diff --git a/clinical-web/src/views/management/document-permissions/components/DepartmentPermissionTable.vue b/clinical-web/src/views/management/document-permissions/components/DepartmentPermissionTable.vue
new file mode 100644
index 0000000..8855748
--- /dev/null
+++ b/clinical-web/src/views/management/document-permissions/components/DepartmentPermissionTable.vue
@@ -0,0 +1,123 @@
+<script setup lang="ts">
+import type { DepartmentDocumentAccess, DepartmentPermissionRow } from '../types'
+
+defineProps<{
+  rows: DepartmentPermissionRow[]
+}>()
+
+const emit = defineEmits<{
+  adjust: [row: DepartmentPermissionRow]
+}>()
+
+const accessLabels: Record<DepartmentDocumentAccess, string> = {
+  available: '可用',
+  invisible: '不可见',
+}
+</script>
+
+<template>
+  <div class="table-scroll">
+    <table class="permission-table">
+      <thead>
+        <tr>
+          <th>科室</th>
+          <th>本科室文档</th>
+          <th>全院通用文档</th>
+          <th>其他科室文档</th>
+          <th>操作</th>
+        </tr>
+      </thead>
+      <tbody>
+        <tr v-for="row in rows" :key="row.id">
+          <td>
+            <strong>{{ row.department }}</strong>
+          </td>
+          <td>
+            <span class="access-tag" :class="'is-' + row.ownDocuments">
+              {{ accessLabels[row.ownDocuments] }}
+            </span>
+          </td>
+          <td>
+            <span class="access-tag" :class="'is-' + row.commonDocuments">
+              {{ accessLabels[row.commonDocuments] }}
+            </span>
+          </td>
+          <td>
+            <span class="access-tag" :class="'is-' + row.otherDocuments">
+              {{ accessLabels[row.otherDocuments] }}
+            </span>
+          </td>
+          <td>
+            <button type="button" class="adjust-button" @click="emit('adjust', row)">调整</button>
+          </td>
+        </tr>
+      </tbody>
+    </table>
+  </div>
+</template>
+
+<style scoped>
+.table-scroll {
+  width: 100%;
+  overflow-x: auto;
+}
+
+.permission-table {
+  width: 100%;
+  min-width: 640px;
+  font-size: 13px;
+  border-collapse: collapse;
+}
+
+.permission-table th {
+  padding: 9px 12px;
+  color: var(--mut);
+  font-size: 12.5px;
+  font-weight: 700;
+  text-align: left;
+  white-space: nowrap;
+  background: #f5f9fa;
+  border-bottom: 1px solid var(--line);
+}
+
+.permission-table td {
+  padding: 9px 12px;
+  vertical-align: middle;
+  border-bottom: 1px solid #eef4f6;
+}
+
+.permission-table tbody tr:hover td {
+  background: #f7fbfc;
+}
+
+.access-tag {
+  display: inline-block;
+  padding: 2px 10px;
+  font-size: 11.5px;
+  font-weight: 700;
+  border-radius: 20px;
+}
+
+.access-tag.is-available {
+  color: var(--ok);
+  background: var(--ok-l);
+}
+
+.access-tag.is-invisible {
+  color: #8a9aa3;
+  background: #eceef0;
+}
+
+.adjust-button {
+  padding: 4px 10px;
+  color: var(--brand);
+  font-size: 12px;
+  background: #fff;
+  border: 1px solid var(--brand);
+  border-radius: 5px;
+}
+
+.adjust-button:hover {
+  background: var(--brand-l);
+}
+</style>
diff --git a/clinical-web/src/views/management/document-permissions/components/RolePermissionMatrix.vue b/clinical-web/src/views/management/document-permissions/components/RolePermissionMatrix.vue
new file mode 100644
index 0000000..d10e2ba
--- /dev/null
+++ b/clinical-web/src/views/management/document-permissions/components/RolePermissionMatrix.vue
@@ -0,0 +1,144 @@
+<script setup lang="ts">
+import type { PermissionColumn, PermissionKey, RolePermissionRow } from '../types'
+
+defineProps<{
+  rows: RolePermissionRow[]
+  columns: PermissionColumn[]
+}>()
+
+const emit = defineEmits<{
+  toggle: [roleId: string, permission: PermissionKey]
+}>()
+</script>
+
+<template>
+  <div class="permission-grid" role="table" aria-label="按角色授权矩阵">
