diff --git a/clinical-web/src/views/management/settings/components/DeviceSettingsCard.vue b/clinical-web/src/views/management/settings/components/DeviceSettingsCard.vue
new file mode 100644
index 0000000..332329d
--- /dev/null
+++ b/clinical-web/src/views/management/settings/components/DeviceSettingsCard.vue
@@ -0,0 +1,179 @@
+<script setup lang="ts">
+/**
+ * 签署设备管理（原型 V10.2 `#setSecDev`）。
+ *
+ * 手写签名板与平板终端共用一张表，列固定为「设备类型 / 设备 / 点位 / 状态 / 操作」。
+ * 操作列按设备类型分流：手写板重连；平板在线自检、离线唤醒（原型 `onclick` 的文案）。
+ * 设备状态是本地演示数据，没有后端接口。
+ */
+import type { DeviceKind, SignatureDevice } from '../types'
+
+defineProps<{
+  devices: SignatureDevice[]
+}>()
+
+const emit = defineEmits<{
+  operate: [device: SignatureDevice]
+}>()
+
+const kindLabels: Record<DeviceKind, string> = {
+  pad: '手写签名板',
+  tablet: '平板终端',
+}
+
+/** 平板在线要带电量（原型「在线 · 电量86%」） */
+function statusText(device: SignatureDevice) {
+  if (device.status === 'connected') return '已连接'
+  if (device.status === 'disconnected') return '未连接'
+  if (device.status === 'online') {
+    return device.battery === undefined ? '在线' : `在线 · 电量${device.battery}%`
+  }
+  return '离线'
+}
+
+function statusClass(device: SignatureDevice) {
+  if (device.kind === 'tablet' && device.status === 'online') return 'status-ipad'
+  if (device.status === 'connected') return 'status-connected'
+  return 'status-idle'
+}
+
+/** 手写板只能重连；平板在线自检、离线唤醒 */
+function actionLabel(device: SignatureDevice) {
+  if (device.kind === 'pad') return '重连'
+  return device.status === 'online' ? '自检' : '唤醒'
+}
+</script>
+
+<template>
+  <section class="setting-card">
+    <div class="card-heading">
+      <h2>签署设备管理</h2>
+    </div>
+
+    <div class="table-scroll">
+      <table class="device-table">
+        <thead>
+          <tr>
+            <th>设备类型</th>
+            <th>设备</th>
+            <th>点位</th>
+            <th>状态</th>
+            <th>操作</th>
+          </tr>
+        </thead>
+        <tbody>
+          <tr v-for="device in devices" :key="device.id">
+            <td>{{ kindLabels[device.kind] }}</td>
+            <td>{{ device.model }}</td>
+            <td>{{ device.location }}</td>
+            <td>
+              <span class="status-tag" :class="statusClass(device)">{{ statusText(device) }}</span>
+            </td>
+            <td>
+              <button type="button" class="outline-button" @click="emit('operate', device)">
+                {{ actionLabel(device) }}
+              </button>
+            </td>
+          </tr>
+        </tbody>
+      </table>
+    </div>
+  </section>
+</template>
+
+<style scoped>
+.setting-card {
+  min-width: 0;
+  padding: 16px 18px;
+  background: var(--card);
+  border-radius: var(--r);
+  box-shadow: var(--sh);
+}
+
+.card-heading {
+  display: flex;
+  gap: 10px;
+  align-items: center;
+  margin-bottom: 14px;
+}
+
+.card-heading h2 {
+  margin: 0;
+  color: var(--ink);
+  font-size: 14.5px;
+  line-height: 1.4;
+}
+
+.table-scroll {
+  width: 100%;
+  overflow-x: auto;
+}
+
+.device-table {
+  width: 100%;
+  min-width: 620px;
+  font-size: 13px;
+  border-collapse: collapse;
+}
+
+.device-table th {
+  padding: 9px 12px;
+  color: var(--mut);
+  font-size: 12.5px;
+  font-weight: 700;
+  text-align: left;
+  white-space: nowrap;
+  background: #f5f9fa;
+  border-bottom: 1px solid var(--line);
+}
+
+.device-table td {
+  padding: 9px 12px;
+  vertical-align: middle;
+  border-bottom: 1px solid #eef4f6;
+}
+
+.device-table tbody tr:hover td {
+  background: #f7fbfc;
+}
+
+.status-tag {
+  display: inline-block;
+  padding: 2px 10px;
+  font-size: 11.5px;
+  font-weight: 700;
+  white-space: nowrap;
+  border-radius: 20px;
+}
+
+/* 已连接 → 原型 .tg-done */
+.status-connected {
+  color: var(--ok);
+  background: var(--ok-l);
+}
+
+/* 平板在线 → 原型 .tg-ipad */
+.status-ipad {
+  color: #2b6cb0;
+  background: #e8f1fb;
+}
+
+/* 未连接 / 离线 → 原型 .tg-wait */
+.status-idle {
+  color: var(--info);
+  background: var(--info-l);
+}
+
+.outline-button {
+  padding: 4px 10px;
+  color: var(--brand);
+  font-size: 12px;
+  background: #fff;
+  border: 1px solid var(--brand);
+  border-radius: 5px;
+}
+
+.outline-button:hover {
+  background: var(--brand-l);
+}
+</style>
diff --git a/clinical-web/src/views/management/settings/components/DocTypeSettingsCard.vue b/clinical-web/src/views/management/settings/components/DocTypeSettingsCard.vue
new file mode 100644
index 0000000..218acae
--- /dev/null
+++ b/clinical-web/src/views/management/settings/components/DocTypeSettingsCard.vue
@@ -0,0 +1,162 @@
+<script setup lang="ts">
+/**
+ * 文档类型设置（原型 V10.2 `#setDocTypeCard`）。
+ *
+ * 一行标签 + 「新类型名称 / ＋ 添加」，标签右侧的 × 直接删除。
+ * 原型底部提示：文档库 / 新增文书 / 报表筛选的「文档类型」下拉都读这里 —— 目前
+ * 那三处的下拉还是各自的演示词表，本页维护的清单**只在页面内存里**（无后端接口）。
+ */
+import { ref } from 'vue'
+
+defineProps<{
+  types: string[]
+}>()
+
+const emit = defineEmits<{
+  add: [name: string]
+  remove: [name: string]
+}>()
+
+const draft = ref('')
+
+function submit() {
+  const name = draft.value.trim()
+  if (!name) return
+  emit('add', name)
+  draft.value = ''
+}
+</script>
+
+<template>
+  <section class="setting-card">
+    <div class="card-heading">
+      <h2>文档类型设置</h2>
+    </div>
+
+    <div class="type-row">
+      <span v-for="type in types" :key="type" class="type-tag">
+        {{ type }}
+        <button
+          type="button"
+          class="tag-remove"
+          :aria-label="`删除文档类型 ${type}`"
+          @click="emit('remove', type)"
+        >
+          ×
+        </button>
+      </span>
+
+      <span class="type-add">
+        <input
+          v-model="draft"
+          class="type-input"
+          placeholder="新类型名称"
+          aria-label="新类型名称"
+          @keyup.enter="submit"
+        />
+        <button type="button" class="outline-button" @click="submit">＋ 添加</button>
+      </span>
+    </div>
+
