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One walk through POST /api/medications/intake/bulk: a mixed batch with one entry per per-entry outcome (unknown and record-only medications, unstable keys, band, pinned and refused pins, named-slot skips, pending echoes, a standalone dose with site, override and key and its replay, a disallowed site, Apple doses with an in-batch repeat and an extra dose on a held slot, a skip converging onto the standalone dose), the same batch again, a background and a backfill sync with the arrival rows and checkpoint they write, the batch refusals, and the callers the route admits and refuses.