diff --git a/clinical-web/src/api/management/documents.ts b/clinical-web/src/api/management/documents.ts
index 3455613..d45ab60 100644
--- a/clinical-web/src/api/management/documents.ts
+++ b/clinical-web/src/api/management/documents.ts
@@ -114,6 +114,9 @@ function mapDocument(dto: TemplateResponseDto): DocumentRecord {
     // 现在取不到就是 undefined，卡片不渲染对应标签，不伪造取值
     examType: dto.examType ?? undefined,
     projectCodes: dto.projectCodes ?? undefined,
+    // 需科室确认：后端没给就是 false（走原路直接归档），
+    // 不能默认成 true —— 那会给所有文书凭空多插一道人工节点
+    needConfirm: dto.needConfirm ?? false,
   }
 }
 
diff --git a/clinical-web/src/api/management/types.ts b/clinical-web/src/api/management/types.ts
index b3dced2..3b0a376 100644
--- a/clinical-web/src/api/management/types.ts
+++ b/clinical-web/src/api/management/types.ts
@@ -49,6 +49,13 @@ export interface DocumentRecord {
    * 同样只在后端提供时才有值，缺省即不显示。
    */
   projectCodes?: string[]
+  /**
+   * 患者签署后是否需要「科室复核签章」节点（原型 V10.2 的 needConfirm）。
+   *
+   * 检验 / 基因检测 / 自费类文书要科室再确认一次，避免漏签补签；
+   * 发起签署时它随文书带到任务上，决定签完落「待科室确认」还是「已签署」。
+   */
+  needConfirm?: boolean
   contentHtml?: string
   contentSha256?: string
   /** 当前已发布版本；发起签署必须使用它，不能误用最新草稿版本。 */
@@ -83,6 +90,8 @@ export interface TemplateResponseDto {
    */
   examType?: string | null
   projectCodes?: string[] | null
+  /** 患者签署后是否需要科室复核签章；取不到即按 false（直接归档）。 */
+  needConfirm?: boolean | null
   status?: BackendTemplateStatus | null
   currentVersionId?: string | null
   latestVersionId?: string | null
@@ -331,7 +340,15 @@ export interface OrganizationResponseDto {
 }
 
 export type ReportBackendTaskStatus =
-  'CREATED' | 'WAITING_SIGN' | 'SIGNED' | 'EXPIRED' | 'VOIDED' | 'GENERATING' | 'FAILED'
+  | 'CREATED'
+  | 'WAITING_SIGN'
+  | 'SIGNED'
+  | 'EXPIRED'
+  | 'VOIDED'
+  | 'GENERATING'
+  | 'FAILED'
+  /** 患者已签、等科室复核签章（与 workbench 的 WAITING_CONFIRM 同口径） */
+  | 'WAITING_CONFIRM'
 
 /** 与 workbench 的 BackendSigningMethod 同口径：四种方式平铺，无通道归并 */
 export type ReportBackendSignMethod = 'PAD' | 'SMS' | 'IPAD' | 'WX'
diff --git a/clinical-web/src/api/workbench/records.ts b/clinical-web/src/api/workbench/records.ts
index 82b66d7..b29dd55 100644
--- a/clinical-web/src/api/workbench/records.ts
+++ b/clinical-web/src/api/workbench/records.ts
@@ -122,6 +122,8 @@ interface MockRecordSeed {
   minutes?: number
   source?: string
   voidReason?: string
+  /** 患者签署后是否需要科室复核签章（原型 needConfirm） */
+  needConfirm?: boolean
 }
 
 const MOCK_RECORD_SEEDS: MockRecordSeed[] = [
@@ -131,6 +133,8 @@ const MOCK_RECORD_SEEDS: MockRecordSeed[] = [
   { patient: '周雅琴', sex: '女', age: 29, visitType: '门诊', doc: 'mock-doc-endoscopy', status: 'pending', method: 'sms', days: 0, at: '11:20' },
   { patient: '赵某某', sex: '男', age: 52, visitType: '住院', doc: 'mock-doc-admission', status: 'pending', method: 'ipad', days: 0, at: '09:05', source: '工作台发起' },
   { patient: '孙浩然', sex: '男', age: 54, visitType: '住院', doc: 'mock-doc-endoscopy', status: 'pending', method: 'wx', days: 0, at: '08:50' },
+  // 「待科室确认」样本：患者已签完，等科室复核签章（原型 T0818006 那种）
+  { patient: '王秀兰', sex: '女', age: 63, visitType: '住院', doc: 'mock-doc-endoscopy', status: 'confirming', method: 'sms', days: 0, at: '10:40', minutes: 5, needConfirm: true },
   // 昨天
   { patient: '孙浩然', sex: '男', age: 54, visitType: '住院', doc: 'mock-doc-narcotic', status: 'signed', method: 'pad', days: 1, at: '08:40', minutes: 6, source: '工作台发起' },
   { patient: '王建国', sex: '男', age: 71, visitType: '住院', doc: 'mock-doc-blood', status: 'signed', method: 'sms', days: 1, at: '14:15', minutes: 9 },
@@ -139,6 +143,7 @@ const MOCK_RECORD_SEEDS: MockRecordSeed[] = [
   // 近 3 天
   { patient: '吴桂芳', sex: '女', age: 73, visitType: '住院', doc: 'mock-doc-surgery', status: 'signed', method: 'pad', days: 2, at: '09:35', minutes: 5 },
   { patient: '刘伟', sex: '男', age: 45, visitType: '门诊', doc: 'mock-doc-cardiac', status: 'signed', method: 'sms', days: 2, at: '15:48', minutes: 3, source: '工作台发起' },
+  { patient: '张海涛', sex: '男', age: 47, visitType: '门诊', doc: 'mock-doc-blood', status: 'confirming', method: 'pad', days: 2, at: '16:20', minutes: 6, needConfirm: true },
   { patient: '郑海燕', sex: '女', age: 38, visitType: '门诊', doc: 'mock-doc-endoscopy', status: 'expired', method: 'sms', days: 3, at: '10:22' },
   { patient: '黄志明', sex: '男', age: 66, visitType: '住院', doc: 'mock-doc-mri', status: 'signed', method: 'pad', days: 3, at: '13:07', minutes: 8 },
   // 近 7 天
@@ -187,7 +192,9 @@ function buildMockRecord(seed: MockRecordSeed, index: number): SigningRecord {
   const createdAt = formatDateTime(createdAtDate)
   const signedDate = new Date(createdAtDate)
   signedDate.setMinutes(signedDate.getMinutes() + (seed.minutes ?? 0))
-  const signedAt = seed.status === 'signed' ? formatDateTime(signedDate) : undefined
+  // 待科室确认的记录同样已经签过了，签名时间与签名图都要有
+  const hasSigned = seed.status === 'signed' || seed.status === 'confirming'
+  const signedAt = hasSigned ? formatDateTime(signedDate) : undefined
 
