diff --git a/components.d.ts b/components.d.ts
index b792c67..07cd891 100644
--- a/components.d.ts
+++ b/components.d.ts
@@ -22,7 +22,11 @@ declare module 'vue' {
     ElCheckboxGroup: typeof import('element-plus/es')['ElCheckboxGroup']
     ElColorPicker: typeof import('element-plus/es')['ElColorPicker']
     ElConfigProvider: typeof import('element-plus/es')['ElConfigProvider']
+    ElDatePicker: typeof import('element-plus/es')['ElDatePicker']
+    ElDescriptions: typeof import('element-plus/es')['ElDescriptions']
+    ElDescriptionsItem: typeof import('element-plus/es')['ElDescriptionsItem']
     ElDialog: typeof import('element-plus/es')['ElDialog']
+    ElDivider: typeof import('element-plus/es')['ElDivider']
     ElDrawer: typeof import('element-plus/es')['ElDrawer']
     ElDropdown: typeof import('element-plus/es')['ElDropdown']
     ElDropdownItem: typeof import('element-plus/es')['ElDropdownItem']
@@ -49,8 +53,11 @@ declare module 'vue' {
     ElTable: typeof import('element-plus/es')['ElTable']
     ElTableColumn: typeof import('element-plus/es')['ElTableColumn']
     ElTag: typeof import('element-plus/es')['ElTag']
+    ElTimeline: typeof import('element-plus/es')['ElTimeline']
+    ElTimelineItem: typeof import('element-plus/es')['ElTimelineItem']
     ElTree: typeof import('element-plus/es')['ElTree']
     ElTreeSelect: typeof import('element-plus/es')['ElTreeSelect']
+    ElUpload: typeof import('element-plus/es')['ElUpload']
     Icon: typeof import('./src/components/icon/icon.vue')['default']
     RouterLink: typeof import('vue-router')['RouterLink']
     RouterView: typeof import('vue-router')['RouterView']
@@ -88,7 +95,11 @@ declare global {
   const ElCheckboxGroup: typeof import('element-plus/es')['ElCheckboxGroup']
   const ElColorPicker: typeof import('element-plus/es')['ElColorPicker']
   const ElConfigProvider: typeof import('element-plus/es')['ElConfigProvider']
+  const ElDatePicker: typeof import('element-plus/es')['ElDatePicker']
+  const ElDescriptions: typeof import('element-plus/es')['ElDescriptions']
+  const ElDescriptionsItem: typeof import('element-plus/es')['ElDescriptionsItem']
   const ElDialog: typeof import('element-plus/es')['ElDialog']
+  const ElDivider: typeof import('element-plus/es')['ElDivider']
   const ElDrawer: typeof import('element-plus/es')['ElDrawer']
   const ElDropdown: typeof import('element-plus/es')['ElDropdown']
   const ElDropdownItem: typeof import('element-plus/es')['ElDropdownItem']
@@ -115,8 +126,11 @@ declare global {
   const ElTable: typeof import('element-plus/es')['ElTable']
   const ElTableColumn: typeof import('element-plus/es')['ElTableColumn']
   const ElTag: typeof import('element-plus/es')['ElTag']
+  const ElTimeline: typeof import('element-plus/es')['ElTimeline']
+  const ElTimelineItem: typeof import('element-plus/es')['ElTimelineItem']
   const ElTree: typeof import('element-plus/es')['ElTree']
   const ElTreeSelect: typeof import('element-plus/es')['ElTreeSelect']
+  const ElUpload: typeof import('element-plus/es')['ElUpload']
   const Icon: typeof import('./src/components/icon/icon.vue')['default']
   const RouterLink: typeof import('vue-router')['RouterLink']
   const RouterView: typeof import('vue-router')['RouterView']
diff --git a/src/api/elder.ts b/src/api/elder.ts
new file mode 100644
index 0000000..410fa24
--- /dev/null
+++ b/src/api/elder.ts
@@ -0,0 +1,125 @@
+import { http } from '@/api/http'
+import type { PageResult } from '@/types/crud'
+
+/**
+ * 老人档案（elder）实体。字段字典锚点见 shared/data-model spec（ltc_elder）。
+ * - 日期字段（birthDate/benefitStart 等）后端经 TransformInterceptor 序列化为毫秒时间戳；
+ * - idCardNo 列表返回掩码、详情（admin/qc）返回明文；
+ * - assessEvidenceFile 为评估结论副本的 MinIO key。
+ */
+export interface Elder {
+  id: string
+  locCode?: string
+  name: string
+  gender: string
