97507-8 is the mean of interstitial glucose in mass/volume. A spot-reading
mean is neither, so it now goes out text-only in the account's unit. A
continuous-stream mean keeps the code and is sent in mg/dL, the unit it is
computed in, whatever unit the account displays.
A run of the HL7 validator against every code the export can emit found
terms that do not exist, are inactive, mean something else, or carry a
display the code system does not publish.
- Body water and bone mass use 101683-1 and 101685-6; the old codes are a
nasogastric fluid output and a calculated body-fat mass.
- Step length, walking speed, walking asymmetry and VO2 max ride their
HealthKit identifiers: LOINC has no fitting term, and two of the old
codes do not exist.
- Mood, estimated A1C, average cycle length and average period length are
text-only. The old codes did not exist or were questionnaire items.
- LDL, vitamin D and eGFR use the method-less and total terms (2089-1,
62292-8, 69405-9) a recorded value can honestly claim.
- Resting heart rate and pulse-oximetry SpO2 also carry the heart-rate and
oxygen-saturation codes the R4 vital-signs profiles require.
- Blood pressure, adherence, glucose-panel and injection-site codings carry
the published displays; ATC codings carry none, since the user's
medication name is not the ATC name. The name stays on the text.
- Mood is a survey finding, not a vital sign, so it no longer rides the
vital-signs panel.
Allergy used 106190000, inactive since 2013; it is now 473011001 Allergic
condition. Injury keeps 417163006 with the display SNOMED CT publishes,
Traumatic or non-traumatic injury; the old display was rejected.
A window without a vital sign emitted the panel with result: [], which R4
rejects. The DiagnosticReport now goes out only when it has a result, and
the vital-signs section drops an empty entry list rather than sending one.
The HL7 validator reports 419161000 and 419465000, the left and right
concepts of the R4 bodysite-laterality value set, as inactive. Use the
active qualifier values 7771000 Left and 24028007 Right, with 51440002
Right and left. The side word in bodySite.text stays English, the language
of every other generated text in the Bundle; the builder takes no locale.
Follow-ups to the clinical-record search, test first:
- Condition and vaccination notes are no longer searched or returned.
Both reads use an explicit column list without the note, as the Coach
illness snapshot and the doctor report already do. A structural guard
fails when any MCP read of either model names noteEncrypted or has no
explicit select.
- A document uploaded with AI reading deferred is not searched by its
text and returns no excerpt (metadata.reason "ai_read_deferred"); its
title, kind and links stay findable.
- Documents older than the newest 500 are found by title and file name
through a bounded SQL lookup on those plaintext columns.
- Query words shorter than four letters match whole words or word starts
only, so "arm" no longer finds "Darm".
- A deleted practitioner is no longer named or matched, in search, fetch,
get_visits and the appointments in get_preventive_care. The empty-query
listing shows visits that happened, not booked ones.
- get_labs, get_medication_schedule, get_medication_compliance and the
lab and medication resources (read, list, completion) answer
{ present: false, reason: "module_disabled" } when their module is off,
without reading. get_visits withholds condition labels when illness is
off and says so in conditionsReason.
- The consent screen and the tool descriptions name what a connection
can read, the indexed text of stored documents included.
In its default mode ChatGPT can call only search and fetch, and until now
those two covered metric domains, medications and lab analytes. A question
about a knee operation or a discharge letter had nothing to land on.
search now also returns visit:<id> (procedures included), condition:<id>,
document:<id> and vaccination:<id>. Matching runs after the decrypt over
the account's own rows, bounded per kind, folded the way the body-sites
view folds sites, with German/English body-part and vault synonyms.
Documents match on title, file name, kind and whole words of the blind
content index; the body is never read for a search. Results rank by
matched query words, then score, kind, date and id, so the offset cursor
stays stable. Record results are capped at 50.
fetch returns each record's key fields and its one-hop links through the
link service, every link carrying an id fetch accepts. Free text is fenced;
short labels are scrubbed. A document returns metadata and at most a
1500-character excerpt of its indexed text, never the file or its stored
summary.