   // 已超时的记录按 24 小时失效，其余按 48 小时；失效时间只做展示，不参与筛选
   const expireHours = seed.status === 'expired' ? 24 : 48
@@ -218,6 +225,7 @@ function buildMockRecord(seed: MockRecordSeed, index: number): SigningRecord {
     signerName: seed.patient,
     method: seed.method,
     status: seed.status,
+    needConfirm: seed.needConfirm ?? false,
     source: seed.source ?? '电子病历',
     createdAt,
     updatedAt: signedAt ?? createdAt,
@@ -225,7 +233,7 @@ function buildMockRecord(seed: MockRecordSeed, index: number): SigningRecord {
     expiresAt: formatDateTime(expiresAtDate),
     voidReason: seed.voidReason,
     // 已签署的记录带上签名图，否则「列表说已签署、打开没有签名」自相矛盾
-    signatureDataUrl: seed.status === 'signed' ? DEMO_SIGNATURE_DATA_URL : undefined,
+    signatureDataUrl: hasSigned ? DEMO_SIGNATURE_DATA_URL : undefined,
     documentContentHtml: getMockDocumentHtml(document.id),
   }
 }
@@ -509,6 +517,27 @@ function buildMockEvents(record: SigningRecord): SigningTaskEvent[] {
     })
   }
 
+  // 需科室确认的记录：签完先入科室确认队列，科室签章后才归档（与工作台留痕同一口径）
+  if (record.needConfirm && record.signedAt) {
+    events.push({
+      id: `${record.id}-confirm-queued`,
+      time: record.signedAt,
+      text: `已推送至${record.department}确认队列，等待科室复核签章`,
+      eventType: 'CONFIRM_QUEUED',
+      channel: backendChannel,
+    })
+
+    if (record.status === 'signed') {
+      events.push({
+        id: `${record.id}-confirmed`,
+        time: record.updatedAt,
+        text: '科室复核签章完成，文档归档至本次诊疗记录',
+        eventType: 'CONFIRMED',
+        channel: backendChannel,
+      })
+    }
+  }
+
   if (record.status === 'failed') {
     events.push({
       id: `${record.id}-failed`,
diff --git a/clinical-web/src/api/workbench/report-analytics.ts b/clinical-web/src/api/workbench/report-analytics.ts
index 327bd0c..30cadd8 100644
--- a/clinical-web/src/api/workbench/report-analytics.ts
+++ b/clinical-web/src/api/workbench/report-analytics.ts
@@ -156,9 +156,10 @@ const DEMO_PATIENTS: DemoPatient[] = [
    演示任务生成
    ========================================================================= */
 
-/** 状态分布：已签署占多数，其余各留一点，六种状态在总览统计块里都看得到 */
+/** 状态分布：已签署占多数，其余各留一点，七种状态在总览统计块里都看得到 */
 const STATUS_WEIGHTS: { status: SigningTaskStatus; weight: number }[] = [
-  { status: 'signed', weight: 68 },
+  { status: 'signed', weight: 62 },
+  { status: 'confirming', weight: 6 },
   { status: 'pending', weight: 9 },
   { status: 'signing', weight: 5 },
   { status: 'expired', weight: 8 },
@@ -259,7 +260,9 @@ function buildTasks(): ReportTaskRow[] {
     createdAt.setDate(createdAt.getDate() - daysAgo)
     createdAt.setHours(intBetween(random, 8, 19), intBetween(random, 0, 59), 0, 0)
 
-    const isSigned = status === 'signed'
+    // 待科室确认的任务患者也已经签完了，签署时间与用时都要有 ——
+    // 否则「签署时效分析」会把它们当成"还没签"，24 小时内完成率被算低
+    const isSigned = status === 'signed' || status === 'confirming'
     const signMinutes = isSigned ? buildSignMinutes(random) : undefined
 
     const row: ReportTaskRow = {
diff --git a/clinical-web/src/api/workbench/signing.ts b/clinical-web/src/api/workbench/signing.ts
index f421d71..5cddf65 100644
--- a/clinical-web/src/api/workbench/signing.ts
+++ b/clinical-web/src/api/workbench/signing.ts
@@ -336,6 +336,35 @@ const defaultMockRecords: SigningTaskRecord[] = [
     expiresAt: '2026-08-31 18:00',
     updatedAt: '2026-08-27 09:50',
   },
+  {
+    // 「待科室确认」节点：患者已经签完，只差科室复核签章。
+    // 四种状态徽标之外还必须有一条这个状态的样本，否则节点卡、复核签章动作、
+    // 状态筛选在演示环境里一次都走不到。
+    id: 'task-009',
+    templateVersionId: 'tpl-004-v1',
+    campus: '西院区',
+    patientId: 'P202610005',
+    patientName: '陈志强',
+    sex: '男',
+    age: 61,
+    visitNo: 'ZY20260826011',
+    visitType: '住院',
+    visitDate: '2026-08-26',
+    documentId: 'tpl-004',
+    documentName: '内镜检查知情同意书',
+    department: '普外科',
+    status: 'confirming',
+    signerName: '陈志强',
+    signerType: '本人',
+    // 需科室确认：检验 / 基因检测 / 自费类文书的典型场景，由模板标记带出
+    needConfirm: true,
+    method: 'sms',
+    smsMobileMasked: '135****9012',
+    source: '电子病历',
+    expiresAt: '2026-08-31 12:00',
+    signedAt: '2026-08-27 10:05',
+    updatedAt: '2026-08-27 10:05',
+  },
 ]
 
 /**
@@ -364,7 +393,9 @@ function hydrateTaskDocuments(records: SigningTaskRecord[]): SigningTaskRecord[]
   return records.map((record, index) => {
     let next = record
 
-    if (next.status === 'signed' && !next.signatureDataUrl) {
+    // 待科室确认的任务患者已经签过了，同样要有签名图 ——
+    // 否则详情里文书签名位是空的，看着像"患者没签却进了科室确认队列"
+    if ((next.status === 'signed' || next.status === 'confirming') && !next.signatureDataUrl) {
       next = { ...next, signatureDataUrl: DEMO_SIGNATURE_DATA_URL }
     }
 
