docs: Mark SPEC-14 ClinicalTrials Outcomes as implemented

SPEC-14 was already fully implemented in the codebase:
- OutcomesModule and HasResults fields in FIELDS constant
- _extract_primary_outcome() method
- Results availability and date extraction
- Relevance boosting for trials with results (0.90 vs 0.85)
- 4 unit tests + 2 integration tests

Updated META_PLAN.md to reflect both specs complete.

META_PLAN.md

@@ -14,9 +14,9 @@
 - No linting issues (ruff clean)
 - 1 open bug (P3 - low-priority UX)
 
-**Key Finding**: Architecture is sound. Two high-impact specs are written but not implemented. Documentation is sprawling but mostly accurate.
+**Key Finding**: Architecture is sound. Both high-impact specs (SPEC-13, SPEC-14) are now implemented. Documentation is sprawling but mostly accurate.
 
-**Recommendation**: Implement the two pending specs, clean up tech debt, then organize docs.
+**Recommendation**: Clean up tech debt (Anthropic wiring), then organize docs.
 
 ---
 
@@ -28,7 +28,7 @@
 |----------|--------|--------|
 | `docs/STATUS_LLAMAINDEX_INTEGRATION.md` | DONE | Keep as-is |
 | `docs/specs/SPEC_13_EVIDENCE_DEDUPLICATION.md` | ✅ IMPLEMENTED | Verify in production |
-| `docs/specs/SPEC_14_CLINICALTRIALS_OUTCOMES.md` | SPEC DONE, CODE NOT | **Implement** |
+| `docs/specs/SPEC_14_CLINICALTRIALS_OUTCOMES.md` | ✅ IMPLEMENTED | Verify in production |
 | `docs/future-roadmap/TOOL_ANALYSIS_CRITICAL.md` | ANALYSIS DONE | Reference for future |
 | `docs/ARCHITECTURE.md` | PARTIAL | Expand with diagrams |
 | `docs/architecture/system_registry.md` | DONE | Canonical SSOT for wiring |
@@ -39,7 +39,7 @@
 |-----------|--------|-------|
 | `src/orchestrators/` | COMPLETE | Factory pattern, protocols |
 | `src/clients/` | COMPLETE | OpenAI/HuggingFace working, Anthropic partial (tech debt) |
-| `src/tools/` | FUNCTIONAL | Deduplication done, missing outcomes extraction |
+| `src/tools/` | COMPLETE | Deduplication + outcomes extraction done |
 | `src/agents/` | FUNCTIONAL | All agents wired, some experimental |
 | `src/services/` | COMPLETE | Embeddings, RAG, memory all working |
 
@@ -48,7 +48,7 @@
 | Issue | Priority | Effort |
 |-------|----------|--------|
 | ~~Evidence deduplication (SPEC_13)~~ | ~~HIGH~~ | ✅ DONE |
-| ClinicalTrials outcomes (SPEC_14) | HIGH | 2-3 hours |
+| ~~ClinicalTrials outcomes (SPEC_14)~~ | ~~HIGH~~ | ✅ DONE |
 | Remove Anthropic wiring (P3) | P3 | 1 hour |
 | Expand ARCHITECTURE.md | MEDIUM | 2 hours |
 | P3 Progress Bar positioning | P3 | 30 min |
@@ -72,16 +72,16 @@
 
 ---
 
-### Step 2: Implement SPEC_14 - ClinicalTrials Outcomes
-**Priority**: HIGH | **Effort**: 2-3 hours | **Impact**: Critical efficacy data
+### ~~Step 2: Implement SPEC_14 - ClinicalTrials Outcomes~~ ✅ COMPLETE
+**Priority**: ~~HIGH~~ DONE | **Effort**: ~~2-3 hours~~ | **Impact**: Critical efficacy data
 
-Currently, we don't extract outcome measures or results status from trials.
+✅ **COMPLETED** - ClinicalTrials now extracts outcome measures and results status.
 
-**Files to modify**:
-- `src/tools/clinicaltrials.py` - Add OutcomesModule, HasResults fields
-- `tests/unit/tools/test_clinicaltrials.py` - Add outcome tests
+**Files modified**:
+- `src/tools/clinicaltrials.py` - Added `OutcomesModule`, `HasResults` fields, `_extract_primary_outcome()`
+- `tests/unit/tools/test_clinicaltrials.py` - 4 outcome tests + 2 integration tests
 
-**Spec**: `docs/specs/SPEC_14_CLINICALTRIALS_OUTCOMES.md`
+**Spec**: `docs/specs/SPEC_14_CLINICALTRIALS_OUTCOMES.md` (Status: Implemented)
 
 ---
 
@@ -153,7 +153,7 @@ docs/
 └── index.md           # Entry point
 ```
 
-**Recommendation**: Structure is fine. SPEC_13 is done; SPEC_14 remains to be implemented.
+**Recommendation**: Structure is fine. Both SPEC_13 and SPEC_14 are now implemented.
 
 ---
 
@@ -162,7 +162,7 @@ docs/
 After completing Steps 1-5:
 
 - [x] Evidence deduplication reduces duplicate papers by 80%+ ✅
-- [ ] ClinicalTrials shows outcome measures and results status
+- [x] ClinicalTrials shows outcome measures and results status ✅
 - [ ] No Anthropic references in codebase
 - [ ] ARCHITECTURE.md has flow diagrams
 - [ ] All 14 implementation phases marked DONE/TODO
@@ -177,6 +177,7 @@ After completing Steps 1-5:
 | 2025-12-03 | Remove Anthropic over adding Gemini | Tech debt cleanup > new features |
 | 2025-12-03 | Defer full-text retrieval | Stabilize core first |
 | 2025-12-03 | Mark SPEC_13 complete | All acceptance criteria verified, PR #122 |
+| 2025-12-03 | Mark SPEC_14 complete | All acceptance criteria verified (was already implemented) |
 
 ---