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 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.
"Read with AI" and the lab scan used to run their model calls inside the
request. At the default response time a read of three calls outlasted the
100 s a proxy in front of the server commonly allows, and the person saw a
cut connection for a read the server was still doing.
Both now run as a background run (`DocumentAiRun`, migration 0366):
- `POST /api/documents/inbound/{id}/index` with `Prefer: respond-async`
answers 202 with a run id once every quick refusal has passed. Without
the header it answers exactly as before, which the iPhone app relies on.
A second request while a read of the same document is queued or running
attaches to that run.
- `POST /api/labs/ocr/extract` always answers 202. Only the web client
calls it.
- `GET /api/ai-runs/{id}` serves the run: the same body the synchronous
route answers with, or the failure code and status it would have given.
Scoped to the caller; another account's run is a 404.
The worker (`document-ai-run`, a long queue with a one-hour expiry, one
job per run under `lockedPass`) claims the run, asks the capability again
for the record and re-checks the wire for the provider it picks, sets the
run's deadline from the person's AI response time and refuses a read that
cannot fit the job's expiry. Sync route and worker run one body per kind,
so the two paths cannot drift. Budget is reserved at enqueue and settled
once by whoever ends the run.
Input and result are sealed with labelled AES-256-GCM, registered for key
rotation; the input is dropped when the run ends. A five-minute reaper
fails a run no worker took within fifteen minutes (and hands its
reservation back), fails a run past its deadline, and deletes a finished
run after an hour. Runs are outside backups and inside the data wipe.
The web client polls through the query-key factory and says, calmly, that
the read continues in the background, and when no worker has picked it up.
The browser gave up on its own: 120 s for the document routes, 90 s for
a lab scan, and the 15 s default on the lab text path, while a slow
self-hosted model with a raised response timeout was still allowed to
answer. A five-page report read by a local model failed on the client
side with the server still working.
Each request now sizes its abort from ai.provider.responseTimeoutMs on
the account payload, times the model calls the route can make, plus
30 s: one call for suggest and summary, three for Read with AI (the
transcription, then the lab staging read and its corrective retry), two
for a lab scan (the read and its retry). With the setting unset that is
90 s, 210 s and 150 s.
Refs #1090
Every AI surface reads its capability from the ai block on
/api/auth/me, but setting up or removing a provider, signing in to or out
of Codex, saving the fallback chain, the central-Codex opt-in, the
local-OCR switch, a minted consent receipt, the admin's server key and
central Codex, and a guardian's save inside a managed record evicted only
their own reads. The surfaces stayed on the old answer until a reload.
All of these writes, and the ones that already refreshed the payload
(consent, modules, Hide Coach, the operator's switches), now evict one
bundle, aiInputDependentKeys. A structural test holds every client write
to those endpoints to it.
Reading a document, scanning a lab report and turning a medication
description into a schedule follow documentAi, labsOcr and
medicationExtract. Unavailable, the action is not offered. With only the
document-reading consent missing, the place that reads asks for it and
grants exactly that (ai_extraction), nothing wider.
Refusals are read by meta.errorCode: a 403 is no longer always called a
missing consent, and a spent daily budget no longer shows the rate-limit
sentence.
useRecordCapabilities answers per section now. canWriteDomain and
canManageDomain read the two lists the account payload publishes; in
one's own record they are always true, and under a refused, pending or
unproven context always false. canManage becomes the coarse switch,
true when any section is manageable, and is what the banner and the
navigation read.
Every add, edit and delete control names its own section: labs, mind,
profile, illness, cycle, medications, measurements, documents. Creates
that a WRITE route answers (visits, practitioners) ask canWriteDomain.
The generic delete button, the selection bar, the capture picker, the
dashboard quick entry and the bottom nav take the section from their
callers. Controls whose routes resolve the caller rather than the
record (settings shortcuts, chart overlay preferences, custom metrics,
the Today rail, OCR, efficacy targets, credential tabs) ask for the
caller's own record instead, and the customise-shortcut guard now
requires that shape.
The vault has no delegated write route, so its controls stay withheld
under every grant, and the documents page says so in one sentence
where the upload control would be, in all seven locales.
A lab panel files itself against the visit it came from, and never has to. The
OCR review and the manual form both offer the suggestion through the one shared
field, anchored on the draw date rather than on now, so backdating a reading
moves the offer with it. The commit writes one link PER RESULT ROW, which is
why the join is m:n: a marker re-run on a different day belongs to its own
visit. Best-effort by design — the readings are the write that matters and must
not be lost to a link that could not be made.
The condition side gets a Visits about this card with an action that pre-links
the episode. From the episode side only, and that is a decision: an episode
spans weeks and a visit is a point, so matching the other way would be wrong
often enough to teach a person to ignore every suggestion in the product.