A switched-off module's records are neither read nor returned: illness,
inboundDocuments and vaccinations for the new kinds, and now medications,
labs and the owning module of a discovery signal for the older ones.
Condition.bodySite carries the free-text site as text. The side rides a
contained BodyStructure reached through the core bodySite extension, coded
with the SNOMED CT concepts of the R4 bodysite-laterality value set, and is
repeated in the text so a receiver that ignores extensions still reads it.
Renaming an overdue booster check-up on the web still moved it to next
year. The edit sheet sends the first due date as the browser's local
midnight on every save, a booster row stores the dose instant plus N
days, and the route read the different instant as a new first due date.
The route now compares the first due date by calendar day in the
profile timezone and drops a resent same-day value from the write. The
edit sheet sends only the fields that changed. Re-enabling a reminder
that stays due after it is sent keeps the slot it was on instead of
scheduling from now; a short-cycle reminder is still scheduled from
now. Moving the notify hour later on the day a reminder was already
sent carries the last-sent cursor along, so the slot does not go out a
second time at the new hour.
The start page read every reminder due before the end of the day, so a
daily weigh-in at 20:00 or a twice-daily blood-pressure course showed
"check-up due" from the morning on and took a pinned place on the rail.
`holdsOpenAfterReminder` is now the one definition of a reminder that
stays due after it is sent: an interval longer than seven days, a rule
whose next gap is longer than seven days, a rule with no occurrence
left, or no cadence; never an appointment. The tick uses it to decide
whether a delivered reminder rolls on, and the start page uses it to
show such a reminder for its whole due day and keep it under the cap.
A short-cycle reminder shows only once its time has come and is not
pinned.
The tick also skips a reminder already sent for its current slot
outside its notify hour before the auto-resolve read. The eventful
satisfy worker still resolves it the moment a reading or lab result
lands, and the poll still runs for it once a day, in the notify hour;
the weekly hold stays after that poll so the safety net is daily.
The first cut kept only free-text check-ups due after their reminder
and let every reminder with a measurement type roll on. A fortnightly
PHQ-9 or GAD-7 reminder is a measurement reminder, and each one still
jumped two weeks forward the morning it was sent without the
questionnaire being filled.
The rule is now the cycle length. A reminder whose next slot is more
than seven days away, or that has no cadence, stays due after its
reminder until it is satisfied (a matching reading, a lab result or
"done"), skipped or snoozed, and is sent again at most once a week. A
reminder on a weekly or shorter cycle rolls on as before. Appointments
stay one-shot. A reading that lands on an open measurement reminder
still sets lastSatisfiedAt and schedules the next cycle from itself.
The 0355 repair drops its "no measurement type" condition for the same
cycle rule, so the fortnightly questionnaires in the reported shape
are put back on the day they were reminded.
The start-page item choice stores the enabled kinds, so a list saved before a kind existed reads as that kind switched off. Say so next to the kind list, where the next kind will be added.
Every edit of a reminder recomputed its due date from now, so fixing
the label or the location of an open, overdue check-up moved it to its
next slot, the same "gone until next year" the reminder tick caused.
The due date is now recomputed only when the edit changes when the
reminder recurs: the interval, the rule, the first due date (compared
by value, since the edit forms resend every field), or switching a
disabled reminder back on. A notify-hour edit keeps the due day and
moves the hour on it, together with a snooze pinned to that slot.
The start page's short list left out things a reminder had just told
the person about. A check-up counted only once its due hour had
passed, a booked visit was read one at a time and dropped out at its
start time, which is when its reminder fires, and both sat below doses,
sync problems and the Coach check-in under a three-item cap, so a busy
morning pushed them off.
