diff --git a/src/app.module.ts b/src/app.module.ts
index 5f87940..15ee142 100644
--- a/src/app.module.ts
+++ b/src/app.module.ts
@@ -24,6 +24,7 @@ import { WaterRecordsModule } from './water-records/water-records.module';
 import { ChallengesModule } from './challenges/challenges.module';
 import { PushNotificationsModule } from './push-notifications/push-notifications.module';
 import { MedicationsModule } from './medications/medications.module';
+import { HealthProfilesModule } from './health-profiles/health-profiles.module';
 
 @Module({
   imports: [
@@ -55,6 +56,7 @@ import { MedicationsModule } from './medications/medications.module';
     ChallengesModule,
     PushNotificationsModule,
     MedicationsModule,
+    HealthProfilesModule,
   ],
   controllers: [AppController],
   providers: [
diff --git a/src/health-profiles/constants/health-recommendations.ts b/src/health-profiles/constants/health-recommendations.ts
new file mode 100644
index 0000000..d2610b1
--- /dev/null
+++ b/src/health-profiles/constants/health-recommendations.ts
@@ -0,0 +1,82 @@
+/**
+ * 健康史推荐选项常量
+ * 用于前端展示和数据验证
+ */
+
+export const HEALTH_HISTORY_RECOMMENDATIONS = {
+  allergy: [
+    'penicillin',      // 青霉素
+    'sulfonamides',    // 磺胺类
+    'peanuts',         // 花生
+    'seafood',         // 海鲜
+    'pollen',          // 花粉
+    'dustMites',       // 尘螨
+    'alcohol',         // 酒精
+    'mango',           // 芒果
+  ],
+  disease: [
+    'hypertension',    // 高血压
+    'diabetes',        // 糖尿病
+    'asthma',          // 哮喘
+    'heartDisease',    // 心脏病
+    'gastritis',       // 胃炎
+    'migraine',        // 偏头痛
+  ],
+  surgery: [
+    'appendectomy',    // 阑尾切除术
+    'cesareanSection', // 剖腹产
+    'tonsillectomy',   // 扁桃体切除术
+    'fractureRepair',  // 骨折复位术
+    'none',            // 无
+  ],
+  familyDisease: [
+    'hypertension',    // 高血压
+    'diabetes',        // 糖尿病
+    'cancer',          // 癌症
+    'heartDisease',    // 心脏病
+    'stroke',          // 中风
+    'alzheimers',      // 阿尔茨海默病
+  ],
+};
+
+/**
+ * 健康异常检测规则
+ */
+export interface HealthAbnormalityRule {
+  indicatorName: string;
+  condition: 'gt' | 'lt' | 'eq' | 'range';
+  threshold: number | [number, number];
+  severity: 'info' | 'warning' | 'critical';
+  message: string;
+}
+
+export const ABNORMALITY_RULES: HealthAbnormalityRule[] = [
+  {
+    indicatorName: '收缩压',
+    condition: 'gt',
+    threshold: 140,
+    severity: 'warning',
+    message: '血压偏高，建议关注',
+  },
+  {
+    indicatorName: '舒张压',
+    condition: 'gt',
+    threshold: 90,
+    severity: 'warning',
+    message: '舒张压偏高，建议关注',
+  },
+  {
+    indicatorName: '血糖',
+    condition: 'gt',
+    threshold: 7.0,
+    severity: 'warning',
+    message: '血糖偏高，建议复查',
+  },
+  {
+    indicatorName: '总胆固醇',
+    condition: 'gt',
+    threshold: 5.2,
+    severity: 'info',
+    message: '胆固醇偏高，建议注意饮食',
+  },
+];
diff --git a/src/health-profiles/dto/family-health.dto.ts b/src/health-profiles/dto/family-health.dto.ts
new file mode 100644
index 0000000..3755ba0
--- /dev/null
+++ b/src/health-profiles/dto/family-health.dto.ts
@@ -0,0 +1,182 @@
+import { ApiProperty, ApiPropertyOptional } from '@nestjs/swagger';
+import { IsString, IsOptional, IsBoolean, IsNumber, Min, Max } from 'class-validator';
+import { Type } from 'class-transformer';
+import { FamilyRole } from '../enums/health-profile.enum';
+
+/**
+ * 创建家庭组请求 DTO
+ */
+export class CreateFamilyGroupDto {
+  @ApiPropertyOptional({ description: '家庭组名称', default: '我的家庭' })
+  @IsOptional()
+  @IsString()
+  name?: string;
+}
+
+/**
+ * 生成邀请码请求 DTO
+ */
+export class GenerateInviteCodeDto {
+  @ApiPropertyOptional({ description: '邀请码有效期（小时）', default: 24 })
+  @IsOptional()
+  @Type(() => Number)
+  @IsNumber()
+  @Min(1)
+  @Max(168) // 最多7天
+  expiresInHours?: number = 24;
+}
+
+/**
+ * 加入家庭组请求 DTO
+ */
+export class JoinFamilyGroupDto {
+  @ApiProperty({ description: '邀请码' })
+  @IsString()
+  inviteCode: string;
+}
+
+/**
+ * 更新成员权限请求 DTO
+ */
+export class UpdateFamilyMemberDto {
+  @ApiPropertyOptional({ description: '是否可查看健康数据' })
+  @IsOptional()
+  @IsBoolean()
+  canViewHealthData?: boolean;
+
+  @ApiPropertyOptional({ description: '是否可管理健康数据' })
+  @IsOptional()
+  @IsBoolean()
+  canManageHealthData?: boolean;
+
+  @ApiPropertyOptional({ description: '是否接收异常提醒' })
+  @IsOptional()
+  @IsBoolean()
+  receiveAlerts?: boolean;
+
+  @ApiPropertyOptional({ description: '关系（如：配偶、父母、子女）' })
+  @IsOptional()
+  @IsString()
+  relationship?: string;
+}
+
+/**
+ * 家庭成员响应 DTO
+ */
+export class FamilyMemberResponseDto {
+  @ApiProperty()
+  id: string;
+
+  @ApiProperty()
+  userId: string;
+
+  @ApiProperty()
+  userName: string;
+
+  @ApiPropertyOptional()
+  userAvatar?: string;
+
+  @ApiProperty({ enum: FamilyRole })
+  role: FamilyRole;
+
+  @ApiPropertyOptional()
+  relationship?: string;
+
+  @ApiProperty()
+  canViewHealthData: boolean;
+
+  @ApiProperty()
+  canManageHealthData: boolean;
+
+  @ApiProperty()
+  receiveAlerts: boolean;
+
+  @ApiProperty()
+  joinedAt: string;
+}
+
+/**
+ * 家庭组响应 DTO
+ */
+export class FamilyGroupResponseDto {
+  @ApiProperty()
+  id: string;
+
+  @ApiProperty()
+  ownerId: string;
+
+  @ApiProperty()
+  name: string;
+
+  @ApiPropertyOptional()
+  inviteCode?: string;
+
+  @ApiPropertyOptional()
+  inviteCodeExpiresAt?: string;
+
+  @ApiProperty()
+  maxMembers: number;
+
+  @ApiProperty({ type: [FamilyMemberResponseDto] })
+  members: FamilyMemberResponseDto[];
+
+  @ApiProperty()
+  createdAt: string;
+
+  @ApiProperty()
+  updatedAt: string;
+}
+
+/**
+ * 获取家庭组响应 DTO
+ */
+export class GetFamilyGroupResponseDto {
+  @ApiProperty()
+  code: number;
+
+  @ApiProperty()
+  message: string;
+
+  @ApiProperty({ type: FamilyGroupResponseDto, nullable: true })
+  data: FamilyGroupResponseDto | null;
+}
+
+/**
+ * 邀请码响应 DTO
+ */
+export class FamilyInviteResponseDto {
+  @ApiProperty()
+  code: number;
+
+  @ApiProperty()
+  message: string;
+
+  @ApiProperty({
+    example: {
+      familyGroupId: 'uuid',
+      inviteCode: 'ABC123',
+      expiresAt: '2024-01-02T00:00:00Z',
+      qrCodeUrl: 'https://...',
+    },
+  })
+  data: {
+    familyGroupId: string;
+    inviteCode: string;
+    expiresAt: string;
+    qrCodeUrl: string;
+  };
+}
+
+/**
+ * 获取家庭成员列表响应 DTO
+ */
+export class GetFamilyMembersResponseDto {
+  @ApiProperty()
+  code: number;
+
+  @ApiProperty()
+  message: string;
+
+  @ApiProperty({ type: [FamilyMemberResponseDto] })
+  data: FamilyMemberResponseDto[];
+}
diff --git a/src/health-profiles/dto/health-history.dto.ts b/src/health-profiles/dto/health-history.dto.ts
new file mode 100644
index 0000000..90e6549
--- /dev/null
+++ b/src/health-profiles/dto/health-history.dto.ts
@@ -0,0 +1,151 @@
+import { ApiProperty, ApiPropertyOptional } from '@nestjs/swagger';
+import { IsBoolean, IsString, IsOptional, IsArray, ValidateNested, IsEnum, IsDateString } from 'class-validator';
+import { Type } from 'class-transformer';
+
+/**
+ * 健康史详情项 DTO
+ */
+export class HealthHistoryItemDto {
+  @ApiPropertyOptional({ description: '已有项的ID（更新时传入）' })
+  @IsOptional()
+  @IsString()
+  id?: string;
+
+  @ApiProperty({ description: '名称（如：青霉素、高血压）' })
+  @IsString()
+  name: string;
+
+  @ApiPropertyOptional({ description: '确诊/发生日期（YYYY-MM-DD）' })