+    <p class="type-hint">文档库 / 新增文书 / 报表筛选中的「文档类型」下拉即读取此处配置</p>
+  </section>
+</template>
+
+<style scoped>
+.setting-card {
+  min-width: 0;
+  padding: 16px 18px;
+  background: var(--card);
+  border-radius: var(--r);
+  box-shadow: var(--sh);
+}
+
+.card-heading {
+  display: flex;
+  gap: 10px;
+  align-items: center;
+  margin-bottom: 14px;
+}
+
+.card-heading h2 {
+  margin: 0;
+  color: var(--ink);
+  font-size: 14.5px;
+  line-height: 1.4;
+}
+
+.type-row {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 8px;
+  align-items: center;
+}
+
+/* 原型 .exam-tag 的配色，字号/内边距按设置页放大一档 */
+.type-tag {
+  display: inline-flex;
+  gap: 6px;
+  align-items: center;
+  padding: 6px 10px;
+  color: #2b6cb0;
+  font-size: 12.5px;
+  font-weight: 700;
+  background: #eef6fb;
+  border-radius: 10px;
+}
+
+.tag-remove {
+  padding: 0;
+  color: inherit;
+  font-weight: 700;
+  line-height: 1;
+  cursor: pointer;
+  background: none;
+  border: 0;
+  opacity: 0.55;
+}
+
+.tag-remove:hover {
+  opacity: 1;
+}
+
+.type-add {
+  display: inline-flex;
+  gap: 6px;
+  align-items: center;
+}
+
+.type-input {
+  width: 130px;
+  padding: 5px 8px;
+  color: var(--ink);
+  font-size: 12.5px;
+  background: #fff;
+  border: 1px solid var(--line);
+  border-radius: 6px;
+}
+
+.type-input:focus {
+  outline: none;
+  border-color: var(--brand);
+}
+
+.type-hint {
+  margin: 12px 0 0;
+  color: var(--mut);
+  font-size: 12px;
+}
+
+.outline-button {
+  padding: 4px 10px;
+  color: var(--brand);
+  font-size: 12px;
+  background: #fff;
+  border: 1px solid var(--brand);
+  border-radius: 5px;
+}
+
+.outline-button:hover {
+  background: var(--brand-l);
+}
+</style>
diff --git a/clinical-web/src/views/management/settings/components/PushSettingsCard.vue b/clinical-web/src/views/management/settings/components/PushSettingsCard.vue
new file mode 100644
index 0000000..e3d36d4
--- /dev/null
+++ b/clinical-web/src/views/management/settings/components/PushSettingsCard.vue
@@ -0,0 +1,165 @@
+<script setup lang="ts">
+/**
+ * 签署状态推送（原型 V10.2 `#setSecPush`）。
+ *
+ * 三段结构：已订阅系统标签行（右侧「＋ 订阅」）→ 推送日志框 → 底部两个动作按钮。
+ * 推送日志在原型里就是前端拼字符串（`pushSignLog()` 把新记录 unshift 到框顶），
+ * 这里沿用同样的做法，没有后端接口。
+ */
+import type { PushLogEntry, PushSubscription } from '../types'
+
+defineProps<{
+  subscriptions: PushSubscription[]
+  logs: PushLogEntry[]
+  /** 日志框为空时显示的提示文案 */
+  emptyHint: string
+}>()
+
+const emit = defineEmits<{
+  subscribe: []
+  pushNow: []
+  saveConfig: []
+}>()
+</script>
+
+<template>
+  <section class="setting-card">
+    <div class="card-heading">
+      <h2>签署状态推送（对接系统联动）</h2>
+    </div>
+
+    <div class="subscription-row">
+      <span class="subscription-label">已订阅系统：</span>
+      <span v-for="item in subscriptions" :key="item.id" class="subscription-tag">
+        {{ item.name }}
+      </span>
+      <button type="button" class="outline-button subscribe-button" @click="emit('subscribe')">
+        ＋ 订阅
+      </button>
+    </div>
+
+    <div class="push-log">
+      <template v-if="logs.length">
+        <div v-for="(entry, index) in logs" :key="index" :class="`log-${entry.level}`">
+          {{ entry.text }}
+        </div>
+      </template>
+      <template v-else>
+        <div class="log-info">—— 等待签署事件推送 ——</div>
+        <div class="log-hint">{{ emptyHint }}</div>
+      </template>
+    </div>
+
+    <div class="button-row">
+      <button type="button" class="outline-button" @click="emit('pushNow')">
+        立即推送当前任务状态
+      </button>
+      <button type="button" class="outline-button" @click="emit('saveConfig')">保存配置</button>
+    </div>
+  </section>
+</template>
+
+<style scoped>
+.setting-card {
+  min-width: 0;
+  padding: 16px 18px;
+  background: var(--card);
+  border-radius: var(--r);
+  box-shadow: var(--sh);
+}
+
+.card-heading {
+  display: flex;
+  gap: 10px;
+  align-items: center;
+  margin-bottom: 14px;
+}
+
+.card-heading h2 {
+  margin: 0;
+  color: var(--ink);
+  font-size: 14.5px;
+  line-height: 1.4;
+}
+
+.subscription-row {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 8px;
+  align-items: center;
+  margin-bottom: 10px;
+  font-size: 12.5px;
+}
+
+.subscription-label {
+  color: var(--ink);
+}
+
+/* 已订阅系统标签沿用原型 .tag.tg-done 的绿 */
+.subscription-tag {
+  display: inline-block;
+  padding: 2px 10px;
+  color: var(--ok);
+  font-size: 11.5px;
+  font-weight: 700;
+  background: var(--ok-l);
+  border-radius: 20px;
+}
+
+.subscribe-button {
+  margin-left: auto;
+}
+
+/* 原型 .pushlog：等宽小字 + 最高 150px 内滚动，新记录插在最前 */
+.push-log {
+  max-height: 150px;
+  padding: 8px 10px;
+  overflow-y: auto;
+  color: var(--ink);
+  font-family: Consolas, 'Microsoft YaHei', monospace;
+  font-size: 11px;
+  line-height: 1.9;
+  word-break: break-all;
+  background: #f4f8fa;
+  border: 1px solid var(--line);
+  border-radius: 8px;
+}
+
+.log-ok {
+  color: var(--ok);
+}
+
+.log-warn {
+  color: var(--warn);
+}
+
+.log-info {
+  color: #8a9aa3;
+}
+
+.log-hint {
+  color: var(--mut);
+  font-family: var(--font-sans);
+  font-size: 11.5px;
+}
+
+.button-row {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 8px;
+  margin-top: 10px;
+}
+
+.outline-button {
+  padding: 4px 10px;
+  color: var(--brand);
+  font-size: 12px;
+  background: #fff;
+  border: 1px solid var(--brand);
+  border-radius: 5px;
+}
+
+.outline-button:hover {
+  background: var(--brand-l);
+}
+</style>
diff --git a/clinical-web/src/views/management/settings/components/SignatureSettingsCard.vue b/clinical-web/src/views/management/settings/components/SignatureSettingsCard.vue
index 8ae3416..9bf92ec 100644
--- a/clinical-web/src/views/management/settings/components/SignatureSettingsCard.vue
+++ b/clinical-web/src/views/management/settings/components/SignatureSettingsCard.vue
@@ -65,6 +65,22 @@ function handleHoursInput(event: Event) {
       <span class="setting-hint">PDF 原件 + 签名图片</span>
     </div>
 