+  idCardNo: string
+  birthDate?: number
+  phone?: string | null
+  address?: string
+  guardianName?: string | null
+  guardianPhone?: string | null
+  insurNo?: string
+  insurType?: string
+  insurYears?: number | null
+  insurVerifyStatus?: string | null
+  insurVerifyDate?: number | null
+  assessLevel?: string | null
+  careLevel?: string | null
+  assessDate?: number | null
+  assessOrg?: string | null
+  assessEvidenceFile?: string | null
+  benefitStart?: number | null
+  benefitEnd?: number | null
+  treatStatus: string
+  statusSource?: string | null
+  statusChangeDate?: number | null
+  hospStart?: number | null
+  hospEnd?: number | null
+  note?: string | null
+  createdAt?: number
+  updatedAt?: number
+}
+
+export interface ElderListQuery {
+  page: number
+  pageSize: number
+  name?: string
+  treatStatus?: string
+}
+
+/** 建档入参（日期字段为 YYYY-MM-DD 字符串，与 staff 建档入参一致）。 */
+export interface ElderCreateData {
+  locCode: string
+  name: string
+  gender: string
+  idCardNo: string
+  phone?: string
+  address: string
+  guardianName?: string
+  guardianPhone?: string
+  insurNo: string
+  insurType: string
+  insurYears?: number
+  insurVerifyStatus?: string
+  insurVerifyDate?: string
+  assessLevel?: string
+  careLevel?: string
+  assessDate?: string
+  assessOrg?: string
+  assessEvidenceFile?: string
+  benefitStart?: string
+  benefitEnd?: string
+  hospStart?: string
+  hospEnd?: string
+  note?: string
+}
+
+export interface ElderStatusLog {
+  id: string
+  elderId: string
+  fromStatus: string
+  toStatus: string
+  changeReason: string
+  source: string
+  operatorId: string
+  evidenceFile: string | null
+  changedAt: number
+}
+
+/** 老人分页列表（身份证服务端掩码）。 */
+export function listElders(query: ElderListQuery, signal?: AbortSignal): Promise<PageResult<Elder>> {
+  const params: Record<string, unknown> = { page: query.page, pageSize: query.pageSize }
+  if (query.name) params.name = query.name
+  if (query.treatStatus) params.treatStatus = query.treatStatus
+  return http.get<PageResult<Elder>>('/elder', { params, signal })
+}
+
+/** 建档。 */
+export function createElder(data: ElderCreateData): Promise<Elder> {
+  return http.post<Elder>('/elder', data)
+}
+
+/** 详情（admin/qc 身份证明文并留痕，其余掩码）。 */
+export function getElder(id: string): Promise<Elder> {
+  return http.get<Elder>(`/elder/${id}`)
+}
+
+/** 变更待遇状态（changeReason 必填）。 */
+export function changeElderStatus(
+  id: string,
+  data: { toStatus: string; changeReason: string },
+): Promise<{ id: string; fromStatus: string; toStatus: string }> {
+  return http.post(`/elder/${id}/status`, data)
+}
+
+/** 状态变更历史（按时间倒序）。 */
+export function getStatusLog(id: string): Promise<ElderStatusLog[]> {
+  return http.get<ElderStatusLog[]>(`/elder/${id}/status/log`)
+}
+
+/** 上传评估结论副本到 MinIO，返回 file key。 */
+export function uploadEvidence(file: File): Promise<{ key: string }> {
+  const fd = new FormData()
+  fd.append('file', file)
+  return http.post<{ key: string }>('/elder/assess-evidence', fd)
+}
diff --git a/src/components/ty-crud.vue b/src/components/ty-crud.vue
index b5df406..b5e8bf7 100644
--- a/src/components/ty-crud.vue
+++ b/src/components/ty-crud.vue
@@ -12,7 +12,7 @@
     <el-card class="ty-crud__table" shadow="never">
       <div class="ty-crud__toolbar">
         <div class="ty-crud__toolbar-left">
-          <el-button v-if="!createPermission || permissionStore.has(createPermission)" type="primary" @click="openCreate">
+          <el-button v-if="showCreate && (!createPermission || permissionStore.has(createPermission))" type="primary" @click="openCreate">
             新增{{ entityName }}
           </el-button>
           <slot name="toolbar" />
@@ -122,6 +122,8 @@ const props = withDefaults(
     selection?: boolean
     /** 新增按钮所需权限码（无该权限且非超管时隐藏新增按钮）。 */
     createPermission?: string
