diff --git a/crates/erp-health/src/module.rs b/crates/erp-health/src/module.rs
index 3cbf528..a8bb68a 100644
--- a/crates/erp-health/src/module.rs
+++ b/crates/erp-health/src/module.rs
@@ -107,6 +107,30 @@ impl HealthModule {
         })
     }
 
+    /// 启动日聚合任务（每 24 小时运行一次），从前一天的 hourly 数据聚合到 daily
+    pub fn start_daily_aggregation(db: sea_orm::DatabaseConnection) -> tokio::task::JoinHandle<()> {
+        tokio::spawn(async move {
+            let mut interval = tokio::time::interval(std::time::Duration::from_secs(24 * 3600));
+            loop {
+                tokio::select! {
+                    _ = interval.tick() => {
+                        let yesterday = chrono::Local::now().date_naive() - chrono::Duration::days(1);
+                        tracing::info!(date = %yesterday, "Running daily aggregation");
+                        match crate::service::vital_signs_daily_service::aggregate_daily_for_all_tenants(&db, yesterday).await {
+                            Ok(count) if count > 0 => tracing::info!(count = count, date = %yesterday, "日聚合完成"),
+                            Ok(_) => tracing::info!(date = %yesterday, "日聚合完成（无数据）"),
+                            Err(e) => tracing::warn!(error = %e, "日聚合任务失败"),
+                        }
+                    }
+                    _ = tokio::signal::ctrl_c() => {
+                        tracing::info!("日聚合任务收到关闭信号，正在停止");
+                        break;
+                    }
+                }
+            }
+        })
+    }
+
     pub fn public_routes<S>() -> Router<S>
     where
         crate::state::HealthState: axum::extract::FromRef<S>,
@@ -115,6 +139,43 @@ impl HealthModule {
         Router::new()
     }
 
+    /// FHIR R4 只读路由（复用 JWT 认证中间件）
+    pub fn fhir_routes<S>() -> Router<S>
+    where
+        crate::state::HealthState: axum::extract::FromRef<S>,
+        S: Clone + Send + Sync + 'static,
+    {
+        use crate::fhir::handler as fhir;
+
+        Router::new()
+            .route("/fhir/R4/metadata", axum::routing::get(fhir::capability_statement))
+            // Patient
+            .route("/fhir/R4/Patient", axum::routing::get(fhir::search_patients))
+            .route("/fhir/R4/Patient/{id}", axum::routing::get(fhir::get_patient))
+            // Observation
+            .route("/fhir/R4/Observation", axum::routing::get(fhir::search_observations))
+            // Device
+            .route("/fhir/R4/Device", axum::routing::get(fhir::search_devices))
+            .route("/fhir/R4/Device/{id}", axum::routing::get(fhir::get_device))
+            // Practitioner
+            .route("/fhir/R4/Practitioner", axum::routing::get(fhir::search_practitioners))
+            .route("/fhir/R4/Practitioner/{id}", axum::routing::get(fhir::get_practitioner))
+            // Appointment
+            .route("/fhir/R4/Appointment", axum::routing::get(fhir::search_appointments))
+            .route("/fhir/R4/Appointment/{id}", axum::routing::get(fhir::get_appointment))
+            // DiagnosticReport
+            .route("/fhir/R4/DiagnosticReport", axum::routing::get(fhir::search_diagnostic_reports))
+            .route("/fhir/R4/DiagnosticReport/{id}", axum::routing::get(fhir::get_diagnostic_report))
+            // Encounter
+            .route("/fhir/R4/Encounter", axum::routing::get(fhir::search_encounters))
+            .route("/fhir/R4/Encounter/{id}", axum::routing::get(fhir::get_encounter))
+            // Task
+            .route("/fhir/R4/Task", axum::routing::get(fhir::search_tasks))
+            .route("/fhir/R4/Task/{id}", axum::routing::get(fhir::get_task))
+            // $everything
+            .route("/fhir/R4/Patient/{id}/$everything", axum::routing::get(fhir::patient_everything))
+    }
+
     pub fn protected_routes<S>() -> Router<S>
     where
         crate::state::HealthState: axum::extract::FromRef<S>,
@@ -831,6 +892,21 @@ impl ErpModule for HealthModule {
         let _cleanup_handle = Self::start_device_readings_cleanup(ctx.db.clone());
         tracing::info!(module = "health", "Device readings cleanup task started");
 
+        // 启动日聚合任务（每 24 小时从前一天的 hourly 数据聚合到 daily）
+        {
+            let db = ctx.db.clone();
+            tokio::spawn(async move {
+                let yesterday = chrono::Local::now().date_naive() - chrono::Duration::days(1);
+                match crate::service::vital_signs_daily_service::aggregate_daily_for_all_tenants(&db, yesterday).await {
+                    Ok(count) if count > 0 => tracing::info!(count = count, "启动时日聚合完成"),
+                    Ok(_) => tracing::info!("启动时日聚合完成（无数据）"),
+                    Err(e) => tracing::warn!(error = %e, "启动时日聚合失败"),
+                }
+            });
+        }
+        let _daily_agg_handle = Self::start_daily_aggregation(ctx.db.clone());
+        tracing::info!(module = "health", "Daily aggregation task started");
+
         Ok(())
     }