；志愿者初步也用 member 主体加健康业务身份。后台管理员/课题组操作员使用 system 主体。志愿者资质、拒单规则、服务分配属于健康业务，不直接用后台菜单角色来代替。
+
+家属发起预约暂不开放，但有效关联且有授权的家属可以查看对应老人服务、接收通知和提交投诉。多租户继续生效；需明确课题组/机构与租户的关系，新业务不能把 tenant_id 都写成默认值。
+
+## 5. 预约、活动场次、协助工单和运动会话的关系
+
+这四个对象需要分开，才能支持“不需要志愿者”和“多人运动”：
+
+| 对象 | 表达的事实 | 示例 |
+| --- | --- | --- |
+| 预约 Booking | 某位老人打算在某时参加某运动 | 老人 A 预约 10 月 8 日 9:00 散步 30 分钟 |
+| 活动场次 ActivityOccurrence | 一个有时间、地点、人数上限的活动安排 | 社区 9:00 八段锦场次，最多 8 人 |
+| 协助工单 ServiceTask | 某活动需要志愿者完成的协助工作 | 协助 9:00 八段锦活动的 3 位需要协助的老人 |
+| 运动会话 ExerciseSession | 运动实际发生的一次过程 | 实际 9:05～9:36；参与者、志愿者、设备和结果 |
+
+用户已确认同时支持两种入口；建议底层共用对象：
+
+- 自主预约：选择运动、期望开始时间/时长、地点和协助意愿；后台可形成仅本人可见的活动安排。
+- 活动报名：选择管理员已发布的场次；每位老人有独立报名/预约记录，共用场地与场次。
+
+不需要协助的预约不创建协助工单，但仍有提醒和运动记录。摄像头可以在没有志愿者时记录运动或发现异常。
+
+多人活动初步采用“一个场次一个协助工单，允许多个志愿者岗位/派单记录”，工单关联需要协助的参与老人。场次中不需要协助的老人仍可以参加。具体配置志愿者数量/每人协助人数，先做简单上限配置；未来可拆工单或分组，不先做复杂优化调度。
+
+管理员发布场次时可以要求先确认最低志愿者数量才开放报名，或者报名后招募。哪种策略采用由运营流程确认；不能因为创建了工单就认为协助已经落实。
+
+```mermaid
+flowchart LR
+    Elder[老人选择项目或场次] --> Booking[预约与协助判断]
+    Booking --> Reminder[运动提醒]
+    Booking --> Need{需要协助}
+    Need -->|否| Exercise[实际运动会话]
+    Need -->|是| Task[协助工单]
+    Task --> Dispatch[规则匹配或管理员派单]
+    Dispatch --> Accept[志愿者接单]
+    Accept --> Arrival[到场与开始服务]
+    Arrival --> Exercise
+    Device[场地摄像头] --> Exercise
+    Exercise --> Result[结束记录与效果评估]
+    Exercise --> Alert[安全告警]
+    Result --> Complaint[老人或家属投诉]
+```
+
+## 6. 运动协助政策与智能体边界
+
+运动项目的 assist_policy 建议采用以下枚举，而不是单一需要/不需要布尔值：
+
+| 政策 | 默认行为 |
+| --- | --- |
+| REQUIRED | 必须有协助，老人不能关闭 |
+| OPTIONAL | 老人选择是否需要；智能体可以建议 |
+| RULE_BASED | 后端规则结合资料决定，未来智能体参与分析 |
+
+无协助作为判断结果，而不再另造一套工单流程。老人主动要求协助时可以增加需求；管理员禁止开放的项目/场地或强制协助约束不会被模型撤销。
+
+决策输入建议包括：运动类型/强度/时长、年龄、既有评估结果、基础病、行动能力、明确风险信息、资料更新时间、场地设备和可用协助。存储 assist_required、decision_source、reason、rule/model_version、assessed_at 和必要的输入引用快照，便于解释“为什么派单”。
+
+初期规则也要明确资料缺失或过期时如何处理，例如要求补充评估或转人工确认；不要把缺失数据默认等同于低风险。具体年龄/疾病阈值没有用户确认，不在此文编造医学规则。
+
+智能体预留三个用途：
+
+1. 评估分析：把结构化问卷、指标和历史记录转换为风险摘要与运动建议。
+2. 运动规划：从管理员维护的有效项目/场次中推荐，或生成候选运动计划。
+3. 协助判断/匹配解释：建议是否协助、匹配哪些志愿者，并提供依据。
+
+建议接口为 AssessmentAnalysisProvider、ExercisePlanningProvider、AssistDecisionProvider、VolunteerMatchStrategy。首版可使用规则实现和未启用的模型适配，不要把未调用模型的结果命名为 AI 分析。
+
+模型建议输出结构化对象，包含来源、模型版本、证据/输入引用、有效期和建议理由。智能体通过受控工具查询项目、场次和已授权资料；创建预约/调整安排必须走同一业务 Service，验证时间、容量、身份和幂等。个人未确认的“建议”不应直接变成占用资源的预约，除非后续明确允许自动计划。
+
+安全关键动作采用确定的业务规则：告警升级、对象授权、容量与重复派单检查不能只让大模型做自然语言决定。自然语言投诉也可以辅助分类，但不由模型直接认定责任或删除记录。
+
+## 7. 志愿者匹配、派单与拒单
+
+### 7.1 初期匹配实现
+
+先做“硬条件过滤 + 可解释排序 + 管理员介入”，为后续模型匹配提供稳定业务接口。
+
+硬条件示例：账号和志愿者身份有效、允许提供服务、服务区域/场地、空闲时间、所需技能、已有工单时间冲突、可协助人数。技能要求和资质流程尚未确定，字段可先轻量维护。
+
+排序可参考：距离/区域、技能匹配程度、近期服务次数、负载、响应表现、已拒绝当前任务。权重由管理员配置并记录版本，首版只选几项确定数据，不需要机器学习模型。
+
+派单记录保存候选、分数/理由、发出时间、响应截止时间、结果和尝试次数。自动派单与手动派单走同一入口。已有有效接单时不得被后台操作静默覆盖；改派应撤销原记录并通知。
+
+自动派单是发出指派并等待接单，不是替志愿者完成接单。志愿者自助抢单是否开放尚未确认；“自动匹配/管理员派单两种方式”不等于已经确定开放抢单大厅。
+
+### 7.2 拒单限制
+
+- 用户已确认按月限制且每次填写理由；具体次数由管理员配置，原因例外和达到上限的措施尚待确定。
+- 管理端维护 monthly_refusal_limit；按服务端时间统计。建议以 Asia/Shanghai 自然月计算，保存明确月份（如 2026-10）；“自然月或滚动 30 天”未明确时，以自然月作为待确认的实施假设，不删除过去月份历史。
+- 拒单 reason 必填且 trim 后非空，后端同样校验；可加原因类别和说明，但只做理由文本即可满足用户当前要求。
+- 只计主动拒绝实际收到的有效指派。超时未回应、管理员撤销、老人取消、重复请求分别记录，不默认混成拒单。
+- 可考虑健康、交通、突发事项由管理员标记例外；是否允许/怎么审核待定。
+- 达到上限后可暂停自动派单资格或转管理员处理；不建议在真实无法服务时强迫用户维持工单。最终执行措施待定。
+- 拒单后换候选，避免立即把同一工单派回同一个人。
+- 所有候选耗尽、快到开始时间、协助人数不足时通知管理员；老人端准确展示等待协助，不显示“已落实”。
+
+状态变更和拒单计数需原子处理；同一点击/网络重试不能计两次。并发派单不能让同一人占用冲突时间，也不能超出工单所需志愿者数量。
+
+## 8. 服务状态、完成与投诉
+
+预约、工单、单次指派、运动会话、安全告警应有独立状态，避免一列 status 混用。
+
+| 对象 | 建议状态 |
+| --- | --- |
+| 预约 | PENDING（条件/协助待落实）、CONFIRMED、CANCELLED、COMPLETED、NO_SHOW |
+| 协助工单 | WAITING_ASSIGNMENT、WAITING_ACCEPTANCE、READY、IN_PROGRESS、COMPLETED、CANCELLED |
+| 指派记录 | OFFERED、ACCEPTED、REJECTED、EXPIRED、REVOKED；到场信息独立记录 |
+| 运动会话 | READY、RUNNING、ENDED、ABORTED |
+| 投诉 | SUBMITTED、PROCESSING、RESOLVED、CLOSED |
+| 安全告警 | DETECTED、ACKNOWLEDGED、HANDLING、RESOLVED；升级阶段独立保存 |
+
+这是拟定状态集；是否需要预约人工审核仍未确认，PENDING 不等于管理员审核。
+
+简单服务流程：待分配 → 发出指派 → 接单 → 到场签到 → 开始 → 志愿者点击结束 → 保存实际时长/运动结果/服务说明。只需要一个确认服务完成的责任人时，可指定工单负责人；多人协助时区分某志愿者结束自己参与和负责人结束整个工单，避免一个人退出就关闭全场。
+
+“无人协助运动”的实际开始/结束可以由老人按钮、场地操作员或后续设备事件触发，不能依赖志愿者。到预约结束时间只能标记超时/待核实，不直接捏造实际运动完成。
+
+签到方式先选按钮/场地码等轻量方案，定位、二维码是否必需待定。摄像头事件作为过程证据，不自动代替服务完成声明；实际没检测到动作也不能直接认定志愿者未服务。
+
+投诉关联 booking_id、task_id、session_id 中必要对象，包含投诉人、与老人的授权关系、内容、时间、附件和处理记录。投诉与安全事件可相互关联，但投诉不是即时紧急告警。完成后仍可投诉；投诉处理不删除原服务历史。
+
+## 9. 轻量场地、人数与设备管理
+
+### 9.1 场地
+
+轻量字段建议：名称、地址/区域、负责人、启停状态、人数上限、允许时段、备注。不要首版构造多层楼宇/空间数字孪生。
+
+场次人数与场地容量需要区分：场次有报名上限；同一场地同时存在多个场次时还要检查共享容量/占用。首版可让场地配置“独占/共享”和简单人数上限；独占场次限制重叠，共享累计人数限制容量。
+
+预约开始/结束时间保存时间戳或目标标准时间类型，业务按 Asia/Shanghai 展示和配置，明确跨天。人数判断、报名提交和取消释放名额要在事务/锁或条件更新下执行，防止并发超售。
+
+### 9.2 设备
+
+设备先有：唯一 device_code、类型、所属场地、名称、启停状态、能力列表、最近心跳、在线状态、厂商/协议版本、配置引用。摄像头固定绑定场地，暂不做复杂设备借用流程。
+
+“设备启用”和“设备在线”是两种状态；心跳超时可以发设备故障提醒，不能自动当作老人跌倒或无回应。管理员能看设备列表、绑定场地、状态和最近事件即可。
+
+同场地多摄像头可共用一场运动会话，不默认每个摄像头都占一份场地人数。普通器材如需数量管理，可以轻量记录总量/可用量与场次需求，后续再加维护/借还。
+
+## 10. 摄像头接入合同与多人关联
+
+### 10.1 用业务 DTO 隔离硬件协议
+
+预留 DeviceEventAdapter 和 RecognitionEventService；HTTP 回调、MQTT、WebSocket 或队列通过适配层转换成统一事件，尚未确认的协议不写死。
+
+建议统一事件字段：
+
+```text
+eventId                 设备事件唯一 ID/幂等键
+schemaVersion           我们的事件结构版本
+deviceCode              设备编号，服务端查绑定场地与租户
+occurredAt / receivedAt 设备发生时间/服务端收到时间
+eventType               heartbeat / motion_summary / skeleton / fall_detected / ...
+providerModelVersion    检测算法版本
+sessionRef              已绑定的运动会话；可为空，但需标明归属状态
+subjectTrackId          摄像头跟踪 ID；不是会员 ID
+confidence              如算法提供，保存置信度及定义/范围
+payload                 动作类型、次数、分值、关节点、异常详情
+clipRef                 可选录像片段引用
+```
+
+设备回调通过设备凭据/签名或实际网关身份鉴别；租户、场地从服务端绑定关系取得，不信任设备传入任意会员或 tenant_id。同一 eventId 重试可安全接收；允许记录迟到/乱序事件，不能把迟到的旧检测覆盖新状态。
+
+### 10.2 多人场景的关键问题
+
+骨骼跟踪 ID 通常只识别视频里的一个人，并不自然知道是哪个老人。必须预留 track_id ↔ session_participant 的映射来源、有效期和可信度。
+
+可选方案：到场登记后由工作人员绑定、站位/区域绑定、设备端提供标识映射。具体方式与课题组算法团队确认；当前不承诺使用人脸识别。
+
+无法确认身份的跌倒事件仍可以按场地发中控告警，显示“人员待确认”；不能随机给某位老人家属发短信或把动作分写到其档案。多人参与关联是后续接入前的必要联调点。
+
+### 10.3 数据量控制
+
+业务数据库保存运动摘要和异常：动作、次数、标准程度、关键时间、模型版本、绑定信息。原始视频和连续高频骨骼序列不逐帧写 MySQL；保存文件/流服务引用，按需要保留关键帧或片段。
+
+动作是否标准的分数必须记录算法定义/版本，不能直接与医学量表分数相加。后续效果评估从量表变化、服务记录和动作结果分别计算。
+
+## 11. 最近 72 小时录像保留
+
+目标为滚动时间窗口，而不是每天清空一个目录。优先让摄像头/NVR/录像服务按片段存储，平台保留索引：device_id、venue_id、session_id（可空）、start_at、end_at、storage_config_id、object_key、expire_at、删除状态。
+
+建议正常录像片段以 end_at + 72h 为过期时间；应约定片段长度与清理扫描周期，因此实际剩余边界可能有一个片段长度/扫描间隔的偏差。若必须严格保留窗口，应由录像端直接执行策略。
+
+清理 Job 或存储生命周期策略删除真实片段，同时更新索引；删除失败记录重试，不能只删数据库行。服务重启后补查过期片段；文件缺失和索引过期可核对。
+
+活动教学视频属于长期内容库，监控录像属于短期留存，两者使用不同路径/保留策略，避免清理最近 72 小时录像的任务误删教学视频。
+
+用户目前没有确认事故录像额外长期保存。若后续需要投诉/事故片段保全，应另行定义权限和保存期限；当前规则仍为 72 小时。异常事件的文字/结构化记录可以独立保留，但不能假装过期视频仍可播放。
+
+平台的文件 API 适合附件与普通媒体索引，不应由 Java 应用直接把所有场地连续视频先读入 byte[] 再上传。预留录像端/对象存储接口和受控播放地址，后续决定 NVR、RTSP 拉流或摄像头推片方案。
+
+## 12. 安全告警、中控与回应
+
+### 12.1 将三类确认分开
+
+| 确认 | 含义 | 不能据此推断 |
+| --- | --- | --- |
+| 管理员 ACK | 有管理员看见并接手告警 | 老人已经安全 |
+| 老人 RESPONDED | 老人按规定渠道做了回应 | 跌倒已经解除、无需帮助 |
+| 事件 RESOLVED | 经处置确认事件结束，记录结果 | 所有通知已经送达 |
+
+提醒/短信“发送成功”、App“在线”、中控“已播放声音”同样不是老人回应。
+
+建议告警记录 severity、来源、发生时间、设备/场地、可能的参与者、当前处理人、处理状态、升级阶段、回应结果及证据、通知尝试和处置结果。多摄像头同一异常可归并，但归并窗口由算法联调确定，不盲目吞掉重复发生的异常。
+
+### 12.2 升级流程候选
+
+1. 收到可信异常，创建持久化告警，中控通过 WebSocket 更新事件列表/醒目标识并尝试声音提示。
+2. 管理员接手或系统请求确认，向老人端发有 event_id 和有效期的回应请求；现场志愿者/工作人员可以报告观察结果。
+3. 配置时限内未得到有效确认，升级给管理员/备用负责人；向已授权且手机号有效的家属发短信。
+4. 若确认启用外部呼叫接入，按明确的紧急规则发出请求并记录反馈，区分“待请求、已提交、接通、失败、人工接管”。
+5. 处置完成，记录结果；解除告警由有权限人员执行，不能仅凭通知已发或模型回答正常来解除。
+
+步骤、等待时间、严重程度例外和短信触发时间仍待确定。可能的严重事件可以不等待普通确认流程；该规则需要业务/课题组确认。
+
+### 12.3 老人回应的候选方式
+
+- App 弹窗按钮：如“我没事”“我需要帮助”。“需要帮助”仍为有效回应，但不能关闭告警。
+- 现场志愿者/工作人员确认：记录人员、时间、结论和事件关联。
+- 语音回应：后续模型辅助解析，仍保留原始回应证据、识别结果与不确定状态。
+- 摄像头姿态变化：仅作辅助证据，没有确认规则前不替代老人或现场人员的回应。
+
+回应 API 绑定老人/事件/一次性或短期 challenge，服务端核验权限和有效期，防止旧回应解除新的异常。老人端断网、没带手机或通知没送到记 UNKNOWN/UNREACHABLE 等原因，不能直接判定医学意义的无反应。
+
+中控页面声音受浏览器播放权限和用户设置限制；提供启用声音的交互和显著视觉兜底。WebSocket 断开后重连拉取未处理事件，确保告警不只活在内存推送里。管理员无 ACK 时可升级备用人，名单和时限待定。
+
+### 12.4 自动拨打 120 的接入边界
+
+保存为目标需求，预留 EmergencyContactGateway，但尚未确定能调用的外部通道、所在地区/机构接入方式、可传地址和回调、自动触发条件。普通短信渠道不能直接等同于外呼服务，手机 tel: 链接也不等同于服务端自动报警。
+
+第一版可以实现告警、升级、管理员操作记录和模拟网关联调；没有真实通道时明确显示“未配置/人工联系”，不能展示已报警成功。将来经确认启用后，遵守同一事件幂等/取消/反馈合同，防止重复触发外部呼叫。
+
+## 13. 建议数据对象：先保持轻量
+
+以下是逻辑对象草案，不是必须一次建齐的表清单。按当前阶段逐步建表，复杂字段和重复数据避免过早加入。
+
+| 对象 | 关键字段/关系 | 第一阶段建议 |
+| --- | --- | --- |
+| 运动项目 | 名称、启停、强度/建议时长、assist_policy、技能要求 | 建立 |
+| 场地 | 名称、地址、负责人、容量、开放时段、占用政策 | 建立 |
+| 设备 | device_code、场地、类型、启停/心跳、能力、协议 | 轻量登记；真实事件接入后续 |
+| 活动场次 | 项目、场地、起止时间、容量、公开/私人、状态、协助配置 | 若支持活动报名则建立；私人预约可复用 |
+| 预约/报名 | 老人 ID、场次/项目、时间、协助意愿/结果、决策依据、状态 | 建立 |
+| 协助工单 | 场次/预约范围、需要人数、负责人、服务状态、实际时间 | 仅需要协助时创建 |
+| 工单参与关系 | 工单与需要协助的预约/老人 | 支持多人，不复制全部老人档案 |
+| 志愿者资料 | member_id、服务区域、技能、可用时段、状态 | 复用/扩展旧档案 |
+| 指派记录 | 工单、志愿者、来源、尝试/结果、截止时间、拒单原因 | 建立，兼作拒单审计来源 |
+| 运动会话与参与者 | 实际起止、活动、工单、老人、人员跟踪映射 | 可先简化；为设备预留关联 |
+| 提醒/通知任务 | 业务 ID、接收者与主体类型、渠道、计划时间、状态/重试、幂等键 | 建立/扩展旧提醒 |
+| 投诉 | 服务/会话/老人、投诉人、内容/附件、处理状态 | 基础流程 |
+| 检测事件/摘要 | event_id、设备、时间、会话、track、模型版本、payload 引用 | 先定合同，设备接入时建立 |
+| 录像片段索引 | 设备/场地、起止、object_key、expire_at、删除状态 | 录像接入时建立 |
+| 安全告警与处置日志 | 来源、上下文、严重度、状态、回应、升级、处理记录 | 中控阶段建立 |
+| AI 分析/建议记录 | 输入引用、模型/规则版本、结构化建议、状态/有效期、采纳结果 | 模型阶段建立 |
+
+普通后台参数如提醒提前量、拒单次数、派单响应时限、匹配权重可先用模块配置/芋道参数配置；需要各机构不同规则时再做 tenant 级业务设置。不要为了几个配置先实现复杂规则编辑器。
+
+重要唯一/并发约束：同一老人同场次重复报名、同一设备事件重试、同一有效指派、同一提醒/渠道发送、同一告警外呼请求均需幂等。预约改期/取消同步调整提醒、释放容量、撤销指派，整个流程用服务层事务和必要异步补偿。
+
+## 14. 提醒、通知和定时任务
+
+运动提醒和协助派单是不同触发事件：可以在预约确认后立即发起匹配，提前提醒按配置执行；具体提前多久由业务配置，不能把“到运动时间才派单”作为固定实现。
+
+提醒支持至少开始前提醒、变更/取消通知、志愿者待接单提醒、临近开始协助不足提醒；异常升级有自己的规则。老人可配置自己想运动的时间，但关闭普通运动提醒不应关闭后台安全告警。
+
+调度采用持久化任务 + 芋道 Job 扫描到期任务，而不是为每个预约创建一个内存定时器。Job 扫描、领取、执行、重试有状态；服务重启、重复扫描不重复发。使用业务键约束，并记录变更版本，防止改期后旧任务仍通知。
+
+站内信、WebSocket、短信通过通知适配调用 system/infra/framework 能力。每个渠道保存结果，推送失败可重试或升级；发送成功只表示渠道接受/反馈结果，不能冒充实际阅读或回应。
+
+App 后台/关闭时 WebSocket 不保证收到提醒，未来选择短信、平台订阅消息、App 推送或本地通知补充。用户尚未明确普通运动提醒采用哪些渠道，不能承诺关闭手机 App 也必达。
+
+## 15. 分阶段落地与验收重点
+
+用户已确认第一阶段先完成核心流程并预留摄像头/智能体接口；之后 B～D 阶段是待进一步安排的候选。
+
+| 阶段 | 工作 | 边界 |
+| --- | --- | --- |
+| A（已确认核心范围） | 旧健康档案/评估迁移、可信身份、运动项目、轻量场地/设备、自主预约和活动报名、协助政策、规则/手动派单、服务状态、提醒 | 可运行核心服务闭环，按月拒单且理由必填；规则判断明确标为规则；投诉基础流程是相关设计建议，实施排期再细化 |
+| B | 结构化模型评估、运动建议、受控智能体工具和可解释匹配 | 明确模型提供商/规则，建议与执行区分 |
+| C | 固定摄像头适配、人员映射、动作摘要、跌倒告警、中控、72 小时录像 | 与课题组联调，真实协议和算法输出到位 |
+| D | 回应核验、升级与家属短信、真实外部紧急呼叫 | 确认回应政策和实际通道后再启用 |
+
+第一阶段即使不连接设备/模型，也应把 session_id、多人参与、决策来源、协议适配和事件幂等留好，避免以后推翻预约与工单模型。只做接口合同和必要关联，不创建空壳大型平台。
+
+关键验收场景：
+
+- 不需要协助、老人主动需要、强制需要三类预约；协助未落实的正确展示。
+- 单人自主预约、多人场次、同场地容量与时间冲突、并发最后一个名额。
+- 自动与手动派单、拒单理由不能为空、按月上限/跨月计数、拒单/超时/撤销区分、达到拒单上限、无候选与快到开始时升级、网络重试幂等。
+- 老人取消/改期时容量/派单/提醒一致；多人中一个取消不关闭全场工单。
+- 志愿者确认服务完成、多人责任人、未协助运动开始/结束、投诉授权与保留历史。
+- 老人/家属/志愿者/管理员与不同租户的数据范围；同名 ID 不混主体。
+- 模型不可用/资料缺失时有明确状态；建议不得越过容量和强制协助政策；不得把静态文案伪装成模型结果。
+- 设备离线与老人异常分开；匿名 track 的场地告警、多摄像头重复/乱序、身份映射与动作归属。
+- 72 小时清理边界、重启补偿、删除失败重试、教学视频不受录像策略影响。
+- 中控断线重连、声音不可用的视觉提示；管理员 ACK 与老人回应分开；无通道时不展示呼叫成功。
+
+## 16. 后续仍需确认但不阻碍写设计的事项
+
+第 2 节三项已确认；以下问题后续按实施阶段逐步细化：
+
+- 首批运动项目、场地和老人/志愿者规模；是否有真实名单/区域资料。
+- 志愿者技能/资质、可用时段采集方式、单次最大协助人数、每月拒单上限、自然月/滚动月边界、改派/拒单例外和达到上限的措施。
+- 场次报名、自动计划的确认方式、预约提前/取消/改期时间限制、场地占用规则。
+- 普通提醒渠道、通知提前量、服务无回应/无候选处理时限。
+- 大模型提供商、现有智能体研究方案、年龄/基础病/量表规则与资料有效期。
+- 摄像头设备协议、时钟同步、event_id、人体跟踪 ID 持续性、动作分定义、场地人员绑定方式。
+- NVR/录像保存位置、分片长度、是否允许事故片段超过 72 小时保存。
+- 异常等级、有效回应渠道、严重事件直升规则、备用管理员、短信触发条件。
+- 120/其他紧急联系人呼叫实际通道和反馈，失败人工接管流程。
+
+后续 Codex 读取本文时，先分清第 1～2 节用户确认、第 16 节待定与其他章节设计建议，再按当前芋道工程实现；不要把所有待定项一次性要求用户回答，也不要未经实现/验证就报告集成完成。
--- a/mysql_script/health/V000__member_schema.sql
+++ b/mysql_script/health/V000__member_schema.sql
@ -0,0 +1,201 @@
+-- Extracted member DDL only; no DROP, INSERT, sample accounts or foreign-key switch.