+    <div class="grid-cell grid-header role-header" role="columnheader">角色</div>
+    <div
+      v-for="column in columns"
+      :key="column.key"
+      class="grid-cell grid-header"
+      role="columnheader"
+      :title="column.description"
+    >
+      {{ column.label }}
+    </div>
+
+    <template v-for="row in rows" :key="row.id">
+      <div class="grid-cell role-name" role="rowheader">
+        <span class="role-color" :style="{ backgroundColor: row.color }" aria-hidden="true" />
+        {{ row.name }}
+      </div>
+      <div v-for="column in columns" :key="column.key" class="grid-cell permission-cell">
+        <button
+          type="button"
+          class="permission-toggle"
+          :class="{ active: row.permissions[column.key] }"
+          :aria-pressed="row.permissions[column.key]"
+          :aria-label="`${row.name}：${column.label}${row.permissions[column.key] ? '，已开启' : '，已关闭'}`"
+          :title="`${column.label}：${column.description}`"
+          @click="emit('toggle', row.id, column.key)"
+        >
+          <span class="switch-track" aria-hidden="true" />
+        </button>
+      </div>
+    </template>
+  </div>
+</template>
+
+<style scoped>
+.permission-grid {
+  display: grid;
+  grid-template-columns: 140px repeat(3, minmax(100px, 1fr));
+  gap: 8px;
+  align-items: center;
+  font-size: 12.5px;
+}
+
+.grid-cell {
+  display: flex;
+  align-items: center;
+  min-height: 28px;
+}
+
+.grid-header {
+  justify-content: center;
+  color: var(--mut);
+  font-size: 12px;
+  font-weight: 700;
+}
+
+.role-header {
+  justify-content: flex-start;
+}
+
+.role-name {
+  gap: 7px;
+  color: var(--ink);
+  font-weight: 700;
+}
+
+.role-color {
+  width: 10px;
+  height: 10px;
+  flex-shrink: 0;
+  border-radius: 3px;
+}
+
+.permission-cell {
+  justify-content: center;
+}
+
+.permission-toggle {
+  display: inline-flex;
+  align-items: center;
+  justify-content: center;
+  width: 44px;
+  height: 28px;
+  padding: 0;
+  background: transparent;
+  border-radius: 16px;
+}
+
+.permission-toggle:focus-visible {
+  outline: 2px solid var(--brand);
+  outline-offset: 2px;
+}
+
+.switch-track {
+  position: relative;
+  display: block;
+  width: 36px;
+  height: 20px;
+  background: #cbd8de;
+  border-radius: 20px;
+  transition: background-color 0.2s ease;
+}
+
+.switch-track::after {
+  position: absolute;
+  top: 2px;
+  left: 2px;
+  width: 16px;
+  height: 16px;
+  content: '';
+  background: #fff;
+  border-radius: 50%;
+  transition: left 0.2s ease;
+}
+
+.permission-toggle.active .switch-track {
+  background: var(--ok);
+}
+
+.permission-toggle.active .switch-track::after {
+  left: 18px;
+}
+
+@media (max-width: 600px) {
+  .permission-grid {
+    grid-template-columns: 120px repeat(3, minmax(76px, 1fr));
+    gap: 6px;
+  }
+}
+</style>
diff --git a/clinical-web/src/views/management/document-permissions/index.vue b/clinical-web/src/views/management/document-permissions/index.vue
index a916892..f5f1259 100644
--- a/clinical-web/src/views/management/document-permissions/index.vue
+++ b/clinical-web/src/views/management/document-permissions/index.vue
@@ -1,12 +1,187 @@
 <script setup lang="ts">
-import PagePlaceholder from '@/components/PagePlaceholder.vue'
+import { onMounted, ref } from 'vue'
+import { ElMessage } from 'element-plus'
+
+import DepartmentPermissionTable from './components/DepartmentPermissionTable.vue'
+import RolePermissionMatrix from './components/RolePermissionMatrix.vue'
+import { departmentPermissionRows, permissionColumns, rolePermissionRows } from './mock'
+import type { DepartmentPermissionRow, PermissionKey, RolePermissionRow } from './types'
+
+const loading = ref(true)
+const roles = ref<RolePermissionRow[]>([])
+const departments = ref<DepartmentPermissionRow[]>([])