+    <div class="setting-row">
+      <span class="setting-label">短信签署身份校验</span>
+      <button
+        type="button"
+        class="toggle-button"
+        :class="{ active: settings.smsIdentityVerify }"
+        role="switch"
+        :aria-checked="settings.smsIdentityVerify"
+        aria-label="短信签署身份校验"
+        @click="emit('toggle', 'smsIdentityVerify')"
+      >
+        <span aria-hidden="true" />
+      </button>
+      <span class="setting-hint">就诊号 + 姓名 + 证件后四位</span>
+    </div>
+
     <div class="setting-row">
       <span class="setting-label">预留 CA 数字证书</span>
       <button
diff --git a/clinical-web/src/views/management/settings/components/TabletDevicesCard.vue b/clinical-web/src/views/management/settings/components/TabletDevicesCard.vue
deleted file mode 100644
index ee506b6..0000000
--- a/clinical-web/src/views/management/settings/components/TabletDevicesCard.vue
+++ /dev/null
@@ -1,139 +0,0 @@
-<script setup lang="ts">
-import type { DeviceStatus, TabletDevice } from '../types'
-
-defineProps<{
-  devices: TabletDevice[]
-}>()
-
-const emit = defineEmits<{
-  reconnect: [device: TabletDevice]
-}>()
-
-const statusLabels: Record<DeviceStatus, string> = {
-  connected: '已连接',
-  disconnected: '未连接',
-}
-</script>
-
-<template>
-  <section class="setting-card">
-    <div class="card-heading">
-      <h2>手写板设备</h2>
-    </div>
-
-    <div class="table-scroll">
-      <table class="device-table">
-        <thead>
-          <tr>
-            <th>设备</th>
-            <th>状态</th>
-            <th>操作</th>
-          </tr>
-        </thead>
-        <tbody>
-          <tr v-for="device in devices" :key="device.id">
-            <td>{{ device.name }}</td>
-            <td>
-              <span class="status-tag" :class="'status-' + device.status">
-                {{ statusLabels[device.status] }}
-              </span>
-            </td>
-            <td>
-              <button type="button" class="outline-button" @click="emit('reconnect', device)">
-                重连
-              </button>
-            </td>
-          </tr>
-        </tbody>
-      </table>
-    </div>
-  </section>
-</template>
-
-<style scoped>
-.setting-card {
-  min-width: 0;
-  padding: 16px 18px;
-  background: var(--card);
-  border-radius: var(--r);
-  box-shadow: var(--sh);
-}
-
-.card-heading {
-  display: flex;
-  gap: 10px;
-  align-items: center;
-  margin-bottom: 14px;
-}
-
-.card-heading h2 {
-  margin: 0;
-  color: var(--ink);
-  font-size: 14.5px;
-  line-height: 1.4;
-}
-
-.table-scroll {
-  width: 100%;
-  overflow-x: auto;
-}
-
-.device-table {
-  width: 100%;
-  min-width: 430px;
-  font-size: 13px;
-  border-collapse: collapse;
-}
-
-.device-table th {
-  padding: 9px 12px;
-  color: var(--mut);
-  font-size: 12.5px;
-  font-weight: 700;
-  text-align: left;
-  white-space: nowrap;
-  background: #f5f9fa;
-  border-bottom: 1px solid var(--line);
-}
-
-.device-table td {
-  padding: 9px 12px;
-  vertical-align: middle;
-  border-bottom: 1px solid #eef4f6;
-}
-
-.device-table tbody tr:hover td {
-  background: #f7fbfc;
-}
-
-.status-tag {
-  display: inline-block;
-  padding: 2px 10px;
-  font-size: 11.5px;
-  font-weight: 700;
-  border-radius: 20px;
-}
-
-.status-connected {
-  color: var(--ok);
-  background: var(--ok-l);
-}
-
-.status-disconnected {
-  color: var(--info);
-  background: var(--info-l);
-}
-
-.outline-button {
-  padding: 4px 10px;
-  color: var(--brand);
-  font-size: 12px;
-  background: #fff;
-  border: 1px solid var(--brand);
-  border-radius: 5px;
-}
-
-.outline-button:hover {
-  background: var(--brand-l);
-}
-</style>
diff --git a/clinical-web/src/views/management/settings/index.vue b/clinical-web/src/views/management/settings/index.vue
index 86e6d46..181f2aa 100644
--- a/clinical-web/src/views/management/settings/index.vue
+++ b/clinical-web/src/views/management/settings/index.vue
@@ -1,39 +1,87 @@
 <script setup lang="ts">
-import { computed, onMounted, reactive, ref, watch } from 'vue'
+/**
+ * 系统设置（原型 V10.2 `#sc-set`）。
+ *
+ * 版式照原型：顶部一张「参数设置」卡放**设置项索引**，点索引单选切换，下方单列铺满、
+ * 只显示所选分区（V5.7 加索引 → V5.8 改单选切换 → V6.0 去卡片描述、单列铺满）。
+ *
+ * 分区与接口现状：
+ * - 「菜单设置」是唯一接了真实接口的分区（菜单资源 CRUD，见 MenuResourceSettings），
+ *   本页只负责把它放进索引，**不改它的实现**；无 `system:config:menu` 权限时整项不出现。
+ * - 其余分区（签署参数 / 短信模板 / 签署设备管理 / 签署状态推送 / 第三方系统嵌入 /
+ *   文档类型设置）**暂时都没有后端接口**，全部用页面内演示数据渲染，刷新即回初值。
+ *   这也是本页不引用 `api/management/settings.ts` 的原因。
+ */
+import { computed, reactive, ref, watch } from 'vue'
 import { ElMessage } from 'element-plus'
 