+    /** 是否显示内置「新增」按钮（false 时可改用 #toolbar 插槽自定义建档入口）。 */
+    showCreate?: boolean
     actionsWidth?: number | string
   }>(),
   {
@@ -132,6 +134,7 @@ const props = withDefaults(
     actions: () => ['edit', 'delete'],
     collapseCount: 2,
     selection: false,
+    showCreate: true,
     actionsWidth: 140,
   },
 )
diff --git a/src/components/ty-dialog.vue b/src/components/ty-dialog.vue
index 1cb432f..ab00c9b 100644
--- a/src/components/ty-dialog.vue
+++ b/src/components/ty-dialog.vue
@@ -12,6 +12,7 @@
     <component
       :is="dialog.options.component"
       v-bind="dialog.options.props ?? {}"
+      :dialog-id="dialog.id"
       :ref="setRef(dialog.id)"
     />
     <template v-if="dialog.options.showFooter !== false" #footer>
diff --git a/src/pages/ltc/elder/components/elder-detail.vue b/src/pages/ltc/elder/components/elder-detail.vue
new file mode 100644
index 0000000..7501fef
--- /dev/null
+++ b/src/pages/ltc/elder/components/elder-detail.vue
@@ -0,0 +1,126 @@
+<template>
+  <div v-loading="loading" class="elder-detail">
+    <template v-if="elder">
+      <el-descriptions :column="2" border size="small">
+        <el-descriptions-item label="姓名">{{ elder.name }}</el-descriptions-item>
+        <el-descriptions-item label="性别">{{ labelOf(GENDER_OPTIONS, elder.gender) }}</el-descriptions-item>
+        <el-descriptions-item label="身份证号">{{ elder.idCardNo }}</el-descriptions-item>
+        <el-descriptions-item label="出生日期">{{ formatDate(elder.birthDate) }}</el-descriptions-item>
+        <el-descriptions-item label="联系电话">{{ elder.phone ?? '-' }}</el-descriptions-item>
+        <el-descriptions-item label="居住地址">{{ elder.address ?? '-' }}</el-descriptions-item>
+        <el-descriptions-item label="参保地">{{ elder.locCode ?? '-' }}</el-descriptions-item>
+        <el-descriptions-item label="医保参保号">{{ elder.insurNo ?? '-' }}</el-descriptions-item>
+        <el-descriptions-item label="参保类型">{{ labelOf(INSURE_TYPE_OPTIONS, elder.insurType) }}</el-descriptions-item>
+        <el-descriptions-item label="参保核验">{{ labelOf(INSURE_VERIFY_STATUS_OPTIONS, elder.insurVerifyStatus) }}</el-descriptions-item>
+        <el-descriptions-item label="失能等级">{{ labelOf(ASSESS_LEVEL_OPTIONS, elder.assessLevel) }}</el-descriptions-item>
+        <el-descriptions-item label="护理等级">{{ labelOf(CARE_LEVEL_OPTIONS, elder.careLevel) }}</el-descriptions-item>
+        <el-descriptions-item label="评估机构">{{ elder.assessOrg ?? '-' }}</el-descriptions-item>
+        <el-descriptions-item label="评估日期">{{ formatDate(elder.assessDate) }}</el-descriptions-item>
+        <el-descriptions-item label="待遇有效期起">{{ formatDate(elder.benefitStart) }}</el-descriptions-item>
+        <el-descriptions-item label="待遇有效期止">{{ formatDate(elder.benefitEnd) }}</el-descriptions-item>
+        <el-descriptions-item label="待遇状态" :span="2">
+          <el-tag :type="TREAT_STATUS_TAG_MAP[elder.treatStatus]?.type ?? 'info'">
+            {{ TREAT_STATUS_TAG_MAP[elder.treatStatus]?.label ?? elder.treatStatus }}
+          </el-tag>
+        </el-descriptions-item>
+        <el-descriptions-item label="备注" :span="2">{{ elder.note ?? '-' }}</el-descriptions-item>
+      </el-descriptions>
+
+      <el-divider content-position="left">状态变更</el-divider>
+      <el-form inline>
+        <el-form-item label="目标状态">
+          <el-select v-model="statusForm.toStatus" placeholder="请选择" style="width: 200px">
+            <el-option v-for="o in TREAT_STATUS_OPTIONS" :key="o.value" :label="o.label" :value="o.value" />
+          </el-select>
+        </el-form-item>
+        <el-form-item label="变更原因">
+          <el-input v-model="statusForm.changeReason" placeholder="必填" style="width: 240px" />
+        </el-form-item>
+        <el-form-item>
+          <el-button type="primary" :loading="changing" @click="submitStatusChange">变更</el-button>
