diff --git a/.claude/board/EPIPHANIES.md b/.claude/board/EPIPHANIES.md
index 18fb6696..b1b38b53 100644
--- a/.claude/board/EPIPHANIES.md
+++ b/.claude/board/EPIPHANIES.md
@@ -1,3 +1,29 @@
+## 2026-06-24 — E-CLASSID-FMA-PATIENT-COLLISION — `CLASSID_FMA = 0x0901` aliased OGAR `patient`; retargeted to the Anatomy domain `0x0A01`
+
+**Status:** FINDING + FIX (2026-06-24). Surfaced by OGAR's NodeGuid canon audit
+(`OGAR/docs/NODEGUID-CANON-AUDIT.md` F-1). `canonical_node.rs` pinned
+`NodeGuid::CLASSID_FMA = 0x0000_0901` ("anatomy concept in the Health domain",
+ISS-CLASSID-OGAR-DRIFT realign 2026-06-20). But `ogar_codebook.rs` has
+`("patient", 0x0901)` — so **FMA anatomy and `patient` shared the identical
+classid `0x0901`**, both in Health (`>>8 == 0x09`). A consumer could not tell an
+FMA structural node from a patient node by classid; RBAC over `0x0901` (the
+patient grants in `rbac.rs`) would also gate FMA reference data.
+
+**Root cause:** anatomy was placed in the Health PHI domain. But anatomy is
+**public reference** (the femur exists; it is `part_of` the lower limb) — a
+clinical *finding about* it is PHI; the structure itself is not.
+
+**Fix:** OGAR minted a new **Anatomy domain `0x0A`** this week
+(`anatomical_structure 0x0A01` / `skeleton 0x0A02` / `bone 0x0A03` / `joint
+0x0A04`); this contract mirrors it — `ConceptDomain::Anatomy`, `0x0A` routing,
+the four concepts in `CODEBOOK` — and **retargets `CLASSID_FMA 0x0901 → 0x0A01`**
+(`anatomical_structure`, the FMA root). `patient` stays at `0x0901`; the
+collision is cleared. Constant-following consumers (the `ReadMode::FMA` registry,
+`soa_graph` `DomainSpec`, q2 #50's `osint-bake/fma` which uses the constant)
+inherit the fix with no change. Tests updated to assert `0x0A01` / Anatomy and to
+forbid the `0x0901` alias. Cross-ref: OGAR PR #117 (the Anatomy mint + audit),
+q2 PR #50 (independent `[mixin:instance]` convergence, F-6).
+
 ## 2026-06-23 — E-CLASSRBAC-PROMOTED-TO-CONTRACT — the §11 trait-placement that lets ogar join the RBAC chain
 
 **Status:** FINDING (2026-06-23). The four-crate chain `contract ↔ rbac ↔ ogar ↔
diff --git a/crates/lance-graph-contract/src/canonical_node.rs b/crates/lance-graph-contract/src/canonical_node.rs
index 422ebd8d..ef65c188 100644
--- a/crates/lance-graph-contract/src/canonical_node.rs
+++ b/crates/lance-graph-contract/src/canonical_node.rs
@@ -45,19 +45,24 @@ impl NodeGuid {
     // `canonical_concept_domain(classid_lo)` (see `crate::ogar_codebook`) routes on
     // `classid >> 8`. Realigned 2026-06-20 (ISS-CLASSID-OGAR-DRIFT): OSINT was
     // 0x0007 (OGAR Reserved domain) → 0x0700; FMA was 0x0008 (OGAR OCR block) →
-    // 0x0901 (anatomy concept in the Health domain). Migration:
-    // `.claude/plans/ogar-vocab-contract-codebook-migration-v1.md`.
