diff --git a/crates/erp-server/migration/src/lib.rs b/crates/erp-server/migration/src/lib.rs
index 3d2fb45..aef19de 100644
--- a/crates/erp-server/migration/src/lib.rs
+++ b/crates/erp-server/migration/src/lib.rs
@@ -144,6 +144,7 @@ mod m20260512_000139_create_copilot_insights;
 mod m20260512_000140_create_copilot_risk_snapshots;
 mod m20260512_000141_create_copilot_chat_logs;
 mod m20260512_000142_seed_copilot_rules;
+mod m20260512_000143_seed_copilot_alert_rules;
 
 pub struct Migrator;
 
@@ -295,6 +296,7 @@ impl MigratorTrait for Migrator {
             Box::new(m20260512_000140_create_copilot_risk_snapshots::Migration),
             Box::new(m20260512_000141_create_copilot_chat_logs::Migration),
             Box::new(m20260512_000142_seed_copilot_rules::Migration),
+            Box::new(m20260512_000143_seed_copilot_alert_rules::Migration),
         ]
     }
 }
diff --git a/crates/erp-server/migration/src/m20260512_000143_seed_copilot_alert_rules.rs b/crates/erp-server/migration/src/m20260512_000143_seed_copilot_alert_rules.rs
new file mode 100644
index 0000000..0590a44
--- /dev/null
+++ b/crates/erp-server/migration/src/m20260512_000143_seed_copilot_alert_rules.rs
@@ -0,0 +1,141 @@
+//! 8 条 Copilot 趋势/复合类告警规则种子数据
+//!
+//! 覆盖 spec §3.2 告警分级场景：
+//! - 趋势类(4): 收缩压快速上升、肌酐连续上升、体重连续上升、血压趋势上升
+//! - 复合类(4): eGFR+血钾双重危急、透析间期+血压、失约+依从性、Kt/V+血压
+
+use sea_orm_migration::prelude::*;
+
+#[derive(DeriveMigrationName)]
+pub struct Migration;
+
+#[async_trait::async_trait]
+impl MigrationTrait for Migration {
+    async fn up(&self, manager: &SchemaManager) -> Result<(), DbErr> {
+        let db = manager.get_connection();
+        let nil_tenant = "00000000-0000-0000-0000-000000000000";
+
+        // 8 条趋势/复合类告警规则
+        // (idx, name, category, condition_expr, score, severity, suggestion, sort_order)
+        let rules: &[(i32, &str, &str, &str, i16, &str, &str, i32)] = &[
+            // 趋势类规则
+            (
+                20,
+                "收缩压快速上升",
+                "vital_signs",
+                r#"{"and":[{"=": [{"var":"vital_signs.systolic.trend_rising"}, true]},{">": [{"var":"vital_signs.systolic.change_pct"}, 15]}]}"#,
+                3,
+                "warning",
+                "血压短时间内快速上升，需排除急性因素，建议加测并通知主治医生",
+                20,
+            ),
+            (
+                21,
+                "肌酐连续上升",
+                "lab",
+                r#"{"and":[{"=": [{"var":"lab_reports.creatinine.trend_rising"}, true]},{">": [{"var":"lab_reports.creatinine.change_pct"}, 10]}]}"#,
+                3,
+                "warning",
+                "肌酐连续上升且环比增幅>10%，需排除急性肾损伤可能",
+                21,
+            ),
+            (
+                22,
+                "体重连续上升",
+                "vital_signs",
+                r#"{"=": [{"var":"vital_signs.weight.trend_rising"}, true]}"#,
+                2,
+                "info",
+                "体重连续上升，需评估水钠潴留情况",
+                22,
+            ),
+            (
+                23,
+                "血压趋势整体上升",
+                "vital_signs",
+                r#"{"=": [{"var":"vital_signs.systolic.trend_rising"}, true]}"#,
+                2,
+                "info",
+                "血压呈持续上升趋势，建议关注并调整降压方案",
+                23,
+            ),
+            // 复合类规则
+            (
+                24,
+                "eGFR<45且血钾>5.0",
+                "composite",
+                r#"{"and":[{"<": [{"var":"lab_reports.egfr.latest"}, 45]},{">": [{"var":"lab_reports.potassium.latest"}, 5.0]}]}"#,
+                5,
+                "critical",
+                "eGFR严重下降且血钾升高，需紧急评估并考虑紧急透析",
+                24,
+            ),
+            (
+                25,
+                "透析间期体重增长+血压极高",
+                "composite",
+                r#"{"and":[{">": [{"var":"dialysis.interdialytic_weight_gain_pct"}, 5]},{">": [{"var":"vital_signs.systolic_bp_morning.latest"}, 160]}]}"#,
+                4,
+                "critical",
+                "透析间期体重增长过多且血压极高，需紧急评估液体管理和降压方案",
+                25,
+            ),
+            (
+                26,
+                "失约+药物依从性不足",
+                "composite",
+                r#"{"and":[{">": [{"var":"follow_up.missed_count"}, 2]},{"<": [{"var":"medication.adherence_rate"}, 70]}]}"#,
+                3,
+                "warning",
+                "随访失约且药物依从性不足，建议加强患者教育和主动联系",
+                26,
+            ),
+            (
+                27,
+                "透析质量危急",
+                "composite",
+                r#"{"and":[{"<": [{"var":"dialysis.kt_v.latest"}, 1.0]},{">": [{"var":"vital_signs.systolic_bp_morning.latest"}, 180]}]}"#,
+                5,
+                "critical",
+                "透析充分性严重不足且血压极高，需紧急评估透析方案",
+                27,
+            ),
+        ];
+
+        for &(idx, name, category, cond, score, severity, suggestion, sort) in rules {
+            let id = format!("c0000000-0000-0000-0000-{:012}", idx);
+            let sql = format!(
+                r#"INSERT INTO copilot_rules (id, tenant_id, name, category, condition_expr, score, severity, suggestion, enabled, sort_order, created_at, updated_at, version_lock)
+                VALUES ('{}', '{}', $1, $2, $3::jsonb, $4, $5, $6, true, $7, NOW(), NOW(), 1)"#,
+                id, nil_tenant
+            );
+            db.execute(sea_orm::Statement::from_sql_and_values(
+                sea_orm::DatabaseBackend::Postgres,
+                sql,
+                [
+                    name.into(),
+                    category.into(),
+                    cond.into(),
+                    score.into(),
+                    severity.into(),
+                    suggestion.into(),
+                    sort.into(),
+                ],
+            ))
+            .await?;
+        }
+
+        Ok(())
+    }
+
+    async fn down(&self, manager: &SchemaManager) -> Result<(), DbErr> {
+        let db = manager.get_connection();
+        db.execute(sea_orm::Statement::from_sql_and_values(
+            sea_orm::DatabaseBackend::Postgres,
+            "DELETE FROM copilot_rules WHERE id LIKE 'c0000000-0000-0000-0000-0000000000%' AND sort_order >= 20",
+            [],
+        ))
+        .await?;
+        Ok(())
+    }
+}
diff --git a/docs/superpowers/plans/2026-05-11-copilot-gene-plan.md b/docs/superpowers/plans/2026-05-11-copilot-gene-plan.md
index ffaee50..bfa0fea 100644
--- a/docs/superpowers/plans/2026-05-11-copilot-gene-plan.md
+++ b/docs/superpowers/plans/2026-05-11-copilot-gene-plan.md
@@ -31,7 +31,7 @@
 - Create: `crates/erp-server/migration/src/m20260512_000138_create_copilot_rules.rs`
 - Modify: `crates/erp-server/migration/src/lib.rs`
 
