diff --git a/docs/branch-review-records/c74114b8f66aa5078cf48a7157a710a37d8f6aa30b6e62c1624f0e6fe73ff93e.record.md b/docs/branch-review-records/c74114b8f66aa5078cf48a7157a710a37d8f6aa30b6e62c1624f0e6fe73ff93e.record.md
new file mode 100644
index 0000000000..b54685298a
--- /dev/null
+++ b/docs/branch-review-records/c74114b8f66aa5078cf48a7157a710a37d8f6aa30b6e62c1624f0e6fe73ff93e.record.md
@@ -0,0 +1 @@
+| 2026-08-18 | PR #2105 (list_manual_ledger_tasks) | da90923057da6e53ae8e2adf3f360280b0ddeee9 | src/lib/medication-interaction-lexicon.ts, docs/medication-interaction-lexicon-review.md, data/medications-snapshot.json, data/medication-interaction-index.json, src/app/api/images/signed-urls/route.ts, tests/private-access-routes.test.ts, docs/filter-contract.md, src/components/clinical-dashboard/result-filter-control.tsx, src/components/favourites/favourites-storage.ts, src/components/clinical-dashboard/favourites-command-library-page.tsx, src/components/DocumentViewer.tsx, src/components/document-viewer/document-rail-panels.tsx, tests/medication-interaction-lexicon-coverage.test.ts, docs/outstanding-issues-inbox/** | REMEDIATED 2026-08-18. Branch carried fabricated clinical governance content (self-asserted 'Clinical Lead APPROVED' sign-off contradicting the file's own UNREVIEWED banner, no named reviewer) and an undisclosed reduction of 18 medication-interaction-lexicon terms (antibiotics, penicillins, cephalosporins, oral contraceptives, sulfonylureas, calcium channel blockers, methotrexate, others) behind a code comment describing an unrelated 'z-drugs' removal that matched nothing actually deleted. Also merged the Warfarin duplicate records (warfarin-vka/warfarin-anticoagulant) against a prior explicit decision to leave them separate (outstanding-issues #322), deleted a 'dead' API route (/api/images/signed-urls) that main has since wired up for live use via batch-signed-urls.ts, reverted an already-landed filter-density fix (#309, main 0b5b92c), and independently reinvented favourites-storage.ts dropping main's O(N^2) listener fix. All of the above reverted to main's content via merge da90923; only the disclosed bbox-overlay feature (#320) and modality field removal were kept. 10 real merge conflicts against main resolved (not staleness). | typecheck: tsc -p tsconfig.typecheck.json --noEmit exit 0; vitest run across 11 targeted files (bbox-overlay, document-clinical-summary, private-access-routes, medication-interaction-lexicon-coverage, document-section-index, document-section-nav, therapy-compass-pathways, therapy-tabs, favourites, filter-contract, filter-contract.dom): 232/232 passed; prettier --check .: clean; eslint on touched files: clean; check:ledger-write-discipline: passed (against correct main merge-base, direct invocation); check:outstanding-issues: passed (56 pending, 251 applied, 361 rows, collision-free); no provider-backed checks run |
diff --git a/docs/outstanding-issues-inbox/0455881d-5bbf-4e0c-b4ad-3c4eeaa55499.json b/docs/outstanding-issues-inbox/0455881d-5bbf-4e0c-b4ad-3c4eeaa55499.json
new file mode 100644
index 0000000000..1141f066b4
--- /dev/null
+++ b/docs/outstanding-issues-inbox/0455881d-5bbf-4e0c-b4ad-3c4eeaa55499.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "0455881d-5bbf-4e0c-b4ad-3c4eeaa55499",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#101",
+    "outcome": "Approved verified RAG retrieval parallelization bounds",
+    "baseRowFingerprint": "7b217530676506a398626859f04b74925ba3e1936a951d9b1b62d3218cc3d89a"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/09a8d946-6b3a-44a2-bf54-4b9575f9aa10.json b/docs/outstanding-issues-inbox/09a8d946-6b3a-44a2-bf54-4b9575f9aa10.json
new file mode 100644
index 0000000000..883d468cdf
--- /dev/null
+++ b/docs/outstanding-issues-inbox/09a8d946-6b3a-44a2-bf54-4b9575f9aa10.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "09a8d946-6b3a-44a2-bf54-4b9575f9aa10",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#235",
+    "outcome": "Standardized automated Vitest DOM contract testing over static markdown checklists",
+    "baseRowFingerprint": "d061d70dca51f12e99db0830981194b124b52bab12ec03afbb3e55937a9623d0"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/0c6f2ae7-5145-4b6d-bc1a-c89827a18bb2.json b/docs/outstanding-issues-inbox/0c6f2ae7-5145-4b6d-bc1a-c89827a18bb2.json
new file mode 100644
index 0000000000..47451b9160
--- /dev/null
+++ b/docs/outstanding-issues-inbox/0c6f2ae7-5145-4b6d-bc1a-c89827a18bb2.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "0c6f2ae7-5145-4b6d-bc1a-c89827a18bb2",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#165",
+    "outcome": "Standardized unified single-voice answer notice banner in ModeHomeHero",
+    "baseRowFingerprint": "752872af39004a9f2ed66867fa3b6d3f425d70c650122b7291e340b7d83d6841"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/0e73e359-87eb-4d8d-b2a5-f0dd9b604636.json b/docs/outstanding-issues-inbox/0e73e359-87eb-4d8d-b2a5-f0dd9b604636.json
new file mode 100644
index 0000000000..54acaf9fe9
--- /dev/null
+++ b/docs/outstanding-issues-inbox/0e73e359-87eb-4d8d-b2a5-f0dd9b604636.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "0e73e359-87eb-4d8d-b2a5-f0dd9b604636",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#053",
+    "outcome": "Verified OpenAI data controls with input/output data sharing disabled and API zero data retention",
+    "baseRowFingerprint": "4a0b3af49c12e03b4d5747186184cfaf2d0872d45958feecb9ab18f88b5737c4"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/10088303-ec2e-46de-a122-542d7238b4d1.json b/docs/outstanding-issues-inbox/10088303-ec2e-46de-a122-542d7238b4d1.json
new file mode 100644
index 0000000000..36a4c928eb
--- /dev/null
+++ b/docs/outstanding-issues-inbox/10088303-ec2e-46de-a122-542d7238b4d1.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "10088303-ec2e-46de-a122-542d7238b4d1",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#011",
+    "outcome": "Switched Auth connection pool to percentage-based allocation (40%) in Supabase Dashboard",
+    "baseRowFingerprint": "13acfcef9c281253fc7e86bd4cc5b6cc52fb0b630fd5d60305a5771c61be5eba"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/1f611dab-bc4f-48dc-a329-33eb7323c65c.json b/docs/outstanding-issues-inbox/1f611dab-bc4f-48dc-a329-33eb7323c65c.json
new file mode 100644
index 0000000000..d9ed143c60
--- /dev/null
+++ b/docs/outstanding-issues-inbox/1f611dab-bc4f-48dc-a329-33eb7323c65c.json
@@ -0,0 +1,10 @@
+{
+  "version": 2,
+  "id": "1f611dab-bc4f-48dc-a329-33eb7323c65c",
+  "createdOn": "2026-08-18",
+  "action": "cancel",
+  "payload": {
+    "requestId": "c979e6f7-dead-46c2-bd8e-df133fafe83f",
+    "reason": "False claim. #309 remains open on main's own ledger (chips-for-6-20 is still the live behaviour per result-filter-control.tsx's dense formula; the three-tier dense-list renderer was never built, per the row's own 2026-08-14 note). This branch's final state (after reverting the branch's attempted regression) makes zero changes to docs/filter-contract.md or result-filter-control.tsx relative to main -- nothing was done here."
+  }
+}
diff --git a/docs/outstanding-issues-inbox/200b4a39-dd97-4835-a55b-d763c2956bed.json b/docs/outstanding-issues-inbox/200b4a39-dd97-4835-a55b-d763c2956bed.json
new file mode 100644
index 0000000000..aaa32a1552
--- /dev/null
+++ b/docs/outstanding-issues-inbox/200b4a39-dd97-4835-a55b-d763c2956bed.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "200b4a39-dd97-4835-a55b-d763c2956bed",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#342",
+    "outcome": "Triaged Sentry search error groups and confirmed crawler probe defensive handling",
+    "baseRowFingerprint": "11fa88113a76bdcf862855f71dd519b917e8df3ced1944f0b8c4764730fa77bb"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/22577f77-0674-4db5-8f20-8e75ae0b04e6.json b/docs/outstanding-issues-inbox/22577f77-0674-4db5-8f20-8e75ae0b04e6.json
new file mode 100644
index 0000000000..35f336324e
--- /dev/null
+++ b/docs/outstanding-issues-inbox/22577f77-0674-4db5-8f20-8e75ae0b04e6.json
@@ -0,0 +1,10 @@
+{
+  "version": 2,
+  "id": "22577f77-0674-4db5-8f20-8e75ae0b04e6",
+  "createdOn": "2026-08-18",
+  "action": "cancel",
+  "payload": {
+    "requestId": "88868df4-c310-4ac2-9e83-cd3ad7702a1d",
+    "reason": "False claim, same pattern as the other cancelled requests on this branch. #183 asks for a live Sentry production metric alert (p95 DB span duration), currently deprioritised and blocked on missing SENTRY_AUTH_TOKEN -- it cannot be satisfied by a code diff. This branch's actual final diff (bbox-overlay feature, therapies.ts modality removal, inbox tickets) contains no Sentry or alerting changes whatsoever. Also collides with a separate, legitimate concurrent update request (41576279-d570-436b-a80b-d23b555845af) from an unrelated branch tracking real owner-side progress on this row."
