diff --git a/.ralph/ralph-history.json b/.ralph/ralph-history.json
index 8d1ca86..e8db98a 100644
--- a/.ralph/ralph-history.json
+++ b/.ralph/ralph-history.json
@@ -2,61 +2,22 @@
   "iterations": [
     {
       "iteration": 1,
-      "startedAt": "2026-02-11T00:29:33.426Z",
-      "endedAt": "2026-02-11T00:37:47.928Z",
-      "durationMs": 490651,
+      "startedAt": "2026-02-11T01:23:53.316Z",
+      "endedAt": "2026-02-11T01:35:05.771Z",
+      "durationMs": 668162,
       "toolsUsed": {},
       "filesModified": [
         "Ralph/IMPLEMENTATION_PLAN.md",
         "Ralph/progress.txt",
-        "src/data/consultations.ts",
-        "src/data/documents.ts",
-        "src/data/investigations.ts",
-        "src/data/medications.ts",
-        "src/data/patient.ts",
-        "src/data/problems.ts",
-        "src/types/pmr.ts"
-      ],
-      "exitCode": 0,
-      "completionDetected": false,
-      "errors": []
-    },
-    {
-      "iteration": 2,
-      "startedAt": "2026-02-11T00:37:53.322Z",
-      "endedAt": "2026-02-11T00:46:49.901Z",
-      "durationMs": 533481,
-      "toolsUsed": {},
-      "filesModified": [
-        "Ralph/IMPLEMENTATION_PLAN.md",
-        "Ralph/progress.txt",
-        "src/components/ECGAnimation.tsx"
-      ],
-      "exitCode": 0,
-      "completionDetected": false,
-      "errors": []
-    },
-    {
-      "iteration": 3,
-      "startedAt": "2026-02-11T00:46:54.215Z",
-      "endedAt": "2026-02-11T00:57:35.372Z",
-      "durationMs": 637627,
-      "toolsUsed": {},
-      "filesModified": [
-        "Ralph/IMPLEMENTATION_PLAN.md",
-        "Ralph/progress.txt",
-        "index.html",
-        "src/App.tsx",
-        "src/components/LoginScreen.tsx",
-        "src/types/index.ts",
-        "tailwind.config.js"
+        "src/components/PMRInterface.tsx",
+        "src/components/views/SummaryView.tsx"
       ],
       "exitCode": 0,
       "completionDetected": false,
       "errors": []
     }
   ],
-  "totalDurationMs": 1661759,
+  "totalDurationMs": 668162,
   "struggleIndicators": {
     "repeatedErrors": {},
     "noProgressIterations": 0,
diff --git a/.ralph/ralph-loop.state.json b/.ralph/ralph-loop.state.json
index 9c19228..0a9df2a 100644
--- a/.ralph/ralph-loop.state.json
+++ b/.ralph/ralph-loop.state.json
@@ -1,13 +1,13 @@
 {
   "active": true,
-  "iteration": 3,
+  "iteration": 1,
   "minIterations": 1,
   "maxIterations": 0,
   "completionPromise": "COMPLETE",
   "tasksMode": false,
   "taskPromise": "READY_FOR_NEXT_TASK",
-  "prompt": "# Ralph Wiggum Loop - Iteration Prompt\n\nYou are operating inside an automated loop. Each iteration you receive fresh context - you have NO memory of previous iterations. Your only persistence is the filesystem.\n\nYou are implementing **Design 7: The Clinical Record** — a Patient Medical Record (PMR) system that presents Andy's CV as a clinician would view a patient record. This is a complete redesign from the previous ECG Heartbeat concept.\n\n**The Concept:**\nThe \"patient\" is Andy's career. Users navigate a genuine NHS clinical software interface (similar to EMIS Web, SystmOne, Vision) with a patient banner, sidebar navigation, consultation journal, medications table, clinical alerts, and a login sequence. The design works on two levels: clinicians recognize the interface immediately; recruiters get a novel, information-dense presentation.\n\n## Your Task This Iteration\n\n1. **Use the /frontend-design skill** (REQUIRED for visual components): Before writing ANY code for components that involve visual design, styling, animations, or UI elements, you MUST invoke the `/frontend-design` skill. This includes: LoginScreen, PatientBanner, ClinicalSidebar, ClinicalAlert, all View components (Summary, Consultations, Medications, Problems, Investigations, Documents, Referrals), and any table, card, or form component.\n\n2. **Read the plan**: Open `IMPLEMENTATION_PLAN.md` and find the highest-priority unchecked item (`- [ ]`). Items are listed in priority order - pick the first unchecked one.\n\n3. **Read accumulated learnings**: Open `progress.txt` and read the \"Codebase Patterns\" section. This contains learnings from previous iterations about PMR design system, data architecture, animation approach, and clinical system authenticity.