diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrCompletenessController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrCompletenessController.java
index 322b55279..dd6d66792 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrCompletenessController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrCompletenessController.java
@@ -21,7 +21,7 @@ public class EmrCompletenessController {
     private final IEmrCompletenessAppService emrCompletenessAppService;
 
     @PostMapping("/check")
-    @PreAuthorize("@ss.hasPermi('inpatient:emr:edit')")
+    @PreAuthorize("@ss.hasPermi('emr:edit')")
     @Operation(summary = "执行病历完整性检查")
     public R<Map<String, Object>> checkCompleteness(
             @RequestParam("emrId") Long emrId,
@@ -30,7 +30,7 @@ public class EmrCompletenessController {
     }
 
     @GetMapping("/results/{emrId}")
-    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @PreAuthorize("@ss.hasPermi('emr:list')")
     @Operation(summary = "获取完整性检查结果")
     public R<?> getCheckResults(@PathVariable Long emrId) {
         return R.ok(emrCompletenessAppService.getCheckResults(emrId));
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrDataWarehouseController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrDataWarehouseController.java
index f33183ad7..af600ae81 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrDataWarehouseController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrDataWarehouseController.java
@@ -23,28 +23,28 @@ public class EmrDataWarehouseController {
     private final IEmrDataWarehouseAppService emrDataWarehouseAppService;
 
     @PostMapping("/extract")
-    @PreAuthorize("@ss.hasPermi('infection:emr:edit')")
+    @PreAuthorize("@ss.hasPermi('emr:edit')")
     @Operation(summary = "提取结构化数据")
     public R<List<EmrStructuredData>> extractStructuredData(@RequestParam("emrId") Long emrId) {
         return R.ok(emrDataWarehouseAppService.extractStructuredData(emrId));
     }
 
     @GetMapping("/data/{encounterId}")
-    @PreAuthorize("@ss.hasPermi('infection:emr:list')")
+    @PreAuthorize("@ss.hasPermi('emr:list')")
     @Operation(summary = "查询结构化数据")
     public R<List<EmrStructuredData>> getStructuredData(@PathVariable Long encounterId) {
         return R.ok(emrDataWarehouseAppService.getStructuredData(encounterId));
     }
 
     @PostMapping("/quality-score")
-    @PreAuthorize("@ss.hasPermi('infection:emr:edit')")
+    @PreAuthorize("@ss.hasPermi('emr:edit')")
     @Operation(summary = "计算质控评分")
     public R<EmrQualityScore> calculateQualityScore(@RequestParam("encounterId") Long encounterId) {
         return R.ok(emrDataWarehouseAppService.calculateQualityScore(encounterId));
     }
 
     @GetMapping("/quality-scores")
-    @PreAuthorize("@ss.hasPermi('infection:emr:list')")
+    @PreAuthorize("@ss.hasPermi('emr:list')")
     @Operation(summary = "查询质控评分列表")
     public R<List<EmrQualityScore>> getQualityScores(@RequestParam("encounterId") Long encounterId) {
         return R.ok(emrDataWarehouseAppService.getQualityScores(encounterId));
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrRevisionController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrRevisionController.java
index dac0678a4..4a8be59c1 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrRevisionController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrRevisionController.java
@@ -30,21 +30,21 @@ public class EmrRevisionController {
     private final IEmrRevisionAppService emrRevisionAppService;
 
     @PostMapping("/record")
-    @PreAuthorize("@ss.hasPermi('inpatient:emr:edit')")
+    @PreAuthorize("@ss.hasPermi('emr:edit')")
     @Operation(summary = "记录修改留痕")
     public R<EmrRevision> recordRevision(@RequestBody EmrRevision revision) {
         return R.ok(emrRevisionAppService.recordRevision(revision));
     }
 
     @GetMapping("/list/{emrId}")
-    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @PreAuthorize("@ss.hasPermi('emr:list')")
     @Operation(summary = "获取修改历史列表")
     public R<?> getRevisions(@PathVariable Long emrId) {
         return R.ok(emrRevisionAppService.getRevisions(emrId));
     }
 
     @GetMapping("/page")
-    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @PreAuthorize("@ss.hasPermi('emr:list')")
     @Operation(summary = "分页查询修改留痕")
     public R<?> getPage(
             @RequestParam(value = "emrId", required = false) Long emrId,
@@ -61,14 +61,14 @@ public class EmrRevisionController {
     }
 
     @GetMapping("/{id}")
-    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @PreAuthorize("@ss.hasPermi('emr:list')")
     @Operation(summary = "获取修订详情")
     public R<?> getById(@PathVariable Long id) {
         return R.ok(emrRevisionAppService.getRevisionDetail(id));
     }
 
