The visit form's lab picker offered the newest 200 results, the condition
picker the newest 100 conditions, the document pickers the newest thousand
documents and the document sheet's visit picker the newest 100 visits.
On a long record everything older could not be linked.
Each picker now opens on the records around the date of the thing being
linked, pages older and newer from there, and searches through the list
route itself. Records already linked always show, from the labels the
record's own read carries and from what was picked in the sheet.
The lab list takes a q filter over analyte and panel, the condition list
from/to/q/offset/sortDir, and the visit list an offset.
Eighteen modules carried a convenience re-export of a symbol defined
elsewhere. In each case the callers the comment describes now import the
concrete module directly, so the line had no importer left. Where the
whole re-export block went, the comment explaining it went with it —
doctor-report-pdf-core, trend-card and medication-extract-prompt each
claimed to be a single import surface that nothing was using.
Definitions are untouched; imports that existed only to feed a removed
re-export go too.
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.
The structured lab-create path (POST /api/labs) now accepts an optional
`source` marker ("MANUAL" | "OCR"). The on-device-OCR ingestion path posts
"OCR" so a reading captured from a phone-camera lab photo records its
provenance; the raw image never touches the server on this path. Omitting
the field reads as "MANUAL", so the existing hand-entry contract is
unchanged. The value is narrowed by a closed Zod enum and assigned
field-by-field, never spread from the body. Mirrors the "OCR" source the
server-side /api/labs/ocr/commit path already stamps.
Regenerate the OpenAPI spec for the widened request body.
Add first-class qualitative lab findings (positive / negative / borderline
serology) alongside the existing numeric path. A LabResult is now EITHER a
numeric reading (value + unit, optional reference bounds) OR a qualitative one
(valueText, e.g. "negativ"), never both, never neither.
- schema: make `value` nullable, add `value_text`; migration 0181 is additive
(DROP NOT NULL + ADD COLUMN), every existing numeric row is untouched.
- validation: numeric-XOR-qualitative refine on create + update; unit/bounds
apply to the numeric path only; valueText capped at 120 chars. The single
resource PUT rejects a cross-type edit.
- serialise: carry valueText through both DTOs; a qualitative row reports the
neutral `unknown` range verdict (no number to classify).
- FHIR: a qualitative result emits valueCodeableConcept — SNOMED qualifier
value for confidently-known terms (Negative 260385009, Positive 10828004,
Not detected 260415000, Detected 260373001), text-only for borderline /
grenzwertig and any unrecognised term. The raw text always rides .text.
- UI: a numeric/qualitative toggle in the lab form; list, history, detail,
chart, sparkline, and the doctor-report PDF all render qualitative readings
as their text and never plot or divide on a null value.
- i18n: new labs.form keys across all six locales.
- openapi: response carries a nullable value + valueText; regenerated.
One-shot prettier pass so the new format:check gate starts from a clean
baseline. Formatting only — no behaviour change. Generator-owned and
vendored artifacts stay untouched via .prettierignore.
A PUT that moves a single reference bound past the row's stored other
bound slipped through the schema refine (which only fires when both bounds
arrive together). Both the lab-result and biomarker routes now merge the
effective bounds and 422 on low > high. Editing catalog-resolved fields
(analyte/unit/panel/range) on a linked reading is also rejected rather than
silently no-oped. Shared isInvertedRange/effectiveBound helpers with tests.
Add a user-scoped Biomarker catalog so a marker is defined once — name,
unit, lower/upper bound, optional encrypted context, panel — and every
later reading just links it. New /api/biomarkers CRUD plus a structured
/api/labs create path: a biomarkerId resolves the unit + reference range
server-side, so the list and detail DTOs carry the resolved values and
the client never recomputes the range. Lab reads include the linked
marker and fall back to the legacy free-text fields for unlinked rows.
Add a lab-result restore endpoint for the delete-Undo affordance, a
shared serialiser, a static common-panel seed list, and tests for
catalog validation, structured-entry resolution, and the context codec.
Reference-range classification + low/high range rendering was implemented three
times (validations, PDF core, lab list). Extract a single classifier and a
structure-only range formatter that takes a per-surface number formatter, so
each surface keeps its own number formatting while sharing the canonical
classification. Behaviour is unchanged per surface and now covered by one test.
Record discrete biomarker readings (HbA1c, LDL, ferritin, TSH, …) with
their value, unit, reference range and sample date. The store pairs with
the annual blood-panel reminder, which until now had nowhere to record
the result it reminds the user to obtain.
The list/create/update/delete endpoints narrow userId from the session,
build the write data field-by-field, soft-delete via deletedAt, and
encrypt the optional note at rest. A neutral three-state reference-range
classifier (in-range / below / above / unknown) is computed
server-side so every surface renders the same calm verdict.
findLatestLabResultForAnalytes exposes the read point the blood-panel
reminder consults to mark itself satisfied, without coupling the two.
Marc-André Bombeck