+        </el-form-item>
+      </el-form>
+
+      <el-divider content-position="left">状态日志</el-divider>
+      <el-timeline v-if="statusLog.length > 0">
+        <el-timeline-item v-for="log in statusLog" :key="log.id" :timestamp="formatDateTime(log.changedAt)">
+          <span>{{ labelOf(TREAT_STATUS_OPTIONS, log.fromStatus) }} → {{ labelOf(TREAT_STATUS_OPTIONS, log.toStatus) }}</span>
+          <div class="text-xs text-text-regular">{{ log.changeReason }}</div>
+        </el-timeline-item>
+      </el-timeline>
+      <el-empty v-else description="暂无状态变更记录" :image-size="60" />
+    </template>
+
+    <div class="mt-md flex justify-end">
+      <el-button @click="close">关闭</el-button>
+    </div>
+  </div>
+</template>
+
+<script setup lang="ts">
+import { onMounted, reactive, ref } from 'vue'
+import { ElMessage } from 'element-plus'
+import { changeElderStatus, getElder, getStatusLog, type Elder, type ElderStatusLog } from '@/api/elder'
+import { closeDialog } from '@/utils/dialog'
+import {
+  ASSESS_LEVEL_OPTIONS,
+  CARE_LEVEL_OPTIONS,
+  GENDER_OPTIONS,
+  INSURE_TYPE_OPTIONS,
+  INSURE_VERIFY_STATUS_OPTIONS,
+  TREAT_STATUS_OPTIONS,
+  TREAT_STATUS_TAG_MAP,
+  formatDate,
+  formatDateTime,
+  labelOf,
+} from '../constants'
+
+defineOptions({ name: 'ElderDetail' })
+
+const props = defineProps<{ elderId: string; dialogId?: number }>()
+
+const elder = ref<Elder>()
+const statusLog = ref<ElderStatusLog[]>([])
+const loading = ref(false)
+const changing = ref(false)
+
+const statusForm = reactive({ toStatus: '', changeReason: '' })
+
+async function load(): Promise<void> {
+  loading.value = true
+  try {
+    const [detail, log] = await Promise.all([getElder(props.elderId), getStatusLog(props.elderId)])
+    elder.value = detail
+    statusLog.value = log
+  } finally {
+    loading.value = false
+  }
+}
+
+async function submitStatusChange(): Promise<void> {
+  if (!statusForm.toStatus) {
+    ElMessage.warning('请选择目标状态')
+    return
+  }
+  if (!statusForm.changeReason.trim()) {
+    ElMessage.warning('请填写变更原因')
+    return
+  }
+  changing.value = true
+  try {
+    await changeElderStatus(props.elderId, { toStatus: statusForm.toStatus, changeReason: statusForm.changeReason.trim() })
+    ElMessage.success('状态已变更')
+    statusForm.toStatus = ''
+    statusForm.changeReason = ''
+    await load()
+  } finally {
+    changing.value = false
+  }
+}
+
+function close(): void {
+  if (props.dialogId != null) closeDialog(props.dialogId)
+}
+
+onMounted(load)
+</script>
diff --git a/src/pages/ltc/elder/components/elder-form.vue b/src/pages/ltc/elder/components/elder-form.vue
new file mode 100644
index 0000000..a7e8601
--- /dev/null
+++ b/src/pages/ltc/elder/components/elder-form.vue
@@ -0,0 +1,256 @@
+<template>
+  <el-form ref="formRef" :model="form" :rules="rules" label-width="120px">
+    <el-row :gutter="16">
+      <el-col :span="12">
+        <el-form-item label="姓名" prop="name">
+          <el-input v-model="form.name" placeholder="请输入姓名" />
+        </el-form-item>
+      </el-col>
+      <el-col :span="12">
+        <el-form-item label="性别" prop="gender">
+          <el-select v-model="form.gender" placeholder="请选择">
+            <el-option v-for="o in GENDER_OPTIONS" :key="o.value" :label="o.label" :value="o.value" />
+          </el-select>
+        </el-form-item>
+      </el-col>
+      <el-col :span="24">
+        <el-form-item label="身份证号" prop="idCardNo">
+          <el-input v-model="form.idCardNo" placeholder="18 位身份证号，末位可为 X" maxlength="18" />
+        </el-form-item>
+      </el-col>
+      <el-col :span="12">
+        <el-form-item label="出生日期">
+          <el-input :model-value="birthDate" disabled placeholder="由身份证自动带出" />
+        </el-form-item>
+      </el-col>
+      <el-col :span="12">
