The efficacy tab keeps its before/after comparison and gains, per metric
target, the level change and the change in weekly trend at the start,
each with a 95 % interval. The fit covers up to 90 days before and 180
after the start and ends before the first dose change. After the start,
days are left out when fewer than 80 % of the doses of the preceding 14
days were taken (cadence-aware, from the dose ledger) or when the
medication was paused or between courses. Other medications that
started, stopped, changed dose or paused inside the window are listed.
Below 14 days with readings across 21 days on either side the view says
what is missing instead of showing numbers.
The efficacy response gains a nullable segmented block per target.
medication_compliance_rollups lost its last reader when compliance moved
to the schedule-anchored computation, yet every dose write still upserted
it, a boot backfill refolded it, and the wipe and backup plans carried it.
The per-dose hook keeps the one derived row that still hangs off a dose
day, the supplement nutrients, under dose-day-refresh. The pending-row
mints (today projection, reminder) no longer call it, since an untaken
dose adds no nutrients. The import job finishes without its per-day
recompute phase; its progress keeps touchedDays and rollupProcessed on
the wire, inert and documented as deprecated. The backfill queue is
retired on boot and migration 0414 drops the table under a bounded lock
wait.
The export imports log a refused upload as a signal. The admin import
and the medication intake import kickoff keep audit rows on purpose:
one is an administrator acting on another account, the other is shown
to the record's owner in the activity feed.
Output of `node scripts/strip-planning-tags.mjs --write`: 3,157 comment
lines in 1,308 files lose the work-item identifier at their head. Release
versions and issue references stay; nothing outside comment text
changes, which the script checks per file against a comment-free
printout. healthlog/no-planning-tags is enabled at error level with this
commit, so the tree it lands on is clean.
The side-effect taxonomy imported its enums from the Prisma client entry,
and the recurrence engine the medication wizard previews schedules with
imported the logging context, which brings node:async_hooks, node:crypto
and node:os along. The taxonomy reads the enums entry now, and a rule that
does not parse is reported through an observer the server registers, the
pattern the source-priority parser already uses. A guard walks the import
graph from every client component and fails on a server-only module.
`/api/medications/[id]/cadence` computed its adherence chip from a
private copy of the compliance ledger that ignored pause eras, courses
and auto-missed doses, and read only the chart's window of intakes. A
medication paused for a week read 77 % there and 100 % on the detail
page. The chips now tally `trailingComplianceLedger`, the ledger the
compliance payload builds, over the same window, with the medication's
pauses and courses; the copy is removed and a guard freezes the set of
files that build dose rows.
The rebuild after apply now writes its state beside the dry run
(queued, running, done with counts, failed); a run left queued or
running without a job reads as failed. The card shows it and offers a
new rebuild after a failure, which the route accepts once the method is
applied, without a new dry run.
The extra-dose rule split a dose that HealthLog already recorded: a tap
at 08:00 and the same dose arriving from Health at 08:20 became two
doses and consumed stock twice, and a dose edited in Health (a new
record, a new time) became a second dose next to the first. The rule
now follows the calendar and the record: a take on another local day
is another dose; on the same day, a take logged in HealthLog converges
with the incoming record, a new record that names the slot as its
scheduled time is the slot's dose recorded again, and only an
unscheduled record more than a minute from the held one is an extra
dose.
A HealthKit dose event binds to a slot by window band, and a weekly
schedule's band reaches a day either side of its slot. An extra dose
logged the day after a scheduled one landed on that slot and overwrote it
last-write-wins: the slot's time changed and the extra dose was stored
nowhere. An external dose record whose band slot already carries a
different take is now recorded as its own unscheduled dose.
The dose history now lets the take stored on a slot claim it before an
extra dose stored on its own instant, instead of following the order the
rows were read in, so the extra dose reads as off-schedule.
The shared eligibility filter hid TRACKED_INTAKE_WHERE from the
structural guard that checks every schedule and intake reader honours
the switch. Each reader now spreads it itself.