The check-up item now covers every check-up due today or overdue and
names up to three of them. Visits are read for the whole local day,
also once started, and for the next 48 hours: everything booked today
shares one item, the next day with a visit gets a second, and the
today / tomorrow / day-after wording follows the calendar rather than
an hour count. A due check-up and today's visits always keep a place
under the cap; the displayed order is unchanged. A Coach cadence label
is translated here as it is on the checkups page.
The digest's wire shape is unchanged: visits reach it only as
`upcoming_visit` items, which may now appear twice.
The reminder tick rolled every delivered reminder on to its next slot.
For a check-up (a reminder with no measurement type, made by the person
or suggested by the Coach) that filed an open task under next month or
next year the moment it was reminded, although nobody had done it. The
start page and the check-up card then showed a yearly check-up due
today as scheduled for next year, and a check-up with no cadence
dropped off every surface.
A check-up now keeps its due date after the reminder until it is
marked done, skipped or snoozed, and is reminded again at most once a
week while it stays open. A new `last_notified_at` column records the
last delivered reminder; a repeat is held while that send was for the
current slot and fewer than seven calendar days have passed, so a
snooze, a skip or a completion opens a fresh slot that fires on its own
day. The per-day claim stays the guard against two sends in one day.
Measurement reminders keep rolling on (the next reading satisfies them
and their next slot comes round soon), as do check-ups on a weekly or
shorter cadence, whose next slot is the next reminder anyway.
Appointment reminders stay one-shot.
Migration 0355 adds the column and puts back check-ups the old tick
rolled on: a live, enabled check-up whose most recent reminder claim is
followed within ten minutes by its last write, carrying a due date more
than a week past that send (or none, for a one-shot), not done, skipped
or snoozed since. Its due date returns to the instant of that send.
Anything else is left as it is. The same migration adds `upcoming_visit`
to start-page item choices stored before visits were one of them, which
otherwise read as visits switched off.
The due phrase on the check-up card and the checkups page counted a
check-up one day past its date as "Overdue by 1 days", and the same
counted form read wrongly in German. One day over now has its own
phrase in all seven languages. Both overdue phrases keep the warning
colour through a shared `isOverdueDue` helper, so a surface no longer
compares against a single key.
Key rotation re-sealed a single-value backup in place, which holds the
stored string, its bytes, the plaintext and the new ciphertext at once; a
copy can be over a hundred megabytes and the in-app rotation walked 25 of
them per page, enough to run a 1 GB container out of memory. Rotation now
converts each such copy into pieces under the active key instead, one row
at a time. The ~hlgcm1. stream of v1.38.6 to v1.39.1 is read a megabyte
at a time with its tag checked at the end, inside one transaction, so a
copy that fails the check is left untouched; the copy keeps its date. The
scan reads only the first characters of each value. Measured on a copy of
a 2.6 million-reading account (126 MB stored): converted in 25 s with the
heap flat at 57 MB under a 200 MB limit, where re-sealing in place ran out
of heap.
The weekly and manual backup leave an account alone while a restore of
its current copy is queued or running, and count it as skipped, not
failed. A reader whose copy is replaced mid-read answers 409
backup_changed, "replaced by a newer one while it was being read", rather
than the undecryptable error; a restore rolls back with the same code.
Pieces are sealed with a fixed associated-data label, so a value the same
key sealed for another purpose never opens as a piece; rotation re-seals
under the same label. A row holding both a single value and pieces, which
only an older release writing after a downgrade produces, is refused with
a message saying so, and the next weekly run replaces it. Rotation treats a
row deleted between its read and its write as gone rather than an error.
A stored backup was one value in data_backups.data. v1.39.1 wrote it a
piece at a time but still joined the pieces into that one value, and one
value has to pass through the app whole, so a copy was capped at a fifth of
the heap: 105 MB in the default 1 GB container. An account with 1.75
million readings is past that and could not be backed up at all (#1031).