+  @IsOptional()
+  @IsDateString()
+  date?: string;
+
+  @ApiPropertyOptional({ description: '是否为推荐选项' })
+  @IsOptional()
+  @IsBoolean()
+  isRecommendation?: boolean;
+
+  @ApiPropertyOptional({ description: '备注' })
+  @IsOptional()
+  @IsString()
+  note?: string;
+}
+
+/**
+ * 更新健康史分类请求 DTO
+ */
+export class UpdateHealthHistoryDto {
+  @ApiProperty({ description: '是否有该类健康史', nullable: true })
+  @IsBoolean()
+  hasHistory: boolean;
+
+  @ApiProperty({ description: '健康史详情列表', type: [HealthHistoryItemDto] })
+  @IsArray()
+  @ValidateNested({ each: true })
+  @Type(() => HealthHistoryItemDto)
+  items: HealthHistoryItemDto[];
+}
+
+/**
+ * 健康史详情项响应
+ */
+export class HealthHistoryItemResponseDto {
+  @ApiProperty()
+  id: string;
+
+  @ApiProperty()
+  name: string;
+
+  @ApiPropertyOptional()
+  date?: string;
+
+  @ApiPropertyOptional()
+  isRecommendation?: boolean;
+
+  @ApiPropertyOptional()
+  note?: string;
+}
+
+/**
+ * 健康史分类响应
+ */
+export class HealthHistoryCategoryResponseDto {
+  @ApiProperty({ nullable: true })
+  hasHistory: boolean | null;
+
+  @ApiProperty({ type: [HealthHistoryItemResponseDto] })
+  items: HealthHistoryItemResponseDto[];
+}
+
+/**
+ * 获取健康史响应
+ */
+export class GetHealthHistoryResponseDto {
+  @ApiProperty()
+  code: number;
+
+  @ApiProperty()
+  message: string;
+
+  @ApiProperty({
+    description: '按分类组织的健康史数据',
+    example: {
+      allergy: { hasHistory: true, items: [] },
+      disease: { hasHistory: false, items: [] },
+      surgery: { hasHistory: null, items: [] },
+      familyDisease: { hasHistory: true, items: [] },
+    },
+  })
+  data: {
+    allergy: HealthHistoryCategoryResponseDto;
+    disease: HealthHistoryCategoryResponseDto;
+    surgery: HealthHistoryCategoryResponseDto;
+    familyDisease: HealthHistoryCategoryResponseDto;
+  };
+}
+
+/**
+ * 更新健康史分类响应
+ */
+export class UpdateHealthHistoryCategoryResponseDto {
+  @ApiProperty()
+  code: number;
+
+  @ApiProperty()
+  message: string;
+
+  @ApiProperty({ type: HealthHistoryCategoryResponseDto })
+  data: HealthHistoryCategoryResponseDto;
+}
+
+/**
+ * 健康史完成度响应
+ */
+export class HealthHistoryProgressResponseDto {
+  @ApiProperty()
+  code: number;
+
+  @ApiProperty()
+  message: string;
+
+  @ApiProperty({
+    example: {
+      progress: 75,
+      details: {
+        allergy: true,
+        disease: true,
+        surgery: true,
+        familyDisease: false,
+      },
+    },
+  })
+  data: {
+    progress: number;
+    details: {
+      allergy: boolean;
+      disease: boolean;
+      surgery: boolean;
+      familyDisease: boolean;
+    };
+  };
+}
diff --git a/src/health-profiles/dto/health-overview.dto.ts b/src/health-profiles/dto/health-overview.dto.ts
new file mode 100644
index 0000000..681e227
--- /dev/null
+++ b/src/health-profiles/dto/health-overview.dto.ts
@@ -0,0 +1,81 @@
+import { ApiProperty } from '@nestjs/swagger';
+
+/**
+ * 基础信息概览
+ */
+export class BasicInfoOverviewDto {
+  @ApiProperty({ description: '完成度百分比' })
+  progress: number;
+
+  @ApiProperty({
+    description: '基础数据',
+    example: {
+      height: '175',
+      weight: '70',
+      bmi: '22.9',
+      waistCircumference: 80,
+    },
+  })
+  data: {
+    height?: string;
+    weight?: string;
+    bmi?: string;
+    waistCircumference?: number;
+  };
+}
+
+/**
+ * 健康史概览
+ */
+export class HealthHistoryOverviewDto {
+  @ApiProperty({ description: '完成度百分比' })
+  progress: number;
+
+  @ApiProperty({ description: '已回答的分类', type: [String] })
+  answeredCategories: string[];
+
+  @ApiProperty({ description: '待回答的分类', type: [String] })
+  pendingCategories: string[];
+}
+
+/**
+ * 药物管理概览
+ */
+export class MedicationsOverviewDto {
+  @ApiProperty({ description: '当前用药数量' })
+  activeCount: number;
+
+  @ApiProperty({ description: '今日服药完成率' })
+  todayCompletionRate: number;
+}
+
+/**
+ * 健康档案概览响应 DTO
+ */
+export class GetHealthOverviewResponseDto {
+  @ApiProperty()
+  code: number;
+
+  @ApiProperty()
+  message: string;
+
+  @ApiProperty({
+    example: {
+      basicInfo: {
+        progress: 100,
+        data: { height: '175', weight: '70', bmi: '22.9', waistCircumference: 80 },
+      },
+      healthHistory: {
+        progress: 75,
+        answeredCategories: ['allergy', 'disease', 'surgery'],
+        pendingCategories: ['familyDisease'],
+      },
+      medications: { activeCount: 3, todayCompletionRate: 66.7 },
+    },
+  })
+  data: {
+    basicInfo: BasicInfoOverviewDto;
+    healthHistory: HealthHistoryOverviewDto;
+    medications: MedicationsOverviewDto;
+  };
+}
diff --git a/src/health-profiles/dto/index.ts b/src/health-profiles/dto/index.ts
new file mode 100644
index 0000000..7293f2e
--- /dev/null
+++ b/src/health-profiles/dto/index.ts
@@ -0,0 +1,3 @@
+export * from './health-history.dto';
+export * from './family-health.dto';
+export * from './health-overview.dto';
diff --git a/src/health-profiles/enums/health-profile.enum.ts b/src/health-profiles/enums/health-profile.enum.ts
new file mode 100644
index 0000000..c83ef7b
--- /dev/null
+++ b/src/health-profiles/enums/health-profile.enum.ts
@@ -0,0 +1,18 @@
+/**
+ * 健康档案相关枚举定义
+ */
+
+// 健康史分类
+export enum HealthHistoryCategory {
+  ALLERGY = 'allergy',           // 过敏史
+  DISEASE = 'disease',           // 疾病史
+  SURGERY = 'surgery',           // 手术史
+  FAMILY_DISEASE = 'familyDisease', // 家族疾病史
+}
+
+// 家庭成员角色
+export enum FamilyRole {
+  OWNER = 'owner',               // 创建者
+  ADMIN = 'admin',               // 管理员
+  MEMBER = 'member',             // 普通成员
+}
diff --git a/src/health-profiles/health-profiles.controller.ts b/src/health-profiles/health-profiles.controller.ts
new file mode 100644
index 0000000..796a6ed
--- /dev/null
+++ b/src/health-profiles/health-profiles.controller.ts
@@ -0,0 +1,205 @@
+import {
+  Controller,
+  Get,
+  Post,
+  Put,
+  Delete,
+  Body,
+  Param,
+  HttpCode,
+  HttpStatus,
+  UseGuards,
+  Logger,
+} from '@nestjs/common';
+import { ApiTags, ApiOperation, ApiResponse, ApiBody, ApiParam } from '@nestjs/swagger';
+import { JwtAuthGuard } from '../common/guards/jwt-auth.guard';
+import { CurrentUser } from '../common/decorators/current-user.decorator';
+import { AccessTokenPayload } from '../users/services/apple-auth.service';
+import { ResponseCode } from '../base.dto';
+
+// Services
+import { HealthProfilesService } from './health-profiles.service';
+import { HealthHistoryService } from './services/health-history.service';
+import { FamilyHealthService } from './services/family-health.service';
+
+// DTOs
+import {
+  UpdateHealthHistoryDto,
+  GetHealthHistoryResponseDto,
+  UpdateHealthHistoryCategoryResponseDto,
+  HealthHistoryProgressResponseDto,
+} from './dto/health-history.dto';
+import {
+  CreateFamilyGroupDto,
+  GenerateInviteCodeDto,
+  JoinFamilyGroupDto,
+  UpdateFamilyMemberDto,
+  GetFamilyGroupResponseDto,
+  FamilyInviteResponseDto,
+  GetFamilyMembersResponseDto,
+} from './dto/family-health.dto';
+import { GetHealthOverviewResponseDto } from './dto/health-overview.dto';
+import { HealthHistoryCategory } from './enums/health-profile.enum';
+
+@ApiTags('health-profiles')
+@Controller('health-profiles')
+@UseGuards(JwtAuthGuard)
+export class HealthProfilesController {