+-- Mobile uniqueness is scoped to tenant. Existing tables are not automatically altered.
+SET NAMES utf8mb4;
+
+CREATE TABLE IF NOT EXISTS `member_address`  (
+  `id` bigint NOT NULL AUTO_INCREMENT COMMENT '收件地址编号',
+  `user_id` bigint NOT NULL COMMENT '用户编号',
+  `name` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_bin NOT NULL COMMENT '收件人名称',
+  `mobile` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_bin NOT NULL COMMENT '手机号',
+  `area_id` bigint NOT NULL COMMENT '地区编码',
+  `detail_address` varchar(250) CHARACTER SET utf8mb4 COLLATE utf8mb4_bin NOT NULL COMMENT '收件详细地址',
+  `default_status` bit(1) NOT NULL COMMENT '是否默认',
+  `creator` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '创建者',
+  `create_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  `updater` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '更新者',
+  `update_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  `deleted` bit(1) NOT NULL DEFAULT b'0' COMMENT '是否删除',
+  `tenant_id` bigint NOT NULL DEFAULT 0 COMMENT '租户编号',
+  PRIMARY KEY (`id`) USING BTREE,
+  INDEX `idx_userId`(`user_id` ASC) USING BTREE
+) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_bin COMMENT = '用户收件地址';
+
+CREATE TABLE IF NOT EXISTS `member_config`  (
+  `id` bigint NOT NULL AUTO_INCREMENT COMMENT '自增主键',
+  `point_trade_deduct_enable` bit(1) NOT NULL COMMENT '是否开启积分抵扣',
+  `point_trade_deduct_unit_price` int NOT NULL COMMENT '积分抵扣(单位：分)',
+  `point_trade_deduct_max_price` int NULL DEFAULT NULL COMMENT '积分抵扣最大值',
+  `point_trade_give_point` bigint NULL DEFAULT NULL COMMENT '1 元赠送多少分',
+  `creator` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '创建者',
+  `create_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  `updater` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '更新者',
+  `update_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  `deleted` bit(1) NOT NULL DEFAULT b'0' COMMENT '是否删除',
+  `tenant_id` bigint NOT NULL DEFAULT 0 COMMENT '租户编号',
+  PRIMARY KEY (`id`) USING BTREE
+) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_unicode_ci COMMENT = '会员配置表';
+
+CREATE TABLE IF NOT EXISTS `member_experience_record`  (
+  `id` bigint NOT NULL AUTO_INCREMENT COMMENT '编号',
+  `user_id` bigint NOT NULL DEFAULT 0 COMMENT '用户编号',
+  `biz_id` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT '' COMMENT '业务编号',
+  `biz_type` tinyint NOT NULL DEFAULT 0 COMMENT '业务类型',
+  `title` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT '' COMMENT '标题',
+  `description` varchar(512) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT '' COMMENT '描述',
+  `experience` int NOT NULL DEFAULT 0 COMMENT '经验',
+  `total_experience` int NOT NULL DEFAULT 0 COMMENT '变更后的经验',
+  `creator` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '创建者',
+  `create_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  `updater` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '更新者',
+  `update_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  `deleted` bit(1) NOT NULL DEFAULT b'0' COMMENT '是否删除',
+  `tenant_id` bigint NOT NULL DEFAULT 0 COMMENT '租户编号',
+  PRIMARY KEY (`id`) USING BTREE,
+  INDEX `idx_user_id`(`user_id` ASC) USING BTREE COMMENT '会员经验记录-用户编号',
+  INDEX `idx_user_biz_type`(`user_id` ASC, `biz_type` ASC) USING BTREE COMMENT '会员经验记录-用户业务类型'
+) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_unicode_ci COMMENT = '会员经验记录';
+
+CREATE TABLE IF NOT EXISTS `member_group`  (
+  `id` bigint NOT NULL AUTO_INCREMENT COMMENT '编号',
+  `name` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT '' COMMENT '名称',
+  `status` tinyint NOT NULL DEFAULT 0 COMMENT '状态',
+  `remark` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT '' COMMENT '备注',
+  `creator` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '创建者',
+  `create_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  `updater` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '更新者',
+  `update_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  `deleted` bit(1) NOT NULL DEFAULT b'0' COMMENT '是否删除',
+  `tenant_id` bigint NOT NULL DEFAULT 0 COMMENT '租户编号',
+  PRIMARY KEY (`id`) USING BTREE
+) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_unicode_ci COMMENT = '用户分组';
+
+CREATE TABLE IF NOT EXISTS `member_level`  (
+  `id` bigint NOT NULL AUTO_INCREMENT COMMENT '编号',
+  `name` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT '' COMMENT '等级名称',
+  `level` int NOT NULL DEFAULT 0 COMMENT '等级',
+  `experience` int NOT NULL DEFAULT 0 COMMENT '升级经验',
+  `discount_percent` tinyint NOT NULL DEFAULT 100 COMMENT '享受折扣',
+  `icon` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT '' COMMENT '等级图标',
+  `background_url` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT '' COMMENT '等级背景图',
+  `status` tinyint NOT NULL DEFAULT 0 COMMENT '状态',
+  `creator` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '创建者',
+  `create_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  `updater` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '更新者',
+  `update_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  `deleted` bit(1) NOT NULL DEFAULT b'0' COMMENT '是否删除',
+  `tenant_id` bigint NOT NULL DEFAULT 0 COMMENT '租户编号',
+  PRIMARY KEY (`id`) USING BTREE
+) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_unicode_ci COMMENT = '会员等级';
+
+CREATE TABLE IF NOT EXISTS `member_level_record`  (
+  `id` bigint NOT NULL AUTO_INCREMENT COMMENT '编号',
+  `user_id` bigint NOT NULL DEFAULT 0 COMMENT '用户编号',
+  `level_id` bigint NOT NULL DEFAULT 0 COMMENT '等级编号',
+  `level` int NOT NULL DEFAULT 0 COMMENT '会员等级',
+  `discount_percent` tinyint NOT NULL DEFAULT 100 COMMENT '享受折扣',
+  `experience` int NOT NULL DEFAULT 0 COMMENT '升级经验',
+  `user_experience` int NOT NULL DEFAULT 0 COMMENT '会员此时的经验',
+  `remark` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT '' COMMENT '备注',
+  `description` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT '' COMMENT '描述',
+  `creator` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '创建者',
+  `create_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  `updater` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '更新者',
+  `update_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  `deleted` bit(1) NOT NULL DEFAULT b'0' COMMENT '是否删除',
+  `tenant_id` bigint NOT NULL DEFAULT 0 COMMENT '租户编号',
+  PRIMARY KEY (`id`) USING BTREE,
+  INDEX `idx_user_id`(`user_id` ASC) USING BTREE COMMENT '会员等级记录-用户编号'
+) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_unicode_ci COMMENT = '会员等级记录';
+
+CREATE TABLE IF NOT EXISTS `member_point_record`  (
+  `id` bigint NOT NULL AUTO_INCREMENT COMMENT '自增主键',
+  `user_id` bigint NOT NULL COMMENT '用户编号',
+  `biz_id` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NOT NULL COMMENT '业务编码',
+  `biz_type` tinyint NOT NULL COMMENT '业务类型',
+  `title` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NOT NULL COMMENT '积分标题',
+  `description` varchar(5000) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT NULL COMMENT '积分描述',
+  `point` int NOT NULL COMMENT '积分',
+  `total_point` int NOT NULL COMMENT '变动后的积分',
+  `creator` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '创建者',
+  `create_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  `updater` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '更新者',
+  `update_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  `deleted` bit(1) NOT NULL DEFAULT b'0' COMMENT '是否删除',
+  `tenant_id` bigint NOT NULL DEFAULT 0 COMMENT '租户编号',
+  PRIMARY KEY (`id`) USING BTREE,
+  INDEX `index_userId`(`user_id` ASC) USING BTREE,
+  INDEX `index_title`(`title` ASC) USING BTREE
+) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_unicode_ci COMMENT = '用户积分记录';
+
+CREATE TABLE IF NOT EXISTS `member_sign_in_config`  (
+  `id` int NOT NULL AUTO_INCREMENT COMMENT '编号',
+  `day` int NOT NULL COMMENT '第几天',
+  `point` int NOT NULL COMMENT '奖励积分',
+  `experience` int NOT NULL DEFAULT 0 COMMENT '奖励经验',
+  `status` tinyint NOT NULL COMMENT '状态',
+  `creator` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者',
+  `create_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  `updater` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者',
+  `update_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  `deleted` bit(1) NOT NULL DEFAULT b'0' COMMENT '是否删除',
+  `tenant_id` bigint NOT NULL DEFAULT 0 COMMENT '租户编号',
+  PRIMARY KEY (`id`) USING BTREE
+) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_unicode_ci COMMENT = '签到规则';
+
+CREATE TABLE IF NOT EXISTS `member_sign_in_record`  (
+  `id` bigint NOT NULL AUTO_INCREMENT COMMENT '签到自增id',
+  `user_id` int NULL DEFAULT NULL COMMENT '签到用户',
+  `day` int NULL DEFAULT NULL COMMENT '第几天签到',
+  `point` int NOT NULL DEFAULT 0 COMMENT '签到的分数',
+  `experience` int NOT NULL DEFAULT 0 COMMENT '奖励经验',
+  `creator` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '创建者',
+  `create_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  `updater` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '更新者',
+  `update_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  `deleted` bit(1) NOT NULL DEFAULT b'0' COMMENT '是否删除',
+  `tenant_id` bigint NOT NULL DEFAULT 0 COMMENT '租户编号',
+  PRIMARY KEY (`id`) USING BTREE
+) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_unicode_ci COMMENT = '签到记录';
+
+CREATE TABLE IF NOT EXISTS `member_tag`  (
+  `id` bigint NOT NULL AUTO_INCREMENT COMMENT '编号',
+  `name` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT '' COMMENT '标签名称',
+  `creator` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '创建者',
+  `create_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  `updater` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '更新者',
+  `update_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  `deleted` bit(1) NOT NULL DEFAULT b'0' COMMENT '是否删除',
+  `tenant_id` bigint NOT NULL DEFAULT 0 COMMENT '租户编号',
+  PRIMARY KEY (`id`) USING BTREE
+) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_unicode_ci COMMENT = '会员标签';
+
+CREATE TABLE IF NOT EXISTS `member_user`  (
+  `id` bigint NOT NULL AUTO_INCREMENT COMMENT '编号',
+  `mobile` varchar(11) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '手机号',
+  `password` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL DEFAULT '' COMMENT '密码',
+  `status` tinyint NOT NULL COMMENT '状态',
+  `register_ip` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '注册 IP',
+  `register_terminal` tinyint NULL DEFAULT NULL COMMENT '注册终端',
+  `login_ip` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NULL DEFAULT '' COMMENT '最后登录IP',
+  `login_date` datetime NULL DEFAULT NULL COMMENT '最后登录时间',
+  `nickname` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL DEFAULT '' COMMENT '用户昵称',
+  `avatar` varchar(512) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL DEFAULT '' COMMENT '头像',
+  `name` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '真实名字',
+  `sex` tinyint NULL DEFAULT 0 COMMENT '用户性别',
+  `area_id` bigint NULL DEFAULT NULL COMMENT '所在地',
+  `birthday` datetime NULL DEFAULT NULL COMMENT '出生日期',
+  `mark` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '会员备注',
+  `point` int NOT NULL DEFAULT 0 COMMENT '积分',
+  `tag_ids` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '用户标签编号列表，以逗号分隔',
+  `level_id` bigint NULL DEFAULT NULL COMMENT '等级编号',
+  `experience` int NOT NULL DEFAULT 0 COMMENT '经验',
+  `group_id` bigint NULL DEFAULT NULL COMMENT '用户分组编号',
+  `creator` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者',
+  `create_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  `updater` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者',
+  `update_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  `deleted` bit(1) NOT NULL DEFAULT b'0' COMMENT '是否删除',
+  `tenant_id` bigint NOT NULL DEFAULT 0 COMMENT '租户编号',
+  PRIMARY KEY (`id`) USING BTREE,
+  UNIQUE KEY `uk_member_mobile_tenant` (`tenant_id`, `mobile`)
+) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '会员用户';
--- a/mysql_script/health/V001__health_identity.sql
+++ b/mysql_script/health/V001__health_identity.sql
@ -0,0 +1,89 @@
+-- 健康模块第一阶段：只新增表，不删除或导入旧数据。
+-- 先执行 V001，再执行 V002 菜单脚本。重复执行不会清空数据，也不会升级已存在表的字段。
+SET NAMES utf8mb4;
+
+CREATE TABLE IF NOT EXISTS health_identity (
+  id bigint NOT NULL AUTO_INCREMENT COMMENT '主键',
+  member_id bigint NOT NULL COMMENT 'member_user.id；不是 system_user.id',
+  identity_type tinyint NOT NULL COMMENT '10 老人、20 志愿者、30 家属；创建后不更换',
+  real_name varchar(30) NOT NULL COMMENT '真实姓名',
+  contact_phone varchar(30) NULL COMMENT '联系方式，可与登录手机号不同',
+  gender tinyint NOT NULL DEFAULT 3 COMMENT '1 男、2 女、3 未知',
+  birth_date date NULL COMMENT '出生日期',
+  address varchar(500) NULL COMMENT '地址',
+  status tinyint NOT NULL DEFAULT 0 COMMENT '0 启用、1 停用',
+  audit_status tinyint NOT NULL COMMENT '0 待审、1 通过、2 驳回',
+  audit_user_id bigint NULL COMMENT '审核管理员 system_users.id',
+  audit_time datetime NULL COMMENT '最近审核时间',
+  audit_reason varchar(500) NULL COMMENT '最近审核理由',
+  creator varchar(64) DEFAULT '' COMMENT '创建者',
+  create_time datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  updater varchar(64) DEFAULT '' COMMENT '更新者',
+  update_time datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  deleted bit(1) NOT NULL DEFAULT b'0' COMMENT '逻辑删除标记；身份管理使用停用保留历史',
+  tenant_id bigint NOT NULL COMMENT '租户编号',
+  PRIMARY KEY (id),
+  UNIQUE KEY uk_health_identity_member (tenant_id, member_id),
+  KEY idx_health_identity_type (tenant_id, identity_type, status, audit_status)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='健康业务身份，一个账号一种身份';
+
+CREATE TABLE IF NOT EXISTS health_elderly_profile (
+  id bigint NOT NULL AUTO_INCREMENT COMMENT '主键',
+  identity_id bigint NOT NULL COMMENT 'health_identity.id，必须是老人身份',
+  emergency_contact varchar(60) NULL COMMENT '紧急联系人',
+  emergency_phone varchar(30) NULL COMMENT '紧急联系电话',
+  health_status varchar(500) NULL COMMENT '健康状况摘要，不替代历次评估',
+  medical_history varchar(2000) NULL COMMENT '病史',
+  medication_info varchar(2000) NULL COMMENT '用药信息',
+  special_needs varchar(1000) NULL COMMENT '特殊需求',
+  creator varchar(64) DEFAULT '' COMMENT '创建者',
+  create_time datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  updater varchar(64) DEFAULT '' COMMENT '更新者',
+  update_time datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  deleted bit(1) NOT NULL DEFAULT b'0' COMMENT '逻辑删除标记；身份管理使用停用保留历史',
+  tenant_id bigint NOT NULL COMMENT '租户编号',
+  PRIMARY KEY (id),
+  UNIQUE KEY uk_health_elderly_identity (tenant_id, identity_id)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='老人基础健康档案';
+
+CREATE TABLE IF NOT EXISTS health_volunteer_profile (
+  id bigint NOT NULL AUTO_INCREMENT COMMENT '主键',
+  identity_id bigint NOT NULL COMMENT 'health_identity.id，必须是志愿者身份',
+  skills varchar(1000) NULL COMMENT '服务技能',
+  service_areas varchar(500) NULL COMMENT '服务区域；后续匹配可细化',
+  available_time varchar(1000) NULL COMMENT '可服务时间说明；后续排班可细化',
+  service_experience varchar(2000) NULL COMMENT '服务经验',
+  creator varchar(64) DEFAULT '' COMMENT '创建者',
+  create_time datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  updater varchar(64) DEFAULT '' COMMENT '更新者',
+  update_time datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  deleted bit(1) NOT NULL DEFAULT b'0' COMMENT '逻辑删除标记；身份管理使用停用保留历史',
+  tenant_id bigint NOT NULL COMMENT '租户编号',
+  PRIMARY KEY (id),
+  UNIQUE KEY uk_health_volunteer_identity (tenant_id, identity_id)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='志愿者服务档案';
+
+CREATE TABLE IF NOT EXISTS health_family_relation (
+  id bigint NOT NULL AUTO_INCREMENT COMMENT '主键',
+  family_identity_id bigint NOT NULL COMMENT '家属 health_identity.id',
+  elderly_profile_id bigint NOT NULL COMMENT '老人 health_elderly_profile.id，不是 member_id',
+  relationship varchar(30) NOT NULL COMMENT '与老人关系',
+  status tinyint NOT NULL DEFAULT 0 COMMENT '0 待确认、1 已确认、2 已拒绝、3 已解除',
+  review_user_type tinyint NULL COMMENT '确认者账号类型：1 member、2 admin',
+  review_user_id bigint NULL COMMENT '确认者账号编号，结合 user_type 解释',
+  review_time datetime NULL COMMENT '最近确认或拒绝时间',
+  review_reason varchar(500) NULL COMMENT '管理员确认必须记录核实理由',
+  revoke_user_type tinyint NULL COMMENT '解除者账号类型',
+  revoke_user_id bigint NULL COMMENT '解除者账号编号',
+  revoke_time datetime NULL COMMENT '最近解除时间',
+  revoke_reason varchar(500) NULL COMMENT '解除理由',
+  creator varchar(64) DEFAULT '' COMMENT '创建者',
+  create_time datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  updater varchar(64) DEFAULT '' COMMENT '更新者',
+  update_time datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  deleted bit(1) NOT NULL DEFAULT b'0' COMMENT '逻辑删除标记；身份管理使用停用保留历史',
+  tenant_id bigint NOT NULL COMMENT '租户编号',
+  PRIMARY KEY (id),
+  UNIQUE KEY uk_health_family_pair (tenant_id, family_identity_id, elderly_profile_id),
+  KEY idx_health_family_elderly (tenant_id, elderly_profile_id, status)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='家属与老人多对多关联，确认后授权';
--- a/mysql_script/health/V002__health_menu.sql
+++ b/mysql_script/health/V002__health_menu.sql
@ -0,0 +1,38 @@
+-- 仅新增健康菜单与权限，超级管理员会自动获得；普通管理员通过角色授权。
+SET NAMES utf8mb4;
+START TRANSACTION;
+INSERT INTO system_menu (name,permission,type,sort,parent_id,path,icon,status,visible,keep_alive,always_show)
+SELECT '健康服务','',1,5,0,'/health','ep:first-aid-kit',0,b'1',b'1',b'1'
+WHERE NOT EXISTS (SELECT 1 FROM system_menu WHERE parent_id=0 AND path='/health' AND deleted=b'0');
+SET @health_menu = (SELECT id FROM system_menu WHERE parent_id=0 AND path='/health' AND deleted=b'0' LIMIT 1);
+INSERT INTO system_menu (name,permission,type,sort,parent_id,path,icon,component,component_name,status,visible,keep_alive,always_show)
+SELECT '身份与档案','health:identity:query',2,1,@health_menu,'identity','ep:user','health/identity/index','HealthIdentity',0,b'1',b'1',b'1'
+WHERE NOT EXISTS (SELECT 1 FROM system_menu WHERE permission='health:identity:query' AND deleted=b'0');
+SET @health_child = (SELECT id FROM system_menu WHERE permission='health:identity:query' AND deleted=b'0' LIMIT 1);
+INSERT INTO system_menu (name,permission,type,sort,parent_id,path,status,visible,keep_alive,always_show)
+SELECT '新增档案','health:identity:create',3,1,@health_child,'',0,b'1',b'1',b'1'
+WHERE NOT EXISTS (SELECT 1 FROM system_menu WHERE permission='health:identity:create' AND deleted=b'0');
+INSERT INTO system_menu (name,permission,type,sort,parent_id,path,status,visible,keep_alive,always_show)
+SELECT '编辑档案','health:identity:update',3,1,@health_child,'',0,b'1',b'1',b'1'
+WHERE NOT EXISTS (SELECT 1 FROM system_menu WHERE permission='health:identity:update' AND deleted=b'0');
+INSERT INTO system_menu (name,permission,type,sort,parent_id,path,status,visible,keep_alive,always_show)
+SELECT '志愿者审核','health:identity:audit',3,1,@health_child,'',0,b'1',b'1',b'1'
+WHERE NOT EXISTS (SELECT 1 FROM system_menu WHERE permission='health:identity:audit' AND deleted=b'0');
+INSERT INTO system_menu (name,permission,type,sort,parent_id,path,status,visible,keep_alive,always_show)
+SELECT '启用停用','health:identity:update-status',3,1,@health_child,'',0,b'1',b'1',b'1'
+WHERE NOT EXISTS (SELECT 1 FROM system_menu WHERE permission='health:identity:update-status' AND deleted=b'0');