+        <el-form-item label="联系电话" prop="phone">
+          <el-input v-model="form.phone" placeholder="请输入联系电话" />
+        </el-form-item>
+      </el-col>
+      <el-col :span="24">
+        <el-form-item label="居住地址" prop="address">
+          <el-input v-model="form.address" placeholder="请输入居住地址" />
+        </el-form-item>
+      </el-col>
+      <el-col :span="12">
+        <el-form-item label="参保地" prop="locCode">
+          <el-input v-model="form.locCode" placeholder="参保地/统筹区 code（默认取机构属地）" />
+        </el-form-item>
+      </el-col>
+      <el-col :span="12">
+        <el-form-item label="医保参保号" prop="insurNo">
+          <el-input v-model="form.insurNo" placeholder="请输入医保参保号" />
+        </el-form-item>
+      </el-col>
+      <el-col :span="12">
+        <el-form-item label="参保类型" prop="insurType">
+          <el-select v-model="form.insurType" placeholder="请选择">
+            <el-option v-for="o in INSURE_TYPE_OPTIONS" :key="o.value" :label="o.label" :value="o.value" />
+          </el-select>
+        </el-form-item>
+      </el-col>
+      <el-col :span="12">
+        <el-form-item label="参保核验" prop="insurVerifyStatus">
+          <el-select v-model="form.insurVerifyStatus" placeholder="请选择" clearable>
+            <el-option v-for="o in INSURE_VERIFY_STATUS_OPTIONS" :key="o.value" :label="o.label" :value="o.value" />
+          </el-select>
+        </el-form-item>
+      </el-col>
+      <el-col :span="12">
+        <el-form-item label="待遇有效期起" prop="benefitStart">
+          <el-date-picker v-model="form.benefitStart" type="date" value-format="YYYY-MM-DD" placeholder="选择日期" style="width: 100%" />
+        </el-form-item>
+      </el-col>
+      <el-col :span="12">
+        <el-form-item label="待遇有效期止" prop="benefitEnd">
+          <el-date-picker v-model="form.benefitEnd" type="date" value-format="YYYY-MM-DD" placeholder="选择日期" style="width: 100%" />
+        </el-form-item>
+      </el-col>
+      <el-col :span="24">
+        <el-form-item label="备注" prop="note">
+          <el-input v-model="form.note" type="textarea" :rows="2" placeholder="备注（含注意事项）" />
+        </el-form-item>
+      </el-col>
+    </el-row>
+
+    <el-divider content-position="left">评估等级</el-divider>
+
+    <el-form-item label="评估结论副本">
+      <div class="w-full">
+        <el-upload
+          v-model:file-list="fileList"
+          :auto-upload="false"
+          :limit="1"
+          accept="image/*,.pdf"
+          :on-change="handleFileChange"
+          :on-remove="handleFileRemove"
+        >
+          <el-button type="primary" plain>选择文件</el-button>
+        </el-upload>
+        <div class="mt-xs text-xs text-text-placeholder">填写失能/护理等级前，须先上传评估结论副本</div>
+      </div>
+    </el-form-item>
+    <el-row :gutter="16">
+      <el-col :span="12">
+        <el-form-item label="评估机构" prop="assessOrg">
+          <el-input v-model="form.assessOrg" placeholder="评估机构名称" />
+        </el-form-item>
+      </el-col>
+      <el-col :span="12">
+        <el-form-item label="评估日期" prop="assessDate">
+          <el-date-picker v-model="form.assessDate" type="date" value-format="YYYY-MM-DD" placeholder="选择日期" style="width: 100%" />
+        </el-form-item>
+      </el-col>
+      <el-col :span="12">
+        <el-form-item label="失能等级" prop="assessLevel">
+          <el-select v-model="form.assessLevel" placeholder="请选择" clearable>
+            <el-option v-for="o in ASSESS_LEVEL_OPTIONS" :key="o.value" :label="o.label" :value="o.value" />
+          </el-select>
+        </el-form-item>
+      </el-col>
+      <el-col :span="12">
+        <el-form-item label="护理等级" prop="careLevel">
+          <el-select v-model="form.careLevel" placeholder="请选择" clearable>
+            <el-option v-for="o in CARE_LEVEL_OPTIONS" :key="o.value" :label="o.label" :value="o.value" />
