diff --git a/clinical-web/src/api/workbench/signing.ts b/clinical-web/src/api/workbench/signing.ts
index f99665e..3b3a410 100644
--- a/clinical-web/src/api/workbench/signing.ts
+++ b/clinical-web/src/api/workbench/signing.ts
@@ -23,6 +23,7 @@ import type {
   SignTaskEventResponseDto,
   SignTaskResponseDto,
   SignTaskSendPreparationResponseDto,
+  SigningAnswers,
   SigningApiOptions,
   SigningMethod,
   SigningTaskEvent,
@@ -351,6 +352,8 @@ function cloneTask(task: SigningTaskRecord): SigningTaskRecord {
     ...task,
     // 勾选结果是数组，浅拷贝会让调用方和内存数据共享同一个引用
     selectedItems: task.selectedItems ? [...task.selectedItems] : task.selectedItems,
+    // 填写项取值同理，调用方会就地改动它
+    fieldAnswers: task.fieldAnswers ? { ...task.fieldAnswers } : task.fieldAnswers,
   }
 }
 
@@ -1008,6 +1011,7 @@ export function completeSigningTask(
   id: string,
   signatureDataUrl: string,
   selectedItems: string[] = [],
+  fieldAnswers: SigningAnswers = {},
 ): Promise<SigningTaskRecord | null> {
   if (!useMockData) {
     throw new Error('真实签署需要通过签署投递与文件上传接口完成')
@@ -1025,6 +1029,8 @@ export function completeSigningTask(
   task.updatedAt = task.signedAt
   // 勾选结果随签署一起固化，否则重新打开文书会丢掉患者勾了哪些项
   task.selectedItems = [...selectedItems]
+  // 填写项取值（含签名图）随签署一起固化：重新打开文书时按原位置回显
+  task.fieldAnswers = { ...fieldAnswers, signature: signatureDataUrl }
   persistMockRecords()
   return Promise.resolve(cloneTask(task))
 }
@@ -1050,8 +1056,9 @@ export async function reopenSigningTask(
   task.status = 'pending'
   task.signatureDataUrl = undefined
   task.signedAt = undefined
-  // 重新发起等于重新签，上一次的勾选不再沿用
+  // 重新发起等于重新签，上一次的勾选与填写项取值都不再沿用
   task.selectedItems = []
+  task.fieldAnswers = undefined
   task.updatedAt = formatMockDate()
   persistMockRecords()
   return Promise.resolve(cloneTask(task))
diff --git a/clinical-web/src/api/workbench/types.ts b/clinical-web/src/api/workbench/types.ts
index 0a6e740..b30fe25 100644
--- a/clinical-web/src/api/workbench/types.ts
+++ b/clinical-web/src/api/workbench/types.ts
@@ -167,6 +167,31 @@ export interface SigningTaskQuery extends PageQuery {
 
 export type SigningDateRange = 'today' | 'yesterday' | '3d' | '7d' | 'all'
 
+/**
+ * 文书填写项的控件类型。
+ * signature 与其他类型并列：签名是文书上的一个填写项，不是特殊的文本替换。
+ */
+export type SigningFieldKind = 'text' | 'date' | 'choice' | 'checkbox' | 'signature'
+
+/** 文书里的一个填写项定义，由模板内容中的占位符解析得到。 */
+export interface SigningFieldDef {
+  /** 稳定字段键：与 HIS / 患者快照取值一一对应，不随占位符显示文字变化 */
+  id: string
+  /** 文书中显示的文字 */
+  label: string
+  kind: SigningFieldKind
+  required: boolean
+  /** choice / checkbox 的可选项 */
+  options: string[]
+  /** 取值等于该字符串时视为异常项（如风险筛查选了"是"） */
+  risk?: string
+}
+
+export type SigningFieldValue = string | boolean
+
+/** 填写项取值，key 为 SigningFieldDef.id。 */
+export type SigningAnswers = Record<string, SigningFieldValue>
+
 export interface SigningTaskRecord extends WorkbenchTask {
   templateVersionId: string
   campus: WorkbenchCampus
@@ -192,6 +217,11 @@ export interface SigningTaskRecord extends WorkbenchTask {
   documentContentHtml?: string
   /** 原型：患者勾选结果，随签署一起留存（对应真实实现里随签署证据提交的勾选摘要）。 */
   selectedItems?: string[]
+  /**
+   * 文书填写项取值（含签名图），签署时固化。
+   * 重新打开文书时用它回显，签名因此落在文书原本的签名位上。
+   */
+  fieldAnswers?: SigningAnswers
 }
 
 export type SigningTaskListResponse = PageResult<SigningTaskRecord>
diff --git a/clinical-web/src/utils/signing-document.ts b/clinical-web/src/utils/signing-document.ts
index d4a36d2..182c625 100644
--- a/clinical-web/src/utils/signing-document.ts
+++ b/clinical-web/src/utils/signing-document.ts
@@ -1,31 +1,47 @@
 /**
- * 签署文书 HTML 渲染管线（原型）。
+ * 文书渲染管线（原型）。
  *
- * 把「文书定稿 HTML」按签署时的效果做一次变换：
- * ① 占位符填充（｛患者姓名｝等 → 患者与就诊快照数据）；
- * ② 签名域：已有签名图时替换 ｛患者签名｝，否则给出待签署提示；
- * ③ 勾选表识别：表头含「勾选」列的表格，逐行转为复选框；
- * ④ 行内选项识别：正文手打的 □ 方框（□否 □是）转为单选/多选框。
+ * 把「模板定稿 HTML」渲染成签署态：
+ * ① 填写项渲染：占位符按控件类型渲染成文本/日期/单选/勾选/签名控件，
+ *    初值来自 HIS 与患者就诊快照，签署时可在文书上直接确认或补录；
+ * ② 签名回显：签名是 kind=signature 的填写项，签名图作为该字段的取值，
+ *    签完后落在文书原本的签名位上，不需要"替换文字"这一步；
+ * ③ 勾选表识别（存量兼容）：表头含「勾选」列的表格逐行转为复选框；
+ * ④ 行内选项识别（存量兼容）：正文手打的 □ 方框转成单选/多选框。
  *
- * 签署任务详情（SigningDocumentInteractive）与文书库的「签署预览」共用本模块，
- * 避免两处各自演化后渲染结果不一致。真实实现中填充在后端完成、勾选结果随签署证据
- * 提交，此处仅用于前端闭环验证。
+ * ③④ 是为已经存在的存量文书保留的启发式识别；用占位符写的新文书不再依赖它们。
+ *
+ * 渲染所需的取值模型见 signing-fields.ts；真实实现中填充与固化在后端完成，
+ * 此处仅用于前端闭环验证。
  */
 
-/** 渲染所需的患者/就诊快照字段；SigningTaskRecord 与预览用示例数据都满足此形状。 */
-export interface SigningDocumentData {
-  patientName: string
-  sex: string
-  age: number | string
-  visitNo: string
-  visitDate: string
-  signedAt?: string
-  signatureDataUrl?: string
-  /** 已勾选的条目名：签署完成后重新打开文书时用来还原勾选状态 */
+import type { SigningAnswers, SigningFieldDef, SigningFieldKind } from '@/api/workbench/types'
+
+import {
+  createFieldTokenPattern,
+  FIELD_TOKEN_OPEN,
+  resolveAnswersFromSystem,
+  resolveFieldByLabel,
+  type SigningSystemSnapshot,
+} from './signing-fields'
+
+/** 渲染所需的患者/就诊快照 + 已填写的填写项取值。 */
+export interface SigningDocumentData extends SigningSystemSnapshot {
+  /** 已签署的存量文书里，由「勾选表」收集的条目 */
   selectedItems?: string[]
+  /**
+   * 填写项取值：已填过的值优先于系统快照（用于签署后回显）。
+   * 属性名与 SigningTaskRecord.fieldAnswers 一致，避免任务对象透传时对不上而静默丢值。
+   */
+  fieldAnswers?: SigningAnswers
 }
 
-const SIGNATURE_PLACEHOLDER = '｛患者签名｝'
+/** 填写项在文书上的宿主节点属性，签署端靠它收集取值 */
+const FIELD_ATTR = 'data-sign-field'
+const FIELD_KIND_ATTR = 'data-sign-kind'
+const FIELD_LABEL_ATTR = 'data-sign-label'
+const FIELD_REQUIRED_ATTR = 'data-sign-required'
+const FIELD_RISK_ATTR = 'data-sign-risk'
 
 /**
  * 科室手打的复选框符号：几何图形方框，以及 Wingdings 私有区码位。
@@ -41,69 +57,224 @@ const OPTION_TEST_PATTERN = new RegExp(`[${OPTION_MARKERS}]`)
 /** 判定「同一组选项」的块级容器：同一段、同一单元格里的方框视为一组 */
 const OPTION_BLOCK_SELECTOR = 'p, li, td, th, div, h1, h2, h3, h4, h5, h6'
 
