Today is shown as in_progress instead of being placed against whole
days, and a running period is compared over its completed days only:
the total through yesterday against the usual rate times the days
completed. The period total and goal progress still count today. The
comparison gains completedDays and completedValue.
A marker whose newest reading is more than a year old is now reported
as of that reading (projection "stale"), with no exit date and no
already-outside verdict. The projection horizon is capped at the span
the readings cover, so a line is never carried further ahead than the
data reaches back. The detail read keeps the newest 2000 readings
rather than the oldest.
The health-status read scanned five vitals over 90 days for a dated,
sustained level shift. It now scans every vital with a stable daily level
(adding RMSSD, diastolic pressure, pulse, body fat, respiratory rate,
oxygen saturation, walking heart rate and VO2 max) over 180 days, reads one
value per day per metric, leaves a metric unread when its module is off,
and reports how many days stand on each side of the break. The Coach keeps
its five-metric, 90-day scan unchanged.
Two streamed endpoints read a spreadsheet record by record with a
column mapping from the query: separator, decimal mark, date order and
zone are stated, never guessed per row. Lab rows resolve to markers the
way scanned reports do, convert units where the conversion is known and
keep what the file said; medication rows map name, dose, daily times,
as-needed and a dated window, checked against the create schema, with
reminders off unless asked for. A dry run writes nothing, a re-upload
only finds duplicates, and every refused row comes back with its line
and reason.
The first page of the workout list now carries the fitness-fatigue model
over the day-total heart-rate impulse the nightly strain run already
stores: fitness as the 42-day and fatigue as the 7-day exponentially
weighted average, form as their difference. A day without a stored impulse
counts as rest. It needs 28 days and three training days, flags the first
six weeks as warming up, and reads in the person's own units only. The
workouts page shows the three figures above the list.
The assessments list now carries, per PHQ-9, GAD-7 and WHO-5, the latest
total against the previous and the first administration, classified
against the change studies treat as meaningful: 5 points on the PHQ-9,
4 on the GAD-7, 10 on the WHO-5 percentage scale. A smaller change reads
as within the threshold rather than better or worse. The instrument
detail states each change and whether it reaches that size, in neutral
words. The read takes totals and dates only, never an answer.
A read-only view per metric and UTC day: every source with readings, its
day value, its place in the person's source priority, and which source
the charts use with the reason. A second card lines two sources up over
30, 90 or 365 days. The pick is explained from the rank the canonical
SQL returns, so the page cannot disagree with the charts. Linked from
the metric pages and from Settings > Source priority.
GET /api/fhir/Observation keeps its snapshot answer when no date is
sent. A date range (FHIR prefixes eq/gt/ge/lt/le, UTC when no offset)
switches it to the time series: every reading in the range plus
workouts, newest first, paged in the database through one UNION id
query and a count, so a page costs what it holds. Series ids are the
row's own (m-<id>, w-<id>) and read back through /Observation/{id}.
The series replays the same saved report selection as the snapshot,
pairs systolic and diastolic recorded at one instant into the
blood-pressure panel, leaves sleep stage segments out, and reads an
hourly heart-rate bucket as a mean over its hour. A code parameter
narrows either answer; a malformed date is a 400 OperationOutcome.
A workout is an activity Observation after the Physical Activity IG:
LOINC 73985-4 with the sport as its value and duration (55411-3) and
energy (41981-2) as components. RMSSD gets its own registry coding,
text-only because LOINC has no RMSSD term, so it never borrows the SDNN
code. The capability statement lists the two new parameters.
The standard report template now carries sleep duration, heart-rate
variability as two labelled rows (SDNN and RMSSD), daily steps, a
per-sport workout summary and the change around each medication start.
Each still rides its module, and the template is still only applied by
the button that names it; saved selections and share links are
untouched.
Two structured leaves join the catalogue: WORKOUTS (activity group,
workouts module) and MEDICATION_EFFECT (medications group). The workout
block reads narrow rows through the canonical-workout picker and sums
them per sport. The effect block reuses the efficacy loader with the
report's end as its horizon, carries a target only when that target's
own measurement leaf is admitted, and is capped at eight medications.
In the PDF the wearable series chart at half width, two to a row, in
the units the table prints; the workout and effect blocks are compact
tables with short notes. The clinician view renders both blocks from
the same payload. RMSSD joins the dense day-bucket path so long windows
stay aggregated.
