diff --git a/clinical-web/src/api/management/documents.ts b/clinical-web/src/api/management/documents.ts
index 27d9722..11a2e20 100644
--- a/clinical-web/src/api/management/documents.ts
+++ b/clinical-web/src/api/management/documents.ts
@@ -107,7 +107,13 @@ function mapDocument(dto: TemplateResponseDto): DocumentRecord {
     versionId,
     currentVersionId: dto.currentVersionId ?? undefined,
     departmentId: dto.departmentId,
-    departmentName: dto.departmentId ? undefined : '全院通用',
+    ownershipScope:
+      dto.ownershipScope ?? (dto.departmentId ? 'DEPARTMENT' : dto.campusId ? 'CAMPUS' : 'GLOBAL'),
+    departmentName: dto.departmentId
+      ? undefined
+      : dto.ownershipScope === 'GLOBAL'
+        ? '全院通用'
+        : '院区通用',
     campusId: dto.campusId,
     description: dto.description ?? '',
     // 后端补齐这两个字段后卡片会自动显示「检查类型 / 关联项目」；
diff --git a/clinical-web/src/api/management/types.ts b/clinical-web/src/api/management/types.ts
index df7bd3f..c47c0ca 100644
--- a/clinical-web/src/api/management/types.ts
+++ b/clinical-web/src/api/management/types.ts
@@ -10,6 +10,7 @@ export interface DocumentQuery extends PageQuery {
 }
 
 export interface DocumentRecord {
+  ownershipScope?: 'GLOBAL' | 'CAMPUS' | 'DEPARTMENT'
   id: string
   name: string
   code?: string
@@ -75,11 +76,12 @@ export type BackendTemplateStatus =
   | string
 
 export interface TemplateResponseDto {
+  ownershipScope?: 'GLOBAL' | 'CAMPUS' | 'DEPARTMENT'
   id: string
   templateCode: string
   name: string
   description?: string | null
-  campusId: string
+  campusId: string | null
   departmentId?: string | null
   category?: string | null
   /**
@@ -131,20 +133,22 @@ export interface TemplateVersionResponseDto {
 }
 
 export interface CreateTemplateRequest {
+  ownershipScope?: 'GLOBAL' | 'CAMPUS' | 'DEPARTMENT'
   templateCode: string
   name: string
   description?: string
-  campusId: string
+  campusId: string | null
   departmentId?: string | null
   category?: string
 }
 
 export interface UpdateTemplateRequest {
+  ownershipScope?: 'GLOBAL' | 'CAMPUS' | 'DEPARTMENT'
   name: string
   description?: string
   category?: string
   /** 修改归属时提供院区；不传则保留原归属。 */
-  campusId?: string
+  campusId?: string | null
   /** 提供院区时，null 表示该院区通用。 */
   departmentId?: string | null
 }
diff --git a/clinical-web/src/api/workbench/signing.ts b/clinical-web/src/api/workbench/signing.ts
index 6208006..c2ff0f0 100644
--- a/clinical-web/src/api/workbench/signing.ts
+++ b/clinical-web/src/api/workbench/signing.ts
@@ -780,9 +780,13 @@ function mapAvailableTemplate(dto: AvailableTemplateVersionResponseDto): Signing
     name: dto.templateName,
     code: dto.templateCode,
     version: dto.versionNo,
-    department: dto.departmentId ? '指定科室' : '全院通用',
+    department: dto.departmentId
+      ? '指定科室'
+      : dto.ownershipScope === 'GLOBAL'
+        ? '全院通用'
+        : '院区通用',
     departmentId: dto.departmentId,
-    campusId: dto.campusId,
+    campusId: dto.campusId ?? undefined,
     category: dto.category || '未分类',
     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。
diff --git a/clinical-web/src/api/workbench/types.ts b/clinical-web/src/api/workbench/types.ts
index fe27287..0a6517a 100644
--- a/clinical-web/src/api/workbench/types.ts
+++ b/clinical-web/src/api/workbench/types.ts
@@ -477,12 +477,13 @@ export interface VisitResponseDto {
 }
 