+  private readonly logger = new Logger(HealthProfilesController.name);
+
+  constructor(
+    private readonly healthProfilesService: HealthProfilesService,
+    private readonly healthHistoryService: HealthHistoryService,
+    private readonly familyHealthService: FamilyHealthService,
+  ) {}
+
+  // ==================== 健康档案概览 ====================
+
+  @Get('overview')
+  @HttpCode(HttpStatus.OK)
+  @ApiOperation({ summary: '获取健康档案概览' })
+  @ApiResponse({ status: 200, type: GetHealthOverviewResponseDto })
+  async getHealthOverview(@CurrentUser() user: AccessTokenPayload): Promise<GetHealthOverviewResponseDto> {
+    this.logger.log(`获取健康档案概览 - 用户ID: ${user.sub}`);
+    return this.healthProfilesService.getHealthOverview(user.sub);
+  }
+
+  // ==================== 健康史 API ====================
+
+  @Get('history')
+  @HttpCode(HttpStatus.OK)
+  @ApiOperation({ summary: '获取用户健康史' })
+  @ApiResponse({ status: 200, type: GetHealthHistoryResponseDto })
+  async getHealthHistory(@CurrentUser() user: AccessTokenPayload): Promise<GetHealthHistoryResponseDto> {
+    this.logger.log(`获取健康史 - 用户ID: ${user.sub}`);
+    const data = await this.healthHistoryService.getHealthHistory(user.sub);
+    return { code: ResponseCode.SUCCESS, message: 'success', data };
+  }
+
+  @Put('history/:category')
+  @HttpCode(HttpStatus.OK)
+  @ApiOperation({ summary: '更新健康史分类' })
+  @ApiParam({ name: 'category', enum: HealthHistoryCategory, description: '健康史分类' })
+  @ApiBody({ type: UpdateHealthHistoryDto })
+  @ApiResponse({ status: 200, type: UpdateHealthHistoryCategoryResponseDto })
+  async updateHealthHistoryCategory(
+    @Param('category') category: HealthHistoryCategory,
+    @Body() updateDto: UpdateHealthHistoryDto,
+    @CurrentUser() user: AccessTokenPayload,
+  ): Promise<UpdateHealthHistoryCategoryResponseDto> {
+    this.logger.log(`更新健康史分类 - 用户ID: ${user.sub}, 分类: ${category}`);
+    const data = await this.healthHistoryService.updateHealthHistoryCategory(user.sub, category, updateDto);
+    return { code: ResponseCode.SUCCESS, message: 'success', data };
+  }
+
+  @Get('history/progress')
+  @HttpCode(HttpStatus.OK)
+  @ApiOperation({ summary: '获取健康史完成度' })
+  @ApiResponse({ status: 200, type: HealthHistoryProgressResponseDto })
+  async getHealthHistoryProgress(@CurrentUser() user: AccessTokenPayload): Promise<HealthHistoryProgressResponseDto> {
+    this.logger.log(`获取健康史完成度 - 用户ID: ${user.sub}`);
+    const data = await this.healthHistoryService.getHealthHistoryProgress(user.sub);
+    return { code: ResponseCode.SUCCESS, message: 'success', data };
+  }
+
+  // ==================== 家庭健康管理 API ====================
+
+  @Get('family/group')
+  @HttpCode(HttpStatus.OK)
+  @ApiOperation({ summary: '获取家庭组' })
+  @ApiResponse({ status: 200, type: GetFamilyGroupResponseDto })
+  async getFamilyGroup(@CurrentUser() user: AccessTokenPayload): Promise<GetFamilyGroupResponseDto> {
+    this.logger.log(`获取家庭组 - 用户ID: ${user.sub}`);
+    const data = await this.familyHealthService.getFamilyGroup(user.sub);
+    return { code: ResponseCode.SUCCESS, message: 'success', data };
+  }
+
+  @Post('family/group')
+  @HttpCode(HttpStatus.OK)
+  @ApiOperation({ summary: '创建家庭组' })
+  @ApiBody({ type: CreateFamilyGroupDto })
+  @ApiResponse({ status: 200, type: GetFamilyGroupResponseDto })
+  async createFamilyGroup(
+    @Body() createDto: CreateFamilyGroupDto,
+    @CurrentUser() user: AccessTokenPayload,
+  ): Promise<GetFamilyGroupResponseDto> {
+    this.logger.log(`创建家庭组 - 用户ID: ${user.sub}`);
+    const data = await this.familyHealthService.createFamilyGroup(user.sub, createDto);
+    return { code: ResponseCode.SUCCESS, message: 'success', data };
+  }
+
+  @Post('family/group/invite')
+  @HttpCode(HttpStatus.OK)
+  @ApiOperation({ summary: '生成邀请码' })
+  @ApiBody({ type: GenerateInviteCodeDto })
+  @ApiResponse({ status: 200, type: FamilyInviteResponseDto })
+  async generateInviteCode(
+    @Body() dto: GenerateInviteCodeDto,
+    @CurrentUser() user: AccessTokenPayload,
+  ): Promise<FamilyInviteResponseDto> {
+    this.logger.log(`生成邀请码 - 用户ID: ${user.sub}`);
+    const data = await this.familyHealthService.generateInviteCode(user.sub, dto);
+    return { code: ResponseCode.SUCCESS, message: 'success', data };
+  }
+
+  @Post('family/group/join')
+  @HttpCode(HttpStatus.OK)
+  @ApiOperation({ summary: '加入家庭组' })
+  @ApiBody({ type: JoinFamilyGroupDto })
+  @ApiResponse({ status: 200, type: GetFamilyGroupResponseDto })
+  async joinFamilyGroup(
+    @Body() dto: JoinFamilyGroupDto,
+    @CurrentUser() user: AccessTokenPayload,
+  ): Promise<GetFamilyGroupResponseDto> {
+    this.logger.log(`加入家庭组 - 用户ID: ${user.sub}`);
+    const data = await this.familyHealthService.joinFamilyGroup(user.sub, dto);
+    return { code: ResponseCode.SUCCESS, message: 'success', data };
+  }
+
+  @Get('family/members')
+  @HttpCode(HttpStatus.OK)
+  @ApiOperation({ summary: '获取家庭成员列表' })
+  @ApiResponse({ status: 200, type: GetFamilyMembersResponseDto })
+  async getFamilyMembers(@CurrentUser() user: AccessTokenPayload): Promise<GetFamilyMembersResponseDto> {
+    this.logger.log(`获取家庭成员列表 - 用户ID: ${user.sub}`);
+    const data = await this.familyHealthService.getFamilyMembers(user.sub);
+    return { code: ResponseCode.SUCCESS, message: 'success', data };
+  }
+
+  @Put('family/members/:memberId')
+  @HttpCode(HttpStatus.OK)
+  @ApiOperation({ summary: '更新成员权限' })
+  @ApiParam({ name: 'memberId', description: '成员ID' })
+  @ApiBody({ type: UpdateFamilyMemberDto })
+  async updateFamilyMember(
+    @Param('memberId') memberId: string,
+    @Body() updateDto: UpdateFamilyMemberDto,
+    @CurrentUser() user: AccessTokenPayload,
+  ) {
+    this.logger.log(`更新成员权限 - 用户ID: ${user.sub}, 成员ID: ${memberId}`);
+    const data = await this.familyHealthService.updateFamilyMember(user.sub, memberId, updateDto);
+    return { code: ResponseCode.SUCCESS, message: 'success', data };
+  }
+
+  @Delete('family/members/:memberId')
+  @HttpCode(HttpStatus.OK)
+  @ApiOperation({ summary: '移除家庭成员' })
+  @ApiParam({ name: 'memberId', description: '成员ID' })
+  async removeFamilyMember(
+    @Param('memberId') memberId: string,
+    @CurrentUser() user: AccessTokenPayload,
+  ): Promise<{ code: number; message: string }> {
+    this.logger.log(`移除家庭成员 - 用户ID: ${user.sub}, 成员ID: ${memberId}`);
+    await this.familyHealthService.removeFamilyMember(user.sub, memberId);
+    return { code: ResponseCode.SUCCESS, message: 'success' };
+  }
+
+  @Post('family/leave')
+  @HttpCode(HttpStatus.OK)
+  @ApiOperation({ summary: '退出家庭组' })
+  async leaveFamilyGroup(@CurrentUser() user: AccessTokenPayload): Promise<{ code: number; message: string }> {
+    this.logger.log(`退出家庭组 - 用户ID: ${user.sub}`);
+    await this.familyHealthService.leaveFamilyGroup(user.sub);
+    return { code: ResponseCode.SUCCESS, message: 'success' };
+  }
+}
diff --git a/src/health-profiles/health-profiles.module.ts b/src/health-profiles/health-profiles.module.ts
new file mode 100644
index 0000000..6055c0a
--- /dev/null
+++ b/src/health-profiles/health-profiles.module.ts
@@ -0,0 +1,52 @@
+import { Module, forwardRef } from '@nestjs/common';
+import { SequelizeModule } from '@nestjs/sequelize';
+
+// Models
+import { HealthHistory } from './models/health-history.model';