The worker expands no slot past endsOn, so it never reminds for a
course that has ended, but remindersActive still read true for it. The
reminder gate now includes the course end on the person's clock, so the
published value, the worker and the admin check make the same decision.
The auto-take pass left a slot alone when any take fell inside its band,
so the morning dose pinned and taken at 19:00 also hid the 20:00 dose.
Only a take attributed to no other expected slot counts as nearby now.
A start moved earlier, an end moved later or removed, or a medication
made active again reopened past slots, and the auto-take pass filled up
to a week of them as taken. The course window writer and the
re-activation paths now move the auto-take floor to the moment of the
edit.
A rolling cadence yields only lastIntakeAt + N, so a slot the auto-take
pass never records (before the switch-on floor, past the catch-up
window, inside a pause, skipped or removed by the person) held it still
for good. Step the cadence forward by N past every such slot, keeping
its rhythm, and feed the stepped anchor to the card, dashboard and
schedule-tool next due so they show the slot the pass will record.
- Publish timezone, glucoseUnit and a features block on the account
payload; glucoseUnit reads as the closed pair the contract names, and
features.trackIntake tells a separately released client that
medications take the record-only switch.
- Refuse a new dose for a record-only medication with
medication.intake.notTracked on every dose-writing route; the bulk
route reports it per entry as intake_not_tracked, and correcting an
already resolved event stays open.
- Answer passkey sign-in failures by name instead of a 500:
passkey.challenge.expired, passkey.unknown, passkey.response.invalid
and passkey.verification.failed, each with an audit row.
- Carry one account-wide adherence figure in meta.aggregate on the
batched compliance read, weighted by expected doses, and accept
?days=30|60|90|180|365 for a report window.
- Accept ?days=30|90|180|365 on the mood insights read so stability
covers the period shown, and name the window it covers.
- Keep only the reminder that announces a dose off APNs when the phone
owns medication reminders; follow-ups for a dose still open are
pushed again, marked by a followUp flag the reminder cron sets.
- Document which batch validation issues belong to an entry and pin it
with a test that splits and resends a batch; publish rejectedFields
items as ValidationIssue.
The dose-change class demanded a dosage-form noun next to every skip, stop
or extra imperative, and a drug name never counted. "Skip the amlodipine",
"then take an extra ramipril", "take one more tablet of ramipril", "Nimm
abends eine Tablette mehr", "Lass das Ramipril morgen weg" and "Stop your
blood thinner before the run" all passed.
A medication noun is now a dosage-form word, a drug-class word per locale
(blood thinner, Blutverdünner, anticoagulant, statin, insulin, ...), a
common generic-name stem (-pril, -sartan, -olol, -dipine, -formin, ...),
or one of the person's own medication names. The Coach loads the names
with the turn context and passes them to the reply screen and the trail
screen; a scheduled brand name is only known that way.
Add the extra / another / one more shape in en, de, fr, es, it, pl and ko,
spelled-out counts as a dose target, and stop / leave out / go without a
named medication. The number-free shapes use a two-word slot that a
preposition ends, so "take an extra minute to log your medication" and
"stop worrying about your medication" pass. A sentence that only names a
drug, a schedule description, a past change from the log, a negated
warning and a referral ("ask your doctor whether you should stop ...")
still pass.
The row update (name, schedule, oneShot) committed before the course
write. When a concurrent course made the course write refuse, the client
got the refusal while the rest was already written. The schedule replace,
the row update, the pause era and the course write now commit together,
so a refusal leaves the medication unchanged. The rollup recompute runs
after the commit.
The rule that keeps an earlier course's intake from anchoring a rolling
cadence applied to every caller unless one opted out, which is how a
booster reminder picked it up. It now applies only when the context
declares rollingAnchor: "courseStart"; the four medication context
builders declare it, and every other caller keeps the previous
behaviour, where the last intake always anchors. A guard enumerates
every RecurrenceContext builder in src, requires each to be listed as a
medication or a non-medication builder, and checks the declaration on
both sides.
