diff --git a/Cargo.lock b/Cargo.lock
index fe2b206..1d32208 100644
--- a/Cargo.lock
+++ b/Cargo.lock
@@ -1656,6 +1656,7 @@ dependencies = [
  "erp-auth",
  "erp-config",
  "erp-core",
+ "erp-dialysis",
  "erp-health",
  "erp-message",
  "erp-plugin",
diff --git a/Cargo.toml b/Cargo.toml
index 42a9eb5..77584f6 100644
--- a/Cargo.toml
+++ b/Cargo.toml
@@ -107,6 +107,7 @@ erp-plugin = { path = "crates/erp-plugin" }
 erp-health = { path = "crates/erp-health" }
 erp-ai = { path = "crates/erp-ai" }
 erp-points = { path = "crates/erp-points" }
+erp-dialysis = { path = "crates/erp-dialysis" }
 
 # Async streaming
 futures = "0.3"
diff --git a/crates/erp-dialysis/src/handler/dialysis_handler.rs b/crates/erp-dialysis/src/handler/dialysis_handler.rs
index 3f30a12..203f1f9 100644
--- a/crates/erp-dialysis/src/handler/dialysis_handler.rs
+++ b/crates/erp-dialysis/src/handler/dialysis_handler.rs
@@ -41,7 +41,7 @@ where
     DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
-    require_permission(&ctx, "health.health-data.list")?;
+    require_permission(&ctx, "health.dialysis.list")?;
     let page = params.page.unwrap_or(1);
     let page_size = params.page_size.unwrap_or(20);
     let result = dialysis_service::list_dialysis_records(
@@ -60,7 +60,7 @@ where
     DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
-    require_permission(&ctx, "health.health-data.list")?;
+    require_permission(&ctx, "health.dialysis.list")?;
     let result = dialysis_service::get_dialysis_record(
         &state, ctx.tenant_id, record_id,
     )
@@ -77,7 +77,7 @@ where
     DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
-    require_permission(&ctx, "health.health-data.manage")?;
+    require_permission(&ctx, "health.dialysis.manage")?;
     let mut req = req;
     req.sanitize();
     let result = dialysis_service::create_dialysis_record(
@@ -97,7 +97,7 @@ where
     DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
-    require_permission(&ctx, "health.health-data.manage")?;
+    require_permission(&ctx, "health.dialysis.manage")?;
     let mut data = req.data;
     data.sanitize();
     let result = dialysis_service::update_dialysis_record(
@@ -117,7 +117,7 @@ where
     DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
-    require_permission(&ctx, "health.health-data.manage")?;
+    require_permission(&ctx, "health.dialysis.manage")?;
     let result = dialysis_service::review_dialysis_record(
         &state, ctx.tenant_id, record_id, ctx.user_id, req.version,
     )
@@ -135,7 +135,7 @@ where
     DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
-    require_permission(&ctx, "health.health-data.manage")?;
+    require_permission(&ctx, "health.dialysis.manage")?;
     dialysis_service::delete_dialysis_record(
         &state, ctx.tenant_id, record_id, Some(ctx.user_id), req.version,
     )
diff --git a/crates/erp-dialysis/src/module.rs b/crates/erp-dialysis/src/module.rs
index c18e774..7fdea60 100644
--- a/crates/erp-dialysis/src/module.rs
+++ b/crates/erp-dialysis/src/module.rs
@@ -78,13 +78,13 @@ impl ErpModule for DialysisModule {
     fn permissions(&self) -> Vec<PermissionDescriptor> {
         vec![
             PermissionDescriptor {
-                code: "health.health-data.list".into(),
+                code: "health.dialysis.list".into(),
                 name: "查看透析记录".into(),
                 description: "查看透析记录列表和详情".into(),
                 module: "erp-dialysis".into(),
             },
             PermissionDescriptor {
-                code: "health.health-data.manage".into(),
+                code: "health.dialysis.manage".into(),
                 name: "管理透析记录".into(),
                 description: "创建、编辑、审阅、删除透析记录".into(),
                 module: "erp-dialysis".into(),
diff --git a/crates/erp-server/Cargo.toml b/crates/erp-server/Cargo.toml
index 083d7af..5a1eb3f 100644
--- a/crates/erp-server/Cargo.toml
+++ b/crates/erp-server/Cargo.toml
@@ -30,6 +30,7 @@ erp-message.workspace = true
 erp-plugin.workspace = true
 erp-health.workspace = true
 erp-ai.workspace = true
+erp-dialysis.workspace = true
 erp-points.workspace = true
 anyhow.workspace = true
 uuid.workspace = true
@@ -41,3 +42,4 @@ erp-auth = { workspace = true }
 erp-plugin = { workspace = true }
 erp-workflow = { workspace = true }
 erp-core = { workspace = true }
+erp-dialysis = { workspace = true }
diff --git a/crates/erp-server/src/main.rs b/crates/erp-server/src/main.rs
index 8271ca0..c2912f8 100644
--- a/crates/erp-server/src/main.rs
+++ b/crates/erp-server/src/main.rs
@@ -357,6 +357,14 @@ async fn main() -> anyhow::Result<()> {
         "Points module initialized"
     );
 