-- [ ] **Step 1: 创建迁移文件**
+- [x] **Step 1: 创建迁移文件**
 
 文件 `m20260512_000138_create_copilot_rules.rs`，参照 `m20260510_000136_create_banner.rs` 模式：
 
@@ -106,18 +106,18 @@ enum CopilotRules {
 }
 ```
 
-- [ ] **Step 2: 注册迁移**
+- [x] **Step 2: 注册迁移**
 
 在 `migration/src/lib.rs` 中：
 - 顶部添加 `mod m20260512_000138_create_copilot_rules;`
 - `migrations()` vec 中添加 `Box::new(m20260512_000138_create_copilot_rules::Migration)`
 
-- [ ] **Step 3: 编译验证**
+- [x] **Step 3: 编译验证**
 
 Run: `cargo check -p erp-server`
 Expected: 编译通过
 
-- [ ] **Step 4: 提交**
+- [x] **Step 4: 提交**
 
 ```bash
 git add crates/erp-server/migration/src/m20260512_000138_create_copilot_rules.rs crates/erp-server/migration/src/lib.rs
@@ -132,7 +132,7 @@ git commit -m "feat(db): copilot_rules 表迁移"
 - Create: `crates/erp-server/migration/src/m20260512_000141_create_copilot_chat_logs.rs`
 - Modify: `crates/erp-server/migration/src/lib.rs`
 
