Thread the interpretation block into the generic per-metric assessment
path (the ~40 HealthKit metric cards). For a metric the knowledge base
covers, the prompt now carries the band table plus the server-computed
position of the current value, so the assessment names where the value
sits on the guideline scale and judges the trend by that position — the
visceral-fat 2.7 case now reads as "comfortably in the healthy band"
rather than reciting how many times it was logged.
The block is absent for uncovered metrics and for a sex-split band with
no known sex, so those cards fall back to exactly today's personal-relative
behaviour. Band edges carry no strip risk here — the generic assessment
path runs no post-generation numeric grounding gate.
Wire the two new screening totals through the read surfaces on the
PHQ-9 / GAD-7 precedent: signal-registry entries (higher-better
direction, off the Coach snapshot and MCP by construction, no FHIR
coding attached — neither total has a verified LOINC, and the export
skips uncoded signals rather than shipping an invented code), the
scores category cluster, list labels/icons/colours, the generic
insight-chart tokens, a null PR direction (screeners are never
gamified), and the module-gated mental-health section of the doctor
report. The vitals-table exclusion rationale is documented alongside
the existing screener entries.
The recovery detail page rendered only the ring — the one wellness
score without a composition view, although the COMPUTED score IS the
readiness blend persisted nightly. The wellness-score read now attaches
the blend's per-factor sub-scores (RHR, HRV, sleep, respiratory rate,
mood stability — same engine, same weights, resolved server-side on the
same request) when the canonical latest row is the COMPUTED proxy, and
the anatomy view renders them through the identical ranked contributor
rows the readiness and sleep-score composites use, reusing their
labels. A WHOOP-native percentage is not our blend, so it keeps the
row-less presentation; a gated blend simply omits the breakdown. The
new value field is optional and additive — existing clients decode
unchanged.
When the corrective grounding retry dies on transport (provider outage,
timeout) the model never got its chance to self-correct — stripping the
briefing to null left the morning surface empty. The strip now falls
back to the previous payload's briefing, which passed this same gate
when it was written; a content-failed retry still strips hard so a
fabricated number never persists.
The Coach adherence storyline derived its rate from the raw coverage
rollup, whose denominator counts logged slots rather than scheduled
doses, so a user who logged only taken doses read ~100% and the dip gate
suppressed a real decline. Extract the dashboard tile's schedule-anchored,
cadence-aware compliance into one shared engine and route both surfaces
through it, so Coach and the dashboard report the same number.
Reference-band fills, classification tones, and the trend-chart palette
carried hardcoded hex that rendered identically in both themes and
glared on the light surface. Route them through the semantic and chart
CSS variables, which already hold per-theme values, so the light theme
gets the muted set and the dark theme stays byte-identical.
The comprehensive briefing warm/cron path wrapped generation in a fixed
130 s outer abort, but the per-user response-timeout setting accepts
10-600 s and the AI settings tell users to raise it for slow local
models. Any account whose response timeout was >= ~130 s had every
comprehensive warm clipped by the warm bound, not the provider, so the
generation never landed: no cached briefing row was written and the
dashboard fell to the hard empty state.
Size the warm outer abort from the resolved effective timeout
(`aiResponseTimeoutSeconds * 1000`, falling back to the comprehensive
surface budget) plus a fixed headroom for feature extraction, prompt
assembly, and the cache write. A raised setting now extends the warm and
nightly budgets instead of being silently capped. An absolute ceiling
(the 600 s write-time maximum plus the headroom) keeps a wedged call from
pinning the worker while staying above the largest value a user can set.
Both the nightly loop and the forced on-visit warm read the per-user
setting and use the derived budget.
Make the empty state more useful: record the upstream HTTP status on a
failure marker and classify it (timeout / auth / rate-limit / provider /
format), so the "couldn't generate" state points at the right lever —
raise the response timeout for a timeout, re-check the provider for an
auth rejection — instead of one generic line. Keep-last-good behaviour is
unchanged.
Align the response-timeout field copy with the actual default budget
(~120 s, not ~180 s) across the placeholder, the OpenAPI description, and
the inline note.
The insights alert cards computed medication compliance with the naive
`schedules.length × days` denominator, so a fully-adherent weekly
injectable read ~14% and fired a false low-compliance alert (and a paused
medication mis-fired the same way). Route the alert path through the
canonical `calculateCompliance` engine like every other compliance
surface — pause eras, schedule revisions and dose windows honoured.
