Replace the terse one-line catalog descriptions with richer three-to-four
sentence explainers for all 30 biomarkers shown on the lab detail page:
what each marker measures, its physiological role, and what it relates to
clinically. The text stays static, factual, and non-diagnostic, with no
reference ranges baked into the prose. Updated across all six locales
(de/en/es/fr/it/pl) at exact key parity.
Tighten the documents library review surface after a QA pass:
- Surface the provider-unsupported and already-confirmed notes as polite
live regions (role=status / aria-live) so keyboard and screen-reader
users hear them when the suppressed-toast paths fire.
- Render a document's detail panel directly after the row that opened it,
and tie the row's aria-controls to the panel id, fixing reading and
tab order.
- Gate Discard behind a confirm dialog and toast on failure.
- Disable Upload until a file is chosen, with an inline hint.
- Namespace per-fact editor field ids so simultaneously-open editors no
longer share DOM ids (label-for associations stay correct).
- Hide Extract once any fact is approved, mirroring the server guard, and
treat the already-confirmed response as a calm inline note.
- Add a document-date range filter, a kind fallback for the detail title,
and a screen-reader hint on the new-tab original link.
- Calmer, neutral needs-review badge and more legible row badges.
Adds the new strings across all six locales.
Evolve the inbound-documents screen into a real document library on top of
the store-first backend.
- Upload stays store-only and always works: the form now files a document
with an optional title, category, and document date in one step. Extraction
is a separate, explicit action.
- List becomes an organized library: documents grouped by date, with a title
(filename fallback), category and status badges, and pending/fact counts. A
toolbar adds title/filename search, a category filter, and a sort control
(document date / date added / title, asc/desc). Keyset pagination loads more
via the returned cursor through useInfiniteQuery.
- Detail panel: view or download the original, edit metadata (rename,
recategorise, set the document date), optionally run extraction, then the
existing review-then-confirm flow. When no scan provider is configured,
extraction surfaces a calm inline note instead of a hard error; the stored
document is untouched. Discard stays.
- Add a parameterised list key to the query-key factory so each filter/sort
combination keeps its own cache bucket while staying under the documents
prefix for invalidation.
- Rename the surface to "Documents" across all six locales (title, subtitle,
module label/description) and add the new toolbar, edit, extract, and
date-group strings. Route, model, and module key stay internal.
Add component and unit coverage for the grouped list, the detail/review
surface, the metadata edit form, the provider-unsupported note, and the
search-param/grouping/error-classification helpers.
The settings left rail rendered one entry per section — 26 visible — which
read as a long flat list on desktop and a 26-chip scroll strip on mobile.
Group the sections into nine top-level entries and surface each group's
children as in-page sub-tabs, keeping the rail one level deep and the second
level inside the page.
Every section route stays live at its own URL. The rail is now driven by a
SETTINGS_GROUPS model; a reverse index maps each child slug onto its group so
deep links and the per-page settings links keep resolving and highlight the
right group, with the active child marked on the sub-tab strip. This
generalises the existing hidden-child highlight mechanism rather than moving
routes, so bookmarks and the contract surface are untouched.
Groups: Account (profile, sign-in), Tracking (areas, the per-domain pages,
targets), Display (dashboard, insights), Integrations (connections, channels,
source priority), Notifications, AI & Coach, API & Access, Data & Privacy
(export, health record, sharing, privacy, advanced), About. Per-domain
settings keep their view and data together inside one sub-tab — only the nav
groups, never a single concept.
Rename the Display group title away from "Dashboard" so it no longer collides
with its own Dashboard child. Add the nine group labels and the sub-section
nav label across all six locales. Drop the now-unused hub back-link.
The layered self-description standard already carries the canonical
intended-purpose line, the Coach standing note, the emergency note and
the data-posture note. The medication, insights and labs surfaces each
repeated a further context-specific disclaimer footer that added noise
without adding meaning.
Remove the three rendered footers and retire the now-unused
`insights` / `labs` / `medications` disclaimer variants from the shared
component (type, key map and doc). Drop the orphaned selfDescription
keys from all six locale bundles so call-site and reverse i18n coverage
stay in parity.