The biomarker detail read now carries a trend: the least-squares line
through every numeric reading of the marker (all stored in its unit), with
the slope's 95 % interval and p-value. It needs three readings over at
least a year. The line is placed against the marker's band, and an exit
date is given only when the interval excludes zero, the line is inside the
band today and reaches a bound within three years. The detail page words
it as a straight-line projection, not a forecast.
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.
A week or month of steps, active minutes, workouts by sport and training
load, each day placed against the person's own spread over the 84 days
before the period and each period against the median of the twelve weeks
or six months before it. Optional weekly and monthly goals live on the
account (activity_goals_json), travel with the backup and are cleared by
a data wipe. The calendar sits on the workouts page; the steps page links
to it. Computed server-side without AI.
POST /api/measurements/batch ran one interactive reconciler transaction
per fresh sample: a savepoint, three advisory locks, two candidate reads
and the insert, about ten round trips. A 500-entry upload of new samples
was 500 of those, the 2 to 15 second outliers. Fresh samples now land
through INSERT ... ON CONFLICT DO NOTHING under the same per-account
advisory lock. Both measurement identities are full unique indexes, so
the statement inserts exactly what the reconciler would have inserted,
and every skipped row still goes through the reconciler for its own
verdict. Only rows whose external and natural keys each occur once in
the batch are buffered, and the buffer is flushed before any other row
is reconciled, so the order of effects stays the sequential one. The
contract and every per-entry status are unchanged; a golden test runs
each batch through both paths against the same table.
/api/health took seconds after a start because register() awaited the
whole pg-boss worker start (queues, schedules, boot discovery) before
the server took a request. The worker, or a web process's producer, now
starts in the background after the blocking boot checks; the probe
answers at once with reason "starting" until it is up, and gives the
database two seconds before calling it not answering.
Room climate from a home automation system gets three types of its own:
INDOOR_CO2 (ppm), INDOOR_TEMPERATURE (celsius, shown in Fahrenheit for
imperial readers) and INDOOR_HUMIDITY (percent). They arrive through the
existing ingest token (measurements:write, source EXTERNAL), sit in the
environment cluster beside daylight, and the daily rollup carries their
mean, low and high like any spot reading. They never mix with the body
temperatures or with the outdoor environment channels.
The Home Assistant page documents the three types, a rest_command that
sends a room as one request, a single-room automation, and an
importable blueprint (docs/integrations/blueprints) that skips sensors
reporting unknown or non-numeric states, converts Fahrenheit, and
stamps readings to the minute so a retried push is refused rather than
written twice.
Six Apple Health signals leave the deferred list and ride
POST /api/measurements/batch and the export.zip import end to end:
EXERCISE_MINUTES, STAND_MINUTES and STAND_HOURS (the exercise and stand
rings), MINDFUL_MINUTES, STATE_OF_MIND_VALENCE (iOS 18 State of Mind,
-1..1) and AFIB_BURDEN (AFib History, percent of the week). The ring
types and mindful minutes are cumulative, so the daily rollup is their
sum; AFib burden is scaled strictly from Apple's fraction and a value
above 1 is refused rather than guessed at. The archive import takes
mindful minutes from the session's dates and skips idle stand hours.
Every registry carries them: units, ranges, labels in all locales,
categories, chart tokens, report catalogue (mindful minutes and the
valence fenced as sensitive), signal registry with FHIR codings, and
MCP exposure for the three ring types only.
Workout GPS tracks are now an opt-in, off by default
(PATCH /api/auth/me/workout-routes, a switch on Data & Privacy). While
it is off, the workout batch route and the export import keep every
workout and drop its track with the same per-entry status. With it on,
the import reads the referenced GPX files from the archive one bounded
member at a time, thins each to the point cap and stores it sealed.
The climb a track carries is written to Workout.elevationM at write
time, so the workout insight no longer opens the track, and the AI
egress guard now freezes the set of files that read route geometry.
A guardian acting on a managed profile can now connect and disconnect its
Withings, WHOOP, Oura, Polar, Strava and Google Health from the profile's
integration cards, and each card says whose record it connects for. The
connect starts with a fenced fetch that mints a state naming the profile;
the provider's callback lands tokens and data there only after checking
that the browser belongs to a guardian with a live MANAGE grant on it.
Without a provider app of its own, the profile borrows the guardian's,
with an audit row. Withings and Google Health callbacks read the session
directly, since a provider redirect cannot carry the record-session header.
Workouts from /v2/usercollection/workout land as Workout rows keyed on
the Oura id, with the activity mapped onto the canonical sport set and
the raw label, intensity and recording source kept in metadata. Heart
rate from /v2/usercollection/heartrate lands as PULSE, streamed page by
page and written in bounded batches, first write wins per instant. The
hourly window for heart rate is hours, not days: six by default,
reaching back to the newest reading after a gap, at most 72.