+    // Initialize dialysis module
+    let dialysis_module = erp_dialysis::DialysisModule;
+    tracing::info!(
+        module = dialysis_module.name(),
+        version = dialysis_module.version(),
+        "Dialysis module initialized"
+    );
+
     // Initialize module registry and register modules
     let registry = ModuleRegistry::new()
         .register(auth_module)
@@ -365,7 +373,8 @@ async fn main() -> anyhow::Result<()> {
         .register(message_module)
         .register(health_module)
         .register(ai_module)
-        .register(points_module);
+        .register(points_module)
+        .register(dialysis_module);
     tracing::info!(
         module_count = registry.modules().len(),
         "Modules registered"
@@ -545,6 +554,7 @@ async fn main() -> anyhow::Result<()> {
         .merge(erp_health::HealthModule::protected_routes())
         .merge(erp_ai::AiModule::protected_routes())
         .merge(erp_points::PointsModule::protected_routes())
+        .merge(erp_dialysis::DialysisModule::protected_routes())
         .merge(handlers::audit_log::audit_log_router())
         .route(
             "/upload",
diff --git a/crates/erp-server/src/state.rs b/crates/erp-server/src/state.rs
index 6ae857b..aedd4b7 100644
--- a/crates/erp-server/src/state.rs
+++ b/crates/erp-server/src/state.rs
@@ -132,3 +132,14 @@ impl FromRef<AppState> for erp_points::PointsState {
         }
     }
 }
+
+/// Allow erp-dialysis handlers to extract their required state.
+impl FromRef<AppState> for erp_dialysis::DialysisState {
+    fn from_ref(state: &AppState) -> Self {
+        Self {
+            db: state.db.clone(),
+            event_bus: state.event_bus.clone(),
+            crypto: state.pii_crypto.clone(),
+        }
+    }
+}
diff --git a/crates/erp-server/tests/integration/health_data_tests.rs b/crates/erp-server/tests/integration/health_data_tests.rs
index cc76605..8c8e26c 100644
--- a/crates/erp-server/tests/integration/health_data_tests.rs
+++ b/crates/erp-server/tests/integration/health_data_tests.rs
@@ -3,7 +3,7 @@
 //! 验证体征 CRUD、化验报告 CRUD + 审阅、租户隔离、乐观锁。
 
 use erp_health::dto::health_data_dto::*;
-use erp_health::dto::dialysis_dto::ReviewLabReportReq;
+use erp_dialysis::dto::dialysis_dto::ReviewLabReportReq;
 use erp_health::service::health_data_service;
 
 use super::test_fixture::TestApp;
diff --git a/crates/erp-server/tests/integration/health_dialysis_prescription_tests.rs b/crates/erp-server/tests/integration/health_dialysis_prescription_tests.rs
index 828f25e..73ae93c 100644
--- a/crates/erp-server/tests/integration/health_dialysis_prescription_tests.rs
+++ b/crates/erp-server/tests/integration/health_dialysis_prescription_tests.rs
@@ -1,9 +1,9 @@
-//! erp-health 透析方案管理集成测试
+//! erp-dialysis 透析方案管理集成测试
 //!
 //! 验证透析方案 CRUD、列表按患者过滤、租户隔离、乐观锁。
 
-use erp_health::dto::dialysis_prescription_dto::*;
-use erp_health::service::dialysis_prescription_service;
+use erp_dialysis::dto::dialysis_prescription_dto::*;
+use erp_dialysis::service::dialysis_prescription_service;
 
 use super::test_fixture::TestApp;
 