+
+async function loadPermissions() {
+  loading.value = true
+  await Promise.resolve()
+  roles.value = rolePermissionRows.map((role) => ({
+    ...role,
+    permissions: { ...role.permissions },
+  }))
+  departments.value = departmentPermissionRows.map((row) => ({ ...row }))
+  loading.value = false
+}
+
+function toggleRolePermission(roleId: string, permission: PermissionKey) {
+  const role = roles.value.find((item) => item.id === roleId)
+
+  if (!role) {
+    return
+  }
+
+  role.permissions[permission] = !role.permissions[permission]
+  ElMessage.info('权限已调整并记录审计日志')
+}
+
+function adjustDepartmentPermission(row: DepartmentPermissionRow) {
+  ElMessage.info(`原型演示：调整${row.department}文档权限`)
+}
+
+onMounted(loadPermissions)
 </script>
 
 <template>
-  <PagePlaceholder
-    group="管理"
-    title="文档权限"
-    icon="⊞"
-    description="文档权限页面占位，待根据 Web 端需求实现。"
-  />
+  <section class="permissions-page">
+    <section class="page-card intro-card">
+      <div class="card-heading">
+        <h2>文档库权限矩阵</h2>
+        <span>可见 / 可用 / 可维护 分级授权，下级继承上级</span>
+      </div>
+      <p>
+        可见=可浏览模板；可用=可发起签署；可维护=可编辑/停用模板。科室签署员默认继承本科室「可用」权限。调整即时生效并记录审计日志。
+      </p>
+    </section>
+
+    <template v-if="loading">
+      <section class="page-card loading-card" aria-label="正在加载权限配置">
+        <span class="loading-title" />
+        <span class="loading-row" />
+        <span class="loading-row" />
+        <span class="loading-row short" />
+      </section>
+    </template>
+
+    <template v-else>
+      <section class="page-card">
+        <div class="card-heading">
+          <h2>按角色授权</h2>
+        </div>
+        <RolePermissionMatrix
+          :rows="roles"
+          :columns="permissionColumns"
+          @toggle="toggleRolePermission"
+        />
+      </section>
+
+      <section class="page-card department-card">
+        <div class="card-heading">
+          <h2>按科室授权</h2>
+          <span>科室级别的文档可用范围</span>
+        </div>
+        <DepartmentPermissionTable :rows="departments" @adjust="adjustDepartmentPermission" />
+      </section>
+    </template>
+  </section>
 </template>
+
+<style scoped>
+.permissions-page {
+  width: 100%;
+  max-width: 1440px;
+  margin: 0 auto;
+}
+
+.page-card {
+  padding: 16px 18px;
+  margin-bottom: 16px;
+  background: var(--card);
+  border-radius: var(--r);
+  box-shadow: var(--sh);
+}
+
+.intro-card {
+  margin-bottom: 14px;
+}
+
+.card-heading {
+  display: flex;
+  gap: 10px;
+  align-items: center;
+  margin-bottom: 14px;
+}
+
+.card-heading h2 {
+  margin: 0;
+  color: var(--ink);
+  font-size: 14.5px;
+  line-height: 1.4;
+}
+
+.card-heading span {
+  margin-left: auto;
+  color: var(--mut);
+  font-size: 12px;
+}
+
+.intro-card p {
+  margin: 0;
+  color: var(--mut);
+  font-size: 12px;
+  line-height: 1.8;
+}
+
+.department-card {
+  margin-top: 16px;
+  margin-bottom: 0;
+}
+
+.loading-card {
+  display: flex;
+  flex-direction: column;
+  gap: 14px;
+  min-height: 180px;
+}
+
+.loading-card span {
+  display: block;
+  background: linear-gradient(90deg, #edf3f5 25%, #f7fafb 37%, #edf3f5 63%);
+  background-size: 400% 100%;
+  border-radius: 6px;
+  animation: skeleton-shimmer 1.4s ease infinite;
+}
+
+.loading-title {
+  width: 28%;
+  height: 20px;
+}
+
+.loading-row {
+  width: 100%;
+  height: 14px;
+}
+
+.loading-row.short {
+  width: 70%;
+}
+
+@keyframes skeleton-shimmer {
+  0% {
+    background-position: 100% 0;
+  }
+
+  100% {
+    background-position: -100% 0;
+  }
+}
+
+@media (max-width: 600px) {
+  .card-heading {
+    align-items: flex-start;
+    flex-direction: column;
+  }
+
+  .card-heading span {
+    margin-left: 0;
+  }
+}
+</style>
diff --git a/clinical-web/src/views/management/document-permissions/mock.ts b/clinical-web/src/views/management/document-permissions/mock.ts