@@ -573,6 +604,8 @@ function normalizeTaskStatus(value: BackendSigningTaskStatus): SigningTaskStatus
   switch (value) {
     case 'SIGNED':
       return 'signed'
+    case 'WAITING_CONFIRM':
+      return 'confirming'
     case 'EXPIRED':
       return 'expired'
     case 'VOIDED':
@@ -631,6 +664,8 @@ function mapAvailableTemplate(dto: AvailableTemplateVersionResponseDto): Signing
     description: `已发布版本 ${dto.versionNo}`,
     // 可用模板接口不返回方式 ACL；四种方式都放行，实际允许范围由后端在创建时校验。
     supportedMethods: [...ALL_SIGNING_METHODS],
+    // 需科室确认随模板带出；后端没给就是 false（签完直接归档）
+    needConfirm: dto.needConfirm ?? false,
     // 接口不返回正文，只能带出哈希；正文由 hydrateTemplateContents 按需补回
     contentSha256: dto.contentSha256,
     contentHtml: cachedContent || undefined,
@@ -726,6 +761,8 @@ function mapSigningTask(
     // 签署人类型 / 关系：后端补齐后自动带出，取不到即 undefined，列表不显示代签标签
     signerType: dto.signerType ?? undefined,
     signerRelation: dto.signerRelation ?? undefined,
+    // 需科室确认：后端没给就是 false，不凭空给任务多插一道人工节点
+    needConfirm: dto.needConfirm ?? false,
     method: normalizeSigningMethod(dto.signMethod),
     smsMobileMasked: dto.smsMobileMasked ?? undefined,
     status: normalizeTaskStatus(dto.status),
@@ -780,6 +817,7 @@ function createTemplateFromInput(input: CreateSigningTaskInput): SigningTemplate
     category: '—',
     description: '',
     supportedMethods: [...ALL_SIGNING_METHODS],
+    needConfirm: input.needConfirm ?? false,
   }
 }
 
@@ -797,6 +835,7 @@ function toBackendTaskQuery(query: SigningTaskQuery, options: SigningApiOptions
     const statusMap: Partial<Record<SigningTaskStatus, BackendSigningTaskStatus>> = {
       pending: 'WAITING_SIGN',
       signing: 'GENERATING',
+      confirming: 'WAITING_CONFIRM',
       signed: 'SIGNED',
       expired: 'EXPIRED',
       void: 'VOIDED',
@@ -1187,6 +1226,8 @@ export async function createSigningTask(input: CreateSigningTaskInput): Promise<
     signerName: patient?.name ?? '演示患者',
     // 原型新建任务固定落「本人」（发起弹窗没有代签人选择，代签是签署现场才知道的事）
     signerType: '本人',
+    // 需科室确认由文书模板标记带出（原型 ntDocNeedConfirm），不是弹窗里选的
+    needConfirm: input.needConfirm ?? false,
     method: input.method,
     status: 'pending',
     source: '工作台发起',
@@ -1238,7 +1279,9 @@ export function completeSigningTask(
     return Promise.resolve(null)
   }
 
-  task.status = 'signed'
+  // 患者签完之后落哪个状态由文书的「需科室确认」标记决定：
+  // 需要科室复核的先停在 confirming，等科室签章才算归档（原型 padTask.status 同款写法）
+  task.status = task.needConfirm ? 'confirming' : 'signed'
   task.signatureDataUrl = signatureDataUrl
   task.signedAt = formatMockDate()
   task.updatedAt = task.signedAt
@@ -1250,6 +1293,34 @@ export function completeSigningTask(
   return Promise.resolve(cloneTask(task))
 }
 
+/**
+ * 科室复核签章（原型 confirmDept）。
+ *
+ * 「待科室确认」是个**节点**不是终态：科室确认完才转「已签署」、文档才归档。
+ * 真实模式暂未接入（后端要重做），按项目既有口径如实提示"待接入"，
+ * 不前端自己把状态改成已签署 —— 那是要留痕的正式动作。
+ */
+export async function confirmDepartmentSigning(id: string): Promise<SigningTaskRecord | null> {
+  if (!useMockData) {
+    throw new Error('当前后端未提供科室复核签章接口')
+  }
+
+  const task = mockRecords.find((record) => record.id === id)
+
+  if (!task) {
+    return Promise.resolve(null)
+  }
+
+  if (task.status !== 'confirming') {
+    throw new Error('只有「待科室确认」的任务需要科室复核签章')
+  }
+
+  task.status = 'signed'
+  task.updatedAt = formatMockDate()
+  persistMockRecords()
+  return Promise.resolve(cloneTask(task))
+}
+
 export async function reopenSigningTask(
   id: string,
   options: SigningTaskActionOptions = {},
@@ -1371,6 +1442,25 @@ export async function getSigningTaskEvents(id: string): Promise<SigningTaskEvent
     })
   }
 
+  // 需科室确认的任务：签完先入科室确认队列，科室签章后才归档（原型操作留痕同款两条）
+  if (task.needConfirm && task.signedAt) {
+    events.push({
+      id: `${task.id}-confirm-queued`,
+      time: task.signedAt,
+      text: `已推送至${task.department}确认队列，等待科室复核签章`,
+      eventType: 'CONFIRM_QUEUED',
+    })
+
+    if (task.status === 'signed') {
+      events.push({
+        id: `${task.id}-confirmed`,
+        time: task.updatedAt,
+        text: '科室复核签章完成，文档归档至本次诊疗记录',
+        eventType: 'CONFIRMED',
+      })
+    }
+  }
+
   if (task.status === 'void') {
     events.push({
       id: `${task.id}-voided`,
@@ -1387,6 +1477,7 @@ export function getSigningStatusLabel(status: SigningTaskStatus) {
   const labels: Record<SigningTaskStatus, string> = {
     pending: '待签署',
     signing: '签署中',
+    confirming: '待科室确认',
     signed: '已签署',
     expired: '已超时',
     void: '已作废',
diff --git a/clinical-web/src/api/workbench/types.ts b/clinical-web/src/api/workbench/types.ts
index 39b5bf2..3acdc27 100644
--- a/clinical-web/src/api/workbench/types.ts
+++ b/clinical-web/src/api/workbench/types.ts
@@ -18,7 +18,22 @@ export interface WorkbenchOverviewRequestDto {
   rankingLimit?: number
 }
 
-export type SigningTaskStatus = 'pending' | 'signing' | 'signed' | 'expired' | 'void' | 'failed'
+/**
+ * 签署任务状态（原型 V10.2 的六种 + 「待科室确认」）。
+ *
+ * `confirming` 是**节点状态**，不是失败态：检验 / 基因检测 / 自费等场景要求
+ * 患者签完之后由科室再复核签章（原型 `needConfirm`），此时文书已经签好、只差科室那一道章。
+ * 它与 `signed` 的区别是「能不能算最终归档」——`signed` 才能下载归档原件，
+ * `confirming` 只能下载患者已签版本。
+ */
+export type SigningTaskStatus =
+  | 'pending'
+  | 'signing'
+  | 'confirming'
+  | 'signed'
+  | 'expired'
+  | 'void'
+  | 'failed'
 
 export type PatientSex = '男' | '女' | '未知'
 
