Hospital Instruction and Workspace Cleanup Record

ScopeCopy Anchor Link

The user approved instruction corrections, preservation of eight plan edits, branch reconciliation, and removal of confirmed obsolete local references. This record does not approve deployment, clinical readiness, or Inventory pilot use.

Work uses docs/hospital-standards-and-plan-preservation, created from remote base 9e4d1c5f9e2f2c386be54aae33d2de5fd49d3416 in worktree 8a43. Instruction commit: 6b4aca8a2b. Plan preservation commit: a8536d0599.

Related: PR 2700, issue 2517.

Instruction CorrectionsCopy Anchor Link

Root and scoped instructions now require current domain patterns, shared frontend services/UI, shell identity/RBAC, Admin flags, explicit RLS and policy tests, forward migrations, audit evidence, and the software pattern review checklist.

The instructions no longer prescribe deprecated application architecture or RSpec. They explain that Hook warnings and existing TypeScript debt are not blocked by the current ratchets. No lint rule or application behavior changed in this batch.

Preserved PlansCopy Anchor Link

All eight files were committed without changing their existing working contents. Each committed Git blob was compared with the file hash recorded before staging.

Files are under docs/plans/, with prefix 2026-09-26-. These are historical audit amendments, not a fresh completion audit. Some passages still describe work as missing or local although later implementation has merged. Reconcile those status passages against code and the release acceptance record before using a phase's text to claim completion. Preservation does not implement a workflow.

Branch ReconciliationCopy Anchor Link

Squash merges do not preserve the old head as a base ancestor. Cleanup therefore used merged PR head receipts and patch comparisons, not only git branch --merged. All six PR merge commits below are ancestors of the audited remote base.

The old OT branch's CI commit 18376fbc1c has the same stable patch ID as d6fdb79f49, PR 2596's merged head. Range comparison of configuration commits e9a77006d7 and cd6637e5ff shows only SQL migration-marker placement and facility-switch guard context differences. The current layout retains the guard and cache cancellation; no old implementation was reapplied.

The six pre-schema patch pairs all have equal stable patch IDs: 797d5ef3e3 / 1d59fd0ab1, 65f8397762 / d520e4d7df, 6da9d4a60c / 57436086c6, d4a7ac2b0d / 54d1a3de22, a9d2396869 / 439f2f4f1b, and 7ebbde543e / e99b460a7e.

Four local remote-tracking refs were removed only after git ls-remote confirmed the GitHub branches were absent: the OT, Surgery Center, readiness/Inventory, and lockfile refs. No GitHub branch was deleted. The live remote codex/hospital-configuration-docs was retained.

Worktree And RecoveryCopy Anchor Link

Removed /private/tmp/kulcare-hospital-pr-base-ci, detached at 093644e755. Its tracked and untracked status was clean. lsof found no open files within it. The first removal attempt was blocked until ignored configuration was separately archived. Removal then succeeded without --force.

Recovery files remain local, outside Git, in the active worktree:

.context/hospital-cleanup-2026-10-14/old-hospital-refs.bundle
.context/hospital-cleanup-2026-10-14/base-ci-evidence.tar.gz
.context/hospital-cleanup-2026-10-14/base-ci-local-config.tar.gz

The bundle contains all eight original branch tips. git bundle verify passes. It is incremental and requires ancestors retained in the remote base. The evidence archive contains backend logs, temporary test files, and exports. The configuration archive contains the ignored database configuration and master key. Those files also matched the active worktree's copies before removal. Both gzip archives passed integrity checks. The archive directory has mode 700; the files have mode 600. Do not upload them to a PR or share them as QA evidence.

To restore an old branch, run from this repository and choose an unused name:

git fetch .context/hospital-cleanup-2026-10-14/old-hospital-refs.bundle refs/heads/codex/hospital-surgical-case-ot:refs/heads/recovered/hospital-surgical-case-ot

The current 8a43 worktree, detached 41da worktree with untracked work, main checkout, Billing worktree, and all other agents' worktrees were retained. No database was reset, reseeded, or changed.

Verification And Manual QACopy Anchor Link

• Resolve all 23 local links in the corrected instruction files and checklist.
• Resolve all 13 local links in the eight preserved plans.
• Compare all eight preserved blobs with their original working-file hashes.
• Verify merged PR receipts, base ancestry, patch comparisons, and recovery bundle.
• Check archives, worktree status, and active file use before removal.
• Open the checklist and this record in Fumadocs. Confirm navigation and links.
• Review historical plan status passages before the next implementation phase.

Application tests were not rerun for this documentation-only batch. Documentation build results are recorded in PR 2700. They do not prove staging or pilot acceptance.