diff --git a/crates/erp-health/src/service/validation.rs b/crates/erp-health/src/service/validation.rs
index eabb6a0..4b5f993 100644
--- a/crates/erp-health/src/service/validation.rs
+++ b/crates/erp-health/src/service/validation.rs
@@ -131,6 +131,85 @@ pub fn validate_online_status(value: &str) -> HealthResult<()> {
     Ok(())
 }
 
+/// article.status 枚举白名单
+pub fn validate_article_status(value: &str) -> HealthResult<()> {
+    validate_enum!(value, "article.status", [
+        "draft", "pending_review", "approved", "rejected", "published",
+    ]);
+    Ok(())
+}
+
+/// article.status 状态转换
+/// draft → pending_review, rejected → pending_review
+/// pending_review → approved / rejected
+/// approved → published
+/// published → draft (下架)
+pub fn validate_article_status_transition(current: &str, new: &str) -> HealthResult<()> {
+    if current == new {
+        return Ok(());
+    }
+    let allowed = match current {
+        "draft" => matches!(new, "pending_review"),
+        "pending_review" => matches!(new, "approved" | "rejected"),
+        "approved" => matches!(new, "published"),
+        "rejected" => matches!(new, "pending_review"),
+        "published" => matches!(new, "draft"),
+        _ => false,
+    };
+    if allowed {
+        Ok(())
+    } else {
+        Err(HealthError::InvalidStatusTransition(format!(
+            "article.status: 不允许从 '{}' 转换到 '{}'", current, new
+        )))
+    }
+}
+
+/// dialysis_record.status 枚举白名单
+pub fn validate_dialysis_status(value: &str) -> HealthResult<()> {
+    validate_enum!(value, "dialysis_record.status", ["draft", "completed", "reviewed"]);
+    Ok(())
+}
+
+/// dialysis_record.status 状态转换
+/// draft → completed → reviewed
+pub fn validate_dialysis_status_transition(current: &str, new: &str) -> HealthResult<()> {
+    if current == new {
+        return Ok(());
+    }
+    let allowed = match current {
+        "draft" => matches!(new, "completed"),
+        "completed" => matches!(new, "reviewed"),
+        _ => false,
+    };
+    if allowed {
+        Ok(())
+    } else {
+        Err(HealthError::InvalidStatusTransition(format!(
+            "dialysis_record.status: 不允许从 '{}' 转换到 '{}'", current, new
+        )))
+    }
+}
+
+/// lab_report.status 状态转换
+/// pending → reviewed
+pub fn validate_lab_report_status_transition(current: &str, new: &str) -> HealthResult<()> {
+    if current == new {
+        return Ok(());
+    }
+    let allowed = match current {
+        "pending" => matches!(new, "reviewed"),
+        _ => false,
+    };
+    if allowed {
+        Ok(())
+    } else {
+        Err(HealthError::InvalidStatusTransition(format!(
+            "lab_report.status: 不允许从 '{}' 转换到 '{}'", current, new
+        )))
+    }
+}
+
 /// follow_up_task.status 状态转换（含 overdue 状态）
 pub fn validate_follow_up_status_transition(current: &str, new: &str) -> HealthResult<()> {
     if current == new {
@@ -276,6 +355,68 @@ mod tests {
     #[test]
     fn online_invalid() { assert!(validate_online_status("away").is_err()); }
 
+    // --- article_status ---
+    #[test]
+    fn article_draft() { assert!(validate_article_status("draft").is_ok()); }
+    #[test]
+    fn article_published() { assert!(validate_article_status("published").is_ok()); }
+    #[test]
+    fn article_invalid() { assert!(validate_article_status("archived").is_err()); }
+
+    // --- article_status_transition ---
+    #[test]
+    fn art_draft_to_pending_review() { assert!(validate_article_status_transition("draft", "pending_review").is_ok()); }
+    #[test]
+    fn art_draft_to_published_fails() { assert!(validate_article_status_transition("draft", "published").is_err()); }
+    #[test]
+    fn art_pending_review_to_approved() { assert!(validate_article_status_transition("pending_review", "approved").is_ok()); }
+    #[test]
+    fn art_pending_review_to_rejected() { assert!(validate_article_status_transition("pending_review", "rejected").is_ok()); }
+    #[test]
+    fn art_pending_review_to_draft_fails() { assert!(validate_article_status_transition("pending_review", "draft").is_err()); }
+    #[test]
+    fn art_approved_to_published() { assert!(validate_article_status_transition("approved", "published").is_ok()); }
+    #[test]
+    fn art_rejected_to_pending_review() { assert!(validate_article_status_transition("rejected", "pending_review").is_ok()); }
+    #[test]
+    fn art_published_to_draft() { assert!(validate_article_status_transition("published", "draft").is_ok()); }
+    #[test]
+    fn art_published_to_approved_fails() { assert!(validate_article_status_transition("published", "approved").is_err()); }
+    #[test]
+    fn art_same_status_ok() { assert!(validate_article_status_transition("draft", "draft").is_ok()); }
+
+    // --- dialysis_status ---
+    #[test]
+    fn dialysis_draft() { assert!(validate_dialysis_status("draft").is_ok()); }
+    #[test]
+    fn dialysis_reviewed() { assert!(validate_dialysis_status("reviewed").is_ok()); }
+    #[test]
+    fn dialysis_invalid() { assert!(validate_dialysis_status("approved").is_err()); }
+
+    // --- dialysis_status_transition ---
+    #[test]
+    fn dial_draft_to_completed() { assert!(validate_dialysis_status_transition("draft", "completed").is_ok()); }
+    #[test]
+    fn dial_draft_to_reviewed_fails() { assert!(validate_dialysis_status_transition("draft", "reviewed").is_err()); }
+    #[test]
+    fn dial_completed_to_reviewed() { assert!(validate_dialysis_status_transition("completed", "reviewed").is_ok()); }
+    #[test]
+    fn dial_completed_to_draft_fails() { assert!(validate_dialysis_status_transition("completed", "draft").is_err()); }
+    #[test]
+    fn dial_reviewed_to_any_fails() { assert!(validate_dialysis_status_transition("reviewed", "draft").is_err()); }
+    #[test]
+    fn dial_same_status_ok() { assert!(validate_dialysis_status_transition("draft", "draft").is_ok()); }
+
+    // --- lab_report_status_transition ---
+    #[test]
+    fn lab_pending_to_reviewed() { assert!(validate_lab_report_status_transition("pending", "reviewed").is_ok()); }
+    #[test]
+    fn lab_pending_to_draft_fails() { assert!(validate_lab_report_status_transition("pending", "draft").is_err()); }
+    #[test]
+    fn lab_reviewed_to_any_fails() { assert!(validate_lab_report_status_transition("reviewed", "pending").is_err()); }
+    #[test]
+    fn lab_same_status_ok() { assert!(validate_lab_report_status_transition("pending", "pending").is_ok()); }
+
     // --- follow_up_status_transition ---
     #[test]
     fn fu_pending_to_in_progress() { assert!(validate_follow_up_status_transition("pending", "in_progress").is_ok()); }