-/** 收集所有包含指定关键字（占位符前缀等）的文本节点 */
-function collectTextNodes(root: Element, keyword: string): Text[] {
-  const walker = document.createTreeWalker(root, NodeFilter.SHOW_TEXT)
+/** 一个填写项在文书上的取值状态，用于签署端提示必填与异常 */
+export interface SigningFieldProgress {
+  total: number
+  filled: number
+  /** 未填写的必填项标签 */
+  missingRequired: string[]
+  /** 取值命中风险的项标签 */
+  abnormal: string[]
+}
+
+function buildFieldWidget(
+  doc: Document,
+  field: SigningFieldDef,
+  answers: SigningAnswers,
+  interactive: boolean,
+): HTMLElement {
+  const value = answers[field.id]
+  const abnormal =
+    Boolean(field.risk) && typeof value === 'string' && value === (field.risk as string)
+
+  const host = doc.createElement('span')
+  host.className = `sign-field sign-field--${field.kind}${abnormal ? ' sign-field--abnormal' : ''}`
+  host.setAttribute(FIELD_ATTR, field.id)
+  host.setAttribute(FIELD_KIND_ATTR, field.kind)
+  host.setAttribute(FIELD_LABEL_ATTR, field.label)
+  host.setAttribute(FIELD_REQUIRED_ATTR, field.required ? 'true' : 'false')
+
+  if (field.risk) {
+    host.setAttribute(FIELD_RISK_ATTR, field.risk)
+  }
+
+  const label = doc.createElement('span')
+  label.className = 'sign-field__label'
+  label.textContent = field.label
+
+  if (field.required) {
+    const mark = doc.createElement('span')
+    mark.className = 'sign-field__required'
+    mark.textContent = '*'
+    label.appendChild(mark)
+  }
+
+  host.appendChild(label)
+
+  const control = doc.createElement('span')
+  control.className = 'sign-field__control'
+  control.appendChild(buildFieldControl(doc, field, value, interactive))
+  host.appendChild(control)
+
+  if (abnormal) {
+    const badge = doc.createElement('span')
+    badge.className = 'sign-field__badge'
+    badge.textContent = '异常项'
+    host.appendChild(badge)
+  }
+
+  return host
+}
+
+function buildFieldControl(
+  doc: Document,
+  field: SigningFieldDef,
+  value: SigningAnswers[string],
+  interactive: boolean,
+): Node {
+  const textValue = typeof value === 'string' ? value : value ? '是' : ''
+
+  if (field.kind === 'signature') {
+    if (textValue) {
+      const image = doc.createElement('img')
+      image.className = 'sign-doc-signature'
+      image.src = textValue
+      image.alt = field.label
+      return image
+    }
+
+    const empty = doc.createElement('span')
+    empty.className = 'sign-field__signature-empty'
+    empty.textContent = `待${field.label}`
+    return empty
+  }
+
+  if (field.kind === 'choice') {
+    const group = doc.createElement('span')
+    group.className = 'sign-field__choices'
+
+    field.options.forEach((option) => {
+      const wrapper = doc.createElement('label')
+      wrapper.className = 'sign-doc-option'
+
+      const input = doc.createElement('input')
+      input.className = 'sign-field__radio'
+      input.type = 'radio'
+      input.name = `sign-field-${field.id}`
+      input.value = option
+      input.disabled = !interactive
+
+      // 必须同时落成 attribute：innerHTML 只序列化 HTML 属性，
+      // 只设 .checked 这个 property 会在生成 HTML 时被丢掉
+      if (textValue === option) {
+        input.checked = true
+        input.setAttribute('checked', '')
+      }
+
+      wrapper.appendChild(input)
+      wrapper.appendChild(doc.createTextNode(option))
+      group.appendChild(wrapper)
+    })
+
+    return group
+  }
+
+  if (field.kind === 'checkbox') {
+    const wrapper = doc.createElement('label')
+    wrapper.className = 'sign-doc-option'
+
+    const input = doc.createElement('input')
+    input.className = 'sign-field__checkbox'
+    input.type = 'checkbox'
+    input.disabled = !interactive
+
+    if (value === true) {
+      input.checked = true
+      input.setAttribute('checked', '')
+    }
+
+    wrapper.appendChild(input)
+    wrapper.appendChild(doc.createTextNode(field.label))
+    return wrapper
+  }
+
+  const input = doc.createElement('input')
+  input.className = 'sign-field__input'
+  input.type = field.kind === 'date' ? 'date' : 'text'
+  input.value = textValue
+  // value 属性同理：只设 property 的话序列化出来是空值
+  input.setAttribute('value', textValue)
+  input.readOnly = !interactive
+  input.disabled = !interactive
+  if (interactive) {
+    input.placeholder = '请填写'
+  }
+
+  return input
+}
+
+/**
+ * 占位符渲染：把 ｛患者姓名｝ 就地替换成填写项控件，保留同一文本节点内的前后文字。
+ * 模板未收录的占位符按自定义文本项处理，仍可在文书上填写，
+ * 避免出现"写了占位符但签署时既填不上也看不见"的情况。
+ */
+function renderTokenFields(root: Element, answers: SigningAnswers, interactive: boolean) {
+  const doc = root.ownerDocument
+  const walker = doc.createTreeWalker(root, NodeFilter.SHOW_TEXT)
   const targets: Text[] = []
   let node = walker.nextNode()
 
   while (node) {
-    if ((node.textContent ?? '').includes(keyword)) {
+    if ((node.textContent ?? '').includes(FIELD_TOKEN_OPEN)) {
       targets.push(node as Text)
     }
 
     node = walker.nextNode()
   }
 
-  return targets
-}
+  targets.forEach((textNode) => {
+    const text = textNode.textContent ?? ''
+    const pattern = createFieldTokenPattern()
+    const fragment = doc.createDocumentFragment()
+    let cursor = 0
+    let match: RegExpExecArray | null
 
-function replaceTextPlaceholder(root: Element, placeholder: string, replacement: string) {
-  collectTextNodes(root, placeholder).forEach((textNode) => {
-    textNode.textContent = (textNode.textContent ?? '').split(placeholder).join(replacement)
-  })
-}
+    while ((match = pattern.exec(text)) !== null) {
+      if (match.index > cursor) {
+        fragment.appendChild(doc.createTextNode(text.slice(cursor, match.index)))
+      }
 
-/** 把 ｛患者签名｝ 就地换成签名图片，保留同一文本节点内的前后文字 */
-function replaceSignaturePlaceholder(root: Element, dataUrl: string) {
-  collectTextNodes(root, SIGNATURE_PLACEHOLDER).forEach((textNode) => {
-    const parts = (textNode.textContent ?? '').split(SIGNATURE_PLACEHOLDER)
-    const fragment = document.createDocumentFragment()
+      fragment.appendChild(
+        buildFieldWidget(doc, resolveFieldByLabel(match[1] ?? ''), answers, interactive),
+      )
 
-    if (parts[0]) {
-      fragment.appendChild(document.createTextNode(parts[0]))
+      cursor = pattern.lastIndex
     }
 
-    const image = document.createElement('img')
-    image.src = dataUrl
-    image.alt = '患者签名'
-    image.className = 'sign-doc-signature'
-    fragment.appendChild(image)
-
-    if (parts[1]) {
-      fragment.appendChild(document.createTextNode(parts[1]))
+    if (cursor < text.length) {
+      fragment.appendChild(doc.createTextNode(text.slice(cursor)))
     }
 
     textNode.replaceWith(fragment)
   })
 }
 
-function fillPatientPlaceholders(root: Element, data: SigningDocumentData) {
-  const replacements: Record<string, string> = {
-    '｛患者姓名｝': data.patientName,
-    '｛性别｝': data.sex,
-    '｛年龄｝': `${data.age} 岁`,
-    '｛就诊号｝': data.visitNo,
-    '｛联系电话｝': '—',
-    '｛预约日期｝': data.visitDate,
-    '｛与患者关系｝': '本人',
-    '｛签署日期｝': data.signedAt || data.visitDate || '　　年　　月　　日',
-  }
+/**
+ * 结构化占位符渲染：兼容 <span data-field="..."> 写法。
+ * 该写法是目标格式（字段语义显式、不依赖中文标签），
+ * 供后端模板或后续换编辑器后生产的内容使用。
+ */
+function renderStructuredFields(root: Element, answers: SigningAnswers, interactive: boolean) {
+  const doc = root.ownerDocument
 
-  collectTextNodes(root, '｛').forEach((textNode) => {
-    Object.entries(replacements).forEach(([placeholder, value]) => {
-      textNode.textContent = (textNode.textContent ?? '').split(placeholder).join(value)
-    })
+  root.querySelectorAll('span[data-field]').forEach((element) => {
+    const id = element.getAttribute('data-field') ?? ''
+    const label = element.getAttribute('data-label') ?? id
+
+    if (!id) {
+      return
+    }
+
+    const field: SigningFieldDef = {
+      id,
+      label,
+      kind: (element.getAttribute('data-kind') ?? 'text') as SigningFieldKind,
+      required: element.getAttribute('data-required') === 'true',
+      options: (element.getAttribute('data-options') ?? '').split('|').filter(Boolean),
+      risk: element.getAttribute('data-risk') ?? undefined,
+    }
+
+    element.replaceWith(buildFieldWidget(doc, field, answers, interactive))
   })
 }
 