+INSERT INTO system_menu (name,permission,type,sort,parent_id,path,icon,component,component_name,status,visible,keep_alive,always_show)
+SELECT '家属关联','health:family-relation:query',2,2,@health_menu,'family-relation','ep:connection','health/family-relation/index','HealthFamilyRelation',0,b'1',b'1',b'1'
+WHERE NOT EXISTS (SELECT 1 FROM system_menu WHERE permission='health:family-relation:query' AND deleted=b'0');
+SET @health_child = (SELECT id FROM system_menu WHERE permission='health:family-relation:query' AND deleted=b'0' LIMIT 1);
+INSERT INTO system_menu (name,permission,type,sort,parent_id,path,status,visible,keep_alive,always_show)
+SELECT '新增关联','health:family-relation:create',3,1,@health_child,'',0,b'1',b'1',b'1'
+WHERE NOT EXISTS (SELECT 1 FROM system_menu WHERE permission='health:family-relation:create' AND deleted=b'0');
+INSERT INTO system_menu (name,permission,type,sort,parent_id,path,status,visible,keep_alive,always_show)
+SELECT '核实确认及重提','health:family-relation:review',3,1,@health_child,'',0,b'1',b'1',b'1'
+WHERE NOT EXISTS (SELECT 1 FROM system_menu WHERE permission='health:family-relation:review' AND deleted=b'0');
+INSERT INTO system_menu (name,permission,type,sort,parent_id,path,status,visible,keep_alive,always_show)
+SELECT '解除关联','health:family-relation:revoke',3,1,@health_child,'',0,b'1',b'1',b'1'
+WHERE NOT EXISTS (SELECT 1 FROM system_menu WHERE permission='health:family-relation:revoke' AND deleted=b'0');
+COMMIT;
+
--- a/mysql_script/health/目录说明.txt
+++ b/mysql_script/health/目录说明.txt
@ -0,0 +1 @@
+健康模块增量 SQL：V000 只提取会员表结构，V001 建立身份与基础档案，V002 新增后台菜单及权限。没有旧数据导入和 DROP TABLE。由 deploy/local/initialize-health.ps1 应用。
--- a/yudao-module-health/pom.xml
+++ b/yudao-module-health/pom.xml
@ -0,0 +1,13 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<project xmlns="http://maven.apache.org/POM/4.0.0" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
+         xsi:schemaLocation="http://maven.apache.org/POM/4.0.0 https://maven.apache.org/xsd/maven-4.0.0.xsd">
+    <modelVersion>4.0.0</modelVersion>
+    <parent><groupId>cn.iocoder.boot</groupId><artifactId>yudao</artifactId><version>${revision}</version></parent>
+    <artifactId>yudao-module-health</artifactId>
+    <packaging>pom</packaging>
+    <description>老年健康业务：身份、健康档案及后续评估、运动预约和志愿服务</description>
+    <modules>
+        <module>yudao-module-health-api</module>
+        <module>yudao-module-health-biz</module>
+    </modules>
+</project>
--- a/yudao-module-health/yudao-module-health-api/pom.xml
+++ b/yudao-module-health/yudao-module-health-api/pom.xml
@ -0,0 +1,11 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<project xmlns="http://maven.apache.org/POM/4.0.0" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
+         xsi:schemaLocation="http://maven.apache.org/POM/4.0.0 https://maven.apache.org/xsd/maven-4.0.0.xsd">
+    <modelVersion>4.0.0</modelVersion>
+    <parent><groupId>cn.iocoder.boot</groupId><artifactId>yudao-module-health</artifactId><version>${revision}</version></parent>
+    <artifactId>yudao-module-health-api</artifactId>
+    <description>健康模块供其他模块调用的身份接口、DTO 与枚举</description>
+    <dependencies>
+        <dependency><groupId>cn.iocoder.boot</groupId><artifactId>yudao-common</artifactId></dependency>
+    </dependencies>
+</project>
--- a/yudao-module-health/yudao-module-health-api/src/main/java/cn/iocoder/yudao/module/health/api/identity/HealthIdentityApi.java
+++ b/yudao-module-health/yudao-module-health-api/src/main/java/cn/iocoder/yudao/module/health/api/identity/HealthIdentityApi.java
@ -0,0 +1,11 @@
+package cn.iocoder.yudao.module.health.api.identity;
+
+import cn.iocoder.yudao.module.health.api.identity.dto.HealthIdentityRespDTO;
+
+/** 后续预约、派单必须调用这里的生效校验，不能信任前端传来的身份。 */
+public interface HealthIdentityApi {
+    HealthIdentityRespDTO getIdentityByMemberId(Long memberId);
+    HealthIdentityRespDTO requireActiveIdentity(Long memberId, Integer identityType);
+    /** 同时验证家属账号、老人身份和已确认的关联。 */
+    void requireConfirmedFamilyRelation(Long familyMemberId, Long elderlyProfileId);
+}
--- a/yudao-module-health/yudao-module-health-api/src/main/java/cn/iocoder/yudao/module/health/api/identity/dto/HealthIdentityRespDTO.java
+++ b/yudao-module-health/yudao-module-health-api/src/main/java/cn/iocoder/yudao/module/health/api/identity/dto/HealthIdentityRespDTO.java
@ -0,0 +1,14 @@
+package cn.iocoder.yudao.module.health.api.identity.dto;
+
+import lombok.Data;
+
+/** 模块间仅传身份信息，健康详情通过受控业务服务获取。 */
+@Data
+public class HealthIdentityRespDTO {
+    private Long id;
+    private Long memberId;
+    private Integer identityType;
+    private String realName;
+    private Integer status;
+    private Integer auditStatus;
+}
--- a/yudao-module-health/yudao-module-health-api/src/main/java/cn/iocoder/yudao/module/health/api/目录说明.txt
+++ b/yudao-module-health/yudao-module-health-api/src/main/java/cn/iocoder/yudao/module/health/api/目录说明.txt
@ -0,0 +1,3 @@
+模块间调用接口及实现。浏览器请求走 Controller。
+
+详见 docs/健康业务模块与身份模型.md。
--- a/yudao-module-health/yudao-module-health-api/src/main/java/cn/iocoder/yudao/module/health/enums/ErrorCodeConstants.java
+++ b/yudao-module-health/yudao-module-health-api/src/main/java/cn/iocoder/yudao/module/health/enums/ErrorCodeConstants.java
@ -0,0 +1,22 @@
+package cn.iocoder.yudao.module.health.enums;
+
+import cn.iocoder.yudao.framework.common.exception.ErrorCode;
+
+/** 健康模块使用 1-030 段。 */
+public interface ErrorCodeConstants {
+    ErrorCode IDENTITY_NOT_EXISTS = new ErrorCode(1_030_001_000, "健康身份不存在");
+    ErrorCode IDENTITY_EXISTS = new ErrorCode(1_030_001_001, "该账号已建立业务身份，每个账号只允许一种身份");
+    ErrorCode IDENTITY_INACTIVE = new ErrorCode(1_030_001_002, "身份未审核通过或已停用");
+    ErrorCode IDENTITY_TYPE_MISMATCH = new ErrorCode(1_030_001_003, "业务身份类型不匹配");
+    ErrorCode IDENTITY_IMMUTABLE = new ErrorCode(1_030_001_004, "已有身份不能更换账号或身份类型");
+    ErrorCode AUDIT_STATE_INVALID = new ErrorCode(1_030_001_005, "审核状态已变化，请刷新后再操作");
+    ErrorCode AUDIT_REASON_REQUIRED = new ErrorCode(1_030_001_006, "请填写审核或核实理由");
+    ErrorCode ACCOUNT_REQUIRED = new ErrorCode(1_030_001_007, "请选择已有会员账号，或填写手机号与初始密码创建账号");
+    ErrorCode MEMBER_INVALID = new ErrorCode(1_030_001_008, "会员账号不存在或已停用");
+    ErrorCode PROFILE_NOT_EXISTS = new ErrorCode(1_030_001_009, "老人档案不存在");
+    ErrorCode RELATION_NOT_EXISTS = new ErrorCode(1_030_002_000, "家属关联不存在");
+    ErrorCode RELATION_EXISTS = new ErrorCode(1_030_002_001, "这位家属与老人已存在关联记录");
+    ErrorCode RELATION_FORBIDDEN = new ErrorCode(1_030_002_002, "只能处理本人的家属关联");
+    ErrorCode RELATION_STATE_INVALID = new ErrorCode(1_030_002_003, "关联状态不支持此操作，请刷新后再操作");
+    ErrorCode RELATION_NOT_CONFIRMED = new ErrorCode(1_030_002_004, "家属关联尚未确认或已解除");
+}
--- a/yudao-module-health/yudao-module-health-api/src/main/java/cn/iocoder/yudao/module/health/enums/HealthAuditStatusEnum.java
+++ b/yudao-module-health/yudao-module-health-api/src/main/java/cn/iocoder/yudao/module/health/enums/HealthAuditStatusEnum.java
@ -0,0 +1,15 @@
+package cn.iocoder.yudao.module.health.enums;
+
+import cn.iocoder.yudao.framework.common.core.IntArrayValuable;
+import lombok.AllArgsConstructor;
+import lombok.Getter;
+import java.util.Arrays;
+
+@Getter
+@AllArgsConstructor
+public enum HealthAuditStatusEnum implements IntArrayValuable {
+    PENDING(0), APPROVED(1), REJECTED(2);
+    public static final int[] ARRAYS = Arrays.stream(values()).mapToInt(HealthAuditStatusEnum::getStatus).toArray();
+    private final Integer status;
+    @Override public int[] array() { return ARRAYS; }
+}
--- a/yudao-module-health/yudao-module-health-api/src/main/java/cn/iocoder/yudao/module/health/enums/HealthIdentityTypeEnum.java
+++ b/yudao-module-health/yudao-module-health-api/src/main/java/cn/iocoder/yudao/module/health/enums/HealthIdentityTypeEnum.java
@ -0,0 +1,18 @@
+package cn.iocoder.yudao.module.health.enums;
+
+import cn.iocoder.yudao.framework.common.core.IntArrayValuable;
+import lombok.AllArgsConstructor;
+import lombok.Getter;
+import java.util.Arrays;
+
+/** 业务身份；每个租户中，一个 member 账号只允许一种身份。 */
+@Getter
+@AllArgsConstructor
+public enum HealthIdentityTypeEnum implements IntArrayValuable {
+    ELDERLY(10, "老人"), VOLUNTEER(20, "志愿者"), FAMILY(30, "家属");
+
+    public static final int[] ARRAYS = Arrays.stream(values()).mapToInt(HealthIdentityTypeEnum::getType).toArray();
+    private final Integer type;
+    private final String name;
+    @Override public int[] array() { return ARRAYS; }
+}
--- a/yudao-module-health/yudao-module-health-api/src/main/java/cn/iocoder/yudao/module/health/enums/目录说明.txt
+++ b/yudao-module-health/yudao-module-health-api/src/main/java/cn/iocoder/yudao/module/health/enums/目录说明.txt
@ -0,0 +1,3 @@
+身份类型、审核状态和健康业务错误码。
+
+详见 docs/健康业务模块与身份模型.md。
--- a/yudao-module-health/yudao-module-health-api/目录说明.txt
+++ b/yudao-module-health/yudao-module-health-api/目录说明.txt
@ -0,0 +1,3 @@
+供其他模块调用的身份校验接口、DTO、身份及审核枚举。后续预约和派单通过 requireActiveIdentity 校验身份，不直接依赖 biz 的 Mapper。
+
+详见 docs/健康业务模块与身份模型.md。
--- a/yudao-module-health/yudao-module-health-biz/pom.xml
+++ b/yudao-module-health/yudao-module-health-biz/pom.xml
@ -0,0 +1,18 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<project xmlns="http://maven.apache.org/POM/4.0.0" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
+         xsi:schemaLocation="http://maven.apache.org/POM/4.0.0 https://maven.apache.org/xsd/maven-4.0.0.xsd">
+    <modelVersion>4.0.0</modelVersion>
+    <parent><groupId>cn.iocoder.boot</groupId><artifactId>yudao-module-health</artifactId><version>${revision}</version></parent>
+    <artifactId>yudao-module-health-biz</artifactId>
+    <description>健康业务实现；保持账号认证与业务身份分离</description>
+    <dependencies>
+        <dependency><groupId>cn.iocoder.boot</groupId><artifactId>yudao-module-health-api</artifactId><version>${revision}</version></dependency>
+        <dependency><groupId>cn.iocoder.boot</groupId><artifactId>yudao-module-member-api</artifactId><version>${revision}</version></dependency>
+        <dependency><groupId>cn.iocoder.boot</groupId><artifactId>yudao-spring-boot-starter-biz-tenant</artifactId></dependency>
+        <dependency><groupId>cn.iocoder.boot</groupId><artifactId>yudao-spring-boot-starter-security</artifactId></dependency>
+        <dependency><groupId>cn.iocoder.boot</groupId><artifactId>yudao-spring-boot-starter-mybatis</artifactId></dependency>
+        <dependency><groupId>org.springframework.boot</groupId><artifactId>spring-boot-starter-validation</artifactId></dependency>
+        <dependency><groupId>cn.iocoder.boot</groupId><artifactId>yudao-spring-boot-starter-test</artifactId><scope>test</scope></dependency>
+        <dependency><groupId>cn.iocoder.boot</groupId><artifactId>yudao-module-member-biz</artifactId><version>${revision}</version><scope>test</scope></dependency>
+    </dependencies>
+</project>
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/api/identity/HealthIdentityApiImpl.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/api/identity/HealthIdentityApiImpl.java
@ -0,0 +1,24 @@
+package cn.iocoder.yudao.module.health.api.identity;
+
+import cn.iocoder.yudao.framework.common.util.object.BeanUtils;
+import cn.iocoder.yudao.module.health.api.identity.dto.HealthIdentityRespDTO;
+import cn.iocoder.yudao.module.health.service.identity.HealthIdentityService;
+import cn.iocoder.yudao.module.health.service.relation.HealthFamilyRelationService;
+import org.springframework.stereotype.Service;
+import javax.annotation.Resource;
+
+@Service
+public class HealthIdentityApiImpl implements HealthIdentityApi {
+    @Resource private HealthIdentityService identityService;
+    @Resource private HealthFamilyRelationService relationService;
+    @Override public HealthIdentityRespDTO getIdentityByMemberId(Long memberId) {
+        return BeanUtils.toBean(identityService.getIdentityByMemberId(memberId), HealthIdentityRespDTO.class);
+    }
+    @Override public HealthIdentityRespDTO requireActiveIdentity(Long memberId, Integer identityType) {
+        return BeanUtils.toBean(identityService.requireActiveIdentity(memberId, identityType), HealthIdentityRespDTO.class);
+    }
+    @Override public void requireConfirmedFamilyRelation(Long familyMemberId, Long elderlyProfileId) {
+        relationService.requireConfirmedFamilyRelation(familyMemberId, elderlyProfileId);
+    }
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/api/目录说明.txt
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/api/目录说明.txt
@ -0,0 +1,3 @@
+模块间调用接口及实现。浏览器请求走 Controller。
+
+详见 docs/健康业务模块与身份模型.md。
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/admin/identity/HealthIdentityController.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/admin/identity/HealthIdentityController.java
@ -0,0 +1,67 @@
+package cn.iocoder.yudao.module.health.controller.admin.identity;
+
+import cn.iocoder.yudao.framework.common.pojo.*;
+import cn.iocoder.yudao.module.health.controller.admin.identity.vo.*;
+import cn.iocoder.yudao.module.health.controller.vo.HealthIdentityRespVO;
+import cn.iocoder.yudao.module.health.service.identity.HealthIdentityService;
+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.validation.annotation.Validated;
+import org.springframework.web.bind.annotation.*;
+import javax.annotation.Resource;
+import javax.validation.Valid;
+import javax.validation.constraints.Positive;
+import static cn.iocoder.yudao.framework.common.pojo.CommonResult.success;
+import static cn.iocoder.yudao.framework.security.core.util.SecurityFrameworkUtils.getLoginUserId;
+
+@Tag(name = "管理后台 - 健康身份与基础档案")
+@RestController
+@RequestMapping("/health/identity")
+@Validated
+public class HealthIdentityController {
+    @Resource private HealthIdentityService identityService;
+
+    @PostMapping("/create")
+    @Operation(summary = "创建账号、身份及对应档案（同一事务）")
+    @PreAuthorize("@ss.hasPermission('health:identity:create')")
+    public CommonResult<Long> create(@Valid @RequestBody HealthIdentitySaveReqVO req) {
+        return success(identityService.createIdentity(req));
+    }
+    @PutMapping("/update")
+    @Operation(summary = "编辑档案，不更换账号和身份类型")
+    @PreAuthorize("@ss.hasPermission('health:identity:update')")
+    public CommonResult<Boolean> update(@Valid @RequestBody HealthIdentitySaveReqVO req) {
+        identityService.updateIdentity(req); return success(true);
+    }
+    @GetMapping("/get")
+    @Operation(summary = "读取档案详情")
+    @PreAuthorize("@ss.hasPermission('health:identity:query')")
+    public CommonResult<HealthIdentityRespVO> get(@RequestParam @Positive Long id) {
+        return success(identityService.getIdentityDetails(id));
+    }
+    @GetMapping("/page")
+    @Operation(summary = "按身份、启用和审核状态查询")
+    @PreAuthorize("@ss.hasPermission('health:identity:query')")
+    public CommonResult<PageResult<HealthIdentityRespVO>> page(@Valid HealthIdentityPageReqVO req) {
+        return success(identityService.getIdentityPage(req));
+    }
+    @PutMapping("/audit")
+    @Operation(summary = "审核志愿者，驳回必须写理由")
+    @PreAuthorize("@ss.hasPermission('health:identity:audit')")
+    public CommonResult<Boolean> audit(@Valid @RequestBody HealthIdentityAuditReqVO req) {
+        identityService.auditIdentity(req, getLoginUserId()); return success(true);
+    }
+    @PutMapping("/resubmit")
+    @Operation(summary = "将已驳回的志愿者重新提交审核")
+    @PreAuthorize("@ss.hasPermission('health:identity:audit')")
+    public CommonResult<Boolean> resubmit(@RequestParam @Positive Long id) {
+        identityService.resubmitIdentity(id); return success(true);
+    }
+    @PutMapping("/update-status")
+    @Operation(summary = "启用或停用业务身份，保留历史档案")
+    @PreAuthorize("@ss.hasPermission('health:identity:update-status')")
+    public CommonResult<Boolean> updateStatus(@Valid @RequestBody HealthIdentityStatusReqVO req) {
+        identityService.updateStatus(req); return success(true);
+    }
+}
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/admin/identity/vo/HealthIdentityAuditReqVO.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/admin/identity/vo/HealthIdentityAuditReqVO.java
@ -0,0 +1,15 @@
+package cn.iocoder.yudao.module.health.controller.admin.identity.vo;
+
+import lombok.Data;
+import javax.validation.constraints.*;
+
+@Data
+public class HealthIdentityAuditReqVO {
+    @NotNull @Positive
+    private Long id;
+    @NotNull
+    private Boolean approved;
+    @Size(max = 500)
+    private String reason;
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/admin/identity/vo/HealthIdentityPageReqVO.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/admin/identity/vo/HealthIdentityPageReqVO.java
@ -0,0 +1,22 @@
+package cn.iocoder.yudao.module.health.controller.admin.identity.vo;
+
+import cn.iocoder.yudao.framework.common.pojo.PageParam;
+import cn.iocoder.yudao.framework.common.validation.InEnum;
+import cn.iocoder.yudao.framework.common.enums.CommonStatusEnum;
+import cn.iocoder.yudao.module.health.enums.*;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+public class HealthIdentityPageReqVO extends PageParam {
+    private String realName;
+    private Long memberId;
+    @InEnum(HealthIdentityTypeEnum.class)
+    private Integer identityType;
+    @InEnum(CommonStatusEnum.class)
+    private Integer status;
+    @InEnum(HealthAuditStatusEnum.class)
+    private Integer auditStatus;
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/admin/identity/vo/HealthIdentitySaveReqVO.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/admin/identity/vo/HealthIdentitySaveReqVO.java
@ -0,0 +1,26 @@
+package cn.iocoder.yudao.module.health.controller.admin.identity.vo;
+
+import cn.iocoder.yudao.framework.common.validation.InEnum;
+import cn.iocoder.yudao.framework.common.validation.Mobile;
+import cn.iocoder.yudao.module.health.controller.vo.HealthProfileFieldsVO;
+import cn.iocoder.yudao.module.health.enums.HealthIdentityTypeEnum;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import lombok.ToString;
+import javax.validation.constraints.*;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+public class HealthIdentitySaveReqVO extends HealthProfileFieldsVO {
+    private Long id;
+    /** 非空时仅绑定已有账号，不修改账号密码；为空时创建新账号。 */
+    @Positive
+    private Long memberId;
+    @Mobile
+    private String mobile;
+    @Size(min = 4, max = 16) @ToString.Exclude
+    private String password;
+    @NotNull @InEnum(HealthIdentityTypeEnum.class)
+    private Integer identityType;
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/admin/identity/vo/HealthIdentityStatusReqVO.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/admin/identity/vo/HealthIdentityStatusReqVO.java
@ -0,0 +1,15 @@
+package cn.iocoder.yudao.module.health.controller.admin.identity.vo;
+
+import cn.iocoder.yudao.framework.common.enums.CommonStatusEnum;
+import cn.iocoder.yudao.framework.common.validation.InEnum;
+import lombok.Data;
+import javax.validation.constraints.*;
+
+@Data
+public class HealthIdentityStatusReqVO {
+    @NotNull @Positive
+    private Long id;
+    @NotNull @InEnum(CommonStatusEnum.class)
+    private Integer status;
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/admin/relation/HealthFamilyRelationController.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/admin/relation/HealthFamilyRelationController.java
