diff --git a/docs/doctor-report.md b/docs/doctor-report.md
index bb69e84b5..c3743191e 100644
--- a/docs/doctor-report.md
+++ b/docs/doctor-report.md
@@ -44,6 +44,25 @@ PDF in a new tab without preserving the filename or fails the blob save).
   `500` if rendering fails.
 - Audit action: `doctor-report.pdf.generate`.
 
+## Wellness summary (derived scores)
+
+Since v1.10.0 the report carries a **Wellness summary** section below the
+clinical content, holding the server-derived wellness scores (Recovery,
+Stress, Strain) and the other derived metrics where present. It is kept
+deliberately separate from the clinical vitals table:
+
+- Each entry is labelled **descriptive, not a clinical assessment**, and the
+  scores never enter the vitals table or the clinical aggregations.
+- The Stress score is shown as an HRV-derived proxy, not a sensor-measured
+  stress value.
+- In the FHIR export the same scores are emitted as `survey`-category
+  `Observation`s (text-only `code`, no fabricated LOINC) with a per-Observation
+  non-clinical note — so a downstream system never mistakes them for a vital
+  sign or a diagnosis.
+
+Each derived metric states its inputs, method, and the cited standard it is
+grounded in (the same provenance the in-app explainer shows).
+
 ## Implementation notes
 
 - `src/lib/doctor-report-pdf-core.ts` contains the isomorphic renderer.
diff --git a/prisma/migrations/0106_v1100_computed_scores/migration.sql b/prisma/migrations/0106_v1100_computed_scores/migration.sql
index 6ca88ebd8..3c1f9507f 100644
--- a/prisma/migrations/0106_v1100_computed_scores/migration.sql
+++ b/prisma/migrations/0106_v1100_computed_scores/migration.sql
@@ -13,10 +13,10 @@
 --
 --   2. Three new `measurement_type` values — the server-derived wellness
 --      scores `RECOVERY_SCORE`, `STRESS_SCORE`, `STRAIN_SCORE` (0–100, unit
---      `score`). Only RECOVERY_SCORE is computed in v1.10.0; STRESS_SCORE +
---      STRAIN_SCORE are defined now so the later engines that compute them
---      need no schema change. These are NOT clinical vitals — they never
---      appear in the doctor-report PDF.
+--      `score`), each minted nightly by its own engine. These are NOT
+--      clinical vitals: they stay out of the clinical vitals table and
+--      surface only in a clearly-labelled, descriptive-not-clinical wellness
+--      summary (and as FHIR `survey`-category observations).
 --
 -- Idempotent guards (`IF NOT EXISTS`) make reruns safe. Forward-only.
 --