diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/controller/ClinicalPathwayController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/controller/ClinicalPathwayController.java
index 67c8a19d0..4fa0ec277 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/controller/ClinicalPathwayController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/controller/ClinicalPathwayController.java
@@ -18,6 +18,7 @@ public class ClinicalPathwayController {
     private final IClinicalPathwayService pathwayService;
     private final IClinicalPathwayExecutionService executionService;
     private final IClinicalPathwayAppService clinicalPathwayAppService;
+    @PreAuthorize("@ss.hasPermi('inpatient:clinical:list')")
     @GetMapping("/page")
     public R<?> getPage(@RequestParam(value="diseaseCode",required=false) String diseaseCode,
             @RequestParam(value="pageNo",defaultValue="1") Integer pageNo,
@@ -27,13 +28,16 @@ public class ClinicalPathwayController {
          .eq(ClinicalPathway::getStatus, "ACTIVE");
         return R.ok(pathwayService.page(new Page<>(pageNo, pageSize), w));
     }
+    @PreAuthorize("@ss.hasPermi('inpatient:clinical:edit')")
     @PostMapping("/add") @Transactional(rollbackFor=Exception.class)
     public R<?> add(@RequestBody ClinicalPathway p) { p.setVersion(1); p.setStatus("ACTIVE"); p.setCreateTime(new Date()); pathwayService.save(p); return R.ok(p); }
+    @PreAuthorize("@ss.hasPermi('inpatient:clinical:edit')")
     @PostMapping("/enter") @Transactional(rollbackFor=Exception.class)
     public R<?> enterPathway(@RequestBody ClinicalPathwayExecution e) {
         e.setStatus("IN_PATH"); e.setEnterDate(java.time.LocalDate.now()); e.setCreateTime(new Date());
         executionService.save(e); return R.ok(e);
     }
+    @PreAuthorize("@ss.hasPermi('inpatient:clinical:edit')")
     @PutMapping("/complete/{id}") @Transactional(rollbackFor=Exception.class)
     public R<?> completePathway(@PathVariable Long id) {
         LambdaQueryWrapper<ClinicalPathwayExecution> qw = new LambdaQueryWrapper<>();
@@ -42,6 +46,7 @@ public class ClinicalPathwayController {
         e.setStatus("COMPLETED"); e.setCompleteDate(java.time.LocalDate.now());
         executionService.updateById(e); return R.ok();
     }
+    @PreAuthorize("@ss.hasPermi('inpatient:clinical:edit')")
     @PutMapping("/vary/{id}") @Transactional(rollbackFor=Exception.class)
     public R<?> varyPathway(@PathVariable Long id, @RequestParam("reason") String reason) {
         LambdaQueryWrapper<ClinicalPathwayExecution> qw = new LambdaQueryWrapper<>();
@@ -49,6 +54,7 @@ public class ClinicalPathwayController {
         ClinicalPathwayExecution e = executionService.getOne(qw); if (e == null) return R.fail("执行记录不存在");
         e.setStatus("VARIATION"); e.setVariationReason(reason); executionService.updateById(e); return R.ok();
     }
+    @PreAuthorize("@ss.hasPermi('inpatient:clinical:list')")
     @GetMapping("/stats")
     public R<?> getStats() {
         Map<String, Object> stats = new HashMap<>();
@@ -106,4 +112,12 @@ public class ClinicalPathwayController {
                                   @RequestParam(required = false) String endDate) {
         return AjaxResult.success(clinicalPathwayAppService.getStatistics(startDate, endDate));
     }
+    @Operation(summary = "执行记录分页")
+    @PreAuthorize("@ss.hasPermi('inpatient:clinical:list')")
+    @GetMapping("/execution/page")
+    public AjaxResult getExecutionPage(@RequestParam(required = false) Long pathwayId,
+                                        @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+                                        @RequestParam(value = "pageSize", defaultValue = "20") Integer pageSize) {
+        return AjaxResult.success(clinicalPathwayAppService.getExecutionPage(pathwayId, pageNo, pageSize));
+    }
 }
diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V58__clinical_pathway_variance.sql b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V58__clinical_pathway_variance.sql
index 3c8ff9d16..4642004e2 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V58__clinical_pathway_variance.sql
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V58__clinical_pathway_variance.sql
@@ -10,8 +10,8 @@ CREATE TABLE IF NOT EXISTS clinical_pathway_variance (
     adjustment_action TEXT,
     record_by BIGINT,
     record_by_name VARCHAR(50),
-    tenant_id INTEGER DEFAULT 0,
-    del_flag CHAR(1) DEFAULT '0',
+    tenant_id BIGINT DEFAULT 0,
+    delete_flag CHAR(1) DEFAULT '0',
     create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
     create_by VARCHAR(64),
     update_time TIMESTAMP,
diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V59__fix_clinical_pathway_variance_delete_flag.sql b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V59__fix_clinical_pathway_variance_delete_flag.sql
new file mode 100644
index 000000000..52432ae42
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V59__fix_clinical_pathway_variance_delete_flag.sql
@@ -0,0 +1,2 @@
+ALTER TABLE clinical_pathway_variance RENAME COLUMN del_flag TO delete_flag;
+ALTER TABLE clinical_pathway_variance ALTER COLUMN tenant_id SET DATA TYPE BIGINT;