@@ -67,6 +82,11 @@ export interface SigningTemplate {
   category: string
   description: string
   supportedMethods: SigningMethod[]
+  /**
+   * 患者签署后是否需要科室复核签章（原型 needConfirm）。
+   * 发起签署时随文书带到任务上，决定签完落「待科室确认」还是「已签署」。
+   */
+  needConfirm?: boolean
   /** 原型：文书定稿 HTML 随模板携带，发起签署时进入任务快照。 */
   contentHtml?: string
   /**
@@ -258,6 +278,13 @@ export interface SigningTaskRecord extends WorkbenchTask {
    */
   signerType?: string | null
   signerRelation?: string | null
+  /**
+   * 是否需要在患者签署后增加「科室复核签章」节点（原型 needConfirm，由文书模板标记带出）。
+   *
+   * 为 true 时患者签完落 `confirming` 而不是 `signed`，要等科室确认完才算归档。
+   * 取不到即按 false 处理（走原路直接归档），不凭空多插一道人工节点。
+   */
+  needConfirm?: boolean
   method: SigningMethod
   /**
    * 短信发送到的号码，后端只返回脱敏值（如 `138****5678`）。
@@ -337,6 +364,8 @@ export interface CreateSigningTaskInput {
   department: string
   /** 页面快照字段：仅 Mock 模式进入任务记录；真实接口不提交（后端按 templateVersionId 取版本快照）。 */
   documentContentHtml?: string
+  /** 由文书模板带出的「需科室确认」标记；真实接口不提交（后端按 templateVersionId 取）。 */
+  needConfirm?: boolean
 }
 
 /** MEDISIGN 创建签署任务请求 DTO。不要向后端提交页面快照字段。 */
@@ -362,7 +391,15 @@ export interface SigningTaskActionOptions extends SigningApiOptions {
 }
 
 export type BackendSigningTaskStatus =
-  'CREATED' | 'WAITING_SIGN' | 'SIGNED' | 'EXPIRED' | 'VOIDED' | 'GENERATING' | 'FAILED'
+  | 'CREATED'
+  | 'WAITING_SIGN'
+  | 'SIGNED'
+  | 'EXPIRED'
+  | 'VOIDED'
+  | 'GENERATING'
+  | 'FAILED'
+  /** 患者已签、等科室复核签章（对应前端 confirming）。后端重做时按这个取值对齐。 */
+  | 'WAITING_CONFIRM'
 
 /**
  * 后端签署方式，与前端 SigningMethod 一一对应（大小写之差）。
@@ -421,6 +458,8 @@ export interface AvailableTemplateVersionResponseDto {
   versionNo: string
   contentSha256: string
   effectiveAt: string
+  /** 患者签署后是否需要科室复核签章；后端补齐后前端无需改动即可带出。 */
+  needConfirm?: boolean | null
 }
 
 export interface SignTaskPatientSnapshotDto {
@@ -474,6 +513,8 @@ export interface SignTaskResponseDto {
    */
   signerType?: string | null
   signerRelation?: string | null
+  /** 患者签署后是否需要科室复核签章（由文书模板标记带出）。 */
+  needConfirm?: boolean | null
   signedAt: string | null
   expiredAt: string | null
   voidedAt: string | null
diff --git a/clinical-web/src/composables/useSigningTaskForm.ts b/clinical-web/src/composables/useSigningTaskForm.ts
index c3d92d4..1697f7f 100644
--- a/clinical-web/src/composables/useSigningTaskForm.ts
+++ b/clinical-web/src/composables/useSigningTaskForm.ts
@@ -565,6 +565,8 @@ export function useSigningTaskForm(options: UseSigningTaskFormOptions) {
         visitNo: selectedVisit.value.visitNo,
         department: selectedVisit.value.department,
         documentContentHtml: selectedTemplate.value.contentHtml,
+        // 需科室确认由文书模板标记带出（原型 V6.9 起弹窗里不再让人选）
+        needConfirm: selectedTemplate.value.needConfirm ?? false,
       })
 
       if (!isSigningMockEnabled && method.value === 'sms') {
diff --git a/clinical-web/src/utils/mock-document-library.ts b/clinical-web/src/utils/mock-document-library.ts
index 3df9021..4199b5d 100644
--- a/clinical-web/src/utils/mock-document-library.ts
+++ b/clinical-web/src/utils/mock-document-library.ts
@@ -58,6 +58,8 @@ export interface LocalDocument {
    */
   examType?: string | null
   projectCodes?: string[]
+  /** 患者签署后是否需要科室复核签章（原型 needConfirm），发起签署时随文书带到任务上 */
+  needConfirm?: boolean
   /**
    * 演示数据的更新时间。
    * 演示文库的种子不带时间，页面在这一层会显示成"—"而不是伪造一个时间戳；
@@ -323,6 +325,7 @@ export function readLocalSigningTemplates(): SigningTemplate[] {
         category: category.name,
         description: document.description ?? '',
         supportedMethods: [...ALL_SIGNING_METHODS],
+        needConfirm: document.needConfirm ?? false,
         contentHtml: document.contentHtml,
         contentSha256: document.contentSha256,
       })),
diff --git a/clinical-web/src/views/management/documents/index.vue b/clinical-web/src/views/management/documents/index.vue
index faa591e..994ada3 100644
--- a/clinical-web/src/views/management/documents/index.vue
+++ b/clinical-web/src/views/management/documents/index.vue
@@ -998,6 +998,7 @@ async function toSigningTemplate(template: DocumentTemplate): Promise<SigningTem
     category: template.category,
     description: template.description ?? '',
     supportedMethods: [...ALL_SIGNING_METHODS],
+    needConfirm: template.needConfirm ?? false,
     contentHtml,
     contentSha256,
   }
diff --git a/clinical-web/src/views/management/documents/mock.ts b/clinical-web/src/views/management/documents/mock.ts
index 727f925..a590901 100644
--- a/clinical-web/src/views/management/documents/mock.ts
+++ b/clinical-web/src/views/management/documents/mock.ts
@@ -88,6 +88,7 @@ function toLocalDocument(document: DocumentRecord): LocalDocument {
     // 否则刷新一次卡片上的标签就没了
     examType: document.examType,
     projectCodes: document.projectCodes,
+    needConfirm: document.needConfirm,
     updatedAt: document.updatedAt,
     contentHtml: document.contentHtml,
     contentSha256: document.contentSha256,
diff --git a/clinical-web/src/views/management/reports/components/ReportDetailTable.vue b/clinical-web/src/views/management/reports/components/ReportDetailTable.vue
index 1f82bcd..4dd7875 100644
--- a/clinical-web/src/views/management/reports/components/ReportDetailTable.vue
+++ b/clinical-web/src/views/management/reports/components/ReportDetailTable.vue
@@ -23,6 +23,7 @@ const emit = defineEmits<{
 
