diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V100__sync_existing_emr_data.sql b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V100__sync_existing_emr_data.sql
index ef4aba88c..88c5c5508 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V100__sync_existing_emr_data.sql
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V100__sync_existing_emr_data.sql
@@ -28,7 +28,7 @@ WHERE e.id IS NOT NULL
     SELECT 1 FROM emr_revision r WHERE r.emr_id = e.id
   );
 
--- 3. 从doc_emr同步搜索索引（不包含update_time列，因为V103才添加）
+-- 3. 从doc_emr同步搜索索引（简化版，不依赖可能不存在的表）
 INSERT INTO emr_search_index (
     id, emr_id, encounter_id, patient_id, patient_name,
     emr_type, emr_title, diagnosis_text,
@@ -39,38 +39,18 @@ SELECT
     e.id,
     e.encounter_id,
     e.patient_id,
-    COALESCE(p.name, '患者' || e.patient_id),
+    '患者' || COALESCE(e.patient_id::text, '未知'),
     CASE
         WHEN e.class_enum = 1 THEN 'OUTPATIENT'
         WHEN e.class_enum = 2 THEN 'INPATIENT'
         ELSE 'OTHER'
     END,
-    COALESCE(
-        NULLIF(TRIM(BOTH '"' FROM
-            SPLIT_PART(
-                SPLIT_PART(e.context_json, '"chiefComplaint"', 2),
-                ':', 2
-            )
-        ), ''),
-        '未命名病历'
-    ),
-    COALESCE(
-        NULLIF(TRIM(BOTH '"' FROM
-            SPLIT_PART(
-                SPLIT_PART(e.context_json, '"diagnosis"', 2),
-                ':', 2
-            )
-        ), ''),
-        ''
-    ),
-    COALESCE(u.name, '医生' || e.record_id),
-    COALESCE(o.name, '未知科室'),
+    '未命名病历',
+    '',
+    '医生' || COALESCE(e.record_id::text, '未知'),
+    '未知科室',
     COALESCE(e.create_time, NOW())
 FROM doc_emr e
-LEFT JOIN adm_patient p ON e.patient_id = p.id
-LEFT JOIN sys_user u ON e.record_id = u.user_id
-LEFT JOIN adm_encounter enc ON e.encounter_id = enc.id
-LEFT JOIN sys_organization o ON enc.organization_id = o.id
 WHERE e.id IS NOT NULL
   AND NOT EXISTS (
     SELECT 1 FROM emr_search_index si WHERE si.emr_id = e.id