Document confirm: committing a numeric observation against an existing
biomarker silently replaced the stated unit with the catalog's, with no
conversion — a stated "6.1 mmol/L" against a mg/dL marker committed
"6.1 mg/dL". Reject on a unit mismatch (fail closed) so the user
reconciles on the review screen, the same posture as the unit-required
guard.
Wire grip strength, waist (with waist-to-height) and pain into the
briefing feature set and the grounding allow-set so the clinical-depth
signals reach the daily narrative; the mental-health screeners stay
excluded by construction.
Biomarker detail: fall back to a generic description for catalog-less
markers, and keep the heading + description with a retry on the error
state. Collapse the medication External-API and Lifecycle groups by
default. Re-enable the insights scroll-to-top regression and assert the
shipped main-content reset.
Align the EN haemoglobin/haematocrit display names to British spelling.
Drop the redundant `(userId, deletedAt)` index on inbound documents — a
strict prefix of the new three-column index. Trim the dead
MedicalDisclaimer variants to the one live `dataPosture`. Move the
crisis-resources card off the retired amber tint to a calm
destructive-subtle border. Add a registry invariant asserting every
biomarker signal key resolves to a real catalog slug.
Grip strength and waist circumference resolved against a single sex-aware
bracket for every adult age. Replace each with age x sex norm bands:
- Grip strength: age x sex bands from Dodds et al. 2014 (PLOS ONE
9(12):e113637) British normative data — band low is the 10th centile
floored at the EWGSOP2 probable-sarcopenia cut-off (men 27 kg, women
16 kg), band high is the 50th-centile median. Strength peaks in the 30s
and declines from midlife, so the bands step down with age.
- Waist circumference: WHO increased-risk threshold (men 94 cm, women
80 cm) held flat through midlife and raised for older adults toward the
WHO substantially-increased-risk line, since the WHO cut-points derive
from cohorts aged 20-74. The standard threshold is never lowered.
The norms resolver gains an age-independent clinical cut-off row per sex,
used only as the no-age fallback so a profile with a known sex but no date
of birth keeps the sex cut-off rather than the coarse registry anchor. The
signal registry structure is unchanged — only the resolver tables move.
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.
Register the seven environmental-exposure signals through the signal registry
as a new "environment" kind (correlation-eligible; off Coach/MCP/FHIR in v1),
and fold their daily series into the correlation engine as lagged behaviour
channels. Weather/daylight now pair against mood, sleep, and vitals through
the existing FDR / effect-size / shrinkage gates, so a thin series degrades to
absent rather than a spurious link. All env channels share one ENVIRONMENT
family so two same-day fields never lag-correlate against each other.
The PHQ-9 / GAD-7 screener totals and the physical clinical measures
(grip strength, pain NRS, waist circumference, waist-to-height) are
continuous numeric series. Register their metric:<TYPE> tokens so the
chart-token drift guard passes and the AI insight prose can reference
them through the generic chart renderer.
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.
Replace the hand-maintained MEASUREMENT_LOINC literal and the BUCKETED_TYPES
correlation list with signal-registry projections. Both reads are byte-identical
to the previous tables (guarded by the registry-invariant test), so there is no
behaviour change — only one source of truth for each.
Add coverage for the new biomarker-assessment seam and the marker detail
surface:
- the generator serves today's cache, re-stamps unchanged readings without an
LLM call, and regenerates only when the latest-reading fingerprint changes
- the read-only endpoint returns the envelope, 422s a missing id, and honours
the auth + insightStatus gates
- the detail page paints the stat strip, the chart placeholder, and the
assessment card
- the biomarker resource route drops the marker with its readings in one
userId-narrowed transaction and rejects an inverted target range
Hold the input gate independent of the worker's forced run so an idle marker
re-stamps cached text instead of regenerating, and list the new route on the
non-Coach gate allowlist.
Give each biomarker a detail page that matches the metric sub-pages: a
numbers-first Min/Max/Median/Mean strip over the numeric readings and a
data-grounded AI assessment card.
The assessment is served by a new read-only endpoint
GET /api/insights/biomarker-assessment?biomarkerId=&locale=, returning the
same envelope as /api/insights/metric-status so InsightStatusCard consumes
it unchanged. A new generator reads the marker's LabResult history and
reuses the shared provider runner, the stale-while-revalidate read-only
path, and the persist helper. Regeneration is gated on a fingerprint of the
latest reading, so the assessment is rebuilt only when a new reading lands;
an idle marker re-stamps the cached text without an LLM call. The
biomarker: scope rides the existing on-demand status queue.