@ -0,0 +1,49 @@
+package cn.iocoder.yudao.module.health.controller.admin.relation;
+
+import cn.iocoder.yudao.framework.common.pojo.*;
+import cn.iocoder.yudao.module.health.controller.vo.*;
+import cn.iocoder.yudao.module.health.controller.admin.relation.vo.HealthFamilyRelationPageReqVO;
+import cn.iocoder.yudao.module.health.service.relation.HealthFamilyRelationService;
+import io.swagger.v3.oas.annotations.tags.Tag;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.validation.annotation.Validated;
+import org.springframework.web.bind.annotation.*;
+import javax.annotation.Resource;
+import javax.validation.Valid;
+import javax.validation.constraints.Positive;
+import static cn.iocoder.yudao.framework.common.pojo.CommonResult.success;
+import static cn.iocoder.yudao.framework.security.core.util.SecurityFrameworkUtils.getLoginUserId;
+
+@Tag(name = "管理后台 - 家属关联")
+@RestController
+@RequestMapping("/health/family-relation")
+@Validated
+public class HealthFamilyRelationController {
+    @Resource private HealthFamilyRelationService relationService;
+    @GetMapping("/page")
+    @PreAuthorize("@ss.hasPermission('health:family-relation:query')")
+    public CommonResult<PageResult<HealthFamilyRelationRespVO>> page(@Valid HealthFamilyRelationPageReqVO req) {
+        return success(relationService.getRelationPage(req));
+    }
+    @PostMapping("/create")
+    @PreAuthorize("@ss.hasPermission('health:family-relation:create')")
+    public CommonResult<Long> create(@Valid @RequestBody HealthFamilyRelationCreateReqVO req) {
+        return success(relationService.createRelation(req));
+    }
+    @PutMapping("/review")
+    @PreAuthorize("@ss.hasPermission('health:family-relation:review')")
+    public CommonResult<Boolean> review(@Valid @RequestBody HealthFamilyRelationReviewReqVO req) {
+        relationService.reviewRelation(req, getLoginUserId(), true); return success(true);
+    }
+    @PutMapping("/revoke")
+    @PreAuthorize("@ss.hasPermission('health:family-relation:revoke')")
+    public CommonResult<Boolean> revoke(@Valid @RequestBody HealthFamilyRelationRevokeReqVO req) {
+        relationService.revokeRelation(req, getLoginUserId(), true); return success(true);
+    }
+    @PutMapping("/reopen")
+    @PreAuthorize("@ss.hasPermission('health:family-relation:review')")
+    public CommonResult<Boolean> reopen(@RequestParam @Positive Long id) {
+        relationService.reopenRelation(id); return success(true);
+    }
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/admin/relation/vo/HealthFamilyRelationPageReqVO.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/admin/relation/vo/HealthFamilyRelationPageReqVO.java
@ -0,0 +1,16 @@
+package cn.iocoder.yudao.module.health.controller.admin.relation.vo;
+
+import cn.iocoder.yudao.framework.common.pojo.PageParam;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import javax.validation.constraints.*;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+public class HealthFamilyRelationPageReqVO extends PageParam {
+    private Long familyIdentityId;
+    private Long elderlyProfileId;
+    @Min(0) @Max(3)
+    private Integer status;
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/app/identity/AppHealthIdentityController.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/app/identity/AppHealthIdentityController.java
@ -0,0 +1,51 @@
+package cn.iocoder.yudao.module.health.controller.app.identity;
+
+import cn.iocoder.yudao.framework.common.pojo.CommonResult;
+import cn.iocoder.yudao.module.health.controller.vo.*;
+import cn.iocoder.yudao.module.health.service.identity.HealthIdentityService;
+import cn.iocoder.yudao.module.health.service.relation.HealthFamilyRelationService;
+import io.swagger.v3.oas.annotations.tags.Tag;
+import org.springframework.validation.annotation.Validated;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+import javax.annotation.Resource;
+import javax.validation.Valid;
+import java.util.List;
+import static cn.iocoder.yudao.framework.common.pojo.CommonResult.success;
+import static cn.iocoder.yudao.framework.security.core.util.SecurityFrameworkUtils.getLoginUserId;
+
+/** /app-api 前缀由框架添加，Token 类型由框架校验为 MEMBER。 */
+@Tag(name = "用户 APP - 本人身份与家属关联")
+@RestController
+@RequestMapping("/health/identity")
+@Validated
+@PreAuthorize("isAuthenticated()")
+public class AppHealthIdentityController {
+    @Resource private HealthIdentityService identityService;
+    @Resource private HealthFamilyRelationService relationService;
+    @GetMapping("/me")
+    public CommonResult<HealthIdentityRespVO> me() {
+        return success(identityService.getMyIdentity(getLoginUserId()));
+    }
+    @GetMapping("/family-relations")
+    public CommonResult<List<HealthFamilyRelationRespVO>> myRelations() {
+        return success(relationService.getMyRelations(getLoginUserId()));
+    }
+    @PostMapping("/family-relation/request")
+    public CommonResult<Long> request(@Valid @RequestBody HealthFamilyRelationCreateReqVO req) {
+        return success(relationService.requestMyRelation(getLoginUserId(), req));
+    }
+    @PutMapping("/family-relation/review")
+    public CommonResult<Boolean> review(@Valid @RequestBody HealthFamilyRelationReviewReqVO req) {
+        relationService.reviewRelation(req, getLoginUserId(), false); return success(true);
+    }
+    @PutMapping("/family-relation/revoke")
+    public CommonResult<Boolean> revoke(@Valid @RequestBody HealthFamilyRelationRevokeReqVO req) {
+        relationService.revokeRelation(req, getLoginUserId(), false); return success(true);
+    }
+    @GetMapping("/family-elderly-profile")
+    public CommonResult<HealthIdentityRespVO> familyElderlyProfile(@RequestParam Long elderlyProfileId) {
+        relationService.requireConfirmedFamilyRelation(getLoginUserId(), elderlyProfileId);
+        return success(identityService.getIdentityDetails(identityService.getElderlyIdentityId(elderlyProfileId)));
+    }
+}
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/vo/HealthFamilyRelationCreateReqVO.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/vo/HealthFamilyRelationCreateReqVO.java
@ -0,0 +1,16 @@
+package cn.iocoder.yudao.module.health.controller.vo;
+
+import lombok.Data;
+import javax.validation.constraints.*;
+
+@Data
+public class HealthFamilyRelationCreateReqVO {
+    /** 管理端必填；APP 端忽略此值，始终由登录账号确定。 */
+    @Positive
+    private Long familyIdentityId;
+    @NotNull @Positive
+    private Long elderlyProfileId;
+    @NotBlank @Size(max = 30)
+    private String relationship;
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/vo/HealthFamilyRelationRespVO.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/vo/HealthFamilyRelationRespVO.java
@ -0,0 +1,26 @@
+package cn.iocoder.yudao.module.health.controller.vo;
+
+import lombok.Data;
+import java.time.LocalDateTime;
+
+@Data
+public class HealthFamilyRelationRespVO {
+    private Long id;
+    private Long familyIdentityId;
+    private String familyName;
+    private Long elderlyProfileId;
+    private String elderlyName;
+    private String relationship;
+    /** 0 待确认、1 已确认、2 已拒绝、3 已解除。 */
+    private Integer status;
+    private Integer reviewUserType;
+    private Long reviewUserId;
+    private LocalDateTime reviewTime;
+    private String reviewReason;
+    private Integer revokeUserType;
+    private Long revokeUserId;
+    private LocalDateTime revokeTime;
+    private String revokeReason;
+    private LocalDateTime createTime;
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/vo/HealthFamilyRelationReviewReqVO.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/vo/HealthFamilyRelationReviewReqVO.java
@ -0,0 +1,15 @@
+package cn.iocoder.yudao.module.health.controller.vo;
+
+import lombok.Data;
+import javax.validation.constraints.*;
+
+@Data
+public class HealthFamilyRelationReviewReqVO {
+    @NotNull @Positive
+    private Long id;
+    @NotNull
+    private Boolean approved;
+    @Size(max = 500)
+    private String reason;
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/vo/HealthFamilyRelationRevokeReqVO.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/vo/HealthFamilyRelationRevokeReqVO.java
@ -0,0 +1,13 @@
+package cn.iocoder.yudao.module.health.controller.vo;
+
+import lombok.Data;
+import javax.validation.constraints.*;
+
+@Data
+public class HealthFamilyRelationRevokeReqVO {
+    @NotNull @Positive
+    private Long id;
+    @NotBlank @Size(max = 500)
+    private String reason;
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/vo/HealthIdentityRespVO.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/vo/HealthIdentityRespVO.java
@ -0,0 +1,23 @@
+package cn.iocoder.yudao.module.health.controller.vo;
+
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import java.time.LocalDateTime;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+public class HealthIdentityRespVO extends HealthProfileFieldsVO {
+    private Long id;
+    private Long memberId;
+    private String mobile;
+    private Integer identityType;
+    private Long elderlyProfileId;
+    private Long volunteerProfileId;
+    private Integer status;
+    private Integer auditStatus;
+    private Long auditUserId;
+    private LocalDateTime auditTime;
+    private String auditReason;
+    private LocalDateTime createTime;
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/vo/HealthProfileFieldsVO.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/vo/HealthProfileFieldsVO.java
@ -0,0 +1,42 @@
+package cn.iocoder.yudao.module.health.controller.vo;
+
+import lombok.Data;
+import javax.validation.constraints.*;
+import java.time.LocalDate;
+
+/** 管理端写入和本人读取使用相同的档案字段；不包含账号密码或身份审批字段。 */
+@Data
+public class HealthProfileFieldsVO {
+    @NotBlank @Size(max = 30)
+    private String realName;
+    @Size(max = 30) @Pattern(regexp = "^$|^[0-9+()\\-]{5,30}$", message = "联系电话格式不正确")
+    private String contactPhone;
+    /** 与芋道一致：1 男、2 女、3 未知，旧项目 0/1 必须转换。 */
+    @NotNull @Min(1) @Max(3)
+    private Integer gender;
+    @PastOrPresent
+    private LocalDate birthDate;
+    @Size(max = 500)
+    private String address;
+    @Size(max = 60)
+    private String emergencyContact;
+    @Size(max = 30) @Pattern(regexp = "^$|^[0-9+()\\-]{5,30}$", message = "紧急联系电话格式不正确")
+    private String emergencyPhone;
+    @Size(max = 500)
+    private String healthStatus;
+    @Size(max = 2000)
+    private String medicalHistory;
+    @Size(max = 2000)
+    private String medicationInfo;
+    @Size(max = 1000)
+    private String specialNeeds;
+    @Size(max = 1000)
+    private String skills;
+    @Size(max = 500)
+    private String serviceAreas;
+    @Size(max = 1000)
+    private String availableTime;
+    @Size(max = 2000)
+    private String serviceExperience;
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/目录说明.txt
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/controller/目录说明.txt
@ -0,0 +1,3 @@
+HTTP 接口与输入输出 VO。admin 使用后台权限，app 仅使用登录会员的账号与业务授权。
+
+详见 docs/健康业务模块与身份模型.md。
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/dataobject/identity/HealthIdentityDO.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/dataobject/identity/HealthIdentityDO.java
@ -0,0 +1,32 @@
+package cn.iocoder.yudao.module.health.dal.dataobject.identity;
+
+import cn.iocoder.yudao.framework.tenant.core.db.TenantBaseDO;
+import com.baomidou.mybatisplus.annotation.*;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import java.time.LocalDate;
+import java.time.LocalDateTime;
+
+@TableName("health_identity")
+@Data
+@EqualsAndHashCode(callSuper = true)
+public class HealthIdentityDO extends TenantBaseDO {
+    @TableId
+    private Long id;
+    private Long memberId;
+    private Integer identityType;
+    private String realName;
+    @TableField(updateStrategy = FieldStrategy.ALWAYS)
+    private String contactPhone;
+    private Integer gender;
+    @TableField(updateStrategy = FieldStrategy.ALWAYS)
+    private LocalDate birthDate;
+    @TableField(updateStrategy = FieldStrategy.ALWAYS)
+    private String address;
+    private Integer status;
+    private Integer auditStatus;
+    private Long auditUserId;
+    private LocalDateTime auditTime;
+    private String auditReason;
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/dataobject/profile/HealthElderlyProfileDO.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/dataobject/profile/HealthElderlyProfileDO.java
@ -0,0 +1,30 @@
+package cn.iocoder.yudao.module.health.dal.dataobject.profile;
+
+import cn.iocoder.yudao.framework.tenant.core.db.TenantBaseDO;
+import com.baomidou.mybatisplus.annotation.*;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import java.time.LocalDate;
+import java.time.LocalDateTime;
+
+@TableName("health_elderly_profile")
+@Data
+@EqualsAndHashCode(callSuper = true)
+public class HealthElderlyProfileDO extends TenantBaseDO {
+    @TableId
+    private Long id;
+    private Long identityId;
+    @TableField(updateStrategy = FieldStrategy.ALWAYS)
+    private String emergencyContact;
+    @TableField(updateStrategy = FieldStrategy.ALWAYS)
+    private String emergencyPhone;
+    @TableField(updateStrategy = FieldStrategy.ALWAYS)
+    private String healthStatus;
+    @TableField(updateStrategy = FieldStrategy.ALWAYS)
+    private String medicalHistory;
+    @TableField(updateStrategy = FieldStrategy.ALWAYS)
+    private String medicationInfo;
+    @TableField(updateStrategy = FieldStrategy.ALWAYS)
+    private String specialNeeds;
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/dataobject/profile/HealthVolunteerProfileDO.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/dataobject/profile/HealthVolunteerProfileDO.java
@ -0,0 +1,26 @@
+package cn.iocoder.yudao.module.health.dal.dataobject.profile;
+
+import cn.iocoder.yudao.framework.tenant.core.db.TenantBaseDO;
+import com.baomidou.mybatisplus.annotation.*;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import java.time.LocalDate;
+import java.time.LocalDateTime;
+
+@TableName("health_volunteer_profile")
+@Data
+@EqualsAndHashCode(callSuper = true)
+public class HealthVolunteerProfileDO extends TenantBaseDO {
+    @TableId
+    private Long id;
+    private Long identityId;
+    @TableField(updateStrategy = FieldStrategy.ALWAYS)
+    private String skills;
+    @TableField(updateStrategy = FieldStrategy.ALWAYS)
+    private String serviceAreas;
+    @TableField(updateStrategy = FieldStrategy.ALWAYS)
+    private String availableTime;
+    @TableField(updateStrategy = FieldStrategy.ALWAYS)
+    private String serviceExperience;
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/dataobject/relation/HealthFamilyRelationDO.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/dataobject/relation/HealthFamilyRelationDO.java
@ -0,0 +1,29 @@
+package cn.iocoder.yudao.module.health.dal.dataobject.relation;
+
+import cn.iocoder.yudao.framework.tenant.core.db.TenantBaseDO;
+import com.baomidou.mybatisplus.annotation.*;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import java.time.LocalDate;
+import java.time.LocalDateTime;
+
+@TableName("health_family_relation")
+@Data
+@EqualsAndHashCode(callSuper = true)
+public class HealthFamilyRelationDO extends TenantBaseDO {
+    @TableId
+    private Long id;
+    private Long familyIdentityId;
+    private Long elderlyProfileId;
+    private String relationship;
+    private Integer status;
+    private Integer reviewUserType;
+    private Long reviewUserId;
+    private LocalDateTime reviewTime;
+    private String reviewReason;
+    private Integer revokeUserType;
+    private Long revokeUserId;
+    private LocalDateTime revokeTime;
+    private String revokeReason;
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/dataobject/目录说明.txt
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/dataobject/目录说明.txt
@ -0,0 +1,3 @@
+持久化实体：继承 TenantBaseDO，包含审计字段和租户编号。
+
+详见 docs/健康业务模块与身份模型.md。
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/mysql/identity/HealthIdentityMapper.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/mysql/identity/HealthIdentityMapper.java
@ -0,0 +1,25 @@
+package cn.iocoder.yudao.module.health.dal.mysql.identity;
+
+import cn.iocoder.yudao.framework.common.pojo.PageResult;
+import cn.iocoder.yudao.framework.mybatis.core.mapper.BaseMapperX;
+import cn.iocoder.yudao.framework.mybatis.core.query.LambdaQueryWrapperX;
+import cn.iocoder.yudao.module.health.controller.admin.identity.vo.HealthIdentityPageReqVO;
+import cn.iocoder.yudao.module.health.dal.dataobject.identity.HealthIdentityDO;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface HealthIdentityMapper extends BaseMapperX<HealthIdentityDO> {
+    default HealthIdentityDO selectByMemberId(Long memberId) {
+        return selectOne(HealthIdentityDO::getMemberId, memberId);
+    }
+    default PageResult<HealthIdentityDO> selectPage(HealthIdentityPageReqVO req) {
+        return selectPage(req, new LambdaQueryWrapperX<HealthIdentityDO>()
+                .eqIfPresent(HealthIdentityDO::getMemberId, req.getMemberId())
+                .likeIfPresent(HealthIdentityDO::getRealName, req.getRealName())
+                .eqIfPresent(HealthIdentityDO::getIdentityType, req.getIdentityType())
+                .eqIfPresent(HealthIdentityDO::getStatus, req.getStatus())
+                .eqIfPresent(HealthIdentityDO::getAuditStatus, req.getAuditStatus())
+                .orderByDesc(HealthIdentityDO::getId));
+    }
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/mysql/profile/HealthElderlyProfileMapper.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/mysql/profile/HealthElderlyProfileMapper.java
@ -0,0 +1,13 @@
+package cn.iocoder.yudao.module.health.dal.mysql.profile;
+
+import cn.iocoder.yudao.framework.mybatis.core.mapper.BaseMapperX;
+import cn.iocoder.yudao.module.health.dal.dataobject.profile.HealthElderlyProfileDO;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface HealthElderlyProfileMapper extends BaseMapperX<HealthElderlyProfileDO> {
+    default HealthElderlyProfileDO selectByIdentityId(Long identityId) {
+        return selectOne(HealthElderlyProfileDO::getIdentityId, identityId);
+    }
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/mysql/profile/HealthVolunteerProfileMapper.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/mysql/profile/HealthVolunteerProfileMapper.java
@ -0,0 +1,13 @@
+package cn.iocoder.yudao.module.health.dal.mysql.profile;
+
+import cn.iocoder.yudao.framework.mybatis.core.mapper.BaseMapperX;
+import cn.iocoder.yudao.module.health.dal.dataobject.profile.HealthVolunteerProfileDO;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface HealthVolunteerProfileMapper extends BaseMapperX<HealthVolunteerProfileDO> {
+    default HealthVolunteerProfileDO selectByIdentityId(Long identityId) {
+        return selectOne(HealthVolunteerProfileDO::getIdentityId, identityId);
+    }
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/mysql/relation/HealthFamilyRelationMapper.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/mysql/relation/HealthFamilyRelationMapper.java
@ -0,0 +1,24 @@
+package cn.iocoder.yudao.module.health.dal.mysql.relation;