The course rule that stops an old intake from anchoring a rolling
cadence read a reminder's anchor date as a course start, so a booster
fourteen years past on a ten-year cadence came due later today instead
of staying overdue. Measurement and booster reminders now opt out with
rollingAnchor: "lastIntake"; the rule stays on medications.
An intake before startsOn stopped anchoring a rolling cadence, which
also moved the next dose of a single-course medication whose start had
merely been pushed forward a few days. The intake is now ignored only
when the dose it implies would fall before the course starts (a new
course after a gap); otherwise it anchors as before.
The backfill and the restore of an older file read the creation day of
an end-only window in UTC while every reader of the window uses the
account's zone; both now use the account's zone (the default zone when
the stored one is unknown to Postgres). A window whose start lies after
its end, which the API refuses but older rows hold, becomes a one-day
course on the end day: every reader treated it as empty and ended, and
a swap would have invented expected doses. One shared rule
(courseFromWindow) serves the restore and the course writer.
The PUT wrote startsOn/endsOn on the row and then rewrote the latest
course in a second transaction, so a failure between the two left the
row and its courses disagreeing. The window now reaches the row only
through the course writer, which writes both under one lock.
The history minted bands only from the latest course, so misses in an
earlier course counted in the rate and appeared nowhere in the history.
It now mints over the span of every course and keeps the slots on a
course day. The compliance ledger and the cadence missed tally drop the
gap slots before the reconstruction instead of after it, so a dose
logged between courses stays visible as an off-schedule take in both.
The rate counted misses in earlier courses while the streak and the
cadence chart's missed tally minted only the latest course, so a miss
in a previous course never broke the streak. The cadence engine context
now carries the courses and expands over their span, keeping only course
days, the same rule as the compliance ledger.
A medication with no course rows and no window is running since its
creation; a course added beside it projected the medication into ending,
which stopped its reminders and dropped its history from compliance. The
create now refuses that (medications.course.currentOpen; End course
writes the first course). A window the rows never recorded is
materialised as the first course before the new one is checked.
A medication taken now and then (#1024) keeps one row and gains course
rows: calendar spans, both ends inclusive, an optional encrypted note, no
schedule or dose of their own. Courses never overlap and every course but
the latest has ended, so the latest course is always the one the
medication's startsOn/endsOn project. src/lib/medications/courses.ts is
the only writer of those two columns for a medication with courses; it
writes under a per-medication advisory lock and re-projects in the same
transaction, so reminders, the next-due line and intakeActionable keep
reading the columns and stay right.
- Migration 0368 adds medication_courses and backfills one course per
medication window (an end-only window starts on the creation day, or
on its end day when that lies earlier); a medication without a window
stays course-less. Idempotent, data-preserving.
- GET/POST /api/medications/{id}/courses and PATCH/DELETE
.../courses/{courseId} (owner-only); create seeds the first course
from a window; the medication PUT edits the latest course and refuses
a window that would break the rules (medications.course.*).
- List, detail, create and update carry courses, courseCount,
previousCourseEndedOn and canStartCourse, resolved on the server.
- Compliance expands over the span of all courses and drops the slots
between them; every compliance read selects the courses. A rolling
cadence is not anchored by an intake from a previous course.
- The card names the last course's end and the running course's number;
the detail Lifecycle group lists the courses with start, edit and
delete. The Coach compliance block, the MCP resource, the doctor
report window and table, the clinician view and FHIR (one
MedicationStatement per course with effectivePeriod and status) read
the courses.
- Backup carries courses per medication and the restore writes them and
re-projects; an older file derives the one course its window
describes. Wipe plan, encrypted columns, rotation and OpenAPI follow.
A medication can be filed under a category the person named, next to the
built-in ones (#1041). The labels live in medication_category_labels,
encrypted at rest, capped at 20 per account; a medication filed under one
carries its custom:<uuid> key in the category column.
- GET/POST /api/medications/categories (POST idempotent, 30/min per actor,
admitted at MANAGE like the cycle symptom vocabulary) and owner-only
PATCH/DELETE /api/medications/categories/{key}. DELETE moves every
medication filed under the category to OTHER in the same transaction
and answers movedCount.
