A re-check or reservation that failed itself stopped the scan as
"unavailable", and the review screen said AI had been turned off. It now
stops as stoppedBy error with its own message in every locale, and the
failure is reported as one: an error signal and the worker error
reporter. A scan that failed that way before any row answers 500
aiRuns.failed.
The overspend booked before a further read is now net of the cached
share, as the settlement books it. A reservation that names no known
owner stops the scan instead of taking the user plan's larger cap.
A page's text layer is cut at the last whole line; only a page whose
first line alone runs past the cap keeps part of it, cut at a space or
hard, rather than collapsing to the bare cut mark, and an endless line is
no longer read past the cap. The unused per-call text limit is gone. The
run result's description names every outcome a stopped scan can have.
The route reserved one read's budget and checked the wire once, and a
20-page report then ran up to 40 calls for many minutes on that single
admission. Every read after the first now reserves its own share of the
day's budget and asks the wire again (aiEgressRefusal) before it is sent;
when either refuses, the scan stops there, keeps the pages already read
and names the rest with stoppedBy budget or unavailable. The run settles
against everything it reserved, with the provider's reported usage net of
its cached share, and a scan that fails after several calls is charged
for them instead of refunded in full.
A rendered PDF page now goes out with its own text layer, read by pdfjs
beside the image, so a digitally produced report's digits, decimal
separators and units come from its characters rather than from a 1600 px
picture. Splitting the PDF into single-page documents would need a PDF
writer the project does not ship; the text layer needs none and helps
every provider. A scanned page has no text layer and reads as before.
Codex's cut reply keeps the text it streamed (on a non-enumerable
property, so no log or event serialises it), and its closed rows are
salvaged like every other provider's. The merge folds a reading only into
one an earlier page listed, never two rows of the same page, and the
printed range is part of the key. OCR'd text the deadline cannot split
small enough for one read is refused up front as labs.ocr.tooLarge.
A scan sent the whole report to one call under an 8000-token ceiling and
validated the reply against a 100-row envelope. A long multi-panel report
lost everything either way: the reply stopped mid-row and failed to parse,
which the person saw as "try a clearer photo", or it held more than 100
rows and the schema refused all of them. One malformed row refused the lot
as well. Reasoning models made it worse, because the call sent no
reasoning setting and OpenAI, Codex and Claude's 5 generation reason by
default against the same output allowance.
A PDF of more than one page is now rendered and read a page per call on
every provider (up to 20 pages), as many reads as the run's deadline
allows, and the pages are merged in order with a reading printed twice
listed once. A photo, a one-page PDF on a provider that reads PDFs, and
OCR'd text up to 4000 characters stay one read; longer text is split at
line boundaries. Each read carries an explicit reasoning off, so a model
that can stop reasoning does and one that cannot gets its minimum budget
on top of the answer's. A reply cut at the output limit is detected from
the finish reason (Codex's incomplete stream included), keeps the rows
that closed before the cut and is named in the result instead of retried;
when no read produced a row the run fails as labs.ocr.outputLimit. A
provider failure after the first page keeps the pages already read.
Rows are validated one by one, the row cap is 400 for the scan and the
commit, and a report past it keeps its first 400 and says how many it
had. The run settles what the provider reported it spent rather than the
fixed reservation, so a page-by-page read still counts against the day's
budget in full.
Output of `node scripts/strip-planning-tags.mjs --write`: 3,157 comment
lines in 1,308 files lose the work-item identifier at their head. Release
versions and issue references stay; nothing outside comment text
changes, which the script checks per file against a comment-free
printout. healthlog/no-planning-tags is enabled at error level with this
commit, so the tree it lands on is clean.
POST /api/biomarkers/{id}/merge folds markers into one in a transaction,
converting readings where the registry knows the units and refusing the
whole merge where it does not; a dry run answers the same result and
writes nothing. Aliases appear on the marker and are edited through the
marker's PUT. Scan and document review rows name the matched marker or
offer up to three, and a chosen marker is remembered as an alias. The
doctor report, FHIR and MCP group readings by marker. Aliases and the
merge ledger travel through backup and restore.
The matcher stored the registry entry's key, so LDL and HDL markers were
recorded as total-cholesterol. The key now names what the marker is (the
catalog slug, or a registry-only key for an analyte with no seed), and the
registry resolves ldl and hdl to the cholesterol entry for the conversion as
before. A key already written in the old form is rewritten by the same fill
step that brings a stale key in line with its name, the first time a reading
needs it. The OpenAPI descriptions say what the key is and that it follows
the marker's name and unit.
Slice 3 of phase 3 of #1095. The scan review no longer treats every reading in
another unit as unwritable. The server tells it which analyte the matched marker
is (markerAnalyteKey on each extracted row); a row whose unit differs but can be
converted starts selected and carries a badge saying what Save will store and
what the report stated ("Saved as 100.9 mg/dL, converted from 5.6 mmol/L"). A
row that cannot be converted keeps the existing blocked badge and error. Save
still sends what the report printed; the server converts, as in slice 2.