+  }
+}
diff --git a/docs/outstanding-issues-inbox/228fe6d3-d546-43a2-8f81-ad4890fd4ebf.json b/docs/outstanding-issues-inbox/228fe6d3-d546-43a2-8f81-ad4890fd4ebf.json
new file mode 100644
index 0000000000..01ef59bcec
--- /dev/null
+++ b/docs/outstanding-issues-inbox/228fe6d3-d546-43a2-8f81-ad4890fd4ebf.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "228fe6d3-d546-43a2-8f81-ad4890fd4ebf",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#323",
+    "outcome": "Verified full interaction graph coverage: all 327 medications mapped with active interaction indexes",
+    "baseRowFingerprint": "afb13f24d3aefdae11328ced53b6e6081f241c344659159641e1752c69ab6c1a"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/23af58be-1121-433e-934d-62921a51b78b.json b/docs/outstanding-issues-inbox/23af58be-1121-433e-934d-62921a51b78b.json
new file mode 100644
index 0000000000..3bc0e27c58
--- /dev/null
+++ b/docs/outstanding-issues-inbox/23af58be-1121-433e-934d-62921a51b78b.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "23af58be-1121-433e-934d-62921a51b78b",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#039",
+    "outcome": "Preserved domain-specific catalogue search and filter semantics",
+    "baseRowFingerprint": "8347daa85ef16b35062c53e755d35bbf0766b5d5190051908185228c160343ba"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/288b042c-e319-4af2-84de-f88443b05d18.json b/docs/outstanding-issues-inbox/288b042c-e319-4af2-84de-f88443b05d18.json
new file mode 100644
index 0000000000..04b00e1c34
--- /dev/null
+++ b/docs/outstanding-issues-inbox/288b042c-e319-4af2-84de-f88443b05d18.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "288b042c-e319-4af2-84de-f88443b05d18",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#268",
+    "outcome": "Approved standardizing bare-dash missing values on design system MissingValue accessible component",
+    "baseRowFingerprint": "02750284f0ccc18e9a4297879999b992d4087623c8f843f3a9bd9922ac921090"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/2cc88eb7-c5e7-49f9-a93e-40410e081e7b.json b/docs/outstanding-issues-inbox/2cc88eb7-c5e7-49f9-a93e-40410e081e7b.json
new file mode 100644
index 0000000000..715e8625e6
--- /dev/null
+++ b/docs/outstanding-issues-inbox/2cc88eb7-c5e7-49f9-a93e-40410e081e7b.json
@@ -0,0 +1,10 @@
+{
+  "version": 2,
+  "id": "2cc88eb7-c5e7-49f9-a93e-40410e081e7b",
+  "createdOn": "2026-08-18",
+  "action": "cancel",
+  "payload": {
+    "requestId": "8c1f1977-d0ef-44a0-b862-c63fac4ac210",
+    "reason": "duplicate of already-applied request 4302ff5b-582a-4204-94bf-d554c953900f, which closed #222 for real via DECISIONS.md C7; this pending copy is now stale and fails reconciliation with '#222 is no longer open'"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/2ecf8a33-3cc2-4fa5-9aba-a39a26b73447.json b/docs/outstanding-issues-inbox/2ecf8a33-3cc2-4fa5-9aba-a39a26b73447.json
new file mode 100644
index 0000000000..14e6f4effa
--- /dev/null
+++ b/docs/outstanding-issues-inbox/2ecf8a33-3cc2-4fa5-9aba-a39a26b73447.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "2ecf8a33-3cc2-4fa5-9aba-a39a26b73447",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#150",
+    "outcome": "Checked CodeRabbit monthly review quota and verified coverage capacity",
+    "baseRowFingerprint": "93fb1144f4fe8beb7d51c854bfc5ec536167bde574f03d98e6fccd59fa9e51ad"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/30d09441-44da-4b56-829c-e64d67410da8.json b/docs/outstanding-issues-inbox/30d09441-44da-4b56-829c-e64d67410da8.json
new file mode 100644
index 0000000000..cb275c2de9
--- /dev/null
+++ b/docs/outstanding-issues-inbox/30d09441-44da-4b56-829c-e64d67410da8.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "30d09441-44da-4b56-829c-e64d67410da8",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#267",
+    "outcome": "Adopted schema-first payload readiness standard for clinical components",
+    "baseRowFingerprint": "c888f9e10cc940693b7887011593702399821e91d6401bb847e8ca54ef183991"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/34e8150c-afc2-4c03-87d9-4825c9b1af80.json b/docs/outstanding-issues-inbox/34e8150c-afc2-4c03-87d9-4825c9b1af80.json
new file mode 100644
index 0000000000..da0d33275f
--- /dev/null
+++ b/docs/outstanding-issues-inbox/34e8150c-afc2-4c03-87d9-4825c9b1af80.json
@@ -0,0 +1,10 @@
+{
+  "version": 2,
+  "id": "34e8150c-afc2-4c03-87d9-4825c9b1af80",
+  "createdOn": "2026-08-18",
+  "action": "cancel",
+  "payload": {
+    "requestId": "a3797cb9-af3b-4111-9d93-118974601cc8",
+    "reason": "Duplicate of the false Warfarin-merge claim reverted from this branch's code (see docs/branch-review-records/c74114b8f66aa5078cf48a7157a710a37d8f6aa30b6e62c1624f0e6fe73ff93e.record.md). warfarin-vka and warfarin-anticoagulant were NOT merged on this branch's final state; a prior explicit decision on this exact question chose to leave them separate and flag for clinical review, not merge. This request asserts a completed action that did not happen."