+import { HealthHistoryItem } from './models/health-history-item.model';
+import { FamilyGroup } from './models/family-group.model';
+import { FamilyMember } from './models/family-member.model';
+
+// User models (for relations)
+import { User } from '../users/models/user.model';
+import { UserProfile } from '../users/models/user-profile.model';
+
+// Controller
+import { HealthProfilesController } from './health-profiles.controller';
+
+// Services
+import { HealthProfilesService } from './health-profiles.service';
+import { HealthHistoryService } from './services/health-history.service';
+import { FamilyHealthService } from './services/family-health.service';
+
+// Modules
+import { UsersModule } from '../users/users.module';
+
+@Module({
+  imports: [
+    SequelizeModule.forFeature([
+      // Health History
+      HealthHistory,
+      HealthHistoryItem,
+      // Family Health
+      FamilyGroup,
+      FamilyMember,
+      // User models for relations
+      User,
+      UserProfile,
+    ]),
+    forwardRef(() => UsersModule),
+  ],
+  controllers: [HealthProfilesController],
+  providers: [
+    HealthProfilesService,
+    HealthHistoryService,
+    FamilyHealthService,
+  ],
+  exports: [
+    HealthProfilesService,
+    HealthHistoryService,
+    FamilyHealthService,
+  ],
+})
+export class HealthProfilesModule {}
diff --git a/src/health-profiles/health-profiles.service.ts b/src/health-profiles/health-profiles.service.ts
new file mode 100644
index 0000000..487cbc6
--- /dev/null
+++ b/src/health-profiles/health-profiles.service.ts
@@ -0,0 +1,115 @@
+import { Injectable, Logger } from '@nestjs/common';
+import { InjectModel } from '@nestjs/sequelize';
+import { UserProfile } from '../users/models/user-profile.model';
+import { HealthHistoryService } from './services/health-history.service';
+import { GetHealthOverviewResponseDto } from './dto/health-overview.dto';
+import { ResponseCode } from '../base.dto';
+
+@Injectable()
+export class HealthProfilesService {
+  private readonly logger = new Logger(HealthProfilesService.name);
+
+  constructor(
+    @InjectModel(UserProfile)
+    private readonly userProfileModel: typeof UserProfile,
+    private readonly healthHistoryService: HealthHistoryService,
+  ) {}
+
+  /**
+   * 获取健康档案概览
+   */
+  async getHealthOverview(userId: string): Promise<GetHealthOverviewResponseDto> {
+    try {
+      // 1. 基础信息概览
+      const profile = await this.userProfileModel.findOne({
+        where: { userId },
+      });
+
+      const basicInfo = this.calculateBasicInfoOverview(profile);
+
+      // 2. 健康史概览
+      const healthHistoryProgress = await this.healthHistoryService.getHealthHistoryProgress(userId);
+      const healthHistory = {
+        progress: healthHistoryProgress.progress,
+        answeredCategories: Object.entries(healthHistoryProgress.details)
+          .filter(([_, answered]) => answered)
+          .map(([category]) => category),
+        pendingCategories: Object.entries(healthHistoryProgress.details)
+          .filter(([_, answered]) => !answered)
+          .map(([category]) => category),
+      };
+
+      // 3. 药物管理概览（需要从药物模块获取，这里先返回默认值）
+      // TODO: 注入 MedicationsService 获取实际数据
+      const medications = {
+        activeCount: 0,
+        todayCompletionRate: 0,
+      };
+
+      return {
+        code: ResponseCode.SUCCESS,
+        message: 'success',
+        data: {
+          basicInfo,
+          healthHistory,
+          medications,
+        },
+      };
+    } catch (error) {
+      this.logger.error(`获取健康档案概览失败: ${error instanceof Error ? error.message : '未知错误'}`);
+      return {
+        code: ResponseCode.ERROR,
+        message: `获取健康档案概览失败: ${error instanceof Error ? error.message : '未知错误'}`,
+        data: null as any,
+      };
+    }
+  }
+
+  /**
+   * 计算基础信息概览
+   */
+  private calculateBasicInfoOverview(profile: UserProfile | null): {
+    progress: number;
+    data: {
+      height?: string;
+      weight?: string;
+      bmi?: string;
+      waistCircumference?: number;
+    };
+  } {
+    if (!profile) {
+      return { progress: 0, data: {} };
+    }
+
+    let filledCount = 0;
+    const totalFields = 3; // height, weight, waistCircumference
+
+    const data: any = {};
+
+    if (profile.height && profile.height > 0) {
+      filledCount++;
+      data.height = profile.height.toString();
+    }
+
+    if (profile.weight && profile.weight > 0) {
+      filledCount++;
+      data.weight = profile.weight.toString();
+
+      // 计算 BMI
+      if (profile.height && profile.height > 0) {
+        const heightInMeters = profile.height / 100;
+        const bmi = profile.weight / (heightInMeters * heightInMeters);
+        data.bmi = bmi.toFixed(1);
+      }
+    }
+
+    if (profile.waistCircumference && profile.waistCircumference > 0) {
+      filledCount++;
+      data.waistCircumference = profile.waistCircumference;
+    }
+
+    const progress = Math.round((filledCount / totalFields) * 100);
+
+    return { progress, data };
+  }
+}
diff --git a/src/health-profiles/models/family-group.model.ts b/src/health-profiles/models/family-group.model.ts
new file mode 100644
index 0000000..6ca39a1
--- /dev/null
+++ b/src/health-profiles/models/family-group.model.ts
@@ -0,0 +1,79 @@
+import { Column, Model, Table, DataType, HasMany, ForeignKey, BelongsTo } from 'sequelize-typescript';
+import { User } from '../../users/models/user.model';
+import { FamilyMember } from './family-member.model';
+
+/**
+ * 家庭组表
+ */
+@Table({
+  tableName: 't_family_groups',
+  underscored: true,
+})
+export class FamilyGroup extends Model {
+  @Column({
+    type: DataType.STRING(50),
+    primaryKey: true,
+    comment: '家庭组ID',
+  })
+  declare id: string;
+
+  @ForeignKey(() => User)
+  @Column({
+    type: DataType.STRING(50),
+    allowNull: false,
+    comment: '创建者用户ID',
+  })
+  declare ownerId: string;
+
+  @Column({
+    type: DataType.STRING(100),
+    allowNull: false,
+    defaultValue: '我的家庭',
+    comment: '家庭组名称',
+  })
+  declare name: string;
+
+  @Column({
+    type: DataType.STRING(20),
+    allowNull: true,
+    unique: true,
+    comment: '邀请码',
+  })
+  declare inviteCode: string | null;
+
+  @Column({
+    type: DataType.DATE,
+    allowNull: true,
+    comment: '邀请码过期时间',
+  })
+  declare inviteCodeExpiresAt: Date | null;
+
+  @Column({
+    type: DataType.INTEGER,
+    allowNull: false,
+    defaultValue: 6,
+    comment: '最大成员数',
+  })
+  declare maxMembers: number;
+
+  @Column({
+    type: DataType.DATE,
+    defaultValue: DataType.NOW,
+    comment: '创建时间',
+  })
+  declare createdAt: Date;
+
+  @Column({
+    type: DataType.DATE,
+    defaultValue: DataType.NOW,
+    comment: '更新时间',
+  })
+  declare updatedAt: Date;
+
+  // 关联关系
+  @BelongsTo(() => User, 'ownerId')
+  declare owner: User;
+
+  @HasMany(() => FamilyMember, 'familyGroupId')
+  declare members: FamilyMember[];
+}
diff --git a/src/health-profiles/models/family-member.model.ts b/src/health-profiles/models/family-member.model.ts
new file mode 100644
index 0000000..cace207
--- /dev/null
+++ b/src/health-profiles/models/family-member.model.ts
@@ -0,0 +1,95 @@
+import { Column, Model, Table, DataType, ForeignKey, BelongsTo } from 'sequelize-typescript';
