The marker list offers a merge with the server's preview: what moves, what
is converted, which names become aliases, and a refusal when a unit cannot
be converted; it says a merge cannot be undone. The marker page shows and
edits the other spellings and follows a merged marker to its target. Scan
and document review name the matched marker or offer its suggestions and a
new marker; the choice is remembered. The biomarkerMerge feature flag is
on.
The extract route accepts `Prefer: respond-async` for all three inputs
(text, stored, vision) and queues a DOCUMENT_EXTRACT run (added to
migration 0370). The run's result is the count of staged facts and the
document status; the facts themselves are read from the document.
Without the header the route answers with the document detail as
before; both paths run one shared body.
A background read can take minutes, and a review the person finishes in
the meantime must not have its approved facts replaced. Staging now
locks the document row and asks again whether it may stage, refusing
with the route's own alreadyConfirmed / alreadyPartlyConfirmed codes.
The synchronous path gets the same re-check.
The vault's stored-text extract uses the background path and shows the
shared waiting line in place of its hint while the read runs.
The server chain existed end to end (extract stages PENDING facts, per-fact
edit clears the low-confidence gate, confirm is the only write into the
structured stores) but the document detail offered no control over any of
it: it counted observation facts and linked to Labs. A user whose automatic
staging run was skipped had to re-upload the same PDF through Labs > Scan a
report.
- The detail sheet gains a staged-facts block with honest states: pending
facts open an inline review (approve/reject per fact; a low-confidence
fact is checked and saved first via the existing per-fact edit); a
lab-filed, already-read document with nothing staged offers "Extract lab
values" over its stored text; otherwise nothing renders.
- The extract route gains { mode: "stored" }: the same text-structuring
pass the automatic worker runs, over the document's own content index.
No re-upload, no second read of the original; full gauntlet including
the shared document-AI bucket with charge-at-dispatch honesty; 422
notIndexed when no stored text exists.
- A manual "Read with AI" / "Read again" now continues into the same
lab auto-staging the background worker performs; the response reports
labFactsStaged and the toast names the values waiting for review.
- Unchecked values are rejected and the copy says so; an unverified
low-confidence fact receives no decision and stays pending rather than
being silently discarded. Confirmation remains the only write into
Labs, conditions, and medications; approved facts carry the
committedRecordId link back to the source document (existing model, no
schema change).
- The "lab values from this document" link now counts APPROVED facts
only — it claims values that actually exist in Labs.
- Copy in all six locales; OpenAPI regenerated for the new extract mode
and the index response field.
Marc-André Bombeck