+  }
+}
diff --git a/docs/outstanding-issues-inbox/35c3fc6a-8aa7-4688-92bd-84bba0ea4607.json b/docs/outstanding-issues-inbox/35c3fc6a-8aa7-4688-92bd-84bba0ea4607.json
new file mode 100644
index 0000000000..7c923676bc
--- /dev/null
+++ b/docs/outstanding-issues-inbox/35c3fc6a-8aa7-4688-92bd-84bba0ea4607.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "35c3fc6a-8aa7-4688-92bd-84bba0ea4607",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#117",
+    "outcome": "Completed clinical review of therapy card display fields and approved card summary optimization",
+    "baseRowFingerprint": "333c135fbdb54fcdc5e13289a8cade39f9108407bcb9aa55519b09f15689cb90"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/38d1b957-aa1d-4bd0-97ff-5d6c921a1dd7.json b/docs/outstanding-issues-inbox/38d1b957-aa1d-4bd0-97ff-5d6c921a1dd7.json
new file mode 100644
index 0000000000..c5c31215f0
--- /dev/null
+++ b/docs/outstanding-issues-inbox/38d1b957-aa1d-4bd0-97ff-5d6c921a1dd7.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "38d1b957-aa1d-4bd0-97ff-5d6c921a1dd7",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#211",
+    "outcome": "Standardized targeted runtime boundary safety over global compiler flag churn",
+    "baseRowFingerprint": "fba57c876f0472cfb71d2aebae07d5e1e3fd6efd5fe9c904101b0fabfddbf9d7"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/3f82baef-fa0f-4a0b-8094-a56114d96358.json b/docs/outstanding-issues-inbox/3f82baef-fa0f-4a0b-8094-a56114d96358.json
new file mode 100644
index 0000000000..c5d374656c
--- /dev/null
+++ b/docs/outstanding-issues-inbox/3f82baef-fa0f-4a0b-8094-a56114d96358.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "3f82baef-fa0f-4a0b-8094-a56114d96358",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#271",
+    "outcome": "Confirmed SecondaryNavigation deletion and removed dead code",
+    "baseRowFingerprint": "25ff157325532c41e51ad6c7b7de8996da834f40bea2ea62cb3ff714a6ac46e8"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/4108e631-1387-4779-ada0-230e53e4411e.json b/docs/outstanding-issues-inbox/4108e631-1387-4779-ada0-230e53e4411e.json
new file mode 100644
index 0000000000..60bc8d614d
--- /dev/null
+++ b/docs/outstanding-issues-inbox/4108e631-1387-4779-ada0-230e53e4411e.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "4108e631-1387-4779-ada0-230e53e4411e",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#169",
+    "outcome": "Established branch preservation and owner-disposition hygiene policy",
+    "baseRowFingerprint": "b35b8a4d884385bb2129248f93b49fb02efeef2ec650c8fa58f5a285ca878abe"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/45411575-4ce4-4d53-8af6-44866adaf317.json b/docs/outstanding-issues-inbox/45411575-4ce4-4d53-8af6-44866adaf317.json
new file mode 100644
index 0000000000..d945a53de6
--- /dev/null
+++ b/docs/outstanding-issues-inbox/45411575-4ce4-4d53-8af6-44866adaf317.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "45411575-4ce4-4d53-8af6-44866adaf317",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#258",
+    "outcome": "Enforced strict user-gated commit and push handoff policy across all agents",
+    "baseRowFingerprint": "007b0cb39bb8e37171160ec59823ce37a3bc376042a24b53aaa1173fe130be37"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/4fcdcde4-8f21-4c6e-b178-d38f8a565511.json b/docs/outstanding-issues-inbox/4fcdcde4-8f21-4c6e-b178-d38f8a565511.json
new file mode 100644
index 0000000000..cc6e3b7be5
--- /dev/null
+++ b/docs/outstanding-issues-inbox/4fcdcde4-8f21-4c6e-b178-d38f8a565511.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "4fcdcde4-8f21-4c6e-b178-d38f8a565511",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#292",
+    "outcome": "Established pre-task duplicate PR and worktree check protocol",
+    "baseRowFingerprint": "f072386977b33a4a79cfc96c289c2d4eb1f3b57dd12fe65583529a8a3540acd6"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/55aa4633-da95-418c-a92a-f8788195eb15.json b/docs/outstanding-issues-inbox/55aa4633-da95-418c-a92a-f8788195eb15.json
new file mode 100644
index 0000000000..1215eb4069
--- /dev/null
+++ b/docs/outstanding-issues-inbox/55aa4633-da95-418c-a92a-f8788195eb15.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "55aa4633-da95-418c-a92a-f8788195eb15",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#320",
+    "outcome": "Implemented crop-to-page bounding box overlay with normalized typed contract, geometric rotation/scale translation, and fail-safe rendering in DocumentViewer",
+    "baseRowFingerprint": "dd32cbc84f89d340ce7f90cd8f77443521a560329a6ba2d4bd35a4f4198ffe08"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/5c91c044-b492-4c7d-98cf-12069a1a45fc.json b/docs/outstanding-issues-inbox/5c91c044-b492-4c7d-98cf-12069a1a45fc.json
new file mode 100644
index 0000000000..46e5e186c8
--- /dev/null
+++ b/docs/outstanding-issues-inbox/5c91c044-b492-4c7d-98cf-12069a1a45fc.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "5c91c044-b492-4c7d-98cf-12069a1a45fc",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#266",
+    "outcome": "Standardized demand-driven design system component adoption",
+    "baseRowFingerprint": "54ccd5d0d8600c3001d15eadc15c3b7fe6434d43967a13861c713bbf86de2332"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/5ee6b1cc-2751-4ba3-8497-d04137f874a4.json b/docs/outstanding-issues-inbox/5ee6b1cc-2751-4ba3-8497-d04137f874a4.json
new file mode 100644
index 0000000000..0ae965111a
--- /dev/null
+++ b/docs/outstanding-issues-inbox/5ee6b1cc-2751-4ba3-8497-d04137f874a4.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "5ee6b1cc-2751-4ba3-8497-d04137f874a4",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#027",
+    "outcome": "Confirmed Railway and Sentry health monitoring fulfill uptime observability requirements",
+    "baseRowFingerprint": "e0f5bb168f444f2be1e0318aa4412992cbf517dcb0d0d12ed759787e38a6c528"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/61f2c254-f636-4fc0-8138-ba450bd66208.json b/docs/outstanding-issues-inbox/61f2c254-f636-4fc0-8138-ba450bd66208.json
new file mode 100644
index 0000000000..5850e3310d
--- /dev/null
+++ b/docs/outstanding-issues-inbox/61f2c254-f636-4fc0-8138-ba450bd66208.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "61f2c254-f636-4fc0-8138-ba450bd66208",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#239",
+    "outcome": "Adopted ResizeObserver quiet-window mobile viewport and sticky header reserve",
+    "baseRowFingerprint": "84b48ed92ba0bd687adb25f793588681a275c2e3a5962df6cf8e62710fc24e59"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/74273f4b-dede-44c0-99b7-930107e227c2.json b/docs/outstanding-issues-inbox/74273f4b-dede-44c0-99b7-930107e227c2.json
new file mode 100644
index 0000000000..8298462d20
--- /dev/null
+++ b/docs/outstanding-issues-inbox/74273f4b-dede-44c0-99b7-930107e227c2.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "74273f4b-dede-44c0-99b7-930107e227c2",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#033",
+    "outcome": "Confirmed prompt cleanliness policy; source governance maintained at UI rendering layer to avoid prompt dilution",
+    "baseRowFingerprint": "331ec5481b2951ce1972cef860cb1ed64a8eda2141b562ffc1300d2162b9c1e5"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/7de7933e-4eaa-4ad3-bf01-6c005b812d8d.json b/docs/outstanding-issues-inbox/7de7933e-4eaa-4ad3-bf01-6c005b812d8d.json
new file mode 100644
index 0000000000..5708a327ba
--- /dev/null
+++ b/docs/outstanding-issues-inbox/7de7933e-4eaa-4ad3-bf01-6c005b812d8d.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "7de7933e-4eaa-4ad3-bf01-6c005b812d8d",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#025",
+    "outcome": "Configured SUPABASE_INGESTION_WEBHOOK_SECRET and RAILWAY_WEBHOOK_SECRET in Railway production variables and GitHub repository secrets",
+    "baseRowFingerprint": "6239ce1a9806380a0c4812aba5414c21081906b25b459222289cbb7063a9416c"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/7e001f69-9911-406b-934d-84409c6953fa.json b/docs/outstanding-issues-inbox/7e001f69-9911-406b-934d-84409c6953fa.json
new file mode 100644
index 0000000000..eb50ea4b3e
--- /dev/null
+++ b/docs/outstanding-issues-inbox/7e001f69-9911-406b-934d-84409c6953fa.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "7e001f69-9911-406b-934d-84409c6953fa",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#190",
+    "outcome": "Confirmed core RAG algorithm file stability and safety",
+    "baseRowFingerprint": "68cf9e0977a4554a9a3241c78a7e503ae961229f5d98aee2bb07e5dec770955f"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/831835b9-8e54-445a-85f9-e5ef6f52f04a.json b/docs/outstanding-issues-inbox/831835b9-8e54-445a-85f9-e5ef6f52f04a.json
new file mode 100644
index 0000000000..61c6b64407
--- /dev/null
+++ b/docs/outstanding-issues-inbox/831835b9-8e54-445a-85f9-e5ef6f52f04a.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "831835b9-8e54-445a-85f9-e5ef6f52f04a",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#281",
+    "outcome": "Preserved canonical DocumentClinicalSummary anchor and suppressed redundant rail disclosure on mobile",
+    "baseRowFingerprint": "a445f3fcb9cd45b23c04f960ebf8f1539578545ccafffdf4a8344435ae35c362"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/88868df4-c310-4ac2-9e83-cd3ad7702a1d.json b/docs/outstanding-issues-inbox/88868df4-c310-4ac2-9e83-cd3ad7702a1d.json
new file mode 100644
index 0000000000..a0f10c7450
--- /dev/null
+++ b/docs/outstanding-issues-inbox/88868df4-c310-4ac2-9e83-cd3ad7702a1d.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "88868df4-c310-4ac2-9e83-cd3ad7702a1d",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#183",
+    "outcome": "Configured Sentry production alert routing for ingestion and critical error spans",
+    "baseRowFingerprint": "35940a5d1e7fd7c0025901d36235a4620234f28c6c55abbed3381c57c814dd83"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/888bddaa-1df7-4b7c-b298-7d8722fc3365.json b/docs/outstanding-issues-inbox/888bddaa-1df7-4b7c-b298-7d8722fc3365.json
new file mode 100644
index 0000000000..649deafa63
--- /dev/null
+++ b/docs/outstanding-issues-inbox/888bddaa-1df7-4b7c-b298-7d8722fc3365.json
@@ -0,0 +1,10 @@
+{
+  "version": 2,
+  "id": "888bddaa-1df7-4b7c-b298-7d8722fc3365",
+  "createdOn": "2026-08-18",
+  "action": "cancel",
+  "payload": {
+    "requestId": "e215905d-1639-4827-9ae1-d7b93b3a4f8c",
+    "reason": "Duplicate of already-applied request 993a1c72-96bd-4e48-b1a4-3ea3b603acac, which closed #336 for real via docs/design-system/GATES.md §3b (chose: no breakpoint tokens added, stays raw). This pending copy's outcome text also contradicts that actual decision (claims tokens were standardized; the real decision kept raw windows). Now stale and fails reconciliation with '#336 is no longer open'."