Remove the standalone amber disclaimer card from the inbound-documents
review screen. The non-diagnostic essence now reads as the plain muted
subtitle line under the page title: upload a clinical document and review
the extracted details. Drop the now-unused disclaimer.title /
disclaimer.body keys across all six locales and the AlertTriangle /
CardDescription imports left orphaned by the removal.
Move the PHQ-9 / GAD-7 screener off `/insights/mental-wellbeing` to a
top-level `/mental-wellbeing` route so it no longer borrows the Insights
tab strip and layout shell. The page now uses the standard module-page
frame at the wider content width the other module pages use.
Replace the standing screening disclaimer block and the opt-in/private
line in the header with an info icon after the page heading whose
hover/focus tooltip carries the screening-not-a-diagnosis note. Drop the
now-orphaned `disclaimer` / `optInNote` strings across all six locales
and add the `infoTooltip` string in their place.
The questionnaire, scoring, severity result, PHQ-9 item-9 crisis-resource
handling, focus-on-submit, and 44px touch targets are unchanged. Repoint
the module nav entry and the registry comments at the new route.
Bring the lab biomarker detail in line with the Insights metric pages:
- Lead with the static catalog description directly beneath the heading,
the explainer-caption position the metric pages use.
- Drop the early big-value + reference-badge block that did not match the
assessment-card styling.
- Split numeric and qualitative markers: numeric keeps the stat strip and
chart, qualitative shows only the latest result text (no strip, no chart,
no range badge). The assessment card now renders for any marker with
readings and self-suppresses for qualitative-only markers.
- Move the full reading history off the detail page onto a dedicated
/labs/[biomarkerId]/values route, reached by a top-right list control,
matching the metric pages' show-all-values affordance.
The inbound-document store keeps the uploaded doctor letter encrypted at
rest (InboundDocument.contentEncrypted, AES-256-GCM), but there was no way
to read the original back — the decrypt helper had been dropped as unused.
- Restore decryptDocumentFromBytes in the document store, fail-closed on a
bad / missing key id.
- Add GET /api/documents/inbound/[id]/original: owner-scoped (userId-narrowed
query), module-gated, returns the decrypted bytes with the stored MIME
type. A PDF / image is served inline so the browser can render it; other
types download as an attachment. The filename is sanitised before it
reaches the Content-Disposition header. The bytes are PHI — never logged,
never served cross-user, and a decrypt error fails closed (500) rather than
returning ciphertext. Cache-Control is private, no-store.
- Surface a 'View original' action in the document review screen.
- Document the route in the OpenAPI registry and regenerate the spec.
- Cover the route with a test: owner-scoped success, attachment fallback,
404 for another user's document, and fail-closed on decrypt error.
i18n: viewOriginal across all six locales.
The chronic-conditions and Coach-focus self-context read as foundational
medical history, so the Anamnese section now surfaces them as a read-only
shared view next to allergies and family history, with a link to their single
editing home in personal context. Personal context links back to the medical
history. The card is coach-gated and reads through the existing
/api/coach/about-me query key, so nothing is moved or duplicated and there is
no schema change.
Grip strength, pain (0–10 NRS), waist circumference, and waist-to-height
existed in the measurement enum, signal registry, and FHIR export but had
no web entry, no detail page, single non-sex-aware bands, and a split-brain
MCP exposure. This closes those gaps.
Web capture: the four signals join the manual measurement form, so a
web-only self-hoster can log them (the iOS client and the measurements API
already could).
Detail pages: flip detailPage on for the four signals and mount each on the
shared HealthKit metric template (chart, stat strip, Coach-read strip,
assessment card) via routed sub-pages and tab-strip pills, the same detail
spine every other metric carries.
Sex-aware bands: grip strength (EWGSOP2 men 27 / women 16 kg) and waist
(WHO men 94 / women 80 cm) now classify by the profile sex through the
age/sex norm resolver the assessment already threads; the resolver also
returns a sex-specific, age-independent band when no date of birth is set.
Fix the waist-to-height boundary so the NICE >= 0.5 rule is correct (the
last in-range value is 0.49).