\n\n4. **Read guardrails**: Open `guardrails.md` and read ALL guardrails. These are hard rules you MUST follow. Key guardrails include:\n   - Light-mode only (clinical systems don't have dark mode)\n   - Instant view switching (no animations between views)\n   - Proper semantic table markup for all data tables\n   - Traffic lights must always have text labels\n   - Exact NHS blue color (#005EB8)\n   - ECG must end with flatline (not fade to white)\n   - Login typing animation specifics\n   - Consultation History/Examination/Plan format\n   - Coded entries in [XXX000] format\n\n5. **Implement the item**: Complete the single task you selected. Keep changes focused - one task per iteration. Write production-quality React/TypeScript code that faithfully reproduces a clinical information system. This is a design showcase requiring absolute thematic fidelity.\n\n6. **Run quality checks**: Execute the quality check commands listed in `IMPLEMENTATION_PLAN.md` under \"Quality Checks\". Fix any issues before proceeding.\n\n7. **Commit your changes**: Stage and commit all changes with a descriptive message referencing the task you completed.\n\n8. **Mark the item complete**: In `IMPLEMENTATION_PLAN.md`, change the item from `- [ ]` to `- [x]`.\n\n9. **Update progress.txt**: Append to the \"Iteration Log\" section with:\n   - Which task you completed\n   - Any learnings or codebase patterns discovered (add to \"Codebase Patterns\" section)\n   - Any issues encountered\n   - Design decisions made (if visual component)\n\n10. **Commit the progress update**: Stage and commit the updated `IMPLEMENTATION_PLAN.md` and `progress.txt`.\n\n11. **Check for completion**: If ALL items in the task checklist are now checked (`- [x]`), output the following completion signal on its own line:\n\n```\n<promise>COMPLETE</promise>\n```\n\n## Critical Rules\n\n- **ALWAYS invoke /frontend-design skill before writing visual component code** — this is mandatory for all UI components\n- **Only work on ONE task per iteration**\n- **Always read progress.txt AND guardrails.md before starting** — previous iterations may have left important context\n- **If a task is blocked or unclear**, document why in progress.txt and move to the next unchecked item\n- **Keep commits atomic and well-described**\n- **If quality checks fail, fix the issues before committing**\n- **The visual quality bar is HIGH** — this must look like real clinical software\n- **Preserve clinical system authenticity** — instant navigation, proper tables, NHS blue, coded entries, traffic lights\n- **Use TypeScript strictly** — no `any` types, proper interfaces for all PMR data structures\n- **Follow the established project structure** — components in `src/components/`, data in `src/data/`, types in `src/types/`\n- **Respect prefers-reduced-motion** — animations must have instant fallbacks\n\n## Reference Files\n\n- `designs/07-the-clinical-record.md` — Complete design specification with all visual details, animations, and interactions\n- `References/CV_v4.md` — Source CV content (roles, achievements, numbers, dates)\n- `References/concept.html` — Previous ECG implementation (timing reference only for boot sequence)\n\n## Design Document Highlights\n\n**Color Palette (Light-mode only):**\n- Main content: `#F5F7FA`\n- Cards: `#FFFFFF`\n- Sidebar: `#1E293B`\n- NHS blue: `#005EB8`\n- Green (active): `#22C55E`\n- Amber (alerts): `#F59E0B`\n\n**Typography:**\n- Inter for general text\n- Geist Mono for coded entries and data values\n\n**Key Interactions:**\n- Login sequence: typing username/password character-by-character\n- Clinical alert: slides down, acknowledges with checkmark → collapse\n- Consultation entries: expand/collapse with History/Examination/Plan\n- Medications table: sortable columns, expandable prescribing history\n- Sidebar: instant view switching, no animations\n\n**Responsive Strategy:**\n- Desktop (>1024px): 220px sidebar with labels\n- Tablet (768-1024px): 56px icon-only sidebar\n- Mobile (<768px): Bottom navigation bar\n",
-  "startedAt": "2026-02-11T00:29:30.119Z",