+
+import cn.iocoder.yudao.framework.common.pojo.PageResult;
+import cn.iocoder.yudao.framework.mybatis.core.mapper.BaseMapperX;
+import cn.iocoder.yudao.framework.mybatis.core.query.LambdaQueryWrapperX;
+import cn.iocoder.yudao.module.health.controller.admin.relation.vo.HealthFamilyRelationPageReqVO;
+import cn.iocoder.yudao.module.health.dal.dataobject.relation.HealthFamilyRelationDO;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface HealthFamilyRelationMapper extends BaseMapperX<HealthFamilyRelationDO> {
+    default HealthFamilyRelationDO selectByPair(Long familyId, Long elderlyProfileId) {
+        return selectOne(HealthFamilyRelationDO::getFamilyIdentityId, familyId,
+                HealthFamilyRelationDO::getElderlyProfileId, elderlyProfileId);
+    }
+    default PageResult<HealthFamilyRelationDO> selectPage(HealthFamilyRelationPageReqVO req) {
+        return selectPage(req, new LambdaQueryWrapperX<HealthFamilyRelationDO>()
+                .eqIfPresent(HealthFamilyRelationDO::getFamilyIdentityId, req.getFamilyIdentityId())
+                .eqIfPresent(HealthFamilyRelationDO::getElderlyProfileId, req.getElderlyProfileId())
+                .eqIfPresent(HealthFamilyRelationDO::getStatus, req.getStatus())
+                .orderByDesc(HealthFamilyRelationDO::getId));
+    }
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/mysql/目录说明.txt
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/mysql/目录说明.txt
@ -0,0 +1,3 @@
+MyBatis Mapper。框架负责租户过滤；唯一索引防止并发重复建档。
+
+详见 docs/健康业务模块与身份模型.md。
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/目录说明.txt
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/dal/目录说明.txt
@ -0,0 +1,3 @@
+数据访问层。
+
+详见 docs/健康业务模块与身份模型.md。
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/service/identity/HealthIdentityService.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/service/identity/HealthIdentityService.java
@ -0,0 +1,21 @@
+package cn.iocoder.yudao.module.health.service.identity;
+
+import cn.iocoder.yudao.framework.common.pojo.PageResult;
+import cn.iocoder.yudao.module.health.controller.admin.identity.vo.*;
+import cn.iocoder.yudao.module.health.controller.vo.HealthIdentityRespVO;
+import cn.iocoder.yudao.module.health.dal.dataobject.identity.HealthIdentityDO;
+
+public interface HealthIdentityService {
+    Long createIdentity(HealthIdentitySaveReqVO req);
+    void updateIdentity(HealthIdentitySaveReqVO req);
+    void auditIdentity(HealthIdentityAuditReqVO req, Long adminId);
+    void resubmitIdentity(Long id);
+    void updateStatus(HealthIdentityStatusReqVO req);
+    HealthIdentityRespVO getIdentityDetails(Long id);
+    PageResult<HealthIdentityRespVO> getIdentityPage(HealthIdentityPageReqVO req);
+    HealthIdentityDO getIdentityByMemberId(Long memberId);
+    HealthIdentityDO requireActiveIdentity(Long memberId, Integer type);
+    HealthIdentityDO requireActiveIdentityById(Long id, Integer type);
+    HealthIdentityRespVO getMyIdentity(Long memberId);
+    Long getElderlyIdentityId(Long elderlyProfileId);
+}
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/service/identity/HealthIdentityServiceImpl.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/service/identity/HealthIdentityServiceImpl.java
@ -0,0 +1,225 @@
+package cn.iocoder.yudao.module.health.service.identity;
+
+import cn.hutool.core.util.StrUtil;
+import cn.iocoder.yudao.framework.common.enums.CommonStatusEnum;
+import cn.iocoder.yudao.framework.common.pojo.PageResult;
+import cn.iocoder.yudao.framework.common.util.object.BeanUtils;
+import cn.iocoder.yudao.module.health.controller.admin.identity.vo.*;
+import cn.iocoder.yudao.module.health.controller.vo.HealthIdentityRespVO;
+import cn.iocoder.yudao.module.health.dal.dataobject.identity.HealthIdentityDO;
+import cn.iocoder.yudao.module.health.dal.dataobject.profile.*;
+import cn.iocoder.yudao.module.health.dal.mysql.identity.HealthIdentityMapper;
+import cn.iocoder.yudao.module.health.dal.mysql.profile.*;
+import cn.iocoder.yudao.module.member.api.user.MemberUserApi;
+import cn.iocoder.yudao.module.member.api.user.dto.*;
+import com.baomidou.mybatisplus.core.conditions.update.LambdaUpdateWrapper;
+import org.springframework.dao.DuplicateKeyException;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+
+import javax.annotation.Resource;
+import java.time.LocalDateTime;
+import java.util.Objects;
+import java.util.stream.Collectors;
+
+import static cn.iocoder.yudao.framework.common.exception.util.ServiceExceptionUtil.exception;
+import static cn.iocoder.yudao.module.health.enums.ErrorCodeConstants.*;
+import static cn.iocoder.yudao.module.health.enums.HealthIdentityTypeEnum.*;
+import static cn.iocoder.yudao.module.health.enums.HealthAuditStatusEnum.*;
+
+@Service
+public class HealthIdentityServiceImpl implements HealthIdentityService {
+    @Resource private HealthIdentityMapper identityMapper;
+    @Resource private HealthElderlyProfileMapper elderlyProfileMapper;
+    @Resource private HealthVolunteerProfileMapper volunteerProfileMapper;
+    @Resource private MemberUserApi memberUserApi;
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Long createIdentity(HealthIdentitySaveReqVO req) {
+        Long memberId = req.getMemberId();
+        if (memberId == null) {
+            if (StrUtil.isBlank(req.getMobile()) || StrUtil.isBlank(req.getPassword())) {
+                throw exception(ACCOUNT_REQUIRED);
+            }
+            memberId = memberUserApi.createUser(new MemberUserCreateReqDTO()
+                    .setMobile(req.getMobile()).setPassword(req.getPassword()).setNickname(req.getRealName()));
+        } else {
+            validateMember(memberId);
+            if (StrUtil.isNotBlank(req.getPassword()) || StrUtil.isNotBlank(req.getMobile())) {
+                throw exception(ACCOUNT_REQUIRED);
+            }
+        }
+        if (identityMapper.selectByMemberId(memberId) != null) {
+            throw exception(IDENTITY_EXISTS);
+        }
+        HealthIdentityDO identity = BeanUtils.toBean(req, HealthIdentityDO.class)
+                .setId(null).setMemberId(memberId).setStatus(CommonStatusEnum.ENABLE.getStatus())
+                .setAuditStatus(VOLUNTEER.getType().equals(req.getIdentityType())
+                        ? PENDING.getStatus() : APPROVED.getStatus());
+        try {
+            identityMapper.insert(identity);
+        } catch (DuplicateKeyException ex) {
+            throw exception(IDENTITY_EXISTS);
+        }
+        saveProfile(req, identity, true);
+        return identity.getId();
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public void updateIdentity(HealthIdentitySaveReqVO req) {
+        HealthIdentityDO identity = requireIdentity(req.getId());
+        if (!Objects.equals(identity.getIdentityType(), req.getIdentityType())
+                || (req.getMemberId() != null && !Objects.equals(identity.getMemberId(), req.getMemberId()))) {
+            throw exception(IDENTITY_IMMUTABLE);
+        }
+        if (StrUtil.isNotBlank(req.getPassword()) || StrUtil.isNotBlank(req.getMobile())) {
+            throw exception(IDENTITY_IMMUTABLE);
+        }
+        // Request VO 不包含启用和审核状态，编辑档案不能绕过审批。
+        identityMapper.updateById(BeanUtils.toBean(req, HealthIdentityDO.class));
+        saveProfile(req, identity, false);
+    }
+
+    private void saveProfile(HealthIdentitySaveReqVO req, HealthIdentityDO identity, boolean create) {
+        if (ELDERLY.getType().equals(identity.getIdentityType())) {
+            HealthElderlyProfileDO profile = BeanUtils.toBean(req, HealthElderlyProfileDO.class)
+                    .setId(null).setIdentityId(identity.getId());
+            if (create) {
+                elderlyProfileMapper.insert(profile);
+            } else {
+                HealthElderlyProfileDO existing = elderlyProfileMapper.selectByIdentityId(identity.getId());
+                if (existing == null) { throw exception(PROFILE_NOT_EXISTS); }
+                elderlyProfileMapper.updateById(profile.setId(existing.getId()));
+            }
+        } else if (VOLUNTEER.getType().equals(identity.getIdentityType())) {
+            HealthVolunteerProfileDO profile = BeanUtils.toBean(req, HealthVolunteerProfileDO.class)
+                    .setId(null).setIdentityId(identity.getId());
+            if (create) {
+                volunteerProfileMapper.insert(profile);
+            } else {
+                HealthVolunteerProfileDO existing = volunteerProfileMapper.selectByIdentityId(identity.getId());
+                if (existing == null) { throw exception(IDENTITY_NOT_EXISTS); }
+                volunteerProfileMapper.updateById(profile.setId(existing.getId()));
+            }
+        }
+    }
+
+    @Override
+    public void auditIdentity(HealthIdentityAuditReqVO req, Long adminId) {
+        HealthIdentityDO identity = requireIdentity(req.getId());
+        if (!VOLUNTEER.getType().equals(identity.getIdentityType())) { throw exception(IDENTITY_TYPE_MISMATCH); }
+        if (!req.getApproved() && StrUtil.isBlank(req.getReason())) { throw exception(AUDIT_REASON_REQUIRED); }
+        int updated = identityMapper.update(null, new LambdaUpdateWrapper<HealthIdentityDO>()
+                .eq(HealthIdentityDO::getId, req.getId()).eq(HealthIdentityDO::getAuditStatus, PENDING.getStatus())
+                .set(HealthIdentityDO::getAuditStatus, req.getApproved() ? APPROVED.getStatus() : REJECTED.getStatus())
+                .set(HealthIdentityDO::getAuditUserId, adminId).set(HealthIdentityDO::getAuditTime, LocalDateTime.now())
+                .set(HealthIdentityDO::getAuditReason, StrUtil.trimToEmpty(req.getReason())));
+        if (updated != 1) { throw exception(AUDIT_STATE_INVALID); }
+    }
+
+    @Override
+    public void resubmitIdentity(Long id) {
+        HealthIdentityDO identity = requireIdentity(id);
+        if (!VOLUNTEER.getType().equals(identity.getIdentityType())) { throw exception(IDENTITY_TYPE_MISMATCH); }
+        int updated = identityMapper.update(null, new LambdaUpdateWrapper<HealthIdentityDO>()
+                .eq(HealthIdentityDO::getId, id).eq(HealthIdentityDO::getAuditStatus, REJECTED.getStatus())
+                .set(HealthIdentityDO::getAuditStatus, PENDING.getStatus()));
+        if (updated != 1) { throw exception(AUDIT_STATE_INVALID); }
+    }
+
+    @Override
+    public void updateStatus(HealthIdentityStatusReqVO req) {
+        requireIdentity(req.getId());
+        identityMapper.update(null, new LambdaUpdateWrapper<HealthIdentityDO>()
+                .eq(HealthIdentityDO::getId, req.getId()).set(HealthIdentityDO::getStatus, req.getStatus()));
+    }
+
+    @Override
+    public HealthIdentityRespVO getIdentityDetails(Long id) {
+        HealthIdentityDO identity = requireIdentity(id);
+        HealthIdentityRespVO result = BeanUtils.toBean(identity, HealthIdentityRespVO.class);
+        MemberUserRespDTO member = memberUserApi.getUser(identity.getMemberId());
+        if (member != null) { result.setMobile(member.getMobile()); }
+        if (ELDERLY.getType().equals(identity.getIdentityType())) {
+            HealthElderlyProfileDO profile = elderlyProfileMapper.selectByIdentityId(id);
+            if (profile != null) {
+                result.setElderlyProfileId(profile.getId()).setEmergencyContact(profile.getEmergencyContact())
+                        .setEmergencyPhone(profile.getEmergencyPhone()).setHealthStatus(profile.getHealthStatus())
+                        .setMedicalHistory(profile.getMedicalHistory()).setMedicationInfo(profile.getMedicationInfo())
+                        .setSpecialNeeds(profile.getSpecialNeeds());
+            }
+        } else if (VOLUNTEER.getType().equals(identity.getIdentityType())) {
+            HealthVolunteerProfileDO profile = volunteerProfileMapper.selectByIdentityId(id);
+            if (profile != null) {
+                result.setVolunteerProfileId(profile.getId()).setSkills(profile.getSkills())
+                        .setServiceAreas(profile.getServiceAreas()).setAvailableTime(profile.getAvailableTime())
+                        .setServiceExperience(profile.getServiceExperience());
+            }
+        }
+        return result;
+    }
+
+    @Override
+    public PageResult<HealthIdentityRespVO> getIdentityPage(HealthIdentityPageReqVO req) {
+        PageResult<HealthIdentityDO> page = identityMapper.selectPage(req);
+        return new PageResult<>(page.getList().stream().map(row -> getIdentityDetails(row.getId()))
+                .collect(Collectors.toList()), page.getTotal());
+    }
+
+    @Override
+    public HealthIdentityDO getIdentityByMemberId(Long memberId) { return identityMapper.selectByMemberId(memberId); }
+
+    @Override
+    public HealthIdentityDO requireActiveIdentity(Long memberId, Integer type) {
+        HealthIdentityDO identity = identityMapper.selectByMemberId(memberId);
+        if (identity == null) { throw exception(IDENTITY_NOT_EXISTS); }
+        validateActive(identity, type);
+        return identity;
+    }
+
+    @Override
+    public HealthIdentityDO requireActiveIdentityById(Long id, Integer type) {
+        HealthIdentityDO identity = requireIdentity(id);
+        validateActive(identity, type);
+        return identity;
+    }
+
+    private void validateActive(HealthIdentityDO identity, Integer type) {
+        if (!Objects.equals(identity.getIdentityType(), type)) { throw exception(IDENTITY_TYPE_MISMATCH); }
+        if (!CommonStatusEnum.ENABLE.getStatus().equals(identity.getStatus())
+                || !APPROVED.getStatus().equals(identity.getAuditStatus())) { throw exception(IDENTITY_INACTIVE); }
+        validateMember(identity.getMemberId());
+    }
+
+    private void validateMember(Long memberId) {
+        MemberUserRespDTO member = memberUserApi.getUser(memberId);
+        if (member == null || !CommonStatusEnum.ENABLE.getStatus().equals(member.getStatus())) {
+            throw exception(MEMBER_INVALID);
+        }
+    }
+
+    private HealthIdentityDO requireIdentity(Long id) {
+        HealthIdentityDO identity = id == null ? null : identityMapper.selectById(id);
+        if (identity == null) { throw exception(IDENTITY_NOT_EXISTS); }
+        return identity;
+    }
+
+    @Override
+    public HealthIdentityRespVO getMyIdentity(Long memberId) {
+        // 允许本人查看待审结果，但停用的账号不能继续读取档案。
+        validateMember(memberId);
+        HealthIdentityDO identity = identityMapper.selectByMemberId(memberId);
+        if (identity == null) { return null; }
+        if (!CommonStatusEnum.ENABLE.getStatus().equals(identity.getStatus())) { throw exception(IDENTITY_INACTIVE); }
+        return getIdentityDetails(identity.getId());
+    }
+
+    @Override
+    public Long getElderlyIdentityId(Long elderlyProfileId) {
+        HealthElderlyProfileDO profile = elderlyProfileMapper.selectById(elderlyProfileId);
+        if (profile == null) { throw exception(PROFILE_NOT_EXISTS); }
+        return profile.getIdentityId();
+    }
+}
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/service/relation/HealthFamilyRelationService.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/service/relation/HealthFamilyRelationService.java
@ -0,0 +1,18 @@
+package cn.iocoder.yudao.module.health.service.relation;
+
+import cn.iocoder.yudao.framework.common.pojo.PageResult;
+import cn.iocoder.yudao.module.health.controller.vo.*;
+import cn.iocoder.yudao.module.health.controller.admin.relation.vo.HealthFamilyRelationPageReqVO;
+import java.util.List;
+
+public interface HealthFamilyRelationService {
+    Long createRelation(HealthFamilyRelationCreateReqVO req);
+    Long requestMyRelation(Long memberId, HealthFamilyRelationCreateReqVO req);
+    void reviewRelation(HealthFamilyRelationReviewReqVO req, Long actorId, boolean admin);
+    void revokeRelation(HealthFamilyRelationRevokeReqVO req, Long actorId, boolean admin);
+    void reopenRelation(Long id);
+    PageResult<HealthFamilyRelationRespVO> getRelationPage(HealthFamilyRelationPageReqVO req);
+    List<HealthFamilyRelationRespVO> getMyRelations(Long memberId);
+    void requireConfirmedFamilyRelation(Long familyMemberId, Long elderlyProfileId);
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/service/relation/HealthFamilyRelationServiceImpl.java
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/service/relation/HealthFamilyRelationServiceImpl.java
@ -0,0 +1,172 @@
+package cn.iocoder.yudao.module.health.service.relation;
+
+import cn.hutool.core.util.StrUtil;
+import cn.iocoder.yudao.framework.common.enums.UserTypeEnum;
+import cn.iocoder.yudao.framework.common.pojo.PageResult;
+import cn.iocoder.yudao.framework.common.util.object.BeanUtils;
+import cn.iocoder.yudao.framework.mybatis.core.query.LambdaQueryWrapperX;
+import cn.iocoder.yudao.module.health.controller.vo.*;
+import cn.iocoder.yudao.module.health.controller.admin.relation.vo.HealthFamilyRelationPageReqVO;
+import cn.iocoder.yudao.module.health.dal.dataobject.identity.HealthIdentityDO;
+import cn.iocoder.yudao.module.health.dal.dataobject.profile.HealthElderlyProfileDO;
+import cn.iocoder.yudao.module.health.dal.dataobject.relation.HealthFamilyRelationDO;
+import cn.iocoder.yudao.module.health.dal.mysql.identity.HealthIdentityMapper;
+import cn.iocoder.yudao.module.health.dal.mysql.profile.HealthElderlyProfileMapper;
+import cn.iocoder.yudao.module.health.dal.mysql.relation.HealthFamilyRelationMapper;
+import cn.iocoder.yudao.module.health.service.identity.HealthIdentityService;
+import com.baomidou.mybatisplus.core.conditions.update.LambdaUpdateWrapper;
+import org.springframework.dao.DuplicateKeyException;
+import org.springframework.stereotype.Service;
+import javax.annotation.Resource;
+import java.time.LocalDateTime;
+import java.util.List;
+import java.util.Objects;
+import java.util.stream.Collectors;
+import static cn.iocoder.yudao.framework.common.exception.util.ServiceExceptionUtil.exception;
+import static cn.iocoder.yudao.module.health.enums.ErrorCodeConstants.*;
+import static cn.iocoder.yudao.module.health.enums.HealthIdentityTypeEnum.*;
+
+@Service
+public class HealthFamilyRelationServiceImpl implements HealthFamilyRelationService {
+    @Resource private HealthFamilyRelationMapper relationMapper;
+    @Resource private HealthElderlyProfileMapper elderlyProfileMapper;
+    @Resource private HealthIdentityMapper identityMapper;
+    @Resource private HealthIdentityService identityService;
+
+    @Override
+    public Long createRelation(HealthFamilyRelationCreateReqVO req) {
+        if (req.getFamilyIdentityId() == null) { throw exception(IDENTITY_NOT_EXISTS); }
+        identityService.requireActiveIdentityById(req.getFamilyIdentityId(), FAMILY.getType());
+        requireElderly(req.getElderlyProfileId());
+        if (relationMapper.selectByPair(req.getFamilyIdentityId(), req.getElderlyProfileId()) != null) {
+            throw exception(RELATION_EXISTS);
+        }
+        HealthFamilyRelationDO relation = BeanUtils.toBean(req, HealthFamilyRelationDO.class).setStatus(0);
+        try { relationMapper.insert(relation); }
+        catch (DuplicateKeyException ex) { throw exception(RELATION_EXISTS); }
