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,
},
},
});