 export interface AvailableTemplateVersionResponseDto {
+  ownershipScope?: 'GLOBAL' | 'CAMPUS' | 'DEPARTMENT'
   templateId: string
   templateVersionId: string
   templateCode: string
   templateName: string
   category: string
-  campusId: string
+  campusId: string | null
   departmentId: string | null
   versionNo: string
   contentSha256: string
diff --git a/clinical-web/src/views/management/documents/components/DocumentPropsDialog.vue b/clinical-web/src/views/management/documents/components/DocumentPropsDialog.vue
index 5c6c21b..1d3c48e 100644
--- a/clinical-web/src/views/management/documents/components/DocumentPropsDialog.vue
+++ b/clinical-web/src/views/management/documents/components/DocumentPropsDialog.vue
@@ -4,7 +4,14 @@ import { ElMessage } from 'element-plus'
 
 import type { CampusRecord, DepartmentRecord } from '@/api/management/types'
 
-import { DEFAULT_DOCUMENT_TYPE, DOCUMENT_TYPES, GENERAL_OWNERSHIP } from '../library'
+import {
+  DEFAULT_DOCUMENT_TYPE,
+  DOCUMENT_TYPES,
+  GENERAL_OWNERSHIP,
+  campusOwnership,
+  isGlobalOwnership,
+  ownershipCampusId,
+} from '../library'
 import { DOC_TEMPLATE_PERMISSIONS } from '../permissions'
 import type { DocumentPropsForm, DocumentTemplate } from '../types'
 
@@ -17,7 +24,7 @@ const props = defineProps<{
   /** 院区字典，与组织架构页同源；用来给上面的科室分组 */
   campuses: CampusRecord[]
   /**
-   * 是否可以把文档设为「通用（全院）」。
+   * 是否可以把文档设为「全院通用」。
    *
    * 原型 canSetGeneral() 只放给系统管理员 / 医务管理；这里由页面判定后传进来，
    * 弹窗不自己去读角色——弹窗只负责表单。
@@ -57,7 +64,7 @@ const form = reactive<DocumentPropsForm>({
 })
 
 interface OwnershipOption {
-  /** 落库值：科室取 DepartmentRecord.id，「通用（全院）」取固定哨兵 */
+  /** 落库值：科室取 DepartmentRecord.id，「全院通用」取固定哨兵 */
   value: string
   label: string
 }
@@ -74,7 +81,7 @@ interface OwnershipGroup {
  * 组织架构里的科室本来就挂在院区下面（同名科室在不同院区是两条记录），
  * 只摊平显示名字的话既看不出属于哪个院区、勾了也定位不到唯一的科室 id，
  * 所以这里按科室的 campusId 归到对应院区下：显示院区名 + 科室名，取值用科室 id。
- * 「通用（全院）」不是科室、没有院区，单独放最后一组。
+ * 「全院通用」不是科室、没有院区，单独放最后一组。
  */
 const ownershipGroups = computed<OwnershipGroup[]>(() => {
   const groups: OwnershipGroup[] = []
@@ -84,6 +91,8 @@ const ownershipGroups = computed<OwnershipGroup[]>(() => {
       .filter((department) => department.campusId === campus.id)
       .map((department) => ({ value: department.id, label: department.name }))
 
+    if (props.canSetGeneral)
+      options.unshift({ value: campusOwnership(campus.id), label: '院区通用' })
     if (options.length) {
       groups.push({ key: campus.id, title: campus.name, options })
     }
@@ -114,14 +123,18 @@ const generalSelected = computed(() => form.ownership.includes(GENERAL_OWNERSHIP
 
 /** option 是勾选值：科室 id，或 GENERAL_OWNERSHIP */
 function toggleOwnership(option: string) {
+  if (option.startsWith('__campus_common__:')) {
+    form.ownership = form.ownership.includes(option) ? [] : [option]
+    return
+  }
   if (option === GENERAL_OWNERSHIP) {
-    // 勾上「通用（全院）」就清掉科室勾选，取消则回到空选择——
+    // 勾上「全院通用」就清掉科室勾选，取消则回到空选择——
     // 两种选择混在一起会让「到底归属哪儿」没有唯一答案
     form.ownership = generalSelected.value ? [] : [GENERAL_OWNERSHIP]
     return
   }
 
-  if (generalSelected.value) {
+  if (generalSelected.value || ownershipCampusId(form.ownership)) {
     form.ownership = []
   }
 