+    // 0x0901. Re-realigned 2026-06-24 (ISS-CLASSID-OGAR-DRIFT cont.): FMA 0x0901
+    // **collided with OGAR `patient` (0x0901)** — both Health. FMA now routes to
+    // the new **Anatomy** domain root 0x0A01 (`anatomical_structure`); anatomy is
+    // public reference, not Health PHI. Surfaced by OGAR `docs/NODEGUID-CANON-AUDIT.md`
+    // F-1. Migration: `.claude/plans/ogar-vocab-contract-codebook-migration-v1.md`.
 
     /// **OSINT / Palantir-Gotham** domain root (`0x07` = OSINT domain, `0x00` =
     /// root). The neo4j-emulation entity graph (people / orgs / systems / events,
     /// family-grouped). Resolves to [`ReadMode::OSINT`] (hot `Cognitive` value +
     /// `CoarseOnly` adjacency).
     pub const CLASSID_OSINT: u32 = 0x0000_0700;
-    /// **FMA anatomy** — the `anatomy` concept (`0x01`) in the **Health** domain
-    /// (`0x09`); `0x0900` is the Health root. The Foundational Model of Anatomy
+    /// **FMA anatomy** — `anatomical_structure` (`0x01`) in the **Anatomy** domain
+    /// (`0x0A`); `0x0A00` is the Anatomy root. The Foundational Model of Anatomy
     /// (~70k structural entities, family = body region, bones = stability anchors).
-    /// Resolves to [`ReadMode::FMA`] (cold `Compressed` reference + `CoarseOnly`).
-    pub const CLASSID_FMA: u32 = 0x0000_0901;
+    /// Anatomy is **public reference, not Health PHI** — moved off `0x0901` to
+    /// clear the collision with OGAR `patient`. Resolves to [`ReadMode::FMA`]
+    /// (cold `Compressed` reference + `CoarseOnly`).
+    pub const CLASSID_FMA: u32 = 0x0000_0A01;
     /// **Project-management** domain root (`0x01`) — OpenProject ↔ Redmine
     /// (work items, members, versions, …). OGAR codebook `0x01XX`. Resolves to
     /// [`ReadMode::PROJECT`].
@@ -1754,13 +1759,19 @@ mod tests {
         assert_eq!(fma.edge_codec, EdgeCodecFlavor::CoarseOnly);
 
         // The classids follow OGAR `0xDDCC` (ISS-CLASSID-OGAR-DRIFT realign):
-        // OSINT domain root `0x0700` (`>>8 == 0x07`); FMA = anatomy concept
-        // `0x0901` in the Health domain (`>>8 == 0x09`). Never the pre-realign
-        // 0x0007 (OGAR Reserved) / 0x0008 (OGAR OCR) values.
+        // OSINT domain root `0x0700` (`>>8 == 0x07`); FMA = `anatomical_structure`
+        // `0x0A01` in the **Anatomy** domain (`>>8 == 0x0A`) — re-realigned off
+        // `0x0901` to clear the OGAR `patient` collision. Never the pre-realign
+        // 0x0007 / 0x0008, nor the colliding 0x0901.
         assert_eq!(NodeGuid::CLASSID_OSINT, 0x0000_0700);
-        assert_eq!(NodeGuid::CLASSID_FMA, 0x0000_0901);
+        assert_eq!(NodeGuid::CLASSID_FMA, 0x0000_0A01);
+        assert_ne!(
+            NodeGuid::CLASSID_FMA,
+            0x0000_0901,
+            "must not alias `patient`"
+        );
         assert_eq!(NodeGuid::CLASSID_OSINT >> 8, 0x07, "OSINT domain high byte");
-        assert_eq!(NodeGuid::CLASSID_FMA >> 8, 0x09, "Health domain high byte");
+        assert_eq!(NodeGuid::CLASSID_FMA >> 8, 0x0A, "Anatomy domain high byte");
         assert_eq!(
             NodeGuid::new(NodeGuid::CLASSID_OSINT, 1, 2, 3, 0xAB, 0xCD).read_mode(),
             ReadMode::OSINT
diff --git a/crates/lance-graph-contract/src/ogar_codebook.rs b/crates/lance-graph-contract/src/ogar_codebook.rs
index 7d862314..e8119c59 100644
--- a/crates/lance-graph-contract/src/ogar_codebook.rs
+++ b/crates/lance-graph-contract/src/ogar_codebook.rs
@@ -52,11 +52,15 @@ pub enum ConceptDomain {
     Osint,
     /// `0x08XX` — OCR (optical character recognition / document extraction).