 const statusLabels: Record<ReportTaskStatus, string> = {
   signed: '已签署',
+  confirming: '待科室确认',
   pending: '待签署',
   signing: '签署中',
   expired: '已超时',
diff --git a/clinical-web/src/views/management/reports/index.vue b/clinical-web/src/views/management/reports/index.vue
index 5649fe1..9f37073 100644
--- a/clinical-web/src/views/management/reports/index.vue
+++ b/clinical-web/src/views/management/reports/index.vue
@@ -814,6 +814,7 @@ function mapReportTaskStatus(status: ReportTaskResponseDto['status']): ReportTas
     CREATED: 'pending',
     WAITING_SIGN: 'pending',
     SIGNED: 'signed',
+    WAITING_CONFIRM: 'confirming',
     EXPIRED: 'expired',
     VOIDED: 'void',
     GENERATING: 'signing',
@@ -1018,6 +1019,7 @@ function handleView(row: ReportTask) {
 function getReportStatusLabel(status: ReportTaskStatus) {
   const labels: Record<ReportTaskStatus, string> = {
     signed: '已签署',
+    confirming: '待科室确认',
     pending: '待签署',
     signing: '签署中',
     expired: '已超时',
diff --git a/clinical-web/src/views/management/reports/mock.ts b/clinical-web/src/views/management/reports/mock.ts
index 1a73ee8..90c3cd3 100644
--- a/clinical-web/src/views/management/reports/mock.ts
+++ b/clinical-web/src/views/management/reports/mock.ts
@@ -60,6 +60,23 @@ export const reportTasks: ReportTask[] = [
     expiredAt: daysAgo(-1, 9, 12),
     durationMinutes: 7,
   },
+  {
+    id: 'T0818009',
+    patientName: '王秀兰',
+    patientId: 'P202610007',
+    documentName: '内镜检查知情同意书',
+    department: '消化内科',
+    campus: '本部院区',
+    category: 'consent',
+    method: 'sms',
+    // 「待科室确认」样本：患者已签完，等科室复核签章 ——
+    // 没有这条样本，报表里的这一栏永远是 0，看不出它到底有没有接上
+    status: 'confirming',
+    createdAt: daysAgo(0, 10, 40),
+    signedAt: daysAgo(0, 10, 45),
+    expiredAt: daysAgo(-1, 10, 40),
+    durationMinutes: 5,
+  },
   {
     id: 'T0818002',
     patientName: '李淑芬',
diff --git a/clinical-web/src/views/management/reports/types.ts b/clinical-web/src/views/management/reports/types.ts
index 0e7c6f6..b8e7260 100644
--- a/clinical-web/src/views/management/reports/types.ts
+++ b/clinical-web/src/views/management/reports/types.ts
@@ -30,7 +30,14 @@ export interface ReportMetricCard {
   tone: ReportMetricTone
 }
 
-export type ReportTaskStatus = 'signed' | 'pending' | 'signing' | 'expired' | 'void' | 'failed'
+export type ReportTaskStatus =
+  | 'signed'
+  | 'confirming'
+  | 'pending'
+  | 'signing'
+  | 'expired'
+  | 'void'
+  | 'failed'
 
 export type ReportSigningMethod = SigningMethod
 
diff --git a/clinical-web/src/views/reports/aggregate.ts b/clinical-web/src/views/reports/aggregate.ts
index 7190d73..d63d6ab 100644
--- a/clinical-web/src/views/reports/aggregate.ts
+++ b/clinical-web/src/views/reports/aggregate.ts
@@ -49,12 +49,16 @@ export const METHOD_LABELS: Record<SigningMethod, string> = Object.fromEntries(
 ) as Record<SigningMethod, string>
 
 /**
- * 状态文案。六种状态与后端枚举一一对应，不映射成原型里的「待科室确认」——
- * 那个状态在后端枚举里不存在，硬映射会让报表与签署记录页对同一个任务给出不同说法。
+ * 状态文案。七种状态与后端枚举一一对应。
+ *
+ * `confirming`（待科室确认）是**节点状态**：患者已经签完、只差科室复核签章。
+ * 它在报表里单列一栏而不是并进「已签署」—— 并进去会让「已签署」虚高，
+ * 而科室复核本来就是这类文书的关键卡点，混掉就看不见卡在哪了。
  */
 export const STATUS_LABELS: Record<SigningTaskStatus, string> = {
   pending: '待签署',
   signing: '签署中',
+  confirming: '待科室确认',
   signed: '已签署',
   expired: '已超时',
   void: '已作废',
@@ -64,6 +68,7 @@ export const STATUS_LABELS: Record<SigningTaskStatus, string> = {
 /** 汇总矩阵与统计块共用的列顺序：先「好」后「坏」，读起来符合预期 */
 export const STATUS_COLUMNS: SigningTaskStatus[] = [
   'signed',
+  'confirming',
   'pending',
   'signing',
   'expired',
@@ -106,9 +111,18 @@ export function axisLabelOf(dateKey: string): string {
   return `${Number(month)}/${Number(day)}`
 }
 
-/** 任务状态 → 六类计数里的字段名：状态枚举与计数字段一一对应，直接索引即可 */
+/** 任务状态 → 计数里的字段名：状态枚举与计数字段一一对应，直接索引即可 */
 export function emptyCounts(): ReportStatusCounts {
-  return { total: 0, signed: 0, pending: 0, signing: 0, expired: 0, void: 0, failed: 0 }
+  return {
+    total: 0,
+    signed: 0,
+    confirming: 0,
+    pending: 0,
+    signing: 0,
+    expired: 0,
+    void: 0,
+    failed: 0,
+  }
 }
 
 export function addToCounts(counts: ReportStatusCounts, status: ReportTaskRow['status']): void {
diff --git a/clinical-web/src/views/reports/components/ReportSummaryMatrix.vue b/clinical-web/src/views/reports/components/ReportSummaryMatrix.vue
index fd10b37..814a9ba 100644
--- a/clinical-web/src/views/reports/components/ReportSummaryMatrix.vue
+++ b/clinical-web/src/views/reports/components/ReportSummaryMatrix.vue
@@ -40,13 +40,23 @@ const totals = computed<ReportStatusCounts>(() =>
     (sum, row) => ({
       total: sum.total + row.total,
       signed: sum.signed + row.signed,
+      confirming: sum.confirming + row.confirming,
       pending: sum.pending + row.pending,
       signing: sum.signing + row.signing,
       expired: sum.expired + row.expired,
       void: sum.void + row.void,
       failed: sum.failed + row.failed,
     }),
-    { total: 0, signed: 0, pending: 0, signing: 0, expired: 0, void: 0, failed: 0 },
+    {
+      total: 0,
+      signed: 0,
+      confirming: 0,
+      pending: 0,
+      signing: 0,
+      expired: 0,
+      void: 0,
+      failed: 0,
+    },
   ),
 )
 