The review's duplicate flag also recognises a re-scan of a reading that was
stored converted, by what the report printed, the same rule the commit applies.
A converted reading carries a quiet "converted from 5.6 mmol/L" on the lab list
(row and tile) and the history list (phone and table), so a number nobody typed
can always be traced back to what the report printed.
Strings in all seven locales.
Refs #1095
A numeric lab reading was stored with its value as received and the marker's
unit stamped on it, so 5.6 mmol/L against a marker kept in mg/dL became
5.6 mg/dL and read as far below range. Both the manual/API write and the
scan commit did this; nothing compared the two units.
- POST /api/labs returns 422 labs.unit.mismatch, with the marker's unit and
the reading's unit in meta, and writes nothing. The unit is compared only
when one was sent: on the biomarkerId path it may be omitted, and the
marker's unit is then the stated one. A qualitative reading has no unit.
- The scan commit skips such a row with reason unit_mismatch, so the outcome
reads partial or failed instead of a clean save, and the toast names the
analytes concerned rather than saying "duplicates".
- The extract response carries the matched marker's unit. The review screen
shows a calm badge on a row in another unit, starts it unticked like a
duplicate, and treats it as a blocking error on the unit field if it is
ticked anyway.
- A small lab-specific normaliser forgives spelling only: spacing, the micro
prefix, the case of the litre, and a unit printed in capitals for a short
list where capitals cannot mean another unit. Case is otherwise significant,
so mIU/L and MIU/L, or g/L and G/L, are never merged.
The document-commit path already refuses a mismatch and is left as it is.
Readings stored wrongly before this cannot be identified, because the
original unit was never kept; they are not touched.
Adds EN and DE strings; the other locales are left to the maintainers. The
OpenAPI spec and the error-code catalogue carry the new code.
Fixes#1094
A PDF longer than the pages a scan renders was read from its first ten
pages, and the cut was recorded only in the wide event. The person checking
the extracted rows had no way to know that values on later pages were never
read.
The rasterizer now returns the PDF's page count, the extract response
carries pageCoverage { read, total } when the cap applied, and the review
screen says how many of the pages were read.
Reading a stored document (suggest, summary, extract, index, chat,
reindex), scanning a lab report and turning medication text into a
schedule now answer under documentAi, labsOcr and medicationExtract. The
operator's master switch and the new reading-documents switch stop the
work and the egress; a module off for the record, a delegate inside
somebody else's record, and a missing receipt refuse with the capability
envelope. Existing no-provider codes keep their status.
The document pick and the labs pick re-check the capability for the
provider they picked, immediately before anything is sent, so a job
enqueued before a switch flipped finds no provider and falls back to the
provider-free text layer. Consent follows the document rule for all
three: any provider that leaves the machine needs an ai_extraction or
ai_full receipt, answered for the provider actually picked.
The fenced Coach chat and attachments answer under coach and documentAi.
Uploads are always stored and indexed; the background summary is only
enqueued while documentAi is open. The capability probes report the
capability beside the provider answer and keep a read offered when only
the receipt is missing. medications/extract keeps its 503 for no provider
and adds ai.provider.none, and its budget refusal gains the
coach.budget.exceeded code.
A lab panel files itself against the visit it came from, and never has to. The
OCR review and the manual form both offer the suggestion through the one shared
field, anchored on the draw date rather than on now, so backdating a reading
moves the offer with it. The commit writes one link PER RESULT ROW, which is
why the join is m:n: a marker re-run on a different day belongs to its own
visit. Best-effort by design — the readings are the write that matters and must
not be lost to a link that could not be made.
The condition side gets a Visits about this card with an action that pre-links
the episode. From the episode side only, and that is a decision: an episode
spans weeks and a visit is a point, so matching the other way would be wrong
often enough to teach a person to ignore every suggestion in the product.
A due checkup gains a second action beside erledigt. Filing the visit as done
satisfies the checkup through the same forward-only, idempotent primitive the
checkbox uses, so doing both is one satisfaction and no error. The two actions
answer different questions — one says it happened, the other says where.
An appointment now appears where a person looks, and NEITHER surface relaxes
the reminder-table exclusion that keeps it out of the preventive-care lists.
Both read the visit table: a quiet line under the dashboard checkup block for
anything inside two weeks, and one rail item for today or tomorrow. A diff in
either that touches origin is the wrong fix.
A visit write now also refreshes the reminder reads. Closing a checkup moves
its next-due date on three surfaces that would otherwise keep showing it due
until their own poll.
OpenAPI regenerated in the same commit.
A lab runs its own method on its own device, so the window a physician
evaluates a value against is the one printed next to it on that report,
not a catalog band averaged over every lab. Reading a report pulled the
value and dropped that range: the extraction asked for it, the commit
handed it to the biomarker resolver, and the resolver only uses it when
it mints a NEW marker. For every analyte the user already had — the
normal case after a first panel — the printed range was read and then
thrown away.
