Let a user pick the Sensiplan double-check's second indicator — cervical
mucus (default) or cervix observation — mirroring the published NFP
standard where the temperature primary sign pairs with one chosen
secondary sign.
- `CycleProfile.secondarySymptom` (MUCUS default | CERVIX) drives which
second sign the engine confirms against. Casual users keep temperature
+ mucus untouched; the choice lives behind the advanced cycle settings.
- `CycleDayLog` gains the three standard cervix signs — position
(LOW/HIGH), firmness (FIRM/SOFT), opening/os (CLOSED/OPEN) — as nullable
columns (migration 0157), wired through Zod, the day-log upsert, the
DTO, the sync feed, backup/restore and OpenAPI. Additive and
back-compatible: existing profiles backfill MUCUS, existing day-logs
keep NULL cervix signs, iOS inherits the fields.
- The engine's `confirmSymptothermal` takes the secondary-symptom choice;
on CERVIX it confirms against `detectCervixPeak` (last fertile-cervix
day followed by three closed days — the cervix-closure rule) instead of
the mucus peak. The double-check still requires BOTH the temperature
shift AND the secondary peak: a single cervix sign never confirms, and
the still-learning gate and conservative posture are unchanged.
Engine derived clean-room from the Arbeitsgruppe-NFP / Raith-Paula &
Frank-Herrmann standard.
A fever, illness, alcohol or a late/short-sleep reading can fake or mask
a temperature rise. Add a per-day `temperatureExcluded` flag on
CycleDayLog (migration 0156): when set, the engine drops the reading from
the cover-line baseline AND the shift evaluation, so a spike neither
fabricates nor masks a rise (Sensiplan: the cover line is drawn over the
last six unbracketed values).
Wired end to end — schema + Prisma, the engine's `detectTempShift`
filter, the Zod input/patch schemas, the day-log upsert (partial merge +
change detection), the read DTO, the calendar/insights/coach selects, the
backup round-trip, and the OpenAPI contract (a new boolean on the day-log
and calendar-day DTOs for the iOS client). The log-day sheet gains a
"mark reading as disturbed" toggle that appears once a temperature is
entered, translated across all six locales.
Citation: de.wikipedia "Symptothermale Methode"; myNFP "Temperaturkurve
auswerten" — Störfaktor bracketing.
Close the second-round audit UI cluster:
- Cycle reminders: add the missing notification-event labels so the
period-soon / period-confirm toggles read correctly on the
notifications page, and point to them from cycle settings.
- Per-cycle history: render a recent-cycles list (range, length, period
length, confirmed-ovulation chip) — the cycles were fetched but only
the aggregate stats showed.
- Confirmed ovulation: carry it on the prediction DTO and surface it as a
solid BBT-chart marker + a predictions row + a history chip.
- Log-day sheet: deselecting an enum now clears it (edits route through
the nullable PATCH); period start/end work on any selected date for
retroactive correction; "end period" shows only while one is open.
Extract the payload builders as pure, unit-tested functions.
- Cycle-tracking enable toggle in account settings so any account can opt
in before the gated page is reachable; wire the cycle data-purge button
to the hard-delete route and document the route in the OpenAPI spec.
- Calendar legend: add the symptom dot, render fertile as a ring to match
the grid; tighten the luteal prior bound to the engine clamp; mute the
BBT ovulation-label colour for contrast.
- Share the cycle-start backward-walk between the wheel and the chart.
Co-Authored-By: Claude Opus 4.8 (1M context) <noreply@anthropic.com>
- When the sensitive-category encryption preference is on (the default),
encrypt the intent-revealing day-log fields (sexual activity, protection,
pregnancy/progesterone tests, contraception) into an encrypted envelope and
leave the queryable columns null, decrypting on read. The toggle now does
what it says rather than storing those fields in plaintext.
- Make the day-log write a partial merge so a re-log only overwrites the
fields it carries, never nulling untouched ones (no more data loss when the
same day is logged again).
- Make the upsert collision-safe: a manual entry and an imported entry on the
same date adopt one canonical row instead of throwing, and the single POST
returns a clean conflict rather than a 500; one bad date no longer aborts a
whole import.
- Compare the decrypted note, not the ciphertext, so an unchanged re-log is a
true no-op and stops needless re-sync.
- Hoist cycle attribution out of the per-entry loop; map bulk failures to
stable reason codes; audit the import goal change; mask the event name in
discreet reminder pushes; add a one-tap hard-delete purge for all cycle data.
Co-Authored-By: Claude Opus 4.8 (1M context) <noreply@anthropic.com>
Promote the reproductive HealthKit category types out of the
Apple-Health-import privacy-hold list and route them into cycle day-logs
instead of measurements, and surface cycle data on the three export
surfaces.
Import promotion:
- A new HealthKit -> cycle mapping module is the single source of truth for
how MenstrualFlow, IntermenstrualBleeding, CervicalMucusQuality,
OvulationTestResult, SexualActivity, PregnancyTestResult,
ProgesteroneTestResult, Contraceptive and the symptom category types fold
into CycleDayLog fields / seeded symptom keys. The XML importer
accumulates same-day reproductive samples and writes one canonical
day-log per day with source APPLE_HEALTH and a synthetic per-day
externalId for idempotent re-import. The fold is gated on cycle tracking
being enabled, so a non-cycle export never provisions cycle rows. A
contraceptive method nudges the profile goal toward avoiding pregnancy
only when the goal is still on its default. Basal body temperature stays
a measurement and mirrors onto the day-log. Pregnancy/Lactation status
and the pregnancy-bleeding types stay deferred; the cycle awareness types
remain server-derived.
Export:
- FHIR emits LMP (LOINC 8665-2), average cycle length (64700-8), period
length (64698-4) and the current phase as opt-in reproductive-health
observations grouped into their own document section.
- The doctor PDF gains an opt-in cycle section (recent cycles, average
length and variability, current phase), privacy-default off like mood.
- The full-backup export, the weekly backup worker and the off-host DR
snapshot include the cycle tables, and the admin restore re-creates them;
the day-log note round-trips as ciphertext and is never decrypted onto a
report surface.
Mapping table documented in docs/api/cycle-healthkit-mapping.md. Adds unit
+ integration coverage for the mapping, the import routing, the FHIR
observations and the backup round-trip. OpenAPI regenerated. Six-locale
strings added.
Co-Authored-By: Claude Opus 4.8 (1M context) <noreply@anthropic.com>
Marc-André Bombeck