A copy is now kept as ordered pieces of about a megabyte in the new
data_backup_chunks table (migration 0352). Each piece is sealed on its own
with AES-256-GCM, and its sealed header names the copy (a random stream id
kept on the row), its position and whether it is the last. A reader checks
every piece before it releases a byte, so a piece that is missing, moved,
altered, taken from another copy, or a copy cut short is refused with
backup.payload.undecryptable before a restore deletes anything, and the
second read during the restore checks each piece again.
The write is one transaction, so the previous copy stays whole and readable
until the new one commits. Pieces are written through the model API: a raw
query with a large parameter is kept alive by Prisma's query plan cache,
which left 160 MB of heap behind per hundred one-megabyte inserts.
Restore, preview, download, the restore job and the admin list read both
forms; copies written before this change keep their single value and still
restore. The heap-derived limit is gone. The one limit left is on storage,
BACKUP_MAX_STORED_MB (default 2048), and its message names the setting. Key
rotation covers the pieces, the wipe and account deletion take them with
their backup, and the backup plan lists the table as not carried.
Measured on an account of 2.6 million readings in a 1 GB container with web
and worker in one process: backup 87 s, 97 MiB in 96 pieces, preview 20 s,
download 25 s, restore 264 s with every reading back exactly, peak 567 MiB,
no restart.
A document uploaded with aiRead=defer is now indexed locally by any
automatic path, because the indexer reads the marker from the row rather
than from the job. Index all for search leaves such documents out and no
longer counts them. Only an explicit Read with AI or Generate summary ends
the hold.
Uploads that send a body keep their slot of the hourly limit, duplicates
included; handing it back let a token send the same bytes under id after
id for free. One document takes at most 20 further source ids, beyond
which the upload answers 409 documents.inbound.sourceAliasLimit. The
query-string key check is metered on the lookup allowance it shares with
GET /api/documents/inbound/source.
Refs #1038
A weekly or uploaded backup written by v1.39.x is a single ~hlgcm1. stream
in data_backups.data. Its key id sits behind the stream marker, which the
string codec's parser does not read, so key rotation filed every such row
as legacy, failed to decrypt it and counted it as an error. On a host that
ran v1.39.x that was every weekly copy, and the rotation never finished
clean.
Rotation now reads the key id of a streamed value and re-seals it as a
stream under the active key, without touching what it holds.
A current disaster-recovery backup writes aggregationProvenance for every
measurement, null included. The restore treated null like a missing field
and marked every Apple Health stats: row without a provenance as
LEGACY_UNKNOWN, which is meant only for backups too old to carry the field.
The nightly daily-mean fold writes exactly such rows, so on a large Apple
Health account a restore changed tens of thousands of readings it was
supposed to put back as they were (#1031).
Only an absent field now takes the legacy path.
A keyed upload that matched a stored document by its bytes never recorded
its key, so deleting that document let the next import run store it again.
Such keys are now kept as aliases of the document, the source-key check
reads them, and the purge carries them into the ledger with the row's own.
A source key may ride the query string and is then answered before the
body is read or the hourly allowance charged; an upload answered as a
duplicate hands its slot back. GET /api/documents/inbound/source answers
whether a key is held, under the same documents:write scope, so an
importer can skip a download.
aiRead=defer is stored on the row. The summary catch-up, the summary job
and lab auto-staging skip such documents until an explicit Read with AI
or Generate summary clears the marker; backup and restore carry it.
A documents:write caller no longer sees the quota figures on a full vault.
Refs #1038
A delegate who may keep the illness journal but not read the visits
would be refused by GET /api/body-sites on every open of the condition
form, and each refusal writes an access-denied row. The field now asks
only when the grant covers the visits' section, and the condition page
shows the site as text rather than a link in that case.
Refs #1025
A condition (illness episode) can carry where on the body it sits, in the
person's own words and encrypted at rest, plus an optional side (LEFT,
RIGHT, BOTH). Same enum, codec and reasoning as the procedure's site.
