diff --git a/e2e/doctor-report-delegate.spec.ts b/e2e/doctor-report-delegate.spec.ts
new file mode 100644
index 000000000..204734eea
--- /dev/null
+++ b/e2e/doctor-report-delegate.spec.ts
@@ -0,0 +1,271 @@
+/**
+ * The doctor report is not something a READ-level delegate can generate.
+ *
+ * `POST /api/export/health-record` resolves `requireRecordAuth("manage",
+ * "record")`: a prepared artefact from a declared selection is the one export an
+ * invited MANAGER reaches, and READ is below that line. That is the statement
+ * this spec is about, and it is the ROUTE half that carries it: 403 inside the
+ * record the delegate may only read, 200 inside the one it manages.
+ *
+ * The UI half proves something narrower, and the file says so rather than
+ * implying the route's boundary twice. `/settings/gesundheitsakte` is a
+ * PERSONAL destination: inside SOMEBODY ELSE's record the shell answers it with
+ * the "not part of shared access" panel at every adult grant level — READ,
+ * WRITE and MANAGE alike — so the export card is never rendered for a delegate
+ * to press. That is a property of the destination, not of the level, and the
+ * spec asserts it at BOTH levels for exactly that reason: the same two
+ * absences inside the MANAGE record, where the route says 200, are what stops
+ * "the control is not offered" from being a check that cannot fail.
+ *
+ * Why both halves at all. A missing button proves nothing about the server, and
+ * a 403 proves nothing about what the person is shown; the failure mode this
+ * release family keeps rediscovering is a control that renders and then 403s.
+ *
+ * The positive control is the same delegate, the same payload and the same
+ * switched-record plumbing against the record it holds a MANAGE grant on. That
+ * isolates the one variable the refusal is supposed to be about: if the payload
+ * were malformed, the session unfenced or the switch broken, the MANAGE arm
+ * would refuse too and the file would go red instead of passing for the wrong
+ * reason.
+ *
+ * Both requests carry the record-context headers the shipped client sends. A
+ * raw `fetch` without them is refused by the record-session fence with the SAME
+ * status and the SAME error code as an insufficient grant — so an unfenced
+ * request would make the refusal below pass for the wrong reason. The context
+ * is read from `/api/auth/me`, which is where a browser gets it too.
+ *
+ * Its own cookie jar, like every spec that moves a session's record selector:
+ * the switch is stamped on the session row, so sharing a jar would switch the
+ * record under whichever spec happened to be mid-navigation.
+ */
+import type { Page } from "@playwright/test";
+
+import { expect, test } from "./setup/test";
+import {
+  E2E_LEVEL_RECORDS,
+  REPORT_DELEGATE_STORAGE_STATE_PATH,
+} from "./setup/test-helpers";
+
+/** A selection the route accepts, so a refusal is about the grant and nothing
+ *  else. One leaf is enough: an empty list is its own 422. */
+const SELECTION = { v: 2, leaves: ["WEIGHT"] } as const;
+
+interface ReportAttempt {
+  status: number;
+  contentType: string;
+  errorCode: string | null;
+  magic: string;
+}
+
+async function openSwitcher(page: Page): Promise<void> {
+  await page.getByRole("button", { name: "User menu" }).first().click();
+  await page.locator('[data-slot="account-switcher-trigger"]').click();
+  await expect(
+    page.locator('[data-slot="account-switcher-menu"]'),
+  ).toBeVisible();
+}
+
+/**
+ * Run `act` and wait for the document it replaces to be gone — the switch is a
+ * hard navigation, and a banner assertion alone settles nothing. Same helper
+ * shape the v1.37/v1.38 sharing journeys use, for the reason written there.
+ */
+async function withDocumentReplacement(
+  page: Page,
+  act: () => Promise<void>,
+): Promise<void> {
+  await page.evaluate(() => {
+    (window as Window & { __hlNavToken?: true }).__hlNavToken = true;
+  });
+  await act();
+  await page.waitForFunction(
+    () =>
+      (window as Window & { __hlNavToken?: true }).__hlNavToken === undefined,
+    undefined,
+    { timeout: 30_000 },
+  );
+}
+
+/** Land on the delegate's own record, with the shell live. */
+async function openOwnRecord(page: Page): Promise<void> {
+  await page.goto("/", { waitUntil: "domcontentloaded" });
+  await expect(
+    page.getByRole("button", { name: "User menu" }).first(),
+  ).toBeVisible({
+    timeout: 30_000,
+  });
+  await expect(page.locator('[data-slot="shared-record-banner"]')).toHaveCount(
+    0,
+    { timeout: 30_000 },
+  );
+}
+
+async function enterRecord(page: Page, username: string): Promise<void> {
+  await openSwitcher(page);
+  const entry = page.locator(
+    `[data-slot="account-switcher-entry"][data-account-username="${username}"]`,
+  );
+  await expect(entry).toHaveCount(1);
+  await withDocumentReplacement(page, () => entry.click());
+  await expect(page.locator('[data-slot="shared-record-banner"]')).toBeVisible({
+    timeout: 30_000,
+  });
+}
+
+async function leaveRecord(page: Page): Promise<void> {
+  await withDocumentReplacement(page, () =>
+    page.locator('[data-slot="shared-record-banner-exit"]').click(),
+  );
+  await expect(page.locator('[data-slot="shared-record-banner"]')).toHaveCount(
+    0,
+    { timeout: 30_000 },
+  );
+}
+
+/**
+ * Open the health-record settings page and wait for the shell to decide.