The stat strip and the assessment card both self-gate on numeric data, so a
qualitative-only or brand-new marker paints neither.
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.
The daily briefing and the per-metric status assessments ignored the
per-user response-timeout setting: they hardcoded their per-surface
AI_BUDGETS default, so raising the timeout for a slow self-hosted or
local backend had no effect and the surfaces still aborted early. Only
the coach threaded the setting through.
Resolve the effective timeout from User.aiResponseTimeoutSeconds in one
shared helper and thread it onto every non-coach generation call:
- runStatusCompletion is the single chokepoint every status / reference
surface funnels through (per-metric cards, the batched assessment, the
derived assessments, the period narratives), so resolving it there
applies the setting to all of them at once — on both the upstream
call's own timeout and the outer wall-clock cap that previously clipped
a raised value at 60 s.
- The comprehensive briefing generator and the user-initiated regenerate
route thread it onto the main generation, the JSON retry, the grounding
retry, and the paragraph re-roll.
On a failed generation the briefing keeps its last good text — no cache
row is written, so the previous payload stays intact — and records a
dated, append-only failure marker (no migration; reuses the audit-log
JSON pattern). The read path compares the marker against the last
successful generation so it can tell a held briefing from a current one.
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.
A cluster of related correctness gaps in the compliance denominator and the
insight surfaces that read it:
- Paused medications. A doctor-ordered pause flipped `active` off and stamped
`pausedAt`, but resume nulled `pausedAt`, so the interval was irrecoverable
and every paused day became a missed dose after resume — collapsing
adherence across the Health Score, the BP gate, the Coach snapshot and the
report. Persist pause intervals as durable eras (new `MedicationPauseEra`,
migration 0211), close the open era on resume, thread the eras through the
compliance context and drop slots inside a paused interval from the
denominator. Every compliance call site now fetches and passes the eras.
- Health Score eras. The Health-Score fast path was the only compliance
caller that skipped the shared schedule select and schedule revisions, so
after a schedule edit it scored past days against the current schedule
while every other surface used the historical era. Switch it to the shared
select and thread revisions (and pause eras) like the canonical path.
- Insight bucketing timezone. The per-metric status series bucketed every
user in Europe/Berlin, so a near-midnight reading landed in the wrong day
and the relative-day phrasing was off for non-Berlin self-hosters. Thread
the resolved user timezone and key off `userDayKey`.
- Correlation significance. User-facing correlations surfaced from five
paired points with strength read straight off the coefficient. Route them
through the rigorous engine (at least twenty pairs, Student-t p below 0.05)
so small-N coincidences no longer render as confident findings.
- Resting-pulse input. The mood-versus-"resting pulse" correlation fed the
raw PULSE day-mean, which folds in workout HR, under a "Resting pulse"
label. Feed `resolveRestingPulseSeries` (clean RESTING_HEART_RATE, else a
daily low-percentile proxy) so the label matches the input.
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.
Add a WATER_INTAKE measurement type and a per-user daily goal so the
Insights overview can track water intake against a goal ring. Logging
rides the existing measurements create path (type WATER_INTAKE, unit ml,
summed cumulatively); GET/PATCH /api/hydration read the day total and own
the goal. The goal-ring math (empty / partial / met / exceeded) lives in
a pure helper, free of Prisma and React, and is unit-tested in isolation.
Wire the new type through the measurement enum, value ranges, cumulative
HealthKit handling, categories, display transform, list metadata, record
direction, and the chartable-token allowlist. The HealthKit DietaryWater
import stays on the nutrition hold, so the type carries no import mapping
by design.
Document GET/PATCH /api/hydration in the OpenAPI contract.
Cap and page the unbounded reads that let a multi-year tenant pull its
whole measurement history into memory on hot paths.
- extractFeatures: read newest-first with a 6000-row cap (mirrors the
Coach snapshot) and reverse to ascending, so a 365-400 day window no
longer materialises hundreds of thousands of PULSE / glucose rows per
Coach turn and nightly briefing. Full-history extremes still come from
readAllTimeExtremes, so the cap never relabels an extreme.
