diff --git a/src/lib/mcp/__tests__/resources.test.ts b/src/lib/mcp/__tests__/resources.test.ts
index 477b5ab9d..10a7a6eef 100644
--- a/src/lib/mcp/__tests__/resources.test.ts
+++ b/src/lib/mcp/__tests__/resources.test.ts
@@ -7,9 +7,13 @@ vi.mock("@/lib/db", () => ({
   },
 }));
 vi.mock("@/lib/logging/context", () => ({ annotate: vi.fn() }));
+vi.mock("@/lib/doctor-report-data", () => ({
+  collectDoctorReportData: vi.fn(),
+}));
 
 import { MCP_RESOURCES, MCP_RESOURCE_URIS } from "../resources";
 import { prisma } from "@/lib/db";
+import { collectDoctorReportData } from "@/lib/doctor-report-data";
 import type { McpAuthContext } from "../auth";
 
 const CTX: McpAuthContext = {
@@ -134,3 +138,84 @@ describe("healthlog://medications", () => {
     expect(result.count).toBe(0);
   });
 });
+
+describe("healthlog://report/doctor-visit", () => {
+  // The resource now reuses the SHARED summariser (doctor-visit-summary.ts), so
+  // it grounds the identical rich superset the doctor_visit_summary prompt does
+  // — mood, glucose panel, wellness composites, and illness episodes no longer
+  // drop out of the resource.
+  it("grounds the rich superset like the prompt when the data is present", async () => {
+    vi.mocked(collectDoctorReportData).mockResolvedValue({
+      period: {
+        days: 90,
+        since: "2026-03-29T00:00:00.000Z",
+        start: "2026-03-29T00:00:00.000Z",
+        end: "2026-06-27T00:00:00.000Z",
+      },
+      patient: {
+        username: "tester",
+        fullName: "A Person",
+        dateOfBirth: "1990-01-01",
+        gender: "female",
+        heightCm: 170,
+      },
+      stats: { WEIGHT: { avg: 80, min: 79, max: 82, count: 30, latest: 80 } },
+      glucoseClinical: { stillLearning: false, timeInRange: 70 },
+      bmi: 24,
+      compliance: { Ramipril: { total: 90, taken: 86, skipped: 0, missed: 4 } },
+      medications: [{ name: "Ramipril", dose: "5 mg", schedules: [] }],
+      mood: { avg: 3.5, min: 2, max: 5, count: 12 },
+      wellnessScores: [{ type: "RECOVERY", latest: 70, avg: 65 }],
+      illnessEpisodes: [
+        {
+          label: "Cold",
+          type: "ILLNESS",
+          lifecycle: "resolved",
+          onsetAt: "2026-05-01",
+          resolvedAt: "2026-05-08",
+        },
+      ],
+    } as never);
+
+    const result = (await resource("healthlog://report/doctor-visit").read(
+      CTX,
+    )) as Record<string, unknown>;
+
+    expect(collectDoctorReportData).toHaveBeenCalledWith(
+      "user-1",
+      expect.objectContaining({ days: 90 }),
+    );
+    expect(result.present).toBe(true);
+    expect(result).toHaveProperty("vitals");
+    expect(result).toHaveProperty("mood");
+    expect(result).toHaveProperty("glucosePanel");
+    expect(result).toHaveProperty("wellnessScores");
+    expect(result).toHaveProperty("illnessEpisodes");
+    // Patient name never leaks.
