diff --git a/crates/erp-health/src/service/doctor_service.rs b/crates/erp-health/src/service/doctor_service.rs
index 0309779..f3e8a14 100644
--- a/crates/erp-health/src/service/doctor_service.rs
+++ b/crates/erp-health/src/service/doctor_service.rs
@@ -142,6 +142,16 @@ pub async fn update_doctor(
         .map_err(|_| HealthError::VersionMismatch)?;
     let old_online_status = model.online_status.clone();
 
+    // 记录变更前的关键字段（license_number 为加密值，不记录原文）
+    let old_values = serde_json::json!({
+        "name": model.name,
+        "department": model.department,
+        "title": model.title,
+        "specialty": model.specialty,
+        "bio": model.bio,
+        "online_status": model.online_status,
+    });
+
     let mut active: doctor_profile::ActiveModel = model.into();
     if let Some(v) = req.name { active.name = Set(v); }
     if let Some(v) = req.department { active.department = Set(Some(v)); }
@@ -173,9 +183,20 @@ pub async fn update_doctor(
 
     let updated = active.update(&state.db).await?;
 
+    // 变更后快照
+    let new_values = serde_json::json!({
+        "name": updated.name,
+        "department": updated.department,
+        "title": updated.title,
+        "specialty": updated.specialty,
+        "bio": updated.bio,
+        "online_status": updated.online_status,
+    });
+
     audit_service::record(
         AuditLog::new(tenant_id, operator_id, "doctor.updated", "doctor")
-            .with_resource_id(updated.id),
+            .with_resource_id(updated.id)
+            .with_changes(Some(old_values), Some(new_values)),
         &state.db,
     ).await;
 
@@ -242,8 +263,7 @@ fn model_to_resp(m: doctor_profile::Model) -> DoctorResp {
 
 fn model_to_resp_decrypted(crypto: &erp_core::crypto::PiiCrypto, m: doctor_profile::Model) -> DoctorResp {
     let license = m.license_number.as_ref()
-        .map(|l| pii::decrypt(crypto.kek(), l).unwrap_or_else(|_| l.clone()))
-        .map(|l| pii::mask_license_number(&l));
+        .map(|l| pii::decrypt(crypto.kek(), l).unwrap_or_else(|_| l.clone()));
     DoctorResp {
         id: m.id,
         user_id: m.user_id,