diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V102__grant_emr_menu_to_doctor.sql b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V102__grant_emr_menu_to_doctor.sql
new file mode 100644
index 000000000..d921184a5
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V102__grant_emr_menu_to_doctor.sql
@@ -0,0 +1,44 @@
+-- V102__grant_emr_menu_to_doctor.sql
+-- 为医生角色授予电子病历管理相关菜单权限
+
+-- 1. 获取医生角色ID并授予EMR菜单权限
+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', '管理员', 'admin')
+  AND m.menu_id IN (
+    20201,  -- 电子病历管理
+    20202,  -- 病案归档
+    20203,  -- 修订历史
+    20204,  -- 病历时效
+    20205,  -- 病历检索
+    20206,  -- 进程记录
+    20207   -- 知识库
+  )
+  AND NOT EXISTS (
+    SELECT 1 FROM sys_role_menu rm
+    WHERE rm.role_id = r.role_id AND rm.menu_id = m.menu_id
+  );
+
+-- 2. 为医生角色授予EMR相关权限
+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', '管理员', 'admin')
+  AND m.perms IN (
+    'emr:list',
+    'emr:edit',
+    'document:progressnote:list',
+    'document:progressnote:add',
+    'document:progressnote:edit'
+  )
+  AND NOT EXISTS (
+    SELECT 1 FROM sys_role_menu rm
+    WHERE rm.role_id = r.role_id AND rm.menu_id = m.menu_id
+  );