+    const patient = result.patient as Record<string, unknown>;
+    expect(patient).not.toHaveProperty("fullName");
+    expect(patient).not.toHaveProperty("username");
+  });
+
+  it("omits absent sections honestly (no zero-fill)", async () => {
+    vi.mocked(collectDoctorReportData).mockResolvedValue({
+      period: { days: 90, since: "", start: "", end: "" },
+      patient: { dateOfBirth: "1990-01-01", gender: "female", heightCm: 170 },
+      stats: {},
+      glucoseClinical: { stillLearning: true },
+      bmi: null,
+      compliance: {},
+      medications: [],
+      mood: null,
+    } as never);
+
+    const result = (await resource("healthlog://report/doctor-visit").read(
+      CTX,
+    )) as Record<string, unknown>;
+    expect(result.present).toBe(true);
+    expect(result).not.toHaveProperty("mood");
+    expect(result).not.toHaveProperty("glucosePanel");
+    expect(result).not.toHaveProperty("wellnessScores");
+    expect(result).not.toHaveProperty("illnessEpisodes");
+  });
+});
diff --git a/src/lib/mcp/doctor-visit-summary.ts b/src/lib/mcp/doctor-visit-summary.ts
new file mode 100644
index 000000000..23f4e8467
--- /dev/null
+++ b/src/lib/mcp/doctor-visit-summary.ts
@@ -0,0 +1,151 @@
+/**
+ * Shared doctor-visit summariser — the ONE reducer behind both the
+ * `healthlog://report/doctor-visit` resource (`resources.ts`) and the
+ * `doctor_visit_summary` prompt (`prompts.ts`).
+ *
+ * Both surfaces must ground IDENTICALLY: the same vitals, medications,
+ * adherence, labs, mood, glucose panel, wellness composites, and illness
+ * episodes, with the same units + server-side reference bands. They had
+ * drifted (the resource omitted mood / glucose panel / wellness / illness that
+ * the prompt carried); folding the richer superset into one function makes a
+ * future change reach both wires at once.
+ *
+ * Grounding discipline (ADR-004 / R-DEL-2): latest + aggregate per metric,
+ * latest reading per analyte — never the full per-reading history. Every
+ * numeric value is one the server already computed; every band is server-side.
+ * Absence is honest — a section is omitted rather than zero-filled. No verdict,
+ * no diagnosis.
+ */
+import type { DoctorReportData } from "@/lib/doctor-report-data";
+import { getMetricStatusMeta } from "@/lib/insights/metric-status-registry";
+
+/**
+ * Fallback units for the headline specialised metric types the generic
+ * `metric-status-registry` intentionally omits (it carries the synced/additive
+ * metrics only). The doctor-report stats map is keyed by `MeasurementType`.
+ */
+const FALLBACK_UNITS: Record<string, string> = {
+  WEIGHT: "kg",
+  BLOOD_PRESSURE_SYS: "mmHg",
+  BLOOD_PRESSURE_DIA: "mmHg",
+  PULSE: "bpm",
+  BODY_MASS_INDEX: "kg/m²",
+  SLEEP_DURATION: "min",
+};
+
+function unitAndBandFor(type: string): {
+  unit: string;
+  referenceBand: { low: number; high: number } | null;
+} {
+  const meta = getMetricStatusMeta(type);
+  if (meta) {
+    return {
+      unit: meta.unit,
+      referenceBand: meta.normalRange
+        ? { low: meta.normalRange.low, high: meta.normalRange.high }
+        : null,
+    };
+  }
+  return { unit: FALLBACK_UNITS[type] ?? "", referenceBand: null };
+}
+
+const round = (n: number): number => Math.round(n * 100) / 100;
+
+/**
+ * Reduce the full doctor-report payload to a compact, clinician-oriented,
+ * grounded summary. The richer superset both surfaces share.