@@ -157,7 +170,9 @@ watch(
         ? template.departmentId
           ? // 回填主科室用 departmentId 本身：勾选值就是科室 id，不再经名字中转
             [template.departmentId]
-          : [GENERAL_OWNERSHIP]
+          : isGlobalOwnership(template)
+            ? [GENERAL_OWNERSHIP]
+            : [campusOwnership(template.campusId ?? '')]
         : // 新增时预选当前用户所属科室（对得上就直接用，对不上就空着让科室自己勾）
           [],
       description: template?.description ?? '',
@@ -251,11 +266,9 @@ function submit() {
                 </div>
               </div>
               <p class="field-tip">
-                <template v-if="isMock">
-                  勾选科室设置可见范围，支持多科室与通用（全院）。
-                </template>
+                <template v-if="isMock"> 勾选科室设置可见范围，支持多科室与全院通用。 </template>
                 <template v-else>
-                  选择一个归属科室，或选择「通用（全院）」供文档所属院区使用。归属仍受账号权限限制。
+                  全院通用可供所有院区使用；院区通用仅供对应院区使用；也可选择一个专用科室。查看和维护仍受账号权限限制。
                 </template>
               </p>
             </div>
@@ -448,7 +461,7 @@ function submit() {
 /*
  * 文档归属：原型 V10.2 的 .cg-dept —— 卡片式复选框网格。
  * 容器是浅底带框的 3 列网格，每项一张白卡（原生 checkbox + 科室名），
- * 「通用（全院）」独占一行并用浅蓝底区分（原型 grid-column:1/-1）。
+ * 「全院通用」独占一行并用浅蓝底区分（原型 grid-column:1/-1）。
  * 科室名过长时截断：原型同一处就是 nowrap + ellipsis。
  *
  * 与原型唯一的差别：这里按院区分成若干个 .ownership（一个院区一个），
diff --git a/clinical-web/src/views/management/documents/components/DocumentTemplateCard.vue b/clinical-web/src/views/management/documents/components/DocumentTemplateCard.vue
index baae624..cb5ab8a 100644
--- a/clinical-web/src/views/management/documents/components/DocumentTemplateCard.vue
+++ b/clinical-web/src/views/management/documents/components/DocumentTemplateCard.vue
@@ -49,7 +49,11 @@ const dotColor = computed(() => DOCUMENT_STATUS_DOT[tone.value])
 
 const isGeneral = computed(() => isGeneralOwnership(props.template))
 const ownershipLabel = computed(() =>
-  isGeneral.value ? '🌐 全院通用' : `🏥 ${props.template.departmentName ?? '未知科室'}`,
+  isGeneral.value
+    ? props.template.ownershipScope === 'GLOBAL' || !props.template.campusId
+      ? '🌐 全院通用'
+      : `🏥 ${props.template.campusName ?? '所属院区'} · 院区通用`
+    : `🏥 ${props.template.departmentName ?? '未知科室'}`,
 )
 
 /**
@@ -91,9 +95,7 @@ const toggleAction = computed<TemplateVersionAction | null>(() =>
 
 // 按钮文案与权限码的对应关系集中在模板里，避免多处各写一份
 const permissions = DOC_TEMPLATE_PERMISSIONS
-const togglePermission = computed(() =>
-  workflowPermission(toggleAction.value ?? 'disable'),
-)
+const togglePermission = computed(() => workflowPermission(toggleAction.value ?? 'disable'))
 </script>
 
 <template>
@@ -110,7 +112,8 @@ const togglePermission = computed(() =>
 
     <div class="tpl-tags">
       <span class="exam-tag" :class="isGeneral ? 'is-general' : 'is-department'">
-        {{ ownershipLabel }}<template v-if="!isGeneral && sharedCount"> ·+{{ sharedCount }} 科室</template>
+        {{ ownershipLabel
+        }}<template v-if="!isGeneral && sharedCount"> ·+{{ sharedCount }} 科室</template>
       </span>
       <span v-if="examType" class="exam-tag is-exam">🔬 检查类型：{{ examType }}</span>
     </div>
diff --git a/clinical-web/src/views/management/documents/index.vue b/clinical-web/src/views/management/documents/index.vue
index ed8c256..977fed7 100644
--- a/clinical-web/src/views/management/documents/index.vue
+++ b/clinical-web/src/views/management/documents/index.vue
@@ -42,6 +42,9 @@ import {
   canInitiateSigning,
   DOCUMENT_LIBRARY_STATUSES,
   GENERAL_OWNERSHIP,
+  ownershipCampusId,
+  isGlobalOwnership,
+  CAMPUS_OWNERSHIP_PREFIX,
   readLibraryStatus,
   resolveOwnershipDepartmentId,
   templateWorkflowAction,
@@ -79,6 +82,7 @@ const useMockLibrary = mockFlags.documents
 
