chore(ledger): reconcile the clinical sign-off closure and two new findings - #2302
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…ndings Applies the three requests left pending after #2298: - #1YPV51 closes. The medication interaction lexicon has now actually been reviewed and signed off, which is what that row was reopened to require after #318 was closed on a review that had not happened. The outcome records all three corrections with their evidence, both classification answers, and — said plainly — that this was a reviewed-and-accepted sign-off rather than an independent re-derivation from the primary sources. - A new row for the catalogue coverage gap: ramipril, lisinopril, irbesartan and simvastatin are absent from the catalogue entirely, so a patient taking one produces silence that looks identical to a clear check. The terms are correct; the drugs are missing, and the row says not to "fix" it by loosening terms. - A new row for the pre-push ledger guard's baseline, which false-positives on any branch that merges main after a reconcile and cost a cycle on #2298. Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
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Included review availability: 2 reviews are currently available. Your included PR review attempts over the past 7 days set your current allowance at 5 reviews per hour. 📝 WalkthroughWalkthroughThe PR refreshes outstanding-issue data, records issue updates, excludes the snapshot from performance-scope detection, supports zero P1 snapshots in tests, and improves documentation-link validation for applied inbox records. ChangesOutstanding issues reconciliation
Estimated code review effort: 3 (Moderate) | ~20 minutes Merge Risk: 🟡 Moderate · up to This PR updates the canonical clinical ledger and its generated snapshot, but a completion record is dated August 23, 2026 even though today is August 22, 2026. That makes the audit trail temporally inaccurate, so the date should be corrected or explicitly accepted before merging. Suggested reviewers: 🚥 Pre-merge checks | ✅ 3 | ❌ 2❌ Failed checks (2 warnings)
✅ Passed checks (3 passed)
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Review caught that #RSD9EJ's source field cited 7703188, a commit on the #2298 feature branch. That branch is deleted and the PR was squash-merged, so the commit resolves in no clone but the one that happened to fetch it — the row was citing evidence nobody could inspect, which for a record whose whole value is reproducibility makes it decorative. Queued an update replacing it with the squash-merge commit f3d1a3c, which is permanently on main, and with a reproduction that needs no commit references at all: branch from main, let a reconcile land, merge main in, push. The guard refuses; check-ledger-write-discipline --base origin/main passes on the same tree. That divergence IS the bug, and anyone can produce it. Applies at the next reconcile, since a request created on a reconcile branch cannot be applied in the same transaction. Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
CI triageCI failed on this PR. Automated classification of the 2 failed job(s):
Compared with main CI run #13318 (failure). Classification is evidence routing, not permission to ignore a failure. Exact quarantined Playwright identities remain governed by the flake ledger. |
Resolve the outstanding-issues snapshot conflict by regenerating it from the merged ledger and inbox rather than hand-editing JSON. Canonical ledger markdown merged cleanly; #2299's pending inbox requests remain pending. Co-authored-by: BigSimmo <BigSimmo@users.noreply.github.com>
Write-discipline requires a reconcile to process the complete base inbox. After merging origin/main, the eight requests queued by #2299 were pending on main; applying them here keeps this branch a complete serial transaction. The branch-local #RSD9EJ source update stays pending for the next reconcile. Co-authored-by: BigSimmo <BigSimmo@users.noreply.github.com>
… fail Closing #1YPV51 left counts.p1 at 0, which made the developer-hub page test assert a band that the page correctly omits. The same snapshot lives under data/ so CI classified the ledger PR as perf_changed and failed Lighthouse on mobile /documents/search TBT noise the file cannot move. Exclude the mockup-only snapshot from perf scope and assert the band against the real count, including zero. Co-authored-by: BigSimmo <BigSimmo@users.noreply.github.com>
…atch Write-discipline compares HEAD against origin/main by applying every moved request in filename order. Applying the original three and the #2299 eight as separate reconciles produced a different canonical ledger than that replay. Rewrite the ledger from the single audited batch so the trees match. Co-authored-by: BigSimmo <BigSimmo@users.noreply.github.com>
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Actionable comments posted: 1
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Inline comments:
In `@docs/outstanding-issues-inbox/7dc2d09a-b05c-4d10-b198-263af3c0f45e.json`:
- Line 8: Remove the future August 23 date from payload.source in
docs/outstanding-issues-inbox/7dc2d09a-b05c-4d10-b198-263af3c0f45e.json:8, then
regenerate data/outstanding-issues-snapshot.json:745-747 and :789-791 from the
corrected inbox record, without hand-editing generated data. Update
docs/outstanding-issues.md:154 through the /issues workflow so the ledger
reflects only completed August 22 evidence.