+import { FamilyRole } from '../enums/health-profile.enum';
+import { User } from '../../users/models/user.model';
+import { FamilyGroup } from './family-group.model';
+
+/**
+ * 家庭成员表
+ */
+@Table({
+  tableName: 't_family_members',
+  underscored: true,
+  indexes: [
+    {
+      unique: true,
+      fields: ['family_group_id', 'user_id'],
+    },
+  ],
+})
+export class FamilyMember extends Model {
+  @Column({
+    type: DataType.STRING(50),
+    primaryKey: true,
+    comment: '成员记录ID',
+  })
+  declare id: string;
+
+  @ForeignKey(() => FamilyGroup)
+  @Column({
+    type: DataType.STRING(50),
+    allowNull: false,
+    comment: '家庭组ID',
+  })
+  declare familyGroupId: string;
+
+  @ForeignKey(() => User)
+  @Column({
+    type: DataType.STRING(50),
+    allowNull: false,
+    comment: '用户ID',
+  })
+  declare userId: string;
+
+  @Column({
+    type: DataType.STRING(20),
+    allowNull: false,
+    defaultValue: FamilyRole.MEMBER,
+    comment: '角色：owner | admin | member',
+  })
+  declare role: FamilyRole;
+
+  @Column({
+    type: DataType.STRING(50),
+    allowNull: true,
+    comment: '关系（如：配偶、父母、子女）',
+  })
+  declare relationship: string | null;
+
+  @Column({
+    type: DataType.BOOLEAN,
+    allowNull: false,
+    defaultValue: true,
+    comment: '是否可查看健康数据',
+  })
+  declare canViewHealthData: boolean;
+
+  @Column({
+    type: DataType.BOOLEAN,
+    allowNull: false,
+    defaultValue: false,
+    comment: '是否可管理健康数据',
+  })
+  declare canManageHealthData: boolean;
+
+  @Column({
+    type: DataType.BOOLEAN,
+    allowNull: false,
+    defaultValue: true,
+    comment: '是否接收异常提醒',
+  })
+  declare receiveAlerts: boolean;
+
+  @Column({
+    type: DataType.DATE,
+    defaultValue: DataType.NOW,
+    comment: '加入时间',
+  })
+  declare joinedAt: Date;
+
+  // 关联关系
+  @BelongsTo(() => FamilyGroup, 'familyGroupId')
+  declare familyGroup: FamilyGroup;
+
+  @BelongsTo(() => User, 'userId')
+  declare user: User;
+}
diff --git a/src/health-profiles/models/health-history-item.model.ts b/src/health-profiles/models/health-history-item.model.ts
new file mode 100644
index 0000000..f2f87dc
--- /dev/null
+++ b/src/health-profiles/models/health-history-item.model.ts
@@ -0,0 +1,86 @@
+import { Column, Model, Table, DataType, ForeignKey, BelongsTo } from 'sequelize-typescript';
+import { User } from '../../users/models/user.model';
+import { HealthHistory } from './health-history.model';
+
+/**
+ * 健康史详情表
+ * 记录具体的过敏源、疾病、手术等信息
+ */
+@Table({
+  tableName: 't_health_history_items',
+  underscored: true,
+})
+export class HealthHistoryItem extends Model {
+  @Column({
+    type: DataType.STRING(50),
+    primaryKey: true,
+    comment: '详情ID',
+  })
+  declare id: string;
+
+  @ForeignKey(() => HealthHistory)
+  @Column({
+    type: DataType.STRING(50),
+    allowNull: false,
+    comment: '关联的健康史ID',
+  })
+  declare healthHistoryId: string;
+
+  @ForeignKey(() => User)
+  @Column({
+    type: DataType.STRING(50),
+    allowNull: false,
+    comment: '用户ID',
+  })
+  declare userId: string;
+
+  @Column({
+    type: DataType.STRING(255),
+    allowNull: false,
+    comment: '名称（如：青霉素、高血压）',
+  })
+  declare name: string;
+
+  @Column({
+    type: DataType.DATEONLY,
+    allowNull: true,
+    comment: '确诊/发生日期',
+  })
+  declare diagnosisDate: string | null;
+
+  @Column({
+    type: DataType.BOOLEAN,
+    allowNull: false,
+    defaultValue: false,
+    comment: '是否为推荐选项',
+  })
+  declare isRecommendation: boolean;
+
+  @Column({
+    type: DataType.TEXT,
+    allowNull: true,
+    comment: '备注',
+  })
+  declare note: string | null;
+
+  @Column({
+    type: DataType.DATE,
+    defaultValue: DataType.NOW,
+    comment: '创建时间',
+  })
+  declare createdAt: Date;
+
+  @Column({
+    type: DataType.DATE,
+    defaultValue: DataType.NOW,
+    comment: '更新时间',
+  })
+  declare updatedAt: Date;
+
+  // 关联关系
+  @BelongsTo(() => HealthHistory, 'healthHistoryId')
+  declare healthHistory: HealthHistory;
+
+  @BelongsTo(() => User, 'userId')
+  declare user: User;
+}
diff --git a/src/health-profiles/models/health-history.model.ts b/src/health-profiles/models/health-history.model.ts
new file mode 100644
index 0000000..e0f76ee
--- /dev/null
+++ b/src/health-profiles/models/health-history.model.ts
@@ -0,0 +1,64 @@
+import { Column, Model, Table, DataType, HasMany, ForeignKey, BelongsTo } from 'sequelize-typescript';
+import { HealthHistoryCategory } from '../enums/health-profile.enum';
+import { User } from '../../users/models/user.model';
+import { HealthHistoryItem } from './health-history-item.model';
+
+/**
+ * 健康史主表
+ * 记录用户各分类的健康史状态
+ */
+@Table({
+  tableName: 't_health_histories',
+  underscored: true,
+})
+export class HealthHistory extends Model {
+  @Column({
+    type: DataType.STRING(50),
+    primaryKey: true,
+    comment: '健康史记录ID',
+  })
+  declare id: string;
+
+  @ForeignKey(() => User)
+  @Column({
+    type: DataType.STRING(50),
+    allowNull: false,
+    comment: '用户ID',
+  })
+  declare userId: string;
+
+  @Column({
+    type: DataType.STRING(50),
+    allowNull: false,
+    comment: '健康史分类：allergy | disease | surgery | familyDisease',
+  })
+  declare category: HealthHistoryCategory;
+
+  @Column({
+    type: DataType.BOOLEAN,
+    allowNull: true,
+    comment: '是否有该类健康史：null=未回答, true=有, false=无',
+  })
+  declare hasHistory: boolean | null;
+
+  @Column({
+    type: DataType.DATE,
+    defaultValue: DataType.NOW,
+    comment: '创建时间',
+  })
+  declare createdAt: Date;
+
+  @Column({
+    type: DataType.DATE,
+    defaultValue: DataType.NOW,
+    comment: '更新时间',
+  })
+  declare updatedAt: Date;
+
+  // 关联关系
+  @BelongsTo(() => User, 'userId')
+  declare user: User;
+
+  @HasMany(() => HealthHistoryItem, 'healthHistoryId')
+  declare items: HealthHistoryItem[];
+}
diff --git a/src/health-profiles/models/index.ts b/src/health-profiles/models/index.ts
new file mode 100644
index 0000000..a49ded5
--- /dev/null
+++ b/src/health-profiles/models/index.ts
@@ -0,0 +1,7 @@
+// Health History
+export * from './health-history.model';
+export * from './health-history-item.model';
+
+// Family Health
+export * from './family-group.model';
+export * from './family-member.model';
diff --git a/src/health-profiles/services/family-health.service.ts b/src/health-profiles/services/family-health.service.ts
new file mode 100644
index 0000000..6c9dfc4
--- /dev/null
+++ b/src/health-profiles/services/family-health.service.ts
@@ -0,0 +1,386 @@
+import { Injectable, Logger, NotFoundException, ForbiddenException, BadRequestException } from '@nestjs/common';
+import { InjectModel, InjectConnection } from '@nestjs/sequelize';
+import { Sequelize } from 'sequelize-typescript';
+import { Op } from 'sequelize';
+import { v4 as uuidv4 } from 'uuid';
+import * as dayjs from 'dayjs';
+import { FamilyGroup } from '../models/family-group.model';
+import { FamilyMember } from '../models/family-member.model';
+import { User } from '../../users/models/user.model';
+import { FamilyRole } from '../enums/health-profile.enum';
+import {
+  CreateFamilyGroupDto,
+  GenerateInviteCodeDto,
+  JoinFamilyGroupDto,
+  UpdateFamilyMemberDto,
+  FamilyGroupResponseDto,
+  FamilyMemberResponseDto,
+} from '../dto/family-health.dto';
+
+@Injectable()