+ */
+export function summariseForVisit(
+  data: DoctorReportData,
+): Record<string, unknown> {
+  const vitals = Object.entries(data.stats).map(([type, s]) => {
+    const { unit, referenceBand } = unitAndBandFor(type);
+    return {
+      metric: type,
+      unit,
+      referenceBand,
+      latest: round(s.latest),
+      avg: round(s.avg),
+      min: round(s.min),
+      max: round(s.max),
+      readings: s.count,
+    };
+  });
+
+  const compliance = Object.entries(data.compliance).map(([name, c]) => ({
+    medication: name,
+    takenDoses: c.taken,
+    expectedDoses: c.total,
+    missedDoses: c.missed,
+    adherencePct:
+      c.total > 0 ? Math.min(100, Math.round((c.taken / c.total) * 100)) : null,
+  }));
+
+  const medications = data.medications
+    .slice(0, 40)
+    .map((m) => ({ name: m.name, dose: m.dose }));
+
+  const labs = (data.labResults ?? []).slice(0, 50).map((l) => ({
+    analyte: l.analyte,
+    panel: l.panel,
+    value: l.value,
+    valueText: l.valueText,
+    unit: l.unit,
+    referenceLow: l.referenceLow,
+    referenceHigh: l.referenceHigh,
+    takenAt: l.takenAt,
+    readings: l.count,
+  }));
+
+  const wellness = (data.wellnessScores ?? []).map((w) => ({
+    score: w.type,
+    latest: round(w.latest),
+    avg: round(w.avg),
+    note: "descriptive composite, not a clinical assessment",
+  }));
+
+  const illness = (data.illnessEpisodes ?? []).map((e) => ({
+    label: e.label,
+    type: e.type,
+    lifecycle: e.lifecycle,
+    onsetAt: e.onsetAt,
+    resolvedAt: e.resolvedAt,
+  }));
+
+  return {
+    present: true,
+    period: {
+      days: data.period.days,
+      start: data.period.start,
+      end: data.period.end,
+    },
+    patient: {
+      dateOfBirth: data.patient.dateOfBirth,
+      sex: data.patient.gender,
+      heightCm: data.patient.heightCm,
+    },
+    bmi: data.bmi,
+    vitals,
+    medications,
+    compliance,
+    // Mood is privacy-gated upstream; include only the aggregate when present.
+    ...(data.mood
+      ? {
+          mood: {
+            avg: round(data.mood.avg),
+            min: data.mood.min,
+            max: data.mood.max,
+            entries: data.mood.count,
+          },
+        }
+      : {}),
+    // Glucose clinical panel only when the user logs glucose (stillLearning
+    // flags a too-thin period — surfaced honestly, never asserted).
+    ...(data.glucoseClinical && !data.glucoseClinical.stillLearning
+      ? { glucosePanel: data.glucoseClinical }
+      : {}),
+    ...(labs.length > 0 ? { labs } : {}),
+    ...(wellness.length > 0 ? { wellnessScores: wellness } : {}),
+    ...(illness.length > 0 ? { illnessEpisodes: illness } : {}),
+  };
+}
diff --git a/src/lib/mcp/prompts.ts b/src/lib/mcp/prompts.ts
index 9270bacb2..7f6331b01 100644
--- a/src/lib/mcp/prompts.ts
+++ b/src/lib/mcp/prompts.ts
@@ -22,11 +22,8 @@ import { z } from "zod/v4";
 
 import { prisma } from "@/lib/db";
 import { annotate } from "@/lib/logging/context";
-import {
-  collectDoctorReportData,
-  type DoctorReportData,
-} from "@/lib/doctor-report-data";
-import { getMetricStatusMeta } from "@/lib/insights/metric-status-registry";
+import { collectDoctorReportData } from "@/lib/doctor-report-data";
+import { summariseForVisit } from "./doctor-visit-summary";
 import { coachScopeWindowSchema } from "@/lib/ai/coach/types";
 import type { CoachScopeWindow } from "@/lib/ai/coach/types";
 import { executeCoachTool } from "@/lib/ai/coach/tools/executor";
@@ -71,136 +68,6 @@ export interface McpPromptDefinition {
   ) => Promise<McpPromptResult>;
 }
 
-/**
- * Fallback units for the headline specialised metric types the generic
- * `metric-status-registry` intentionally omits (it carries the synced/additive
- * metrics only). The doctor-report stats map is keyed by `MeasurementType`.