@@ -33,7 +33,7 @@ fn default_create_req(patient_id: uuid::Uuid) -> CreateDialysisPrescriptionReq {
 
 async fn seed_prescription(app: &TestApp, patient_id: uuid::Uuid) -> DialysisPrescriptionResp {
     dialysis_prescription_service::create_prescription(
-        app.health_state(), app.tenant_id(), Some(app.operator_id()),
+        app.dialysis_state(), app.tenant_id(), Some(app.operator_id()),
         default_create_req(patient_id),
     )
     .await
@@ -67,7 +67,7 @@ async fn test_dialysis_prescription_get() {
     let rx = seed_prescription(&app, patient_id).await;
 
     let fetched = dialysis_prescription_service::get_prescription(
-        app.health_state(), app.tenant_id(), rx.id,
+        app.dialysis_state(), app.tenant_id(), rx.id,
     )
     .await
     .expect("查询应成功");
@@ -84,7 +84,7 @@ async fn test_dialysis_prescription_update() {
     let rx = seed_prescription(&app, patient_id).await;
 
     let updated = dialysis_prescription_service::update_prescription(
-        app.health_state(), app.tenant_id(), rx.id,
+        app.dialysis_state(), app.tenant_id(), rx.id,
         Some(app.operator_id()),
         UpdateDialysisPrescriptionReq {
             blood_flow_rate: Some(350),
@@ -122,14 +122,14 @@ async fn test_dialysis_prescription_list_by_patient() {
     seed_prescription(&app, patient_b).await;
 
     let list_a = dialysis_prescription_service::list_prescriptions(
-        app.health_state(), app.tenant_id(), 1, 20, Some(patient_a), None,
+        app.dialysis_state(), app.tenant_id(), 1, 20, Some(patient_a), None,
     )
     .await
     .unwrap();
     assert_eq!(list_a.total, 1);
 
     let list_b = dialysis_prescription_service::list_prescriptions(
-        app.health_state(), app.tenant_id(), 1, 20, Some(patient_b), None,
+        app.dialysis_state(), app.tenant_id(), 1, 20, Some(patient_b), None,
     )
     .await
     .unwrap();
@@ -146,14 +146,14 @@ async fn test_dialysis_prescription_soft_delete() {
     let rx = seed_prescription(&app, patient_id).await;
 
     dialysis_prescription_service::delete_prescription(
-        app.health_state(), app.tenant_id(), rx.id,
+        app.dialysis_state(), app.tenant_id(), rx.id,
         Some(app.operator_id()), rx.version,
     )
     .await
     .expect("删除应成功");
 
     let result = dialysis_prescription_service::get_prescription(
-        app.health_state(), app.tenant_id(), rx.id,
+        app.dialysis_state(), app.tenant_id(), rx.id,
     )
     .await;
     assert!(result.is_err(), "软删除后查询应失败");
@@ -170,7 +170,7 @@ async fn test_dialysis_prescription_tenant_isolation() {
 
     let other_tenant = uuid::Uuid::new_v4();
     let list = dialysis_prescription_service::list_prescriptions(
-        app.health_state(), other_tenant, 1, 20, None, None,
+        app.dialysis_state(), other_tenant, 1, 20, None, None,
     )
     .await
     .unwrap();
@@ -188,7 +188,7 @@ async fn test_dialysis_prescription_version_conflict() {
 
     // 先更新一次
     dialysis_prescription_service::update_prescription(
-        app.health_state(), app.tenant_id(), rx.id,
+        app.dialysis_state(), app.tenant_id(), rx.id,
         Some(app.operator_id()),
         UpdateDialysisPrescriptionReq {
             blood_flow_rate: Some(350),
@@ -208,7 +208,7 @@ async fn test_dialysis_prescription_version_conflict() {
 
     // 用旧 version 再更新应失败
     let result = dialysis_prescription_service::update_prescription(
-        app.health_state(), app.tenant_id(), rx.id,
+        app.dialysis_state(), app.tenant_id(), rx.id,
         Some(app.operator_id()),
         UpdateDialysisPrescriptionReq {
             blood_flow_rate: Some(400),
diff --git a/crates/erp-server/tests/integration/health_dialysis_tests.rs b/crates/erp-server/tests/integration/health_dialysis_tests.rs
index bf2d72b..fc88103 100644
--- a/crates/erp-server/tests/integration/health_dialysis_tests.rs
+++ b/crates/erp-server/tests/integration/health_dialysis_tests.rs
@@ -1,10 +1,10 @@
-//! erp-health 透析记录集成测试
+//! erp-dialysis 透析记录集成测试
 //!
 //! 验证透析 CRUD、状态流转、PII 加密、乐观锁、租户隔离等核心行为。
 
 use chrono::{NaiveDate, NaiveTime};
-use erp_health::dto::dialysis_dto::*;
-use erp_health::service::dialysis_service;
+use erp_dialysis::dto::dialysis_dto::*;
+use erp_dialysis::service::dialysis_service;
 
 use super::test_fixture::TestApp;
 