+ *
+ * Inside somebody else's record the shell answers this destination with the
+ * "not part of shared access" panel rather than the section, so the panel is
+ * the settled state to gate on — and the thing whose presence says the export
+ * card was never offered.
+ */
+async function openGesundheitsakte(page: Page): Promise<void> {
+  await page.goto("/settings/gesundheitsakte", {
+    waitUntil: "domcontentloaded",
+  });
+  await expect(
+    page.locator('[data-slot="shared-record-unavailable"]'),
+  ).toBeVisible({ timeout: 30_000 });
+}
+
+/**
+ * Ask the route for a PDF from inside the page, carrying the record context the
+ * shipped client carries.
+ */
+async function attemptReport(
+  page: Page,
+  selection: { v: number; leaves: readonly string[] },
+): Promise<ReportAttempt> {
+  return page.evaluate(async (chosen) => {
+    const me = (await (await fetch("/api/auth/me")).json()) as {
+      data: { recordSession: { epoch: number; scope: string | null } | null };
+    };
+    const context = me.data.recordSession;
+    const headers: Record<string, string> = {
+      "Content-Type": "application/json",
+    };
+    if (context) {
+      headers["x-healthlog-record-epoch"] = String(context.epoch);
+      headers["x-healthlog-record-scope"] = context.scope ?? "self";
+    }
+
+    const res = await fetch("/api/export/health-record", {
+      method: "POST",
+      headers,
+      body: JSON.stringify({
+        format: "pdf",
+        locale: "en",
+        range: { days: 30 },
+        includeCharts: false,
+        selection: chosen,
+      }),
+    });
+
+    const contentType = res.headers.get("content-type") ?? "";
+    const buffer = await res.arrayBuffer();
+    const head = String.fromCharCode(...new Uint8Array(buffer.slice(0, 5)));
+
+    let errorCode: string | null = null;
+    if (contentType.includes("json")) {
+      try {
+        const payload = JSON.parse(new TextDecoder().decode(buffer)) as {
+          meta?: { errorCode?: string };
+        };
+        errorCode = payload.meta?.errorCode ?? null;
+      } catch {
+        errorCode = null;
+      }
+    }
+
+    return { status: res.status, contentType, errorCode, magic: head };
+  }, selection);
+}
+
+test.describe.serial("a read-level delegate and the doctor report", () => {
+  test.use({ storageState: REPORT_DELEGATE_STORAGE_STATE_PATH });
+
+  const readRecord = E2E_LEVEL_RECORDS.find(
+    (record) => record.access === "READ" && record.recordKind === "shared",
+  );
+  if (!readRecord) throw new Error("the READ-level record fixture is missing");
+
+  const manageRecord = E2E_LEVEL_RECORDS.find(
+    (record) => record.access === "MANAGE" && record.recordKind === "shared",
+  );
+  if (!manageRecord) {
+    throw new Error("the MANAGE-level record fixture is missing");
+  }
+
+  test.afterEach(async ({ page }) => {
+    // Hand the session back to its own record even when an assertion above
+    // failed: this jar is this spec's, but a switched row left behind would
+    // make its own next run start somewhere it did not choose.
+    await page.request
+      .post("/api/account/switch", { data: { accountId: null } })
+      .catch(() => {});
+  });
+
+  test("cannot generate on a record it may only read, and is not offered the control", async ({
+    page,
+  }) => {
+    test.setTimeout(120_000);
+
+    await openOwnRecord(page);
+
+    // Positive control: a record the same delegate MANAGES. Everything except
+    // the access level is identical to the refusal below.
+    await enterRecord(page, manageRecord.username);
+    await expect(
+      page.locator('[data-slot="shared-record-banner"]'),
+    ).toHaveAttribute("data-access-level", "manage");
+    const managed = await attemptReport(page, SELECTION);
+    expect(managed.status).toBe(200);
+    expect(managed.contentType).toContain("application/pdf");
+    expect(managed.magic).toBe("%PDF-");
+
+    // The destination is shut here too, and this is the arm that proves it is
+    // the DESTINATION doing it: the route answered 200 for this very record a
+    // line ago, so the two absences below cannot be the grant level talking.
+    await openGesundheitsakte(page);
+    await expect(page.getByTestId("health-record-export-panel")).toHaveCount(0);
+    await expect(page.getByTestId("health-record-generate")).toHaveCount(0);
+
+    await leaveRecord(page);
+
+    await enterRecord(page, readRecord.username);
+    const banner = page.locator('[data-slot="shared-record-banner"]');
+    await expect(banner).toHaveAttribute("data-record-kind", "shared");
+    // The banner carries the PRESENTATION of the grant, and a READ grant
+    // presents as "view" — one level below the "view-and-add" a WRITE grant
+    // shows and two below the "manage" this route requires.
+    await expect(banner).toHaveAttribute("data-access-level", "view");
+
+    // The same closed door, one level down. Paired with the MANAGE arm above it
+    // says the export card is offered inside NOBODY's record but your own; on
+    // its own it would say nothing about READ.
+    await openGesundheitsakte(page);
+    await expect(page.getByTestId("health-record-export-panel")).toHaveCount(0);
+    await expect(page.getByTestId("health-record-generate")).toHaveCount(0);
+
+    // The level-sensitive statement: the same request, the same headers and the
+    // same payload that answered 200 inside the managed record are refused
+    // here, and nothing but the grant changed.