- migration 0354: two nullable columns on illness_episodes, reusing the
laterality type from 0349
- create and edit accept bodySite and laterality; on PATCH an absent key
keeps the stored value, so an edit from the shipped iPhone app, which
never sends either field, leaves them untouched
- GET /api/body-sites: the sites the record holds across visits and
conditions, folded after the decrypt and bounded per kind; with site
(and laterality) the visits and conditions there, one hop to their
documents, lab results and visits. Read in the profile section;
conditions only under an illness grant with the module on, and links
into ungranted sections come back as unlabelled placeholders
- the link service reads document and visit links from the condition's
end of the two existing tables
- /checkups gains a Body sites tab; the visit and condition forms share
one body-site field pair that suggests sites already used; a
condition's page links its site into the view
- the doctor report, the clinician page and the MCP doctor-visit summary
name the site on conditions; the Coach illness block carries it
sanitised, and MCP get_illness_recovery returns it fenced
- backup and restore carry both fields in both file kinds; the site is
registered as ciphertext and rotates with the key
- i18n in all seven locales, OpenAPI regenerated
Refs #1025
A narrow `documents:write` token, minted cookie-only at
`POST /api/tokens/documents` and accepted by the vault upload route alone.
A scoped caller draws on its own hourly bucket per token
(`DOCUMENT_UPLOAD_LIMIT_PER_HOUR`, default 120) and gets a receipt
`{ id, duplicate }` instead of the stored row.
Uploads take optional `sourceSystem` / `sourceId` fields. The source key is
unique per account across live and deleted documents, and the tombstone
purge carries it to a small ledger, so re-sending a document the owner
deleted answers 200 `deleted: true` and stores nothing. `aiRead=defer`
indexes locally and skips the summary and lab staging.
The detail sheet shows where an imported document came from; backup and
restore carry both fields; Delete All Data clears the ledger.
Refs #1038, #938
Bump @simplewebauthn/server 13.3.3 -> 14.0.2 and @simplewebauthn/browser
13.3.0 -> 14.0.0, and keep React on an exact pin at 19.3.0 with react-dom
and both type packages moved alongside.
SimpleWebAuthn 14 changes one default the server relied on: the verifier
used to accept every algorithm the library knew (EdDSA, ES256, ES512,
PS256/384/512, RS256/384/512, RS1) and now accepts only the three it
offers. Pass both lists explicitly so a registration that succeeded
before still succeeds, and so the offered list stays EdDSA/ES256/RS256
on a runtime that would otherwise prepend ML-DSA-44. The option JSON of
all four ceremonies, and verification against stored credentials, match
the 13.x snapshots unchanged.
Every existing passkey test mocks @simplewebauthn/server, so a library
upgrade could change the options a browser or the iOS app receives, or
the algorithms the verifier accepts, without any test noticing. Drive
the real library with a software authenticator: snapshot the option
JSON of all four ceremonies, register and authenticate with each of the
ten algorithms the verifier has accepted, and verify an assertion
against a credential row stored the way earlier releases wrote it.
On the rollup path the all-time count, min, max and mean are composed
from DAY buckets plus one raw aggregate of the readings older than the
fold window. The bucket half read every DAY bucket the account had, the
raw half every reading before now minus five years, so a reading on any
day that had a bucket before that instant was counted in both. Such
buckets are common: the per-write hook folds whatever day it touches,
the Apple Health import folded whole spans until this release
clamped it, every fold snaps its start down to a whole day, and
nothing removes a bucket once the moving window has passed it. The
count came out too high and the mean leaned towards the doubled days,
while the live fallback reported the true figures for the same account.
Both halves now meet at the start of the window's first UTC day:
buckets from there on, raw readings before it. A reading lands in
exactly one half whichever buckets exist, so buckets already written
before the window need no repair.
The snapshot's second phase (blood pressure in target, the per-context
glucose tiles, the Health Score) waits until weight, both blood-pressure
halves and steps have DAY buckets. The fold writes buckets only inside
the five-year window, so a type whose every reading is older than that
never gets one and the phase stayed null for good. Since the Apple Health
import now folds only inside the window too, an account that imported
years-old blood pressure or steps and nothing since lost those tiles and
its score with no explanation.