- */
-const FALLBACK_UNITS: Record<string, string> = {
-  WEIGHT: "kg",
-  BLOOD_PRESSURE_SYS: "mmHg",
-  BLOOD_PRESSURE_DIA: "mmHg",
-  PULSE: "bpm",
-  BODY_MASS_INDEX: "kg/m²",
-  SLEEP_DURATION: "min",
-};
-
-function unitAndBandFor(type: string): {
-  unit: string;
-  referenceBand: { low: number; high: number } | null;
-} {
-  const meta = getMetricStatusMeta(type);
-  if (meta) {
-    return {
-      unit: meta.unit,
-      referenceBand: meta.normalRange
-        ? { low: meta.normalRange.low, high: meta.normalRange.high }
-        : null,
-    };
-  }
-  return { unit: FALLBACK_UNITS[type] ?? "", referenceBand: null };
-}
-
-const round = (n: number): number => Math.round(n * 100) / 100;
-
-/**
- * Reduce the full doctor-report payload to a compact, clinician-oriented
- * summary. Latest + aggregate per metric, latest reading per analyte — never
- * the full per-reading history (R-DEL-2). Every numeric value is one the server
- * computed; every band is server-side. No verdict, no diagnosis.
- */
-function summariseForVisit(data: DoctorReportData): Record<string, unknown> {
-  const vitals = Object.entries(data.stats).map(([type, s]) => {
-    const { unit, referenceBand } = unitAndBandFor(type);
-    return {
-      metric: type,
-      unit,
-      referenceBand,
-      latest: round(s.latest),
-      avg: round(s.avg),
-      min: round(s.min),
-      max: round(s.max),
-      readings: s.count,
-    };
-  });
-
-  const compliance = Object.entries(data.compliance).map(([name, c]) => ({
-    medication: name,
-    takenDoses: c.taken,
-    expectedDoses: c.total,
-    missedDoses: c.missed,
-    adherencePct:
-      c.total > 0 ? Math.min(100, Math.round((c.taken / c.total) * 100)) : null,
-  }));
-
-  const medications = data.medications
-    .slice(0, 40)
-    .map((m) => ({ name: m.name, dose: m.dose }));
-
-  const labs = (data.labResults ?? []).slice(0, 50).map((l) => ({
-    analyte: l.analyte,
-    panel: l.panel,
-    value: l.value,
-    valueText: l.valueText,
-    unit: l.unit,
-    referenceLow: l.referenceLow,
-    referenceHigh: l.referenceHigh,
-    takenAt: l.takenAt,
-    readings: l.count,
-  }));
-
-  const wellness = (data.wellnessScores ?? []).map((w) => ({
-    score: w.type,
-    latest: round(w.latest),
-    avg: round(w.avg),
-    note: "descriptive composite, not a clinical assessment",
-  }));
-
-  const illness = (data.illnessEpisodes ?? []).map((e) => ({
-    label: e.label,
-    type: e.type,
-    lifecycle: e.lifecycle,
-    onsetAt: e.onsetAt,
-    resolvedAt: e.resolvedAt,
-  }));
-
-  return {
-    period: {
-      days: data.period.days,
-      start: data.period.start,
-      end: data.period.end,
-    },
-    patient: {
-      dateOfBirth: data.patient.dateOfBirth,
-      sex: data.patient.gender,
-      heightCm: data.patient.heightCm,
-    },
-    bmi: data.bmi,
-    vitals,
-    medications,
-    compliance,
-    // Mood is privacy-gated upstream; include only the aggregate when present.
-    ...(data.mood
-      ? {
-          mood: {
-            avg: round(data.mood.avg),
-            min: data.mood.min,
-            max: data.mood.max,
-            entries: data.mood.count,
-          },
-        }
-      : {}),
-    // Glucose clinical panel only when the user logs glucose (stillLearning
-    // flags a too-thin period — surfaced honestly, never asserted).
-    ...(data.glucoseClinical && !data.glucoseClinical.stillLearning
-      ? { glucosePanel: data.glucoseClinical }
-      : {}),
-    ...(labs.length > 0 ? { labs } : {}),
-    ...(wellness.length > 0 ? { wellnessScores: wellness } : {}),
-    ...(illness.length > 0 ? { illnessEpisodes: illness } : {}),
-  };
-}
-
 /**
  * The framing block prepended to the assembled data. Injected once, centrally:
  * the assistant is told to organise + present, never to diagnose or invent.
