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The titration history was classified as backed up and travelled with nothing. An account restored from a backup showed the current dose and no record of how it got there: the ramp, the reductions, the note the prescriber gave for each step. For a long-running drug that history is often the more clinically interesting half. Export writes the rows nested inside their drug, ordered by effectiveFrom, so a portable restore that mints fresh ids needs no remap. The note follows the contract the side effects already use: a portable export decrypts it for a human reader, a disaster-recovery export carries the ciphertext verbatim, and a restore never writes it into the legacy plaintext column. Order is the content here, not decoration. Two rows on the same drug in the same unit, 5 mg then 10 mg, describe a ramp; the same two rows returned in the other order describe a taper. Counting them back cannot tell those apart, so the round-trip test asserts the sequence and the values, not the count. MedicationDoseChange moves from the coverage-pending register into the two-ended list, which makes the round-trip registry incomplete until a row is seeded and counted. That is a compile error, not a review note.