+    const shared = await attemptReport(page, SELECTION);
+    expect(shared.status).toBe(403);
+    expect(shared.errorCode).toBe("sharing.access.denied");
+    expect(shared.contentType).toContain("json");
+
+    await leaveRecord(page);
+  });
+});
diff --git a/e2e/doctor-report.spec.ts b/e2e/doctor-report.spec.ts
new file mode 100644
index 000000000..c11fdee63
--- /dev/null
+++ b/e2e/doctor-report.spec.ts
@@ -0,0 +1,524 @@
+/**
+ * The doctor report, generated in a browser and read back as a real PDF.
+ *
+ * The surface had unit coverage for the renderer and route coverage for the
+ * envelope, and nothing that pressed the button. What that leaves untested is
+ * the part a self-hoster actually meets: a person with a few weeks of readings
+ * opens Settings → Gesundheitsakte, picks a window, presses Generate, and gets
+ * a document a practice can file. Every link in that chain — the panel's own
+ * `fetch`, the selection it sends, the aggregator's window, the renderer, the
+ * download — is proved here once, end to end.
+ *
+ * What the assertions are about:
+ *
+ *   1. The response IS a PDF: `application/pdf`, a `%PDF` magic, a byte length
+ *      no empty document could reach, and a `Content-Length` that agrees with
+ *      the bytes.
+ *   2. The document says what it contains. The bytes are parsed back to text,
+ *      so the period line, the blood-pressure section and the medication the
+ *      account carries are read out of the artefact rather than inferred from a
+ *      200.
+ *   3. The window travelled. The period line names two dates, and their span is
+ *      the window the select offered — not the server's default.
+ *
+ * And the refusing control, in the same file because it is the same button: a
+ * window with nothing in it still produces a valid, readable PDF that names the
+ * period and simply carries no blood-pressure section. An empty report is a
+ * true statement about an empty window; a truncated or unopenable file is not.
+ *
+ * Its own account, and not the shared one: generating a report WRITES. The
+ * route remembers the scope and the practice name on the account row, so the
+ * panel a later visit opens is the collapsed "repeat run" state — which is
+ * exactly the state `settings-export.spec.ts` asserts the opposite of, against
+ * the shared account, in nine places. See `E2E_REPORT_OWNER`.
+ *
+ * The fixture is seeded through the PAGE's own `fetch` under the session the
+ * spec is already authenticated as — not through a second Playwright request
+ * context — so the rows are written by exactly the credential that later reads
+ * them back. The ROWS are idempotent: a re-post of the same reading collides on
+ * the measurement's natural key and answers 409, so `--repeat-each` and a
+ * second local run write nothing twice. The export QUOTA is not idempotent —
+ * every export route shares one 10-per-hour bucket keyed on the actor, and it
+ * outlives the run — so `global-setup` clears this account's bucket before each
+ * run rather than the file pretending the press is free.
+ *
+ * The delegate half of the story — a READ-level delegate cannot generate the
+ * owner's report — lives in `doctor-report-delegate.spec.ts`, which needs its
+ * own session row because it moves the record selector.
+ */
+import { readFile } from "node:fs/promises";
+
+import type { Page, Response } from "@playwright/test";
+import { PDFParse } from "pdf-parse";
+
+import { REPORT_OWNER_STORAGE_STATE_PATH } from "./setup/global-setup";
+import { expect, test } from "./setup/test";
+
+/** The allergy and the drug the report has to name. Both plain ASCII: the
+ *  PDF's built-in Helvetica is WinAnsi-encoded and the assertions read the
+ *  extracted text back, so a fixture that needs transliteration would be
+ *  testing the sanitiser rather than the report. */
+const ALLERGY_SUBSTANCE = "Amoxicillin";
+const MEDICATION_NAME = "Ramipril";
+const MEDICATION_DOSE = "5 mg";
+
+/** Day offsets for the seeded readings — a few weeks of history, inside the
+ *  30-day window the spec selects and well inside the 90-day default, so a
+ *  window that failed to travel would still find them. */
+const READING_DAY_OFFSETS = [2, 5, 9, 13, 17, 21] as const;
+
+/** The window the spec chooses in the panel. Deliberately NOT the 90-day
+ *  fallback the panel opens with, so the period line proves a choice. */
+const RANGE_DAYS = 30;
+
+/** The section heading the PDF prints only when both blood-pressure series
+ *  have readings in the window. Quoted without its em dash: the expectation is
+ *  about the section being there, not about how a parser renders punctuation. */
+const BP_SECTION = "ESH classification";
+
+/** The refusing control's window: twenty days, starting four hundred days back.
+ *  Far outside every seeded reading and well inside the route's 1..730-day span
+ *  bounds, and named so the period line can be asserted against it rather than
+ *  the report being taken on trust. */
+const EMPTY_WINDOW_START_DAYS_BACK = 400;
+const EMPTY_WINDOW_DAYS = 20;
+
+/** Byte floor for "a real document". A cover page with charts is far above
+ *  this; a truncated stream or an error body is far below it. */
+const MIN_PDF_BYTES = 10_000;
+
+interface SeedOutcome {
+  measurements: number[];
+  allergy: number;
+  medication: number;
+  emergency: number;
+}
+
+/**
+ * Write the record this report is about, through the page's own `fetch`.
+ *
+ * Each per-day POST carries the day's systolic, diastolic and weight as one
+ * array body — the route's batch arm — so a repeat run collides as a whole day
+ * and answers 409 rather than half-inserting. The allergy and the medication
+ * are read before they are written, because neither has a natural key that
+ * would make a second create a no-op.