+          </el-select>
+        </el-form-item>
+      </el-col>
+    </el-row>
+  </el-form>
+</template>
+
+<script setup lang="ts">
+import { computed, onMounted, reactive, ref } from 'vue'
+import { ElMessage } from 'element-plus'
+import type { FormInstance, FormRules, UploadFile, UploadUserFile } from 'element-plus'
+import { uploadEvidence, type ElderCreateData } from '@/api/elder'
+import { getAgency } from '@/api/agency'
+import {
+  ASSESS_LEVEL_OPTIONS,
+  CARE_LEVEL_OPTIONS,
+  GENDER_OPTIONS,
+  INSURE_TYPE_OPTIONS,
+  INSURE_VERIFY_STATUS_OPTIONS,
+} from '../constants'
+
+defineOptions({ name: 'ElderForm' })
+
+const formRef = ref<FormInstance>()
+
+const form = reactive<ElderCreateData>({
+  locCode: '',
+  name: '',
+  gender: '',
+  idCardNo: '',
+  phone: '',
+  address: '',
+  insurNo: '',
+  insurType: '',
+  insurVerifyStatus: '',
+  assessOrg: '',
+  assessDate: '',
+  assessLevel: '',
+  careLevel: '',
+  benefitStart: '',
+  benefitEnd: '',
+  note: '',
+})
+
+const fileList = ref<UploadUserFile[]>([])
+const selectedFile = ref<File | null>(null)
+
+/** 出生日期由身份证 7-14 位带出（与后端 deriveBirthDate 一致）。 */
+const birthDate = computed(() => deriveBirthDate(form.idCardNo))
+
+function deriveBirthDate(idCardNo: string): string {
+  if (!/^\d{17}[\dXx]$/.test(idCardNo)) return ''
+  return `${idCardNo.slice(6, 10)}-${idCardNo.slice(10, 12)}-${idCardNo.slice(12, 14)}`
+}
+
+/** 身份证 18 位 + 校验位校验（GB11643-1999）。 */
+function isValidIdCard(idCardNo: string): boolean {
+  if (!/^\d{17}[\dXx]$/.test(idCardNo)) return false
+  const weights = [7, 9, 10, 5, 8, 4, 2, 1, 6, 3, 7, 9, 10, 5, 8, 4, 2]
+  const codes = ['1', '0', 'X', '9', '8', '7', '6', '5', '4', '3', '2']
+  const sum = weights.reduce((acc, w, i) => acc + w * Number(idCardNo[i]), 0)
+  return codes[sum % 11] === idCardNo[17].toUpperCase()
+}
+
+const rules: FormRules = {
+  name: [{ required: true, message: '请输入姓名', trigger: 'blur' }],
+  gender: [{ required: true, message: '请选择性别', trigger: 'change' }],
+  idCardNo: [
+    { required: true, message: '请输入身份证号', trigger: 'blur' },
+    {
+      validator: (_rule, value, callback) => {
+        if (value && !isValidIdCard(String(value))) callback(new Error('身份证号格式不正确（须 18 位，末位可为 X）'))
+        else callback()
+      },
+      trigger: 'blur',
+    },
+  ],
+  address: [{ required: true, message: '请输入居住地址', trigger: 'blur' }],
+  locCode: [{ required: true, message: '请输入参保地', trigger: 'blur' }],
+  insurNo: [{ required: true, message: '请输入医保参保号', trigger: 'blur' }],
+  insurType: [{ required: true, message: '请选择参保类型', trigger: 'change' }],
+}
+
+function handleFileChange(uploadFile: UploadFile): void {
+  selectedFile.value = uploadFile.raw ?? null
+}
+
+function handleFileRemove(): void {
+  selectedFile.value = null
+}
+
+onMounted(async () => {
+  try {
+    const agency = await getAgency()
+    if (agency?.locCode) form.locCode = agency.locCode
+  } catch {
+    // 机构信息拉取失败不阻断建档，用户可手动填写参保地
+  }
+})
+
+async function submit(): Promise<ElderCreateData> {
+  await formRef.value?.validate()
+  // 前端联动校验：填了等级却没传副本 → 拦截；反之（传副本未填等级）允许。
+  if ((form.assessLevel || form.careLevel) && !selectedFile.value) {
+    ElMessage.warning('填写等级须先上传评估结论副本')
+    throw new Error('填写等级须先上传评估结论副本')
+  }
+  if (form.benefitStart && form.benefitEnd && form.benefitEnd <= form.benefitStart) {
+    ElMessage.warning('待遇有效期止须晚于待遇有效期起')
+    throw new Error('待遇有效期止须晚于待遇有效期起')
+  }
+  let assessEvidenceFile: string | undefined
+  if (selectedFile.value) {
+    const { key } = await uploadEvidence(selectedFile.value)
+    assessEvidenceFile = key
+  }
+  // 可选字段空串转为 undefined，避免后端 @IsDateString/@IsString 对空串校验失败或存空串。
+  const opt = (v: string | undefined): string | undefined => (v === '' ? undefined : v)
+  return {
+    locCode: form.locCode,
+    name: form.name,