Both collections sit behind their own scopes (workout, heartrate). A
grant from before they were requested answers 401 naming the scope; that
is recorded as a scope note on the card, never as a failure or a
reconnect. Collection refusals carry Retry-After on a 429.
Add per-user columns for the labs, illness and checkups list presentation
and for preview-feature opt-ins, each with a GET plus a preserve-when-absent
write under /api/settings. The list hook now reads and writes the server
value and carries a browser-stored order up once when the server holds
none, so an existing arrangement follows the person to every device instead
of resetting.
The preparation window now carries to, the booked visit's own day on
the record's calendar, and the report offer uses it. Cutting the end in
the reader's zone was wrong for a guardian viewing a managed profile in
another zone.
Without from, GET /api/day/notable started at the last completed visit
of any kind, while the web passes the next planned visit's
preparation.from, so a client that omits from read a different list for
the same appointment. Without from the window now starts at that
preparation day (anchor nextVisit, documented in OpenAPI); with nothing
booked it keeps the last completed visit or the 90-day fallback.
The setup flow capped a display name at 50 characters while the profile
took 80, and the profile checked its minimum before trimming, so a name
of only spaces was stored as an empty string. Every surface now reads
one bound (80), the profile trims before validating, and only spaces
means no name on both paths: the profile clears it to null, the setup
flow leaves it unset.
After the Web API turndown every account still saw a Fitbit card that
can no longer connect. The status entry now publishes
retirement.offered: false once the API is gone for an account with no
Fitbit connection, no Fitbit app of its own and no Fitbit data, and the
connections panel leaves the card out. Accounts that had Fitbit keep it
with the retirement notice.
Google turns the legacy Fitbit Web API off on 30 October 2026 (support
ended on 30 September). From that day the hourly poll, the backfill,
the sleep repair and the token refresh make no call, the connect, sync
and test routes refuse with `provider_retired`, and the connection
reads as not connected to the health read and the watchdog, so the
shutdown pages nobody and asks nobody to reconnect. The connection row
and everything it imported stay.
The status envelope publishes `retirement` on the Fitbit entry (the
day, whether it has come, the successor), and the Fitbit card shows
when the connection stops, how to move to Google Health (same devices,
one more consent, tokens cannot be carried over) and that the data
stays; sync and connect grey out after the day. Both integrations can
run side by side meanwhile: every type Fitbit writes is laddered with
Fitbit just above Google Health, so a day both deliver counts once.
The test setups pin the turndown off, so the Fitbit suites do not turn
red on the day; the turndown's own tests flip it.
The visit preparation and the doctor report offered for an appointment
started at the last visit of any kind. An internist one week and a
dermatologist the next gave the dermatologist a one-week window of
nothing it is about.
The list read now publishes `preparation` on every booked upcoming
visit: the first day of the window, the rule that chose it and the
earlier visit it is the day of. First match wins over the visits that
took place before it: the same practitioner, else a practitioner of
the same specialty (free text, compared without case or spacing), else
the same kind for routine, preventive and therapy visits, else the last
90 days. One query of past visits per page, independent of the list's
own filters. Null on every other row; absent on the detail and on
write responses.
A re-check or reservation that failed itself stopped the scan as
"unavailable", and the review screen said AI had been turned off. It now
stops as stoppedBy error with its own message in every locale, and the
failure is reported as one: an error signal and the worker error
reporter. A scan that failed that way before any row answers 500
aiRuns.failed.
The overspend booked before a further read is now net of the cached
share, as the settlement books it. A reservation that names no known
owner stops the scan instead of taking the user plan's larger cap.
A page's text layer is cut at the last whole line; only a page whose
first line alone runs past the cap keeps part of it, cut at a space or
hard, rather than collapsing to the bare cut mark, and an endless line is
no longer read past the cap. The unused per-call text limit is gone. The
run result's description names every outcome a stopped scan can have.
The /notifications matrix read the constant default table, where the
mood reminder is off, while delivery derives it from the reminder card.
An account receiving the reminder saw every one of its channel switches
off.
The no-row default now lives in one resolver that delivery and the
preferences read both use. GET /api/notifications/preferences publishes
it as `eventDefaults`, the matrix renders a switch without a stored row
from that map, and the reminder card refreshes the matrix when it flips.