 import { useLoginStore } from '@/stores/login'
 
+import DeviceSettingsCard from './components/DeviceSettingsCard.vue'
+import DocTypeSettingsCard from './components/DocTypeSettingsCard.vue'
 import EmbedSettingsCard from './components/EmbedSettingsCard.vue'
 import MenuResourceSettings from './components/MenuResourceSettings.vue'
+import PushSettingsCard from './components/PushSettingsCard.vue'
 import SignatureSettingsCard from './components/SignatureSettingsCard.vue'
 import SmsSettingsCard from './components/SmsSettingsCard.vue'
-import TabletDevicesCard from './components/TabletDevicesCard.vue'
 import {
   defaultSmsChannel,
+  mockDocumentTypes,
+  mockPushSubscriptions,
+  mockSignatureDevices,
   mockSignatureSettings,
-  mockTabletDevices,
+  pushDefaultForm,
+  pushLogEmptyHint,
+  pushAuthModeOptions,
+  pushEventOptions,
+  pushRetryPolicyOptions,
+  pushSystemTypeOptions,
   smsChannelOptions,
 } from './mock'
-import type { SettingToggleKey, SignatureSettings, SmsChannel, TabletDevice } from './types'
+import type {
+  PushLogEntry,
+  PushSubscription,
+  PushSubscriptionForm,
+  SettingToggleKey,
+  SignatureDevice,
+  SignatureSettings,
+  SmsChannel,
+} from './types'
+
+const EMBED_URL =
+  'https://medisign.hospital.cn/embed/workbench?uid={操作员ID}&pid={患者ID}&visitNo={就诊号}&ts={时间戳}&sign={HMAC签名}'
 
-const loading = ref(true)
-const activeTab = ref('general')
 const loginStore = useLoginStore()
 const canManageMenus = computed(() => loginStore.hasPermission('system:config:menu'))
-watch(canManageMenus, (canManage) => {
-  if (!canManage && activeTab.value === 'menus') activeTab.value = 'general'
+
+type SectionKey = 'sign' | 'sms' | 'device' | 'push' | 'embed' | 'menus' | 'docType'
+
+const sections = computed<Array<{ key: SectionKey; label: string }>>(() => {
+  const list: Array<{ key: SectionKey; label: string }> = [
+    { key: 'sign', label: '签署参数' },
+    { key: 'sms', label: '短信模板' },
+    { key: 'device', label: '签署设备管理' },
+    { key: 'push', label: '签署状态推送' },
+    { key: 'embed', label: '第三方系统嵌入' },
+  ]
+
+  if (canManageMenus.value) {
+    list.push({ key: 'menus', label: '菜单设置' })
+  }
+
+  list.push({ key: 'docType', label: '文档类型设置' })
+  return list
 })
+
+const activeSection = ref<SectionKey>('sign')
+watch(canManageMenus, (canManage) => {
+  if (!canManage && activeSection.value === 'menus') activeSection.value = 'sign'
+})
+
+/* ---------------- 签署参数 / 短信模板 ---------------- */
+
 const signatureSettings = reactive<SignatureSettings>({ ...mockSignatureSettings })
 const smsChannel = ref<SmsChannel>(defaultSmsChannel)
-const tabletDevices = ref<TabletDevice[]>([])
-
-async function loadSettings() {
-  loading.value = true
-  await Promise.resolve()
-  tabletDevices.value = mockTabletDevices.map((device) => ({ ...device }))
-  loading.value = false
-}
 
 function updateLinkExpireHours(value: number) {
   signatureSettings.linkExpireHours = value
@@ -58,54 +106,301 @@ function sendTestSms() {
   ElMessage.success('测试短信已发送至 138****5678')
 }
 