+    gender: form.gender,
+    idCardNo: form.idCardNo.trim(),
+    phone: opt(form.phone),
+    address: form.address,
+    insurNo: form.insurNo,
+    insurType: form.insurType,
+    insurVerifyStatus: opt(form.insurVerifyStatus),
+    assessLevel: opt(form.assessLevel),
+    careLevel: opt(form.careLevel),
+    assessDate: opt(form.assessDate),
+    assessOrg: opt(form.assessOrg),
+    benefitStart: opt(form.benefitStart),
+    benefitEnd: opt(form.benefitEnd),
+    note: opt(form.note),
+    assessEvidenceFile,
+  }
+}
+
+defineExpose({ submit })
+</script>
diff --git a/src/pages/ltc/elder/constants.ts b/src/pages/ltc/elder/constants.ts
new file mode 100644
index 0000000..9171b37
--- /dev/null
+++ b/src/pages/ltc/elder/constants.ts
@@ -0,0 +1,84 @@
+import type { TagType } from '@/types/crud'
+
+export interface LabeledValue {
+  label: string
+  value: string
+}
+
+export const GENDER_OPTIONS: LabeledValue[] = [
+  { label: '男', value: 'M' },
+  { label: '女', value: 'F' },
+]
+
+export const INSURE_TYPE_OPTIONS: LabeledValue[] = [
+  { label: '职工医保', value: 'employee' },
+  { label: '居民医保', value: 'resident' },
+]
+
+export const INSURE_VERIFY_STATUS_OPTIONS: LabeledValue[] = [
+  { label: '已核验', value: 'verified' },
+  { label: '未核验', value: 'unverified' },
+]
+
+export const ASSESS_LEVEL_OPTIONS: LabeledValue[] = [
+  { label: '重度一级（最高级）', value: 'sev_1' },
+  { label: '重度二级', value: 'sev_2' },
+  { label: '重度三级', value: 'sev_3' },
+]
+
+export const CARE_LEVEL_OPTIONS: LabeledValue[] = [
+  { label: '一级护理（最高级）', value: 'care_1' },
+  { label: '二级护理', value: 'care_2' },
+  { label: '三级护理', value: 'care_3' },
+]
+
+/** 待遇状态十态（值唯一来源：后端 elder TREAT_STATUSES）。 */
+export const TREAT_STATUS_OPTIONS: LabeledValue[] = [
+  { label: '待建档', value: 'pending_file' },
+  { label: '待起付', value: 'waiting_period' },
+  { label: '正常享受', value: 'active' },
+  { label: '住院暂停', value: 'hosp_pause' },
+  { label: '复评等待期', value: 'review_waiting' },
+  { label: '跨统筹区转移中', value: 'transferring' },
+  { label: '死亡', value: 'dead' },
+  { label: '长期异地居住', value: 'long_away' },
+  { label: '待遇到期', value: 'benefit_expired' },
+  { label: '已终止', value: 'terminated' },
+]
+
+export const TREAT_STATUS_TAG_MAP: Record<string, { label: string; type: TagType }> = {
+  pending_file: { label: '待建档', type: 'info' },
+  waiting_period: { label: '待起付', type: 'warning' },
+  active: { label: '正常享受', type: 'success' },
+  hosp_pause: { label: '住院暂停', type: 'warning' },
+  review_waiting: { label: '复评等待期', type: 'warning' },
+  transferring: { label: '跨统筹区转移中', type: 'info' },
+  dead: { label: '死亡', type: 'danger' },
+  long_away: { label: '长期异地居住', type: 'info' },
+  benefit_expired: { label: '待遇到期', type: 'danger' },
+  terminated: { label: '已终止', type: 'danger' },
+}
+
+/** 按值取显示名，空值回退 '-'。 */
+export function labelOf(options: LabeledValue[], value: unknown): string {
+  if (value == null || value === '') return '-'
+  return options.find((o) => o.value === value)?.label ?? String(value)
+}
+
+/** 毫秒时间戳/日期字符串 → YYYY-MM-DD（供展示）。 */
+export function formatDate(value: unknown): string {
+  if (value == null || value === '') return '-'
+  const d = typeof value === 'number' ? new Date(value) : new Date(String(value))
+  if (Number.isNaN(d.getTime())) return '-'
+  const pad = (n: number) => String(n).padStart(2, '0')
+  return `${d.getFullYear()}-${pad(d.getMonth() + 1)}-${pad(d.getDate())}`
+}
+
+/** 毫秒时间戳/日期字符串 → YYYY-MM-DD HH:mm（供时间线展示）。 */
+export function formatDateTime(value: unknown): string {
+  if (value == null || value === '') return '-'
+  const d = typeof value === 'number' ? new Date(value) : new Date(String(value))
+  if (Number.isNaN(d.getTime())) return '-'
+  const pad = (n: number) => String(n).padStart(2, '0')
+  return `${d.getFullYear()}-${pad(d.getMonth() + 1)}-${pad(d.getDate())} ${pad(d.getHours())}:${pad(d.getMinutes())}`