The text layer went to the model as the authority for digits. It is not
one: a scanned PDF often carries an invisible OCR layer with its own
mistakes, a subset font can map to the wrong characters, and a crafted
PDF can carry invisible text that differs from what the reviewer sees.
The prompt now calls it a hint only, makes the image authoritative, forbids
adding a value the image does not show, and asks for a low value
confidence where the two disagree. The layer is fenced with the document
text markers, which it cannot close, and so is text mode's OCR'd text.
Each page's layer is capped while it is collected, and a read shares its
text budget out per page, cut at a line and marked, so a long first page
no longer pushes the later ones out.
A further read now first books what the reads so far cost beyond their
reservation, then its own ceiling, both against the cap of the owner the
route judged the first read by, so the counter the next read is judged
against never lags. The wire is re-checked before every read, the first
included. A re-check or reservation that itself fails stops the scan with
the pages read rather than failing it, and a scan stopped before any row
answers with the stop's reason (budget, or the wire's own refusal) instead
of an unreadable page.
The route reserved one read's budget and checked the wire once, and a
20-page report then ran up to 40 calls for many minutes on that single
admission. Every read after the first now reserves its own share of the
day's budget and asks the wire again (aiEgressRefusal) before it is sent;
when either refuses, the scan stops there, keeps the pages already read
and names the rest with stoppedBy budget or unavailable. The run settles
against everything it reserved, with the provider's reported usage net of
its cached share, and a scan that fails after several calls is charged
for them instead of refunded in full.
A rendered PDF page now goes out with its own text layer, read by pdfjs
beside the image, so a digitally produced report's digits, decimal
separators and units come from its characters rather than from a 1600 px
picture. Splitting the PDF into single-page documents would need a PDF
writer the project does not ship; the text layer needs none and helps
every provider. A scanned page has no text layer and reads as before.
Codex's cut reply keeps the text it streamed (on a non-enumerable
property, so no log or event serialises it), and its closed rows are
salvaged like every other provider's. The merge folds a reading only into
one an earlier page listed, never two rows of the same page, and the
printed range is part of the key. OCR'd text the deadline cannot split
small enough for one read is refused up front as labs.ocr.tooLarge.
A scan sent the whole report to one call under an 8000-token ceiling and
validated the reply against a 100-row envelope. A long multi-panel report
lost everything either way: the reply stopped mid-row and failed to parse,
which the person saw as "try a clearer photo", or it held more than 100
rows and the schema refused all of them. One malformed row refused the lot
as well. Reasoning models made it worse, because the call sent no
reasoning setting and OpenAI, Codex and Claude's 5 generation reason by
default against the same output allowance.
A PDF of more than one page is now rendered and read a page per call on
every provider (up to 20 pages), as many reads as the run's deadline
allows, and the pages are merged in order with a reading printed twice
listed once. A photo, a one-page PDF on a provider that reads PDFs, and
OCR'd text up to 4000 characters stay one read; longer text is split at
line boundaries. Each read carries an explicit reasoning off, so a model
that can stop reasoning does and one that cannot gets its minimum budget
on top of the answer's. A reply cut at the output limit is detected from
the finish reason (Codex's incomplete stream included), keeps the rows
that closed before the cut and is named in the result instead of retried;
when no read produced a row the run fails as labs.ocr.outputLimit. A
provider failure after the first page keeps the pages already read.
Rows are validated one by one, the row cap is 400 for the scan and the
commit, and a report past it keeps its first 400 and says how many it
had. The run settles what the provider reported it spent rather than the
fixed reservation, so a page-by-page read still counts against the day's
budget in full.
Resilience sits behind Oura's `stress` scope, not `heart_health`, so a
connection that granted every scope HealthLog asked for still answered 401
on `daily_resilience`. `src/lib/oura/scope.ts` now maps every collection the
sync reads to the scope the live API enforces and is the one source for the
authorize request, the per-collection permission detection, the reconnect
hint and the settings card. The request asks for `stress` as well.
Oura names a missing scope in its 401 body ("Token is not authorized access
stress scope."), while a dead token reads differently. A collection refusal
now carries that scope: it spends no token refresh, never counts toward the
reconnect threshold and marks only the collections it names. A 403 (a lapsed
membership) is a persistent failure rather than a reconnect. The callback
also records what the token response says was granted, so an unticked
permission shows on the card before the first sync.