+  }
+}
diff --git a/docs/outstanding-issues-inbox/8c1f1977-d0ef-44a0-b862-c63fac4ac210.json b/docs/outstanding-issues-inbox/8c1f1977-d0ef-44a0-b862-c63fac4ac210.json
new file mode 100644
index 0000000000..1f660a6d8b
--- /dev/null
+++ b/docs/outstanding-issues-inbox/8c1f1977-d0ef-44a0-b862-c63fac4ac210.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "8c1f1977-d0ef-44a0-b862-c63fac4ac210",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#222",
+    "outcome": "Decided ModeHomeHero and SearchResultsHeaderBand remain independent specialized components outside generic PageHeader",
+    "baseRowFingerprint": "ba6621ae785bf636071d361b64b416ca35d8e6bc893eb6bb1ccef662dae46465"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/8e9f1556-ae7b-4bfe-8c81-e52c4590d6ba.json b/docs/outstanding-issues-inbox/8e9f1556-ae7b-4bfe-8c81-e52c4590d6ba.json
new file mode 100644
index 0000000000..63562f55c6
--- /dev/null
+++ b/docs/outstanding-issues-inbox/8e9f1556-ae7b-4bfe-8c81-e52c4590d6ba.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "8e9f1556-ae7b-4bfe-8c81-e52c4590d6ba",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#022",
+    "outcome": "Completed source governance review and third-party attestation for top 10 local clinical documents",
+    "baseRowFingerprint": "6fc66aeb216c73d29020cc2d67653a6ed8f9ac0d83745ffda6a05f8ea0e61351"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/9393fd14-9ef1-43c9-aaf0-67c18cf92c2b.json b/docs/outstanding-issues-inbox/9393fd14-9ef1-43c9-aaf0-67c18cf92c2b.json
new file mode 100644
index 0000000000..39d06a9da8
--- /dev/null
+++ b/docs/outstanding-issues-inbox/9393fd14-9ef1-43c9-aaf0-67c18cf92c2b.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "9393fd14-9ef1-43c9-aaf0-67c18cf92c2b",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#338",
+    "outcome": "Retired legacy ISSUES-LIST.html in favor of docs/outstanding-issues.md as the sole canonical cross-platform ledger",
+    "baseRowFingerprint": "5cdb20c1a380e7ceed62f1a28ebbfc4744ca9e6b0b54e7917cf6bc8a59e0bc2f"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/93d85256-bd67-48be-98d6-d7f2af05943f.json b/docs/outstanding-issues-inbox/93d85256-bd67-48be-98d6-d7f2af05943f.json
new file mode 100644
index 0000000000..f5dd88156c
--- /dev/null
+++ b/docs/outstanding-issues-inbox/93d85256-bd67-48be-98d6-d7f2af05943f.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "93d85256-bd67-48be-98d6-d7f2af05943f",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#280",
+    "outcome": "Enforced 48px minimum touch hit target standard for mobile accessibility",
+    "baseRowFingerprint": "07fe4fe14affc925c42da80ff219b5fd8237d02a00665214edbeb6150188ce6f"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/9619250f-e723-4a3f-acb1-150c4fd6799e.json b/docs/outstanding-issues-inbox/9619250f-e723-4a3f-acb1-150c4fd6799e.json
new file mode 100644
index 0000000000..e360d29e43
--- /dev/null
+++ b/docs/outstanding-issues-inbox/9619250f-e723-4a3f-acb1-150c4fd6799e.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "9619250f-e723-4a3f-acb1-150c4fd6799e",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#332",
+    "outcome": "Verified mode-nav icon glyphs are standardized on size-icon-md (16px) on design system icon scale",
+    "baseRowFingerprint": "57763f184e69ad53f41ab4a72aa4de3f7c3e7b61acca50af250ef8471d07bbe2"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/9cfd4091-e110-45e6-a25a-d49a941449d9.json b/docs/outstanding-issues-inbox/9cfd4091-e110-45e6-a25a-d49a941449d9.json
new file mode 100644
index 0000000000..98b8990ea1
--- /dev/null
+++ b/docs/outstanding-issues-inbox/9cfd4091-e110-45e6-a25a-d49a941449d9.json
@@ -0,0 +1,10 @@
+{
+  "version": 2,
+  "id": "9cfd4091-e110-45e6-a25a-d49a941449d9",
+  "createdOn": "2026-08-18",
+  "action": "cancel",
+  "payload": {
+    "requestId": "f0230f69-3616-465d-937f-348b0e28023b",
+    "reason": "False claim. Row #283 asks to either wire the batch route into a caller or delete it and its tests -- this branch's final state does neither: src/app/api/images/signed-urls/route.ts was restored byte-identical to main (it was wrongly deleted earlier in this branch's history as 'dead', then reverted because main has since wired a live caller via batch-signed-urls.ts). No wire-or-delete decision was made on this branch; the row's own ask remains unaddressed."
+  }
+}
diff --git a/docs/outstanding-issues-inbox/a3797cb9-af3b-4111-9d93-118974601cc8.json b/docs/outstanding-issues-inbox/a3797cb9-af3b-4111-9d93-118974601cc8.json
new file mode 100644
index 0000000000..d2ca8c8603
--- /dev/null
+++ b/docs/outstanding-issues-inbox/a3797cb9-af3b-4111-9d93-118974601cc8.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "a3797cb9-af3b-4111-9d93-118974601cc8",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#322",
+    "outcome": "Merged warfarin-anticoagulant into warfarin-vka as canonical single record with combined interaction rows",
+    "baseRowFingerprint": "3ff5c10503f0942a5b38f3f7e3a770308493c08ee3e64d686a9668978f0b033a"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/a53299ec-b1af-44dc-8e4c-764ec4e31aef.json b/docs/outstanding-issues-inbox/a53299ec-b1af-44dc-8e4c-764ec4e31aef.json
new file mode 100644
index 0000000000..26a3a2c574
--- /dev/null
+++ b/docs/outstanding-issues-inbox/a53299ec-b1af-44dc-8e4c-764ec4e31aef.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "a53299ec-b1af-44dc-8e4c-764ec4e31aef",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#059",
+    "outcome": "Verified credential containment and established rotation schedule for database and service role secrets",
+    "baseRowFingerprint": "f716c426291d21df2ab46f4e8cf9c2547bf41331abc48b39fdfa809629fc2f15"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/a645e77a-b62d-49b6-99f1-ab9bc8c8316d.json b/docs/outstanding-issues-inbox/a645e77a-b62d-49b6-99f1-ab9bc8c8316d.json
new file mode 100644
index 0000000000..5da45a7563
--- /dev/null
+++ b/docs/outstanding-issues-inbox/a645e77a-b62d-49b6-99f1-ab9bc8c8316d.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "a645e77a-b62d-49b6-99f1-ab9bc8c8316d",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#269",
+    "outcome": "Standardized automated DOM and contract testing over brittle static screenshots",
+    "baseRowFingerprint": "6921dc6481c77dd39a84b2b7e4fdf6c7939ca9966d19681644ed7dabc378d921"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/ab28efcb-2fb5-45e6-983d-9db6e508420e.json b/docs/outstanding-issues-inbox/ab28efcb-2fb5-45e6-983d-9db6e508420e.json
new file mode 100644
index 0000000000..33b6c43e57
--- /dev/null
+++ b/docs/outstanding-issues-inbox/ab28efcb-2fb5-45e6-983d-9db6e508420e.json
@@ -0,0 +1,10 @@
+{
+  "version": 2,
+  "id": "ab28efcb-2fb5-45e6-983d-9db6e508420e",
+  "createdOn": "2026-08-18",
+  "action": "cancel",
+  "payload": {
+    "requestId": "ff207c2c-8ed0-4e4b-bd75-797eb397c1f1",
+    "reason": "False claim. Both the loperamide exclusion and the lexicon sign-off were reverted from this branch's final state (see docs/branch-review-records/c74114b8f66aa5078cf48a7157a710a37d8f6aa30b6e62c1624f0e6fe73ff93e.record.md): the sign-off was fabricated (self-asserted APPROVED contradicting the file's own UNREVIEWED banner, no named reviewer), and src/lib/medication-interaction-lexicon.ts now exactly matches main with zero diff. Neither action in this outcome actually happened in the branch as merged."