Add `sourceReferenceLow` / `sourceReferenceHigh` / `sourceReferenceText`
to `LabResult` and carry the range from the report to the reading. The
text is stored whether or not numbers can be read out of it, because
"bis 5,0" and "negativ" state a window too; a range that could not be
parsed is kept verbatim, never replaced with invented bounds.
`resolveEffectiveReferenceRange` is the one place the precedence lives:
the source window wins for that single reading, and the catalog stays
the net for readings without one. A printed string with no derivable
bound does not displace the catalog. Every surface that judges a
reading routes through it — the API verdict, the doctor report, the
insights blocks and per-marker assessment, the coach snapshot, the MCP
read and the FHIR `referenceRange` — so a value cannot read in range on
one surface and out on another.
The API keeps `referenceLow` / `referenceHigh` as the window in force,
so a client that reads only those two renders the right range and the
right verdict with no change of its own; the catalog band, the source
window, its origin and a divergence flag ride alongside for clients
that want to show both.
Read side: the chart draws the source window as a second, visually
distinct band with the reading it came from named beneath it, the
reading rows name the printed range and the catalog band where the two
disagree, and the doctor-report PDF prints the report's own string with
a footnote naming the saved range. Entry side: one optional field on
the lab form, folded away until asked for, and the printed range is
editable on the scan review screen.
The range parser covers the notations German and English reports
actually print — two-sided, one-sided, comma or dot decimals, thousands
separators, trailing units — reads units without ever converting them,
and refuses to guess on anything ambiguous.
Six integration cards and the lab-OCR dialog keyed their tone off `res.ok`.
A sync that imported nothing because every reading was refused rendered a
green tick and a count, and a re-scan in which every confirmed row turned out
to be a duplicate raised a green toast saying zero readings were saved.
Each surface now renders the outcome the route resolved: a tick only when
everything landed, a warning when some of it did not, an error when none of
it did, and a neutral note when there was nothing new. The lab-OCR toast
picks its variant the same way.
Replaces the directory-scoped import guard with one that covers the whole
component tree and pins per-file occurrence counts, so a listed file cannot
quietly add a second tick. Its docstring states what it cannot catch.
Two directions, folding the vault and labs pipelines into one linking path
without weakening either manual flow.
Vault document → lab values (auto-stage). After the per-document auto-index
job transcribes a stored document, a lab-looking document is run through the
same inbound extraction the manual "Extract" button uses, but the facts land
PENDING for the existing human review — nothing is committed. Gated on both
the documents and labs modules plus the auto-AI-read consent gate the
auto-index external path already uses; a text-structuring pass over the
transcription the index just produced, so no second vision call is spent. The
staging is a guarded STORED→EXTRACTED transition, and a keyword heuristic (or
an explicit LAB_RESULT kind) keeps an arbitrary photo from burning a call.
Everyone without the opt-in keeps the manual extract button.
Lab scan → vault. A lab report scanned in the labs area is now also filed
into the Documents vault (kind LAB_RESULT) through the existing upload —
encrypted at rest, EXIF-stripped, thumbnailed, sha256-deduped — and the
committed labs are cross-linked back to it with the same APPROVED-observation
provenance the manual vault → labs path produces. Text-mode scans keep the
image on-device and file nothing. Idempotent: a re-commit inserts no rows and
links nothing new, and the vault dedupe means no duplicate document.
Owner-scoped and module-gated on both sides; the cross-link is best-effort so
it never fails the authoritative write.
Drop the unreachable text-only-model reason from the OCR capability
enum and its DTO type. Replace the literal NUL delimiter in the Fitbit
dedup map keys with a named constant so text tooling stops treating the
file as binary (behaviour unchanged). Correct the Coach tool-executor
docblock, which overstated cross-tool snapshot-cache sharing.
Add an opt-in in-browser OCR path so a user whose provider cannot read
images (ChatGPT-OAuth/Codex, a text-only model) can still scan a lab
report. The capability probe gains a `mode` field: `vision` when the
provider reads the image directly, `text` when local OCR is enabled and
any provider is configured, or null. The extract route grows a text
branch that accepts the in-browser-OCR'd text as JSON and structures it
through the existing schema + review/commit flow; the raw image never
reaches the server in text mode. New `labsLocalOcrEnabled` user column
(migration 0184, default off) gates it, with a dedicated PATCH endpoint.
Resolve a vision-capable provider, gate with consent + a 6/hour rate bucket +
a reserved per-day token budget, then transcribe an uploaded photo or PDF into
structured proposed rows. The raw upload stays in memory only and is never
persisted. The commit route writes only the rows a human confirmed, resolving
or minting a biomarker per row with source OCR and skipping commit-time
duplicates. The capability probe drives whether the UI shows the scan entry.
Extracted text is treated as untrusted; the review screen is the safety
boundary.
Marc-André Bombeck