feat(cycle): import Apple Health reproductive data into cycle, add cycle export

Promote the reproductive HealthKit category types out of the
Apple-Health-import privacy-hold list and route them into cycle day-logs
instead of measurements, and surface cycle data on the three export
surfaces.

Import promotion:
- A new HealthKit -> cycle mapping module is the single source of truth for
  how MenstrualFlow, IntermenstrualBleeding, CervicalMucusQuality,
  OvulationTestResult, SexualActivity, PregnancyTestResult,
  ProgesteroneTestResult, Contraceptive and the symptom category types fold
  into CycleDayLog fields / seeded symptom keys. The XML importer
  accumulates same-day reproductive samples and writes one canonical
  day-log per day with source APPLE_HEALTH and a synthetic per-day
  externalId for idempotent re-import. The fold is gated on cycle tracking
  being enabled, so a non-cycle export never provisions cycle rows. A
  contraceptive method nudges the profile goal toward avoiding pregnancy
  only when the goal is still on its default. Basal body temperature stays
  a measurement and mirrors onto the day-log. Pregnancy/Lactation status
  and the pregnancy-bleeding types stay deferred; the cycle awareness types
  remain server-derived.

Export:
- FHIR emits LMP (LOINC 8665-2), average cycle length (64700-8), period
  length (64698-4) and the current phase as opt-in reproductive-health
  observations grouped into their own document section.
- The doctor PDF gains an opt-in cycle section (recent cycles, average
  length and variability, current phase), privacy-default off like mood.
- The full-backup export, the weekly backup worker and the off-host DR
  snapshot include the cycle tables, and the admin restore re-creates them;
  the day-log note round-trips as ciphertext and is never decrypted onto a
  report surface.

Mapping table documented in docs/api/cycle-healthkit-mapping.md. Adds unit
+ integration coverage for the mapping, the import routing, the FHIR
observations and the backup round-trip. OpenAPI regenerated. Six-locale
strings added.

Co-Authored-By: Claude Opus 4.8 (1M context) <noreply@anthropic.com>
This commit is contained in:
Marc-André BombeckandClaude Opus 4.8 committed 2026-06-06 10:16:54 +02:00
1 parent 7333d8e40f
commit e984ada5f1
39 files changed
+2406 -41