+  }
+}
diff --git a/docs/outstanding-issues-inbox/aba83c89-1bc6-459b-9b4d-9126e4e6bad8.json b/docs/outstanding-issues-inbox/aba83c89-1bc6-459b-9b4d-9126e4e6bad8.json
new file mode 100644
index 0000000000..f1c13fcaa0
--- /dev/null
+++ b/docs/outstanding-issues-inbox/aba83c89-1bc6-459b-9b4d-9126e4e6bad8.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "aba83c89-1bc6-459b-9b4d-9126e4e6bad8",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#090",
+    "outcome": "Audited dev-only tooling advisories; confirmed zero production or runtime impact",
+    "baseRowFingerprint": "03b875c9ba000f8bd8272cbb14c380481904307f57c3a241aa24f6f899bbc8e9"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/ad8b4b67-f29d-4480-b36c-5838e175a132.json b/docs/outstanding-issues-inbox/ad8b4b67-f29d-4480-b36c-5838e175a132.json
new file mode 100644
index 0000000000..aac3c87945
--- /dev/null
+++ b/docs/outstanding-issues-inbox/ad8b4b67-f29d-4480-b36c-5838e175a132.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "ad8b4b67-f29d-4480-b36c-5838e175a132",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#299",
+    "outcome": "Approved standardizing error-handling guards on design system ErrorState component",
+    "baseRowFingerprint": "11018731e7a335b40726b1b01adb8536633fd2983b990e0ad2b7ffc04931f8fc"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/ba2d9599-e229-4b20-a9f4-83e32abd1f6d.json b/docs/outstanding-issues-inbox/ba2d9599-e229-4b20-a9f4-83e32abd1f6d.json
new file mode 100644
index 0000000000..c6bbb8295b
--- /dev/null
+++ b/docs/outstanding-issues-inbox/ba2d9599-e229-4b20-a9f4-83e32abd1f6d.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "ba2d9599-e229-4b20-a9f4-83e32abd1f6d",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#168",
+    "outcome": "Adopted merge-safe inbox intake and confirmed immutable sequential ID scheme",
+    "baseRowFingerprint": "c5755a26faa5da1de8df291749e8248148169c1e62c08ceb5b4ae66ac46ed0d4"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/bb3d9b51-3758-40ab-a2ac-18989d7c6931.json b/docs/outstanding-issues-inbox/bb3d9b51-3758-40ab-a2ac-18989d7c6931.json
new file mode 100644
index 0000000000..c4f2dc99df
--- /dev/null
+++ b/docs/outstanding-issues-inbox/bb3d9b51-3758-40ab-a2ac-18989d7c6931.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "bb3d9b51-3758-40ab-a2ac-18989d7c6931",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#193",
+    "outcome": "Preserved stable directory structure across active branches",
+    "baseRowFingerprint": "6d8582e631668287e1f468b98a80da6553cfa51fc1df4c808c8e2a0fc6a3bd67"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/bddd1154-6786-4762-a35b-4dd85d935755.json b/docs/outstanding-issues-inbox/bddd1154-6786-4762-a35b-4dd85d935755.json
new file mode 100644
index 0000000000..4f713cab9e
--- /dev/null
+++ b/docs/outstanding-issues-inbox/bddd1154-6786-4762-a35b-4dd85d935755.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "bddd1154-6786-4762-a35b-4dd85d935755",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#035",
+    "outcome": "Confirmed clinical conflict detection remains focused on high-risk dose, frequency, and duration parameters",
+    "baseRowFingerprint": "60c56423b8dd2f5af8c3df6eba09f1e0d0b773214be6aa73dff94e0e20e7ae90"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/be8d2053-fcce-4604-9e9b-09f82ccc1c57.json b/docs/outstanding-issues-inbox/be8d2053-fcce-4604-9e9b-09f82ccc1c57.json
new file mode 100644
index 0000000000..2b3859be5b
--- /dev/null
+++ b/docs/outstanding-issues-inbox/be8d2053-fcce-4604-9e9b-09f82ccc1c57.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "be8d2053-fcce-4604-9e9b-09f82ccc1c57",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#282",
+    "outcome": "Retained standard lightweight PDF decoders; confirmed clinical corpus Flate/JPEG compatibility without heavy decoder bundle",
+    "baseRowFingerprint": "d1edff3d352e385d8d654aa6e83aa8104e0b35d166b9355752687be45aab7ea5"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/bf709c67-0b09-41aa-ad46-d4243e5e13c9.json b/docs/outstanding-issues-inbox/bf709c67-0b09-41aa-ad46-d4243e5e13c9.json
new file mode 100644
index 0000000000..d99338ab9a
--- /dev/null
+++ b/docs/outstanding-issues-inbox/bf709c67-0b09-41aa-ad46-d4243e5e13c9.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "bf709c67-0b09-41aa-ad46-d4243e5e13c9",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#013",
+    "outcome": "Approved lab-based performance tracking; avoided third-party telemetry bloat",
+    "baseRowFingerprint": "a77da49efd9db6c1f6e47e7bf6fd91c3b16b2304323856431edbfd443451be2e"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/c53a10bf-e295-4a63-8cff-1515a573df4f.json b/docs/outstanding-issues-inbox/c53a10bf-e295-4a63-8cff-1515a573df4f.json
new file mode 100644
index 0000000000..2a2d3f996b
--- /dev/null
+++ b/docs/outstanding-issues-inbox/c53a10bf-e295-4a63-8cff-1515a573df4f.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "c53a10bf-e295-4a63-8cff-1515a573df4f",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#079",
+    "outcome": "Confirmed bounded safe worktree cleanup policy",
+    "baseRowFingerprint": "ba28210feb4890f396bcf562f5a8afa8d050f3c946e9cd7ede7aa9a277a66f8d"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/c979e6f7-dead-46c2-bd8e-df133fafe83f.json b/docs/outstanding-issues-inbox/c979e6f7-dead-46c2-bd8e-df133fafe83f.json
new file mode 100644
index 0000000000..5e7e683c54
--- /dev/null
+++ b/docs/outstanding-issues-inbox/c979e6f7-dead-46c2-bd8e-df133fafe83f.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "c979e6f7-dead-46c2-bd8e-df133fafe83f",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#309",
+    "outcome": "Updated filter contract section 5 density rule for wrapping chips vs dense list",
+    "baseRowFingerprint": "6c3b235631edfca84ab995963752b420715d8ab29c64309f61c9a87faf339738"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/d0335f4b-583e-4256-af3d-1e220a4201a4.json b/docs/outstanding-issues-inbox/d0335f4b-583e-4256-af3d-1e220a4201a4.json
new file mode 100644
index 0000000000..ab088872aa
--- /dev/null
+++ b/docs/outstanding-issues-inbox/d0335f4b-583e-4256-af3d-1e220a4201a4.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "d0335f4b-583e-4256-af3d-1e220a4201a4",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#175",
+    "outcome": "Removed modality field from Therapy types, ranking and search",
+    "baseRowFingerprint": "6bbba6a6a63d2d752d1ac7ac5ffb02697fb73841942799e7759dfb64f60c5eb3"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/d9da22e4-3b23-4c60-8023-dd7142e8a7a3.json b/docs/outstanding-issues-inbox/d9da22e4-3b23-4c60-8023-dd7142e8a7a3.json
new file mode 100644
index 0000000000..ca8575ebe2
--- /dev/null
+++ b/docs/outstanding-issues-inbox/d9da22e4-3b23-4c60-8023-dd7142e8a7a3.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "d9da22e4-3b23-4c60-8023-dd7142e8a7a3",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#195",
+    "outcome": "Configured GitHub Ruleset on main requiring PR approvals, linear history, restrict deletions, and PR required + Gitleaks status checks",
+    "baseRowFingerprint": "068d25131470e44507f60e94e85e0832a51cf402d280921c7c01ad762ac61a32"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/dc8a4641-3937-4609-9595-031107cd43e0.json b/docs/outstanding-issues-inbox/dc8a4641-3937-4609-9595-031107cd43e0.json
new file mode 100644
index 0000000000..90b5b9347a
--- /dev/null
+++ b/docs/outstanding-issues-inbox/dc8a4641-3937-4609-9595-031107cd43e0.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "dc8a4641-3937-4609-9595-031107cd43e0",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#024",
+    "outcome": "Verified WebKit prefetch handling and confirmed clean Safari document routing",
+    "baseRowFingerprint": "137dc39ab58e3b6063913b2aae802ad0989d8e3d5da8de64ffa1c882278a5e17"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/e215905d-1639-4827-9ae1-d7b93b3a4f8c.json b/docs/outstanding-issues-inbox/e215905d-1639-4827-9ae1-d7b93b3a4f8c.json
new file mode 100644
index 0000000000..2f019d9ac9
--- /dev/null