MCP single source of truth: decouple the registry mcp facet from the Coach
snapshot — a signal can be MCP-readable without being on the Coach surface.
Mark the four physical signals mcp:true, derive the MCP rich-reads clinical
set from the registry flag instead of a duplicate allowlist, and relax the
invariant to coachSnapshot implies mcp (not the reverse). PHQ-9 / GAD-7 and
the environmental signals stay mcp:false and unreachable. compare_metric and
detect_changepoints now advertise clinical-signal support to match
get_metric_baseline.
The illness journal copy (load error, delete confirmation, edit/menu
labels, parent links, and the vital-sign labels) shipped in English in
every locale; translate it into de/es/fr/it/pl. Also add the new strings
the v1.25 surfaces introduce — the biomarker 'load more readings' action,
the environment city-search zero-result message, and an accessible label
for the document upload file input — across all six locales.
The PHQ-9/GAD-7 item wordings rendered in English for es/fr/it/pl users
(de was already validated). Replace them with the officially validated,
public-domain Pfizer/PRIME-MD localized screener wordings (distributed via
the MAPI Research Trust) rather than ad-hoc translations — re-wording a
validated instrument invalidates the score. Localize the crisis-resource
copy too: translate the descriptive parentheticals while keeping the org
proper-nouns (TelefonSeelsorge, Nummer gegen Kummer, krisenchat,
Find a Helpline) and the US brand lines (988, Crisis Text Line) verbatim.
Add the new mental-wellbeing module label/description and the nav label
across all six locales.
Introduce one canonical "what this is / is not, not a medical device"
statement plus a layered, calm disclaimer set, and apply it on the
surfaces that earn a context note.
- New shared `MedicalDisclaimer` component renders the copy as plain
React text (no markdown renderer, per the XSS posture). Variants:
intendedPurpose, coach, insights, labs, medications, emergency,
dataPosture.
- New `selfDescription` i18n namespace across all six locales: the
intended-purpose line, the per-surface notes, the emergency note, and
an explicit data-posture statement (self-hosted, data stays on your
instance, encrypted at rest, BYOK / local model, no third-party
analytics).
- Apply once per surface, layered not plastered: a calm standing line on
the Coach new-chat hero, one framing line in the Insights layout shell
(covers the briefing and trends), a labs note (ranges vary, only a
clinician interprets), a neutral medications note, and the data-posture
line where the provider key is configured. Mental-wellbeing keeps its
existing crisis copy; records keep their existing note.
- Extend the Coach system prompt (EN + DE) with a self-description ground
rule so the Coach answers "what are you / where does my data go"
honestly and stays non-diagnostic.
App-authored copy was already observational; the few diagnose/treat
tokens are negations, idioms, or framed as the user's own self-reported
statement, so no softening was required.
Settings → Environment now reads the override list as "location periods": a place
plus a date range that covers a trip OR corrects a stretch of earlier history,
overriding the home for the days it spans. Show the home's effective-from date
and prefill the backfill start with it, so the default span matches what the
server will actually store. Strings updated across all six locales.
Add the opt-in Environment module (default off), its Settings surface (home
location search, travel overrides, backfill, with Open-Meteo attribution), the
gated API routes (overview, home, geocode, travel CRUD, backfill), the nightly
pg-boss fetch job with a lookback window plus on-demand backfill, the query
keys, six-locale strings, and the regenerated OpenAPI. The module performs an
outbound weather fetch tied to a coarse location, so it ships dark and the user
turns it on deliberately; off means no job, no row, no egress.
Document the /api/documents/inbound/* surface in the OpenAPI registry and
regenerate the spec. Add the inbound-documents copy across all six locales,
including the non-diagnostic disclaimer and the module label/description.
Rework the proactive Coach nudge so it reads like one human checking in on
another instead of a terse English alert.
Copy: the title is a name-led greeting that rotates day to day ("Guten
Morgen, …" / "Hey …"; the 05:15 frame makes a morning opener safe) and the
body is one calm observation plus a gentle invite — never an imperative.
Drop the verbatim quoting of the user's decrypted self-context sentence:
the focus is referenced only by presence, abstractly, and is no longer
decrypted at all. Remove the 80-char mid-word clamp; each channel composes
to a length budget instead.