A due checkup gains a second action beside erledigt. Filing the visit as done
satisfies the checkup through the same forward-only, idempotent primitive the
checkbox uses, so doing both is one satisfaction and no error. The two actions
answer different questions — one says it happened, the other says where.
An appointment now appears where a person looks, and NEITHER surface relaxes
the reminder-table exclusion that keeps it out of the preventive-care lists.
Both read the visit table: a quiet line under the dashboard checkup block for
anything inside two weeks, and one rail item for today or tomorrow. A diff in
either that touches origin is the wrong fix.
A visit write now also refreshes the reminder reads. Closing a checkup moves
its next-due date on three surfaces that would otherwise keep showing it due
until their own poll.
OpenAPI regenerated in the same commit.
A lab runs its own method on its own device, so the window a physician
evaluates a value against is the one printed next to it on that report,
not a catalog band averaged over every lab. Reading a report pulled the
value and dropped that range: the extraction asked for it, the commit
handed it to the biomarker resolver, and the resolver only uses it when
it mints a NEW marker. For every analyte the user already had — the
normal case after a first panel — the printed range was read and then
thrown away.
Add `sourceReferenceLow` / `sourceReferenceHigh` / `sourceReferenceText`
to `LabResult` and carry the range from the report to the reading. The
text is stored whether or not numbers can be read out of it, because
"bis 5,0" and "negativ" state a window too; a range that could not be
parsed is kept verbatim, never replaced with invented bounds.
`resolveEffectiveReferenceRange` is the one place the precedence lives:
the source window wins for that single reading, and the catalog stays
the net for readings without one. A printed string with no derivable
bound does not displace the catalog. Every surface that judges a
reading routes through it — the API verdict, the doctor report, the
insights blocks and per-marker assessment, the coach snapshot, the MCP
read and the FHIR `referenceRange` — so a value cannot read in range on
one surface and out on another.
The API keeps `referenceLow` / `referenceHigh` as the window in force,
so a client that reads only those two renders the right range and the
right verdict with no change of its own; the catalog band, the source
window, its origin and a divergence flag ride alongside for clients
that want to show both.
Read side: the chart draws the source window as a second, visually
distinct band with the reading it came from named beneath it, the
reading rows name the printed range and the catalog band where the two
disagree, and the doctor-report PDF prints the report's own string with
a footnote naming the saved range. Entry side: one optional field on
the lab form, folded away until asked for, and the printed range is
editable on the scan review screen.
The range parser covers the notations German and English reports
actually print — two-sided, one-sided, comma or dot decimals, thousands
separators, trailing units — reads units without ever converting them,
and refuses to guess on anything ambiguous.
Two directions, folding the vault and labs pipelines into one linking path
without weakening either manual flow.
Vault document → lab values (auto-stage). After the per-document auto-index
job transcribes a stored document, a lab-looking document is run through the
same inbound extraction the manual "Extract" button uses, but the facts land
PENDING for the existing human review — nothing is committed. Gated on both
the documents and labs modules plus the auto-AI-read consent gate the
auto-index external path already uses; a text-structuring pass over the
transcription the index just produced, so no second vision call is spent. The
staging is a guarded STORED→EXTRACTED transition, and a keyword heuristic (or
an explicit LAB_RESULT kind) keeps an arbitrary photo from burning a call.
Everyone without the opt-in keeps the manual extract button.
Lab scan → vault. A lab report scanned in the labs area is now also filed
into the Documents vault (kind LAB_RESULT) through the existing upload —
encrypted at rest, EXIF-stripped, thumbnailed, sha256-deduped — and the
committed labs are cross-linked back to it with the same APPROVED-observation
provenance the manual vault → labs path produces. Text-mode scans keep the
image on-device and file nothing. Idempotent: a re-commit inserts no rows and
links nothing new, and the vault dedupe means no duplicate document.
Owner-scoped and module-gated on both sides; the cross-link is best-effort so
it never fails the authoritative write.
Replace the separate, capability-gated scan button with a single Add
menu: "Scan a document" (OCR) or "Add a value manually". The scan entry
appears only when the capability probe reports a usable mode, and routes
to native vision or local in-browser OCR (tesseract.js, lazy-loaded,
deu+eng, images only) per the resolved mode. Add the local-OCR opt-in
toggle to the Labs settings page with honest "less accurate — review
every value" copy.
Surface range confidence prominently on the OCR review screen for new
numeric biomarkers, where the extracted range becomes the catalog range:
flag low range-confidence or a missing range so the user verifies it.
Add the Scan a report entry to the Labs page, gated on the capability probe.
The review dialog uploads a photo or PDF, then shows each proposed reading for
per-row confirm, edit, or discard with duplicate, new-biomarker, and
low-confidence hints in the labs design language. Only confirmed rows commit.
Add the OCR query key and the six-locale strings.
Marc-André Bombeck