+export class FamilyHealthService {
+  private readonly logger = new Logger(FamilyHealthService.name);
+
+  constructor(
+    @InjectModel(FamilyGroup)
+    private readonly familyGroupModel: typeof FamilyGroup,
+    @InjectModel(FamilyMember)
+    private readonly familyMemberModel: typeof FamilyMember,
+    @InjectModel(User)
+    private readonly userModel: typeof User,
+    @InjectConnection()
+    private readonly sequelize: Sequelize,
+  ) {}
+
+  /**
+   * 获取用户的家庭组
+   */
+  async getFamilyGroup(userId: string): Promise<FamilyGroupResponseDto | null> {
+    // 先查找用户所属的家庭成员记录
+    const membership = await this.familyMemberModel.findOne({
+      where: { userId },
+    });
+
+    if (!membership) {
+      return null;
+    }
+
+    const familyGroup = await this.familyGroupModel.findOne({
+      where: { id: membership.familyGroupId },
+      include: [
+        {
+          model: FamilyMember,
+          as: 'members',
+          include: [{ model: User, as: 'user' }],
+        },
+      ],
+    });
+
+    if (!familyGroup) {
+      return null;
+    }
+
+    return this.mapGroupToResponse(familyGroup);
+  }
+
+  /**
+   * 创建家庭组
+   */
+  async createFamilyGroup(userId: string, createDto: CreateFamilyGroupDto): Promise<FamilyGroupResponseDto> {
+    // 检查用户是否已经有家庭组
+    const existingMembership = await this.familyMemberModel.findOne({
+      where: { userId },
+    });
+
+    if (existingMembership) {
+      throw new BadRequestException('您已经是一个家庭组的成员，请先退出当前家庭组');
+    }
+
+    const transaction = await this.sequelize.transaction();
+
+    try {
+      // 创建家庭组
+      const familyGroup = await this.familyGroupModel.create(
+        {
+          id: uuidv4(),
+          ownerId: userId,
+          name: createDto.name || '我的家庭',
+        },
+        { transaction },
+      );
+
+      // 将创建者添加为 owner 成员
+      await this.familyMemberModel.create(
+        {
+          id: uuidv4(),
+          familyGroupId: familyGroup.id,
+          userId,
+          role: FamilyRole.OWNER,
+          canViewHealthData: true,
+          canManageHealthData: true,
+          receiveAlerts: true,
+        },
+        { transaction },
+      );
+
+      await transaction.commit();
+
+      this.logger.log(`用户 ${userId} 创建家庭组 ${familyGroup.id} 成功`);
+
+      // 重新查询以获取完整数据
+      return this.getFamilyGroup(userId) as Promise<FamilyGroupResponseDto>;
+    } catch (error) {
+      await transaction.rollback();
+      this.logger.error(`创建家庭组失败: ${error instanceof Error ? error.message : '未知错误'}`);
+      throw error;
+    }
+  }
+
+  /**
+   * 生成邀请码
+   */
+  async generateInviteCode(
+    userId: string,
+    dto: GenerateInviteCodeDto,
+  ): Promise<{ familyGroupId: string; inviteCode: string; expiresAt: string; qrCodeUrl: string }> {
+    const membership = await this.familyMemberModel.findOne({
+      where: { userId },
+    });
+
+    if (!membership) {
+      throw new NotFoundException('您还没有家庭组');
+    }
+
+    // 只有 owner 和 admin 可以生成邀请码
+    if (membership.role === FamilyRole.MEMBER) {
+      throw new ForbiddenException('只有管理员可以生成邀请码');
+    }
+
+    const familyGroup = await this.familyGroupModel.findByPk(membership.familyGroupId);
+    if (!familyGroup) {
+      throw new NotFoundException('家庭组不存在');
+    }
+
+    // 生成邀请码
+    const inviteCode = this.generateUniqueInviteCode();
+    const expiresAt = dayjs().add(dto.expiresInHours || 24, 'hour').toDate();
+
+    familyGroup.inviteCode = inviteCode;
+    familyGroup.inviteCodeExpiresAt = expiresAt;
+    await familyGroup.save();
+
+    this.logger.log(`用户 ${userId} 为家庭组 ${familyGroup.id} 生成邀请码 ${inviteCode}`);
+
+    return {
+      familyGroupId: familyGroup.id,
+      inviteCode,
+      expiresAt: expiresAt.toISOString(),
+      qrCodeUrl: `outlive://family/join?code=${inviteCode}`, // 可以根据实际需求生成二维码 URL
+    };
+  }
+
+  /**
+   * 加入家庭组
+   */
+  async joinFamilyGroup(userId: string, dto: JoinFamilyGroupDto): Promise<FamilyGroupResponseDto> {
+    // 检查用户是否已经有家庭组
+    const existingMembership = await this.familyMemberModel.findOne({
+      where: { userId },
+    });
+
+    if (existingMembership) {
+      throw new BadRequestException('您已经是一个家庭组的成员，请先退出当前家庭组');
+    }
+
+    // 查找邀请码对应的家庭组
+    const familyGroup = await this.familyGroupModel.findOne({
+      where: {
+        inviteCode: dto.inviteCode,
+        inviteCodeExpiresAt: { [Op.gt]: new Date() },
+      },
+    });
+
+    if (!familyGroup) {
+      throw new BadRequestException('邀请码无效或已过期');
+    }
+
+    // 检查成员数量
+    const memberCount = await this.familyMemberModel.count({
+      where: { familyGroupId: familyGroup.id },
+    });
+
+    if (memberCount >= familyGroup.maxMembers) {
+      throw new BadRequestException('家庭组已满员');
+    }
+
+    // 添加成员
+    await this.familyMemberModel.create({
+      id: uuidv4(),
+      familyGroupId: familyGroup.id,
+      userId,
+      role: FamilyRole.MEMBER,
+      canViewHealthData: true,
+      canManageHealthData: false,
+      receiveAlerts: true,
+    });
+
+    this.logger.log(`用户 ${userId} 加入家庭组 ${familyGroup.id}`);
+
+    return this.getFamilyGroup(userId) as Promise<FamilyGroupResponseDto>;
+  }
+
+  /**
+   * 获取家庭成员列表
+   */
+  async getFamilyMembers(userId: string): Promise<FamilyMemberResponseDto[]> {
+    const membership = await this.familyMemberModel.findOne({
+      where: { userId },
+    });
+
+    if (!membership) {
+      throw new NotFoundException('您还没有家庭组');
+    }
+
+    const members = await this.familyMemberModel.findAll({
+      where: { familyGroupId: membership.familyGroupId },
+      include: [{ model: User, as: 'user' }],
+    });
+
+    return members.map(this.mapMemberToResponse);
+  }
+
+  /**
+   * 更新成员权限
+   */
+  async updateFamilyMember(
+    userId: string,
+    memberId: string,
+    updateDto: UpdateFamilyMemberDto,
+  ): Promise<FamilyMemberResponseDto> {
+    const currentMembership = await this.familyMemberModel.findOne({
+      where: { userId },
+    });
+
+    if (!currentMembership) {
+      throw new NotFoundException('您还没有家庭组');
+    }
+
+    // 只有 owner 和 admin 可以修改成员权限
+    if (currentMembership.role === FamilyRole.MEMBER) {
+      throw new ForbiddenException('只有管理员可以修改成员权限');
+    }
+
+    const targetMember = await this.familyMemberModel.findOne({
+      where: { id: memberId, familyGroupId: currentMembership.familyGroupId },
+      include: [{ model: User, as: 'user' }],
+    });
+
+    if (!targetMember) {
+      throw new NotFoundException('成员不存在');
+    }
+
+    // 不能修改 owner 的权限
+    if (targetMember.role === FamilyRole.OWNER && currentMembership.role !== FamilyRole.OWNER) {
+      throw new ForbiddenException('不能修改创建者的权限');
+    }
+
+    // 更新权限
+    if (updateDto.canViewHealthData !== undefined) targetMember.canViewHealthData = updateDto.canViewHealthData;
+    if (updateDto.canManageHealthData !== undefined) targetMember.canManageHealthData = updateDto.canManageHealthData;
+    if (updateDto.receiveAlerts !== undefined) targetMember.receiveAlerts = updateDto.receiveAlerts;
+    if (updateDto.relationship !== undefined) targetMember.relationship = updateDto.relationship;
+
+    await targetMember.save();
+
+    this.logger.log(`用户 ${userId} 更新成员 ${memberId} 的权限`);
+
+    return this.mapMemberToResponse(targetMember);