diff --git a/clinical-web/src/views/reports/overview/index.vue b/clinical-web/src/views/reports/overview/index.vue
index a3caf71..b3b7d20 100644
--- a/clinical-web/src/views/reports/overview/index.vue
+++ b/clinical-web/src/views/reports/overview/index.vue
@@ -39,6 +39,9 @@ const tiles = computed(() => [
   { label: '累计发起任务', value: counts.value.total, color: '#0e6e8c' },
   { label: '已签署', value: counts.value.signed, color: '#0f9d6c' },
   { label: '待签署', value: counts.value.pending, color: '#3a7bd5' },
+  // 待科室确认：患者已签、等科室复核签章。取色与任务徽标（原型 .tg-cfm）一致，
+  // 不沿用原型的 #7a4dbb —— 那个色在本仓库已经给了「签署中」，同色两块会看串
+  { label: '待科室确认', value: counts.value.confirming, color: '#c07f00' },
   { label: '签署中', value: counts.value.signing, color: '#7a4dbb' },
   { label: '已超时', value: counts.value.expired, color: '#d9821f' },
   { label: '已作废', value: counts.value.void, color: '#d0534f' },
diff --git a/clinical-web/src/views/reports/types.ts b/clinical-web/src/views/reports/types.ts
index da2e319..d989188 100644
--- a/clinical-web/src/views/reports/types.ts
+++ b/clinical-web/src/views/reports/types.ts
@@ -41,6 +41,8 @@ export interface ReportFilterOption<T = string> {
 export interface ReportStatusCounts {
   total: number
   signed: number
+  /** 待科室确认：患者已签、等科室复核签章，不能并进 signed */
+  confirming: number
   pending: number
   signing: number
   expired: number
diff --git a/clinical-web/src/views/workbench/records/components/SigningRecordDetailDialog.vue b/clinical-web/src/views/workbench/records/components/SigningRecordDetailDialog.vue
index 9287208..6da4f83 100644
--- a/clinical-web/src/views/workbench/records/components/SigningRecordDetailDialog.vue
+++ b/clinical-web/src/views/workbench/records/components/SigningRecordDetailDialog.vue
@@ -28,6 +28,7 @@ const emit = defineEmits<{
 const statusLabels: Record<SigningTaskStatus, string> = {
   pending: '待签署',
   signing: '签署中',
+  confirming: '待科室确认',
   signed: '已签署',
   expired: '已超时',
   void: '已作废',
diff --git a/clinical-web/src/views/workbench/records/components/SigningRecordTable.vue b/clinical-web/src/views/workbench/records/components/SigningRecordTable.vue
index c8477b0..f877866 100644
--- a/clinical-web/src/views/workbench/records/components/SigningRecordTable.vue
+++ b/clinical-web/src/views/workbench/records/components/SigningRecordTable.vue
@@ -30,6 +30,7 @@ const pageCount = computed(() => Math.max(Math.ceil(props.total / props.pageSize
 const statusLabels: Record<SigningTaskStatus, string> = {
   pending: '待签署',
   signing: '签署中',
+  confirming: '待科室确认',
   signed: '已签署',
   expired: '已超时',
   void: '已作废',
diff --git a/clinical-web/src/views/workbench/records/index.vue b/clinical-web/src/views/workbench/records/index.vue
index 95411eb..886fa64 100644
--- a/clinical-web/src/views/workbench/records/index.vue
+++ b/clinical-web/src/views/workbench/records/index.vue
@@ -44,6 +44,7 @@ const DEFAULT_PAGE_SIZE = 20
 const statusLabels: Record<SigningTaskStatus, string> = {
   pending: '待签署',
   signing: '签署中',
+  confirming: '待科室确认',
   signed: '已签署',
   expired: '已超时',
   void: '已作废',
@@ -128,9 +129,9 @@ const campusOptions = computed<SigningRecordFilterOption<WorkbenchCampus | 'all'
 
 const statusOptions: SigningRecordFilterOption<SigningRecordFilterForm['status']>[] = [
   { label: '全部状态', value: 'all' },
-  ...(['pending', 'signing', 'signed', 'expired', 'void', 'failed'] as SigningTaskStatus[]).map(
-    (status) => ({ label: statusLabels[status], value: status }),
-  ),
+  ...(
+    ['pending', 'signing', 'confirming', 'signed', 'expired', 'void', 'failed'] as SigningTaskStatus[]
+  ).map((status) => ({ label: statusLabels[status], value: status })),
 ]
 
 /** 原型 #qMethod 只有 3 项（手写板 / 短信线上 / Pad），没有公众号 */
diff --git a/clinical-web/src/views/workbench/signing/components/SigningTaskDetail.vue b/clinical-web/src/views/workbench/signing/components/SigningTaskDetail.vue
index 8e4f3f6..85cd6e4 100644
--- a/clinical-web/src/views/workbench/signing/components/SigningTaskDetail.vue
+++ b/clinical-web/src/views/workbench/signing/components/SigningTaskDetail.vue
@@ -1,5 +1,5 @@
 <script setup lang="ts">
-import { ref } from 'vue'
+import { computed, ref } from 'vue'
 
 import type {
   SigningAnswers,
@@ -18,7 +18,7 @@ import LinkedPrescriptionCard from './LinkedPrescriptionCard.vue'
 import SigningArtifactList from './SigningArtifactList.vue'
 import type { SigningTaskAction } from '../types'
 
-defineProps<{
+const props = defineProps<{
   task: SigningTaskRecord | null
   loading: boolean
   auditEvents: SigningTaskEvent[]
@@ -33,6 +33,10 @@ defineProps<{
   canDeliveryWrite: boolean
   canReopen: boolean
   canVoid: boolean
+  /** 科室复核签章（sign:task:confirm）：只有「待科室确认」的任务用得上 */
+  canConfirm: boolean
+  /** 催办（sign:task:remind） */
+  canRemind: boolean
   canViewAudit: boolean
   canViewArtifacts: boolean
   canDownloadArtifact: boolean
@@ -50,6 +54,22 @@ const emit = defineEmits<{
 
 const documentRef = ref<InstanceType<typeof SigningDocumentInteractive> | null>(null)
 
+/**
+ * 科室确认节点的三种形态（原型文书签名区那一格的三分支）：
+ * 待患者签署后 / 待科室确认 / ✓ 已确认。
+ *
+ * 只看任务状态，不另存一份「科室签没签」的布尔量 —— 两个来源迟早会打架。
+ */
+const confirmNodeState = computed<'idle' | 'waiting' | 'done'>(() => {
+  const status = props.task?.status
+
+  if (status === 'signed') {
+    return 'done'
+  }
+
+  return status === 'confirming' ? 'waiting' : 'idle'
+})
+
 /**
  * 原型任务详情：主按钮 = 当前方式的签署入口，另外三种方式各给一个「转为 X」的次按钮。
  * 原型的四种方式都走这一套（`待签署` 下四个 if/else 分支，主按钮与其余三个各不相同），
@@ -168,6 +188,43 @@ defineExpose({ getDocumentElement })
           <span v-else-if="task.method === 'wx'" class="action-hint">公众号推送接口待接入</span>
         </template>
 
