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Add the opt-in inboundDocuments module (off by default, like the MCP endpoint): ingesting a clinical document egresses it to the OCR/vision provider, so the surface ships dark and the user turns it on from the Modules hub. The born-gated /documents page carries the prominent non-diagnostic disclaimer (we read, we don't interpret; nothing is saved until you approve it; only your clinician can interpret these results), uploads a document, and walks each extracted fact: source provenance and confidence are shown, low-confidence facts are blocked from approval until edited, and the confirm step commits the approved facts.