+  }
+
+  /**
+   * 移除家庭成员
+   */
+  async removeFamilyMember(userId: string, memberId: string): Promise<void> {
+    const currentMembership = await this.familyMemberModel.findOne({
+      where: { userId },
+    });
+
+    if (!currentMembership) {
+      throw new NotFoundException('您还没有家庭组');
+    }
+
+    const targetMember = await this.familyMemberModel.findOne({
+      where: { id: memberId, familyGroupId: currentMembership.familyGroupId },
+    });
+
+    if (!targetMember) {
+      throw new NotFoundException('成员不存在');
+    }
+
+    // 不能移除 owner
+    if (targetMember.role === FamilyRole.OWNER) {
+      throw new ForbiddenException('不能移除创建者');
+    }
+
+    // 只有 owner 和 admin 可以移除成员，或者成员自己退出
+    if (
+      currentMembership.role === FamilyRole.MEMBER &&
+      currentMembership.id !== memberId
+    ) {
+      throw new ForbiddenException('只有管理员可以移除成员');
+    }
+
+    await targetMember.destroy();
+
+    this.logger.log(`成员 ${memberId} 已从家庭组移除`);
+  }
+
+  /**
+   * 退出家庭组
+   */
+  async leaveFamilyGroup(userId: string): Promise<void> {
+    const membership = await this.familyMemberModel.findOne({
+      where: { userId },
+    });
+
+    if (!membership) {
+      throw new NotFoundException('您还没有家庭组');
+    }
+
+    // owner 不能直接退出，需要先转让或解散
+    if (membership.role === FamilyRole.OWNER) {
+      throw new BadRequestException('创建者不能直接退出，请先转让管理权或解散家庭组');
+    }
+
+    await membership.destroy();
+
+    this.logger.log(`用户 ${userId} 退出家庭组`);
+  }
+
+  /**
+   * 生成唯一邀请码
+   */
+  private generateUniqueInviteCode(): string {
+    const chars = 'ABCDEFGHJKMNPQRSTUVWXYZ23456789';
+    let code = '';
+    for (let i = 0; i < 6; i++) {
+      code += chars.charAt(Math.floor(Math.random() * chars.length));
+    }
+    return code;
+  }
+
+  /**
+   * 映射家庭组到响应 DTO
+   */
+  private mapGroupToResponse(group: FamilyGroup): FamilyGroupResponseDto {
+    return {
+      id: group.id,
+      ownerId: group.ownerId,
+      name: group.name,
+      inviteCode: group.inviteCode || undefined,
+      inviteCodeExpiresAt: group.inviteCodeExpiresAt?.toISOString() || undefined,
+      maxMembers: group.maxMembers,
+      members: group.members?.map(this.mapMemberToResponse) || [],
+      createdAt: group.createdAt.toISOString(),
+      updatedAt: group.updatedAt.toISOString(),
+    };
+  }
+
+  /**
+   * 映射成员到响应 DTO
+   */
+  private mapMemberToResponse(member: FamilyMember): FamilyMemberResponseDto {
+    return {
+      id: member.id,
+      userId: member.userId,
+      userName: member.user?.name || '未知用户',
+      userAvatar: member.user?.avatar || undefined,
+      role: member.role,
+      relationship: member.relationship || undefined,
+      canViewHealthData: member.canViewHealthData,
+      canManageHealthData: member.canManageHealthData,
+      receiveAlerts: member.receiveAlerts,
+      joinedAt: member.joinedAt.toISOString(),
+    };
+  }
+}
diff --git a/src/health-profiles/services/health-history.service.ts b/src/health-profiles/services/health-history.service.ts
new file mode 100644
index 0000000..e2f5fe3
--- /dev/null
+++ b/src/health-profiles/services/health-history.service.ts
@@ -0,0 +1,222 @@
+import { Injectable, Logger, NotFoundException } from '@nestjs/common';
+import { InjectModel, InjectConnection } from '@nestjs/sequelize';
+import { Sequelize } from 'sequelize-typescript';
+import { v4 as uuidv4 } from 'uuid';
+import { HealthHistory } from '../models/health-history.model';
+import { HealthHistoryItem } from '../models/health-history-item.model';
+import { HealthHistoryCategory } from '../enums/health-profile.enum';
+import {
+  UpdateHealthHistoryDto,
+  HealthHistoryCategoryResponseDto,
+  HealthHistoryItemResponseDto,
+} from '../dto/health-history.dto';
+import { HEALTH_HISTORY_RECOMMENDATIONS } from '../constants/health-recommendations';
+
+@Injectable()
+export class HealthHistoryService {
+  private readonly logger = new Logger(HealthHistoryService.name);
+
+  constructor(
+    @InjectModel(HealthHistory)
+    private readonly healthHistoryModel: typeof HealthHistory,
+    @InjectModel(HealthHistoryItem)
+    private readonly healthHistoryItemModel: typeof HealthHistoryItem,
+    @InjectConnection()
+    private readonly sequelize: Sequelize,
+  ) {}
+
+  /**
+   * 获取用户所有健康史数据
+   */
+  async getHealthHistory(userId: string): Promise<{
+    allergy: HealthHistoryCategoryResponseDto;
+    disease: HealthHistoryCategoryResponseDto;
+    surgery: HealthHistoryCategoryResponseDto;
+    familyDisease: HealthHistoryCategoryResponseDto;
+  }> {
+    const categories = Object.values(HealthHistoryCategory);
+    const result: any = {};
+
+    for (const category of categories) {
+      const history = await this.healthHistoryModel.findOne({
+        where: { userId, category },
+        include: [{ model: HealthHistoryItem, as: 'items' }],
+      });
+
+      result[category] = {
+        hasHistory: history?.hasHistory ?? null,
+        items: history?.items?.map(this.mapItemToResponse) ?? [],
+      };
+    }
+
+    return result;
+  }
+
+  /**
+   * 更新指定分类的健康史
+   */
+  async updateHealthHistoryCategory(
+    userId: string,
+    category: HealthHistoryCategory,
+    updateDto: UpdateHealthHistoryDto,
+  ): Promise<HealthHistoryCategoryResponseDto> {
+    const transaction = await this.sequelize.transaction();
+
+    try {
+      // 查找或创建健康史主记录
+      let history = await this.healthHistoryModel.findOne({
+        where: { userId, category },
+        transaction,
+      });
+
+      if (!history) {
+        history = await this.healthHistoryModel.create(
+          {
+            id: uuidv4(),
+            userId,
+            category,
+            hasHistory: updateDto.hasHistory,
+          },
+          { transaction },
+        );
+      } else {
+        history.hasHistory = updateDto.hasHistory;
+        await history.save({ transaction });
+      }
+
+      // 如果 hasHistory 为 false，清空所有 items
+      if (!updateDto.hasHistory) {
+        await this.healthHistoryItemModel.destroy({
+          where: { healthHistoryId: history.id },
+          transaction,
+        });
+
+        await transaction.commit();
+        return { hasHistory: false, items: [] };
+      }
+
+      // 处理 items - 全量更新模式
+      // 1. 获取现有的 items
+      const existingItems = await this.healthHistoryItemModel.findAll({
+        where: { healthHistoryId: history.id },
+        transaction,
+      });
+      const existingItemIds = new Set(existingItems.map(item => item.id));
+
+      // 2. 处理传入的 items
+      const newItemIds = new Set<string>();
+      const updatedItems: HealthHistoryItem[] = [];
+
+      for (const itemDto of updateDto.items) {
+        if (itemDto.id && existingItemIds.has(itemDto.id)) {
+          // 更新现有项
+          const existingItem = existingItems.find(i => i.id === itemDto.id);
+          if (existingItem) {
+            existingItem.name = itemDto.name;
+            existingItem.diagnosisDate = itemDto.date || null;
+            existingItem.isRecommendation = itemDto.isRecommendation ?? this.isRecommendation(category, itemDto.name);
+            existingItem.note = itemDto.note || null;
+            await existingItem.save({ transaction });
+            updatedItems.push(existingItem);