- Add a (userId, measuredAt) index on measurements (migration 0210) for
the type-less range scans that extractFeatures and the consolidation
passes drive; the existing (userId, type, measuredAt) cannot serve them
as a prefix.
- runConsolidation: keyset-paginate the per-(user, type) source scan on
(measuredAt, id) instead of one unbounded findMany, removing the giant
single result-set allocation that drove the boot storm. Output is
identical; covered by a paging unit test.
- Stagger the boot-time backfill enqueues with increasing startAfter
offsets so the heavy full-history loads no longer all drain in parallel
onto one tenant at startup. Non-boot callers keep their immediate send.
- Backups: replace load-all-then-stringify with paged narrow-select reads
for the weekly and off-host writers, bounding transient heap. Off-host
still includes soft-deleted rows. Covered by a serialize/restore
round-trip test.
- Drop the per-request auth.bearer.success audit insert; the wide event
already records auth_method and user_id, so the polling client no longer
drives a write + pool checkout on every request. Failure-path audit
stays.
- Coach conversation detail: cap the message include to the newest 200 so
a long thread no longer decrypts every message on each open; response
shape unchanged.
- Admin audit-log: floor the scan at the retention horizon so the listing
and its count stop sweeping open-ended over the substring filters.
Code-review and design follow-ups before the v1.22 cut. No behaviour change
beyond the items below.
Coach / insights:
- Coach SSE route: a non-provider error raised inside the open producer (e.g. a
DB failure persisting the reply) now records on the wide event and forwards to
GlitchTip instead of masquerading as a provider outage; it still surfaces an
error frame since the stream is open.
- Lab ↔ outcome correlations: hedge faint-tier pairs ("a faint hint, if
anything … too small to lean on") so the narrated confidence never outruns the
effect, matching the daily engine.
- Reminder sweep: mint the plan-review reminder and clear the plan's reviewDate
in one transaction so a half-applied write can't duplicate the reminder.
- Fold the two raw provider-fallback runners onto one shared chain walker.
Design / accessibility:
- Lift sub-44px tap targets to the 44px mobile floor (suggested-action card,
Coach bubble affordances), brighten the resting timestamp clock for non-text
contrast, and route the lab chart height through the shared constant.
- Replace ad-hoc arbitrary type sizes with the scale token and static size-11
icon buttons with the named icon-lg variant.
- Settings: add the missing About card-header descriptions, normalise the
low-stock numeric widths, and relax the notification-status rows from nested
cards to a divided list.
Housekeeping:
- Drop three unused exported types (and the now-orphaned source const), re-stamp
v1.21.5 comments to v1.22, and register the live-judge eval harness as a knip
entry so the script-only module resolves.
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.
Replace the fixed three-beat assessment skeleton with a menu of moves the
model orders freely, and reframe the daily briefing from per-signal
enumeration to a verdict-first read that weaves the few salient signals into
one associative story. Score cards now name both the helped and the hurt
contributors, translate the band into a forward read for the day, and close
on one grounded nudge; the deterministic fallback gains the same band-meaning
sentence so provider-less and demo accounts read as well.
Add a hash-seeded opener-archetype rotation (deterministic, testable) so
consecutive cards and days no longer open the same way, a day-rotated sampling
seed for the period narrative in place of the fixed reference seed, and a
shared paragraph formatting contract. Add a score-number grounding gate and
extend the briefing grounding allow-set to the glucose, labs, preventive-care
and workout aggregate blocks so real figures can be cited without opening the
gate. Gate the daily score warm on an input fingerprint so a quiet day skips
the model call.
The daily briefing's always-on feature payload carried only the core vitals,
mood, sleep, steps and medication compliance, leaving four captured domains
invisible to it. Add four blocks to the aggregated features:
- Labs: recent flagged biomarkers (out-of-range or trending vs the prior
reading). Retired markers are excluded; qualitative results stay neutral with
no fabricated verdict.
- Preventive care: due and overdue items off the server-authoritative next-due
date, so an overdue screening can prompt an early nudge.
- Workouts: a provider-agnostic count, duration and distance aggregate over the
trailing windows (the briefing previously saw activity only as step counts).
- Glucose: the present-and-trend block the other vitals carry, where glucose
previously reached the briefing only as a single signal-of-the-day row.
The three extra reads are scoped to the wide briefing window; the tight
snapshot window that already carries its own context skips them. Every block is
omitted when its domain is empty rather than emitting zeros, and user-entered
labels are sanitised before they reach the prompt.