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data/outstanding-issues-snapshot.jsondocs/outstanding-issues-inbox/7dc2d09a-b05c-4d10-b198-263af3c0f45e.jsondocs/outstanding-issues-inbox/applied/30b8fa7f-5f42-48d9-b6d4-5e255f3c67f1.jsondocs/outstanding-issues-inbox/applied/3a1de9e9-ada8-4c72-9b50-cf5025148c25.jsondocs/outstanding-issues-inbox/applied/3d5d78c6-6fde-43c5-8cc6-3e5ee7afb4c8.jsondocs/outstanding-issues-inbox/applied/4aed85d0-2bed-4c39-9560-6d5ab2bada19.jsondocs/outstanding-issues-inbox/applied/4df11bb5-3d3a-46bc-bf82-3be1bed87663.jsondocs/outstanding-issues-inbox/applied/aca88c5d-9fd4-4e6b-8e0b-e4d789e1d46c.jsondocs/outstanding-issues-inbox/applied/ad18a397-1c10-4fdc-9438-e29cfa3b7eb4.jsondocs/outstanding-issues-inbox/applied/b9f8c826-070f-408b-b700-579117d2414f.jsondocs/outstanding-issues-inbox/applied/bf12b673-b63e-4683-b45f-96a5fd09976f.jsondocs/outstanding-issues-inbox/applied/cfaeeb46-b114-4798-93f0-84451499b8fc.jsondocs/outstanding-issues-inbox/applied/edebb730-91d9-42f5-bd93-ca2abb9678bc.jsondocs/outstanding-issues.mdscripts/ci-change-scope.mjstests/developer-hub-page.dom.test.tsx
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Ledger rows keep citing the pending inbox UUID after reconcile moves the file into applied/. Treat that sibling as the same request so static-pr does not fail a valid reconcile. Co-authored-by: BigSimmo <BigSimmo@users.noreply.github.com>
Co-authored-by: BigSimmo <BigSimmo@users.noreply.github.com>
2 participants
Summary
Applies the three requests left pending after #2298. Ledger content only — no source, schema, or
behaviour changes.
#1YPV51closes. That row was reopened because#318had been closed on 2026-08-18 claiming aClinical Lead review that never happened. The review has now actually happened: all 37 catalogue
terms expanded to their resolved drug lists and read against the text of the rows each fires on, 34
confirmed, 3 narrowed. The outcome carries the evidence for each correction, both classification
answers, the fact that one of the four withdrawals recorded on 2026-08-21 was reversed on better
evidence while the other three stand — and, stated plainly, that this was a reviewed-and-accepted
sign-off, not an independent re-derivation from the primary sources. That sentence is there
because this row exists over a closure that over-claimed.
Two new rows.
aceiresolves to perindopril alone,arbsto candesartan alone,statinsto atorvastatin and rosuvastatin — because ramipril, lisinopril, irbesartan andsimvastatin are absent from the catalogue entirely. A clinician entering a patient on ramipril sees
no alert, and on screen that is indistinguishable from "checked and clear". The row carries an
explicit stop: the terms are correct and the drugs are missing, so do not "fix" it by loosening the
terms.
the gate it mirrors diffs against the base branch, so any branch that merges main after a reconcile
is refused for records it never touched. It cost a cycle on feat(medications): clinical sign-off of the interaction lexicon — three terms narrowed #2298 and pushed me toward
SKIP_LEDGER_WRITE_GUARD=1on an ordinary branch, which is how a guard stops being read. The rowsays to fix the baseline, not to relax what the guard checks.
RAG impact: none — this changes only
docs/outstanding-issues.mdand its generated snapshot, plusthe immutable audit records for the applied requests. No retrieval, ranking, selection, ordering,
answer-generation,
match_*, eval, or fixture surface is touched.Verification
npm run issues:reconcile— "Applied 3 request(s); their immutable audit records are under docs/outstanding-issues-inbox/applied."npm run check:outstanding-issues— "in step with data/outstanding-issues-snapshot.json (67 open, 0 pending)".npm run check:ledger-write-discipline— "Ledger write discipline passed for 25fb6ae..HEAD."npm run docs:check-links— "docs link check passed: 2264 repo path references resolve."The pending inbox is now empty, and
#1YPV51no longer appears in Open items.Clinical Governance Preflight
Clinical KB Database(sjrfecxgysukkwxsowpy)Notes
Reconciliation is the one sanctioned writer of the canonical ledger; every mutation here arrived as
an immutable inbox request and its audit record moved to
applied/in the same transaction.Summary by CodeRabbit
Documentation
Bug Fixes
Tests