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fix(documents): encrypt staged extracted-fact PHI at rest
The inbound-document store encrypts the raw upload (`inbound_documents.content_encrypted`) because it is sensitive clinical data, but the per-fact staging columns persisted the same class of data in the clear: `extracted_facts.data_json` held the transcribed clinical values (diagnosis text, lab values, medication names, stated codes) and `provenance_json` held the verbatim source span (up to 2000 chars copied straight out of the report). The at-rest guarantee was defeated for staged facts, which persist through PENDING and are retained after the decision. Convert both columns to the AES-256-GCM `*_encrypted` BYTEA convention shared with the note columns, going through the same Bytes codec. The upload and fact-edit paths encrypt on write; the confirm path decrypts at commit time to write into the normal structured stores, so the review-then-confirm flow is unchanged. Reads are fail-closed (a bad key id throws). Register both columns in the encrypted-columns registry and the key-rotation script so a dropped legacy key cannot strand them (the guard test enforces both). Migration 0220 swaps the plaintext JSONB columns for the encrypted BYTEA columns; pre-confirm staged rows are ephemeral and cannot be re-encrypted in SQL, so any left by a pre-release build are dropped rather than retained as plaintext (their parent document keeps its encrypted original).
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@@ -486,6 +486,22 @@ async function main() {
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prisma.inboundDocument,
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),
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);
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// The staged extracted-fact payloads: the FHIR-staged clinical values and the
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// verbatim source-span provenance. Both NOT NULL, so every staged row rotates.
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results.push(
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await rotateBytesColumn(
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"ExtractedFact",
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"dataEncrypted",
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prisma.extractedFact,
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),
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);
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results.push(
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await rotateBytesColumn(
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"ExtractedFact",
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"provenanceEncrypted",
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prisma.extractedFact,
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),
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);
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console.log("\n=== Rotation summary ===");
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let totalRotated = 0;
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