@@ -165,7 +336,7 @@ function convertCheckboxes(root: Element, interactive: boolean, selected: Set<st
 
 /** 收集所有含方框符号的文本节点 */
 function collectOptionTextNodes(root: Element): Text[] {
-  const walker = document.createTreeWalker(root, NodeFilter.SHOW_TEXT)
+  const walker = root.ownerDocument.createTreeWalker(root, NodeFilter.SHOW_TEXT)
   const targets: Text[] = []
   let node = walker.nextNode()
 
@@ -192,14 +363,14 @@ function replaceOptionMarkers(
   selected: Set<string>,
 ) {
   const parts = (textNode.textContent ?? '').split(OPTION_SPLIT_PATTERN)
-  const fragment = document.createDocumentFragment()
+  const fragment = textNode.ownerDocument.createDocumentFragment()
 
   for (let index = 0; index < parts.length; index += 1) {
     const part = parts[index] ?? ''
 
     if (!OPTION_TEST_PATTERN.test(part)) {
       if (part) {
-        fragment.appendChild(document.createTextNode(part))
+        fragment.appendChild(textNode.ownerDocument.createTextNode(part))
       }
 
       continue
@@ -210,7 +381,7 @@ function replaceOptionMarkers(
     const label = labelMatch?.[1] ?? ''
     const tail = labelMatch?.[2] ?? ''
 
-    const input = document.createElement('input')
+    const input = textNode.ownerDocument.createElement('input')
     input.type = type
     input.className = 'sign-doc-checkbox'
     input.disabled = !interactive
@@ -227,15 +398,15 @@ function replaceOptionMarkers(
       input.value = label
     }
 
-    const wrapper = document.createElement('label')
+    const wrapper = textNode.ownerDocument.createElement('label')
     wrapper.className = 'sign-doc-option'
     wrapper.appendChild(input)
-    wrapper.appendChild(document.createTextNode(label))
+    wrapper.appendChild(textNode.ownerDocument.createTextNode(label))
 
     fragment.appendChild(wrapper)
 
     if (tail) {
-      fragment.appendChild(document.createTextNode(tail))
+      fragment.appendChild(textNode.ownerDocument.createTextNode(tail))
     }
 
     // 选项名已随方框一起消费，跳过它对应的片段
@@ -246,7 +417,7 @@ function replaceOptionMarkers(
 }
 
 /**
- * 行内选项识别：正文里手打的方框（□否 □是、□同意 □不同意）。
+ * 行内选项识别（存量兼容）：正文里手打的方框（□否 □是、□同意 □不同意）。
  * 同一段/同一单元格里出现两个及以上方框时按「二选一」处理成互斥单选；
  * 只有一个方框则保持多选语义，避免把「□高血压」这类单项确认误判成互斥组。
  */
@@ -286,7 +457,7 @@ function convertInlineOptions(root: Element, interactive: boolean, selected: Set
 /**
  * 生成签署态文书 HTML。
  * contentHtml 为空时返回空串；解析失败时原样返回，不会抛错。
- * interactive 为 false（预览场景）时复选框只读展示。
+ * interactive 为 false（预览 / 已签署查看）时填写项只读展示取值。
  */
 export function buildSigningDocumentHtml(
   contentHtml: string,
@@ -307,19 +478,104 @@ export function buildSigningDocumentHtml(
     return contentHtml
   }
 
-  fillPatientPlaceholders(root, data)
-
-  if (data.signatureDataUrl) {
-    replaceSignaturePlaceholder(root, data.signatureDataUrl)
-  } else {
-    replaceTextPlaceholder(root, SIGNATURE_PLACEHOLDER, '（待患者签署）')
+  // 已填写的取值优先于系统快照：签署后被固化的填写项要保持原样回显
+  const answers: SigningAnswers = {
+    ...resolveAnswersFromSystem(data),
+    ...(data.fieldAnswers ?? {}),
   }
 
-  // 已签署的文书再次打开时，把上次记录的勾选状态还原出来
-  const selected = new Set(data.selectedItems ?? [])
+  if (data.signatureDataUrl && !answers.signature) {
+    answers.signature = data.signatureDataUrl
+  }
 
+  renderStructuredFields(root, answers, interactive)
+  renderTokenFields(root, answers, interactive)
+
+  const selected = new Set(data.selectedItems ?? [])
   convertCheckboxes(root, interactive, selected)
   convertInlineOptions(root, interactive, selected)
 