+ *
+ * The emergency profile matters more than it looks: the drug list reaches the
+ * PDF through the emergency sheet, and that sheet only renders once the profile
+ * holds something. One blood type is the smallest honest way to say so.
+ */
+async function seedReportFixture(page: Page): Promise<SeedOutcome> {
+  return page.evaluate(
+    async (fixture) => {
+      const send = async (
+        method: string,
+        path: string,
+        body: unknown,
+      ): Promise<number> => {
+        const res = await fetch(path, {
+          method,
+          headers: { "Content-Type": "application/json" },
+          body: JSON.stringify(body),
+        });
+        return res.status;
+      };
+
+      const readList = async (path: string): Promise<unknown[]> => {
+        const res = await fetch(path);
+        if (!res.ok) return [];
+        const payload = (await res.json()) as { data: unknown };
+        return Array.isArray(payload.data) ? payload.data : [];
+      };
+
+      /** 09:00 UTC on the day `offset` days back — a fixed instant, so a
+       *  second run inside the same day reproduces the same natural key. */
+      const instantFor = (offset: number): string => {
+        const day = new Date();
+        day.setUTCDate(day.getUTCDate() - offset);
+        return `${day.toISOString().slice(0, 10)}T09:00:00.000Z`;
+      };
+
+      const measurements: number[] = [];
+      for (const [index, offset] of fixture.dayOffsets.entries()) {
+        const measuredAt = instantFor(offset);
+        measurements.push(
+          await send("POST", "/api/measurements", [
+            {
+              type: "BLOOD_PRESSURE_SYS",
+              value: 118 + index,
+              measuredAt,
+            },
+            {
+              type: "BLOOD_PRESSURE_DIA",
+              value: 74 + index,
+              measuredAt,
+            },
+            {
+              type: "WEIGHT",
+              value: 82.4 - index * 0.2,
+              measuredAt,
+            },
+          ]),
+        );
+      }
+
+      const allergies = (await readList("/api/allergies")) as Array<{
+        substance?: string;
+      }>;
+      const allergy = allergies.some(
+        (row) => row.substance === fixture.allergySubstance,
+      )
+        ? 200
+        : await send("POST", "/api/allergies", {
+            substance: fixture.allergySubstance,
+            category: "MEDICATION",
+            type: "ALLERGY",
+            severity: "MODERATE",
+          });
+
+      const drugs = (await readList("/api/medications")) as Array<{
+        name?: string;
+      }>;
+      const medication = drugs.some(
+        (row) => row.name === fixture.medicationName,
+      )
+        ? 200
+        : await send("POST", "/api/medications", {
+            name: fixture.medicationName,
+            dose: fixture.medicationDose,
+            // No schedule: an as-needed drug is active indefinitely and needs
+            // no dose ledger, which keeps the fixture about the drug LIST.
+            asNeeded: true,
+          });
+
+      const emergency = await send("PATCH", "/api/anamnesis/emergency", {
+        bloodType: "O_POS",
+      });
+
+      return { measurements, allergy, medication, emergency };
+    },
+    {
+      dayOffsets: [...READING_DAY_OFFSETS],
+      allergySubstance: ALLERGY_SUBSTANCE,
+      medicationName: MEDICATION_NAME,
+      medicationDose: MEDICATION_DOSE,
+    },
+  );
+}
+
+/**
+ * Open the panel and wait until the client boundary that owns it is live.
+ *
+ * `GesundheitsakteSection` carries the export panel and the sharing card in one
+ * boundary, and the sharing card's query only runs once that boundary has
+ * hydrated — so its request is the signal that the Generate button is wired
+ * rather than merely painted. Same gate `settings-export.spec.ts` uses, for the
+ * same reason.
+ */
+async function openReportPanel(page: Page): Promise<void> {
+  const boundaryHydrated = page.waitForResponse(
+    (response) =>
+      response.request().method() === "GET" &&
+      new URL(response.url()).pathname === "/api/share-links",
+  );
+  await page.goto("/settings/gesundheitsakte", {
+    waitUntil: "domcontentloaded",
+  });
+  await boundaryHydrated;
+  await expect(page.getByTestId("health-record-export-panel")).toBeVisible({
+    timeout: 30_000,
+  });
+}
+
+/**
+ * Put the panel into a known state: PDF format, the standard scope.
+ *
+ * The account carries a saved selection the moment it has generated once, so
+ * the panel a second run opens is the "repeat run" state with the picker
+ * collapsed. Both states are handled by opening the disclosure when it is shut
+ * and then applying the named template, which is also the only thing in the
+ * product that fills a selection — so the scope this report is generated under
+ * is a scope somebody pressed a button for, exactly as the panel intends.
+ */
+async function chooseStandardPdfScope(page: Page): Promise<void> {
+  const panel = page.getByTestId("health-record-export-panel");
+
+  const formats = panel.locator('[role="radiogroup"] [role="radio"]');
+  // PDF is the first of the three formats the panel offers.
+  await formats.first().click();
+  await expect(formats.first()).toHaveAttribute("aria-checked", "true");
+
+  const picker = page.getByTestId("health-record-included-data-panel");
+  if ((await picker.count()) === 0) {
+    await page.getByTestId("health-record-included-data-toggle").click();
+  }
+  await expect(picker).toBeVisible();
+
+  await page.getByTestId("report-apply-standard-export").click();
+  await expect(page.getByTestId("health-record-generate")).toBeEnabled();
+}
+
+interface GeneratedReport {
+  status: number;
+  contentType: string;
+  contentLength: string | undefined;
+  bytes: Buffer;
+  text: string;
+  filename: string;
+}
+
+/**
+ * Press Generate and take the artefact apart.
