diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/document/controller/ProgressNoteController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/document/controller/ProgressNoteController.java
index b748cea2f..794df10e6 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/document/controller/ProgressNoteController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/document/controller/ProgressNoteController.java
@@ -52,7 +52,7 @@ public class ProgressNoteController {
      * 分页查询病程记录列表
      */
     @GetMapping("/page")
-    @PreAuthorize("hasAuthority('document:progressnote:list')")
+    @PreAuthorize("hasAuthority('document:progressnote:list') or hasAuthority('emr:list')")
     public R<?> getPage(
             @RequestParam(value = "patientName", required = false) String patientName,
             @RequestParam(value = "noteType", required = false) Integer noteType,
@@ -75,7 +75,7 @@ public class ProgressNoteController {
      * 查询病程记录详情
      */
     @GetMapping("/detail")
-    @PreAuthorize("hasAuthority('document:progressnote:list')")
+    @PreAuthorize("hasAuthority('document:progressnote:list') or hasAuthority('emr:list')")
     public R<?> getDetail(@RequestParam Long id) {
         ProgressNote note = progressNoteService.getById(id);
         if (note == null) return R.fail("病程记录不存在");
@@ -86,7 +86,7 @@ public class ProgressNoteController {
      * 新增病程记录
      */
     @PostMapping("/add")
-    @PreAuthorize("hasAuthority('document:progressnote:add')")
+    @PreAuthorize("hasAuthority('document:progressnote:add') or hasAuthority('emr:edit')")
     @Transactional(rollbackFor = Exception.class)
     public R<?> add(@RequestBody ProgressNote note) {
         note.setSignStatus(0);
@@ -108,7 +108,7 @@ public class ProgressNoteController {
      * 修改病程记录（仅未签名可修改）
      */
     @PutMapping("/update")
-    @PreAuthorize("hasAuthority('document:progressnote:edit')")
+    @PreAuthorize("hasAuthority('document:progressnote:edit') or hasAuthority('emr:edit')")
     @Transactional(rollbackFor = Exception.class)
     public R<?> update(@RequestBody ProgressNote note) {
         ProgressNote existing = progressNoteService.getById(note.getId());
@@ -124,7 +124,7 @@ public class ProgressNoteController {
      * 删除病程记录（仅未签名可删除）
      */
     @DeleteMapping("/delete")
-    @PreAuthorize("hasAuthority('document:progressnote:remove')")
+    @PreAuthorize("hasAuthority('document:progressnote:remove') or hasAuthority('emr:edit')")
     @Transactional(rollbackFor = Exception.class)
     public R<?> delete(@RequestParam Long id) {
         ProgressNote note = progressNoteService.getById(id);
@@ -138,7 +138,7 @@ public class ProgressNoteController {
      * 签名病程记录
      */
     @PostMapping("/sign")
-    @PreAuthorize("hasAuthority('document:progressnote:edit')")
+    @PreAuthorize("hasAuthority('document:progressnote:edit') or hasAuthority('emr:edit')")
     @Transactional(rollbackFor = Exception.class)
     public R<?> sign(@RequestBody Map<String, Object> params) {
         Long id = Long.valueOf(params.get("id").toString());
@@ -158,7 +158,7 @@ public class ProgressNoteController {
      * 审核病程记录（上级医师）
      */
     @PostMapping("/review")
-    @PreAuthorize("hasAuthority('document:progressnote:edit')")
+    @PreAuthorize("hasAuthority('document:progressnote:edit') or hasAuthority('emr:edit')")
     @Transactional(rollbackFor = Exception.class)
     public R<?> review(@RequestBody Map<String, Object> params) {
         Long id = Long.valueOf(params.get("id").toString());
@@ -177,7 +177,7 @@ public class ProgressNoteController {
      * 获取时限监控面板
      */
     @GetMapping("/monitor")
-    @PreAuthorize("hasAuthority('document:progressnote:list')")
+    @PreAuthorize("hasAuthority('document:progressnote:list') or hasAuthority('emr:list')")
     public R<?> getMonitor(@RequestParam(required = false) Long encounterId) {
         Map<String, Object> result = new HashMap<>();
         Date now = new Date();
@@ -225,7 +225,7 @@ public class ProgressNoteController {
      * 获取提醒列表
      */
     @GetMapping("/reminders")
-    @PreAuthorize("hasAuthority('document:progressnote:list')")
+    @PreAuthorize("hasAuthority('document:progressnote:list') or hasAuthority('emr:list')")
     public R<?> getReminders(
             @RequestParam(value = "status", required = false) Integer status,
             @RequestParam(value = "encounterId", required = false) Long encounterId) {
@@ -240,7 +240,7 @@ public class ProgressNoteController {
      * 获取病程记录统计
      */
     @GetMapping("/stats")
-    @PreAuthorize("hasAuthority('document:progressnote:list')")
+    @PreAuthorize("hasAuthority('document:progressnote:list') or hasAuthority('emr:list')")
     public R<?> getStats(@RequestParam Long encounterId) {
         Map<String, Object> stats = new HashMap<>();
         LambdaQueryWrapper<ProgressNote> wrapper = new LambdaQueryWrapper<>();