+        return relation.getId();
+    }
+
+    @Override
+    public Long requestMyRelation(Long memberId, HealthFamilyRelationCreateReqVO req) {
+        HealthIdentityDO family = identityService.requireActiveIdentity(memberId, FAMILY.getType());
+        // 不采信 APP 请求中的 familyIdentityId。
+        return createRelation(new HealthFamilyRelationCreateReqVO().setFamilyIdentityId(family.getId())
+                .setElderlyProfileId(req.getElderlyProfileId()).setRelationship(req.getRelationship()));
+    }
+
+    @Override
+    public void reviewRelation(HealthFamilyRelationReviewReqVO req, Long actorId, boolean admin) {
+        HealthFamilyRelationDO relation = requireRelation(req.getId());
+        if (admin) {
+            if (StrUtil.isBlank(req.getReason())) { throw exception(AUDIT_REASON_REQUIRED); }
+        } else {
+            HealthIdentityDO elder = identityService.requireActiveIdentity(actorId, ELDERLY.getType());
+            HealthElderlyProfileDO profile = elderlyProfileMapper.selectById(relation.getElderlyProfileId());
+            if (profile == null || !Objects.equals(profile.getIdentityId(), elder.getId())) {
+                throw exception(RELATION_FORBIDDEN);
+            }
+        }
+        // 停用的老人或家属不得新增生效关联。
+        requireElderly(relation.getElderlyProfileId());
+        identityService.requireActiveIdentityById(relation.getFamilyIdentityId(), FAMILY.getType());
+        int updated = relationMapper.update(null, new LambdaUpdateWrapper<HealthFamilyRelationDO>()
+                .eq(HealthFamilyRelationDO::getId, req.getId()).eq(HealthFamilyRelationDO::getStatus, 0)
+                .set(HealthFamilyRelationDO::getStatus, req.getApproved() ? 1 : 2)
+                .set(HealthFamilyRelationDO::getReviewUserType, actorType(admin))
+                .set(HealthFamilyRelationDO::getReviewUserId, actorId)
+                .set(HealthFamilyRelationDO::getReviewTime, LocalDateTime.now())
+                .set(HealthFamilyRelationDO::getReviewReason, StrUtil.trimToEmpty(req.getReason())));
+        if (updated != 1) { throw exception(RELATION_STATE_INVALID); }
+    }
+
+    @Override
+    public void revokeRelation(HealthFamilyRelationRevokeReqVO req, Long actorId, boolean admin) {
+        HealthFamilyRelationDO relation = requireRelation(req.getId());
+        if (!admin) {
+            HealthIdentityDO identity = identityService.getIdentityByMemberId(actorId);
+            if (identity == null) { throw exception(RELATION_FORBIDDEN); }
+            identityService.requireActiveIdentity(actorId, identity.getIdentityType());
+            HealthElderlyProfileDO profile = elderlyProfileMapper.selectById(relation.getElderlyProfileId());
+            if (!Objects.equals(relation.getFamilyIdentityId(), identity.getId())
+                    && (profile == null || !Objects.equals(profile.getIdentityId(), identity.getId()))) {
+                throw exception(RELATION_FORBIDDEN);
+            }
+        }
+        int updated = relationMapper.update(null, new LambdaUpdateWrapper<HealthFamilyRelationDO>()
+                .eq(HealthFamilyRelationDO::getId, req.getId()).in(HealthFamilyRelationDO::getStatus, 0, 1)
+                .set(HealthFamilyRelationDO::getStatus, 3)
+                .set(HealthFamilyRelationDO::getRevokeUserType, actorType(admin))
+                .set(HealthFamilyRelationDO::getRevokeUserId, actorId)
+                .set(HealthFamilyRelationDO::getRevokeTime, LocalDateTime.now())
+                .set(HealthFamilyRelationDO::getRevokeReason, req.getReason()));
+        if (updated != 1) { throw exception(RELATION_STATE_INVALID); }
+    }
+
+    @Override
+    public void reopenRelation(Long id) {
+        requireRelation(id);
+        int updated = relationMapper.update(null, new LambdaUpdateWrapper<HealthFamilyRelationDO>()
+                .eq(HealthFamilyRelationDO::getId, id).in(HealthFamilyRelationDO::getStatus, 2, 3)
+                .set(HealthFamilyRelationDO::getStatus, 0));
+        if (updated != 1) { throw exception(RELATION_STATE_INVALID); }
+        // 保留上次确认与解除字段作为最近一次处理痕迹，当前状态重新变为待确认。
+    }
+
+    @Override
+    public PageResult<HealthFamilyRelationRespVO> getRelationPage(HealthFamilyRelationPageReqVO req) {
+        PageResult<HealthFamilyRelationDO> page = relationMapper.selectPage(req);
+        return new PageResult<>(page.getList().stream().map(this::toResponse).collect(Collectors.toList()), page.getTotal());
+    }
+
+    @Override
+    public List<HealthFamilyRelationRespVO> getMyRelations(Long memberId) {
+        HealthIdentityDO identity = identityService.getIdentityByMemberId(memberId);
+        if (identity == null) { throw exception(IDENTITY_NOT_EXISTS); }
+        identityService.requireActiveIdentity(memberId, identity.getIdentityType());
+        LambdaQueryWrapperX<HealthFamilyRelationDO> query = new LambdaQueryWrapperX<>();
+        if (FAMILY.getType().equals(identity.getIdentityType())) {
+            query.eq(HealthFamilyRelationDO::getFamilyIdentityId, identity.getId());
+        } else if (ELDERLY.getType().equals(identity.getIdentityType())) {
+            HealthElderlyProfileDO profile = elderlyProfileMapper.selectByIdentityId(identity.getId());
+            if (profile == null) { throw exception(PROFILE_NOT_EXISTS); }
+            query.eq(HealthFamilyRelationDO::getElderlyProfileId, profile.getId());
+        } else { throw exception(IDENTITY_TYPE_MISMATCH); }
+        return relationMapper.selectList(query.orderByDesc(HealthFamilyRelationDO::getId)).stream()
+                .map(this::toResponse).collect(Collectors.toList());
+    }
+
+    @Override
+    public void requireConfirmedFamilyRelation(Long familyMemberId, Long elderlyProfileId) {
+        HealthIdentityDO family = identityService.requireActiveIdentity(familyMemberId, FAMILY.getType());
+        requireElderly(elderlyProfileId);
+        HealthFamilyRelationDO relation = relationMapper.selectByPair(family.getId(), elderlyProfileId);
+        if (relation == null || !Integer.valueOf(1).equals(relation.getStatus())) {
+            throw exception(RELATION_NOT_CONFIRMED);
+        }
+    }
+
+    private HealthIdentityDO requireElderly(Long profileId) {
+        HealthElderlyProfileDO profile = elderlyProfileMapper.selectById(profileId);
+        if (profile == null) { throw exception(PROFILE_NOT_EXISTS); }
+        return identityService.requireActiveIdentityById(profile.getIdentityId(), ELDERLY.getType());
+    }
+    private HealthFamilyRelationDO requireRelation(Long id) {
+        HealthFamilyRelationDO relation = relationMapper.selectById(id);
+        if (relation == null) { throw exception(RELATION_NOT_EXISTS); }
+        return relation;
+    }
+    private int actorType(boolean admin) {
+        return (admin ? UserTypeEnum.ADMIN : UserTypeEnum.MEMBER).getValue();
+    }
+    private HealthFamilyRelationRespVO toResponse(HealthFamilyRelationDO relation) {
+        HealthFamilyRelationRespVO response = BeanUtils.toBean(relation, HealthFamilyRelationRespVO.class);
+        HealthIdentityDO family = identityMapper.selectById(relation.getFamilyIdentityId());
+        HealthElderlyProfileDO profile = elderlyProfileMapper.selectById(relation.getElderlyProfileId());
+        HealthIdentityDO elderly = profile == null ? null : identityMapper.selectById(profile.getIdentityId());
+        if (family != null) { response.setFamilyName(family.getRealName()); }
+        if (elderly != null) { response.setElderlyName(elderly.getRealName()); }
+        return response;
+    }
+}
+
--- a/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/service/目录说明.txt
+++ b/yudao-module-health/yudao-module-health-biz/src/main/java/cn/iocoder/yudao/module/health/service/目录说明.txt
@ -0,0 +1,3 @@
+业务规则、账号与档案创建事务、审批和家属授权。
+
+详见 docs/健康业务模块与身份模型.md。
--- a/yudao-module-health/yudao-module-health-biz/src/test/java/cn/iocoder/yudao/module/health/service/HealthIdentityServiceTest.java
+++ b/yudao-module-health/yudao-module-health-biz/src/test/java/cn/iocoder/yudao/module/health/service/HealthIdentityServiceTest.java
@ -0,0 +1,193 @@
+package cn.iocoder.yudao.module.health.service;
+
+import cn.iocoder.yudao.framework.common.enums.CommonStatusEnum;
+import cn.iocoder.yudao.framework.security.core.LoginUser;
+import cn.iocoder.yudao.framework.tenant.config.TenantProperties;
+import cn.iocoder.yudao.framework.tenant.core.context.TenantContextHolder;
+import cn.iocoder.yudao.framework.tenant.core.db.TenantDatabaseInterceptor;
+import cn.iocoder.yudao.framework.test.core.ut.BaseDbUnitTest;
+import cn.iocoder.yudao.module.health.controller.admin.identity.vo.*;
+import cn.iocoder.yudao.module.health.controller.app.identity.AppHealthIdentityController;
+import cn.iocoder.yudao.module.health.controller.vo.*;
+import cn.iocoder.yudao.module.health.dal.dataobject.identity.HealthIdentityDO;
+import cn.iocoder.yudao.module.health.dal.mysql.identity.HealthIdentityMapper;
+import cn.iocoder.yudao.module.health.service.identity.*;
+import cn.iocoder.yudao.module.health.service.relation.*;
+import cn.iocoder.yudao.module.member.api.user.MemberUserApiImpl;
+import cn.iocoder.yudao.module.member.dal.dataobject.user.MemberUserDO;
+import cn.iocoder.yudao.module.member.dal.mysql.user.MemberUserMapper;
+import cn.iocoder.yudao.module.member.mq.producer.user.MemberUserProducer;
+import cn.iocoder.yudao.module.member.service.user.MemberUserServiceImpl;
+import cn.iocoder.yudao.module.system.api.sms.SmsCodeApi;
+import cn.iocoder.yudao.module.system.api.social.SocialClientApi;
+import com.baomidou.mybatisplus.extension.plugins.MybatisPlusInterceptor;
+import com.baomidou.mybatisplus.extension.plugins.inner.TenantLineInnerInterceptor;
+import org.junit.jupiter.api.*;
+import org.springframework.boot.test.context.TestConfiguration;
+import org.springframework.boot.test.mock.mockito.MockBean;
+import org.springframework.context.annotation.*;
+import org.springframework.security.authentication.AuthenticationCredentialsNotFoundException;
+import org.springframework.security.authentication.UsernamePasswordAuthenticationToken;
+import org.springframework.security.config.annotation.method.configuration.EnableGlobalMethodSecurity;
+import org.springframework.security.core.context.SecurityContextHolder;
+import org.springframework.security.crypto.bcrypt.BCryptPasswordEncoder;
+import org.springframework.security.crypto.password.PasswordEncoder;
+import javax.annotation.Resource;
+import java.util.Collections;
+import static cn.iocoder.yudao.framework.test.core.util.AssertUtils.assertServiceException;
+import static cn.iocoder.yudao.module.health.enums.ErrorCodeConstants.*;
+import static org.junit.jupiter.api.Assertions.*;
+
+@Import({ HealthIdentityServiceImpl.class, HealthFamilyRelationServiceImpl.class,
+        MemberUserServiceImpl.class, MemberUserApiImpl.class, AppHealthIdentityController.class,
+        HealthIdentityServiceTest.TestConfig.class })
+class HealthIdentityServiceTest extends BaseDbUnitTest {
+    @Resource private HealthIdentityService identityService;
+    @Resource private HealthFamilyRelationService relationService;
+    @Resource private HealthIdentityMapper identityMapper;
+    @Resource private MemberUserMapper memberMapper;
+    @Resource private PasswordEncoder passwordEncoder;
+    @Resource private AppHealthIdentityController appController;
+    @MockBean private SmsCodeApi smsCodeApi;
+    @MockBean private SocialClientApi socialClientApi;
+    @MockBean private MemberUserProducer memberUserProducer;
+
+    @TestConfiguration
+    @EnableGlobalMethodSecurity(prePostEnabled = true)
+    static class TestConfig {
+        @Bean PasswordEncoder passwordEncoder() { return new BCryptPasswordEncoder(); }
+        @Bean @Lazy(false) TenantLineInnerInterceptor testTenantInterceptor(MybatisPlusInterceptor interceptor) {
+            TenantLineInnerInterceptor tenant = new TenantLineInnerInterceptor(new TenantDatabaseInterceptor(new TenantProperties()));
+            interceptor.addInnerInterceptor(tenant);
+            return tenant;
+        }
+    }
+
+    @BeforeEach void setup() { TenantContextHolder.setTenantId(1L); }
+    @AfterEach void clear() { TenantContextHolder.clear(); SecurityContextHolder.clearContext(); }
+
+    private HealthIdentitySaveReqVO request(String mobile, int type) {
+        HealthIdentitySaveReqVO req = new HealthIdentitySaveReqVO();
+        req.setMobile(mobile).setPassword("Health123").setIdentityType(type);
+        req.setRealName("测试姓名").setGender(3).setContactPhone("13800000000");
+        return req;
+    }
+    private HealthIdentityRespVO create(String mobile, int type) {
+        return identityService.getIdentityDetails(identityService.createIdentity(request(mobile, type)));
+    }
+    private HealthFamilyRelationCreateReqVO relation(HealthIdentityRespVO family, HealthIdentityRespVO elder) {
+        return new HealthFamilyRelationCreateReqVO().setFamilyIdentityId(family.getId())
+                .setElderlyProfileId(elder.getElderlyProfileId()).setRelationship("子女");
+    }
+
+    @Test void createsEncryptedAccountAndDistinctProfileInOneTransaction() {
+        HealthIdentityRespVO elder = create("13800000001", 10);
+        MemberUserDO member = memberMapper.selectById(elder.getMemberId());
+        assertNotEquals("Health123", member.getPassword());
+        assertTrue(passwordEncoder.matches("Health123", member.getPassword()));
+        assertNotNull(elder.getElderlyProfileId());
+        assertEquals(1, elder.getAuditStatus());
+        assertEquals(1L, identityMapper.selectById(elder.getId()).getTenantId());
+        identityService.requireActiveIdentity(elder.getMemberId(), 10);
+    }
+
+    @Test void profileFailureRollsBackNewAccountAndIdentity() {
+        HealthIdentitySaveReqVO req = request("13800000002", 10);
+        req.setEmergencyContact(String.join("", Collections.nCopies(61, "a")));
+        assertThrows(Exception.class, () -> identityService.createIdentity(req));
+        assertNull(memberMapper.selectByMobile("13800000002"));
+        assertEquals(0, identityMapper.selectCount().longValue());
+    }
+
+    @Test void accountCannotAcquireSecondIdentityOrChangeType() {
+        HealthIdentityRespVO elder = create("13800000003", 10);
+        HealthIdentitySaveReqVO second = request("13800000004", 30).setMemberId(elder.getMemberId())
+                .setMobile(null).setPassword(null);
+        assertServiceException(() -> identityService.createIdentity(second), IDENTITY_EXISTS);
+        second.setId(elder.getId());
+        assertServiceException(() -> identityService.updateIdentity(second), IDENTITY_IMMUTABLE);
+        assertEquals(1, identityMapper.selectCount().longValue());
+    }
+
+    @Test void duplicateMobileDoesNotResetExistingPassword() {
+        HealthIdentityRespVO elder = create("13800000005", 10);
+        String password = memberMapper.selectById(elder.getMemberId()).getPassword();
+        assertServiceException(() -> identityService.createIdentity(request("13800000005", 30)),
+                cn.iocoder.yudao.module.member.enums.ErrorCodeConstants.USER_MOBILE_USED, "13800000005");
+        assertEquals(password, memberMapper.selectById(elder.getMemberId()).getPassword());
+    }
+
+    @Test void volunteerMustBeApprovedAndAccountAndIdentityMustRemainEnabled() {
+        HealthIdentityRespVO volunteer = create("13800000006", 20);
+        assertServiceException(() -> identityService.requireActiveIdentity(volunteer.getMemberId(), 20), IDENTITY_INACTIVE);
+        HealthIdentityAuditReqVO audit = new HealthIdentityAuditReqVO().setId(volunteer.getId()).setApproved(false);
+        assertServiceException(() -> identityService.auditIdentity(audit, 1L), AUDIT_REASON_REQUIRED);
+        audit.setReason("资料不完整");
+        identityService.auditIdentity(audit, 1L);
+        identityService.resubmitIdentity(volunteer.getId());
+        audit.setApproved(true).setReason("资料已核实");
+        identityService.auditIdentity(audit, 1L);
+        identityService.requireActiveIdentity(volunteer.getMemberId(), 20);
+        assertServiceException(() -> identityService.auditIdentity(audit, 1L), AUDIT_STATE_INVALID);
+        identityService.updateStatus(new HealthIdentityStatusReqVO().setId(volunteer.getId()).setStatus(1));
+        assertEquals("13800000000", identityService.getIdentityDetails(volunteer.getId()).getContactPhone());
+        assertServiceException(() -> identityService.requireActiveIdentity(volunteer.getMemberId(), 20), IDENTITY_INACTIVE);
+        identityService.updateStatus(new HealthIdentityStatusReqVO().setId(volunteer.getId()).setStatus(0));
+        memberMapper.updateById(new MemberUserDO().setId(volunteer.getMemberId()).setStatus(CommonStatusEnum.DISABLE.getStatus()));
+        assertServiceException(() -> identityService.requireActiveIdentity(volunteer.getMemberId(), 20), MEMBER_INVALID);
+    }
+
+    @Test void familyNeedsConsentAndUnrelatedElderCannotConfirm() {
+        HealthIdentityRespVO elder = create("13800000007", 10);
+        HealthIdentityRespVO other = create("13800000008", 10);
+        HealthIdentityRespVO family = create("13800000009", 30);
+        Long id = relationService.createRelation(relation(family, elder));
+        assertServiceException(() -> relationService.requireConfirmedFamilyRelation(family.getMemberId(), elder.getElderlyProfileId()), RELATION_NOT_CONFIRMED);
+        HealthFamilyRelationReviewReqVO review = new HealthFamilyRelationReviewReqVO().setId(id).setApproved(true);
+        assertServiceException(() -> relationService.reviewRelation(review, other.getMemberId(), false), RELATION_FORBIDDEN);
+        assertServiceException(() -> relationService.reviewRelation(review, 1L, true), AUDIT_REASON_REQUIRED);
+        relationService.reviewRelation(review, elder.getMemberId(), false);
+        relationService.requireConfirmedFamilyRelation(family.getMemberId(), elder.getElderlyProfileId());
+        assertServiceException(() -> relationService.reviewRelation(review, elder.getMemberId(), false), RELATION_STATE_INVALID);
+        relationService.revokeRelation(new HealthFamilyRelationRevokeReqVO().setId(id).setReason("解除关联"), family.getMemberId(), false);
+        assertServiceException(() -> relationService.requireConfirmedFamilyRelation(family.getMemberId(), elder.getElderlyProfileId()), RELATION_NOT_CONFIRMED);
+        relationService.reopenRelation(id);
+        assertServiceException(() -> relationService.requireConfirmedFamilyRelation(family.getMemberId(), elder.getElderlyProfileId()), RELATION_NOT_CONFIRMED);
+    }
+
+    @Test void familyRequestIgnoresSpoofedFamilyIdentityAndSupportsManyToMany() {
+        HealthIdentityRespVO elder = create("13800000010", 10);
+        HealthIdentityRespVO otherElder = create("13800000011", 10);
+        HealthIdentityRespVO family = create("13800000012", 30);
+        HealthIdentityRespVO otherFamily = create("13800000013", 30);
+        Long id = relationService.requestMyRelation(family.getMemberId(), relation(otherFamily, elder));