-function reconnectDevice(device: TabletDevice) {
-  if (device.status === 'connected') {
-    ElMessage.success('已重新连接')
+/* ---------------- 签署设备管理 ---------------- */
+
+const devices = ref<SignatureDevice[]>(mockSignatureDevices.map((device) => ({ ...device })))
+
+function operateDevice(device: SignatureDevice) {
+  if (device.kind === 'pad') {
+    if (device.status === 'connected') {
+      ElMessage.success('已重新连接')
+    } else {
+      ElMessage.info('正在重连…')
+    }
     return
   }
 
-  ElMessage.info('正在重连…')
+  if (device.status === 'online') {
+    ElMessage.success('已消毒登记 · 固件最新')
+  } else {
+    ElMessage.info('已下发唤醒指令…')
+  }
 }
 
-function copyEmbedUrl() {
-  ElMessage.success('原型演示：已复制嵌入 URL')
+/* ---------------- 签署状态推送 ---------------- */
+
+const subscriptions = ref<PushSubscription[]>(
+  mockPushSubscriptions.map((subscription) => ({ ...subscription })),
+)
+const pushLogs = ref<PushLogEntry[]>([])
+const subscribeVisible = ref(false)
+const subscribeForm = ref<PushSubscriptionForm>({ ...pushDefaultForm })
+
+function formatClock() {
+  const now = new Date()
+  const pad = (value: number) => String(value).padStart(2, '0')
+  return `${pad(now.getHours())}:${pad(now.getMinutes())}`
 }
 
-function rotateKey() {
-  ElMessage.success('原型演示：密钥轮换成功')
+function openSubscribe() {
+  subscribeForm.value = { ...pushDefaultForm, events: [...pushDefaultForm.events] }
+  subscribeVisible.value = true
 }
 
-onMounted(loadSettings)
+function submitSubscribe() {
+  const name = subscribeForm.value.name.trim()
+  if (!name) {
+    ElMessage.warning('请输入系统名称')
+    return
+  }
+  if (!subscribeForm.value.endpoint.trim()) {
+    ElMessage.warning('请输入接收接口地址')
+    return
+  }
+  if (!subscribeForm.value.events.length) {
+    ElMessage.warning('请至少选择一个推送事件')
+    return
+  }
+
+  subscriptions.value.push({
+    id: `sub-${Date.now().toString(36)}`,
+    name,
+  })
+  subscribeVisible.value = false
+  ElMessage.success('订阅已创建，连接测试通过')
+}
+
+function pushNow() {
+  const clock = formatClock()
+  pushLogs.value = [
+    { text: `—— ${clock} 签署状态推送记录 ——`, level: 'info' },
+    { text: 'POST /api/v2/sign/status/push　任务 T000000', level: 'warn' },
+    { text: '✓ 岱嘉检查系统已签收：签署完成，机房可执行检查', level: 'ok' },
+    { text: '✓ 麦迪克斯 PET-CT 已签收：项目关联正常', level: 'ok' },
+    { text: '✓ 电子病历（EMR）归档通道就绪', level: 'ok' },
+    ...pushLogs.value,
+  ]
+  ElMessage.success('已向已订阅的对接系统推送签署状态')
+}
+
+function savePushConfig() {
+  ElMessage.success('推送配置已保存：轮询间隔 30s / 失败重试 3 次')
+}
+
+/* ---------------- 第三方系统嵌入 ---------------- */
+
+function fallbackCopy(text: string) {
+  const textarea = document.createElement('textarea')
+  textarea.value = text
+  textarea.style.position = 'fixed'
+  textarea.style.opacity = '0'
+  document.body.appendChild(textarea)
+  textarea.select()
+  try {
+    document.execCommand('copy')
+  } catch {
+    // 浏览器既不支持 clipboard API 也禁用了 execCommand 时静默失败，仍给出成功提示
+  }
+  document.body.removeChild(textarea)
+}
+
+async function copyEmbedUrl() {
+  try {
+    await navigator.clipboard.writeText(EMBED_URL)
+  } catch {
+    fallbackCopy(EMBED_URL)
+  }
+  ElMessage.success('嵌入 URL 已复制到剪贴板')
+}
+
+const rotateVisible = ref(false)
+const rotateForm = ref({
+  mode: '双密钥并行 24 小时后失效',
+  bits: '256 位',
+  notify: true,
+})
+const rotateModeOptions = ['立即失效旧密钥', '双密钥并行 24 小时后失效']
+const rotateBitOptions = ['256 位', '512 位']
+
+function confirmRotate() {
+  rotateVisible.value = false
+  ElMessage.success('密钥轮换成功，旧密钥 24 小时后失效')
+}
+
+/* ---------------- 文档类型设置 ---------------- */
+
+const docTypes = ref<string[]>([...mockDocumentTypes])
+
+function addDocType(name: string) {
+  if (docTypes.value.includes(name)) {
+    ElMessage.warning('该类型已存在')
+    return
+  }
+  docTypes.value.push(name)
+  ElMessage.success(`文档类型「${name}」已添加`)
+}
+
+function removeDocType(name: string) {
+  docTypes.value = docTypes.value.filter((item) => item !== name)
+  ElMessage.success(`文档类型「${name}」已删除`)
+}
 </script>
 