+  "prompt": "# Ralph Wiggum Loop - Iteration Prompt\n\nYou are operating inside an automated loop. Each iteration you receive fresh context - you have NO memory of previous iterations. Your only persistence is the filesystem.\n\nYou are implementing **Design 7: The Clinical Record** — a Patient Medical Record (PMR) system that presents Andy's CV as a clinician would view a patient record. This is a complete redesign from the previous ECG Heartbeat concept.\n\n**The Concept:**\nThe \"patient\" is Andy's career. Users navigate a genuine NHS clinical software interface (similar to EMIS Web, SystmOne, Vision) with a patient banner, sidebar navigation, consultation journal, medications table, clinical alerts, and a login sequence. The design works on two levels: clinicians recognize the interface immediately; recruiters get a novel, information-dense presentation.\n\n## Your Task This Iteration\n\n1. **Use the /frontend-design skill** (REQUIRED for visual components): Before writing ANY code for components that involve visual design, styling, animations, or UI elements, you MUST invoke the `/frontend-design` skill. This includes: LoginScreen, PatientBanner, ClinicalSidebar, ClinicalAlert, all View components (Summary, Consultations, Medications, Problems, Investigations, Documents, Referrals), and any table, card, or form component.\n\n2. **Read the plan**: Open `IMPLEMENTATION_PLAN.md` and find the highest-priority unchecked item (`- [ ]`). Items are listed in priority order - pick the first unchecked one.\n\n3. **Read accumulated learnings**: Open `progress.txt` and read the \"Codebase Patterns\" section. This contains learnings from previous iterations about PMR design system, data architecture, animation approach, and clinical system authenticity.\n\n4. **Read guardrails**: Open `guardrails.md` and read ALL guardrails. These are hard rules you MUST follow. Key guardrails include:\n   - Light-mode only (clinical systems don't have dark mode)\n   - Instant view switching (no animations between views)\n   - Proper semantic table markup for all data tables\n   - Traffic lights must always have text labels\n   - Exact NHS blue color (#005EB8)\n   - ECG must end with flatline (not fade to white)\n   - Login typing animation specifics\n   - Consultation History/Examination/Plan format\n   - Coded entries in [XXX000] format\n\n5. **Implement the item**: Complete the single task you selected. Keep changes focused - one task per iteration. Write production-quality React/TypeScript code that faithfully reproduces a clinical information system. This is a design showcase requiring absolute thematic fidelity.\n\n6. **Run quality checks**: Execute the quality check commands listed in `IMPLEMENTATION_PLAN.md` under \"Quality Checks\". Fix any issues before proceeding.\n\n7. **Commit your changes**: Stage and commit all changes with a descriptive message referencing the task you completed.\n\n8. **Mark the item complete**: In `IMPLEMENTATION_PLAN.md`, change the item from `- [ ]` to `- [x]`.\n\n9. **Update progress.txt**: Append to the \"Iteration Log\" section with:\n   - Which task you completed\n   - Any learnings or codebase patterns discovered (add to \"Codebase Patterns\" section)\n   - Any issues encountered\n   - Design decisions made (if visual component)\n\n10. **Commit the progress update**: Stage and commit the updated `IMPLEMENTATION_PLAN.md` and `progress.txt`.\n\n11. **Determine if another iteration is needed**: Review your work and the codebase. The project needs another iteration if ANY of these are true:\n    - Any task in the checklist is unchecked (`- [ ]`) or blocked (`- [B]`)\n    - Quality checks would fail (run them to verify)\n    - There are uncommitted changes\n    - progress.txt has open questions or guidance for \"next iteration\"\n    - The implementation doesn't fully satisfy the plan requirements\n    - You have lingering doubts about correctness or completeness\n\n12. **Send completion signal ONLY if truly complete**: If and ONLY if the project definitely does NOT need another iteration — all tasks verified done, quality checks pass, no guidance for next iteration — output this exact signal on its own line:\n\n```\n<promise>COMPLETE</promise>\n```\n\nDO NOT output this string if there's any chance another iteration is needed. When in doubt, do NOT send the promise — leave it for the next iteration to determine.