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- new message_attachments table + POST/GET /api/conversations/attachments (base64 upload, capped 10MB; authed clinic-scoped download) - messages carry an attachments JSON column (file refs or appointment snapshots); realtime + REST send accept attachments and allow attachment-only messages; migration 0019 - composer "+" menu (Files / Appointments): file picker uploads and stages chips; appointment picker searches by patient and attaches a snapshot; both render in the thread (download chip / appointment card) - raise express json limit to 15mb for base64 uploads Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>