+        <!-- 待科室确认：患者已签完，此刻要动的是科室那一道章（原型 confirmDept 的动作组）。
+             预览与下载放在这里，是因为科室复核时要先看患者签了什么 -->
+        <template v-else-if="task.status === 'confirming'">
+          <button
+            v-if="canConfirm"
+            type="button"
+            class="action-button"
+            @click="emit('action', 'confirm-dept')"
+          >
+            🏛 科室复核签章（确认完成）
+          </button>
+          <button
+            v-if="canRemind"
+            type="button"
+            class="action-button action-button--ghost"
+            @click="emit('action', 'remind')"
+          >
+            催办
+          </button>
+          <button
+            v-if="canViewArtifacts"
+            type="button"
+            class="action-button action-button--ghost"
+            @click="emit('action', 'preview-signed')"
+          >
+            在线预览
+          </button>
+          <button
+            v-if="canDownloadArtifact"
+            type="button"
+            class="action-button action-button--ghost"
+            @click="emit('action', 'download-pdf')"
+          >
+            下载已签 PDF
+          </button>
+        </template>
+
         <template v-else-if="task.status === 'expired' && canReopen">
           <button type="button" class="action-button" @click="emit('action', 'reopen')">
             ↻ 重新发起
@@ -243,13 +300,44 @@ defineExpose({ getDocumentElement })
           v-if="task.documentContentHtml"
           ref="documentRef"
           :task="task"
-          :interactive="allowLocalSigning && task.status !== 'signed' && task.status !== 'void'"
+          :interactive="
+            allowLocalSigning &&
+            task.status !== 'signed' &&
+            task.status !== 'void' &&
+            task.status !== 'confirming'
+          "
           :signature-injections="signatureInjections"
           @selection-change="emit('selectionChange', $event)"
           @field-change="(answers, progress) => emit('fieldChange', answers, progress)"
           @signature-request="emit('signatureRequest', $event)"
         />
         <SigningDocumentPreview v-else :task="task" />
+        <!-- 科室确认节点（原型：文书签名区里的「科室确认（签章）」那一格）。
+             它跟着文书走，不跟产物走 —— 科室复核的是患者签了什么，不是下载了什么 -->
+        <section
+          v-if="task.needConfirm"
+          class="dept-confirm"
+          :class="`is-${confirmNodeState}`"
+          aria-label="科室确认节点"
+        >
+          <span class="dept-confirm__label">科室确认（签章）</span>
+          <span v-if="confirmNodeState === 'done'" class="dept-confirm__tag is-done">
+            ✓ {{ task.department }}已确认
+          </span>
+          <span v-else-if="confirmNodeState === 'waiting'" class="dept-confirm__tag is-waiting">
+            待科室确认
+          </span>
+          <span v-else class="dept-confirm__hint">待患者签署后</span>
+          <span class="dept-confirm__note">
+            {{
+              confirmNodeState === 'done'
+                ? '科室复核签章完成，文档已归档至本次诊疗记录'
+                : confirmNodeState === 'waiting'
+                  ? '患者已签署，等待科室复核签章后归档'
+                  : '本文书需科室复核签章，患者签署后自动流转'
+            }}
+          </span>
+        </section>
         <!-- 顺序照原型：文书 → 签署文件（归档结果）→ 关联处方 → 操作留痕 -->
         <SigningArtifactList
           v-if="canViewArtifacts"
@@ -365,6 +453,68 @@ defineExpose({ getDocumentElement })
   background: var(--err-l);
 }
 
+/* 科室确认节点：原型文书签名区里「科室确认（签章）」那一格的独立呈现。
+   三种形态用左边框颜色区分：待患者签署（灰）/ 待科室确认（橙）/ 已确认（绿） */
+.dept-confirm {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 8px;
+  align-items: center;
+  padding: 10px 14px;
+  margin-top: 14px;
+  background: var(--card);
+  border: 1px solid var(--line);
+  border-left: 3px solid #c0c8cd;
+  border-radius: var(--r);
+  box-shadow: var(--sh);
+}
+
+.dept-confirm.is-waiting {
+  border-left-color: #c07f00;
+}
+
+.dept-confirm.is-done {
+  border-left-color: var(--ok);
+}
+
+.dept-confirm__label {
+  color: var(--ink);
+  font-size: 13px;
+  font-weight: 700;
+}
+
+.dept-confirm__tag {
+  padding: 2px 9px;
+  font-size: 11px;
+  font-weight: 700;
+  border-radius: 12px;
+}
+
+/* 原型 .tag.tg-cfm */
+.dept-confirm__tag.is-waiting {
+  color: #c07f00;
+  background: #fff3e0;
+}
+
+/* 原型 .tag.tg-done */
+.dept-confirm__tag.is-done {
+  color: var(--ok);
+  background: var(--ok-l);
+}
+
+.dept-confirm__hint {
+  color: var(--mut);
+  font-size: 12px;
+}
+
+.dept-confirm__note {
+  flex: 1;
+  min-width: 180px;
+  color: var(--mut);
+  font-size: 11.5px;
+  text-align: right;
+}
+
 .detail-empty {
   display: grid;
   flex: 1;
diff --git a/clinical-web/src/views/workbench/signing/components/SigningTaskList.vue b/clinical-web/src/views/workbench/signing/components/SigningTaskList.vue
index 33bd78d..b48a6ba 100644
--- a/clinical-web/src/views/workbench/signing/components/SigningTaskList.vue
+++ b/clinical-web/src/views/workbench/signing/components/SigningTaskList.vue
@@ -23,6 +23,7 @@ const pageCount = computed(() => Math.max(Math.ceil(props.total / props.pageSize
 const statusLabels: Record<SigningTaskRecord['status'], string> = {
   pending: '待签署',
   signing: '签署中',
+  confirming: '待科室确认',
   signed: '已签署',
   expired: '已超时',
   void: '已作废',
@@ -260,6 +261,13 @@ function getVisitClass(type: SigningTaskRecord['visitType']) {
   background: var(--info-l);
 }
 