     Ocr,
-    /// `0x09XX` — Health (clinical / patient / care; FMA anatomy lives here).
+    /// `0x09XX` — Health (clinical / patient / care).
     Health,
+    /// `0x0AXX` — Anatomy (FMA reference ontology; bones / skeleton / joints).
+    /// Public structural reference, distinct from `Health` PHI — the FMA
+    /// anatomy domain (`anatomical_structure` / `skeleton` / `bone` / `joint`).
+    Anatomy,
     /// `0x0BXX` — Auth (identity / authz: AuthStore, Zitadel, Zanzibar, Ory Keto).
     Auth,
-    /// Any high-byte slot not yet assigned a domain (`0x03XX`–`0x06XX`, `0x0AXX`, `0x0CXX`+).
+    /// Any high-byte slot not yet assigned a domain (`0x03XX`–`0x06XX`, `0x0CXX`+).
     Unassigned,
 }
 
@@ -73,6 +77,7 @@ pub fn canonical_concept_domain(id: u16) -> ConceptDomain {
         0x07 => ConceptDomain::Osint,
         0x08 => ConceptDomain::Ocr,
         0x09 => ConceptDomain::Health,
+        0x0A => ConceptDomain::Anatomy,
         0x0B => ConceptDomain::Auth,
         _ => ConceptDomain::Unassigned,
     }
@@ -302,6 +307,15 @@ pub const CODEBOOK: &[(&str, u16)] = &[
     ("treatment", 0x0905),
     ("visit", 0x0906),
     ("vital_sign", 0x0907),
+    // ── 0x0AXX — Anatomy domain (FMA reference ontology; public, not PHI) ──
+    // FMA anatomy lives HERE, not in Health 0x09 — reference structure is
+    // public, a clinical finding *about* it is PHI. `CLASSID_FMA` retargets to
+    // `anatomical_structure` (0x0A01), clearing the prior 0x0901 = `patient`
+    // collision. Mirrors OGAR `ogar-vocab` ConceptDomain::Anatomy.
+    ("anatomical_structure", 0x0A01),
+    ("skeleton", 0x0A02),
+    ("bone", 0x0A03),
+    ("joint", 0x0A04),
     // ── 0x0BXX — Auth domain (identity / authz; OGAR's 0x0B AuthStore family) ──
     ("auth_store", 0x0B01),
     ("auth_zitadel", 0x0B02),
@@ -378,6 +392,7 @@ mod tests {
         assert_eq!(canonical_concept_domain(0x0700), ConceptDomain::Osint);
         assert_eq!(canonical_concept_domain(0x0801), ConceptDomain::Ocr);
         assert_eq!(canonical_concept_domain(0x0901), ConceptDomain::Health);
+        assert_eq!(canonical_concept_domain(0x0A01), ConceptDomain::Anatomy);
         assert_eq!(canonical_concept_domain(0x0B01), ConceptDomain::Auth);
         assert_eq!(canonical_concept_domain(0x0500), ConceptDomain::Unassigned);
     }
@@ -400,8 +415,9 @@ mod tests {
         );
         assert_eq!(
             classid_concept_domain(NodeGuid::CLASSID_FMA),
-            ConceptDomain::Health,
-            "FMA anatomy lives in the Health domain (0x09XX)"
+            ConceptDomain::Anatomy,
+            "FMA anatomy lives in the Anatomy domain (0x0AXX), not Health — \
+             cleared the 0x0901 = `patient` collision"
         );
         assert_eq!(
             classid_concept_domain(NodeGuid::CLASSID_DEFAULT),