- category is widened to a built-in value or custom:<uuid> on the wire,
the create and update bodies refuse a key that is not the caller's
(422 medications.category.unknown), and list, detail, the insights
medication tiles and the MCP medications resource carry categoryLabel.
A key with no owned label reads as OTHER and is counted on the event.
- The wizard's class step lists the person's categories under the
built-in rows with an inline add row; the list page gains a category
filter (session only) and a manage sheet for rename, hide and delete.
- Backup carries customMedicationCategories (decrypted labels) and the
restore writes them before the medications; wipe plan, encrypted
column registry, rotation script, sharing guards and OpenAPI follow.
A guard that compares a sweep against an allowlist, or against "none of
these may exist", passes when the sweep comes back empty. walkSourceFiles
already refuses a short walk; this adds the same refusal for what a guard
does with the walk.
- requireFloor(label, found, floor) throws below the floor and refuses a
floor of zero.
- scanSourceMatches(root, pattern, { fileFloor, matchFloor }) walks, matches
and floors both the files read and the hits found.
Floors added, pinned at the current counts:
- coach_usage owner columns: the clauses it actually examined (6).
- measurement reference index: the foreign keys it extracted (2).
- job outcome fact inventory: job files (130, floor 120) and fact keys
(399, floor 350).
- tone harness: assessment prompt modules (11).
- coach locale default: turn pipeline modules (15, floor 12).
- locale integrity: message bundles (7).
- settings card header coverage and settings anatomy: the walked cards.
- coach metric scope inventory: insight route sources.
- side-effect drift guard: both enums populated, since two empty keysets
are equal.
The pill-mapper guard walked with globSync, which skips dot-prefixed
directories; it now walks through walkSourceFiles like the rest.
`instant.toISOString().slice(0, 10)` and parsing a key back as UTC
midnight are the idioms behind every day-boundary fix this year: the
evening west of UTC and the small hours east of it land on the
neighbouring day. A new rule, healthlog/no-utc-day-key, refuses them in
src/ outside src/lib/tz and tests, and refuses a disable directive for
itself that is not next-line or gives no reason.
The time zone module now names every legitimate form: userDayKey for a
person's day, dateOnlyKey / dateOnlyAtNoonUtc / dayKeyAsUtcMidnight for
date-only values and day labels, daysBetweenDateKeys / weekdayOfDateKey /
isCalendarDateKey / statedDateKey for key arithmetic and parsing.
Of the 133 sites the rule found, 84 are gone. Most moved onto a named
helper with no change in behaviour; these changed behaviour:
- cycle calendar, insights, Coach snapshot and prediction refresh start
their lookbacks at the first instant of the user's day
- a model-transcribed date like "June 10, 2026" no longer lands a day
early in a process east of UTC (documents and lab scans)
- a custom report range covers exactly the picked days in the profile
zone instead of starting the evening before west of UTC
- date-of-birth pickers cap at the user's today, not the UTC one
- an allergy onset date is stored at noon UTC like other date-only values
- the report's cycle summary, the Coach's usual BP range and the intake
projector's rollup recompute use the user's day
- vaccination dates render as dates instead of the previous evening
49 remain, each with its reason on the line above: 39 UTC by design (15
file name stamps, rollup and object keys, the UTC-day score engines) and
10 marked baseline. A guard test requires a classified reason on every
directive and holds the baseline to a ceiling that only goes down.
The intake pickers chose their default from every active medication, so a
course that had ended but was not archived could be the preselected dose.
The default now reads the server's intakeActionable answer; the medications
page dialog still lists ended courses for back-filling a past dose, they are
just never the default.
Both pickers also graded "due" against the fixed 120 / 240-minute defaults
while the cards beside them used the account's own late and missed
thresholds. They read the same thresholds now.
Antidepressants, anxiolytics, mood stabilisers and ADHD medication had no
category of their own and ended up under "Other". MENTAL_HEALTH joins the
clinical category list: the add and edit wizard offers it as its own row
with a brain icon, the card badge names it, and it is translated in all
seven languages.