   return root.innerHTML
 }
+
+/**
+ * 从渲染后的文书 DOM 里读回填写项取值。
+ * 签名读的是签名图，其余按控件类型读，返回结果直接可作为签署证据的一部分固化。
+ */
+export function readAnswersFromRoot(root: HTMLElement): SigningAnswers {
+  const answers: SigningAnswers = {}
+
+  root.querySelectorAll<HTMLElement>(`[${FIELD_ATTR}]`).forEach((host) => {
+    const id = host.getAttribute(FIELD_ATTR)
+
+    if (!id) {
+      return
+    }
+
+    const kind = (host.getAttribute(FIELD_KIND_ATTR) ?? 'text') as SigningFieldKind
+
+    if (kind === 'signature') {
+      answers[id] = host.querySelector('img')?.getAttribute('src') ?? ''
+      return
+    }
+
+    if (kind === 'choice') {
+      const checked = host.querySelector<HTMLInputElement>('input[type="radio"]:checked')
+      answers[id] = checked?.value ?? ''
+      return
+    }
+
+    if (kind === 'checkbox') {
+      const box = host.querySelector<HTMLInputElement>('input[type="checkbox"]')
+      answers[id] = Boolean(box?.checked)
+      return
+    }
+
+    answers[id] = host.querySelector<HTMLInputElement>('input')?.value ?? ''
+  })
+
+  return answers
+}
+
+/** 统计填写项进度：已填数量、未填的必填项、命中的异常项 */
+export function describeFieldProgress(
+  root: HTMLElement,
+  answers: SigningAnswers,
+): SigningFieldProgress {
+  const progress: SigningFieldProgress = {
+    total: 0,
+    filled: 0,
+    missingRequired: [],
+    abnormal: [],
+  }
+
+  root.querySelectorAll<HTMLElement>(`[${FIELD_ATTR}]`).forEach((host) => {
+    const id = host.getAttribute(FIELD_ATTR)
+    const label = host.getAttribute(FIELD_LABEL_ATTR) ?? id ?? ''
+
+    if (!id) {
+      return
+    }
+
+    const value = answers[id]
+    const empty = value === undefined || value === '' || value === false
+    const risk = host.getAttribute(FIELD_RISK_ATTR)
+    const isSignature = host.getAttribute(FIELD_KIND_ATTR) === 'signature'
+
+    progress.total += 1
+
+    if (!empty) {
+      progress.filled += 1
+    } else if (host.getAttribute(FIELD_REQUIRED_ATTR) === 'true' && !isSignature) {
+      // 签名必填但尚未采集，正是"点击签署"要完成的事，不能算作待补的必填项，
+      // 否则签名入口会把自己挡住。
+      progress.missingRequired.push(label)
+    }
+
+    if (risk && value === risk) {
+      progress.abnormal.push(label)
+    }
+  })
+
+  return progress
+}
diff --git a/clinical-web/src/utils/signing-fields.ts b/clinical-web/src/utils/signing-fields.ts
new file mode 100644
index 0000000..3fde3e0
--- /dev/null
+++ b/clinical-web/src/utils/signing-fields.ts
@@ -0,0 +1,207 @@
+/**
+ * 文书填写项（占位符）模型。
+ *
+ * 相比「把占位符当普通文字做字符串替换」，这里给每个占位符补上语义：
+ * ① 稳定字段键（id）：与 HIS / 患者快照的取值一一对应，不再依赖中文标签匹配；
+ * ② 控件类型（kind）：签名是与文本/日期/单选/勾选并列的一种填写项，
+ *    签完把取值写回同一字段即可在文书原位置回显；
+ * ③ 必填与选项：模板保存时可做去重校验，签署时可校验必填项是否填完；
+ * ④ 风险值（risk）：签署取值命中即标记为异常项。
+ *
+ * 载体仍沿用既有文书里的 ｛患者姓名｝ 写法，原因见 buildFieldToken 的注释：
+ * 当前编辑器（WangEditor / Slate）无法无损往返带 data-* 属性的结构化节点，
+ * 而纯文本占位符可以，且存量模板零迁移。渲染管线同时支持 span[data-field] 写法，
+ * 后续换成支持结构化节点的编辑器时可以平滑升级。
+ */
+
+import type { SigningAnswers, SigningFieldDef, SigningFieldKind } from '@/api/workbench/types'
+
+/** 占位符书写格式：｛患者姓名｝ */
+export const FIELD_TOKEN_OPEN = '｛'
+export const FIELD_TOKEN_CLOSE = '｝'
+
+const FIELD_TOKEN_SOURCE = `${FIELD_TOKEN_OPEN}([^${FIELD_TOKEN_OPEN}${FIELD_TOKEN_CLOSE}]{1,40})${FIELD_TOKEN_CLOSE}`
+
+/** /g 正则有 lastIndex 副作用，每次解析都新建一个，避免跨调用互相干扰。 */
+export function createFieldTokenPattern() {
+  return new RegExp(FIELD_TOKEN_SOURCE, 'g')
+}
+
+/**
+ * 填写项目录：key 为字段键，label 是文书里显示的文字，kind 决定签署时的控件。
+ * id 与 label 的对应关系由这里统一维护，渲染端与编辑器共用同一份，避免两处各自演化。
+ */
+export const SIGNING_FIELD_PRESETS: SigningFieldDef[] = [
+  { id: 'patient', label: '患者姓名', kind: 'text', required: true, options: [] },
+  { id: 'sex', label: '性别', kind: 'text', required: false, options: [] },
+  { id: 'age', label: '年龄', kind: 'text', required: false, options: [] },
+  { id: 'visit', label: '就诊号', kind: 'text', required: false, options: [] },
+  { id: 'phone', label: '联系电话', kind: 'text', required: false, options: [] },
+  { id: 'appointment', label: '预约日期', kind: 'date', required: false, options: [] },
+  { id: 'signedDate', label: '签署日期', kind: 'date', required: true, options: [] },
+  { id: 'relationship', label: '与患者关系', kind: 'text', required: false, options: [] },
+  { id: 'signature', label: '患者签名', kind: 'signature', required: true, options: [] },
+  { id: 'doctor', label: '医师签名', kind: 'signature', required: false, options: [] },
+]
+
+/**
+ * 同一字段在不同文书里的常见写法。
+ * 各科室历史文书用词不统一（患者签名 / 患方签名 / 患者（或家属）签名），
+ * 归一到同一个字段键，取值才不会因为换了叫法就填不上。
+ */
+const FIELD_LABEL_ALIASES: Record<string, string> = {
+  '患者（或家属）签名': 'signature',
+  '患者/家属签名': 'signature',
+  患方签名: 'signature',
+  '患者/监护人签字': 'signature',
+  签字: 'signature',
+  '住院号/门诊号': 'visit',
+  '门诊/住院号': 'visit',
+  门诊号: 'visit',
+  住院号: 'visit',
+  手机号: 'phone',
+  预约日期: 'appointment',
+  日期: 'signedDate',
+  签名日期: 'signedDate',
+}
+
+const PRESET_BY_ID = new Map(SIGNING_FIELD_PRESETS.map((field) => [field.id, field]))
+const PRESET_BY_LABEL = new Map(SIGNING_FIELD_PRESETS.map((field) => [field.label, field]))
+
+/** 自定义占位符的字段键前缀：label 不在目录里时按文本填写项处理 */
+const CUSTOM_FIELD_PREFIX = 'custom:'
+
+export function getPresetField(id: string): SigningFieldDef | null {
+  const preset = PRESET_BY_ID.get(id)
+  return preset ? { ...preset } : null
+}
+
+export function createCustomField(
+  label: string,
+  kind: SigningFieldKind = 'text',
+  options: string[] = [],
+): SigningFieldDef {
+  return {
+    id: `${CUSTOM_FIELD_PREFIX}${label}`,
+    label,
+    kind,
+    required: false,
+    options,
+  }
+}
+
+/**
+ * 按占位符文字定位字段定义：先查目录，再查别名，都不是就当自定义文本项。
+ * 这样存量文书里写的是「患者（或家属）签名」也能命中签名控件。
+ */
+export function resolveFieldByLabel(label: string): SigningFieldDef {
+  const trimmed = label.trim()
+  const preset = PRESET_BY_LABEL.get(trimmed)
+  if (preset) {
+    return { ...preset }
+  }
+
+  const aliasId = FIELD_LABEL_ALIASES[trimmed]
+  if (aliasId) {
+    const aliased = PRESET_BY_ID.get(aliasId)
+    if (aliased) {
+      return { ...aliased }
+    }
+  }
+
+  return createCustomField(trimmed)
+}
+
+/**
+ * 生成占位符文本。
+ *
+ * 用纯文本而不是 <span data-field>：WangEditor 是 Slate 模型，插入的 HTML 会被
+ * 重新解析，未注册的自定义元素会退化成纯文本、data-* 属性全部丢失，
+ * 导致「保存后再打开，占位符已经不是占位符」。纯文本可以无损往返，
+ * 且不需要为编辑器注册自定义节点，存量模板也不需要迁移。
+ */
+export function buildFieldToken(field: SigningFieldDef): string {
+  return `${FIELD_TOKEN_OPEN}${field.label}${FIELD_TOKEN_CLOSE}`
+}
+
+/**
+ * 解析文书 HTML 里的全部占位符，按出现顺序去重。
+ * 同一个字段在文书里出现多次（如签名与日期在每页都出现）只算一个填写项。
+ */
+export function collectFieldDefs(contentHtml: string): SigningFieldDef[] {
+  if (!contentHtml) {
+    return []
+  }
+
+  const seen = new Set<string>()
+  const fields: SigningFieldDef[] = []
+  const pattern = createFieldTokenPattern()
+  let match: RegExpExecArray | null
+
+  while ((match = pattern.exec(contentHtml)) !== null) {
+    const field = resolveFieldByLabel(match[1] ?? '')
+    if (!field.label || seen.has(field.id)) {
+      continue
+    }
+
+    seen.add(field.id)
+    fields.push(field)
+  }
+
+  return fields
+}
+
+/** 同一占位符在文书里写了多次的字段（保存模板时提示，通常是误重复） */
+export function findDuplicateFields(contentHtml: string): SigningFieldDef[] {
+  if (!contentHtml) {
+    return []
+  }
+
+  const counts = new Map<string, { field: SigningFieldDef; count: number }>()
+  const pattern = createFieldTokenPattern()
+  let match: RegExpExecArray | null
+
+  while ((match = pattern.exec(contentHtml)) !== null) {
+    const field = resolveFieldByLabel(match[1] ?? '')
+    const entry = counts.get(field.id)
+    counts.set(field.id, { field, count: (entry?.count ?? 0) + 1 })
+  }
+
+  return [...counts.values()].filter((item) => item.count > 1).map((item) => item.field)
+}
+
+/**
+ * 系统侧取值来源（HIS / 患者与就诊快照）。
+ * 字段键与目录里的 id 对应，是「自动填充」的唯一入口。
+ */
+export interface SigningSystemSnapshot {
+  patientName?: string
+  sex?: string
+  age?: number | string
+  visitNo?: string
+  visitDate?: string
+  phone?: string
+  doctorName?: string
+  signedAt?: string
+  signatureDataUrl?: string
+}
+
+/** 把患者/就诊快照映射成填写项初值，字段键即 SIGNING_FIELD_PRESETS 的 id。 */
+export function resolveAnswersFromSystem(snapshot: SigningSystemSnapshot): SigningAnswers {
+  return {
+    patient: snapshot.patientName ?? '',
+    sex: snapshot.sex ?? '',
+    age: snapshot.age === undefined || snapshot.age === null ? '' : String(snapshot.age),
+    visit: snapshot.visitNo ?? '',
+    phone: snapshot.phone ?? '',
+    appointment: snapshot.visitDate ?? '',
+    // 签署日期是必填项，未签署前先给当天日期，符合"系统预填 + 现场确认"的业务预期；
+    // 真正确认的日期以签署完成时固化的取值（signedAt）为准
+    signedDate: (snapshot.signedAt ?? new Date().toISOString()).slice(0, 10),
+    signature: snapshot.signatureDataUrl ?? '',
+    // 医师签名与代理人关系必须由现场填写，不能由系统代填；
+    // 上一版把「与患者关系」恒填「本人」，等于把代理人签署这条路堵死了。
+    relationship: '',
+    doctor: '',
+  }
+}
diff --git a/clinical-web/src/views/management/documents/components/DocumentPreviewDialog.vue b/clinical-web/src/views/management/documents/components/DocumentPreviewDialog.vue
index a15e19f..fc02183 100644
--- a/clinical-web/src/views/management/documents/components/DocumentPreviewDialog.vue
+++ b/clinical-web/src/views/management/documents/components/DocumentPreviewDialog.vue
@@ -1,7 +1,12 @@
 <script setup lang="ts">
-import { computed, ref, watch } from 'vue'
+import { computed, nextTick, ref, watch } from 'vue'
 