@@ -42,7 +42,7 @@ async fn test_dialysis_create_basic() {
 
     let req = default_create_req(patient_id);
     let record = dialysis_service::create_dialysis_record(
-        app.health_state(), app.tenant_id(), Some(app.operator_id()), req,
+        app.dialysis_state(), app.tenant_id(), Some(app.operator_id()), req,
     )
     .await
     .expect("创建透析记录应成功");
@@ -54,7 +54,7 @@ async fn test_dialysis_create_basic() {
 
     // 读取
     let fetched = dialysis_service::get_dialysis_record(
-        app.health_state(), app.tenant_id(), record.id,
+        app.dialysis_state(), app.tenant_id(), record.id,
     )
     .await
     .expect("查询应成功");
@@ -74,7 +74,7 @@ async fn test_dialysis_create_pii_encrypted() {
     req.complication_notes = Some("低血压发作".to_string());
 
     let record = dialysis_service::create_dialysis_record(
-        app.health_state(), app.tenant_id(), Some(app.operator_id()), req,
+        app.dialysis_state(), app.tenant_id(), Some(app.operator_id()), req,
     )
     .await
     .expect("创建应成功");
@@ -93,7 +93,7 @@ async fn test_dialysis_update_status_flow() {
     let patient_id = app.create_patient("状态流转患者").await;
 
     let record = dialysis_service::create_dialysis_record(
-        app.health_state(), app.tenant_id(), Some(app.operator_id()),
+        app.dialysis_state(), app.tenant_id(), Some(app.operator_id()),
         default_create_req(patient_id),
     )
     .await
@@ -102,7 +102,7 @@ async fn test_dialysis_update_status_flow() {
 
     // 先将状态推进到 completed（draft → completed → reviewed）
     use sea_orm::{EntityTrait, ColumnTrait, QueryFilter};
-    use erp_health::entity::dialysis_record;
+    use erp_dialysis::entity::dialysis_record;
     let _ = dialysis_record::Entity::update_many()
         .col_expr(dialysis_record::Column::Status, sea_orm::sea_query::Expr::val("completed").into())
         .col_expr(dialysis_record::Column::Version, sea_orm::sea_query::Expr::val(record.version + 1).into())
@@ -113,7 +113,7 @@ async fn test_dialysis_update_status_flow() {
 
     // 审核: completed → reviewed
     let reviewed = dialysis_service::review_dialysis_record(
-        app.health_state(), app.tenant_id(), record.id, app.operator_id(), record.version + 1,
+        app.dialysis_state(), app.tenant_id(), record.id, app.operator_id(), record.version + 1,
     )
     .await
     .expect("审核应成功");
@@ -131,35 +131,35 @@ async fn test_dialysis_list_by_patient() {
     let patient_b = app.create_patient("列表患者B").await;
 
     dialysis_service::create_dialysis_record(
-        app.health_state(), app.tenant_id(), Some(app.operator_id()),
+        app.dialysis_state(), app.tenant_id(), Some(app.operator_id()),
         default_create_req(patient_a),
     )
     .await
     .unwrap();
 
     dialysis_service::create_dialysis_record(
-        app.health_state(), app.tenant_id(), Some(app.operator_id()),
+        app.dialysis_state(), app.tenant_id(), Some(app.operator_id()),
         default_create_req(patient_a),
     )
     .await
     .unwrap();
 
     dialysis_service::create_dialysis_record(
-        app.health_state(), app.tenant_id(), Some(app.operator_id()),
+        app.dialysis_state(), app.tenant_id(), Some(app.operator_id()),
         default_create_req(patient_b),
     )
     .await
     .unwrap();
 
     let list_a = dialysis_service::list_dialysis_records(
-        app.health_state(), app.tenant_id(), patient_a, 1, 20,
+        app.dialysis_state(), app.tenant_id(), patient_a, 1, 20,
     )
     .await
     .unwrap();
     assert_eq!(list_a.total, 2);
 
     let list_b = dialysis_service::list_dialysis_records(
-        app.health_state(), app.tenant_id(), patient_b, 1, 20,
+        app.dialysis_state(), app.tenant_id(), patient_b, 1, 20,
     )
     .await
     .unwrap();
@@ -175,7 +175,7 @@ async fn test_dialysis_tenant_isolation() {
     let patient_id = app.create_patient("隔离患者").await;
 
     let record = dialysis_service::create_dialysis_record(
-        app.health_state(), app.tenant_id(), Some(app.operator_id()),
+        app.dialysis_state(), app.tenant_id(), Some(app.operator_id()),
         default_create_req(patient_id),
     )
     .await
@@ -184,7 +184,7 @@ async fn test_dialysis_tenant_isolation() {
     // 用不同 tenant_id 查询应失败
     let other_tenant = uuid::Uuid::new_v4();
     let result = dialysis_service::get_dialysis_record(
-        app.health_state(), other_tenant, record.id,
+        app.dialysis_state(), other_tenant, record.id,
     )
     .await;
     assert!(result.is_err(), "不同租户不应看到此记录");
@@ -199,7 +199,7 @@ async fn test_dialysis_version_conflict() {
     let patient_id = app.create_patient("乐观锁患者").await;
 