The category is a text value, so no migration is needed. Clients that
read the category as a string show the new value; an app that does not
know it yet falls back to its own label for it.
A medication whose end date had passed still showed taken and skip in the
table and on its card, because the action row only looked at whether the
medication was active. The schedule engine already stops minting doses
after the end date, so reminders, the doses card and the today list were
quiet, but the medication itself kept inviting a dose that is no longer
part of the course.
The server now resolves one rule and publishes it on the list and detail
reads: `courseStatus` (UPCOMING, CURRENT or ENDED, in calendar days on the
user's clock, both ends inclusive) and `intakeActionable` (active, intake
tracked, course includes today). The table and both card variants render
their actions from it, the take-all flow skips such a medication, the card
and table name an ended course with an "Ended" badge, and no overdue
escalation is raised for it. A course that ends today keeps its actions
for the whole local day.
The detail header's "Ended" status now follows the same field. It compared
the end date's UTC midnight with the clock and so called the whole last
course day ended. Logging a past dose from the history is unchanged.
expandTodayIntakes had no caller left once the today projection moved onto
the recurrence engine and localHmAsUtc; it carried the last private
wall-clock solver in the medication code. The recurrence engine now takes
its offset and UTC-day helpers from the tz module instead of local copies.
The medication and measurement-reminder code now imports DEFAULT_TIMEZONE
from the tz module like every other fallback, so the lint rule no longer
exempts those paths.
The runway estimate read FREQ=MONTHLY as one dose every 30 days whatever
its INTERVAL, so a quarterly injection with two doses left showed about 60
days of supply instead of 180. FREQ=DAILY;INTERVAL=2 counted as daily, a
yearly rule ignored INTERVAL and BYMONTH, and a monthly rule ignored extra
BYMONTHDAY values. A CYCLIC schedule was counted as if it never paused,
and a PRN schedule as if it were due every day. The rate now honours
INTERVAL for every frequency, counts the listed days and months, scales a
cyclic schedule by on / (on + off) and leaves PRN out. The low-stock job
selects the schedule type and cycle lengths so it reads the same rate.
Whole-dose counts no longer lose one to binary floating point: 2.4 mL at
0.8 mL per dose is 2.9999999999999996 in IEEE 754 and used to read as two
doses. The stock summary, both runway estimators, the list and detail
routes, the GLP-1 route, the Coach snapshot and the inventory readout now
floor through one helper that treats anything within 1e-9 of the next whole
number as that number.
A medication's startsOn/endsOn are calendar dates stored as UTC midnight,
and the rrule library emits its day anchors the same way. The engine read
those midnights on the user's wall clock, which west of UTC is the evening
before. A FREQ=WEEKLY;BYDAY=MO plan therefore fired on Sundays in New York,
a daily course starting on the 14th produced a dose on the 13th, and an
evening dose on the last course day was cut off. One-shot doses, the first
dose of a rolling cadence and the legacy weekday walk (startsOn floor,
endsOn cap, every-N-weeks phase) carried the same shift.
The engine now keeps a calendar day as a calendar day end to end: startsOn
and rrule anchors are read from their UTC fields, instants (createdAt,
intake times) are converted to the local day they fall on, and only then is
the HH:mm materialised in the user's zone. Rolling cadences count calendar
days from the local day of the last intake, so a late-evening dose across a
DST change no longer slides a day. A nonexistent local time now always
moves forward, including in zones whose clocks skip midnight. RRULE anchors
with BYHOUR are collapsed per day so a twice-daily protocol cannot emit
duplicate slots.
CYCLIC on/off weeks are counted as seven-day blocks from the start day in
the local calendar. They used to snap to Sunday-rooted UTC weeks, so a
three-weeks-on course starting on a Wednesday lost its first days and the
off week began on the wrong day east and west of UTC.
Measurement reminders pass their anchor and course end as instants; the
adapter now converts them to the user's calendar day before handing them to
the engine.
Marc-André Bombeck