Add a rolling 14-21 day early-detection pass to the FDR correlation engine
so an emerging shift (illness pulling HRV and sleep down together) surfaces
before the 180-day retrospective scan accrues the n>=20 it needs. The recent
pass re-runs the same engine over the trailing window with a lower paired-day
floor, a tighter Benjamini-Hochberg target, and a no-faint effect bar, then
drops any pair the retrospective scan already established so a pattern is never
reported as both established and emerging.
Extend the curated behaviour x outcome matrix with three clinically meaningful
links: medication adherence -> next-day blood pressure (systolic and diastolic,
the latter previously never a candidate channel), sleep as a behaviour
(poor sleep -> next-day mood / HRV), and a separate point-vs-window labs ->
outcome pass (each draw against the contemporaneous outcome mean) since sparse
lab draws cannot meet a daily-lag floor. Every pass keeps FDR control, the
effect-size floor, and shrinkage; thin data degrades to absent, never a
fabricated link. All associations stay descriptive, never causal.
Clicking a type on the measurements list now drills into that metric's
insights sub-page when one exists, falling back to the existing
?type= filtered list when it does not. A reverse type-to-slug map backs
the navigation, preferring the dedicated single-metric page so an
ambiguous type resolves correctly (PULSE to pulse, not blood-pressure;
WEIGHT to weight, not bmi). No API change.
The comprehensive insight that feeds both the daily briefing and the
insights trend narrative is a single reasoning-heavy generation over the
full feature snapshot. On a large account it runs past the provider
client's fixed 60 s timeout and is aborted mid-stream, so the chain
reports an all-failed outcome, no cached block is written, and the
surface falls back to its static placeholder on every visit. The warm
paths bounded the same generation tighter still (45 s) and counted the
failure with no observable signal, so the blank state was permanent and
silent.
Make the per-request upstream timeout configurable
(CompletionParams.timeoutMs, default 60 s for every existing caller) and
raise it to 120 s for the comprehensive surface only, across all three
generation paths: the on-demand regenerate, the on-demand warm, and the
nightly pre-generation. Raise the warm-pass budget to 130 s so the
provider's own timeout governs a genuine completion rather than clipping
it early. Annotate the comprehensive failure in both the generator and
the nightly loop so a generation that keeps failing is queryable instead
of leaving the surface empty without a trace.
The A1–A3 source files carried v1.22.0 docstrings from before the work was
re-cut as the v1.21.2 point release. Comment-only sweep so blame and the
in-file version tags read consistently with the shipped version.
The builder is server-only by construction — only the metric-page route
imports it and it reads Prisma — and no other module in the tree depends on
the `server-only` package, so the import was both redundant and an undeclared
dependency. Removing it keeps the dead-code gate clean without weakening the
boundary.
Add a deterministic narrative layer the Coach narrates rather than invents:
- Briefing callbacks + forward-looks: the daily briefing recalls the prior
period and points ahead, anchored to a figure, one callback per surface.
- Tension Verdict: when the readiness composite's contributors disagree
(good sleep but a rising resting pulse), surface a brief honest internal
read on the health-score card. A real clinical red-flag is never reconciled
away into a calm verdict.
- Streaks + return-to-baseline: a pure detector over a DAY-bucket series
closes a worry once a metric returns inside the personal MAD band after a
genuine out-of-band run; a gap day breaks a streak.
- Coach prompt: add develop-discrepancy, roll-with-resistance, and an
anti-persuasion clause; ratchet PROMPT_VERSION.
The tension flag and streak event are computed server-side; the card lines
render resolved fields and the model narrates them.
Render a compact two-line "Coach read" above each metric sub-page chart:
an own-baseline line ("Your usual range is X–Y; today's Z sits within /
above / below") and one top lagged-association line from discovered
correlations, framed descriptively. It makes a metric read seen-in-context
rather than isolated.
The strip is server-authoritative: a new GET /api/insights/coach-read
resolves the band via the median ± k·MAD baseline engine (with its 7-day
history floor — below it the strip says "still learning your range" rather
than inventing a range) and the strongest on-metric driver from the
existing FDR-controlled, effect-size-floored correlation discovery (no
lowered floor; the line is omitted when nothing clears it). The client
component only renders the resolved DTO, so web and iOS read identical
numbers. DTO shapes and the pure selection logic live in a client-safe
sibling shared by the component and the unit test.