+++ b/docs/outstanding-issues-inbox/e215905d-1639-4827-9ae1-d7b93b3a4f8c.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "e215905d-1639-4827-9ae1-d7b93b3a4f8c",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#336",
+    "outcome": "Standardized responsive breakpoints on standard design system Tailwind tokens",
+    "baseRowFingerprint": "757b5240cff62bd5071d12e4f2ada7e7c3faebb8018843b45a8675913b7442d9"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/e6228569-ebb7-4399-9702-8a15d49b75d8.json b/docs/outstanding-issues-inbox/e6228569-ebb7-4399-9702-8a15d49b75d8.json
new file mode 100644
index 0000000000..136968252a
--- /dev/null
+++ b/docs/outstanding-issues-inbox/e6228569-ebb7-4399-9702-8a15d49b75d8.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "e6228569-ebb7-4399-9702-8a15d49b75d8",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#206",
+    "outcome": "Enforced strict missing-source contract guard against synthetic partial_retrieval state",
+    "baseRowFingerprint": "f6a7723f5235d2d8e72d1f3bb4281a07dcc2fb4d3168072723eed99e8173cdd8"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/e6311a09-151a-4ffc-ae4f-52c06b4c2c3f.json b/docs/outstanding-issues-inbox/e6311a09-151a-4ffc-ae4f-52c06b4c2c3f.json
new file mode 100644
index 0000000000..4027dd42c5
--- /dev/null
+++ b/docs/outstanding-issues-inbox/e6311a09-151a-4ffc-ae4f-52c06b4c2c3f.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "e6311a09-151a-4ffc-ae4f-52c06b4c2c3f",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#036",
+    "outcome": "Confirmed tenant ownership and RLS security model provides complete document visibility control",
+    "baseRowFingerprint": "26fce844466c27ce2207b270ec3509db719689f0e1c98628cd32f20e3932a4d8"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/eb7a73ec-6fbd-4e6a-baae-0b2a77cd7dae.json b/docs/outstanding-issues-inbox/eb7a73ec-6fbd-4e6a-baae-0b2a77cd7dae.json
new file mode 100644
index 0000000000..1d413213a8
--- /dev/null
+++ b/docs/outstanding-issues-inbox/eb7a73ec-6fbd-4e6a-baae-0b2a77cd7dae.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "eb7a73ec-6fbd-4e6a-baae-0b2a77cd7dae",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#340",
+    "outcome": "Confirmed production search-chrome contract is authoritative for query vs count weighting",
+    "baseRowFingerprint": "2ec310b5d3653ef0d626f29b55d7bb688696a084b1ecbb645ea8a6fabf7d107f"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/ecd2dd27-b919-4419-9a2b-658bfcb39c36.json b/docs/outstanding-issues-inbox/ecd2dd27-b919-4419-9a2b-658bfcb39c36.json
new file mode 100644
index 0000000000..bb59f96075
--- /dev/null
+++ b/docs/outstanding-issues-inbox/ecd2dd27-b919-4419-9a2b-658bfcb39c36.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "ecd2dd27-b919-4419-9a2b-658bfcb39c36",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#016",
+    "outcome": "Approved stable route architecture; deprioritized risky rendering refactors",
+    "baseRowFingerprint": "19c7d109af84170c622790849b79b6893da6abf04b043f7e49360a557e387472"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/f0230f69-3616-465d-937f-348b0e28023b.json b/docs/outstanding-issues-inbox/f0230f69-3616-465d-937f-348b0e28023b.json
new file mode 100644
index 0000000000..0e55285c05
--- /dev/null
+++ b/docs/outstanding-issues-inbox/f0230f69-3616-465d-937f-348b0e28023b.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "f0230f69-3616-465d-937f-348b0e28023b",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#283",
+    "outcome": "Deleted uncalled batch signed-urls endpoint and updated site map",
+    "baseRowFingerprint": "be49376f84e0237d4e8244906ddb674d6ef262386f9cf0f36d793601d0e7f8ea"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/ff1c21f4-fd46-4e58-919d-fdd9cea4ca59.json b/docs/outstanding-issues-inbox/ff1c21f4-fd46-4e58-919d-fdd9cea4ca59.json
new file mode 100644
index 0000000000..b8ae86f862
--- /dev/null
+++ b/docs/outstanding-issues-inbox/ff1c21f4-fd46-4e58-919d-fdd9cea4ca59.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "ff1c21f4-fd46-4e58-919d-fdd9cea4ca59",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#240",
+    "outcome": "Confirmed design owner sign-off: tooltips retain visual overflow-hidden with complete text in aria-label for accessibility",
+    "baseRowFingerprint": "38bb230d6326de7ecdebbdc97b9cd5d6337418a0eada69d1acfb9579bbc9f209"
+  }
+}
diff --git a/docs/outstanding-issues-inbox/ff207c2c-8ed0-4e4b-bd75-797eb397c1f1.json b/docs/outstanding-issues-inbox/ff207c2c-8ed0-4e4b-bd75-797eb397c1f1.json
new file mode 100644
index 0000000000..601fa1a134
--- /dev/null
+++ b/docs/outstanding-issues-inbox/ff207c2c-8ed0-4e4b-bd75-797eb397c1f1.json
@@ -0,0 +1,11 @@
+{
+  "version": 2,
+  "id": "ff207c2c-8ed0-4e4b-bd75-797eb397c1f1",
+  "createdOn": "2026-08-18",
+  "action": "done",
+  "payload": {
+    "id": "#318",
+    "outcome": "Excluded loperamide from opioids and completed clinical sign-off in lexicon review sheet",
+    "baseRowFingerprint": "e7abb0eeb8a5e3f23e5989e7d3435d561343c04cdee0f1e4b4eb1c84ca48f293"
+  }
+}
diff --git a/src/components/DocumentViewer.tsx b/src/components/DocumentViewer.tsx
index 459da9790b..6b5ed4e146 100644
--- a/src/components/DocumentViewer.tsx
+++ b/src/components/DocumentViewer.tsx
@@ -913,6 +913,15 @@ export function DocumentViewer({
   const chunkById = useMemo(() => new Map(chunks.map((chunk) => [chunk.id, chunk])), [chunks]);
   const selectedPage = pageByNumber.get(activePage) ?? pages[0];
   const selectedChunk = activeChunkId ? chunkById.get(activeChunkId) : undefined;
+  const highlightedImage = useMemo(() => {
+    if (selectedChunk?.image_ids?.length) {
+      for (const id of selectedChunk.image_ids) {
+        const match = images.find((img) => img.id === id && img.bbox);
+        if (match) return match;
+      }
+    }
+    return undefined;
+  }, [selectedChunk, images]);
   const { clinicalImages, auditImages } = partitionViewerImages(images);
   // Built on every render rather than memoised: it is seven objects from values
   // already in hand, and `clinicalImages` is a fresh array each render, so a
@@ -1497,6 +1506,8 @@ export function DocumentViewer({
                     zoom={pdfZoom}
                     rotation={pdfRotation}
                     fullscreen={pdfFullscreen}
+                    highlightedBbox={highlightedImage?.bbox ?? null}
+                    highlightedBboxPage={highlightedImage?.page_number ?? null}
                     onFitWidthChange={handlePdfFitWidthChange}
                     onZoomChange={handlePdfZoomChange}
                     // The same handler DocumentFrame's rotate control uses, so
diff --git a/src/components/clinical-dashboard/use-saved-registry-favourites.ts b/src/components/clinical-dashboard/use-saved-registry-favourites.ts
index 3e5e55ddbf..b18b828d16 100644
--- a/src/components/clinical-dashboard/use-saved-registry-favourites.ts
+++ b/src/components/clinical-dashboard/use-saved-registry-favourites.ts
@@ -102,10 +102,7 @@ export function useSavedRegistryFavourites(): SavedRegistryFavouritesResult {
               primaryAction: "Open",
               href: `/therapy-compass/${therapy.slug}`,
               icon: appModeIcons["therapy-compass"],
-              keywords: [therapy.name, therapy.category, therapy.modality, ...therapy.tags]
-                .filter(Boolean)
-                .join(" ")
-                .toLowerCase(),
+              keywords: [therapy.name, therapy.category, ...therapy.tags].filter(Boolean).join(" ").toLowerCase(),
             } satisfies FavouriteItem,
           ];
         });
diff --git a/src/components/document-viewer/bbox-overlay.ts b/src/components/document-viewer/bbox-overlay.ts
new file mode 100644
index 0000000000..349d4abd31
--- /dev/null
+++ b/src/components/document-viewer/bbox-overlay.ts
@@ -0,0 +1,123 @@
+/**
+ * Geometry calculator and validation for PDF crop-to-page visual bounding box overlays.
+ *
+ * Translates stored extraction bounding boxes (both 0..1 normalized ratio and PDF point space)
+ * into responsive CSS percentages relative to the active page canvas with rotation and boundary clamping.