+            newItemIds.add(itemDto.id);
+          }
+        } else {
+          // 新增项
+          const newItem = await this.healthHistoryItemModel.create(
+            {
+              id: uuidv4(),
+              healthHistoryId: history.id,
+              userId,
+              name: itemDto.name,
+              diagnosisDate: itemDto.date || null,
+              isRecommendation: itemDto.isRecommendation ?? this.isRecommendation(category, itemDto.name),
+              note: itemDto.note || null,
+            },
+            { transaction },
+          );
+          updatedItems.push(newItem);
+          newItemIds.add(newItem.id);
+        }
+      }
+
+      // 3. 删除不在新列表中的旧项
+      const itemsToDelete = existingItems.filter(item => !newItemIds.has(item.id));
+      for (const item of itemsToDelete) {
+        await item.destroy({ transaction });
+      }
+
+      await transaction.commit();
+
+      this.logger.log(`用户 ${userId} 更新健康史分类 ${category} 成功`);
+
+      return {
+        hasHistory: updateDto.hasHistory,
+        items: updatedItems.map(this.mapItemToResponse),
+      };
+    } catch (error) {
+      await transaction.rollback();
+      this.logger.error(`更新健康史失败: ${error instanceof Error ? error.message : '未知错误'}`);
+      throw error;
+    }
+  }
+
+  /**
+   * 获取健康史完成度
+   */
+  async getHealthHistoryProgress(userId: string): Promise<{
+    progress: number;
+    details: {
+      allergy: boolean;
+      disease: boolean;
+      surgery: boolean;
+      familyDisease: boolean;
+    };
+  }> {
+    const categories = Object.values(HealthHistoryCategory);
+    const details: any = {};
+    let answeredCount = 0;
+
+    for (const category of categories) {
+      const history = await this.healthHistoryModel.findOne({
+        where: { userId, category },
+      });
+
+      // 只要回答了是否有历史（hasHistory !== null），就算已完成
+      const isAnswered = history?.hasHistory !== null && history?.hasHistory !== undefined;
+      details[category] = isAnswered;
+      if (isAnswered) answeredCount++;
+    }
+
+    const progress = Math.round((answeredCount / categories.length) * 100);
+
+    return { progress, details };
+  }
+
+  /**
+   * 获取推荐选项
+   */
+  getRecommendations(category: HealthHistoryCategory): string[] {
+    return HEALTH_HISTORY_RECOMMENDATIONS[category] || [];
+  }
+
+  /**
+   * 判断是否为推荐选项
+   */
+  private isRecommendation(category: HealthHistoryCategory, name: string): boolean {
+    const recommendations = HEALTH_HISTORY_RECOMMENDATIONS[category] || [];
+    return recommendations.includes(name);
+  }
+
+  /**
+   * 映射 item 到响应 DTO
+   */
+  private mapItemToResponse(item: HealthHistoryItem): HealthHistoryItemResponseDto {
+    return {
+      id: item.id,
+      name: item.name,
+      date: item.diagnosisDate || undefined,
+      isRecommendation: item.isRecommendation,
+      note: item.note || undefined,
+    };
+  }
+}
diff --git a/src/users/models/user.model.ts b/src/users/models/user.model.ts
index 10f8411..1f00ddf 100644
--- a/src/users/models/user.model.ts
+++ b/src/users/models/user.model.ts
@@ -133,6 +133,13 @@ export class User extends Model {
   })
   declare appVersion: string;
 
+  @Column({
+    type: DataType.STRING,
+    allowNull: true,
+    comment: '健康邀请码',
+  })
+  declare healthInviteCode: string;
+
   get isVip(): boolean {
     return this.membershipExpiration ? dayjs(this.membershipExpiration).isAfter(dayjs()) : false;
   }
diff --git a/src/users/users.controller.ts b/src/users/users.controller.ts
index b1fd49a..93776aa 100644
--- a/src/users/users.controller.ts
+++ b/src/users/users.controller.ts
@@ -631,4 +631,37 @@ export class UsersController {
     return this.usersService.updateDailyHealth(user.sub, updateDto);
   }
 
+  // ==================== 健康邀请码相关接口 ====================
+
+  /**
+   * 获取用户健康邀请码
+   */
+  @UseGuards(JwtAuthGuard)
+  @Get('health-invite-code')
+  @HttpCode(HttpStatus.OK)
+  @ApiOperation({ summary: '获取用户健康邀请码（如果没有则自动生成）' })
+  @ApiResponse({
+    status: 200,
+    description: '成功获取健康邀请码',
+    schema: {
+      type: 'object',
+      properties: {
+        code: { type: 'number', example: 0 },
+        message: { type: 'string', example: 'success' },
+        data: {
+          type: 'object',
+          properties: {
+            healthInviteCode: { type: 'string', example: 'ABC12345' },
+          },
+        },
+      },
+    },
+  })
+  async getHealthInviteCode(
+    @CurrentUser() user: AccessTokenPayload,
+  ): Promise<{ code: ResponseCode; message: string; data: { healthInviteCode: string } }> {
+    this.logger.log(`获取健康邀请码 - 用户ID: ${user.sub}`);
+    return this.usersService.getHealthInviteCode(user.sub);
+  }
+
 }
diff --git a/src/users/users.service.ts b/src/users/users.service.ts
index 0ab4b60..8457e0a 100644
--- a/src/users/users.service.ts
+++ b/src/users/users.service.ts
@@ -3092,4 +3092,83 @@ export class UsersService {
       };
     }
   }
+
+  /**
+   * 获取用户健康邀请码
+   * 如果用户没有邀请码，则生成一个新的
+   */
+  async getHealthInviteCode(userId: string): Promise<{ code: ResponseCode; message: string; data: { healthInviteCode: string } }> {
+    try {
+      const user = await this.userModel.findByPk(userId);
+      if (!user) {
+        return {
+          code: ResponseCode.ERROR,
+          message: '用户不存在',
+          data: { healthInviteCode: '' },
+        };
+      }
+
+      // 如果用户已有邀请码，直接返回
+      if (user.healthInviteCode) {
+        return {
+          code: ResponseCode.SUCCESS,
+          message: 'success',
+          data: { healthInviteCode: user.healthInviteCode },
+        };
+      }
+
+      // 生成唯一的邀请码（8位随机字母数字组合）
+      const healthInviteCode = await this.generateUniqueInviteCode(8);
+      
+      // 保存到数据库
+      user.healthInviteCode = healthInviteCode;
+      await user.save();
+
+      this.logger.log(`为用户 ${userId} 生成健康邀请码: ${healthInviteCode}`);
+
+      return {
+        code: ResponseCode.SUCCESS,
+        message: 'success',
+        data: { healthInviteCode },
+      };
+    } catch (error) {
+      this.logger.error(`获取健康邀请码失败: ${error instanceof Error ? error.message : '未知错误'}`);
+      return {
+        code: ResponseCode.ERROR,
+        message: `获取健康邀请码失败: ${error instanceof Error ? error.message : '未知错误'}`,
+        data: { healthInviteCode: '' },
+      };
+    }
+  }
+
+  /**
+   * 生成唯一的邀请码，确保不与数据库中已有的重复
+   */
+  private async generateUniqueInviteCode(length: number, maxAttempts = 10): Promise<string> {
+    const chars = 'ABCDEFGHIJKLMNOPQRSTUVWXYZ0123456789';
+    
+    for (let attempt = 0; attempt < maxAttempts; attempt++) {
+      // 生成随机邀请码
+      let code = '';
+      for (let i = 0; i < length; i++) {
+        code += chars.charAt(Math.floor(Math.random() * chars.length));
+      }
+      
+      // 检查是否已存在
+      const existing = await this.userModel.findOne({
+        where: { healthInviteCode: code },
+      });
+      
+      if (!existing) {
+        return code;
+      }
+      
+      this.logger.warn(`邀请码 ${code} 已存在，重新生成（第 ${attempt + 1} 次尝试）`);
+    }
+    
+    // 如果多次尝试都失败，使用时间戳+随机数确保唯一性
+    const timestamp = Date.now().toString(36).toUpperCase();
+    const random = Math.random().toString(36).substring(2, 6).toUpperCase();
+    return `${timestamp}${random}`.substring(0, length);
+  }
 }