diff --git a/prisma/migrations/20261014084652_c1_elder/migration.sql b/prisma/migrations/20261014084652_c1_elder/migration.sql
new file mode 100644
index 0000000..85edd38
--- /dev/null
+++ b/prisma/migrations/20261014084652_c1_elder/migration.sql
@@ -0,0 +1,80 @@
+-- CreateTable
+CREATE TABLE `ltc_elder` (
+    `id` VARCHAR(36) NOT NULL,
+    `tenant_code` VARCHAR(64) NOT NULL,
+    `loc_code` VARCHAR(12) NOT NULL,
+    `prev_loc_code` VARCHAR(12) NULL,
+    `transfer_confirm_at` DATETIME(3) NULL,
+    `name` VARCHAR(30) NOT NULL,
+    `gender` CHAR(1) NOT NULL,
+    `birth_date` DATE NOT NULL,
+    `id_card_no` VARCHAR(255) NOT NULL,
+    `phone` VARCHAR(15) NULL,
+    `address` VARCHAR(200) NOT NULL,
+    `guardian_name` VARCHAR(30) NULL,
+    `guardian_phone` VARCHAR(15) NULL,
+    `insur_no` VARCHAR(30) NOT NULL,
+    `insur_type` VARCHAR(10) NOT NULL,
+    `insur_years` INTEGER NULL,
+    `insur_verify_status` VARCHAR(20) NULL,
+    `insur_verify_date` DATE NULL,
+    `assess_level` VARCHAR(20) NULL,
+    `care_level` VARCHAR(20) NULL,
+    `assess_date` DATE NULL,
+    `assess_org` VARCHAR(100) NULL,
+    `assess_evidence_file` VARCHAR(255) NULL,
+    `benefit_start` DATE NULL,
+    `benefit_end` DATE NULL,
+    `treat_status` VARCHAR(20) NOT NULL DEFAULT 'pending_file',
+    `status_source` VARCHAR(10) NOT NULL DEFAULT 'manual',
+    `status_change_date` DATE NULL,
+    `hosp_start` DATE NULL,
+    `hosp_end` DATE NULL,
+    `photo_tier_override` JSON NULL,
+    `need_assess` JSON NULL,
+    `note` TEXT NULL,
+    `biz_line` VARCHAR(20) NOT NULL DEFAULT 'ltci',
+    `created_at` DATETIME(3) NOT NULL DEFAULT CURRENT_TIMESTAMP(3),
+    `created_by` VARCHAR(36) NULL,
+    `updated_at` DATETIME(3) NOT NULL,
+    `deleted_at` DATETIME(3) NULL,
+
+    INDEX `ltc_elder_tenant_code_name_idx`(`tenant_code`, `name`),
+    UNIQUE INDEX `ltc_elder_tenant_code_id_card_no_key`(`tenant_code`, `id_card_no`),
+    PRIMARY KEY (`id`)
+) DEFAULT CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci;
+
+-- CreateTable
+CREATE TABLE `ltc_elder_status_log` (
+    `id` VARCHAR(36) NOT NULL,
+    `elder_id` VARCHAR(36) NOT NULL,
+    `tenant_code` VARCHAR(64) NOT NULL,
+    `from_status` VARCHAR(20) NOT NULL,
+    `to_status` VARCHAR(20) NOT NULL,
+    `change_reason` VARCHAR(200) NOT NULL,
+    `source` VARCHAR(10) NOT NULL DEFAULT 'manual',
+    `operator_id` VARCHAR(36) NOT NULL,
+    `evidence_file` VARCHAR(255) NULL,
+    `changed_at` DATETIME(3) NOT NULL DEFAULT CURRENT_TIMESTAMP(3),
+
+    INDEX `ltc_elder_status_log_elder_id_idx`(`elder_id`),
+    PRIMARY KEY (`id`)
+) DEFAULT CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci;
+
+-- RenameIndex
+ALTER TABLE `ltc_staff` RENAME INDEX `sys_staff_tenant_code_name_idx` TO `ltc_staff_tenant_code_name_idx`;
+
+-- RenameIndex
+ALTER TABLE `ltc_staff` RENAME INDEX `sys_staff_user_id_key` TO `ltc_staff_user_id_key`;
+
+-- RenameIndex
+ALTER TABLE `svc_local` RENAME INDEX `sys_svc_local_loc_code_idx` TO `svc_local_loc_code_idx`;
+
+-- RenameIndex
+ALTER TABLE `svc_mapping` RENAME INDEX `sys_svc_mapping_loc_id_idx` TO `svc_mapping_loc_id_idx`;
+
+-- RenameIndex
+ALTER TABLE `svc_national` RENAME INDEX `sys_svc_national_nat_code_key` TO `svc_national_nat_code_key`;
+
+-- RenameIndex
+ALTER TABLE `svc_org` RENAME INDEX `sys_svc_org_tenant_code_src_type_idx` TO `svc_org_tenant_code_src_type_idx`;
diff --git a/prisma/schema.prisma b/prisma/schema.prisma
index 1ccd272..3137971 100644
--- a/prisma/schema.prisma
+++ b/prisma/schema.prisma
@@ -425,3 +425,66 @@ model LocConfig {
 
   @@map("loc_config")
 }
+
+/// 老人档案
+model Elder {
+  id                  String    @id @default(uuid(7)) @db.VarChar(36)
+  tenantCode          String    @map("tenant_code") @db.VarChar(64)
+  locCode             String    @map("loc_code") @db.VarChar(12)
+  prevLocCode         String?   @map("prev_loc_code") @db.VarChar(12)