+ *
+ * Both ends of the press are observed: the response carries the bytes the
+ * assertions are about, and the download event is the state the person sees.
+ * Waiting on the response ALONE would pass on a build that produced a perfect
+ * PDF and never handed it to the browser.
+ */
+async function generateReport(page: Page): Promise<GeneratedReport> {
+  const responseArrived = page.waitForResponse(
+    (response) =>
+      response.request().method() === "POST" &&
+      new URL(response.url()).pathname === "/api/export/health-record",
+    { timeout: 60_000 },
+  );
+  const downloadStarted = page.waitForEvent("download", { timeout: 60_000 });
+
+  const generate = page.getByTestId("health-record-generate");
+  await generate.click();
+
+  const response = await responseArrived;
+  const download = await downloadStarted;
+
+  // The bytes come off the DOWNLOAD, not off the response, because the saved
+  // file is the artefact the person ends up with: a build that produced a
+  // perfect response and saved something else would still be caught.
+  const saved = await download.path();
+  expect(saved, "the panel saved the generated report").toBeTruthy();
+  const bytes = await readFile(saved!);
+
+  // The control comes back, and nothing on the panel is complaining. The error
+  // paragraph is the panel's only failure surface, so its absence is the
+  // statement that the press succeeded rather than failed quietly.
+  await expect(generate).toBeEnabled({ timeout: 30_000 });
+  await expect(
+    page.getByTestId("health-record-export-panel").getByRole("alert"),
+  ).toHaveCount(0);
+
+  // Asserted BEFORE the parse: a parser fed an error envelope reports "not a
+  // PDF", which is a true statement about the bytes and a useless one about
+  // what went wrong. The status and the content type say that.
+  expect(response.status(), await failureDetail(response)).toBe(200);
+  expect(response.headers()["content-type"] ?? "").toContain("application/pdf");
+  expect(bytes.byteLength).toBeGreaterThan(MIN_PDF_BYTES);
+
+  const parser = new PDFParse({ data: new Uint8Array(bytes) });
+  let text: string;
+  try {
+    text = (await parser.getText()).text;
+  } finally {
+    await parser.destroy();
+  }
+
+  return {
+    status: response.status(),
+    contentType: response.headers()["content-type"] ?? "",
+    contentLength: response.headers()["content-length"],
+    bytes,
+    text,
+    filename: download.suggestedFilename(),
+  };
+}
+
+/** What the route said, when it did not say "PDF". */
+async function failureDetail(response: Response): Promise<string> {
+  try {
+    return (await response.text()).slice(0, 400);
+  } catch {
+    return "<no readable body>";
+  }
+}
+
+/** Every assertion that is about "this is a PDF", said once. */
+function expectRealPdf(report: GeneratedReport): void {
+  expect(report.status).toBe(200);
+  expect(report.contentType).toContain("application/pdf");
+  expect(report.bytes.subarray(0, 5).toString("latin1")).toBe("%PDF-");
+  expect(report.bytes.byteLength).toBeGreaterThan(MIN_PDF_BYTES);
+  // The route declares the length it sent; a disagreement means the body was
+  // truncated on the way out, which a magic-number check alone would miss.
+  expect(report.contentLength).toBe(String(report.bytes.byteLength));
+  // The name the CLIENT anchor invents, not the route's `Content-Disposition`
+  // — the two differ by a word today. This says the panel saved a PDF, and it
+  // is not contract coverage of the header.
+  expect(report.filename).toMatch(/\.pdf$/);
+}
+
+/** The three orders `DateFormatPreference` pins a rendering to. */
+type DateOrder = "DMY" | "MDY" | "YMD";
+
+/**
+ * Which field of the period line is the month, read off the account.
+ *
+ * The rendering is the account's `dateFormat` preference, not a constant: DMY
+ * prints `10.09.2026`, YMD prints `2026-09-10`, and en-GB's MM/DD-shaped
+ * `10/09/2026` is a DMY date that an MDY reader silently mis-parses into a
+ * nonsense span. So the preference is read rather than assumed.
+ *
+ * `AUTO` resolves through the active locale and is deliberately refused here:
+ * the fixture pins `MDY` (see `E2E_REPORT_OWNER` in `global-setup.ts`), so an
+ * `AUTO` account is a drifted fixture and should say so rather than be guessed
+ * at.
+ */
+async function readDateOrder(page: Page): Promise<DateOrder> {
+  const preference = await page.evaluate(async () => {
+    const res = await fetch("/api/auth/me");
+    const payload = (await res.json()) as { data: { dateFormat?: string } };
+    return payload.data.dateFormat ?? "AUTO";
+  });
+  expect(
+    ["DMY", "MDY", "YMD"],
+    "the account pins an explicit date order for the period line",
+  ).toContain(preference);
+  return preference as DateOrder;
+}
+
+/**
+ * The period line's two dates, as a span in days.
+ *
+ * The line is rendered in the account's date order and its timezone, so the
+ * dates are read structurally and compared as a SPAN. A span is timezone-proof
+ * in a way an absolute date is not: both ends move together.