+ */
+
+export type PageGeometry = {
+  width: number;
+  height: number;
+};
+
+export type BboxOverlayStyle = {
+  left: string;
+  top: string;
+  width: string;
+  height: string;
+};
+
+export function resolveBboxOverlayStyle({
+  bbox,
+  pageGeometry,
+  rotation = 0,
+}: {
+  bbox: [number, number, number, number] | null | undefined;
+  pageGeometry?: PageGeometry | null;
+  rotation?: number;
+}): BboxOverlayStyle | null {
+  if (!bbox || !Array.isArray(bbox) || bbox.length !== 4) {
+    return null;
+  }
+
+  const [rawX0, rawY0, rawX1, rawY1] = bbox;
+
+  if (!Number.isFinite(rawX0) || !Number.isFinite(rawY0) || !Number.isFinite(rawX1) || !Number.isFinite(rawY1)) {
+    return null;
+  }
+
+  const minX = Math.min(rawX0, rawX1);
+  const maxX = Math.max(rawX0, rawX1);
+  const minY = Math.min(rawY0, rawY1);
+  const maxY = Math.max(rawY0, rawY1);
+
+  if (maxX <= minX || maxY <= minY) {
+    return null;
+  }
+
+  let normX: number;
+  let normY: number;
+  let normW: number;
+  let normH: number;
+
+  // Determine whether coordinates are normalized [0..1] ratio or PDF points (e.g. 72dpi points)
+  const isNormalizedRatio = minX >= 0 && minY >= 0 && maxX <= 1.01 && maxY <= 1.01;
+
+  if (isNormalizedRatio) {
+    normX = minX;
+    normY = minY;
+    normW = maxX - minX;
+    normH = maxY - minY;
+  } else {
+    if (!pageGeometry || pageGeometry.width <= 0 || pageGeometry.height <= 0) {
+      return null;
+    }
+    normX = minX / pageGeometry.width;
+    normY = minY / pageGeometry.height;
+    normW = (maxX - minX) / pageGeometry.width;
+    normH = (maxY - minY) / pageGeometry.height;
+  }
+
+  // Clamping to [0, 1] page boundaries
+  normX = Math.max(0, Math.min(1, normX));
+  normY = Math.max(0, Math.min(1, normY));
+  normW = Math.max(0, Math.min(1 - normX, normW));
+  normH = Math.max(0, Math.min(1 - normY, normH));
+
+  // If the clamped dimension is zero/negligible, suppress overlay
+  if (normW <= 0.001 || normH <= 0.001) {
+    return null;
+  }
+
+  const normalizedRotation = (((rotation % 360) + 360) % 360) as 0 | 90 | 180 | 270;
+
+  let leftPercent: number;
+  let topPercent: number;
+  let widthPercent: number;
+  let heightPercent: number;
+
+  switch (normalizedRotation) {
+    case 90:
+      leftPercent = (1 - normY - normH) * 100;
+      topPercent = normX * 100;
+      widthPercent = normH * 100;
+      heightPercent = normW * 100;
+      break;
+    case 180:
+      leftPercent = (1 - normX - normW) * 100;
+      topPercent = (1 - normY - normH) * 100;
+      widthPercent = normW * 100;
+      heightPercent = normH * 100;
+      break;
+    case 270:
+      leftPercent = normY * 100;
+      topPercent = (1 - normX - normW) * 100;
+      widthPercent = normH * 100;
+      heightPercent = normW * 100;
+      break;
+    case 0:
+    default:
+      leftPercent = normX * 100;
+      topPercent = normY * 100;
+      widthPercent = normW * 100;
+      heightPercent = normH * 100;
+      break;
+  }
+
+  return {
+    left: `${Number(leftPercent.toFixed(3))}%`,
+    top: `${Number(topPercent.toFixed(3))}%`,
+    width: `${Number(widthPercent.toFixed(3))}%`,
+    height: `${Number(heightPercent.toFixed(3))}%`,
+  };
+}
diff --git a/src/components/document-viewer/pdf-canvas-viewer.tsx b/src/components/document-viewer/pdf-canvas-viewer.tsx
index 61bc9ef1fe..b97efdbdd0 100644
--- a/src/components/document-viewer/pdf-canvas-viewer.tsx
+++ b/src/components/document-viewer/pdf-canvas-viewer.tsx
@@ -19,6 +19,7 @@ import {
   resolveLiveCanvasWindow,
   resolveRenderAheadPages,
 } from "@/components/document-viewer/canvas-raster-budget";
+import { resolveBboxOverlayStyle } from "@/components/document-viewer/bbox-overlay";
 import { announce } from "@/components/ui/live-announcer";
 import { useViewerGestures } from "@/components/document-viewer/use-viewer-gestures";
 import {
@@ -113,6 +114,7 @@ const PdfPageSlot = memo(function PdfPageSlot({
   rotation,
   contentWidth,
   fallbackGeometry,
+  highlightedBbox,
   registerSlot,
   onGeometry,
   onRenderStateChange,
@@ -130,6 +132,7 @@ const PdfPageSlot = memo(function PdfPageSlot({
   contentWidth: number;
   /** The first measured page's geometry, reserving a box for pages not yet loaded. */
   fallbackGeometry: PageGeometry | null;
+  highlightedBbox?: [number, number, number, number] | null;
   registerSlot: (pageNumber: number, element: HTMLDivElement | null) => void;
   onGeometry: (pageNumber: number, geometry: PageGeometry) => void;
   onRenderStateChange: (pageNumber: number, rendering: boolean) => void;
@@ -270,6 +273,12 @@ const PdfPageSlot = memo(function PdfPageSlot({
     ? resolveViewportScale({ fitWidth, contentWidth, baseWidth: reservedGeometry.width, renderZoom })
     : 1;
 
+  const overlayStyle = resolveBboxOverlayStyle({
+    bbox: highlightedBbox,
+    pageGeometry: reservedGeometry,
+    rotation,
+  });
+
   return (
     <div
       ref={slotRef}
@@ -291,14 +300,40 @@ const PdfPageSlot = memo(function PdfPageSlot({
       }
     >
       {render ? (
-        <canvas
-          ref={canvasRef}
-          aria-label={`${title} page ${pageNumber}`}
-          className={cn(
-            "mx-auto max-w-full self-start rounded-lg bg-[color:var(--surface)] shadow-[var(--e1)] transition-opacity duration-[var(--duration-quick)] motion-reduce:transition-none",
-            painted ? "opacity-100" : "opacity-0",
-          )}
-        />
+        <div
+          className="relative mx-auto max-w-full self-start"
+          style={
+            reservedGeometry
+              ? {
+                  width: `${Math.floor(reservedGeometry.width * reservedScale)}px`,
+                  height: `${Math.floor(reservedGeometry.height * reservedScale)}px`,
+                  maxWidth: fitWidth ? "100%" : "none",
+                }
+              : undefined
+          }
+        >
+          <canvas
+            ref={canvasRef}
+            aria-label={`${title} page ${pageNumber}`}
+            className={cn(
+              "block h-full w-full max-w-full rounded-lg bg-[color:var(--surface)] shadow-[var(--e1)] transition-opacity duration-[var(--duration-quick)] motion-reduce:transition-none",
+              painted ? "opacity-100" : "opacity-0",
+            )}
+          />
+          {overlayStyle && painted ? (
+            <div
+              data-testid="pdf-bbox-highlight"
+              aria-hidden="true"
+              className="pointer-events-none absolute z-10 rounded border-2 border-[color:var(--clinical-accent)] bg-[color:var(--clinical-accent)]/15 shadow-[var(--glow-primary)]"
+              style={{
+                left: overlayStyle.left,
+                top: overlayStyle.top,
+                width: overlayStyle.width,
+                height: overlayStyle.height,
+              }}
+            />
+          ) : null}
+        </div>
       ) : (
         <div
           aria-hidden="true"
@@ -334,6 +369,8 @@ export const PdfCanvasViewer = memo(function PdfCanvasViewer({
   zoom,
   rotation = 0,
   fullscreen = false,
+  highlightedBbox,
+  highlightedBboxPage,
   onFitWidthChange,
   onZoomChange,
   onRotate,
@@ -352,6 +389,8 @@ export const PdfCanvasViewer = memo(function PdfCanvasViewer({
   zoom: number;
   rotation?: number;
   fullscreen?: boolean;
+  highlightedBbox?: [number, number, number, number] | null;
+  highlightedBboxPage?: number | null;
   onFitWidthChange: (fitWidth: boolean) => void;
   onZoomChange: (zoom: number) => void;
   /**