\n\n## Critical Rules\n\n- **ALWAYS invoke /frontend-design skill before writing visual component code** — this is mandatory for all UI components\n- **Only work on ONE task per iteration**\n- **Always read progress.txt AND guardrails.md before starting** — previous iterations may have left important context\n- **If a task is blocked or unclear**, document why in progress.txt and move to the next unchecked item\n- **Keep commits atomic and well-described**\n- **If quality checks fail, fix the issues before committing**\n- **The visual quality bar is HIGH** — this must look like real clinical software\n- **Preserve clinical system authenticity** — instant navigation, proper tables, NHS blue, coded entries, traffic lights\n- **Use TypeScript strictly** — no `any` types, proper interfaces for all PMR data structures\n- **Follow the established project structure** — components in `src/components/`, data in `src/data/`, types in `src/types/`\n- **Respect prefers-reduced-motion** — animations must have instant fallbacks\n\n## Reference Files\n\n- `designs/07-the-clinical-record.md` — Complete design specification with all visual details, animations, and interactions\n- `References/CV_v4.md` — Source CV content (roles, achievements, numbers, dates)\n- `References/concept.html` — Previous ECG implementation (timing reference only for boot sequence)\n\n## Design Document Highlights\n\n**Color Palette (Light-mode only):**\n- Main content: `#F5F7FA`\n- Cards: `#FFFFFF`\n- Sidebar: `#1E293B`\n- NHS blue: `#005EB8`\n- Green (active): `#22C55E`\n- Amber (alerts): `#F59E0B`\n\n**Typography:**\n- Inter for general text\n- Geist Mono for coded entries and data values\n\n**Key Interactions:**\n- Login sequence: typing username/password character-by-character\n- Clinical alert: slides down, acknowledges with checkmark → collapse\n- Consultation entries: expand/collapse with History/Examination/Plan\n- Medications table: sortable columns, expandable prescribing history\n- Sidebar: instant view switching, no animations\n\n**Responsive Strategy:**\n- Desktop (>1024px): 220px sidebar with labels\n- Tablet (768-1024px): 56px icon-only sidebar\n- Mobile (<768px): Bottom navigation bar\n",
+  "startedAt": "2026-02-11T01:23:49.238Z",
   "model": "openrouter/openrouter/pony-alpha",
   "agent": "opencode"
 }
\ No newline at end of file
diff --git a/Ralph/RALPH_PROMPT.md b/Ralph/RALPH_PROMPT.md
index 6bd3933..a0f3d75 100644
--- a/Ralph/RALPH_PROMPT.md
+++ b/Ralph/RALPH_PROMPT.md
@@ -42,12 +42,22 @@ The "patient" is Andy's career. Users navigate a genuine NHS clinical software i
 
 10. **Commit the progress update**: Stage and commit the updated `IMPLEMENTATION_PLAN.md` and `progress.txt`.
 
-11. **Check for completion**: If ALL items in the task checklist are now checked (`- [x]`), output the following completion signal on its own line:
+11. **Determine if another iteration is needed**: Review your work and the codebase. The project needs another iteration if ANY of these are true:
+    - Any task in the checklist is unchecked (`- [ ]`) or blocked (`- [B]`)
+    - Quality checks would fail (run them to verify)
+    - There are uncommitted changes
+    - progress.txt has open questions or guidance for "next iteration"
+    - The implementation doesn't fully satisfy the plan requirements
+    - You have lingering doubts about correctness or completeness
+
+12. **Send completion signal ONLY if truly complete**: If and ONLY if the project definitely does NOT need another iteration — all tasks verified done, quality checks pass, no guidance for next iteration — output this exact signal on its own line:
 
 ```
 <promise>COMPLETE</promise>
 ```
 
+DO NOT output this string if there's any chance another iteration is needed. When in doubt, do NOT send the promise — leave it for the next iteration to determine.
+
 ## Critical Rules
 
 - **ALWAYS invoke /frontend-design skill before writing visual component code** — this is mandatory for all UI components