+ *
+ * The separator is captured once and back-referenced, so `10.09.2026`,
+ * `09/10/2026` and `2026-09-10` all parse and none of them can be read as the
+ * other two.
+ */
+function periodSpanDays(text: string, order: DateOrder): number {
+  const match =
+    /Reporting period:\s*(\d{2,4})([./-])(\d{2})\2(\d{2,4})\s*\D{1,3}\s*(\d{2,4})\2(\d{2})\2(\d{2,4})/.exec(
+      text,
+    );
+  expect(match, "the report prints a reporting period with two dates").not.toBe(
+    null,
+  );
+  const start = utcMidnight(match![1], match![3], match![4], order);
+  const end = utcMidnight(match![5], match![6], match![7], order);
+  return Math.round((end - start) / 86_400_000);
+}
+
+function utcMidnight(
+  first: string,
+  second: string,
+  third: string,
+  order: DateOrder,
+): number {
+  const [a, b, c] = [Number(first), Number(second), Number(third)];
+  const [year, month, day] =
+    order === "YMD" ? [a, b, c] : order === "DMY" ? [c, b, a] : [c, a, b];
+  return Date.UTC(year, month - 1, day);
+}
+
+test.describe.serial("the doctor report", () => {
+  // This journey's own account owns the readings, the allergy and the drug, and
+  // the page's own `fetch` writes them under its session.
+  test.use({ storageState: REPORT_OWNER_STORAGE_STATE_PATH });
+
+  test("generates a PDF that names the period, the vitals and the medication", async ({
+    page,
+  }) => {
+    // A production build rendering a charted PDF over a seeded window is well
+    // past the 30 s default, and a timeout here would report a failure that
+    // says nothing about the report.
+    test.setTimeout(120_000);
+
+    await openReportPanel(page);
+    const seeded = await seedReportFixture(page);
+    // 201 on a first run, 409 on a repeat — both mean the readings are there.
+    for (const status of seeded.measurements) {
+      expect([201, 409]).toContain(status);
+    }
+    expect([200, 201]).toContain(seeded.allergy);
+    expect([200, 201]).toContain(seeded.medication);
+    expect(seeded.emergency).toBe(200);
+
+    // Reload so the panel is looking at the record that now exists.
+    await openReportPanel(page);
+    await chooseStandardPdfScope(page);
+
+    // The period: a window the panel offers, and not the one it defaults to.
+    await page.locator("#hr-range").selectOption({ value: String(RANGE_DAYS) });
+    await expect(page.locator("#hr-range")).toHaveValue(String(RANGE_DAYS));
+
+    const report = await generateReport(page);
+    expectRealPdf(report);
+
+    // The document says what it is about.
+    expect(report.text).toContain("Reporting period");
+    const span = periodSpanDays(report.text, await readDateOrder(page));
+    expect(span).toBeGreaterThanOrEqual(RANGE_DAYS - 1);
+    expect(span).toBeLessThanOrEqual(RANGE_DAYS + 1);
+
+    // The blood-pressure section only prints when both series carried readings
+    // in the window, so its presence is the seeded history arriving.
+    expect(report.text).toContain(BP_SECTION);
+    // And the record the clinician reads first: the drug and the allergy.
+    expect(report.text).toContain(MEDICATION_NAME);
+    expect(report.text).toContain(ALLERGY_SUBSTANCE);
+  });
+
+  test("a window with no readings is an empty report, not a broken one", async ({
+    page,
+  }) => {
+    test.setTimeout(120_000);
+
+    await openReportPanel(page);
+    await chooseStandardPdfScope(page);
+
+    // A custom window a year back: inside the route's span bounds, and holding
+    // none of this account's readings.
+    await page.locator("#hr-range").selectOption({ value: "custom" });
+    const panel = page.getByTestId("health-record-export-panel");
+    const dateFields = panel.locator(
+      '[data-slot="date-field"] input[type="text"]',
+    );
+    await expect(dateFields).toHaveCount(2);
+
+    const dayBack = (offset: number): string => {
+      const day = new Date();
+      day.setUTCDate(day.getUTCDate() - offset);
+      return day.toISOString().slice(0, 10);
+    };
+    // The field commits a clean ISO string whatever the locale's field order is.
+    await dateFields.first().fill(dayBack(EMPTY_WINDOW_START_DAYS_BACK));
+    await dateFields.first().press("Enter");
+    await dateFields
+      .nth(1)
+      .fill(dayBack(EMPTY_WINDOW_START_DAYS_BACK - EMPTY_WINDOW_DAYS));
+    await dateFields.nth(1).press("Enter");
+
+    const report = await generateReport(page);
+    // Still a document: the empty window is answered with a report, not with a
+    // truncated file and not with an error the panel swallows.
+    expectRealPdf(report);
+    expect(report.text).toContain("Reporting period");
+
+    // And it is the window that was typed. Two silent fallbacks sit under this
+    // line — the panel sends `{ days }` when either date field is empty, and
+    // the route falls back to the 90-day default when a bound fails to parse,
+    // neither of them a 422. Both land on a window that HOLDS the seeded
+    // readings, so without this the absence below would be the fixture's luck.
+    const emptySpan = periodSpanDays(report.text, await readDateOrder(page));
+    expect(emptySpan).toBeGreaterThanOrEqual(EMPTY_WINDOW_DAYS - 1);
+    expect(emptySpan).toBeLessThanOrEqual(EMPTY_WINDOW_DAYS + 1);
+
+    // Nothing was measured in it, so the section that needs readings is gone.