-import { buildSigningDocumentHtml } from '@/utils/signing-document'
+import {
+  buildSigningDocumentHtml,
+  describeFieldProgress,
+  readAnswersFromRoot,
+  type SigningFieldProgress,
+} from '@/utils/signing-document'
 
 import { documentStatusLabels, signingPreviewPatient } from '../mock'
 import type { DocumentTemplate } from '../types'
@@ -22,14 +27,30 @@ const emit = defineEmits<{
 const activeTab = ref<'content' | 'signing'>('content')
 /** 签署预览里科室试勾选的结果，仅用于预览反馈，不作为签署证据 */
 const signingSelection = ref<string[]>([])
+/** 签署预览里填写项的完成情况，同样只用于预览反馈 */
+const signingProgress = ref<SigningFieldProgress>({
+  total: 0,
+  filled: 0,
+  missingRequired: [],
+  abnormal: [],
+})
 const signingBodyRef = ref<HTMLElement | null>(null)
 
+// 切到签署预览时才挂载文书 DOM，挂载后再统计填写项，否则进页面会显示「0 / 0 项」
+watch(activeTab, async (tab) => {
+  if (tab === 'signing') {
+    await nextTick()
+    syncPreviewFields()
+  }
+})
+
 watch(
   () => props.visible,
   (visible) => {
     if (visible) {
       activeTab.value = 'content'
       signingSelection.value = []
+      signingProgress.value = { total: 0, filled: 0, missingRequired: [], abnormal: [] }
     }
   },
 )
@@ -98,20 +119,19 @@ const signingPreviewHtml = computed(() =>
   buildSigningDocumentHtml(props.template?.contentHtml ?? '', signingPreviewPatient, true),
 )
 
-// 勾选汇总只在预览内展示（切页签、重开弹窗即重置），不作为签署证据。
-function handleSigningSelectionChange(event: Event) {
-  const target = event.target as HTMLInputElement
+// 填写项与勾选汇总只在预览内展示（切页签、重开弹窗即重置），不作为签署证据。
+function syncPreviewFields() {
+  const body = signingBodyRef.value
 
-  if (!target.classList.contains('sign-doc-checkbox')) {
+  if (!body) {
     return
   }
 
-  const body = signingBodyRef.value
-  const checked = body
-    ? Array.from(body.querySelectorAll<HTMLInputElement>('input.sign-doc-checkbox:checked'))
-    : []
-
-  signingSelection.value = checked.map((input) => input.getAttribute('data-sign-item') ?? '')
+  const answers = readAnswersFromRoot(body)
+  signingProgress.value = describeFieldProgress(body, answers)
+  signingSelection.value = Array.from(
+    body.querySelectorAll<HTMLInputElement>('input.sign-doc-checkbox:checked'),
+  ).map((input) => input.getAttribute('data-sign-item') ?? '')
 }
 </script>
 
@@ -179,14 +199,22 @@ function handleSigningSelectionChange(event: Event) {
             <div
               ref="signingBodyRef"
               class="signing-preview"
-              @change="handleSigningSelectionChange"
+              @change="syncPreviewFields"
+              @input="syncPreviewFields"
               v-html="signingPreviewHtml"
             />
             <!-- eslint-enable vue/no-v-html -->
             <p class="signing-selection">
-              已勾选 <strong>{{ signingSelection.length }}</strong> 项{{
-                signingSelection.length ? `：${signingSelection.join('、')}` : ''
-              }}
+              填写项 <strong>{{ signingProgress.filled }}</strong> /
+              {{ signingProgress.total }} 项已填<template v-if="signingSelection.length">
+                ・已勾选 <strong>{{ signingSelection.length }}</strong> 项：{{
+                  signingSelection.join('、')
+                }}</template
+              ><template v-if="signingProgress.abnormal.length">
+                ・异常项：<strong class="is-abnormal">{{
+                  signingProgress.abnormal.join('、')
+                }}</strong></template
+              >
             </p>
           </template>
           <iframe
@@ -473,6 +501,101 @@ function handleSigningSelectionChange(event: Event) {
   vertical-align: middle;
 }
 
+/* 填写项：签署预览里按签署时的控件外观渲染，样式与签署端保持一致 */
+.signing-preview :deep(.sign-field) {
+  display: inline-flex;
+  gap: 4px;
+  align-items: center;
+  padding: 2px 7px;
+  margin: 0 2px;
+  vertical-align: middle;
+  background: #f7fbfd;
+  border: 1px solid #d4e3e8;
+  border-radius: 5px;
+}
+
+.signing-preview :deep(.sign-field__label) {
+  flex-shrink: 0;
+  color: #587786;
+  font-size: 11.5px;
+}
+
+.signing-preview :deep(.sign-field__required) {
+  margin-left: 2px;
+  color: var(--err);
+}
+
+.signing-preview :deep(.sign-field__control) {
+  display: inline-flex;
+  gap: 8px;
+  align-items: center;
+}
+
+.signing-preview :deep(.sign-field__input) {
+  width: 9em;
+  min-width: 0;
+  padding: 1px 5px;
+  color: #1c2b33;
+  font: inherit;
+  font-size: 12.5px;
+  background: #fff;
+  border: 1px solid #cfe0e6;
+  border-radius: 4px;
+}
+
+.signing-preview :deep(.sign-field__input:focus) {
+  border-color: var(--brand);
+  outline: none;
+}
+
+.signing-preview :deep(.sign-field__choices) {
+  display: inline-flex;
+  flex-wrap: wrap;
+  gap: 10px;
+}
+
+.signing-preview :deep(.sign-field__radio),
+.signing-preview :deep(.sign-field__checkbox) {
+  width: 15px;
+  height: 15px;
+  accent-color: var(--brand);
+}
+
+.signing-preview :deep(.sign-field__signature-empty) {
+  padding: 12px 18px;
+  color: #a96900;
+  font-size: 11px;
+  background: #fff9ec;
+  border: 1px dashed #f0a21a;
+  border-radius: 4px;
+}
+
+.signing-preview :deep(.sign-field--signature) {
+  padding: 3px 8px;
+}
+
+.signing-preview :deep(.sign-field--signature .sign-field__control) {
+  min-width: 150px;
+  justify-content: center;
+}
+
+.signing-preview :deep(.sign-field--abnormal) {
+  background: #fdf0f0;
+  border-color: #efb9bb;
+}
+
+.signing-preview :deep(.sign-field--abnormal .sign-field__label) {
+  color: #a42e34;
+}
+
+.signing-preview :deep(.sign-field__badge) {
+  padding: 1px 6px;
+  color: #fff;
+  font-size: 10px;
+  background: var(--err);
+  border-radius: 8px;
+}
+
 .signing-selection {
   padding: 8px 12px;
   margin: 10px 0 0;
@@ -487,6 +610,10 @@ function handleSigningSelectionChange(event: Event) {
   color: var(--brand);
 }
 
+.signing-selection .is-abnormal {
+  color: var(--err);
+}
+
 .preview-paper {
   min-height: 420px;
   padding: 26px 34px;
diff --git a/clinical-web/src/views/management/documents/components/WordEditorDialog.vue b/clinical-web/src/views/management/documents/components/WordEditorDialog.vue
index 00ab05d..67eb42e 100644
--- a/clinical-web/src/views/management/documents/components/WordEditorDialog.vue
+++ b/clinical-web/src/views/management/documents/components/WordEditorDialog.vue
@@ -1,8 +1,14 @@
 <script setup lang="ts">
-import { reactive, ref, watch } from 'vue'
+import { computed, reactive, ref, watch } from 'vue'
 import { ElMessage } from 'element-plus'
 
 import type { CampusRecord, DepartmentRecord } from '@/api/management/types'
+import {
+  buildFieldToken,
+  collectFieldDefs,
+  findDuplicateFields,
+  SIGNING_FIELD_PRESETS,
+} from '@/utils/signing-fields'
 
 import EditorWangPane from './editors/EditorWangPane.vue'
 import type { DocumentTemplate, TemplateEditorForm } from '../types'
@@ -35,16 +41,9 @@ const importing = ref(false)
 const importMessage = ref('')
 const paneRef = ref<EditorPaneHandle | null>(null)
 
-// 占位符在签署时由系统按患者与就诊信息自动填充；签署交互管线同时会识别"勾选"表格。
-const placeholders = [
-  '｛患者姓名｝',
-  '｛性别｝',
-  '｛年龄｝',
-  '｛就诊号｝',
-  '｛签署日期｝',
-  '｛患者签名｝',
-  '｛与患者关系｝',
-]
+// 占位符在签署时按字段键取 HIS 与患者就诊信息自动填充，其中签名是独立控件类型：
+// 签字后签名图作为该字段取值落回文书原本的签名位，不需要再替换文字。
+// 目录见 utils/signing-fields 的 SIGNING_FIELD_PRESETS，与签署端渲染共用同一份。
 
 const form = reactive<TemplateEditorForm>({
   templateCode: '',
@@ -108,6 +107,44 @@ function insertContent(text: string) {
   paneRef.value?.insertText(text)
 }
 
