Add the medication-class to target-vital map and the adherence-to-vital
storyline so the Coach can surface, association-only, when an adherence dip
lines up with a drift in the vital that medication targets. Never causal,
never a dose-change suggestion; dose questions defer to the prescriber.
Add an in-repo CUSUM / binary-segmentation changepoint detector over DAY
rollups with a high firing bar (persistence plus within-segment-spread
magnitude) so the Coach can name a dated, sustained level shift instead of a
vague "lately", and stays silent when no break clears the bar.
Surface which source recovery is read from when two sources materially
diverge, with the honest reason, instead of silently averaging.
Lay the n-of-1 experiment substrate: a nullable encrypted outcome column on
coach_plans (migration 0197), the review_due / reviewed lifecycle statuses
wired into the encrypted-column registry and rotation script, and a daily
worker that reads the experiment result back in the user's own before/after
numbers — association-only, honest-null, no cheerlead on an adverse trend,
and routing a worsened vital to the clinician. The user-visible read-back
stays behind COACH_EXPERIMENT_VERDICT until its review cases clear.
Extend the outbound dose screen to catch experiment-shaped dose changes
(halve / skip / stop a medication to test it). Add evaluation cases and unit
tests for each new surface.
Feed the user's own usual blood-pressure range — the median plus or minus
MAD band, computed from the readings already in the snapshot — into the Coach
context with a clause to quote those bounds verbatim, so a band is never
invented from window means. Thread the stored first name into the prompt and
surface it sparingly on roughly one turn in three, never as a rote greeting.
Add the context-layer rule that names the relevant context before a
suggestion, a single-chart-token allowance that works on every provider, and
a per-turn opener hint.
Wire the already-shipped suggested-action SSE frame to render: the streaming
hook collects it and the message thread shows the action card, mirroring the
reminder-suggestion path. Extend the eval golden set with band-verbatim,
chart-token, and no-overclaim cases, and pin a red-team case proving the
chart-token syntax cannot smuggle a dose past the outbound screen.
A deterministic golden-set + red-team floor that gates every Coach change
offline, plus an opt-in live-judge layer that scores warmth and groundedness
with a pinned model only when COACH_EVAL_API_KEY is set.
- 42 golden cases across grounding, cross-metric, data-honesty, provider-parity
and own-baseline taxonomies, graded by behaviour-anchored binary criteria.
- Structured-claim grounding helpers extend the numeric verifier from numbers
to threshold / own-baseline / confident-verdict claims; the numeric API is
unchanged so the existing grounding tests stay green.
- Red-team battery asserts the existing inbound refusal, outbound dose screen,
acute red-flag escalation and learn-link guards fire.
- Nightly + manual workflow runs the deterministic floor always; the live judge
step runs only when the secret is present and is non-blocking.
Marc-André Bombeck