-- [ ] **Step 1: 创建 copilot_insights 迁移（m20260512_000139）**
+- [x] **Step 1: 创建 copilot_insights 迁移（m20260512_000139）**
 
 参照 Task 1 模式，字段按 spec §6.2 DDL。关键列：
 - `patient_id UUID NOT NULL`（无 REFERENCES，逻辑关联）
@@ -149,7 +149,7 @@ git commit -m "feat(db): copilot_rules 表迁移"
 - 索引：`idx_copilot_insights_tenant_patient` on (tenant_id, patient_id)
 - 索引：`idx_copilot_insights_expires` on (expires_at)
 
-- [ ] **Step 2: 创建 copilot_risk_snapshots 迁移（m20260512_000140）**
+- [x] **Step 2: 创建 copilot_risk_snapshots 迁移（m20260512_000140）**
 
 关键列：
 - `patient_id UUID NOT NULL`（无 REFERENCES）
@@ -161,7 +161,7 @@ git commit -m "feat(db): copilot_rules 表迁移"
 - `data_freshness JSONB`
 - 唯一索引：`idx_copilot_risk_snapshots_tenant_patient` UNIQUE on (tenant_id, patient_id)
 
-- [ ] **Step 3: 创建 copilot_chat_logs 迁移（m20260512_000141）**
+- [x] **Step 3: 创建 copilot_chat_logs 迁移（m20260512_000141）**
 
 关键列：
 - `patient_id UUID NOT NULL`（无 REFERENCES）
@@ -177,16 +177,16 @@ git commit -m "feat(db): copilot_rules 表迁移"
 - 索引：`idx_copilot_chat_logs_session` on (tenant_id, session_id)
 - 索引：`idx_copilot_chat_logs_patient` on (tenant_id, patient_id)
 
-- [ ] **Step 4: 注册 3 个迁移**
+- [x] **Step 4: 注册 3 个迁移**
 
 在 `migration/src/lib.rs` 中注册 m139、m140、m141。
 
-- [ ] **Step 5: 编译验证**
+- [x] **Step 5: 编译验证**
 
 Run: `cargo check -p erp-server`
 Expected: 编译通过
 
-- [ ] **Step 6: 提交**
+- [x] **Step 6: 提交**
 
 ```bash
 git add crates/erp-server/migration/src/
@@ -202,7 +202,7 @@ git commit -m "feat(db): copilot_insights/risk_snapshots/chat_logs 表迁移"
 - Create: `crates/erp-ai/src/entity/copilot_chat_logs.rs`
 - Modify: `crates/erp-ai/src/entity/mod.rs`
 
-- [ ] **Step 1: 创建 copilot_rules entity**
+- [x] **Step 1: 创建 copilot_rules entity**
 
 参照 `crates/erp-ai/src/entity/ai_suggestion.rs` 模式：
 
@@ -238,11 +238,11 @@ pub enum Relation {}
 impl ActiveModelBehavior for ActiveModel {}
 ```
 
-- [ ] **Step 2: 创建其余 3 个 entity**
+- [x] **Step 2: 创建其余 3 个 entity**
 
 同样模式，字段对应 spec §6.2 DDL。
 
-- [ ] **Step 3: 注册 entity 模块**
+- [x] **Step 3: 注册 entity 模块**
 
 在 `crates/erp-ai/src/entity/mod.rs` 中添加：
 ```rust
@@ -252,12 +252,12 @@ pub mod copilot_risk_snapshots;
 pub mod copilot_chat_logs;
 ```
 
-- [ ] **Step 4: 编译验证**
+- [x] **Step 4: 编译验证**
 
 Run: `cargo check -p erp-ai`
 Expected: 编译通过
 
-- [ ] **Step 5: 提交**
+- [x] **Step 5: 提交**
 
 ```bash
 git add crates/erp-ai/src/entity/
@@ -270,7 +270,7 @@ git commit -m "feat(ai): copilot 4 个 SeaORM entity"
 - Create: `crates/erp-ai/src/copilot/mod.rs`
 - Create: `crates/erp-ai/src/copilot/rules.rs`
 
-- [ ] **Step 1: 创建 copilot 模块入口（仅 rules，其他 Task 5 再加）**
+- [x] **Step 1: 创建 copilot 模块入口（仅 rules，其他 Task 5 再加）**
 
 `crates/erp-ai/src/copilot/mod.rs`:
 ```rust
@@ -278,7 +278,7 @@ pub mod rules;
 // scoring 和 engine 将在 Task 5 中添加
 ```
 
-- [ ] **Step 2: 编写规则引擎失败的测试**
+- [x] **Step 2: 编写规则引擎失败的测试**
 
 `crates/erp-ai/src/copilot/rules.rs` 底部：
 
@@ -329,12 +329,12 @@ mod tests {
 }
 ```
 