+function insertField(field: (typeof SIGNING_FIELD_PRESETS)[number]) {
+  insertContent(buildFieldToken(field))
+}
+
+/** 已插入的填写项：让科室在保存前确认签名位、日期位有没有漏 */
+const detectedFields = computed(() => collectFieldDefs(valueHtml.value))
+
+const placeholderHints = computed(() => {
+  const hints: string[] = []
+  const ids = new Set(detectedFields.value.map((field) => field.id))
+
+  if (!ids.has('signature')) {
+    hints.push('文书中没有签名占位符，签署后签名无处落位，建议插入「患者签名」。')
+  }
+
+  if (!ids.has('signedDate')) {
+    hints.push('文书中没有签署日期占位符，建议插入「签署日期」以便留痕。')
+  }
+
+  const duplicates = findDuplicateFields(valueHtml.value)
+
+  if (duplicates.length) {
+    hints.push(
+      `以下占位符出现多次：${duplicates.map((field) => field.label).join('、')}（同一字段共用一份取值）。`,
+    )
+  }
+
+  return hints
+})
+
+const kindLabels: Record<string, string> = {
+  text: '文本',
+  date: '日期',
+  choice: '单选',
+  checkbox: '勾选',
+  signature: '签名',
+}
+
 async function handleDocxChange(event: Event) {
   const input = event.target as HTMLInputElement
   const file = input.files?.[0]
@@ -163,12 +200,7 @@ function save() {
 
 <template>
   <Teleport to="body">
-    <div
-      v-if="visible"
-      class="dialog-mask"
-      role="presentation"
-      @click.self="emit('close')"
-    >
+    <div v-if="visible" class="dialog-mask" role="presentation" @click.self="emit('close')">
       <section
         class="word-editor"
         role="dialog"
@@ -206,7 +238,11 @@ function save() {
             <span>所属科室</span>
             <select v-model="form.departmentId">
               <option value="">全院通用</option>
-              <option v-for="department in availableDepartments" :key="department.id" :value="department.id">
+              <option
+                v-for="department in availableDepartments"
+                :key="department.id"
+                :value="department.id"
+              >
                 {{ department.name }}
               </option>
             </select>
@@ -230,13 +266,15 @@ function save() {
             <span>插入签署占位符</span>
             <div class="placeholder-row">
               <button
-                v-for="item in placeholders"
-                :key="item"
+                v-for="field in SIGNING_FIELD_PRESETS"
+                :key="field.id"
                 type="button"
                 class="placeholder-chip"
-                @click="insertContent(item)"
+                :class="{ 'is-signature': field.kind === 'signature' }"
+                :title="`${kindLabels[field.kind]}字段；签署时按患者与就诊信息自动填充${field.required ? '，必填' : ''}`"
+                @click="insertField(field)"
               >
-                {{ item }}
+                {{ field.label }}{{ field.required ? ' *' : '' }}
               </button>
             </div>
           </div>
@@ -257,6 +295,26 @@ function save() {
           </div>
         </div>
 
+        <div class="placeholder-check">
+          <div class="placeholder-check__head">
+            <strong>占位符检查</strong>
+            <span>{{ detectedFields.length }} 个填写项</span>
+          </div>
+          <div v-if="detectedFields.length" class="placeholder-check__list">
+            <span v-for="field in detectedFields" :key="field.id" class="placeholder-check__item">
+              {{ field.label }}
+              <em>{{ kindLabels[field.kind] }}</em>
+              <i v-if="field.required">必填</i>
+            </span>
+          </div>
+          <p v-else class="placeholder-check__empty">
+            文书中还没有任何填写项，签署时不会采集患者填写内容。
+          </p>
+          <ul v-if="placeholderHints.length" class="placeholder-check__hints">
+            <li v-for="hint in placeholderHints" :key="hint">{{ hint }}</li>
+          </ul>
+        </div>
+
         <div class="editor-shell">
           <div class="docx-bar">
             <button
@@ -277,7 +335,8 @@ function save() {
             />
             <span v-if="importMessage" class="docx-message">{{ importMessage }}</span>
             <span v-else class="docx-hint">
-              建议从 Word/WPS 中全选复制文书后直接粘贴到下方编辑区；需要患者勾选的内容可点上方「插入勾选框」按钮插入（光标停在表格单元格里就插到该单元格），或用表头含「勾选」列的表格承载。
+              建议从 Word/WPS
+              中全选复制文书后直接粘贴到下方编辑区；需要患者勾选的内容可点上方「插入勾选框」按钮插入（光标停在表格单元格里就插到该单元格），或用表头含「勾选」列的表格承载。
             </span>
           </div>
           <div class="editor-area">
@@ -435,6 +494,77 @@ function save() {
   filter: brightness(0.95);
 }
 
+/* 签名类占位符用不同颜色区分：它决定签名落位，是文书里最不能漏的一项 */
+.placeholder-chip.is-signature {
+  color: #a96900;
+  background: #fff4e2;
+}
+
+.placeholder-check {
+  padding: 10px 18px 0;
+}
+
+.placeholder-check__head {
+  display: flex;
+  gap: 10px;
+  align-items: center;
+  margin-bottom: 7px;
+}
+
+.placeholder-check__head strong {
+  color: var(--ink);
+  font-size: 11.5px;
+}
+
+.placeholder-check__head span {
+  color: var(--mut);
+  font-size: 11px;
+}
+
+.placeholder-check__list {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 5px;
+}
+
+.placeholder-check__item {
+  display: inline-flex;
+  gap: 5px;
+  align-items: center;
+  padding: 2px 8px;
+  color: var(--ink);
+  font-size: 11.5px;
+  background: #f4f8fa;
+  border: 1px solid var(--line);
+  border-radius: 12px;
+}
+
+.placeholder-check__item em {
+  color: var(--brand);
+  font-size: 10.5px;
+  font-style: normal;
+}
+
+.placeholder-check__item i {
+  color: var(--err);
+  font-size: 10.5px;
+  font-style: normal;
+}
+
+.placeholder-check__empty {
+  margin: 0;
+  color: var(--mut);
+  font-size: 11.5px;
+}
+
+.placeholder-check__hints {
+  padding-left: 16px;
+  margin: 8px 0 0;
+  color: var(--warn);
+  font-size: 11.5px;
+  line-height: 1.7;
+}
+
 .editor-shell {
   display: flex;
   flex-direction: column;
diff --git a/clinical-web/src/views/management/documents/mock.ts b/clinical-web/src/views/management/documents/mock.ts
index 7265a69..a6b2bf1 100644
--- a/clinical-web/src/views/management/documents/mock.ts
+++ b/clinical-web/src/views/management/documents/mock.ts
@@ -41,5 +41,6 @@ export const signingPreviewPatient: SigningDocumentData = {
   age: 46,
   visitNo: 'V20260914001',
   visitDate: '2026-09-14',
+  phone: '138****5678',
   signedAt: '',
 }
diff --git a/clinical-web/src/views/workbench/signing/components/SigningDocumentInteractive.vue b/clinical-web/src/views/workbench/signing/components/SigningDocumentInteractive.vue
index 48adf0f..a61efb5 100644
--- a/clinical-web/src/views/workbench/signing/components/SigningDocumentInteractive.vue
+++ b/clinical-web/src/views/workbench/signing/components/SigningDocumentInteractive.vue
@@ -1,12 +1,18 @@
 <script setup lang="ts">
 import { computed, onMounted, ref, watch } from 'vue'
 
-import type { SigningTaskRecord } from '@/api/workbench/types'
-import { buildSigningDocumentHtml } from '@/utils/signing-document'
+import type { SigningAnswers, SigningTaskRecord } from '@/api/workbench/types'
+import {
+  buildSigningDocumentHtml,
+  describeFieldProgress,
+  readAnswersFromRoot,
+  type SigningDocumentData,
+  type SigningFieldProgress,
+} from '@/utils/signing-document'
 
-// 签署文书交互化渲染：变换管线（占位符填充 / 签名域 / 勾选表转复选框）见
-// utils/signing-document，与文书库的「签署预览」共用同一实现。
-// 本组件只负责挂载 HTML、收集勾选结果并渲染签署态外壳。
+// 签署文书交互化渲染：填写项渲染（HIS 预填 + 现场确认）、签名回显、勾选收集见
+// utils/signing-document 与 utils/signing-fields，与文书库的「签署预览」共用同一实现。
+// 本组件只负责挂载 HTML、收集填写项取值并渲染签署态外壳。
 const props = withDefaults(
   defineProps<{
     task: SigningTaskRecord
@@ -17,32 +23,71 @@ const props = withDefaults(
 
 const emit = defineEmits<{
   'selection-change': [items: string[]]
+  'field-change': [answers: SigningAnswers, progress: SigningFieldProgress]
 }>()
 
 const containerRef = ref<HTMLElement | null>(null)
 const selectedItems = ref<string[]>([])
+const fieldAnswers = ref<SigningAnswers>({})
+const progress = ref<SigningFieldProgress>({
+  total: 0,
+  filled: 0,
+  missingRequired: [],
+  abnormal: [],
+})
 