+}
diff --git a/src/pages/ltc/elder/index.vue b/src/pages/ltc/elder/index.vue
index 543c6cf..f2692e0 100644
--- a/src/pages/ltc/elder/index.vue
+++ b/src/pages/ltc/elder/index.vue
@@ -1,7 +1,100 @@
 <template>
-  <div>服务对象（C1 实现）</div>
+  <ty-crud
+    ref="crudRef"
+    entity-name="服务对象"
+    :columns="columns"
+    :search-schema="searchSchema"
+    :form-schema="formSchema"
+    :list="list"
+    :create="create"
+    :update="update"
+    :remove="remove"
+    :actions="actions"
+    :show-create="false"
+    id-key="id"
+    name-key="name"
+  >
+    <template #toolbar>
+      <el-button v-permission="'elder:create'" type="primary" @click="openCreate">建档</el-button>
+    </template>
+  </ty-crud>
 </template>
 
 <script setup lang="ts">
+import { ref } from 'vue'
+import { ElMessage } from 'element-plus'
+import type { CrudAction, JsonSchema, PageQuery, TableColumn } from '@/types/crud'
+import { showDialog } from '@/utils/dialog'
+import { createElder, listElders, type ElderCreateData, type ElderListQuery } from '@/api/elder'
+import { CARE_LEVEL_OPTIONS, GENDER_OPTIONS, TREAT_STATUS_OPTIONS, TREAT_STATUS_TAG_MAP, formatDate, labelOf } from './constants'
+import ElderForm from './components/elder-form.vue'
+import ElderDetail from './components/elder-detail.vue'
+
 defineOptions({ name: 'elder' })
+
+const columns: TableColumn[] = [
+  { prop: 'name', label: '姓名', minWidth: 100 },
+  { prop: 'gender', label: '性别', width: 70, align: 'center', formatter: (v) => labelOf(GENDER_OPTIONS, v) },
+  { prop: 'careLevel', label: '护理等级', minWidth: 150, formatter: (v) => labelOf(CARE_LEVEL_OPTIONS, v) },
+  { prop: 'treatStatus', label: '待遇状态', width: 120, align: 'center', type: 'tag', tagMap: TREAT_STATUS_TAG_MAP },
+  { prop: 'birthDate', label: '出生日期', width: 120, formatter: (v) => formatDate(v) },
+]
+
+const searchSchema: JsonSchema = {
+  type: 'object',
+  properties: {
+    name: { type: 'string', title: '姓名', placeholder: '请输入姓名' },
+    treatStatus: {
+      type: 'string',
+      title: '待遇状态',
+      placeholder: '全部',
+      enum: TREAT_STATUS_OPTIONS.map((o) => o.value),
+      enumNames: TREAT_STATUS_OPTIONS.map((o) => o.label),
+    },
+  },
+}
+
+// ty-crud 要求 formSchema，但建档走自定义表单（含日期/上传），此处仅为满足组件契约，不会被使用。
+const formSchema: JsonSchema = { type: 'object', properties: {} }
+
+function toListQuery(query: PageQuery): ElderListQuery {
+  const str = (v: unknown): string | undefined => (typeof v === 'string' && v !== '' ? v : undefined)
+  return { page: query.page, pageSize: query.pageSize, name: str(query.name), treatStatus: str(query.treatStatus) }
+}
+
+const list = async (query: PageQuery, signal?: AbortSignal) => {
+  const result = await listElders(toListQuery(query), signal)
+  return { ...result, list: result.list.map((e) => ({ ...e })) }
+}
+
+// 建档/编辑/删除均不走 ty-crud 内置流程（建档走工具栏「建档」自定义表单），此处仅为满足组件契约，不会被调用。
+const create = () => Promise.reject(new Error('建档请使用工具栏「建档」按钮'))
+const update = () => Promise.reject(new Error('服务对象不支持编辑'))
+const remove = () => Promise.reject(new Error('服务对象不支持删除'))
+
+const actions: CrudAction[] = [{ label: '查看', type: 'primary', permission: 'elder:detail', onClick: (row) => openDetail(row) }]
+
+const crudRef = ref()
+
+async function openCreate(): Promise<void> {
+  const data = await showDialog({
+    component: ElderForm,
+    title: '服务对象建档',
+    width: '780px',
+  })
+  if (data == null) return
+  await createElder(data as ElderCreateData)
+  ElMessage.success('建档成功')
+  crudRef.value?.reload()
+}
+
+async function openDetail(row: Record<string, any>): Promise<void> {
+  await showDialog({
+    component: ElderDetail,
+    props: { elderId: String(row.id) },
+    title: `服务对象详情（${row.name}）`,
+    width: '840px',
+    showFooter: false,
+  })
+}
 </script>