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The register said the drug comes back with no statement of what it was for, which is exactly what a pinned efficacy target is: a row exists ONLY where the person overrode the derived ATC / name resolution, so it is a decision and never a computation. Nothing recomputes it after a restore because there is nothing to recompute it from. The lab arm travels as a biomarker NAME rather than an id, the way a lab result's cross-reference already does. A portable restore mints a fresh catalogue id, and `Biomarker` is unique on `(userId, name)`, so the name is the only end of the reference that survives the trip. The obstacle was ordering, not machinery: the remap map already existed, but the drugs are rebuilt several hundred lines before the analytes are. The targets are collected against the id each drug actually got and written in a second pass once the biomarkers exist. The alternative was hoisting the biomarker restore above the medications, and it loses on two counts. `biomarkerByName` and `restoredBiomarkerIds` are read by the lab-result loop immediately below the block, so moving it would separate a map from its only other consumer and leave a later edit free to re-order them back with nothing noticing. And the dependency would read backwards: a pinned target is a leaf of the medication tree, and letting a leaf dictate where the clinical record gets rebuilt inverts what the file is about. The second pass states the constraint where it applies instead of hiding it in a line order. A named analyte the restore did not put back is dropped and reported as medicationTarget rather than written. `biomarkerId` is a real foreign key, so a dangling value would fail the constraint and cost the whole account over one override. Dropping beats nulling here because the override IS the reference: a row with neither arm set is what the resolver already reads as "no override", so keeping it would restore something that means nothing while still holding the primary slot. The round trip asserts the restored target points at the biomarker the restore itself wrote, resolved from the database rather than remembered from the fixture. Counting would have passed on a row whose biomarkerId came back null, and nothing else would have complained: the resolver falls back to deriving a target and the page still renders.