-// 任务自带勾选（已签署的文书）在挂载/切换任务时同步出来并上报，
-// 否则父级拿到的是空数组，会当成"一项都没勾"
-watch(
-  () => props.task,
-  (task) => {
-    selectedItems.value = [...(task.selectedItems ?? [])]
-    emit('selection-change', [...selectedItems.value])
-  },
-  { immediate: true },
-)
+// 只挑渲染真正需要的字段显式映射，不直接透传整个任务对象：
+// 渲染数据契约与任务记录是两回事，哪天字段改名也不会静默丢取值。
+const documentData = computed<SigningDocumentData>(() => ({
+  patientName: props.task.patientName,
+  sex: props.task.sex,
+  age: props.task.age,
+  visitNo: props.task.visitNo,
+  visitDate: props.task.visitDate,
+  signedAt: props.task.signedAt,
+  signatureDataUrl: props.task.signatureDataUrl,
+  selectedItems: props.task.selectedItems,
+  fieldAnswers: props.task.fieldAnswers,
+}))
 
 const processedHtml = computed(() =>
-  buildSigningDocumentHtml(props.task.documentContentHtml ?? '', props.task, props.interactive),
+  buildSigningDocumentHtml(
+    props.task.documentContentHtml ?? '',
+    documentData.value,
+    props.interactive,
+  ),
 )
 
+/** 文书里的填写项数量（含只读展示），用于提示"这份文书有几个填写项" */
+const fieldTotal = computed(() => progress.value.total)
+
 /**
- * 兜底：文书 HTML 更新后，按任务记录再同步一次 DOM 的勾选状态。
- * 生成 HTML 时已经写了 checked 属性，这里不依赖 attribute 在序列化中的表现，
- * 确保「签完再打开时勾选还在」这件事稳定成立。
+ * 从渲染后的 DOM 读回填写项取值。
+ * 生成 HTML 时已把取值写成 attribute，这里再按取值同步一次 DOM 状态，
+ * 保证「签完再打开时填写项/勾选还在」这件事不依赖序列化细节。
  */
-function applyStoredSelection() {
+function syncFromDom() {
+  const container = containerRef.value
+
+  if (!container) {
+    return
+  }
+
+  const answers = readAnswersFromRoot(container)
+  fieldAnswers.value = answers
+  progress.value = describeFieldProgress(container, answers)
+
+  const checked = Array.from(
+    container.querySelectorAll<HTMLInputElement>('input.sign-doc-checkbox:checked'),
+  )
+  selectedItems.value = checked.map((item) => item.getAttribute('data-sign-item') ?? '')
+
+  emit('field-change', { ...answers }, { ...progress.value })
+  emit('selection-change', [...selectedItems.value])
+}
+
+/** 按已固化的取值还原 DOM 控件状态（存量勾选表 + 新填写项都覆盖） */
+function applyStoredValues() {
   const container = containerRef.value
 
   if (!container) {
@@ -54,33 +99,64 @@ function applyStoredSelection() {
   container.querySelectorAll<HTMLInputElement>('input.sign-doc-checkbox').forEach((input) => {
     input.checked = selected.has(input.getAttribute('data-sign-item') ?? '')
   })
-}
 
-watch(processedHtml, applyStoredSelection, { flush: 'post' })
+  const answers: SigningAnswers = { ...(props.task.fieldAnswers ?? {}) }
 
-onMounted(applyStoredSelection)
-
-function handleSelectionChange(event: Event) {
-  const target = event.target as HTMLInputElement
-
-  if (!target.classList.contains('sign-doc-checkbox')) {
-    return
+  if (props.task.signatureDataUrl && !answers.signature) {
+    answers.signature = props.task.signatureDataUrl
   }
 
-  const container = containerRef.value
-  const checked = container
-    ? Array.from(container.querySelectorAll<HTMLInputElement>('input.sign-doc-checkbox:checked'))
-    : []
+  container.querySelectorAll<HTMLElement>('[data-sign-field]').forEach((host) => {
+    const id = host.getAttribute('data-sign-field')
+    const value = id ? answers[id] : undefined
 
-  selectedItems.value = checked.map((item) => item.getAttribute('data-sign-item') ?? '')
-  emit('selection-change', [...selectedItems.value])
+    if (id === undefined || value === undefined) {
+      return
+    }
+
+    if (typeof value === 'boolean') {
+      const checkbox = host.querySelector<HTMLInputElement>('input[type="checkbox"]')
+      if (checkbox) {
+        checkbox.checked = value
+      }
+      return
+    }
+
+    const input = host.querySelector<HTMLInputElement>(
+      'input:not([type="radio"]):not([type="checkbox"])',
+    )
+    if (input) {
+      input.value = value
+    }
+
+    host.querySelectorAll<HTMLInputElement>('input[type="radio"]').forEach((radio) => {
+      radio.checked = radio.value === value
+    })
+  })
 }
+
+watch(
+  () => props.task,
+  () => {
+    selectedItems.value = [...(props.task.selectedItems ?? [])]
+    fieldAnswers.value = { ...(props.task.fieldAnswers ?? {}) }
+    emit('selection-change', [...selectedItems.value])
+  },
+  { immediate: true },
+)
+
+watch(processedHtml, applyStoredValues, { flush: 'post' })
+
+onMounted(() => {
+  applyStoredValues()
+  syncFromDom()
+})
 </script>
 
 <template>
   <article class="sign-doc">
     <div class="sign-doc-banner">
-      <span>已按任务固化的文书版本渲染（占位符已填充、"勾选"表已交互化）</span>
+      <span>已按任务固化的文书版本渲染（填写项已按患者信息预填，签名落在文书签名位）</span>
       <span class="sign-doc-state">
         {{
           task.signatureDataUrl ? '已采集签名' : task.status === 'signed' ? '已签署' : '待患者签署'
@@ -92,18 +168,30 @@ function handleSelectionChange(event: Event) {
     <div
       ref="containerRef"
       class="sign-doc-body"
-      @change="handleSelectionChange"
+      @change="syncFromDom"
+      @input="syncFromDom"
       v-html="processedHtml"
     />
     <!-- eslint-enable vue/no-v-html -->
 
     <footer v-if="interactive" class="sign-doc-footer">
       <span>
-        已勾选 <strong>{{ selectedItems.length }}</strong> 项{{
-          selectedItems.length ? `：${selectedItems.join('、')}` : ''
-        }}
+        填写项 <strong>{{ progress.filled }}</strong> / {{ fieldTotal }} 项已填
+        <template v-if="progress.abnormal.length">
+          ・异常项：<strong class="is-abnormal">{{ progress.abnormal.join('、') }}</strong>
+        </template>
+      </span>
+      <span v-if="progress.missingRequired.length" class="is-missing">
+        必填未完成：{{ progress.missingRequired.join('、') }}，请补充后再采集签名。
+      </span>
+      <span v-else
+        >完成填写后通过「手写板签署 / 线上签署」采集签名，填写项与勾选结果随签署证据一并提交。</span
+      >
+    </footer>
+    <footer v-else-if="fieldTotal" class="sign-doc-footer">
+      <span>
+        填写项 <strong>{{ progress.filled }}</strong> / {{ fieldTotal }} 项已填，取值已随签署固化。
       </span>
-      <span>完成勾选后通过「手写板签署 / 线上签署」采集签名，勾选结果将随签署证据一并提交。</span>
     </footer>
   </article>
 </template>
@@ -160,6 +248,14 @@ function handleSelectionChange(event: Event) {
   color: var(--brand);
 }
 