A browser can deliver an OAuth callback twice with the same code. Both
requests exchanged it, and Oura answers a reused code by revoking the token
the first exchange issued. Every connect callback (Oura, Polar, Strava,
WHOOP, Withings, Fitbit, Google Health) now claims its state in
`oauth_callback_claims` before the exchange: one request exchanges, the
duplicate waits for it and redirects to the same page without touching any
token. The ledger flows claim inside the transaction that consumes their
state row. A failed exchange settles with its error page, and a new connect
mints a new state.
Oura token refreshes are serialised per user with an advisory lock, so
overlapping syncs no longer spend the same single-use refresh token, and the
write stays conditional so a reconnect's new grant is never overwritten by a
refresh of the old one.
A reading entered here goes to Apple Health as well, and the quiet
verdict already counted it, but the row still showed the newest reading
that arrived from the phone, so a type entered two minutes ago read one
day old. The server now resolves lastSeenAt to the newer of the two for
the types the app writes back, and the row and the verdict agree.
Refs #1247
The GET contract run counted 40 operations whose bodies held only empty
arrays, and an empty array parses against any item schema. The seed now
links the visit, lab, condition, document and dose to each other, adds a
procedure, a second and third lab reading, nutrients, a category, the
list order, courses, a rescheduled medication, a history fact, Coach
preferences, a plan and a fact, a reminder event, an invite, a delegate's
visit, a sign-in, a personal record, a trusted device, a marker alias, a
symptom on a cycle and an illness day, part-way import jobs and a chat
about the document. The run requires every operation to answer at least
once with a filled list, apart from eleven named exceptions, and a floor
of filled operations. The first finding is fixed: the document chat list
returns fenced, attachments and documentTitle, now declared.
The shared write bucket threw on any SQL error, so a lock on rate_limits
answered every authenticated write with 500. It is a loop cutter, not an
access check: when the bucket cannot be read the write now goes ahead with
a warn signal. The login and other auth-surface limits call the limiter
directly and still fail closed. requireAuth now passes readOverPost to the
meter, the draft-only document assist declares it, and the three chat
routes, which meter their turns with buckets of their own, declare that
instead of being counted twice.
The web record and the doctor report named the practitioner of a live
visit after the address-book entry was deleted; the MCP read, the search
and the appointment reminder did not. All of them now name it, the entry
stays out of the address book and the pickers, and a portable backup
carries it as a tombstone instead of dropping the visit's reference.
/api/feature-flags answered Deprecation: true and nothing else: a client
learned the route was going, never when, and the log could not tell which
builds still called it. deprecated() (src/lib/http/deprecation.ts) applies
one reviewed notice per route: Deprecation as an RFC 9745 date, Sunset as
an RFC 8594 HTTP-date, the successor Link, and a wide-event annotation
with the client build read from the User-Agent.
feature-flags was deprecated on 2026-09-24 (v1.39.0); its sunset is
2027-03-31. The headers are declared on the operation, and a test holds
every notice to a deprecated operation that answers through the helper.
169 of 364 mutating handlers met no rate limit, every PATCH and DELETE on
an [id] among them. The shared per-account write bucket (300 a minute,
keyed on the acting account) was called by hand in a dozen creates; it is
now charged by the identity resolvers for any POST, PUT, PATCH or DELETE,
once per request, so a route is metered by resolving its caller.
The bulk ingest routes the native client syncs through in bursts
(measurements, workouts, intake, mood and cycle bulk, nutrients, the ECG
sweep) declare writeBucket: "own" and keep their dedicated ceilings, so a
large HealthKit backfill cannot lock the person out of logging a dose. A
read-over-POST stays free.
write-rate-limit-guard fails on any mutating route that neither resolves
its caller through a metering resolver nor calls a limiter, unless it is
on a short reasoned exception list; an opt-out must be on its own reviewed
list and call its own limiter.
listPage (src/lib/http/list-query.ts) reads one row past the limit and
cuts it back, on top of the existing list-cap signal rather than beside
it. Every capped list now gets its page there, and every read passed to
it orders by something ending in the row id, so rows that share a sort
value cannot repeat or vanish at a page boundary.
- practitioners, vaccinations and encounters were cut at their take
with no signal; they now answer meta.truncated and accept offset, and
their web readers walk the pages instead of stopping at the first
- symptoms/events reported hasMore on a page that was exactly full; it
is now true only when a row past the page exists
- the document list's hand-rolled limit + 1 goes through the helper
- security-activity answers an out-of-range limit with the 422 its
published schema already promised instead of clamping it
list-page-guard binds every apiListSuccess route to listPage, forbids
hand-cut lists and length-derived hasMore, and requires the id
tiebreaker in every listPage read.
Marc-André Bombeck