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@@ -49,6 +49,7 @@ import {
MEDICATION_COMPLIANCE_BACKFILL_DAYS,
} from "@/lib/rollups/medication-compliance-rollups";
import { recomputeUserRollups } from "@/lib/rollups/measurement-rollups";
import { restoreCycleData } from "@/lib/cycle/backup";
export const dynamic = "force-dynamic";
@@ -63,6 +64,10 @@ interface RestoreResponse {
notificationChannels: number;
pushSubscriptions: number;
telegramScheduledDeletions: number;
// v1.15.0 — cycle tables wiped before recreate.
cycles: number;
cycleDayLogs: number;
cycleProfile: number;
};
}
@@ -397,6 +402,11 @@ const handler = apiHandler(
});
}
// v1.15.0 — cycle tables (profile + observed spans + day-logs +
// symptom links). Delete-then-recreate, mirroring the contract
// above. `notesEncrypted` is restored as ciphertext verbatim.
const cycleCleared = await restoreCycleData(tx, ownerId, payload);
return {
measurements: measurements.count,
medications: meds.count,
@@ -405,6 +415,9 @@ const handler = apiHandler(
notificationChannels: channels.count,
pushSubscriptions: subs.count,
telegramScheduledDeletions: tgDel.count,
cycles: cycleCleared.cycles,
cycleDayLogs: cycleCleared.cycleDayLogs,
cycleProfile: cycleCleared.cycleProfile,
};
});
} catch (err) {
@@ -513,6 +526,8 @@ const handler = apiHandler(
medications: summary.medications,
intakeEvents: summary.intakeEvents,
moodEntries: summary.moodEntries,
cycles: summary.cycles,
cycleDayLogs: summary.cycleDayLogs,
},
},
});
@@ -216,6 +216,8 @@ export const POST = apiHandler(async (request: NextRequest) => {
medications: summary.medications,
intakeEvents: summary.intakeEvents,
moodEntries: summary.moodEntries,
cycles: summary.cycles,
cycleDayLogs: summary.cycleDayLogs,
},
},
});
@@ -90,6 +90,7 @@ describe("PUT /api/auth/me/doctor-report-prefs", () => {
mood: true,
compliance: true,
sleep: false,
cycle: false,
};
const res = await (PUT as (r: Request) => Promise<Response>)(mkPut(body));
expect(res.status).toBe(200);
@@ -112,6 +113,7 @@ describe("PUT /api/auth/me/doctor-report-prefs", () => {
mood: true,
compliance: false,
sleep: false,
cycle: false,
};
vi.mocked(prisma.user.findUnique).mockResolvedValue({
doctorReportPrefsJson: current,
@@ -16,6 +16,10 @@ vi.mock("@/lib/db", () => ({
medication: { findMany: vi.fn() },
medicationIntakeEvent: { findMany: vi.fn() },
moodEntry: { findMany: vi.fn() },
// v1.15.0 — cycle tables read by the full-backup helper.
cycleProfile: { findUnique: vi.fn() },
menstrualCycle: { findMany: vi.fn() },
cycleDayLog: { findMany: vi.fn() },
user: { findUnique: vi.fn() },
auditLog: { create: vi.fn() },
},
@@ -318,6 +322,9 @@ describe("GET /api/export/full-backup", () => {
[] as never,
);
vi.mocked(prisma.moodEntry.findMany).mockResolvedValue([] as never);
vi.mocked(prisma.cycleProfile.findUnique).mockResolvedValue(null as never);
vi.mocked(prisma.menstrualCycle.findMany).mockResolvedValue([] as never);
vi.mocked(prisma.cycleDayLog.findMany).mockResolvedValue([] as never);
const { GET } = await import("../full-backup/route");
const res = await GET(mkReq("http://localhost/api/export/full-backup"));
+13 -1
View File
@@ -22,6 +22,7 @@ import { auditLog } from "@/lib/auth/audit";
import { apiError, getClientIp } from "@/lib/api-response";
import { checkRateLimit } from "@/lib/rate-limit";
import { BACKUP_SCHEMA_VERSION } from "@/lib/validations/backup";
import { buildCycleBackupSection } from "@/lib/cycle/backup";
import { NextRequest, NextResponse } from "next/server";
export const GET = apiHandler(async (request: NextRequest) => {
@@ -33,7 +34,7 @@ export const GET = apiHandler(async (request: NextRequest) => {
return apiError("Maximum 10 exports per hour", 429);
}
const [measurements, medications, intakeEvents, moodEntries] =
const [measurements, medications, intakeEvents, moodEntries, cycle] =
await Promise.all([
prisma.measurement.findMany({
// v1.4.41 W-DELETED-2 — soft-deleted rows are excluded from the
@@ -74,6 +75,9 @@ export const GET = apiHandler(async (request: NextRequest) => {
where: { userId: user.id, deletedAt: null },
orderBy: { moodLoggedAt: "desc" },
}),
// v1.15.0 — cycle tables (profile + observed spans + day-logs). The
// shared helper carries `notesEncrypted` verbatim (never decrypted).
buildCycleBackupSection(prisma, user.id),
]);
// Shape mirrors the pg-boss `data-backup` worker exactly so the same
@@ -118,6 +122,10 @@ export const GET = apiHandler(async (request: NextRequest) => {
source: e.source,
loggedAt: e.moodLoggedAt.toISOString(),
})),
// v1.15.0 — cycle slice (profile + observed spans + day-logs).
cycleProfile: cycle.cycleProfile,
cycles: cycle.cycles,
cycleDayLogs: cycle.cycleDayLogs,
};
await auditLog("user.export.full-backup", {
@@ -129,6 +137,8 @@ export const GET = apiHandler(async (request: NextRequest) => {
medications: medications.length,
intakeEvents: intakeEvents.length,
moodEntries: moodEntries.length,
cycles: cycle.cycles.length,
cycleDayLogs: cycle.cycleDayLogs.length,
},
},
});
@@ -139,6 +149,8 @@ export const GET = apiHandler(async (request: NextRequest) => {
export_medications_count: medications.length,
export_intake_count: intakeEvents.length,
export_mood_count: moodEntries.length,
export_cycle_count: cycle.cycles.length,
export_cycle_day_log_count: cycle.cycleDayLogs.length,
},
});