+.sign-doc-footer .is-abnormal {
+  color: var(--err);
+}
+
+.sign-doc-footer .is-missing {
+  color: var(--err);
+}
+
 /* 注入的文书 HTML（v-html 内容不携带 scoped 属性，统一用 :deep 覆盖基础文书样式） */
 .sign-doc-body :deep(p) {
   margin: 0 0 6px;
@@ -223,4 +319,108 @@ function handleSelectionChange(event: Event) {
   max-height: 52px;
   vertical-align: middle;
 }
+
+/* ===== 填写项 ===== */
+.sign-doc-body :deep(.sign-field) {
+  display: inline-flex;
+  gap: 4px;
+  align-items: center;
+  padding: 2px 7px;
+  margin: 0 2px;
+  vertical-align: middle;
+  background: #f7fbfd;
+  border: 1px solid #d4e3e8;
+  border-radius: 5px;
+}
+
+.sign-doc-body :deep(.sign-field__label) {
+  flex-shrink: 0;
+  color: #587786;
+  font-size: 11.5px;
+}
+
+.sign-doc-body :deep(.sign-field__required) {
+  margin-left: 2px;
+  color: var(--err);
+}
+
+.sign-doc-body :deep(.sign-field__control) {
+  display: inline-flex;
+  gap: 8px;
+  align-items: center;
+}
+
+.sign-doc-body :deep(.sign-field__input) {
+  width: 9em;
+  min-width: 0;
+  padding: 1px 5px;
+  color: #1c2b33;
+  font: inherit;
+  font-size: 12.5px;
+  background: #fff;
+  border: 1px solid #cfe0e6;
+  border-radius: 4px;
+}
+
+.sign-doc-body :deep(.sign-field__input:focus) {
+  border-color: var(--brand);
+  outline: none;
+}
+
+.sign-doc-body :deep(.sign-field__input:disabled) {
+  color: #1c2b33;
+  background: transparent;
+  border-color: transparent;
+  opacity: 1;
+  -webkit-text-fill-color: #1c2b33;
+}
+
+.sign-doc-body :deep(.sign-field__choices) {
+  display: inline-flex;
+  flex-wrap: wrap;
+  gap: 10px;
+}
+
+.sign-doc-body :deep(.sign-field__radio),
+.sign-doc-body :deep(.sign-field__checkbox) {
+  width: 15px;
+  height: 15px;
+  accent-color: var(--brand);
+}
+
+.sign-doc-body :deep(.sign-field__signature-empty) {
+  padding: 12px 18px;
+  color: #a96900;
+  font-size: 11px;
+  background: #fff9ec;
+  border: 1px dashed #f0a21a;
+  border-radius: 4px;
+}
+
+/* 签名位比其他填写项更宽，避免签名图被压扁 */
+.sign-doc-body :deep(.sign-field--signature) {
+  padding: 3px 8px;
+}
+
+.sign-doc-body :deep(.sign-field--signature .sign-field__control) {
+  min-width: 150px;
+  justify-content: center;
+}
+
+.sign-doc-body :deep(.sign-field--abnormal) {
+  background: #fdf0f0;
+  border-color: #efb9bb;
+}
+
+.sign-doc-body :deep(.sign-field--abnormal .sign-field__label) {
+  color: #a42e34;
+}
+
+.sign-doc-body :deep(.sign-field__badge) {
+  padding: 1px 6px;
+  color: #fff;
+  font-size: 10px;
+  background: var(--err);
+  border-radius: 8px;
+}
 </style>
diff --git a/clinical-web/src/views/workbench/signing/components/SigningTaskDetail.vue b/clinical-web/src/views/workbench/signing/components/SigningTaskDetail.vue
index 85f98b4..fa838a6 100644
--- a/clinical-web/src/views/workbench/signing/components/SigningTaskDetail.vue
+++ b/clinical-web/src/views/workbench/signing/components/SigningTaskDetail.vue
@@ -1,5 +1,11 @@
 <script setup lang="ts">
-import type { SigningArtifact, SigningTaskEvent, SigningTaskRecord } from '@/api/workbench/types'
+import type {
+  SigningAnswers,
+  SigningArtifact,
+  SigningTaskEvent,
+  SigningTaskRecord,
+} from '@/api/workbench/types'
+import type { SigningFieldProgress } from '@/utils/signing-document'
 
 import SigningDocumentInteractive from './SigningDocumentInteractive.vue'
 import SigningDocumentPreview from './SigningDocumentPreview.vue'
@@ -25,6 +31,7 @@ const emit = defineEmits<{
   action: [action: SigningTaskAction]
   downloadArtifact: [artifact: SigningArtifact]
   selectionChange: [items: string[]]
+  fieldChange: [answers: SigningAnswers, progress: SigningFieldProgress]
 }>()
 </script>
 
@@ -146,6 +153,7 @@ const emit = defineEmits<{
         :task="task"
         :interactive="allowLocalSigning && task.status !== 'signed' && task.status !== 'void'"
         @selection-change="emit('selectionChange', $event)"
+        @field-change="(answers, progress) => emit('fieldChange', answers, progress)"
       />
       <SigningDocumentPreview v-else :task="task" />
       <TaskAuditTimeline :events="auditEvents" :loading="auditLoading" :error="auditError" />
diff --git a/clinical-web/src/views/workbench/signing/index.vue b/clinical-web/src/views/workbench/signing/index.vue
index 488a18d..29b1051 100644
--- a/clinical-web/src/views/workbench/signing/index.vue
+++ b/clinical-web/src/views/workbench/signing/index.vue
@@ -19,6 +19,7 @@ import {
   voidSigningTask,
 } from '@/api/workbench/signing'
 import type {
+  SigningAnswers,
   SigningDateRange,
   SigningMethod,
   SigningArtifact,
@@ -32,6 +33,7 @@ import type {
 } from '@/api/workbench/types'
 import NewSigningTaskDialog from '@/components/signing/NewSigningTaskDialog.vue'
 import { useAppStore } from '@/stores/app'
+import type { SigningFieldProgress } from '@/utils/signing-document'
 
 import OnlineSigningDialog from './components/OnlineSigningDialog.vue'
 import SignaturePadDialog from './components/SignaturePadDialog.vue'
@@ -82,6 +84,10 @@ const selectedTaskId = ref<string | null>(null)
 const selectedTask = ref<SigningTaskRecord | null>(null)
 /** 当前任务里患者已勾选的条目，签署完成时随签名一起固化到任务上 */
 const signingSelection = ref<string[]>([])
+/** 当前任务文书的填写项取值（含签名图），签署完成时随签名一起固化 */
+const signingAnswers = ref<SigningAnswers>({})
+/** 文书填写项完成情况：签署前用它做必填校验、提示异常项 */
+const signingProgress = ref<SigningFieldProgress | null>(null)
 const taskEvents = ref<SigningTaskEvent[]>([])
 const artifacts = ref<SigningArtifact[]>([])
 const templates = ref<SigningTemplate[]>([])
@@ -215,9 +221,11 @@ async function loadOrganizationOptions() {
 
 async function loadTaskDetail(id: string | null) {
   const requestId = ++detailRequestId
-  // 换任务时先清空勾选，避免把上一个任务的勾选带到新任务上；
-  // 文书组件挂载后会用任务自身的勾选重新上报
+  // 换任务时先清空勾选与填写项，避免把上一个任务的取值带到新任务上；
+  // 文书组件挂载后会用任务自身固化的取值重新上报
   signingSelection.value = []
+  signingAnswers.value = {}
+  signingProgress.value = null
 
   if (!id) {
     selectedTask.value = null
@@ -254,6 +262,7 @@ async function loadTaskDetail(id: string | null) {
       }
 
       selectedTask.value = detailResult.value
+      signingAnswers.value = { ...(detailResult.value.fieldAnswers ?? {}) }
 
       if (eventsResult.status === 'fulfilled') {
         taskEvents.value = eventsResult.value
@@ -348,6 +357,26 @@ function handleSelectionChange(items: string[]) {
   signingSelection.value = items
 }
 
+function handleFieldChange(answers: SigningAnswers, progress: SigningFieldProgress) {
+  signingAnswers.value = answers
+  signingProgress.value = progress
+}
+
+/**
+ * 采集签名前的填写项校验。
+ * 必填项没填完就采集签名，等于签了一份内容不完整的文书，因此在入口处挡住。
+ */
+function assertFieldsReady() {
+  const missing = signingProgress.value?.missingRequired ?? []
+
+  if (missing.length) {
+    ElMessage.warning(`请先完成必填项：${missing.join('、')}`)
+    return false
+  }
+
+  return true
+}
+
 function handlePageChange(nextPage: number) {
   const pageCount = Math.max(Math.ceil(total.value / pageSize.value), 1)
 
@@ -383,6 +412,10 @@ async function handleTaskAction(action: SigningTaskAction) {
       return
     }
 
+    if (!assertFieldsReady()) {
+      return
+    }
+
     signatureDialogVisible.value = true
     return
   }
@@ -409,6 +442,10 @@ async function handleTaskAction(action: SigningTaskAction) {
       return
     }
 
+    if (!assertFieldsReady()) {
+      return
+    }
+
     onlineDialogVisible.value = true
     return
   }
@@ -514,7 +551,12 @@ async function confirmPadSignature(signatureDataUrl: string) {
 
   try {
     await refreshTask(
-      await completeSigningTask(task.id, signatureDataUrl, signingSelection.value),
+      await completeSigningTask(
+        task.id,
+        signatureDataUrl,
+        signingSelection.value,
+        signingAnswers.value,
+      ),
       '手写签署已完成',
     )
     signatureDialogVisible.value = false
@@ -532,7 +574,12 @@ async function completeOnlineSignature(signatureDataUrl: string) {
 
   try {
     await refreshTask(
-      await completeSigningTask(task.id, signatureDataUrl, signingSelection.value),
+      await completeSigningTask(
+        task.id,
+        signatureDataUrl,
+        signingSelection.value,
+        signingAnswers.value,
+      ),
       '线上签署已完成',
     )
     onlineDialogVisible.value = false
@@ -655,6 +702,7 @@ onMounted(() => {
         @action="handleTaskAction"
         @download-artifact="downloadArtifact"
         @selection-change="handleSelectionChange"
+        @field-change="handleFieldChange"
       />
     </div>