new file mode 100644
index 0000000..34cd434
--- /dev/null
+++ b/clinical-web/src/views/management/document-permissions/mock.ts
@@ -0,0 +1,108 @@
+import type { DepartmentPermissionRow, PermissionColumn, RolePermissionRow } from './types'
+
+export const permissionColumns: PermissionColumn[] = [
+  {
+    key: 'visible',
+    label: '可见',
+    description: '可浏览模板',
+  },
+  {
+    key: 'usable',
+    label: '可用',
+    description: '可发起签署',
+  },
+  {
+    key: 'maintainable',
+    label: '可维护',
+    description: '可编辑、停用模板',
+  },
+]
+
+export const rolePermissionRows: RolePermissionRow[] = [
+  {
+    id: 'system-admin',
+    name: '系统管理员',
+    color: '#6b5bd2',
+    description: '系统配置、用户与权限管理、审计日志',
+    userCount: 2,
+    permissions: {
+      visible: true,
+      usable: true,
+      maintainable: true,
+    },
+  },
+  {
+    id: 'medical-management',
+    name: '医务管理',
+    color: '#0e6e8c',
+    description: '全院文档库维护、报表分析、任务监督',
+    userCount: 4,
+    permissions: {
+      visible: true,
+      usable: true,
+      maintainable: false,
+    },
+  },
+  {
+    id: 'department-signer',
+    name: '科室签署员',
+    color: '#0f9d6c',
+    description: '本科室文档发起签署、手写板 / 短信操作',
+    userCount: 23,
+    permissions: {
+      visible: false,
+      usable: false,
+      maintainable: false,
+    },
+  },
+  {
+    id: 'audit-viewer',
+    name: '查询审计员',
+    color: '#d9821f',
+    description: '只读查询报表与审计留痕，不可发起',
+    userCount: 3,
+    permissions: {
+      visible: false,
+      usable: false,
+      maintainable: false,
+    },
+  },
+]
+
+export const departmentPermissionRows: DepartmentPermissionRow[] = [
+  {
+    id: 'radiology',
+    department: '放射科',
+    ownDocuments: 'available',
+    commonDocuments: 'available',
+    otherDocuments: 'invisible',
+  },
+  {
+    id: 'cardiology',
+    department: '心内科',
+    ownDocuments: 'available',
+    commonDocuments: 'available',
+    otherDocuments: 'invisible',
+  },
+  {
+    id: 'orthopedics',
+    department: '骨科',
+    ownDocuments: 'available',
+    commonDocuments: 'available',
+    otherDocuments: 'invisible',
+  },
+  {
+    id: 'health-management',
+    department: '健康管理中心',
+    ownDocuments: 'available',
+    commonDocuments: 'available',
+    otherDocuments: 'invisible',
+  },
+  {
+    id: 'general',
+    department: '全院通用',
+    ownDocuments: 'available',
+    commonDocuments: 'available',
+    otherDocuments: 'invisible',
+  },
+]
diff --git a/clinical-web/src/views/management/document-permissions/types.ts b/clinical-web/src/views/management/document-permissions/types.ts
index 756e54b..9df1cb0 100644
--- a/clinical-web/src/views/management/document-permissions/types.ts
+++ b/clinical-web/src/views/management/document-permissions/types.ts
@@ -1,15 +1,26 @@
-export type PermissionSubjectFilter = 'all' | 'user' | 'role'
+export type PermissionKey = 'visible' | 'usable' | 'maintainable'
 
-export interface PermissionFilterForm {
-  keyword: string
-  subjectType: PermissionSubjectFilter
+export interface PermissionColumn {
+  key: PermissionKey
+  label: string
+  description: string
 }
 
-export interface PermissionTableRow {
+export interface RolePermissionRow {
   id: string
-  subjectType: PermissionSubjectFilter
-  subjectName: string
-  documentName: string
-  permission: 'view' | 'sign' | 'manage'
-  updatedAt: string
+  name: string
+  color: string
+  description: string
+  userCount: number
+  permissions: Record<PermissionKey, boolean>
+}
+
+export type DepartmentDocumentAccess = 'available' | 'invisible'
+
+export interface DepartmentPermissionRow {
+  id: string
+  department: string
+  ownDocuments: DepartmentDocumentAccess
+  commonDocuments: DepartmentDocumentAccess
+  otherDocuments: DepartmentDocumentAccess
 }