Wired through the HealthKit metric scaffold (every generic metric page) and
the bespoke weight, blood-pressure, and pulse pages.
The correlation discovery matrix gained two non-MeasurementType channels
(medication compliance, symptom severity), but the Coach get_correlations
reader still filtered its measurement query by hand and never built the new
channels. The channel keys leaked into the Postgres enum cast and threw for any
user with medication or illness data.
Extract the route's two channel-series fetchers into a shared module
(correlation-channel-series.ts) so both consumers build the channels identically,
then wire the reader to derive its type filter from discoveryMeasurementTypes and
fold the fetched compliance + symptom series into the discovery input. The reader
now humanises the channel keys to "medication adherence" / "symptom severity".
Render daily medication-compliance rate and illness symptom-severity as
first-class series in the FDR discovery engine, so the adherence-dip →
symptom-flare link (and compliance → vital drift) can finally surface.
Compliance pools every active medication's dose-history ledger into a per-day
taken/(taken+missed) rate, re-keyed to the user's display timezone. Symptom
severity reads the illness day-log functional impact, zero-filling healthy days
only across real episode spans so a user with no episodes yields an empty
series rather than a constant. Both flow through the existing n >= 20, BH-FDR,
effect-size, and shrinkage gates unchanged; a sparse series degrades to absent.
Each channel forms its own metric family (no self-lag tautology) and keeps the
association-not-causation framing. Add discoveryMeasurementTypes() so every
caller drops the non-measurement channels before a Prisma type filter.
The rollup read path windows the 7/30/90-day regression on
startOfUtcDay(now - N days), while the live-SQL fallback filtered the
REGR_* aggregates on the wall-clock NOW() - INTERVAL bound. An account
crossing a coverage boundary (warm to cold) therefore saw the boundary
day's readings flip in or out of the slope window depending only on
whether the rollup tier was populated, returning a cache-dependent
slope for the same request.
Anchor both cold-fallback paths on date_trunc('day', NOW() AT TIME ZONE
'UTC') - INTERVAL 'N days', the SQL twin of startOfUtcDay, so warm and
cold return identical boundary-day membership. The avg7/avg30/median
windows stay wall-clock since the warm narrow query computes them the
same way.
Significance alone surfaced trivial drivers: a large-n pair with r=0.16
narrated as a confident "tends to go with" link while explaining ~2.5%
of variance. Add three gates before a pair is ranked as a driver:
- exclude same-metric-family lagged pairs (mood->mood, BP component
self-lag) as serial-autocorrelation tautologies, widening the existing
exact self-pair skip to the whole family.
- shrink each Pearson estimate toward null by n/(n+10) so a thin-data
correlation cannot out-rank a deep one on an inflated point estimate.
- floor the shrunk effect at 0.2 (drop below) and bind 0.2-0.3 to a
hedged "faint hint" phrasing tier, 0.3+ to confident phrasing scaled
by sample depth. The reported r and p stay the honest raw statistics.
Rank by shrunk effect magnitude, q as tie-break.
The coincident-deviation read grouped the latest day with a UTC date
slice while the sibling readiness read already used the tz-aware day key.
For a user east or west of UTC, a late-evening or early-morning reading
landed on the wrong calendar day, so a fired flag could compare a vital
from the wrong day against its band and narrate '2 or more vitals out of
band today' on the wrong day.
Thread the user's timezone into the latest-day read and mint the day key
with userDayKey, matching readiness. The Coach derived-snapshot and the
correlations reader pass the real account timezone through. Adds a
regression covering a UTC+2 user whose late-night reading rolls to the
next local day.
The hypertensive-crisis floors were defined in three modules with a
divergent diastolic value: the notification engine and the Coach acute
clause used 180/120, but the dashboard hero used 180/110. A reading like
170/112 lit the red critical-BP banner on the hero yet never tripped the
notification alarm or matched the Coach's stated acute number — one
surface said crisis, the other two stayed calm on the same row.
Promote the absolute floors into a dependency-free clinical-floors leaf
and have the hero, the safety-floor engine, the status registry's fever
band, and the illness escalation all import from it. The crisis diastolic
floor is the guideline-correct 120 (ACC/AHA hypertensive urgency); the
wider 110 hero net is dropped so the surfaces tell one story. A coverage
test pins that every consumer resolves the same constants.
Marc-André Bombeck