 /** 没有绑定科室的文书归到这一组（全院通用），不属于任何一个科室页签 */
 const GENERAL_GROUP_KEY = '__all__'
+const CAMPUS_GROUP_KEY = '__campus_common__'
 
 /**
  * 页面操作的服务端校验兜底。
@@ -211,12 +215,16 @@ const departmentTabs = computed<DepartmentTab[]>(() => {
 
   const knownKeys = new Set(campusDepartments.map((department) => department.id))
   const orphans = library.value.filter(
-    (group) => group.key !== GENERAL_GROUP_KEY && !knownKeys.has(group.key),
+    (group) =>
+      group.key !== GENERAL_GROUP_KEY &&
+      group.key !== CAMPUS_GROUP_KEY &&
+      !knownKeys.has(group.key),
   )
 
   return [
     { key: null, label: '全部', count: allTemplates.value.length },
     { key: GENERAL_GROUP_KEY, label: '全院通用', count: countOf(GENERAL_GROUP_KEY) },
+    { key: CAMPUS_GROUP_KEY, label: '院区通用', count: countOf(CAMPUS_GROUP_KEY) },
     ...campusDepartments.map((department) => ({
       key: department.id,
       label: allCampusesSelected.value
@@ -282,7 +290,7 @@ function cloneLibrary(source: DocumentDepartment[]): DocumentDepartment[] {
  * 把扁平的模板列表组织成页面需要的 科室 → 分类 → 文书 树。
  *
  * 分组键使用 departmentId，并用组织接口返回的科室字典补齐名称；没有绑定科室的模板
- * 归入“全院通用”。这样同一科室的模板无论接口返回顺序如何都会落进同一个分组。
+ * 按明确归属范围分别归入“全院通用”或“院区通用”。同一科室的模板落入同一分组。
  */
 function groupDocuments(
   records: DocumentRecord[],
@@ -294,10 +302,15 @@ function groupDocuments(
   )
 
   records.forEach((record) => {
-    const departmentKey = record.departmentId ?? GENERAL_GROUP_KEY
+    const departmentKey =
+      record.departmentId ?? (isGlobalOwnership(record) ? GENERAL_GROUP_KEY : CAMPUS_GROUP_KEY)
     const departmentName =
       record.departmentName ??
-      (record.departmentId ? (departmentNames.get(record.departmentId) ?? '未知科室') : '全院通用')
+      (record.departmentId
+        ? (departmentNames.get(record.departmentId) ?? '未知科室')
+        : isGlobalOwnership(record)
+          ? '全院通用'
+          : '院区通用')
 
     let department = grouped.get(departmentKey)
 
@@ -314,7 +327,11 @@ function groupDocuments(
       department.categories.push(category)
     }
 
-    category.documents.push({ ...record, departmentName })
+    category.documents.push({
+      ...record,
+      departmentName,
+      campusName: campuses.value.find((campus) => campus.id === record.campusId)?.name,
+    })
   })
 