An uncovered gate type now holds the phase back only when it has a
reading inside the window, which is the case the backfill will still
reach. The extra query runs on the miss path alone and asks one indexed
EXISTS per uncovered type.
The projector floored today's slots only on an empty archived era, the
reminder worker and the next-due reads on the newest revision boundary,
and the auto-miss pass on the creation instant alone. Switching tracking
back on and then moving a dose time the same afternoon therefore put the
morning dose on the card, and the next day's pass stamped it a miss; a
same-day times edit on any medication did the same.
One helper now names the live era start (the newest active revision's
boundary) and every path floors on it: the projector, the worker, the
doses card, the medication list, the MCP schedule tool and the auto-miss
pass, which leaves a placeholder minted after the switch for a slot
before it.
Three readers compute a rate straight from intake rows without reading a
schedule: the weekly compliance nudge, the adherence series behind the
general status, and the BP-versus-compliance correlation. They now read
tracked medications only. The structural guard covers intake-row readers
as well as schedule readers, with a whitespace-tolerant matcher, a floor
on the match count and a reviewed allowlist.
A medication's units per dose, a schedule's override and a restored
backup now accept any value above 0 and at most 100 with at most four
decimal places, which is exactly what the Decimal(10,4) column stores.
Before, only whole numbers 1-100 and the fractions 1/4, 1/3, 1/2, 2/3,
3/4 passed, so one and a half tablets could not be recorded. A restore
now refuses a value no write route would accept.
The medication editor keeps its buttons and adds an Other field that
reads 1.5, 1,5, 1 1/2 and 1½, holds the step while the text does not
read, and previews the value it will save. The supply tab's packaging
dialog uses the same reader; it refused every non-whole value before,
so a medication at half a tablet could not have its packaging saved.
Cards and the supply tab show a whole number plus a fraction as 1½.
The rule, the input reader and the display format live in one module
without imports so the editor and the validators share them.
Refs #1034
The shipped iPhone app cannot see the schedule of a medication kept as a
record, because it is served with an empty schedules list. Its editor opens
such a medication as daily at 08:00 and, once any schedule field is touched,
sends a full replacement built from that default, plus asNeeded and oneShot,
and never trackIntake. On a record-only medication the update route now
drops schedules, asNeeded and oneShot from a write that does not name
trackIntake and applies the rest. The web schedule editor and the wizard
name the flag on every save.
The corpus walk and the rotation script paged with Prisma's cursor and skip.
Prisma resolves that cursor by reading the page's last row again, so when
that row was hard-deleted before the next page (a backup replaced, a cached
response expired), the next page came back empty and the walk ended early.
The scan then counted fewer rows than the database holds, which could read
as nothing left on the old key while rows it never reached still were.
Both walks now ask for the rows whose id is greater than the last one read,
which needs no row to still exist.
A per-medication trackIntake flag (migration 0351, default on for every
existing and new row). With it off the dose, dates and schedule stay stored,
but nothing derives a due dose from them: the reminder worker, the manual
reminder check, the today projector, the auto-miss pass, the low-stock pass,
the doses card, the today list, the outstanding-dose badge, compliance and
its heatmap, the doctor report, the Coach, the BP-status gate, insights,
targets, achievements, the efficacy view and the MCP schedule tool all skip
it.
The medication wire serves such a medication with schedules: [] and the
stored rows in an additive recordedSchedules field, so a client that arms
local reminders from schedules stays silent without an update. Switching
tracking off or back on archives a schedule revision at that instant, the
untracked stretch with an empty payload, so it never counts as missed and
the projector does not put a dose from before the switch back on the card.
A structural guard freezes the set of schedule readers: each one filters on
the flag, derives from dueSchedules, shapes the wire with scheduleWireFields,
or is allowlisted with the reason it derives nothing due. The flag travels
through backup, restore and the medication CSV export.
Marc-André Bombeck