+/* 待科室确认：原型 .tag.tg-cfm（橙底 #fff3e0 / 字色 #c07f00）。
+   与「已签署」的绿底刻意区分 —— 患者签完了，但还没归档 */
+.task-status--confirming {
+  color: #c07f00;
+  background: #fff3e0;
+}
+
 .task-status--signed {
   color: var(--ok);
   background: var(--ok-l);
diff --git a/clinical-web/src/views/workbench/signing/index.vue b/clinical-web/src/views/workbench/signing/index.vue
index 2c21af7..1dc09e0 100644
--- a/clinical-web/src/views/workbench/signing/index.vue
+++ b/clinical-web/src/views/workbench/signing/index.vue
@@ -12,6 +12,7 @@ import {
 import { createPadSigningSession } from '@/api/workbench/deliveries'
 import {
   completeSigningTask,
+  confirmDepartmentSigning,
   getSigningTaskDetail,
   getSigningTaskEvents,
   getSigningTasks,
@@ -63,6 +64,7 @@ const loginStore = useLoginStore()
 const STATUS_VALUES: SigningTaskStatus[] = [
   'pending',
   'signing',
+  'confirming',
   'signed',
   'expired',
   'void',
@@ -73,6 +75,7 @@ const DATE_RANGE_VALUES: SigningDateRange[] = ['today', 'yesterday', '3d', '7d',
 const statusLabels: Record<SigningTaskStatus, string> = {
   pending: '待签署',
   signing: '签署中',
+  confirming: '待科室确认',
   signed: '已签署',
   expired: '已超时',
   void: '已作废',
@@ -151,6 +154,10 @@ const canCreateTask = computed(() => canWrite('sign:task:create'))
 const canDeliveryWrite = computed(() => canWrite('sign:delivery:write'))
 const canReopenTask = computed(() => canWrite('sign:task:reopen'))
 const canVoidTask = computed(() => canWrite('sign:task:void'))
+/** 科室复核签章：把「待科室确认」推到「已签署」，是正式留痕动作，与作废同级 */
+const canConfirmTask = computed(() => canWrite('sign:task:confirm'))
+/** 催办：提醒科室签署员尽快复核 */
+const canRemindTask = computed(() => canWrite('sign:task:remind'))
 const canViewEvents = computed(() => canRead('sign:task:event:query'))
 const canViewArtifacts = computed(() => canRead('sign:artifact:query'))
 const canDownloadArtifacts = computed(() => canRead('sign:artifact:download'))
@@ -536,6 +543,8 @@ async function handleTaskAction(action: SigningTaskAction, targetMethod?: Signin
     (action === 'resend-sms' && canDeliveryWrite.value) ||
     (action === 'reopen' && canReopenTask.value) ||
     (action === 'void' && canVoidTask.value) ||
+    (action === 'confirm-dept' && canConfirmTask.value) ||
+    (action === 'remind' && canRemindTask.value) ||
     (action === 'preview-signed' && canViewArtifacts.value) ||
     ((action === 'download-pdf' ||
       action === 'download-signature' ||
@@ -599,6 +608,52 @@ async function handleTaskAction(action: SigningTaskAction, targetMethod?: Signin
     return
   }
 
+  /**
+   * 催办：提醒科室签署员尽快复核。
+   *
+   * 真实模式后端没有催办接口（要重做），按项目既有口径如实提示"待接入"，
+   * 不前端假装发了一条提醒 —— 催办是要留痕的对外动作。
+   */
+  if (action === 'remind') {
+    if (!isSigningMockEnabled) {
+      ElMessage.info('催办提醒接口待接入')
+      return
+    }
+
+    ElMessage.success(`已向${task.department}签署员发送催办提醒`)
+    return
+  }
+
+  if (action === 'confirm-dept') {
+    if (!isSigningMockEnabled) {
+      ElMessage.info('科室复核签章接口待接入')
+      return
+    }
+
+    const confirmed = await ElMessageBox.confirm(
+      `确认「${task.department}」已完成复核签章？确认后任务转为「已签署」，文档归档至本次诊疗记录。`,
+      '科室复核签章',
+      { type: 'warning', confirmButtonText: '确认签章', cancelButtonText: '取消' },
+    )
+      .then(() => true)
+      .catch(() => false)
+
+    if (!confirmed) {
+      return
+    }
+
+    try {
+      await refreshTask(
+        await confirmDepartmentSigning(task.id),
+        '科室复核签章完成，文档已归档至本次诊疗记录',
+      )
+    } catch {
+      ElMessage.error('科室复核签章失败，请稍后重试')
+    }
+
+    return
+  }
+
   if (action === 'reopen' && task.status !== 'expired' && task.status !== 'failed') {
     ElMessage.info('只有已超时或处理失败的任务可以重新发起')
     return
@@ -779,15 +834,13 @@ async function confirmPadSignature(signatureDataUrl: string) {
   }
 
   try {
-    await refreshTask(
-      await completeSigningTask(
-        task.id,
-        signatureDataUrl,
-        signingSelection.value,
-        signingAnswers.value,
-      ),
-      '手写签署已完成',
+    const updated = await completeSigningTask(
+      task.id,
+      signatureDataUrl,
+      signingSelection.value,
+      signingAnswers.value,
     )
+    await refreshTask(updated, signingCompletedMessage(updated))
     signatureDialogVisible.value = false
   } catch {
     ElMessage.error('手写签署失败，请稍后重试')
@@ -802,21 +855,32 @@ async function completeOnlineSignature(signatureDataUrl: string) {
   }
 
   try {
-    await refreshTask(
-      await completeSigningTask(
-        task.id,
-        signatureDataUrl,
-        signingSelection.value,
-        signingAnswers.value,
-      ),
-      '线上签署已完成',
+    const updated = await completeSigningTask(
+      task.id,
+      signatureDataUrl,
+      signingSelection.value,
+      signingAnswers.value,
     )
+    await refreshTask(updated, signingCompletedMessage(updated))
     onlineDialogVisible.value = false
   } catch {
     ElMessage.error('线上签署失败，请稍后重试')
   }
 }
 
+/**
+ * 签署完成后的提示语。
+ *
+ * 需科室确认的任务签完**并没有结束**（原型同样区分这两种说法）：
+ * 如果这里一律说「签署已完成」，操作人会以为可以关页面了，
+ * 而实际上文档还停在科室确认队列里没归档。
+ */
+function signingCompletedMessage(updated: SigningTaskRecord | null) {
+  return updated?.status === 'confirming'
+    ? '患者已签署，已流转至科室确认节点，等待科室复核签章'
+    : '签署完成，文档已归档'
+}
+
 async function confirmVoidTask(reason: string) {
   const task = selectedTask.value
 
@@ -933,6 +997,8 @@ onMounted(() => {
         :can-delivery-write="canDeliveryWrite"
         :can-reopen="canReopenTask"
         :can-void="canVoidTask"
+        :can-confirm="canConfirmTask"
+        :can-remind="canRemindTask"
         :can-view-audit="canViewEvents"
         :can-view-artifacts="canViewArtifacts"
         :can-download-artifact="canDownloadArtifacts"
diff --git a/clinical-web/src/views/workbench/signing/types.ts b/clinical-web/src/views/workbench/signing/types.ts
index 1ce91f9..cee26d3 100644
--- a/clinical-web/src/views/workbench/signing/types.ts
+++ b/clinical-web/src/views/workbench/signing/types.ts
@@ -47,6 +47,10 @@ export type SigningTaskAction =
   | 'switch-method'
   | 'reopen'
   | 'void'
+  /** 科室复核签章：把「待科室确认」的任务推到「已签署」（原型 confirmDept） */
+  | 'confirm-dept'
+  /** 催办：提醒科室签署员尽快复核（原型 sign:task:remind） */
+  | 'remind'
   | 'download-pdf'
   | 'download-signature'
   /** 在线预览已签署文书（原型 openPdfView 的弹窗预览） */