     let record = dialysis_service::create_dialysis_record(
-        app.health_state(), app.tenant_id(), Some(app.operator_id()),
+        app.dialysis_state(), app.tenant_id(), Some(app.operator_id()),
         default_create_req(patient_id),
     )
     .await
@@ -207,7 +207,7 @@ async fn test_dialysis_version_conflict() {
 
     // 用正确版本更新
     let updated = dialysis_service::update_dialysis_record(
-        app.health_state(), app.tenant_id(), record.id, Some(app.operator_id()),
+        app.dialysis_state(), app.tenant_id(), record.id, Some(app.operator_id()),
         UpdateDialysisRecordReq {
             dialysis_date: None, start_time: None, end_time: None,
             dry_weight: None, pre_weight: None, post_weight: None,
@@ -227,7 +227,7 @@ async fn test_dialysis_version_conflict() {
 
     // 用旧版本更新应失败
     let result = dialysis_service::update_dialysis_record(
-        app.health_state(), app.tenant_id(), record.id, Some(app.operator_id()),
+        app.dialysis_state(), app.tenant_id(), record.id, Some(app.operator_id()),
         UpdateDialysisRecordReq {
             dialysis_date: None, start_time: None, end_time: None,
             dry_weight: None, pre_weight: None, post_weight: None,
@@ -254,7 +254,7 @@ async fn test_dialysis_soft_delete() {
     let patient_id = app.create_patient("软删除患者").await;
 
     let record = dialysis_service::create_dialysis_record(
-        app.health_state(), app.tenant_id(), Some(app.operator_id()),
+        app.dialysis_state(), app.tenant_id(), Some(app.operator_id()),
         default_create_req(patient_id),
     )
     .await
@@ -262,21 +262,21 @@ async fn test_dialysis_soft_delete() {
 
     // 删除
     dialysis_service::delete_dialysis_record(
-        app.health_state(), app.tenant_id(), record.id, Some(app.operator_id()), record.version,
+        app.dialysis_state(), app.tenant_id(), record.id, Some(app.operator_id()), record.version,
     )
     .await
     .expect("删除应成功");
 
     // 查询应失败
     let result = dialysis_service::get_dialysis_record(
-        app.health_state(), app.tenant_id(), record.id,
+        app.dialysis_state(), app.tenant_id(), record.id,
     )
     .await;
     assert!(result.is_err(), "软删除后应不可见");
 
     // 列表中不应出现
     let list = dialysis_service::list_dialysis_records(
-        app.health_state(), app.tenant_id(), patient_id, 1, 20,
+        app.dialysis_state(), app.tenant_id(), patient_id, 1, 20,
     )
     .await
     .unwrap();
@@ -292,7 +292,7 @@ async fn test_dialysis_create_without_patient_returns_error() {
     let fake_patient = uuid::Uuid::new_v4();
 
     let result = dialysis_service::create_dialysis_record(
-        app.health_state(), app.tenant_id(), Some(app.operator_id()),
+        app.dialysis_state(), app.tenant_id(), Some(app.operator_id()),
         default_create_req(fake_patient),
     )
     .await;
diff --git a/crates/erp-server/tests/integration/test_fixture.rs b/crates/erp-server/tests/integration/test_fixture.rs
index f624d7c..545bbe6 100644
--- a/crates/erp-server/tests/integration/test_fixture.rs
+++ b/crates/erp-server/tests/integration/test_fixture.rs
@@ -6,6 +6,7 @@ use erp_health::dto::doctor_dto::CreateDoctorReq;
 use erp_health::dto::patient_dto::CreatePatientReq;
 use erp_health::service::{appointment_service, doctor_service, patient_service};
 use erp_health::state::HealthState;
+use erp_dialysis::state::DialysisState;
 
 use super::test_db::TestDb;
 
@@ -41,6 +42,14 @@ impl TestApp {
         &self.health_state
     }
 
+    pub fn dialysis_state(&self) -> DialysisState {
+        DialysisState {
+            db: self.test_db.db().clone(),
+            event_bus: self.health_state.event_bus.clone(),
+            crypto: self.health_state.crypto.clone(),
+        }
+    }
+
     pub fn tenant_id(&self) -> uuid::Uuid {
         self.tenant_id
     }