Encrypt MedicationSideEffect.notes, MedicationDoseChange.note and
MedicationInventoryItem.notes with AES-256-GCM, closing the last plaintext
PHI columns left after the v1.23 note-encryption rollout. Add the three
*Encrypted Bytes columns (migration 0208), register them in the encrypted-
column rotation set, route every read/write through the note cipher, and add
a transactional fail-closed boot-time backfill for legacy rows. Plaintext
columns drop in a later release once the backfill reports zero remaining rows.
Require a fresh second factor on password change for MFA-enrolled accounts,
matching the existing step-up on MFA-disable and recovery-code regen. Redact
free-text note values from the Zod validation excerpt that can reach a wide
event.
Stock only decremented on the web card's take button — the status
toggle, the phone sync, the Telegram buttons and the token API all
recorded the dose and left the inventory untouched, which is why a
fresh pack kept reading full. Consumption now stamps the intake row
itself: every path that turns a row taken consumes through one module
— open container first, then earliest expiry with auto-open, spilling
into the next pack and flooring at zero — and every path that takes it
back (undo, delete, a take turned skip, a converged duplicate)
refunds exactly what the stamp recorded. Replays and pending sync
echoes can never double-charge, and the nightly convergence pass
refunds the rows it tombstones. A medication can declare units per
dose, so two 2 mg tablets book as one 4 mg dose and stock reads in
doses with the unit count alongside; containers carry a named type
including tablet packs, hold up to a thousand units for inhalers, and
the GLP-1 card reads the same stock as the inventory tab instead of a
separate ledger. The inventory endpoints join the documented API.
Marc-André Bombeck