diff --git a/src/lib/mcp/resources.ts b/src/lib/mcp/resources.ts
index d7b700cba..f497ef713 100644
--- a/src/lib/mcp/resources.ts
+++ b/src/lib/mcp/resources.ts
@@ -33,11 +33,8 @@ import {
   BIOMARKER_CATALOG,
   BIOMARKER_PANELS,
 } from "@/lib/labs/biomarker-catalog";
-import {
-  collectDoctorReportData,
-  type DoctorReportData,
-} from "@/lib/doctor-report-data";
-import { getMetricStatusMeta } from "@/lib/insights/metric-status-registry";
+import { collectDoctorReportData } from "@/lib/doctor-report-data";
+import { summariseForVisit } from "./doctor-visit-summary";
 import type { McpAuthContext } from "./auth";
 
 export interface McpResourceDefinition {
@@ -269,97 +266,8 @@ export const MCP_RESOURCES: McpResourceDefinition[] = [
 ];
 
 // ── Doctor-visit summariser ──────────────────────────────────────────
-// Reshapes the server-authoritative doctor-report payload into a compact,
-// grounded summary — latest + aggregate per metric, latest reading per analyte.
-// Never the full per-reading history (R-DEL-2); never a verdict. Every numeric
-// value is one the server already computed; every band is server-side.
-
-const FALLBACK_UNITS: Record<string, string> = {
-  WEIGHT: "kg",
-  BLOOD_PRESSURE_SYS: "mmHg",
-  BLOOD_PRESSURE_DIA: "mmHg",
-  PULSE: "bpm",
-  BODY_MASS_INDEX: "kg/m²",
-  SLEEP_DURATION: "min",
-};
-
-function unitAndBandFor(type: string): {
-  unit: string;
-  referenceBand: { low: number; high: number } | null;
-} {
-  const meta = getMetricStatusMeta(type);
-  if (meta) {
-    return {
-      unit: meta.unit,
-      referenceBand: meta.normalRange
-        ? { low: meta.normalRange.low, high: meta.normalRange.high }
-        : null,
-    };
-  }
-  return { unit: FALLBACK_UNITS[type] ?? "", referenceBand: null };
-}
-
-const round = (n: number): number => Math.round(n * 100) / 100;
-
-function summariseForVisit(data: DoctorReportData): Record<string, unknown> {
-  const vitals = Object.entries(data.stats).map(([type, s]) => {
-    const { unit, referenceBand } = unitAndBandFor(type);
-    return {
-      metric: type,
-      unit,
-      referenceBand,
-      latest: round(s.latest),
-      avg: round(s.avg),
-      min: round(s.min),
-      max: round(s.max),
-      readings: s.count,
-    };
-  });
-
-  const compliance = Object.entries(data.compliance).map(([name, c]) => ({
-    medication: name,
-    takenDoses: c.taken,
-    expectedDoses: c.total,
-    missedDoses: c.missed,
-    adherencePct:
-      c.total > 0 ? Math.min(100, Math.round((c.taken / c.total) * 100)) : null,
-  }));
-
-  const medications = data.medications
-    .slice(0, 40)
-    .map((m) => ({ name: m.name, dose: m.dose }));
-
-  const labs = (data.labResults ?? []).slice(0, 50).map((l) => ({
-    analyte: l.analyte,
-    panel: l.panel,
-    value: l.value,
-    valueText: l.valueText,
-    unit: l.unit,
-    referenceLow: l.referenceLow,
-    referenceHigh: l.referenceHigh,
-    takenAt: l.takenAt,
-    readings: l.count,
-  }));
-
-  return {
-    present: true,
-    period: {
-      days: data.period.days,
-      start: data.period.start,
-      end: data.period.end,
-    },
-    patient: {
-      dateOfBirth: data.patient.dateOfBirth,
-      sex: data.patient.gender,
-      heightCm: data.patient.heightCm,
-    },
-    bmi: data.bmi,
-    vitals,
-    medications,
-    compliance,
-    ...(labs.length > 0 ? { labs } : {}),
-  };
-}
+// The reducer is shared with the `doctor_visit_summary` prompt
+// (`doctor-visit-summary.ts`) so both surfaces ground identically.
 
 async function readDoctorVisit(
   ctx: McpAuthContext,