+  transferConfirmAt   DateTime? @map("transfer_confirm_at")
+  name                String    @db.VarChar(30)
+  gender              String    @db.Char(1)
+  birthDate           DateTime  @map("birth_date") @db.Date
+  idCardNo            String    @map("id_card_no") @db.VarChar(255)
+  phone               String?   @db.VarChar(15)
+  address             String    @db.VarChar(200)
+  guardianName        String?   @map("guardian_name") @db.VarChar(30)
+  guardianPhone       String?   @map("guardian_phone") @db.VarChar(15)
+  insurNo             String    @map("insur_no") @db.VarChar(30)
+  insurType           String    @map("insur_type") @db.VarChar(10)
+  insurYears          Int?      @map("insur_years")
+  insurVerifyStatus   String?   @map("insur_verify_status") @db.VarChar(20)
+  insurVerifyDate     DateTime? @map("insur_verify_date") @db.Date
+  assessLevel         String?   @map("assess_level") @db.VarChar(20)
+  careLevel           String?   @map("care_level") @db.VarChar(20)
+  assessDate          DateTime? @map("assess_date") @db.Date
+  assessOrg           String?   @map("assess_org") @db.VarChar(100)
+  assessEvidenceFile  String?   @map("assess_evidence_file") @db.VarChar(255)
+  benefitStart        DateTime? @map("benefit_start") @db.Date
+  benefitEnd          DateTime? @map("benefit_end") @db.Date
+  treatStatus         String    @default("pending_file") @map("treat_status") @db.VarChar(20)
+  statusSource        String    @default("manual") @map("status_source") @db.VarChar(10)
+  statusChangeDate    DateTime? @map("status_change_date") @db.Date
+  hospStart           DateTime? @map("hosp_start") @db.Date
+  hospEnd             DateTime? @map("hosp_end") @db.Date
+  photoTierOverride   Json?     @map("photo_tier_override")
+  needAssess          Json?     @map("need_assess")
+  note                String?   @db.Text
+  bizLine             String    @default("ltci") @map("biz_line") @db.VarChar(20)
+  createdAt           DateTime  @default(now()) @map("created_at")
+  createdBy           String?   @map("created_by") @db.VarChar(36)
+  updatedAt           DateTime  @updatedAt @map("updated_at")
+  deletedAt           DateTime? @map("deleted_at")
+
+  @@unique([tenantCode, idCardNo])
+  @@index([tenantCode, name])
+  @@map("ltc_elder")
+}
+
+/// 待遇状态变更日志
+model ElderStatusLog {
+  id           String   @id @default(uuid(7)) @db.VarChar(36)
+  elderId      String   @map("elder_id") @db.VarChar(36)
+  tenantCode   String   @map("tenant_code") @db.VarChar(64)
+  fromStatus   String   @map("from_status") @db.VarChar(20)
+  toStatus     String   @map("to_status") @db.VarChar(20)
+  changeReason String   @map("change_reason") @db.VarChar(200)
+  source       String   @default("manual") @db.VarChar(10)
+  operatorId   String   @map("operator_id") @db.VarChar(36)
+  evidenceFile String?  @map("evidence_file") @db.VarChar(255)
+  changedAt    DateTime @default(now()) @map("changed_at")
+
+  @@index([elderId])
+  @@map("ltc_elder_status_log")
+}
diff --git a/src/prisma/prisma.service.ts b/src/prisma/prisma.service.ts
index f0f0237..d10893a 100644
--- a/src/prisma/prisma.service.ts
+++ b/src/prisma/prisma.service.ts
@@ -5,7 +5,7 @@ import { getRequestContext } from '../common/context/request-context.js';
 /** 不带 tenantCode 的模型（租户表自身）。 */
 const TENANT_FREE = new Set(['Tenant', 'Agency', 'SvcNational', 'SvcLocal', 'SvcMapping', 'LocConfig']);
 /** 软删模型：读操作统一注入 deletedAt IS NULL。 */
-const SOFT_DELETE = new Set(['User', 'Role', 'Resource', 'Org', 'DictType', 'DictItem', 'Config', 'Notice', 'Staff', 'SvcOrg']);
+const SOFT_DELETE = new Set(['User', 'Role', 'Resource', 'Org', 'DictType', 'DictItem', 'Config', 'Notice', 'Staff', 'SvcOrg', 'Elder']);
 const READ_OPS = new Set(['findMany', 'findFirst', 'findUnique', 'count', 'aggregate', 'groupBy']);
 /** 没有 where 子句的操作（create 的租户由 service 在 data 里显式写入）。 */
 const NO_WHERE_OPS = new Set(['create', 'createMany']);