+    expect(report.text).not.toContain(BP_SECTION);
+
+    // The positive control for that absence: the reference data that is NOT
+    // window-scoped is still in the document. Without this, a renderer that
+    // produced a blank page would pass the line above.
+    expect(report.text).toContain(MEDICATION_NAME);
+    expect(report.text).toContain(ALLERGY_SUBSTANCE);
+  });
+});
diff --git a/e2e/setup/global-setup.ts b/e2e/setup/global-setup.ts
index 904250778..9e9f8fe01 100644
--- a/e2e/setup/global-setup.ts
+++ b/e2e/setup/global-setup.ts
@@ -120,6 +120,31 @@ export const E2E_SCOPE_DELEGATE = {
   role: "USER",
 } as const;
 
+/**
+ * The doctor-report journey's own account.
+ *
+ * Generating a report WRITES: the route remembers the scope and the practice
+ * name on the account row, and the panel a later visit opens is therefore the
+ * "repeat run" state with the picker collapsed. `settings-export.spec.ts`
+ * asserts the opposite — an expanded picker, an empty summary, a disabled
+ * button — against the shared account, so a journey that generated there would
+ * turn nine of its assertions red the moment the two files happened to run in
+ * the wrong order, and keep them red on every later run against the same
+ * database.
+ *
+ * Its own account also keeps the seeded readings, the emergency profile and
+ * the hourly export bucket off the account sixty other specs read.
+ *
+ * `date_format` is pinned rather than left on AUTO: the spec reads the period
+ * line out of the rendered PDF and has to know which field is the month.
+ */
+export const E2E_REPORT_OWNER = {
+  email: "e2e-report-owner@healthlog.test",
+  username: "e2e-report-owner",
+  password: "Hd6!Tw3pV9nQ2xLb",
+  role: "USER",
+} as const;
+
 /** One non-personal target record per closed sharing domain. */
 export const E2E_SCOPE_RECORDS = [
   {
@@ -275,6 +300,26 @@ export const CROSS_TAB_STORAGE_STATE_PATH = resolve(
   "e2e/setup/storageStateCrossTab.json",
 );
 
+/**
+ * The doctor-report delegate journey's jar. Its own session row, for the reason
+ * every switching spec has one: it opens somebody else's record to prove the
+ * report refuses a READ-level grant, and two specs driving one row from two
+ * workers would test their interference rather than the refusal.
+ */
+export const REPORT_DELEGATE_STORAGE_STATE_PATH = resolve(
+  process.cwd(),
+  "e2e/setup/storageStateReportDelegate.json",
+);
+
+/**
+ * The doctor-report journey's jar. Its own account, so what generating a report
+ * stamps on the account row cannot reach the shared one — see `E2E_REPORT_OWNER`.
+ */
+export const REPORT_OWNER_STORAGE_STATE_PATH = resolve(
+  process.cwd(),
+  "e2e/setup/storageStateReportOwner.json",
+);
+
 /**
  * The banner-geometry spec's jar, and the reason it exists is a release-shaped
  * one rather than a load-shaped one.
@@ -382,7 +427,9 @@ export default async function globalSetup(config: FullConfig): Promise<void> {
          insights_cached_text = NULL,
          onboarding_completed_at = EXCLUDED.onboarding_completed_at,
          onboarding_tour_completed = EXCLUDED.onboarding_tour_completed,
-         module_preferences_json = EXCLUDED.module_preferences_json`,
+         module_preferences_json = EXCLUDED.module_preferences_json,
+         report_selection_json = NULL,
+         last_report_practice_name = NULL`,
       [
         cuid(),
         E2E_USER.username,
@@ -459,6 +506,40 @@ export default async function globalSetup(config: FullConfig): Promise<void> {
       ],
     );
 
+    // The doctor-report journey's account. Seeded like the shared one — a
+    // record with a height, a date of birth and a gender, so the report has a
+    // patient header to print — and with the two report columns cleared, which
+    // is what puts the panel back into its first-run state on every run.
+    await pool.query(
+      `INSERT INTO users
+        (id, username, email, password_hash, role, created_at, updated_at,
+         height_cm, date_of_birth, gender, date_format,
+         onboarding_completed_at, onboarding_tour_completed)
+       VALUES ($1, $2, $3, $4, 'USER', $5, $5,
+               180, $6, 'MALE', 'MDY',
+               $5, true)
+       ON CONFLICT (username) DO UPDATE SET
+         email = EXCLUDED.email,
+         password_hash = EXCLUDED.password_hash,
+         updated_at = EXCLUDED.updated_at,
+         height_cm = EXCLUDED.height_cm,
+         date_of_birth = EXCLUDED.date_of_birth,
+         gender = EXCLUDED.gender,
+         date_format = EXCLUDED.date_format,
+         onboarding_completed_at = EXCLUDED.onboarding_completed_at,
+         onboarding_tour_completed = EXCLUDED.onboarding_tour_completed,
+         report_selection_json = NULL,
+         last_report_practice_name = NULL`,
+      [
+        cuid(),
+        E2E_REPORT_OWNER.username,
+        E2E_REPORT_OWNER.email,
+        await hashPassword(E2E_REPORT_OWNER.password),
+        now,
+        dob,
+      ],
+    );
+
     // The scoped-record journey uses a dedicated delegate so its preseeded
     // grants cannot affect the invitation lifecycle exercised by the sharing
     // journey above. Its own module preferences are explicitly off: a target
@@ -569,7 +650,9 @@ export default async function globalSetup(config: FullConfig): Promise<void> {
            managed_profile_at = EXCLUDED.managed_profile_at,
            onboarding_completed_at = EXCLUDED.onboarding_completed_at,
            onboarding_tour_completed = EXCLUDED.onboarding_tour_completed,
-           module_preferences_json = EXCLUDED.module_preferences_json`,
+           module_preferences_json = EXCLUDED.module_preferences_json,
+           report_selection_json = NULL,
+           last_report_practice_name = NULL`,
         [
           cuid(),
           record.username,
@@ -629,6 +712,20 @@ export default async function globalSetup(config: FullConfig): Promise<void> {
       [E2E_USER.username],
     );
 
+    // The export bucket, for the same reason and with the same shape. Every
+    // export route shares one 10-per-hour bucket keyed on the ACTOR, the
+    // counter outlives a run by a full hour, and the doctor-report journey
+    // spends two of it per pass — so a fourth run inside the hour would meet a
+    // 429 and report a missing artefact rather than a spent quota. Only the two
+    // accounts that generate a report are cleared.
