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feat(labs): record qualitative lab results
Add first-class qualitative lab findings (positive / negative / borderline serology) alongside the existing numeric path. A LabResult is now EITHER a numeric reading (value + unit, optional reference bounds) OR a qualitative one (valueText, e.g. "negativ"), never both, never neither. - schema: make `value` nullable, add `value_text`; migration 0181 is additive (DROP NOT NULL + ADD COLUMN), every existing numeric row is untouched. - validation: numeric-XOR-qualitative refine on create + update; unit/bounds apply to the numeric path only; valueText capped at 120 chars. The single resource PUT rejects a cross-type edit. - serialise: carry valueText through both DTOs; a qualitative row reports the neutral `unknown` range verdict (no number to classify). - FHIR: a qualitative result emits valueCodeableConcept — SNOMED qualifier value for confidently-known terms (Negative 260385009, Positive 10828004, Not detected 260415000, Detected 260373001), text-only for borderline / grenzwertig and any unrecognised term. The raw text always rides .text. - UI: a numeric/qualitative toggle in the lab form; list, history, detail, chart, sparkline, and the doctor-report PDF all render qualitative readings as their text and never plot or divide on a null value. - i18n: new labs.form keys across all six locales. - openapi: response carries a nullable value + valueText; regenerated.
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@@ -6081,6 +6081,10 @@ paths:
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maxLength: 120
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value:
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type: number
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valueText:
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type: string
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minLength: 1
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maxLength: 120
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unit:
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type: string
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minLength: 1
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@@ -6100,7 +6104,6 @@ paths:
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- type: string
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const: ""
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required:
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- value
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- takenAt
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responses:
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"201":
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@@ -6174,6 +6177,10 @@ paths:
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maxLength: 120
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value:
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type: number
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valueText:
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type: string
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minLength: 1
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maxLength: 120
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unit:
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type: string
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minLength: 1
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@@ -18838,7 +18845,13 @@ components:
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analyte:
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type: string
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value:
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type: number
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anyOf:
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- type: number
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- type: "null"
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valueText:
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anyOf:
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- type: string
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- type: "null"
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unit:
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type: string
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referenceLow:
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@@ -18867,6 +18880,7 @@ components:
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- panel
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- analyte
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- value
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- valueText
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- unit
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- referenceLow
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- referenceHigh
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@@ -18877,10 +18891,12 @@ components:
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- createdAt
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- updatedAt
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additionalProperties: false
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description: A stored lab result. `biomarkerId` links the user-scoped catalog marker (null for legacy free-text rows);
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when linked, `analyte` / `unit` / `referenceLow` / `referenceHigh` are RESOLVED server-side from the Biomarker —
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the client renders them and never recomputes the range. The encrypted note is never echoed in list rows;
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`hasNote` flags its presence and the single-resource GET returns the decrypted `note`.
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description: A stored lab result. Exactly one of `value` (numeric) or `valueText` (qualitative, e.g. "negativ") is
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non-null; `rangeStatus` is always `unknown` for a qualitative row (no number to classify). `biomarkerId` links
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the user-scoped catalog marker (null for legacy free-text rows); when linked, `analyte` / `unit` /
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`referenceLow` / `referenceHigh` are RESOLVED server-side from the Biomarker — the client renders them and never
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recomputes the range. The encrypted note is never echoed in list rows; `hasNote` flags its presence and the
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single-resource GET returns the decrypted `note`.
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LabReferenceRangeStatus:
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type: string
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enum:
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@@ -18941,7 +18957,13 @@ components:
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analyte:
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type: string
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value:
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type: number
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anyOf:
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- type: number
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- type: "null"
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valueText:
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anyOf:
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- type: string
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- type: "null"
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unit:
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type: string
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referenceLow:
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@@ -18972,6 +18994,7 @@ components:
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- panel
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- analyte
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- value
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- valueText
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- unit
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- referenceLow
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- referenceHigh
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