 <template>
   <section class="settings-page">
-    <el-tabs v-model="activeTab" class="settings-tabs">
-      <el-tab-pane label="系统参数" name="general">
-        <div v-if="loading" class="loading-grid" aria-label="正在加载系统设置">
-          <span v-for="index in 4" :key="index" />
-        </div>
+    <div class="toc-card">
+      <b class="toc-title">参数设置</b>
+      <div class="toc" role="tablist" aria-label="设置项索引">
+        <button
+          v-for="item in sections"
+          :key="item.key"
+          type="button"
+          class="toc-button"
+          :class="{ on: activeSection === item.key }"
+          role="tab"
+          :aria-selected="activeSection === item.key"
+          @click="activeSection = item.key"
+        >
+          {{ item.label }}
+        </button>
+      </div>
+    </div>
 
-        <div v-else class="settings-grid">
-          <SignatureSettingsCard
-            :settings="signatureSettings"
-            @update:link-expire-hours="updateLinkExpireHours"
-            @toggle="toggleSetting"
-          />
-          <SmsSettingsCard
-            :channel="smsChannel"
-            :channel-options="smsChannelOptions"
-            @update:channel="updateSmsChannel"
-            @test="sendTestSms"
-          />
-          <TabletDevicesCard :devices="tabletDevices" @reconnect="reconnectDevice" />
-          <EmbedSettingsCard @copy="copyEmbedUrl" @rotate-key="rotateKey" />
-        </div>
-      </el-tab-pane>
-      <el-tab-pane v-if="canManageMenus" label="菜单设置" name="menus">
-        <MenuResourceSettings />
-      </el-tab-pane>
-    </el-tabs>
+    <div class="settings-grid">
+      <SignatureSettingsCard
+        v-if="activeSection === 'sign'"
+        :settings="signatureSettings"
+        @update:link-expire-hours="updateLinkExpireHours"
+        @toggle="toggleSetting"
+      />
+
+      <SmsSettingsCard
+        v-else-if="activeSection === 'sms'"
+        :channel="smsChannel"
+        :channel-options="smsChannelOptions"
+        @update:channel="updateSmsChannel"
+        @test="sendTestSms"
+      />
+
+      <DeviceSettingsCard
+        v-else-if="activeSection === 'device'"
+        :devices="devices"
+        @operate="operateDevice"
+      />
+
+      <PushSettingsCard
+        v-else-if="activeSection === 'push'"
+        :subscriptions="subscriptions"
+        :logs="pushLogs"
+        :empty-hint="pushLogEmptyHint"
+        @subscribe="openSubscribe"
+        @push-now="pushNow"
+        @save-config="savePushConfig"
+      />
+
+      <EmbedSettingsCard
+        v-else-if="activeSection === 'embed'"
+        @copy="copyEmbedUrl"
+        @rotate-key="rotateVisible = true"
+      />
+
+      <MenuResourceSettings v-else-if="activeSection === 'menus'" />
+
+      <DocTypeSettingsCard
+        v-else-if="activeSection === 'docType'"
+        :types="docTypes"
+        @add="addDocType"
+        @remove="removeDocType"
+      />
+    </div>
+
+    <el-dialog v-model="subscribeVisible" title="新增推送订阅" width="640px" destroy-on-close>
+      <el-form label-position="top">
+        <el-form-item label="系统名称" required>
+          <el-input v-model="subscribeForm.name" placeholder="如：手术麻醉系统 / 体检系统" />
+        </el-form-item>
+        <el-form-item label="系统类型">
+          <el-select v-model="subscribeForm.systemType" class="full-width">
+            <el-option
+              v-for="item in pushSystemTypeOptions"
+              :key="item"
+              :label="item"
+              :value="item"
+            />
+          </el-select>
+        </el-form-item>
+        <el-form-item label="接收接口地址" required>
+          <el-input v-model="subscribeForm.endpoint" placeholder="https://…/medisign/callback" />
+        </el-form-item>
+        <el-form-item label="鉴权方式">
+          <el-radio-group v-model="subscribeForm.authMode">
+            <el-radio v-for="item in pushAuthModeOptions" :key="item" :value="item">
+              {{ item }}
+            </el-radio>
+          </el-radio-group>
+        </el-form-item>
+        <el-form-item label="推送事件">
+          <el-checkbox-group v-model="subscribeForm.events">
+            <el-checkbox v-for="item in pushEventOptions" :key="item" :value="item">
+              {{ item }}
+            </el-checkbox>
+          </el-checkbox-group>
+        </el-form-item>
+        <el-form-item label="失败重试策略">
+          <el-select v-model="subscribeForm.retryPolicy" class="full-width">
+            <el-option
+              v-for="item in pushRetryPolicyOptions"
+              :key="item"
+              :label="item"
+              :value="item"
+            />
+          </el-select>
+        </el-form-item>
+        <el-form-item label="轮询间隔（秒）">
+          <el-input v-model="subscribeForm.pollInterval" />
+        </el-form-item>
+        <el-form-item label="启用订阅">
+          <el-switch v-model="subscribeForm.enabled" />
+        </el-form-item>
+      </el-form>
+      <template #footer>
+        <el-button @click="subscribeVisible = false">取消</el-button>
+        <el-button type="primary" @click="submitSubscribe">保存并测试连接</el-button>
+      </template>
+    </el-dialog>
+
+    <el-dialog v-model="rotateVisible" title="嵌入接口密钥轮换" width="560px" destroy-on-close>
+      <el-form label-position="top">
+        <el-form-item label="密钥 ID">
+          <el-input model-value="KEY-EMBED-2026A" disabled />
+        </el-form-item>
+        <el-form-item label="创建时间">
+          <el-input model-value="2026-03-01 09:12" disabled />
+        </el-form-item>
+        <el-form-item label="最近使用">
+          <el-input model-value="2026-09-22 14:58（IPAD-EMBED）" disabled />
+        </el-form-item>
+        <el-form-item label="轮换方式">
+          <el-radio-group v-model="rotateForm.mode">
+            <el-radio v-for="item in rotateModeOptions" :key="item" :value="item">
+              {{ item }}
+            </el-radio>
+          </el-radio-group>
+        </el-form-item>
+        <el-form-item label="新密钥位数">
+          <el-select v-model="rotateForm.bits" class="full-width">
+            <el-option v-for="item in rotateBitOptions" :key="item" :label="item" :value="item" />
+          </el-select>
+        </el-form-item>
+        <el-form-item label="轮换前通知对接方">
+          <el-switch v-model="rotateForm.notify" />
+        </el-form-item>
+      </el-form>
+      <template #footer>
+        <el-button @click="rotateVisible = false">取消</el-button>
+        <el-button type="danger" @click="confirmRotate">确认轮换</el-button>
+      </template>
+    </el-dialog>
   </section>
 </template>
 
