The administration set was windowed only to the report period (up to 730
days). A chronic medication dosed several times a day across that window,
multiplied across several medications, can still materialise thousands of
MedicationAdministration resources into a single Bundle — bounded by the
window but unbounded by dose frequency.
Cap the set at the most-recent 1000 acted intakes overall. The omitted
rows are the oldest in the window, so recent adherence is preserved
intact. When the cap trims rows the aggregator records the original and
included counts and the FHIR document narrative discloses the
truncation, so the export is honest about the omitted history rather
than silently dropping it. Cover the cap in the report aggregator and
the narrative note in the bundle builder.
Co-Authored-By: Claude Opus 4.8 (1M context) <noreply@anthropic.com>
(cherry picked from commit c6ce7df2bf6efb5e2c9d948d8f189d95d1289758)
Align the server's `Coverage` emission with the iOS exporter: a
Coverage is now emitted whenever ANY payor signal is present, including
a bare KVNR with no insurer name or IKNR. The KVNR-only case carries the
`subscriberId` with no contained payor Organization; the insurer-known
case is unchanged. A bundle with no payor signal at all still omits
Coverage entirely.
Also add a top-level `Composition.text` narrative (reusing the same
escaped summary the section narrative carries) so a strict
US-Core-style validator sees the document-level narrative it expects.
Co-Authored-By: Claude Opus 4.8 (1M context) <noreply@anthropic.com>
(cherry picked from commit 22c5ed7fbe02993307c3f04cd0498d199c79cf43)
Emit one `MedicationAdministration` per intake the user actually
actioned — `completed` for a taken dose (`effectiveDateTime = takenAt`),
`not-done` for an explicit skip (`effectiveDateTime = scheduledFor`).
Pending / missed slots and soft-deleted tombstones are never exported,
so the record only asserts administrations that happened.
Each administration reuses the statement's ATC/RxNorm + text concept,
so it is self-describing without a cross-resource reference. A `dosage`
is emitted only when a structured dose Quantity is available (resolved
from the dose-change history in effect at the administration instant) —
a dosage carrying only `.text` would violate the R4 dose-or-rate
invariant. Route + injection site ride along as text-only concepts. The
administrations are referenced from the existing Medications section, so
the document's two-section graph is preserved.
`FhirMedicationAdministration` is new; `FhirDosage` gains `dose`,
`route`, and `site`. The source rows come from the same aggregator the
PDF consumes, keeping FHIR and PDF aligned by construction.
Co-Authored-By: Claude Opus 4.8 (1M context) <noreply@anthropic.com>
(cherry picked from commit dd22512f56b7b6dfa42386bbc88d1ced1d71255d)
The health-record export's `MedicationStatement.medicationCodeableConcept`
gains additive `coding[]` entries when the medication carries a stored
code: ATC primary (`http://www.whocc.no/atc`), RxNorm secondary
(`http://www.nlm.nih.gov/research/umls/rxnorm`). The free-text name
stays the `.text` anchor and the concept collapses to exactly the
prior text-only shape when no code is present — the export never
machine-guesses a code, only emits what the user stored.
The aggregator now carries `atcCode` / `rxNormCode` on `medications[]`
and assembles the acted-intake source rows
(`medicationAdministrations`) the administration builder consumes, so
the FHIR export keeps describing the same numbers as the PDF by
construction.
Co-Authored-By: Claude Opus 4.8 (1M context) <noreply@anthropic.com>
(cherry picked from commit 740c86b3a830efa7e76d69b29ae376addeee6811)
The health-record FHIR bundle now carries a Coverage resource right
after the Patient. Coverage.status is active, beneficiary references
the Patient, and subscriberId carries the KVNR when present. The payor
is a contained Organization referenced by a local #-ref: its name is
the insurer name and its identifier carries the IKNR under the
http://fhir.de/sid/arge-ik/iknr system.
When the IKNR is absent the Organization keeps its name only; when
neither insurer name nor IKNR is known the Coverage is omitted rather
than emitting an empty payor. The KVNR continues to ride on
Patient.identifier unchanged — Coverage is purely additive.
Six HealthKit metrics without a published LOINC term were coded under
http://loinc.org, which fails FHIR R4 conformance (a non-LOINC code must
not sit in the LOINC namespace). Route any HKQuantityTypeIdentifier code
onto a shared custom CodeSystem (https://healthlog.dev/fhir/CodeSystem/healthkit),
keeping the raw HealthKit identifier as the code so the export stays
byte-aligned with the native client's exporter.
Marc-André Bombeck