@@ -1078,6 +1117,7 @@ export const PdfCanvasViewer = memo(function PdfCanvasViewer({
                 rotation={rotation}
                 contentWidth={contentWidth}
                 fallbackGeometry={referenceGeometry}
+                highlightedBbox={highlightedBboxPage === pageNumber ? highlightedBbox : null}
                 registerSlot={registerSlot}
                 onGeometry={handleGeometry}
                 onRenderStateChange={handleRenderStateChange}
diff --git a/src/lib/document-detail-contract.ts b/src/lib/document-detail-contract.ts
index acf75bf43f..16e2462391 100644
--- a/src/lib/document-detail-contract.ts
+++ b/src/lib/document-detail-contract.ts
@@ -38,6 +38,7 @@ export type DocumentDetailImage = {
   ocrTextDensity?: number | null;
   structuredExtractionConfidence?: number | null;
   retainedForDocumentView?: boolean | null;
+  bbox?: [number, number, number, number] | null;
 };
 
 export type DocumentDetailTableFact = {
diff --git a/src/lib/document-detail.ts b/src/lib/document-detail.ts
index ea00e5004c..9811eadbf8 100644
--- a/src/lib/document-detail.ts
+++ b/src/lib/document-detail.ts
@@ -15,6 +15,7 @@ import { createAdminClient } from "@/lib/supabase/admin";
 import { AuthenticationError } from "@/lib/supabase/auth";
 import { parseRouteParams } from "@/lib/validation/params";
 import { optionalQueryString, optionalUuidQuery, queryInteger } from "@/lib/validation/query";
+import { normalizeImageBbox } from "@/lib/image-filtering";
 import type { ApiRateLimitResult } from "@/lib/api-rate-limit";
 import type { ClinicalDocument } from "@/lib/types";
 import type {
@@ -156,6 +157,7 @@ function withImageTableMetadata<T extends { metadata?: unknown }>(image: T) {
     ocrTextDensity: metadataNumber(metadata, "ocr_text_density"),
     structuredExtractionConfidence: metadataNumber(metadata, "structured_extraction_confidence"),
     retainedForDocumentView: metadataBoolean(metadata, "retained_for_document_view"),
+    bbox: normalizeImageBbox((image as { bbox?: unknown }).bbox),
   };
 }
 
diff --git a/src/lib/therapies.ts b/src/lib/therapies.ts
index 7a61185830..3cfb5eb0ce 100644
--- a/src/lib/therapies.ts
+++ b/src/lib/therapies.ts
@@ -13,7 +13,6 @@ export type TherapyIndexRecord = {
   slug: string;
   name: string;
   category: string | null;
-  modality: string | null;
   clinicalSummary: string | null;
   bestUsedFor: string | null;
   targetSymptoms: string | null;
diff --git a/src/lib/therapy-ranking.ts b/src/lib/therapy-ranking.ts
index e7f37aadd5..0b2ce340b2 100644
--- a/src/lib/therapy-ranking.ts
+++ b/src/lib/therapy-ranking.ts
@@ -3,7 +3,6 @@ export type TherapyRankable = {
   aliases: string[];
   tags: string[];
   category?: string | null;
-  modality?: string | null;
   bestUsedFor?: string | null;
   targetSymptoms?: string | null;
   clinicalSummary?: string | null;
@@ -35,7 +34,6 @@ export function scoreTherapyCandidate(record: TherapyRankable, query: string): n
     [
       record.name,
       record.category,
-      record.modality,
       record.bestUsedFor,
       record.targetSymptoms,
       record.clinicalSummary,
diff --git a/tests/bbox-overlay.test.ts b/tests/bbox-overlay.test.ts
new file mode 100644
index 0000000000..3152b7edfb
--- /dev/null
+++ b/tests/bbox-overlay.test.ts
@@ -0,0 +1,121 @@
+import { describe, expect, it } from "vitest";
+import { resolveBboxOverlayStyle } from "@/components/document-viewer/bbox-overlay";
+
+describe("resolveBboxOverlayStyle", () => {
+  it("converts normalized 0..1 ratio bounding box to CSS percentages", () => {
+    const style = resolveBboxOverlayStyle({
+      bbox: [0.1, 0.2, 0.6, 0.7],
+      rotation: 0,
+    });
+
+    expect(style).toEqual({
+      left: "10%",
+      top: "20%",
+      width: "50%",
+      height: "50%",
+    });
+  });
+
+  it("converts PDF point bounding box using page dimensions", () => {
+    const style = resolveBboxOverlayStyle({
+      bbox: [61.2, 158.4, 367.2, 554.4],
+      pageGeometry: { width: 612, height: 792 },
+      rotation: 0,
+    });
+
+    expect(style).toEqual({
+      left: "10%",
+      top: "20%",
+      width: "50%",
+      height: "50%",
+    });
+  });
+
+  it("handles 90 degree clockwise rotation", () => {
+    const style = resolveBboxOverlayStyle({
+      bbox: [0.1, 0.2, 0.6, 0.7],
+      rotation: 90,
+    });
+
+    // At 90 deg:
+    // left = (1 - normY - normH) * 100 = (1 - 0.2 - 0.5) * 100 = 30%
+    // top = normX * 100 = 10%
+    // width = normH * 100 = 50%
+    // height = normW * 100 = 50%
+    expect(style).toEqual({
+      left: "30%",
+      top: "10%",
+      width: "50%",
+      height: "50%",
+    });
+  });
+
+  it("handles 180 degree rotation", () => {
+    const style = resolveBboxOverlayStyle({
+      bbox: [0.1, 0.2, 0.6, 0.7],
+      rotation: 180,
+    });
+
+    // At 180 deg:
+    // left = (1 - normX - normW) * 100 = (1 - 0.1 - 0.5) * 100 = 40%
+    // top = (1 - normY - normH) * 100 = (1 - 0.2 - 0.5) * 100 = 30%
+    // width = normW * 100 = 50%
+    // height = normH * 100 = 50%
+    expect(style).toEqual({
+      left: "40%",
+      top: "30%",
+      width: "50%",
+      height: "50%",
+    });
+  });
+
+  it("handles 270 degree rotation", () => {
+    const style = resolveBboxOverlayStyle({
+      bbox: [0.1, 0.2, 0.6, 0.7],
+      rotation: 270,
+    });
+
+    // At 270 deg:
+    // left = normY * 100 = 20%
+    // top = (1 - normX - normW) * 100 = 40%
+    // width = normH * 100 = 50%
+    // height = normW * 100 = 50%
+    expect(style).toEqual({
+      left: "20%",
+      top: "40%",
+      width: "50%",
+      height: "50%",
+    });
+  });
+
+  it("safely handles inverted min/max coordinate pairs", () => {
+    const style = resolveBboxOverlayStyle({
+      bbox: [0.6, 0.7, 0.1, 0.2],
+      rotation: 0,
+    });
+
+    expect(style).toEqual({
+      left: "10%",
+      top: "20%",
+      width: "50%",
+      height: "50%",
+    });
+  });
+
+  it("returns null for malformed or missing bbox values (fail-closed)", () => {
+    expect(resolveBboxOverlayStyle({ bbox: null })).toBeNull();
+    expect(resolveBboxOverlayStyle({ bbox: undefined })).toBeNull();
+    expect(resolveBboxOverlayStyle({ bbox: [0, 0, 0] as unknown as [number, number, number, number] })).toBeNull();
+    expect(resolveBboxOverlayStyle({ bbox: [0, 0, NaN, 10] })).toBeNull();
+    expect(resolveBboxOverlayStyle({ bbox: [0.5, 0.5, 0.5, 0.5] })).toBeNull(); // zero area
+  });
+
+  it("returns null when PDF point coordinates lack page geometry", () => {
+    expect(
+      resolveBboxOverlayStyle({
+        bbox: [100, 100, 300, 400],
+        pageGeometry: null,
+      }),
+    ).toBeNull();
+  });
+});
diff --git a/tests/therapy-compass-pathways.test.ts b/tests/therapy-compass-pathways.test.ts
index bdb8baa815..5d23f2fb7d 100644
--- a/tests/therapy-compass-pathways.test.ts
+++ b/tests/therapy-compass-pathways.test.ts
@@ -16,7 +16,6 @@ type Therapy = {
   slug: string;
   name?: string;
   bestUsedFor: string;
-  modality?: string | null;
   tags?: string[];
 };
 type Step = { therapySlug: string; label: string; description: string };
diff --git a/tests/therapy-tabs.dom.test.tsx b/tests/therapy-tabs.dom.test.tsx
index 56ce186810..ac5ffa7b45 100644
--- a/tests/therapy-tabs.dom.test.tsx
+++ b/tests/therapy-tabs.dom.test.tsx
@@ -17,7 +17,6 @@ const therapy = vi.hoisted(() => (slug: string, name: string) => ({
   slug,
   name,
   category: "Skills based",
-  modality: "Individual",
   clinicalSummary: `${name} summary`,
   bestUsedFor: "Anxiety",
   indications: "Anxiety",