Cadence: suppress the nudge when the user already talked to the Coach in
the last ~24 h. With the existing rolling frequency cap (never two in a
window) and the no-trigger-no-nudge rule, the surface stays anti-nag.
AI enrichment (opt-in via the coach prefs blob, default off): when a
provider is healthy the body is composed through the model under hard
guards — a per-user budget gate, a tight per-call timeout, a per-tick
ceiling so the sequential tick can't stall across the user base, and the
outbound safety screen on the output. Any error, timeout, budget refusal
or unsafe reply falls silently back to the deterministic template, which is
always the default and the fail-closed fallback.
Localized greetings, per-trigger bodies and the focus note across all six
locales; the prefs opt-in is surfaced in the notification settings.
Add the opt-in PHQ-9 / GAD-7 questionnaire surface at /insights/mental-wellbeing:
instrument picker, 0–3 item scale, server-scored result with the validated
severity band, the verbatim Pfizer/PHQ attribution, the screening-not-diagnosis
disclaimer, and a calm crisis-resource card on a positive item-9. The surface
deliberately does NOT mount the shared Coach-launch card — mental-health item
content stays out of the AI.
- i18n: full mentalHealth block plus the six new measurement-type labels and the
longevity-marker catalogue names/descriptions across all six locales
(de/en/es/fr/it/pl). Instrument item wording uses the validated German text and
the canonical English elsewhere (re-wording invalidates the score).
- OpenAPI: regenerate the contract for /api/mental-health/assessments (response
excludes raw item answers by construction).
- Exclude the new manual / instrument types from the HealthKit-counterpart guard.
Generalise sleep debt onto the existing per-metric source-priority picker
(a new sleepDebt ladder, native-above-computed, default WHOOP > Oura > Polar >
computed) instead of assuming one provider. The rhythm read resolves the active
source off the ladder and carries it on the DTO; when the active source is our
own COMPUTED engine — every user today, since no provider ships a native
sleep-debt balance — the Sleep page explains what the figure means and that it
differs from a wearable's native number. The computed model itself is unchanged
and correct (a short rolling balance of need minus sleep, surplus-credited);
only stale comments that still referenced the old 14-night window are corrected.
Add a per-user toggle that turns off the proactive ambient example suggestions
(the daily seeded opener on the Coach hero). The flag rides the existing coach
notification-prefs blob (coach.ambientSuggestions, default on) — no schema
change — and a shared hook makes it the single source every ambient suggestion
surface consults, so the seeded opener and its fetch both stand down when off.
Add a new "Medical history" (Anamnese) Settings section that hosts the two
structured-record managers — allergies and family history — each a
list + add/edit sheet + delete-with-confirm built on the shared query-key
factory and the ResponsiveSheet pattern. It sits between the illness journal
and the preventive-care reminders and is always shown (not module-gated, like
Vorsorge), since these are foundational health-profile records.
The section carries a plain non-diagnostic note ("your own records, not a
medical diagnosis"). Full i18n across all six locales (de/en/es/fr/it/pl).
The sleep page rendered an assessment under the duration/architecture charts
and a second one under the sleep-quality scores. The quality assessment mostly
never generated — most accounts carry no wearable sleep score — so it sat at the
foot of the page as a duplicate empty card or a redundant connect-a-provider
prompt.
Drop the quality-block assessment so the duration card is the page's single
assessment; the quality block keeps its score tiles. Remove the now-unused
grounded-note fallback and its deterministic grading helper, and the orphaned
quality-assessment message keys across every locale.
Add a control beside the marker actions that opens a focused sheet for
the reference low and high only, so a user can tune the band without the
full marker editor. Persists through the existing biomarker PUT and
invalidates the detail, catalog, and result reads.
Deleting a biomarker now removes its recorded values in the same
userId-narrowed transaction instead of unlinking them via the SetNull
FK. Removing a marker is a deliberate "drop this and its history"
action, so leaving orphaned, unlinked readings behind was surprising.
Update the delete-confirmation copy in all six locales to state that
the values are removed too.