   // 全院通用的模板排最前，其余按科室名排序，保证每次进页面分组顺序稳定
@@ -539,7 +556,12 @@ function generateTemplateCode(name: string) {
  */
 function sharedDepartmentNames(ownership: string[], primaryDepartmentId: string | null): string[] {
   return ownership
-    .filter((value) => value !== GENERAL_OWNERSHIP && value !== primaryDepartmentId)
+    .filter(
+      (value) =>
+        value !== GENERAL_OWNERSHIP &&
+        !value.startsWith(CAMPUS_OWNERSHIP_PREFIX) &&
+        value !== primaryDepartmentId,
+    )
     .map((id) => departments.value.find((department) => department.id === id)?.name)
     .filter((name): name is string => Boolean(name))
 }
@@ -567,9 +589,11 @@ function locateLocalDocument(id: string) {
 /** 演示模式：把新文书追加进本地文库（分组按科室名匹配已有分组） */
 function addLocalTemplate(form: DocumentPropsForm, departmentId: string | null): DocumentTemplate {
   const department = departments.value.find((item) => item.id === departmentId)
-  const departmentName = department?.name ?? '全院通用'
+  const global = form.ownership.includes(GENERAL_OWNERSHIP)
+  const campusId = global ? null : department?.campusId || ownershipCampusId(form.ownership)
+  const departmentName = department?.name ?? (global ? '全院通用' : '院区通用')
   // 真实模式用 departmentId 当分组键，演示模式没有 UUID，用品名保持同样语义
-  const departmentKey = department?.id ?? GENERAL_GROUP_KEY
+  const departmentKey = department?.id ?? (global ? GENERAL_GROUP_KEY : CAMPUS_GROUP_KEY)
   let departmentGroup = library.value.find((item) => item.key === departmentKey)
 
   if (!departmentGroup) {
@@ -607,7 +631,9 @@ function addLocalTemplate(form: DocumentPropsForm, departmentId: string | null):
     versionId: `local-version-${timestamp}`,
     departmentId: departmentId,
     departmentName,
-    campusId: campuses.value[0]?.id ?? '',
+    campusId,
+    ownershipScope: global ? 'GLOBAL' : departmentId ? 'DEPARTMENT' : 'CAMPUS',
+    campusName: campuses.value.find((campus) => campus.id === campusId)?.name,
     contentHtml: '',
     sharedDepartments: sharedDepartmentNames(form.ownership, departmentId),
   }
@@ -626,9 +652,11 @@ function addLocalTemplate(form: DocumentPropsForm, departmentId: string | null):
  */
 function updateLocalProps(form: DocumentPropsForm, departmentId: string | null) {
   const target = departments.value.find((item) => item.id === departmentId)
-  const targetName = target?.name ?? '全院通用'
+  const global = form.ownership.includes(GENERAL_OWNERSHIP)
+  const campusId = global ? null : target?.campusId || ownershipCampusId(form.ownership)
+  const targetName = target?.name ?? (global ? '全院通用' : '院区通用')
   // 与 addLocalTemplate 同一套分组键口径：演示模式没有 UUID 时落 GENERAL_GROUP_KEY
-  const targetKey = target?.id ?? GENERAL_GROUP_KEY
+  const targetKey = target?.id ?? (global ? GENERAL_GROUP_KEY : CAMPUS_GROUP_KEY)
   const located = locateLocalDocument(form.id ?? '')
 
   if (!located) {
@@ -644,6 +672,9 @@ function updateLocalProps(form: DocumentPropsForm, departmentId: string | null)
   document.updatedAt = new Date().toISOString()
   document.departmentId = departmentId
   document.departmentName = targetName
+  document.campusId = campusId
+  document.campusName = campuses.value.find((campus) => campus.id === campusId)?.name
+  document.ownershipScope = global ? 'GLOBAL' : departmentId ? 'DEPARTMENT' : 'CAMPUS'
   // 主科室进 departmentId，其余勾选科室留在 sharedDepartments（与新建时同一口径）
   document.sharedDepartments = sharedDepartmentNames(form.ownership, departmentId)
 
@@ -705,10 +736,10 @@ async function handlePropsSubmit(form: DocumentPropsForm) {
       ElMessage.error('所选科室不存在，请刷新后重试')
       return
     }
-    const campusId =
-      targetDepartment?.campusId ||
-      (form.id ? propsTemplate.value?.campusId : appStore.selectedCampusId || campuses.value[0]?.id)
-    if (!campusId) {
+    const global = form.ownership.includes(GENERAL_OWNERSHIP)
+    const campusId = global ? null : targetDepartment?.campusId || ownershipCampusId(form.ownership)
+    const ownershipScope = global ? 'GLOBAL' : departmentId ? 'DEPARTMENT' : 'CAMPUS'
+    if (!global && !campusId) {
       ElMessage.error('无法确定文档所属院区，请选择院区后重试')
       return
     }
@@ -719,6 +750,7 @@ async function handlePropsSubmit(form: DocumentPropsForm) {
         category: form.category,
         campusId,
         departmentId,
+        ownershipScope,
       })
       closePropsDialog()
       await loadLibrary()
@@ -732,6 +764,7 @@ async function handlePropsSubmit(form: DocumentPropsForm) {
       description: form.description,
       campusId,
       departmentId,
+      ownershipScope,
       category: form.category,
     })
 
