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A clinician can push an updated record to a wallet-linked patient (permanent share). The snapshot is signed with the clinic Ed25519 key and sealed to the wallet's X25519 key — derived from its Ed25519 wallet number via the birational map, verified byte-for-byte against the wallet's own derivation. Stored pending, delivered over the /wallet relay live and on the wallet's next authenticated connect (offline catch-up). The patient approves/denies in-app; the wallet signs its decision, the backend verifies it, and the record is replaced only on approval. Wallet pins the clinic key (TOFU) and warns on change. Backend: walletRecordUpdates table + service, ed25519PubToX25519Hex helper, POST /api/patients/wallet/push, GET .../link/:fileNumber|updates|updates/:id, wallet:update-request / wallet:update-response relay events. Frontend: "Push to wallet" dialog with live status, wallet-link gating on the patient sheet, "Sent updates" list under Settings → Signing, walletPush / walletUpdatesList locale namespaces across all five languages. Bumps to v0.5.0. Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>