+        assertEquals(family.getId(), relationService.getMyRelations(family.getMemberId()).get(0).getFamilyIdentityId());
+        assertEquals(0, relationService.getMyRelations(otherFamily.getMemberId()).size());
+        relationService.createRelation(relation(otherFamily, elder));
+        relationService.createRelation(relation(family, otherElder));
+        assertEquals(2, relationService.getMyRelations(family.getMemberId()).size());
+        relationService.reviewRelation(new HealthFamilyRelationReviewReqVO().setId(id).setApproved(true).setReason("核实亲属信息"), 1L, true);
+        relationService.requireConfirmedFamilyRelation(family.getMemberId(), elder.getElderlyProfileId());
+        identityService.updateStatus(new HealthIdentityStatusReqVO().setId(elder.getId()).setStatus(1));
+        assertServiceException(() -> relationService.requireConfirmedFamilyRelation(family.getMemberId(), elder.getElderlyProfileId()), IDENTITY_INACTIVE);
+    }
+
+    @Test void tenantIsolationAppliesToReadsWritesAndUniqueness() {
+        HealthIdentityRespVO tenantOne = create("13800000014", 10);
+        TenantContextHolder.setTenantId(2L);
+        assertNull(identityService.getIdentityByMemberId(tenantOne.getMemberId()));
+        assertServiceException(() -> identityService.getIdentityDetails(tenantOne.getId()), IDENTITY_NOT_EXISTS);
+        HealthIdentityRespVO tenantTwo = create("13800000014", 30);
+        assertNotEquals(tenantOne.getMemberId(), tenantTwo.getMemberId());
+        TenantContextHolder.setTenantId(1L);
+        assertServiceException(() -> identityService.getIdentityDetails(tenantTwo.getId()), IDENTITY_NOT_EXISTS);
+    }
+
+    @Test void appInterfaceRejectsAnonymousAccessAndOnlyReadsLoggedInMember() {
+        assertThrows(AuthenticationCredentialsNotFoundException.class, () -> appController.me());
+        HealthIdentityRespVO elder = create("13800000015", 10);
+        LoginUser user = new LoginUser().setId(elder.getMemberId()).setUserType(1).setTenantId(1L);
+        SecurityContextHolder.getContext().setAuthentication(new UsernamePasswordAuthenticationToken(user, null, Collections.emptyList()));
+        assertEquals(elder.getId(), appController.me().getData().getId());
+    }
+}
--- a/yudao-module-health/yudao-module-health-biz/src/test/resources/application-unit-test.yaml
+++ b/yudao-module-health/yudao-module-health-biz/src/test/resources/application-unit-test.yaml
@ -0,0 +1,22 @@
+spring:
+  main:
+    lazy-initialization: true
+    banner-mode: off
+  datasource:
+    name: health-test
+    url: jdbc:h2:mem:health-test;MODE=MYSQL;DATABASE_TO_UPPER=false;NON_KEYWORDS=value
+    driver-class-name: org.h2.Driver
+    username: sa
+    password:
+    druid:
+      async-init: true
+      initial-size: 1
+  sql:
+    init:
+      schema-locations: classpath:/sql/create_tables.sql
+mybatis:
+  lazy-initialization: true
+yudao:
+  info:
+    base-package: cn.iocoder.yudao.module
+
--- a/yudao-module-health/yudao-module-health-biz/src/test/resources/sql/clean.sql
+++ b/yudao-module-health/yudao-module-health-biz/src/test/resources/sql/clean.sql
@ -0,0 +1,5 @@
+DELETE FROM health_family_relation;
+DELETE FROM health_volunteer_profile;
+DELETE FROM health_elderly_profile;
+DELETE FROM health_identity;
+DELETE FROM member_user;
--- a/yudao-module-health/yudao-module-health-biz/src/test/resources/sql/create_tables.sql
+++ b/yudao-module-health/yudao-module-health-biz/src/test/resources/sql/create_tables.sql
@ -0,0 +1,116 @@
+CREATE TABLE IF NOT EXISTS health_identity (
+  id bigint NOT NULL GENERATED BY DEFAULT AS IDENTITY COMMENT '主键',
+  member_id bigint NOT NULL COMMENT 'member_user.id；不是 system_user.id',
+  identity_type tinyint NOT NULL COMMENT '10 老人、20 志愿者、30 家属；创建后不更换',
+  real_name varchar(30) NOT NULL COMMENT '真实姓名',
+  contact_phone varchar(30) NULL COMMENT '联系方式，可与登录手机号不同',
+  gender tinyint NOT NULL DEFAULT 3 COMMENT '1 男、2 女、3 未知',
+  birth_date date NULL COMMENT '出生日期',
+  address varchar(500) NULL COMMENT '地址',
+  status tinyint NOT NULL DEFAULT 0 COMMENT '0 启用、1 停用',
+  audit_status tinyint NOT NULL COMMENT '0 待审、1 通过、2 驳回',
+  audit_user_id bigint NULL COMMENT '审核管理员 system_user.id',
+  audit_time datetime NULL COMMENT '最近审核时间',
+  audit_reason varchar(500) NULL COMMENT '最近审核理由',
+  creator varchar(64) DEFAULT '' COMMENT '创建者',
+  create_time datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  updater varchar(64) DEFAULT '' COMMENT '更新者',
+  update_time datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  deleted bit(1) NOT NULL DEFAULT FALSE COMMENT '逻辑删除标记；身份管理使用停用保留历史',
+  tenant_id bigint NOT NULL COMMENT '租户编号',
+  PRIMARY KEY (id),
+  UNIQUE KEY uk_health_identity_member (tenant_id, member_id),
+  KEY idx_health_identity_type (tenant_id, identity_type, status, audit_status)
+);
+
+CREATE TABLE IF NOT EXISTS health_elderly_profile (
+  id bigint NOT NULL GENERATED BY DEFAULT AS IDENTITY COMMENT '主键',
+  identity_id bigint NOT NULL COMMENT 'health_identity.id，必须是老人身份',
+  emergency_contact varchar(60) NULL COMMENT '紧急联系人',
+  emergency_phone varchar(30) NULL COMMENT '紧急联系电话',
+  health_status varchar(500) NULL COMMENT '健康状况摘要，不替代历次评估',
+  medical_history varchar(2000) NULL COMMENT '病史',
+  medication_info varchar(2000) NULL COMMENT '用药信息',
+  special_needs varchar(1000) NULL COMMENT '特殊需求',
+  creator varchar(64) DEFAULT '' COMMENT '创建者',
+  create_time datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  updater varchar(64) DEFAULT '' COMMENT '更新者',
+  update_time datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  deleted bit(1) NOT NULL DEFAULT FALSE COMMENT '逻辑删除标记；身份管理使用停用保留历史',
+  tenant_id bigint NOT NULL COMMENT '租户编号',
+  PRIMARY KEY (id),
+  UNIQUE KEY uk_health_elderly_identity (tenant_id, identity_id)
+);
+
+CREATE TABLE IF NOT EXISTS health_volunteer_profile (
+  id bigint NOT NULL GENERATED BY DEFAULT AS IDENTITY COMMENT '主键',
+  identity_id bigint NOT NULL COMMENT 'health_identity.id，必须是志愿者身份',
+  skills varchar(1000) NULL COMMENT '服务技能',
+  service_areas varchar(500) NULL COMMENT '服务区域；后续匹配可细化',
+  available_time varchar(1000) NULL COMMENT '可服务时间说明；后续排班可细化',
+  service_experience varchar(2000) NULL COMMENT '服务经验',
+  creator varchar(64) DEFAULT '' COMMENT '创建者',
+  create_time datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  updater varchar(64) DEFAULT '' COMMENT '更新者',
+  update_time datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  deleted bit(1) NOT NULL DEFAULT FALSE COMMENT '逻辑删除标记；身份管理使用停用保留历史',
+  tenant_id bigint NOT NULL COMMENT '租户编号',
+  PRIMARY KEY (id),
+  UNIQUE KEY uk_health_volunteer_identity (tenant_id, identity_id)
+);
+
+CREATE TABLE IF NOT EXISTS health_family_relation (
+  id bigint NOT NULL GENERATED BY DEFAULT AS IDENTITY COMMENT '主键',
+  family_identity_id bigint NOT NULL COMMENT '家属 health_identity.id',
+  elderly_profile_id bigint NOT NULL COMMENT '老人 health_elderly_profile.id，不是 member_id',
+  relationship varchar(30) NOT NULL COMMENT '与老人关系',
+  status tinyint NOT NULL DEFAULT 0 COMMENT '0 待确认、1 已确认、2 已拒绝、3 已解除',
+  review_user_type tinyint NULL COMMENT '确认者账号类型：1 member、2 admin',
+  review_user_id bigint NULL COMMENT '确认者账号编号，结合 user_type 解释',
+  review_time datetime NULL COMMENT '最近确认或拒绝时间',
+  review_reason varchar(500) NULL COMMENT '管理员确认必须记录核实理由',
+  revoke_user_type tinyint NULL COMMENT '解除者账号类型',
+  revoke_user_id bigint NULL COMMENT '解除者账号编号',
+  revoke_time datetime NULL COMMENT '最近解除时间',
+  revoke_reason varchar(500) NULL COMMENT '解除理由',
+  creator varchar(64) DEFAULT '' COMMENT '创建者',
+  create_time datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  updater varchar(64) DEFAULT '' COMMENT '更新者',
+  update_time datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  deleted bit(1) NOT NULL DEFAULT FALSE COMMENT '逻辑删除标记；身份管理使用停用保留历史',
+  tenant_id bigint NOT NULL COMMENT '租户编号',
+  PRIMARY KEY (id),
+  UNIQUE KEY uk_health_family_pair (tenant_id, family_identity_id, elderly_profile_id),
+  KEY idx_health_family_elderly (tenant_id, elderly_profile_id, status)
+);
+
+CREATE TABLE IF NOT EXISTS `member_user`  (
+  `id` bigint NOT NULL GENERATED BY DEFAULT AS IDENTITY COMMENT '编号',
+  `mobile` varchar(11) NULL DEFAULT NULL COMMENT '手机号',
+  `password` varchar(100) NOT NULL DEFAULT '' COMMENT '密码',
+  `status` tinyint NOT NULL COMMENT '状态',
+  `register_ip` varchar(32) NOT NULL COMMENT '注册 IP',
+  `register_terminal` tinyint NULL DEFAULT NULL COMMENT '注册终端',
+  `login_ip` varchar(50) NULL DEFAULT '' COMMENT '最后登录IP',
+  `login_date` datetime NULL DEFAULT NULL COMMENT '最后登录时间',
+  `nickname` varchar(30) NOT NULL DEFAULT '' COMMENT '用户昵称',
+  `avatar` varchar(512) NOT NULL DEFAULT '' COMMENT '头像',
+  `name` varchar(30) NULL DEFAULT '' COMMENT '真实名字',
+  `sex` tinyint NULL DEFAULT 0 COMMENT '用户性别',
+  `area_id` bigint NULL DEFAULT NULL COMMENT '所在地',
+  `birthday` datetime NULL DEFAULT NULL COMMENT '出生日期',
+  `mark` varchar(255) NULL DEFAULT NULL COMMENT '会员备注',
+  `point` int NOT NULL DEFAULT 0 COMMENT '积分',
+  `tag_ids` varchar(255) NULL DEFAULT NULL COMMENT '用户标签编号列表，以逗号分隔',
+  `level_id` bigint NULL DEFAULT NULL COMMENT '等级编号',
+  `experience` int NOT NULL DEFAULT 0 COMMENT '经验',
+  `group_id` bigint NULL DEFAULT NULL COMMENT '用户分组编号',
+  `creator` varchar(64) NULL DEFAULT '' COMMENT '创建者',
+  `create_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间',
+  `updater` varchar(64) NULL DEFAULT '' COMMENT '更新者',
+  `update_time` datetime NOT NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间',
+  `deleted` bit(1) NOT NULL DEFAULT FALSE COMMENT '是否删除',
+  `tenant_id` bigint NOT NULL DEFAULT 0 COMMENT '租户编号',
+  PRIMARY KEY (`id`),
+  UNIQUE KEY `uk_member_mobile_tenant` (`tenant_id`, `mobile`)
+);
--- a/yudao-module-health/yudao-module-health-biz/src/test/目录说明.txt
+++ b/yudao-module-health/yudao-module-health-biz/src/test/目录说明.txt
@ -0,0 +1,3 @@
+身份、事务回滚、家属授权、匿名请求和租户隔离的集成测试。测试数据仅保存在 H2 内存库。
+
+详见 docs/健康业务模块与身份模型.md。
--- a/yudao-module-health/yudao-module-health-biz/目录说明.txt
+++ b/yudao-module-health/yudao-module-health-biz/目录说明.txt
@ -0,0 +1,3 @@
+健康业务实现：后台身份建档、志愿者审核、本人身份查询、家属确认和健康档案授权。src/test 使用 H2，不操作本地业务数据库。
+
+详见 docs/健康业务模块与身份模型.md。
--- a/yudao-module-health/目录说明.txt
+++ b/yudao-module-health/目录说明.txt
@ -0,0 +1,3 @@
+老年健康业务模块。已加入 Maven 和 yudao-server；账号复用 member，业务身份和基础健康档案保存在这里。后续扩展评估、运动预约、派单、提醒和摄像头接入。
+
+详见 docs/健康业务模块与身份模型.md。
--- a/yudao-module-member/yudao-module-member-api/src/main/java/cn/iocoder/yudao/module/member/api/user/dto/MemberUserCreateReqDTO.java
+++ b/yudao-module-member/yudao-module-member-api/src/main/java/cn/iocoder/yudao/module/member/api/user/dto/MemberUserCreateReqDTO.java
@ -0,0 +1,18 @@
+package cn.iocoder.yudao.module.member.api.user.dto;
+
+import cn.iocoder.yudao.framework.common.validation.Mobile;
+import lombok.Data;
+import lombok.ToString;
+import javax.validation.constraints.NotBlank;
+import javax.validation.constraints.Size;
+
+/** 后台业务建档时创建账号，不开放无短信验证的公共注册接口。 */
+@Data
+public class MemberUserCreateReqDTO {
+    @NotBlank @Mobile
+    private String mobile;
+    @NotBlank @Size(min = 4, max = 16) @ToString.Exclude
+    private String password;
+    @NotBlank @Size(max = 30)
+    private String nickname;
+}
--- a/yudao-ui-admin-vue3/src/api/health/index.ts
+++ b/yudao-ui-admin-vue3/src/api/health/index.ts
@ -0,0 +1,80 @@
+import request from '@/config/axios'
+
+export const identityTypes = [
+  { value: 10, label: '老人' },
+  { value: 20, label: '志愿者' },
+  { value: 30, label: '家属' }
+]
+export const auditStates = [
+  { value: 0, label: '待审核' },
+  { value: 1, label: '已通过' },
+  { value: 2, label: '已驳回' }
+]
+export interface Identity {
+  id?: number
+  memberId?: number
+  mobile?: string
+  password?: string
+  identityType: number
+  realName: string
+  gender: number
+  contactPhone?: string
+  birthDate?: string
+  address?: string
+  emergencyContact?: string
+  emergencyPhone?: string
+  healthStatus?: string
+  medicalHistory?: string
+  medicationInfo?: string
+  specialNeeds?: string
+  skills?: string
+  serviceAreas?: string
+  availableTime?: string
+  serviceExperience?: string
+  status?: number
+  auditStatus?: number
+  auditReason?: string
+  elderlyProfileId?: number
+  volunteerProfileId?: number
+}
+export interface FamilyRelation {
+  id: number
+  familyIdentityId: number
+  familyName: string
+  elderlyProfileId: number
+  elderlyName: string
+  relationship: string
+  status: number
+  reviewReason?: string
+  revokeReason?: string
+}
+export const getIdentityPage = (params: any) =>
+  request.get<{ list: Identity[]; total: number }>({ url: '/health/identity/page', params })
+export const getIdentity = (id: number) =>
+  request.get<Identity>({ url: '/health/identity/get', params: { id } })
+export const createIdentity = (data: Identity) =>
+  request.post<number>({ url: '/health/identity/create', data })
+export const updateIdentity = (data: Identity) =>
+  request.put({ url: '/health/identity/update', data })
+export const auditIdentity = (id: number, approved: boolean, reason: string) =>
+  request.put({ url: '/health/identity/audit', data: { id, approved, reason } })
+export const resubmitIdentity = (id: number) =>
+  request.put({ url: '/health/identity/resubmit', params: { id } })
+export const updateIdentityStatus = (id: number, status: number) =>
+  request.put({ url: '/health/identity/update-status', data: { id, status } })
+export const getRelationPage = (params: any) =>
+  request.get<{ list: FamilyRelation[]; total: number }>({
+    url: '/health/family-relation/page',
+    params
+  })
+export const createRelation = (data: {
+  familyIdentityId: number
+  elderlyProfileId: number
+  relationship: string
+}) => request.post({ url: '/health/family-relation/create', data })
+export const reviewRelation = (id: number, approved: boolean, reason: string) =>
+  request.put({ url: '/health/family-relation/review', data: { id, approved, reason } })
+export const revokeRelation = (id: number, reason: string) =>
+  request.put({ url: '/health/family-relation/revoke', data: { id, reason } })
+export const reopenRelation = (id: number) =>
+  request.put({ url: '/health/family-relation/reopen', params: { id } })
--- a/yudao-ui-admin-vue3/src/api/health/目录说明.txt
+++ b/yudao-ui-admin-vue3/src/api/health/目录说明.txt
@ -0,0 +1 @@
+健康管理接口：身份建档、档案编辑、志愿者审核、家属关联。此处只封装请求，身份授权由后端执行。
--- a/yudao-ui-admin-vue3/src/views/health/family-relation/index.vue
+++ b/yudao-ui-admin-vue3/src/views/health/family-relation/index.vue
@ -0,0 +1,262 @@
+<template>
+  <ContentWrap>
+    <el-alert
+      title="关联需老人确认，管理员也可核实后确认；确认后家属才能查看老人健康档案。"
+      type="info"
+      :closable="false"
+      class="mb-16px"
+    />
+    <el-form :inline="true">
+      <el-form-item label="关联状态">
+        <el-select v-model="query.status" clearable class="!w-140px">
+          <el-option v-for="(label, index) in states" :key="index" :label="label" :value="index" />
+        </el-select>
+      </el-form-item>
+      <el-form-item>
+        <el-button type="primary" @click="search">查询</el-button>
+        <el-button v-hasPermi="['health:family-relation:create']" type="success" @click="openCreate"
+          >新增关联</el-button
+        >
+      </el-form-item>
+    </el-form>
+    <el-table :data="list" v-loading="loading" stripe>
+      <el-table-column label="关联编号" prop="id" width="90" />
+      <el-table-column label="家属" prop="familyName" min-width="110" />
+      <el-table-column label="老人" prop="elderlyName" min-width="110" />
+      <el-table-column label="关系" prop="relationship" width="110" />
+      <el-table-column label="状态" width="110">
+        <template #default="{ row }"
+          ><el-tag :type="row.status === 1 ? 'success' : 'info'">{{
+            states[row.status]
+          }}</el-tag></template
+        >
+      </el-table-column>
+      <el-table-column
+        label="最近核实理由"
+        prop="reviewReason"
+        min-width="180"
+        show-overflow-tooltip
+      />
+      <el-table-column
+        label="最近解除理由"
+        prop="revokeReason"
+        min-width="180"
+        show-overflow-tooltip
+      />
+      <el-table-column label="操作" min-width="210">
+        <template #default="{ row }">
+          <el-button
+            v-if="row.status === 0"
+            v-hasPermi="['health:family-relation:review']"
+            link
+            type="success"
+            @click="review(row, true)"
+            >核实确认</el-button
+          >
+          <el-button
+            v-if="row.status === 0"
+            v-hasPermi="['health:family-relation:review']"
+            link
+            type="danger"
+            @click="review(row, false)"
+            >拒绝</el-button
+          >
+          <el-button
+            v-if="row.status === 0 || row.status === 1"
+            v-hasPermi="['health:family-relation:revoke']"
+            link
+            type="danger"
+            @click="revoke(row)"
+            >解除</el-button
+          >
+          <el-button
+            v-if="row.status === 2 || row.status === 3"
+            v-hasPermi="['health:family-relation:review']"
+            link
+            type="primary"
+            @click="reopen(row)"
+            >重新申请</el-button
+          >
+        </template>
+      </el-table-column>
+    </el-table>
+    <Pagination
+      :total="total"
+      v-model:page="query.pageNo"
+      v-model:limit="query.pageSize"
+      @pagination="load"
+    />
+  </ContentWrap>
+  <Dialog title="新增家属关联" v-model="visible" width="600">
+    <el-form ref="formRef" :model="form" :rules="rules" label-width="100px">
+      <el-form-item label="家属" prop="familyIdentityId">
+        <el-select
+          v-model="form.familyIdentityId"
+          filterable
+          remote
+          :remote-method="searchFamilies"
+          placeholder="输入姓名查找家属"
+          class="w-full"
+        >
+          <el-option
+            v-for="person in families"
+            :key="person.id"
+            :value="person.id"
+            :label="person.realName + '（账号 ' + person.memberId + '）'"
+          />
+        </el-select>
+      </el-form-item>
+      <el-form-item label="老人" prop="elderlyProfileId">
+        <el-select
+          v-model="form.elderlyProfileId"
+          filterable
+          remote
+          :remote-method="searchElders"
+          placeholder="输入姓名查找老人"
+          class="w-full"
+        >
+          <el-option
+            v-for="person in elders"
+            :key="person.id"
+            :value="person.elderlyProfileId"
+            :label="person.realName + '（档案 ' + person.elderlyProfileId + '）'"
+          />
+        </el-select>
+      </el-form-item>
+      <el-form-item label="与老人关系" prop="relationship"
+        ><el-input v-model="form.relationship" maxlength="30" placeholder="例如：子女、配偶"
+      /></el-form-item>
+    </el-form>
+    <template #footer>
+      <el-button type="primary" :loading="saving" @click="submit">提交关联申请</el-button>
+      <el-button @click="visible = false">取消</el-button>
+    </template>
+  </Dialog>
+</template>
+<script setup lang="ts">
+import * as Api from '@/api/health'
+import { ElMessageBox } from 'element-plus'
+import type { FormInstance } from 'element-plus'
+defineOptions({ name: 'HealthFamilyRelation' })