-- [ ] **Step 3: 运行测试确认失败**
+- [x] **Step 3: 运行测试确认失败**
 
 Run: `cargo test -p erp-ai -- copilot::rules::tests`
 Expected: 编译失败（函数不存在）
 
-- [ ] **Step 4: 实现 JSONLogic 解释器**
+- [x] **Step 4: 实现 JSONLogic 解释器**
 
 ```rust
 use serde_json::Value;
@@ -447,7 +447,7 @@ pub fn evaluate_rules(
 }
 ```
 
-- [ ] **Step 5: 运行测试确认通过**
+- [x] **Step 5: 运行测试确认通过**
 
 Run: `cargo test -p erp-ai -- copilot::rules::tests`
 Expected: 5 tests PASS
@@ -824,14 +824,14 @@ Expected: 返回 15 条预置规则
 - Modify: `crates/erp-ai/src/lib.rs`（添加 `pub mod event;`）
 - Modify: `crates/erp-ai/src/module.rs`（on_startup 中启动消费者）
 
-- [ ] **Step 1: 创建 event 模块入口**
+- [x] **Step 1: 创建 event 模块入口**
 
 `crates/erp-ai/src/event/mod.rs`:
 ```rust
 pub mod copilot_consumer;
 ```
 
-- [ ] **Step 2: 编写消费者失败的测试**
+- [x] **Step 2: 编写消费者失败的测试**
 
 `crates/erp-ai/src/event/copilot_consumer.rs` 底部：
 
@@ -858,12 +858,12 @@ mod tests {
 }
 ```
 
-- [ ] **Step 3: 运行测试确认失败**
+- [x] **Step 3: 运行测试确认失败**
 
 Run: `cargo test -p erp-ai -- copilot_consumer::tests`
 Expected: 编译失败
 
-- [ ] **Step 4: 实现事件消费者**
+- [x] **Step 4: 实现事件消费者**
 
 `crates/erp-ai/src/event/copilot_consumer.rs`:
 
@@ -941,7 +941,7 @@ async fn process_event(db: &sea_orm::DatabaseConnection, event: &DomainEvent) {
 }
 ```
 
-- [ ] **Step 5: 在 module.rs on_startup 中启动消费者**
+- [x] **Step 5: 在 module.rs on_startup 中启动消费者**
 
 ```rust
 // 在 on_startup 方法中添加
@@ -949,21 +949,21 @@ let copilot_handles = crate::event::copilot_consumer::spawn(&ctx.db, &ctx.event_
 std::mem::forget(copilot_handles);
 ```
 
-- [ ] **Step 6: 在 lib.rs 注册 event 模块**
+- [x] **Step 6: 在 lib.rs 注册 event 模块**
 
 添加 `pub mod event;`
 
-- [ ] **Step 7: 运行测试**
+- [x] **Step 7: 运行测试**
 
 Run: `cargo test -p erp-ai -- copilot_consumer::tests`
 Expected: 2 tests PASS
 
-- [ ] **Step 8: 编译验证**
+- [x] **Step 8: 编译验证**
 
 Run: `cargo check -p erp-ai`
 Expected: 编译通过
 
-- [ ] **Step 9: 提交**
+- [x] **Step 9: 提交**
 
 ```bash
 git add crates/erp-ai/src/event/ crates/erp-ai/src/lib.rs crates/erp-ai/src/module.rs
@@ -975,7 +975,7 @@ git commit -m "feat(ai): Copilot 事件消费者（订阅 health 事件）"
 **Files:**
 - Modify: `crates/erp-ai/src/copilot/scoring.rs`
 
-- [ ] **Step 1: 编写 LLM 补充分析失败的测试**
+- [x] **Step 1: 编写 LLM 补充分析失败的测试**
 
 在 `scoring.rs` 底部添加测试：
 
@@ -1019,7 +1019,7 @@ mod tests {
 }
 ```
 
-- [ ] **Step 2: 运行测试**
+- [x] **Step 2: 运行测试**
 
 Run: `cargo test -p erp-ai -- copilot::scoring::tests`
 Expected: 3 tests PASS