diff --git a/clinical-web/src/views/management/documents/library.ts b/clinical-web/src/views/management/documents/library.ts
index 1ee72b4..a1d9ddb 100644
--- a/clinical-web/src/views/management/documents/library.ts
+++ b/clinical-web/src/views/management/documents/library.ts
@@ -131,22 +131,32 @@ export function templateWorkflowLabel(
     case 'PUBLISHED':
       return '停用'
     default:
-      return record.backendStatus
-        ? ''
-        : readLibraryStatus(record) === '停用'
-          ? '启用'
-          : '停用'
+      return record.backendStatus ? '' : readLibraryStatus(record) === '停用' ? '启用' : '停用'
   }
 }
 
 /**
- * 文档归属：原型把「通用（全院）」当作科室清单里的一个选项一起勾选，
+ * 文档归属：原型把「全院通用」当作科室清单里的一个选项一起勾选，
  * 勾中它就等于全院通用，其余科室勾选一并作废（见 docDeptPicks / openDocProps）。
  */
-export const GENERAL_OWNERSHIP = '通用（全院）'
+export const GENERAL_OWNERSHIP = '全院通用'
+export const CAMPUS_OWNERSHIP_PREFIX = '__campus_common__:'
+export function campusOwnership(campusId: string): string {
+  return `${CAMPUS_OWNERSHIP_PREFIX}${campusId}`
+}
+export function ownershipCampusId(ownership: string[]): string | null {
+  const value = ownership.find((item) => item.startsWith(CAMPUS_OWNERSHIP_PREFIX))
+  return value ? value.slice(CAMPUS_OWNERSHIP_PREFIX.length) : null
+}
+export function isGlobalOwnership(record: DocumentRecord): boolean {
+  return (
+    record.ownershipScope === 'GLOBAL' ||
+    (!record.ownershipScope && !record.campusId && !record.departmentId)
+  )
+}
 
 /**
- * 归属勾选 → 后端可落库的科室 id（勾了通用（全院）就没有科室 id）。
+ * 归属勾选 → 后端可落库的科室 id（勾了全院通用就没有科室 id）。
  *
  * 勾选值本身就是 DepartmentRecord.id：同名科室在不同院区是两条记录，
  * 这里不再拿名字去反查（反查只能取到第一条，会把院区指错）。
@@ -156,13 +166,19 @@ export function resolveOwnershipDepartmentId(ownership: string[]): string | null
     return null
   }
 
-  return ownership.find((value) => value !== GENERAL_OWNERSHIP) ?? null
+  return (
+    ownership.find(
+      (value) => value !== GENERAL_OWNERSHIP && !value.startsWith(CAMPUS_OWNERSHIP_PREFIX),
+    ) ?? null
+  )
 }
 
 /** 归属徽标文案：全院通用用 🌐，科室用 🏥（与原型 tpl-card 的标签一致） */
 export function readOwnershipLabel(record: DocumentRecord): string {
   if (!record.departmentId) {
-    return '🌐 全院通用'
+    return isGlobalOwnership(record)
+      ? '🌐 全院通用'
+      : `🏥 ${record.campusName ?? '所属院区'} · 院区通用`
   }
 
   const name = record.departmentName ?? '未知科室'
@@ -180,12 +196,6 @@ export function isGeneralOwnership(record: DocumentRecord): boolean {
  * 与原型 docTypes 同一份取值，属性弹窗用下拉而不是自由输入：
  * 类型是分组的键，自由输入会让「知情同意书 / 知情同意书 」这类写法分成两组。
  */
-export const DOCUMENT_TYPES = [
-  '知情同意书',
-  '风险告知书',
-  '入院告知',
-  '检查预约单',
-  '授权委托',
-]
+export const DOCUMENT_TYPES = ['知情同意书', '风险告知书', '入院告知', '检查预约单', '授权委托']
 
 export const DEFAULT_DOCUMENT_TYPE = '知情同意书'