diff --git a/handler/health_check.go b/handler/health_check.go
new file mode 100644
index 0000000..72305b0
--- /dev/null
+++ b/handler/health_check.go
@@ -0,0 +1,74 @@
+package handler
+
+import (
+	"net/http"
+
+	"chis_osi/osi"
+)
+
+// HealthCheckHandler 暴露健康体检查询的 HTTP 入口。
+type HealthCheckHandler struct {
+	client *osi.Client
+}
+
+func NewHealthCheckHandler(client *osi.Client) *HealthCheckHandler {
+	return &HealthCheckHandler{client: client}
+}
+
+// Last 处理 GET /api/health-check/last?idCard=..|phrid=..|empiId=..
+// 返回某人最近一次体检的平台完整响应（含全部子节点，见 docs/04 §11）。
+func (h *HealthCheckHandler) Last(w http.ResponseWriter, r *http.Request) {
+	if r.Method != http.MethodGet {
+		writeJSONError(w, http.StatusMethodNotAllowed, "only GET is supported")
+		return
+	}
+	q := r.URL.Query()
+	query := osi.FindHealthCheckQuery{
+		IDCard: q.Get("idCard"),
+		PHRID:  q.Get("phrid"),
+		EMPIID: q.Get("empiId"),
+	}
+	if query.IDCard == "" && query.PHRID == "" && query.EMPIID == "" {
+		writeJSONError(w, http.StatusBadRequest, "provide one of: idCard, phrid, empiId")
+		return
+	}
+	_, result, err := h.client.LastHealthCheck(r.Context(), query)
+	writeRawOrError(w, result, err)
+}
+
+// List 处理 GET /api/health-check/list?checkYear=..&idCard=..&checkType=..&page=..&rows=..
+// 返回某年度已检/未检人员名单的平台完整响应（名单，非体检明细，见 docs/04 §11.4）。
+func (h *HealthCheckHandler) List(w http.ResponseWriter, r *http.Request) {
+	if r.Method != http.MethodGet {
+		writeJSONError(w, http.StatusMethodNotAllowed, "only GET is supported")
+		return
+	}
+	q := r.URL.Query()
+	if q.Get("checkYear") == "" {
+		writeJSONError(w, http.StatusBadRequest, "checkYear is required")
+		return
+	}
+	query := osi.ListHealthCheckQuery{
+		CheckYear: q.Get("checkYear"),
+		IDCard:    q.Get("idCard"),
+		CheckType: q.Get("checkType"),
+		Page:      q.Get("page"),
+		Rows:      q.Get("rows"),
+	}
+	_, result, err := h.client.ListHealthCheckPeople(r.Context(), query)
+	writeRawOrError(w, result, err)
+}
+
+// writeRawOrError 拿到平台响应就原样回写完整 JSON，否则按错误返回。
+func writeRawOrError(w http.ResponseWriter, result osi.Result, err error) {
+	if len(result.Raw) > 0 {
+		w.Header().Set("Content-Type", "application/json; charset=utf-8")
+		_, _ = w.Write(result.Raw)
+		return
+	}
+	if err != nil {
+		writeJSONError(w, http.StatusBadGateway, err.Error())
+		return
+	}
+	writeJSONError(w, http.StatusBadGateway, "empty response from OSI")
+}
diff --git a/handler/health_check_test.go b/handler/health_check_test.go
new file mode 100644
index 0000000..a1ba0f4
--- /dev/null
+++ b/handler/health_check_test.go
@@ -0,0 +1,90 @@
+package handler
+
+import (
+	"io"
+	"net/http"
+	"net/http/httptest"
+	"strings"
+	"testing"
+	"time"
+
+	"chis_osi/osi"
+)
+
+func newTestClient(t *testing.T, body string) (*osi.Client, *string) {
+	t.Helper()
+	var seenPath string
+	osiServer := httptest.NewServer(http.HandlerFunc(func(w http.ResponseWriter, r *http.Request) {
+		seenPath = r.URL.Path
+		w.Header().Set("Content-Type", "application/json")
+		_, _ = w.Write([]byte(body))
+	}))
+	t.Cleanup(osiServer.Close)
+
+	transport, err := osi.NewTransport(osi.TransportConfig{Timeout: time.Second})