     @GetMapping("/compare")
-    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @PreAuthorize("@ss.hasPermi('emr:list')")
     @Operation(summary = "对比两个修订版本")
     public R<?> compareRevisions(
             @RequestParam("revisionId1") Long id1,
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrTimelinessController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrTimelinessController.java
index 8fba25ac1..063e8fe98 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrTimelinessController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrTimelinessController.java
@@ -23,7 +23,7 @@ public class EmrTimelinessController {
     private final IEmrTimelinessAppService emrTimelinessAppService;
 
     @PostMapping("/check")
-    @PreAuthorize("@ss.hasPermi('inpatient:emr:edit')")
+    @PreAuthorize("@ss.hasPermi('emr:edit')")
     @Operation(summary = "执行病历时限检查")
     public R<EmrTimelinessStatisticsDto> checkTimeliness(
             @RequestParam(value = "encounterId", required = false) Long encounterId) {
@@ -31,7 +31,7 @@ public class EmrTimelinessController {
     }
 
     @GetMapping("/alerts")
-    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @PreAuthorize("@ss.hasPermi('emr:list')")
     @Operation(summary = "获取病历时限提醒列表")
     public R<Map<String, Object>> getTimelinessAlerts(
             @RequestParam(value = "emrType", required = false) String emrType,
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrVersionController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrVersionController.java
index 780f420ad..7c6de7eeb 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrVersionController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrVersionController.java
@@ -20,21 +20,21 @@ public class EmrVersionController {
     private final IEmrVersionAppService emrVersionAppService;
 
     @PostMapping("/save")
-    @PreAuthorize("@ss.hasPermi('inpatient:emr:edit')")
+    @PreAuthorize("@ss.hasPermi('emr:edit')")
     @Operation(summary = "保存病历版本")
     public R<EmrVersion> saveVersion(@RequestBody EmrVersion version) {
         return R.ok(emrVersionAppService.saveVersion(version));
     }
 
     @GetMapping("/list/{emrId}")
-    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @PreAuthorize("@ss.hasPermi('emr:list')")
     @Operation(summary = "获取病历版本列表")
     public R<?> getVersions(@PathVariable Long emrId) {
         return R.ok(emrVersionAppService.getVersions(emrId));
     }
 
     @GetMapping("/compare")
-    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @PreAuthorize("@ss.hasPermi('emr:list')")
     @Operation(summary = "对比两个版本")
     public R<?> compareVersions(
             @RequestParam("versionId1") Long versionId1,
diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V101__add_emr_sync_menu_and_permissions.sql b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V101__add_emr_sync_menu_and_permissions.sql
new file mode 100644
index 000000000..786b05b00
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V101__add_emr_sync_menu_and_permissions.sql
@@ -0,0 +1,47 @@
+-- V101__add_emr_sync_menu_and_permissions.sql
+-- 添加EMR数据同步菜单和医生权限
+
+-- 1. 添加EMR数据同步菜单（在电子病历管理下）
+INSERT INTO sys_menu (menu_name, parent_id, order_num, path, component, menu_type, visible, status, perms, icon, create_by, create_time, update_by, update_time, remark)
+VALUES (
+    'EMR数据同步',
+    (SELECT menu_id FROM sys_menu WHERE menu_name = '电子病历管理' LIMIT 1),
+    99,
+    'sync',
+    'emr/sync/index',
+    'C',
+    '0',
+    '0',
+    'emr:sync:list',
+    'upload',
+    'admin',
+    NOW(),
+    'admin',
+    NOW(),
+    'EMR数据同步 - 从病历表同步数据到修订历史和搜索索引'
+);
+
+-- 2. 为医生角色添加EMR权限
+-- 获取医生角色ID（假设角色名为'医生'或'doctor'）
+INSERT INTO sys_role_menu (role_id, menu_id)
+SELECT
+    r.role_id,
+    m.menu_id
+FROM sys_role r
+CROSS JOIN sys_menu m
+WHERE r.role_name IN ('医生', 'doctor', '门诊医生', '住院医生')
+  AND m.perms IN (
+    'emr:list',
+    'emr:edit',
+    'emr:sync:list'
+  )
+  AND NOT EXISTS (
+    SELECT 1 FROM sys_role_menu rm
+    WHERE rm.role_id = r.role_id AND rm.menu_id = m.menu_id
+  );
+
+-- 3. 更新EMR相关菜单的权限（将inpatient:emr改为emr）
+UPDATE sys_menu SET perms = 'emr:list' WHERE perms = 'inpatient:emr:list';
+UPDATE sys_menu SET perms = 'emr:edit' WHERE perms = 'inpatient:emr:edit';
+UPDATE sys_menu SET perms = 'emr:list' WHERE perms = 'infection:emr:list';
+UPDATE sys_menu SET perms = 'emr:edit' WHERE perms = 'infection:emr:edit';