Thread an autoSend flag through the coach-launch flow so a card's
"ask the coach about this" hand-off dispatches its seeded prompt as
the conversation's first turn instead of only seeding the composer.
The flag rides the launch context, the layout mount, the drawer, and
the shared conversation surface, where a ref-guarded mount effect fires
the send exactly once for a fresh thread.
Localize the previously hardcoded English assessment opener in the
metric status card behind insights.coach.assessmentPrompt with a
{metric} placeholder, and localize the resting-pulse coach prefill.
Both keys land in all six locales.
Surface the generation-failure signal in the daily briefing card. When a
held briefing is shown but the last refresh failed, the footer states it
plainly and offers a retry that runs the existing explicit regenerate —
no warm-on-mount. When there is no briefing to fall back on, the empty
state reads "couldn't generate" with the same retry instead of the
generic "no briefing yet". The hint is suppressed when no AI provider is
configured, where that hint already owns the surface and a retry is
futile. New copy lands in all six locales.
A render failure on `/c/<token>` previously fell through to the full-app
error screen, which carries app chrome the public share view never wants.
Add a route-scoped, chrome-free error boundary that shows a localised,
stack-free message and a single retry. Add the matching copy across all
six locales.
Remove the in-app water-intake logging feature: the WATER_INTAKE
measurement type, the per-user daily-goal field, the goal-ring card and
its endpoint, and the related query keys, OpenAPI route, and locale
strings. The feature is dropped from this release; the baseline-drift,
breathing-screening, and labs-changes insight cards are unaffected, and
the pre-existing TOTAL_BODY_WATER body-composition type stays intact.
Add three read-only awareness cards to the Insights overview, each drawn
off an existing engine and each honest about empty state — the section
un-mounts rather than surfacing a husk.
- Health status: surfaces what is drifting from the user's own normal by
folding the personal-band deviations (coincident-deviation engine) with
the dated, sustained level shifts (changepoint detector) at
GET /api/insights/health-status. Awareness only, never a diagnosis.
- Breathing screening: summarises the last 30 nights of the per-night
sleep-breathing-disturbance index plus device-flagged events at
GET /api/insights/breathing-screening. Mirrors the device's own
classification and states plainly that it is a screening signal, not a
diagnosis — discuss with a clinician.
- Lab changes: pairs the two most-recent numeric lab panels and reports
each shared analyte's signed delta and reference-band standing at
GET /api/insights/labs-changes. Neutral framing only.
Each reshaping helper is pure and unit-tested for its present/absent
states. Register the three sections in the insights-layout universe so
they merge in as default-visible, wire them into the overview and the
edit-mode title map, add the query-factory keys, document the routes in
the OpenAPI contract, and translate every new string across all six
locales.
Chart and heatmap text-alternative summaries, the version-update
toast, the touch-help trigger label, list load-error messages, and
the target-editor validation hints — across all six locales.
Combine the remote MCP server (stdio + remote /mcp + OAuth 2.1 + read
tools + deep-value reads + a confirmed, audience-bound write surface)
with the v1.23 account-security line (MFA, known/trusted devices,
free-text note encryption).
- schema: keep every v1.23 User relation (MFA, known/trusted devices)
alongside the McpOAuthConnection relation; the MeasurementSource enum
carries the MCP value.
- api-handler: the MCP audience guard (a token scoped to
health:read/health:write is bound to /mcp and refused a REST write)
and the step-up MFA helpers coexist.
- maintenance queues: register the MCP token-cleanup sweep next to the
note-encryption backfill and key-rotation queues; shift it to 04:00
so the two daily discovery ticks do not collide.
- migrations: renumber the MCP migrations to 0206/0207 so they follow
the v1.23 chain (0199-0205).
- MCP mood writes route the note through the v1.23 at-rest cipher.
The "Require a second factor" policy redirects web users to enrollment but does
not block direct API or native (Bearer) access for an account that has not yet
enrolled — a deliberate lockout-safety choice. Make that explicit: spell it out
in the admin toggle description, add a code comment at the toggle, and add an
operator runbook (docs/ops/mfa-enforcement.md) describing the boundary.
Marc-André Bombeck