Two downloads under the token — the FHIR document Bundle and the clinical PDF —
behind the same unlock cookie the document route enforces, serving exactly the
link's frozen selection. That is what the removed FHIR toggle promised, in the
form a practice actually uses: open the link, unlock it, save the file. No new
credential type, no new scope, no mint path that does not exist.
The gate is the document route's, step for step: the same live check, the same
token-scoped cookie, the same blunt 404 for every miss class so a probe cannot
tell "no such link" from "revoked" from "documents-only". It differs in one
number, because generating a bundle is far more expensive than serving a stored
blob and must not share a budget with it. Each download writes its own audit
row. The scope cannot exceed the page's: both resolve the same frozen leaf list
through the same resolver, and the insurance leaf is refused at create, so the
insurance number cannot reach this path at all.
The MCP doctor-visit summary stops claiming presence it cannot support. An
account whose owner never saved a report selection resolves to the empty one on
that surface, and an empty scope produces an empty payload — which now reads as
{ present: false, reason }, the same sentinel the other reads use, instead of a
record with every section quietly missing.
Mutation-checked: removing the unlock check, the rate limit, the documents-only
guard or the audit row reddens its own case; pointing the bucket at the document
route's key reddens the bucket assertion; making presence unconditional reddens
the absence case.
The saved profile's shape moves out of the module that reads the row. The panel
is a client component and parses the blob from the /me payload; importing the
reader dragged the database client into the browser bundle, which typecheck and
the unit suite both pass and only `next build` catches.
Five layers, because the defect had five places to hide.
The catalogue guard checks what the compiler cannot state: every leaf resolves
a label a human can read, every group resolves one, the fenced tier stays last,
and the shipped template intersects the fence at nothing.
The selection guard pins the three minting functions against each other. A
stored blob this build cannot read resolves to the empty selection, never to a
default set — that is what makes the revoked legacy links revocable rather than
silently re-scoped. A request naming an id the server does not know is refused
by name rather than dropped, because dropping it would narrow a scope the
caller did express.
The egress guard freezes the set of aggregator callers with the source of each
one's selection written down. The required brand-typed parameter already stops
a new path compiling without an answer; this stops one being added without a
human writing the answer down, which is the moment a reviewer asks the
question.
The behavioural sweep aggregates every leaf in and out against a fixture that
carries a row for each, and asserts the payload differs. It is parametrised
over the catalogue, so a leaf added later is covered the day it is added. Its
positive control asserts the all-on payload is genuinely populated first, so a
"no difference" result means the gate is inert and not that the account is
empty. Beside it: an unmapped measurement type is excluded rather than passed
through, no table behind an unchosen leaf is queried at all, and an empty
selection produces an empty record.
The artefact layer runs the real route and reads what comes out — the FHIR
bundle, the PDF text and the zip's contents — with a positive control beside
every exclusion.
Mutation-checked: making the gate admit everything reddens the sweep for every
leaf; passing an unmapped type through reddens the fail-closed case; dropping
the mood query's condition reddens the zero-read case; returning the BMI
unconditionally reddens the sweep naming BODY_MASS_INDEX; adding a fenced leaf
to the template reddens the purity guard; removing the panel's seeding block
reddens the first-run and repeat-run cases; dropping the insurance refusal
reddens the share-link case; adding a caller outside the frozen list reddens
the egress guard naming the file.
The panel suite grew past the practice name it was written for and is renamed
for what it now covers: the three states, the fenced tier having no group
control, and the scope line naming its sensitive inclusions.
Integration coverage moves to the leaf model, including the case this release
exists for: an account with data in every domain and a caller that named
nothing gets an empty record.
The OpenAPI contract catches up with the routes — the required selection, the
refused keys, the share summary's new fields, the moved `Patient/$everything`,
the Coverage search and the five typed reads.
The report resolved an absent key to "included". A caller that sent no
sections object, or an empty group inside one, received the full record at
server-chosen defaults: roughly fifty metrics plus the medication list, labs,
allergies and family history. The web panel sent every key explicitly so it
looked fine from the browser, but the share link, the FHIR REST face, the MCP
doctor-visit resource and the cycle-only export card all went through paths
where absence meant yes. No arrangement of booleans fixes a default that means
yes, so the shape goes.
A selection is now an inclusion list of leaf ids. A leaf is the smallest thing
that can be released or withheld: every measurement type, and thirteen
structured sections — identity, insurer, the glucose panel, labs, the drug
list, the administration ledger, adherence, the GLP-1 block, allergies,
illness episodes, family history, mood, cycle. Membership is inclusion,
absence is exclusion, and there is no defaults constant anywhere to drift.
Three locks keep a metric added later off a report chosen earlier. A stored
selection is a list of what was chosen, so a leaf that did not exist then is
not in it. The catalogue is keyed over the measurement enum, so adding a
member without deciding its group fails typecheck in the same commit. And the
aggregator's filter inverts: a type the catalogue does not know is excluded and
annotated, where it used to be passed through.
The aggregator's third parameter is now required and brand-typed, which turned
the three surfaces that had no scope at all into compile errors. Each one had
to name a source, and each now replays the owner's saved selection — the same
object reviewed in Settings. An account that never saved one gets nothing
there rather than a guess.
Identity and insurance become selectable, and a share link refuses the
insurance leaf outright. The share view never decrypted the number; that is
structural now instead of incidental. The KVNR is not even read unless the
leaf was chosen.
Two surfaces gain a record they always implied. A share link serves its frozen
selection as a FHIR bundle and as the PDF, behind the same unlock cookie the
document route uses, with its own rate bucket, its own audit row and the same
blunt 404 for every miss. That is what the removed FHIR toggle promised, in
the form a practice actually uses.
The AI summary leaves the report. Its text came from the cached briefing with
no relation to the selection, so its scope could not be proven, and prose whose
scope cannot be proven has no place on a document whose whole point is a proven
scope.
The PDF table stops being a nine-type whitelist. It prints every selected leaf
that has data, sub-headed by group, in the same order the panel shows — so
selecting resting heart rate no longer means seeing it in the bundle and not in
the PDF. The clinician view is grouped the same way and reads real labels
instead of "Phq9 score".
Migration 0273 adds the saved-selection column, drops the orphaned prefs column
and the two retired share-link scope columns, and revokes every live record
share link minted before this model. Their frozen scope was "everything except
mood and cycle", which is a scope nobody chose; narrowing it would still be a
scope nobody chose. Documents-only shares are untouched. The sharing list shows
each closed link in a pick-again state with its label, window and expiry kept.
The retired allowFhirApi and resourceTypes stay on the create and list
responses as the constant false and empty list. The request refuses them. They
come off the response once the native client confirms it does not decode them.
Six files are split at seams this change already touched: the aggregator into
its gate, its dense-bucket query, its series, its glucose panel, its medication
ledger and its clinical records; the export route's three emitters into their
own module; the clinician view into its sections, its document list and its
downloads.
Move DOCTOR_REPORT_TYPE_LABEL_KEYS into a jsPDF-free module so leaf
consumers can import the map without dragging jspdf + jspdf-autotable
into their graph. The PDF core re-exports the map, keeping a single
source of truth and its existing import surface intact. Point the
clinician share view at the new module so the public share route no
longer pulls the PDF renderer into its server graph.
Marc-André Bombeck