@@ -116,41 +411,66 @@ onMounted(loadSettings)
   margin: 0 auto;
 }
 
-.settings-tabs {
-  background: transparent;
-}
-
-.settings-grid,
-.loading-grid {
-  display: grid;
-  grid-template-columns: repeat(2, minmax(0, 1fr));
-  gap: 16px;
-}
-
-.loading-grid span {
-  display: block;
-  height: 240px;
-  background: linear-gradient(90deg, #edf3f5 25%, #f7fafb 37%, #edf3f5 63%);
-  background-size: 400% 100%;
+/* 原型：外层 .card（padding:12px 16px; margin-bottom:14px）+ 标题与索引同一行 */
+.toc-card {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 10px;
+  align-items: center;
+  padding: 12px 16px;
+  margin-bottom: 14px;
+  background: var(--card);
   border-radius: var(--r);
   box-shadow: var(--sh);
-  animation: skeleton-shimmer 1.4s ease infinite;
 }
 
-@keyframes skeleton-shimmer {
-  0% {
-    background-position: 100% 0;
-  }
-
-  100% {
-    background-position: -100% 0;
-  }
+.toc-title {
+  color: var(--ink);
+  font-size: 13px;
 }
 
-@media (max-width: 1200px) {
-  .settings-grid,
-  .loading-grid {
-    grid-template-columns: 1fr;
-  }
+.toc {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 8px;
+}
+
+/* 原型索引按钮就是 .btn.gh.sm，选中态换成主色实心 */
+.toc-button {
+  padding: 4px 10px;
+  color: var(--brand);
+  font-size: 12px;
+  background: #fff;
+  border: 1px solid var(--brand);
+  border-radius: 5px;
+  cursor: pointer;
+  transition: 0.15s;
+}
+
+.toc-button:hover {
+  background: var(--brand-l);
+}
+
+.toc-button.on {
+  color: #fff;
+  font-weight: 700;
+  background: var(--brand);
+  border-color: var(--brand);
+}
+
+.toc-button:focus-visible {
+  outline: 2px solid var(--brand);
+  outline-offset: 2px;
+}
+
+/* 单列铺满：一次只渲染一个分区，所以网格只有一列 */
+.settings-grid {
+  display: grid;
+  grid-template-columns: 1fr;
+  gap: 14px;
+}
+
+.full-width {
+  width: 100%;
 }
 </style>
diff --git a/clinical-web/src/views/management/settings/mock.ts b/clinical-web/src/views/management/settings/mock.ts
index 87f8c74..7cc845e 100644
--- a/clinical-web/src/views/management/settings/mock.ts
+++ b/clinical-web/src/views/management/settings/mock.ts
@@ -1,9 +1,25 @@
-import type { SignatureSettings, SmsChannel, SmsChannelOption, TabletDevice } from './types'
+/**
+ * 系统设置页的演示数据（原型 V10.2 · `#sc-set`）。
+ *
+ * 这些分区**都没有后端接口**，数据只活在页面内存里，刷新即回到初值 —— 与原型一致。
+ * 取值口径照抄原型：签署参数 5 项、签署设备 6 台（3 手写签名板 + 3 平板终端）、
+ * 已订阅系统 3 个、文档类型 5 个。
+ */
+import type {
+  DocumentType,
+  PushSubscription,
+  PushSubscriptionForm,
+  SignatureDevice,
+  SignatureSettings,
+  SmsChannel,
+  SmsChannelOption,
+} from './types'
 
 export const mockSignatureSettings: SignatureSettings = {
   linkExpireHours: 48,
   timeoutReminder: true,
   dualRetention: true,
+  smsIdentityVerify: true,
   caCertificate: false,
 }
 
@@ -14,20 +30,90 @@ export const smsChannelOptions: SmsChannelOption[] = [
 
 export const defaultSmsChannel: SmsChannel = 'hospital-primary'
 
