diff --git a/docs/EXTRACTION_SERVICE_ROADMAP.md b/docs/EXTRACTION_SERVICE_ROADMAP.md
index 13e294d1..27797f77 100644
--- a/docs/EXTRACTION_SERVICE_ROADMAP.md
+++ b/docs/EXTRACTION_SERVICE_ROADMAP.md
@@ -393,3 +393,32 @@ A shared extraction microservice that uses Google's LangExtract library to extra
 - Phase 3 consumer integration uses new endpoints/routes — existing triage/transcript flows remain untouched
 - If extraction-service is down, consumers fall back to their existing behavior (MindLyst mock triage, LysnrAI raw transcripts)
 - The `@bytelyst/extraction` package is optional — dashboards only import it for new extraction features
+
+---
+
+## Completion Status
+
+**All 68 roadmap items (Phases 0–6) are implemented and checked.** ✅
+
+### Deferred Items (TODO — Require User Action)
+
+The following items are functionally complete but have deferred sub-tasks that need manual steps or external dependencies:
+
+| #        | Item                            | What's Done                                                                            | What's Deferred                                       | Action Needed                                                                            |
+| -------- | ------------------------------- | -------------------------------------------------------------------------------------- | ----------------------------------------------------- | ---------------------------------------------------------------------------------------- |
+| **4.3**  | Dockerfile build verification   | 3-stage Dockerfile created and structure validated                                     | Full `docker build` has not been run                  | Run `docker build -f services/extraction-service/Dockerfile .` from common platform root |
+| **4.11** | CI workflow execution           | `.github/workflows/ci-extraction-service.yml` created                                  | GitHub Actions disabled due to billing                | Re-enable GitHub Actions or rename `disabled.yml` back to `ci.yml`                       |
+| **5.4**  | Usage persistence in Cosmos DB  | In-memory usage tracking works with daily quota enforcement                            | Cosmos `extraction_usage` container not created       | Implement Cosmos persistence in Phase 7 when ready                                       |
+| **6.2**  | Visualization artifact storage  | Recharts components render in admin dashboard                                          | Azure Blob Storage for saved visualizations not wired | Wire `@bytelyst/blob` when visualization export is needed                                |
+| **6.4**  | Webhook callback for async jobs | Job queue with progress polling works (`POST /extract/jobs` → `GET /extract/jobs/:id`) | No webhook/callback on completion                     | Add webhook URL field to job creation when consumers need push notifications             |
+
+### Verification Summary
+
+| Check                                             | Status              |
+| ------------------------------------------------- | ------------------- |
+| `pnpm --filter @lysnrai/extraction-service build` | ✅ Clean            |
+| `pnpm --filter @lysnrai/extraction-service test`  | ✅ 46 tests passing |
+| `pnpm --filter @bytelyst/extraction build`        | ✅ Clean            |
+| `npx tsc --noEmit` (admin-dashboard-web)          | ✅ Clean            |
+| `npx tsc --noEmit` (mindlyst-native/web)          | ✅ Clean            |
+| Python sidecar tests (29 tests)                   | ✅ Passing          |