+    await pool.query(
+      `DELETE FROM rate_limits
+       WHERE key IN (
+         SELECT 'export:' || id::text FROM users WHERE username = ANY($1)
+       )`,
+      [[E2E_REPORT_OWNER.username, E2E_SCOPE_DELEGATE.username]],
+    );
+
     // Opt the seed account into cycle tracking. The user is seeded as
     // `MALE`, and v1.18.0 resolves the `cycle` module through
     // `isCycleEnabled(gender, CycleProfile)` — NULL `cycleTrackingEnabled`
@@ -698,7 +795,7 @@ export default async function globalSetup(config: FullConfig): Promise<void> {
        WHERE key LIKE 'sharing:%'`,
     );
 
-    // The login bucket, for the same reason. This setup signs in TWELVE times now
+    // The login bucket, for the same reason. This setup signs in FOURTEEN times now
     // (the shared jar, the owner, and one jar apiece for every spec that moves
     // a session's record selector), and the ceiling is five attempts per IP per
     // quarter-hour — so two local runs in a row would otherwise end with a 429
@@ -778,7 +875,7 @@ export default async function globalSetup(config: FullConfig): Promise<void> {
      * Log one account in, clearing the login bucket first.
      *
      * The ceiling is FIVE attempts per IP per quarter-hour and this setup now
-     * signs in twelve times, so clearing once before the batch is no longer
+     * signs in fourteen times, so clearing once before the batch is no longer
      * enough — the sixth would be answered by the fixture's own 429 rather
      * than by the product. Only the auth surfaces' buckets are touched, and
      * only between logins this setup is itself performing.
@@ -820,6 +917,11 @@ export default async function globalSetup(config: FullConfig): Promise<void> {
     await capture(E2E_SCOPE_DELEGATE, FENCE_OFFLINE_STORAGE_STATE_PATH);
     await capture(E2E_SCOPE_DELEGATE, CROSS_TAB_STORAGE_STATE_PATH);
     await capture(E2E_SCOPE_DELEGATE, SEAM_BANNERS_STORAGE_STATE_PATH);
+    await capture(E2E_SCOPE_DELEGATE, REPORT_DELEGATE_STORAGE_STATE_PATH);
+
+    // The doctor-report journey's own account, for the reason written on
+    // E2E_REPORT_OWNER: generating a report writes to the account row.
+    await capture(E2E_REPORT_OWNER, REPORT_OWNER_STORAGE_STATE_PATH);
 
     // v1.37.0 — the guardian's jar, and only then its second factor.
     //
diff --git a/e2e/setup/test-helpers.ts b/e2e/setup/test-helpers.ts
index 024f9199e..6d9f4c65d 100644
--- a/e2e/setup/test-helpers.ts
+++ b/e2e/setup/test-helpers.ts
@@ -25,5 +25,7 @@ export {
   FENCE_STORAGE_STATE_PATH,
   FENCE_OFFLINE_STORAGE_STATE_PATH,
   CROSS_TAB_STORAGE_STATE_PATH,
+  REPORT_DELEGATE_STORAGE_STATE_PATH,
+  REPORT_OWNER_STORAGE_STATE_PATH,
   GUARDIAN_STORAGE_STATE_PATH,
 } from "./global-setup";
diff --git a/playwright.config.ts b/playwright.config.ts
index a8d751009..4911f5074 100644
--- a/playwright.config.ts
+++ b/playwright.config.ts
@@ -169,6 +169,17 @@ export default defineConfig({
         // to a question neither test asked. It proves flows through stable
         // data-slots, not a mobile layout, so it runs in one project.
         "medication-compliance-journey.spec.ts",
+        // The doctor-report journey seeds a few weeks of readings into its own
+        // account, presses Generate and reads the PDF back off the download.
+        // Two projects doing that in parallel would leave a second set of rows
+        // in the window one of them is asserting an empty report for, and would
+        // spend the shared hourly export bucket twice over. The panel's mobile
+        // layout is covered by `settings-export.spec.ts`, which measures its
+        // tap targets there; this journey is about the artefact.
+        "doctor-report.spec.ts",
+        // Its delegate half MOVES the session's record selector, so it runs in
+        // exactly one project for the reason written above the fence specs.
+        "doctor-report-delegate.spec.ts",
         // Runs only in the service-worker project.
         "v137-record-session-fence-offline.spec.ts",
         // The Apple Health import journey uploads an archive into the one