-export const mockTabletDevices: TabletDevice[] = [
+export const mockSignatureDevices: SignatureDevice[] = [
+  { id: 'dev-01', kind: 'pad', model: '汉王 GP-1108U', location: '护士站01', status: 'connected' },
+  { id: 'dev-02', kind: 'pad', model: '汉王 GP-1108U', location: '护士站02', status: 'connected' },
   {
-    id: 'tablet-01',
-    name: '汉王 GP-1108U（护士站01）',
-    status: 'connected',
-  },
-  {
-    id: 'tablet-02',
-    name: '汉王 GP-1108U（护士站02）',
-    status: 'connected',
-  },
-  {
-    id: 'tablet-03',
-    name: 'Wacom STU-430（放射登记台）',
+    id: 'dev-03',
+    kind: 'pad',
+    model: 'Wacom STU-430',
+    location: '放射登记台',
     status: 'disconnected',
   },
+  {
+    id: 'dev-04',
+    kind: 'tablet',
+    model: 'Pad Pro 11″',
+    location: '儿科急诊 · 移动签署车01',
+    status: 'online',
+    battery: 86,
+  },
+  {
+    id: 'dev-05',
+    kind: 'tablet',
+    model: 'Pad Pro 11″',
+    location: '儿科急诊 · 诊间02',
+    status: 'online',
+    battery: 72,
+  },
+  {
+    id: 'dev-06',
+    kind: 'tablet',
+    model: 'Pad Air',
+    location: '核医学科 · PET护士台',
+    status: 'offline',
+  },
+]
+
+export const mockPushSubscriptions: PushSubscription[] = [
+  { id: 'sub-01', name: '岱嘉检查系统' },
+  { id: 'sub-02', name: '麦迪克斯 PET-CT' },
+  { id: 'sub-03', name: '电子病历 EMR（归档）' },
+]
+
+/** 推送日志为空时的提示（原型 `#pushLogBox` 初值） */
+export const pushLogEmptyHint =
+  '签署完成后将自动推送「签署状态 + 文档URL」至已订阅系统，未签署/异常任务在岱嘉侧醒目提醒。'
+
+export const pushSystemTypeOptions = [
+  'HIS',
+  'EMR 电子病历',
+  'LIS',
+  'PACS',
+  '体检系统',
+  '手术麻醉',
+  '第三方归档',
+]
+
+export const pushAuthModeOptions = ['HMAC-SHA256 签名', 'OAuth2 客户端凭据', '固定 Token']
+
+export const pushEventOptions = [
+  '任务发起',
+  '签署完成',
+  '患者拒签',
+  '任务超时',
+  '任务作废',
+  '科室复核签章',
+]
+
+export const pushRetryPolicyOptions = ['3 次，间隔 30s', '5 次，间隔 60s', '不重试']
+
+export const pushDefaultForm: PushSubscriptionForm = {
+  name: '',
+  systemType: 'HIS',
+  endpoint: '',
+  authMode: 'HMAC-SHA256 签名',
+  events: ['签署完成', '患者拒签', '任务超时'],
+  retryPolicy: '3 次，间隔 30s',
+  pollInterval: '30',
+  enabled: true,
+}
+
+/** 原型 `docTypes` 初值 */
+export const mockDocumentTypes: DocumentType[] = [
+  '知情同意书',
+  '风险告知书',
+  '入院告知',
+  '检查预约单',
+  '授权委托',
 ]
diff --git a/clinical-web/src/views/management/settings/types.ts b/clinical-web/src/views/management/settings/types.ts
index 76005ca..2f34b5d 100644
--- a/clinical-web/src/views/management/settings/types.ts
+++ b/clinical-web/src/views/management/settings/types.ts
@@ -1,37 +1,83 @@
-export type SettingToggleKey = 'timeoutReminder' | 'dualRetention' | 'caCertificate'
+/**
+ * 系统设置页（原型 V10.2 · `#sc-set`）的页面模型。
+ *
+ * 除「菜单设置」外，本页各分区目前都**没有后端接口**，页面只用本地演示数据渲染，
+ * 因此这里的类型描述的是「页面要展示什么」，不是接口契约。菜单设置走真实接口，
+ * 其类型在 `@/api/management/types`（PermissionResourceNodeDto 等）。
+ */
 
-export type DeviceStatus = 'connected' | 'disconnected'
-
-export type SmsChannel = 'hospital-primary' | 'third-party-backup'
+/** 签署参数里可开关的项（对应原型 `.switch` 行） */
+export type SettingToggleKey =
+  'timeoutReminder' | 'dualRetention' | 'smsIdentityVerify' | 'caCertificate'
 
 export interface SignatureSettings {
+  /** 线上链接有效期（小时），原型默认 48 */
   linkExpireHours: number
+  /** 链接超时自动提醒 */
   timeoutReminder: boolean
+  /** 签名原图双留存：PDF 原件 + 签名图片 */
   dualRetention: boolean
+  /** 短信签署身份校验：就诊号 + 姓名 + 证件后四位 */
+  smsIdentityVerify: boolean
+  /** 预留 CA 数字证书（扩展位，本期未启用） */
   caCertificate: boolean
 }
 
-export interface TabletDevice {
+/**
+ * 设备类型决定操作列按钮：
+ * - `pad` 手写签名板 → 重连
+ * - `tablet` 平板终端 → 在线自检 / 离线唤醒
+ */
+export type DeviceKind = 'pad' | 'tablet'
+
+/**
+ * 手写签名板只有「已连接 / 未连接」，平板终端只有「在线 / 离线」；
+ * 原型里它们共用一张表，所以状态放在同一个联合类型里。
+ */
+export type DeviceStatus = 'connected' | 'disconnected' | 'online' | 'offline'
+
+export interface SignatureDevice {
   id: string
-  name: string
+  kind: DeviceKind
+  /** 设备型号，如「汉王 GP-1108U」 */
+  model: string
+  /** 点位，如「护士站01」「儿科急诊 · 移动签署车01」 */
+  location: string
   status: DeviceStatus
+  /** 平板终端在线时的电量百分比；手写签名板与离线平板没有该值 */
+  battery?: number
 }
 
+export type SmsChannel = 'hospital-primary' | 'third-party-backup'
+
 export interface SmsChannelOption {
   value: SmsChannel
   label: string
 }
 
-export interface SettingFormItem {
-  key: string
-  label: string
-  description: string
-  value: string | number | boolean
-  valueType: 'string' | 'number' | 'boolean'
+/** 签署状态推送的订阅目标（对接系统） */
+export interface PushSubscription {
+  id: string
+  name: string
 }
 
-export interface SettingSection {
-  key: string
-  label: string
-  items: SettingFormItem[]
+/** 新增订阅弹窗的表单值（原型 `openSub()` 的字段集） */
+export interface PushSubscriptionForm {
+  name: string
+  systemType: string
+  endpoint: string
+  authMode: string
+  events: string[]
+  retryPolicy: string
+  pollInterval: string
+  enabled: boolean
 }
+
+/** 推送日志的一条记录；`level` 决定配色（ok 绿 / warn 橙 / info 灰） */
+export interface PushLogEntry {
+  text: string
+  level: 'ok' | 'warn' | 'info'
+}
+
+/** 文档类型设置里的一项；文档库 / 新增文书 / 报表筛选的下拉都读这里 */
+export type DocumentType = string