diff --git a/server/internal/model/health.go b/server/internal/model/health.go
index ff0c1fc..4eadc7b 100644
--- a/server/internal/model/health.go
+++ b/server/internal/model/health.go
@@ -1,35 +1,48 @@
 package model
 
-import "gorm.io/gorm"
+import (
+	"time"
+
+	"gorm.io/gorm"
+)
 
 // MedicalHistory 既往病史
 type MedicalHistory struct {
-	gorm.Model
-	HealthProfileID uint   `gorm:"index" json:"health_profile_id"`
-	DiseaseName     string `gorm:"size:100" json:"disease_name"`
-	DiseaseType     string `gorm:"size:50" json:"disease_type"` // chronic, surgery, other
-	DiagnosedDate   string `gorm:"size:20" json:"diagnosed_date"`
-	Status          string `gorm:"size:20" json:"status"` // cured, treating, controlled
-	Notes           string `gorm:"type:text" json:"notes"`
+	ID              uint           `gorm:"primarykey" json:"id"`
+	CreatedAt       time.Time      `json:"created_at"`
+	UpdatedAt       time.Time      `json:"updated_at"`
+	DeletedAt       gorm.DeletedAt `gorm:"index" json:"deleted_at"`
+	HealthProfileID uint           `gorm:"index" json:"health_profile_id"`
+	DiseaseName     string         `gorm:"size:100" json:"disease_name"`
+	DiseaseType     string         `gorm:"size:50" json:"disease_type"` // chronic, surgery, other
+	DiagnosedDate   string         `gorm:"size:20" json:"diagnosed_date"`
+	Status          string         `gorm:"size:20" json:"status"` // cured, treating, controlled
+	Notes           string         `gorm:"type:text" json:"notes"`
 }
 
 // FamilyHistory 家族病史
 type FamilyHistory struct {
-	gorm.Model
-	HealthProfileID uint   `gorm:"index" json:"health_profile_id"`
-	Relation        string `gorm:"size:20" json:"relation"` // father, mother, grandparent
-	DiseaseName     string `gorm:"size:100" json:"disease_name"`
-	Notes           string `gorm:"type:text" json:"notes"`
+	ID              uint           `gorm:"primarykey" json:"id"`
+	CreatedAt       time.Time      `json:"created_at"`
+	UpdatedAt       time.Time      `json:"updated_at"`
+	DeletedAt       gorm.DeletedAt `gorm:"index" json:"deleted_at"`
+	HealthProfileID uint           `gorm:"index" json:"health_profile_id"`
+	Relation        string         `gorm:"size:20" json:"relation"` // father, mother, grandparent
+	DiseaseName     string         `gorm:"size:100" json:"disease_name"`
+	Notes           string         `gorm:"type:text" json:"notes"`
 }
 
 // AllergyRecord 过敏记录
 type AllergyRecord struct {
-	gorm.Model
-	HealthProfileID uint   `gorm:"index" json:"health_profile_id"`
-	AllergyType     string `gorm:"size:20" json:"allergy_type"` // drug, food, other
-	Allergen        string `gorm:"size:100" json:"allergen"`
-	Severity        string `gorm:"size:20" json:"severity"` // mild, moderate, severe
-	ReactionDesc    string `gorm:"type:text" json:"reaction_desc"`
+	ID              uint           `gorm:"primarykey" json:"id"`
+	CreatedAt       time.Time      `json:"created_at"`
+	UpdatedAt       time.Time      `json:"updated_at"`
+	DeletedAt       gorm.DeletedAt `gorm:"index" json:"deleted_at"`
+	HealthProfileID uint           `gorm:"index" json:"health_profile_id"`
+	AllergyType     string         `gorm:"size:20" json:"allergy_type"` // drug, food, other
+	Allergen        string         `gorm:"size:100" json:"allergen"`
+	Severity        string         `gorm:"size:20" json:"severity"` // mild, moderate, severe
+	ReactionDesc    string         `gorm:"type:text" json:"reaction_desc"`
 }
 
 // TableName 指定表名