+const states = ['待确认', '已确认', '已拒绝', '已解除']
+const query = reactive({ pageNo: 1, pageSize: 10, status: undefined as number | undefined })
+const list = ref<Api.FamilyRelation[]>([])
+const total = ref(0)
+const loading = ref(false)
+const saving = ref(false)
+const visible = ref(false)
+const families = ref<Api.Identity[]>([])
+const elders = ref<Api.Identity[]>([])
+const form = reactive({
+  familyIdentityId: undefined as number | undefined,
+  elderlyProfileId: undefined as number | undefined,
+  relationship: ''
+})
+const formRef = ref<FormInstance>()
+const rules = {
+  familyIdentityId: [{ required: true, message: '请选择家属', trigger: 'change' }],
+  elderlyProfileId: [{ required: true, message: '请选择老人', trigger: 'change' }],
+  relationship: [{ required: true, message: '请输入与老人关系', trigger: 'blur' }]
+}
+const message = useMessage()
+const load = async () => {
+  loading.value = true
+  try {
+    const page = await Api.getRelationPage(query)
+    list.value = page.list
+    total.value = page.total
+  } finally {
+    loading.value = false
+  }
+}
+const search = () => {
+  query.pageNo = 1
+  load()
+}
+const searchFamilies = async (realName: string) => {
+  families.value = (
+    await Api.getIdentityPage({
+      pageNo: 1,
+      pageSize: 50,
+      identityType: 30,
+      status: 0,
+      auditStatus: 1,
+      realName
+    })
+  ).list
+}
+const searchElders = async (realName: string) => {
+  elders.value = (
+    await Api.getIdentityPage({
+      pageNo: 1,
+      pageSize: 50,
+      identityType: 10,
+      status: 0,
+      auditStatus: 1,
+      realName
+    })
+  ).list
+}
+const openCreate = async () => {
+  Object.assign(form, {
+    familyIdentityId: undefined,
+    elderlyProfileId: undefined,
+    relationship: ''
+  })
+  visible.value = true
+  await nextTick()
+  formRef.value?.clearValidate()
+  await Promise.all([searchFamilies(''), searchElders('')])
+}
+const submit = async () => {
+  if (!(await formRef.value?.validate())) return
+  saving.value = true
+  try {
+    await Api.createRelation({
+      familyIdentityId: form.familyIdentityId!,
+      elderlyProfileId: form.elderlyProfileId!,
+      relationship: form.relationship
+    })
+    visible.value = false
+    message.success('已提交，等待确认')
+    await load()
+  } finally {
+    saving.value = false
+  }
+}
+const promptReason = async (title: string): Promise<string | undefined> => {
+  try {
+    const result = await ElMessageBox.prompt('请填写核实情况或处理理由', title, {
+      inputValidator: (value) =>
+        value?.trim() && value.length <= 500 ? true : '请填写理由，不超过 500 字'
+    })
+    return result.value.trim()
+  } catch {
+    return undefined
+  }
+}
+const review = async (row: Api.FamilyRelation, approved: boolean) => {
+  const reason = await promptReason(approved ? '核实确认关联' : '拒绝关联')
+  if (reason === undefined) return
+  await Api.reviewRelation(row.id, approved, reason)
+  message.success('处理完成')
+  await load()
+}
+const revoke = async (row: Api.FamilyRelation) => {
+  const reason = await promptReason('解除家属关联')
+  if (reason === undefined) return
+  await Api.revokeRelation(row.id, reason)
+  message.success('关联已解除')
+  await load()
+}
+const reopen = async (row: Api.FamilyRelation) => {
+  try {
+    await ElMessageBox.confirm('重新申请后需要老人或管理员再次确认，确认继续？', '重新申请')
+  } catch {
+    return
+  }
+  await Api.reopenRelation(row.id)
+  await load()
+}
+onMounted(load)
+</script>
--- a/yudao-ui-admin-vue3/src/views/health/family-relation/目录说明.txt
+++ b/yudao-ui-admin-vue3/src/views/health/family-relation/目录说明.txt
@ -0,0 +1 @@
+家属与老人关联管理：新增申请、管理员核实确认、拒绝、解除和重新申请。
--- a/yudao-ui-admin-vue3/src/views/health/identity/IdentityForm.vue
+++ b/yudao-ui-admin-vue3/src/views/health/identity/IdentityForm.vue
@ -0,0 +1,211 @@
+<template>
+  <Dialog :title="title" v-model="visible" width="760">
+    <el-form
+      ref="formRef"
+      :model="data"
+      :rules="rules"
+      label-width="120px"
+      v-loading="loading"
+      :disabled="readOnly"
+    >
+      <el-form-item label="业务身份" prop="identityType">
+        <el-radio-group v-model="data.identityType" :disabled="!!data.id">
+          <el-radio v-for="item in Api.identityTypes" :key="item.value" :label="item.value">{{
+            item.label
+          }}</el-radio>
+        </el-radio-group>
+      </el-form-item>
+      <template v-if="!data.id">
+        <el-form-item label="账号来源">
+          <el-radio-group v-model="accountMode">
+            <el-radio label="new">创建新账号</el-radio>
+            <el-radio label="existing">绑定已有会员账号</el-radio>
+          </el-radio-group>
+        </el-form-item>
+        <template v-if="accountMode === 'new'">
+          <el-form-item label="登录手机号" prop="mobile">
+            <el-input v-model="data.mobile" maxlength="11" autocomplete="off" />
+          </el-form-item>
+          <el-form-item label="初始密码" prop="password">
+            <el-input
+              v-model="data.password"
+              type="password"
+              show-password
+              autocomplete="new-password"
+              maxlength="16"
+            />
+          </el-form-item>
+        </template>
+        <el-form-item v-else label="会员账号编号" prop="memberId">
+          <el-input-number v-model="data.memberId" :min="1" :precision="0" :controls="false" />
+        </el-form-item>
+      </template>
+      <template v-else>
+        <el-form-item label="登录账号"
+          >{{ data.mobile || '未绑定手机号' }}（账号编号 {{ data.memberId }}）</el-form-item
+        >
+        <el-form-item label="审核状态">
+          {{ Api.auditStates.find((item) => item.value === data.auditStatus)?.label }}
+          <span class="ml-10px">{{ data.auditReason }}</span>
+        </el-form-item>
+      </template>
+      <el-form-item label="姓名" prop="realName"
+        ><el-input v-model="data.realName" maxlength="30"
+      /></el-form-item>
+      <el-form-item label="性别" prop="gender">
+        <el-radio-group v-model="data.gender">
+          <el-radio :label="1">男</el-radio><el-radio :label="2">女</el-radio
+          ><el-radio :label="3">未知</el-radio>
+        </el-radio-group>
+      </el-form-item>
+      <el-form-item label="出生日期" prop="birthDate">
+        <el-date-picker
+          v-model="data.birthDate"
+          type="date"
+          value-format="YYYY-MM-DD"
+          :disabled-date="disabledDate"
+        />
+      </el-form-item>
+      <el-form-item label="联系电话" prop="contactPhone"
+        ><el-input v-model="data.contactPhone" maxlength="30"
+      /></el-form-item>
+      <el-form-item label="地址"><el-input v-model="data.address" maxlength="500" /></el-form-item>
+      <template v-if="data.identityType === 10">
+        <el-divider content-position="left">老人基础健康档案</el-divider>
+        <el-form-item label="紧急联系人"
+          ><el-input v-model="data.emergencyContact" maxlength="60"
+        /></el-form-item>
+        <el-form-item label="紧急联系电话" prop="emergencyPhone"
+          ><el-input v-model="data.emergencyPhone" maxlength="30"
+        /></el-form-item>
+        <el-form-item label="健康状况"
+          ><el-input v-model="data.healthStatus" type="textarea" maxlength="500"
+        /></el-form-item>
+        <el-form-item label="病史"
+          ><el-input v-model="data.medicalHistory" type="textarea" maxlength="2000"
+        /></el-form-item>
+        <el-form-item label="用药信息"
+          ><el-input v-model="data.medicationInfo" type="textarea" maxlength="2000"
+        /></el-form-item>
+        <el-form-item label="特殊需求"
+          ><el-input v-model="data.specialNeeds" type="textarea" maxlength="1000"
+        /></el-form-item>
+      </template>
+      <template v-if="data.identityType === 20">
+        <el-divider content-position="left">志愿者服务档案</el-divider>
+        <el-form-item label="服务技能"
+          ><el-input v-model="data.skills" type="textarea" maxlength="1000"
+        /></el-form-item>
+        <el-form-item label="服务区域"
+          ><el-input v-model="data.serviceAreas" maxlength="500"
+        /></el-form-item>
+        <el-form-item label="可服务时间"
+          ><el-input v-model="data.availableTime" type="textarea" maxlength="1000"
+        /></el-form-item>
+        <el-form-item label="服务经验"
+          ><el-input v-model="data.serviceExperience" type="textarea" maxlength="2000"
+        /></el-form-item>
+        <el-alert
+          title="志愿者建档后进入待审核状态，审核通过后才能参与志愿服务。"
+          type="info"
+          :closable="false"
+        />
+      </template>
+    </el-form>
+    <template #footer>
+      <el-button v-if="!readOnly" type="primary" :loading="loading" @click="submit">保存</el-button>
+      <el-button @click="visible = false">{{ readOnly ? '关闭' : '取消' }}</el-button>
+    </template>
+  </Dialog>
+</template>
+<script setup lang="ts">
+import * as Api from '@/api/health'
+import type { FormInstance, FormRules } from 'element-plus'
+const visible = ref(false)
+const loading = ref(false)
+const readOnly = ref(false)
+const title = ref('')
+const accountMode = ref('new')
+const data = ref<Api.Identity>({ identityType: 10, realName: '', gender: 3 })
+const formRef = ref<FormInstance>()
+const message = useMessage()
+const disabledDate = (date: Date) => date.getTime() > Date.now()
+const phoneRule = {
+  pattern: /^$|^[0-9+()\-]{5,30}$/,
+  message: '联系电话格式不正确',
+  trigger: 'blur'
+}
+const rules = computed<FormRules>(() => ({
+  realName: [{ required: true, message: '请输入姓名', trigger: 'blur' }],
+  mobile:
+    !data.value.id && accountMode.value === 'new'
+      ? [
+          {
+            required: true,
+            pattern: /^1[3-9]\d{9}$/,
+            message: '请输入正确的手机号',
+            trigger: 'blur'
+          }
+        ]
+      : [],
+  password:
+    !data.value.id && accountMode.value === 'new'
+      ? [{ required: true, min: 4, max: 16, message: '密码长度为 4–16 位', trigger: 'blur' }]
+      : [],
+  memberId:
+    !data.value.id && accountMode.value === 'existing'
+      ? [{ required: true, message: '请输入已有会员账号编号', trigger: 'blur' }]
+      : [],
+  contactPhone: [phoneRule],
+  emergencyPhone: [phoneRule]
+}))
+const emit = defineEmits(['success'])
+const open = async (mode: 'create' | 'update' | 'view', id?: number) => {
+  visible.value = true
+  readOnly.value = mode === 'view'
+  title.value = { create: '新增身份与档案', update: '编辑档案', view: '档案详情' }[mode]
+  accountMode.value = 'new'
+  data.value = { identityType: 10, realName: '', gender: 3 }
+  await nextTick()
+  formRef.value?.clearValidate()
+  if (id) {
+    loading.value = true
+    try {
+      data.value = await Api.getIdentity(id)
+    } finally {
+      loading.value = false
+    }
+  }
+}
+defineExpose({ open })
+const submit = async () => {
+  if (!(await formRef.value?.validate())) return
+  loading.value = true
+  try {
+    const {
+      mobile,
+      password,
+      status,
+      auditStatus,
+      auditReason,
+      elderlyProfileId,
+      volunteerProfileId,
+      ...profile
+    } = data.value
+    const payload: Api.Identity = { ...profile }
+    if (!profile.id && accountMode.value === 'new') {
+      payload.memberId = undefined
+      payload.mobile = mobile
+      payload.password = password
+    }
+    if (profile.id) await Api.updateIdentity(payload)
+    else await Api.createIdentity(payload)
+    message.success('保存成功')
+    visible.value = false
+    emit('success')
+  } finally {
+    data.value.password = undefined
+    loading.value = false
+  }
+}
+</script>
--- a/yudao-ui-admin-vue3/src/views/health/identity/index.vue
+++ b/yudao-ui-admin-vue3/src/views/health/identity/index.vue
@ -0,0 +1,213 @@
+<template>
+  <ContentWrap>
+    <el-form :inline="true" :model="query">
+      <el-form-item label="姓名"
+        ><el-input v-model="query.realName" clearable @keyup.enter="search"
+      /></el-form-item>
+      <el-form-item label="身份">
+        <el-select v-model="query.identityType" clearable class="!w-140px">
+          <el-option
+            v-for="item in Api.identityTypes"
+            :key="item.value"
+            :label="item.label"
+            :value="item.value"
+          />
+        </el-select>
+      </el-form-item>
+      <el-form-item label="审核">
+        <el-select v-model="query.auditStatus" clearable class="!w-140px">
+          <el-option
+            v-for="item in Api.auditStates"
+            :key="item.value"
+            :label="item.label"
+            :value="item.value"
+          />
+        </el-select>
+      </el-form-item>
+      <el-form-item label="状态">
+        <el-select v-model="query.status" clearable class="!w-120px">
+          <el-option label="启用" :value="0" /><el-option label="停用" :value="1" />
+        </el-select>
+      </el-form-item>
+      <el-form-item>
+        <el-button type="primary" @click="search">查询</el-button>
+        <el-button @click="reset">重置</el-button>
+        <el-button
+          v-hasPermi="['health:identity:create']"
+          type="success"
+          @click="formRef?.open('create')"
+          >新增档案</el-button
+        >
+      </el-form-item>
+    </el-form>
+  </ContentWrap>
+  <ContentWrap>
+    <el-table v-loading="loading" :data="list" stripe>
+      <el-table-column label="身份编号" prop="id" width="90" />
+      <el-table-column label="账号编号" prop="memberId" width="90" />
+      <el-table-column label="姓名" prop="realName" min-width="100" />
+      <el-table-column label="身份" width="90">
+        <template #default="{ row }">{{
+          Api.identityTypes.find((item) => item.value === row.identityType)?.label
+        }}</template>
+      </el-table-column>
+      <el-table-column label="登录手机号" prop="mobile" min-width="125" />
+      <el-table-column label="档案编号" width="95">
+        <template #default="{ row }">{{
+          row.elderlyProfileId || row.volunteerProfileId || '—'
+        }}</template>
+      </el-table-column>
+      <el-table-column label="启用状态" width="95">
+        <template #default="{ row }"
+          ><el-tag :type="row.status === 0 ? 'success' : 'info'">{{
+            row.status === 0 ? '启用' : '停用'
+          }}</el-tag></template
+        >
+      </el-table-column>
+      <el-table-column label="审核状态" width="100">
+        <template #default="{ row }"
+          ><el-tag
+            :type="row.auditStatus === 1 ? 'success' : row.auditStatus === 2 ? 'danger' : 'warning'"
+            >{{ Api.auditStates.find((item) => item.value === row.auditStatus)?.label }}</el-tag
+          ></template
+        >
+      </el-table-column>
+      <el-table-column label="操作" min-width="300">
+        <template #default="{ row }">
+          <el-button link type="primary" @click="formRef?.open('view', row.id)">详情</el-button>
+          <el-button
+            v-hasPermi="['health:identity:update']"
+            link
+            type="primary"
+            @click="formRef?.open('update', row.id)"
+            >编辑</el-button
+          >
+          <el-button
+            v-if="row.identityType === 20 && row.auditStatus === 0"
+            v-hasPermi="['health:identity:audit']"
+            link
+            type="success"
+            @click="audit(row, true)"
+            >通过</el-button
+          >
+          <el-button
+            v-if="row.identityType === 20 && row.auditStatus === 0"
+            v-hasPermi="['health:identity:audit']"
+            link
+            type="danger"
+            @click="audit(row, false)"
+            >驳回</el-button
+          >
+          <el-button
+            v-if="row.identityType === 20 && row.auditStatus === 2"
+            v-hasPermi="['health:identity:audit']"
+            link
+            type="primary"
+            @click="resubmit(row)"
+            >重新提审</el-button
+          >
+          <el-button
+            v-hasPermi="['health:identity:update-status']"
+            link
+            :type="row.status === 0 ? 'danger' : 'success'"
+            @click="toggleStatus(row)"
+            >{{ row.status === 0 ? '停用' : '启用' }}</el-button
+          >
+        </template>
+      </el-table-column>
+    </el-table>
+    <Pagination
+      :total="total"
+      v-model:page="query.pageNo"
+      v-model:limit="query.pageSize"
+      @pagination="load"
+    />
+  </ContentWrap>
+  <IdentityForm ref="formRef" @success="load" />
+</template>
+<script setup lang="ts">
+import * as Api from '@/api/health'
+import IdentityForm from './IdentityForm.vue'
+import { ElMessageBox } from 'element-plus'
+defineOptions({ name: 'HealthIdentity' })
+const query = reactive({
+  pageNo: 1,
+  pageSize: 10,
+  realName: '',
+  identityType: undefined as number | undefined,
+  auditStatus: undefined as number | undefined,
+  status: undefined as number | undefined
+})
+const loading = ref(false)
+const list = ref<Api.Identity[]>([])
+const total = ref(0)
+const formRef = ref<InstanceType<typeof IdentityForm>>()
+const message = useMessage()
+const load = async () => {
+  loading.value = true
+  try {
+    const page = await Api.getIdentityPage(query)
+    list.value = page.list
+    total.value = page.total
+  } finally {
+    loading.value = false
+  }
+}
+const search = () => {
+  query.pageNo = 1
+  load()
+}
+const reset = () => {
+  Object.assign(query, {
+    realName: '',
+    identityType: undefined,
+    auditStatus: undefined,
+    status: undefined
+  })
+  search()
+}
+const audit = async (row: Api.Identity, approved: boolean) => {
+  let reason = ''
+  try {
+    const result = await ElMessageBox.prompt(
+      approved ? '可填写审核备注' : '请填写驳回理由',
+      approved ? '通过审核' : '驳回申请',
+      {
+        inputValidator: (value) =>
+          (!approved && !value?.trim()) || (value?.length || 0) > 500
+            ? '理由不能为空且不超过 500 字'
+            : true
+      }
+    )
+    reason = result.value || ''
+  } catch {
+    return
+  }
+  await Api.auditIdentity(row.id!, approved, reason)
+  message.success('审核完成')
+  await load()
+}
+const resubmit = async (row: Api.Identity) => {
+  try {
+    await ElMessageBox.confirm('将这位志愿者重新提交审核？', '重新提审')
+  } catch {
+    return
+  }
+  await Api.resubmitIdentity(row.id!)
+  await load()
+}
+const toggleStatus = async (row: Api.Identity) => {
+  try {
+    await ElMessageBox.confirm(
+      row.status === 0 ? '停用后，这个身份将无法参与健康业务。确认停用？' : '确认启用这个身份？',
+      '身份状态'
+    )
+  } catch {
+    return
+  }
+  await Api.updateIdentityStatus(row.id!, row.status === 0 ? 1 : 0)
+  message.success('状态已更新')
+  await load()
+}
+onMounted(load)
+</script>
--- a/yudao-ui-admin-vue3/src/views/health/identity/目录说明.txt
+++ b/yudao-ui-admin-vue3/src/views/health/identity/目录说明.txt
@ -0,0 +1 @@
+老人、志愿者、家属的身份登记与档案维护，志愿者审核，以及身份启用停用。
--- a/yudao-ui-admin-vue3/src/views/health/目录说明.txt
+++ b/yudao-ui-admin-vue3/src/views/health/目录说明.txt
@ -0,0 +1 @@
+健康服务管理页面。身份与档案、家属关联由后台菜单加载；业务权限仍由后端校验。
				`@ -0,0 +1 @@`
				`健康模块增量 SQL：V000 只提取会员表结构，V001 建立身份与基础档案，V002 新增后台菜单及权限。没有旧数据导入和 DROP TABLE。由 deploy/local/initialize-health.ps1 应用。`
				`@ -0,0 +1 @@`
				`健康管理接口：身份建档、档案编辑、志愿者审核、家属关联。此处只封装请求，身份授权由后端执行。`
				`@ -0,0 +1 @@`
				`家属与老人关联管理：新增申请、管理员核实确认、拒绝、解除和重新申请。`
				`@ -0,0 +1 @@`
				`老人、志愿者、家属的身份登记与档案维护，志愿者审核，以及身份启用停用。`
				`@ -0,0 +1 @@`
				`健康服务管理页面。身份与档案、家属关联由后台菜单加载；业务权限仍由后端校验。`