+	if err != nil {
+		t.Fatalf("NewTransport: %v", err)
+	}
+	client := osi.NewClient(osi.ClientConfig{BaseURL: osiServer.URL, UserName: "u", Ask: "k", Transport: transport})
+	return client, &seenPath
+}
+
+func TestHealthCheckLastReturnsRawResponse(t *testing.T) {
+	client, seenPath := newTestClient(t, `{"code":"01","message":"操作成功","data":{"checkId":"CHK-1","idcard":"TEST-1"}}`)
+	h := NewHealthCheckHandler(client)
+
+	req := httptest.NewRequest(http.MethodGet, "/api/health-check/last?idCard=TEST-1", nil)
+	rec := httptest.NewRecorder()
+	h.Last(rec, req)
+
+	if rec.Code != http.StatusOK {
+		t.Fatalf("status = %d", rec.Code)
+	}
+	if *seenPath != "/osi/api/auto/jktjlscx/query" {
+		t.Fatalf("osi path = %q", *seenPath)
+	}
+	body, _ := io.ReadAll(rec.Body)
+	if !strings.Contains(string(body), `"CHK-1"`) {
+		t.Fatalf("body missing content: %s", body)
+	}
+}
+
+func TestHealthCheckLastRequiresIdentifier(t *testing.T) {
+	h := NewHealthCheckHandler(nil) // 无标识符在触达 client 前返回 400
+	req := httptest.NewRequest(http.MethodGet, "/api/health-check/last", nil)
+	rec := httptest.NewRecorder()
+	h.Last(rec, req)
+	if rec.Code != http.StatusBadRequest {
+		t.Fatalf("status = %d, want 400", rec.Code)
+	}
+}
+
+func TestHealthCheckListRequiresCheckYear(t *testing.T) {
+	h := NewHealthCheckHandler(nil) // 缺 checkYear 在触达 client 前返回 400
+	req := httptest.NewRequest(http.MethodGet, "/api/health-check/list?idCard=TEST-1", nil)
+	rec := httptest.NewRecorder()
+	h.List(rec, req)
+	if rec.Code != http.StatusBadRequest {
+		t.Fatalf("status = %d, want 400", rec.Code)
+	}
+}
+
+func TestHealthCheckListReturnsRosterRaw(t *testing.T) {
+	client, seenPath := newTestClient(t, `{"code":"01","message":"操作成功","data":[{"idCard":"TEST-1","checkType":"0"}]}`)
+	h := NewHealthCheckHandler(client)
+
+	req := httptest.NewRequest(http.MethodGet, "/api/health-check/list?checkYear=2025&idCard=TEST-1", nil)
+	rec := httptest.NewRecorder()
+	h.List(rec, req)
+
+	if rec.Code != http.StatusOK {
+		t.Fatalf("status = %d", rec.Code)
+	}
+	if *seenPath != "/osi/api/auto/jktjlist/query" {
+		t.Fatalf("osi path = %q", *seenPath)
+	}
+	body, _ := io.ReadAll(rec.Body)
+	if !strings.Contains(string(body), `"checkType"`) {
+		t.Fatalf("body missing roster: %s", body)
+	}
+}
diff --git a/server.go b/server.go
index 849aa2e..2e8c1c2 100644
--- a/server.go
+++ b/server.go
@@ -16,11 +16,16 @@ func runServer(cfg config.Config, addr string) error {
 	}
 
 	hr := handler.NewHealthRecordHandler(client)
+	hc := handler.NewHealthCheckHandler(client)
 	mux := http.NewServeMux()
 	mux.HandleFunc("/api/health-record/find", hr.Find)
+	mux.HandleFunc("/api/health-check/last", hc.Last)
+	mux.HandleFunc("/api/health-check/list", hc.List)
 
 	fmt.Printf("chis_osi server listening on %s\n", addr)
 	fmt.Printf("  GET http://%s/api/health-record/find?idCard=<身份证>\n", addr)
+	fmt.Printf("  GET http://%s/api/health-check/last?idCard=<身份证>\n", addr)
+	fmt.Printf("  GET http://%s/api/health-check/list?checkYear=<年度>&idCard=<身份证>\n", addr)
 
 	server := &http.Server{Addr: addr, Handler: mux}
 	return server.ListenAndServe()