Commit Graph
18 Commits
Author SHA1 Message Date
Marc-André Bombeck 8e50a9b4cd fix(doctor-report): compute medication adherence from the dose ledger
The doctor-report PDF and FHIR export tallied raw intake rows — taken when
takenAt was set, else skipped, else missed, with every row counting toward the
denominator. That double-counted cross-source duplicate rows (a reminder row
and an API row for the same slot both read as taken), ignored band timing (a
pre-window or ad-hoc take counted as a plain take, a pending row counted as a
miss regardless of the cutoff), and honoured no cadence, so off-week rolling or
cyclic days could enter the tally. A clinician comparing the printed adherence
% against the app's medication detail page could see two different numbers for
the same drug.

Route the report through the same dose-ledger compliance the detail page uses:
per scheduled medication, mint the cadence-aware bands over the report window
and tally taken / missed / skipped from the unified dose-history ledger, with
the denominator being taken + missed so the renderers' taken/total rate equals
the ledger rate. PRN / as-needed medications stay excluded. The compliance
assembly is extracted into a pure, unit-tested `buildLedgerCompliance` helper;
the medication query now loads the archived schedule eras and the report reads
the user timezone so past days attribute against the schedule that was live
then.
2026-06-14 13:17:48 +02:00
Marc-André Bombeck 4ced89553d fix(medications): the schedule flip cannot rewrite history and the doctor report stops inventing a rate
Switching an as-needed medication onto a fixed schedule archived no
revision (there were no prior rows), so the era segmentation attributed
the entire schedule-less stretch to the new schedules — every as-needed
day would have read as missed across the era-aware consumers. The flip
now archives an empty-payload era covering the stretch, which expects
nothing. The doctor report's compliance table excludes as-needed
medications: with no schedule every logged intake is taken by
definition, and a fabricated 100% has no place on a clinical document;
the medication list itself still carries them.
2026-06-12 23:47:43 +02:00
Marc-André Bombeck 9445d89b76 refactor(api,tz): one typed client for every call and one home for wall-clock math
A typed apiFetch wrapper owns the envelope unwrap, the ok-check and the
error read for every client call — two hundred call sites across the
app migrate onto it and a lint rule keeps raw api fetches out for good.
The legacy timezone helpers fold into the tz module and test fixtures
drop personal names.
2026-06-11 02:19:27 +02:00
Marc-André BombeckandClaude Opus 4.8 e984ada5f1 feat(cycle): import Apple Health reproductive data into cycle, add cycle export
Promote the reproductive HealthKit category types out of the
Apple-Health-import privacy-hold list and route them into cycle day-logs
instead of measurements, and surface cycle data on the three export
surfaces.

Import promotion:
- A new HealthKit -> cycle mapping module is the single source of truth for
  how MenstrualFlow, IntermenstrualBleeding, CervicalMucusQuality,
  OvulationTestResult, SexualActivity, PregnancyTestResult,
  ProgesteroneTestResult, Contraceptive and the symptom category types fold
  into CycleDayLog fields / seeded symptom keys. The XML importer
  accumulates same-day reproductive samples and writes one canonical
  day-log per day with source APPLE_HEALTH and a synthetic per-day
  externalId for idempotent re-import. The fold is gated on cycle tracking
  being enabled, so a non-cycle export never provisions cycle rows. A
  contraceptive method nudges the profile goal toward avoiding pregnancy
  only when the goal is still on its default. Basal body temperature stays
  a measurement and mirrors onto the day-log. Pregnancy/Lactation status
  and the pregnancy-bleeding types stay deferred; the cycle awareness types
  remain server-derived.

Export:
- FHIR emits LMP (LOINC 8665-2), average cycle length (64700-8), period
  length (64698-4) and the current phase as opt-in reproductive-health
  observations grouped into their own document section.
- The doctor PDF gains an opt-in cycle section (recent cycles, average
  length and variability, current phase), privacy-default off like mood.
- The full-backup export, the weekly backup worker and the off-host DR
  snapshot include the cycle tables, and the admin restore re-creates them;
  the day-log note round-trips as ciphertext and is never decrypted onto a
  report surface.

Mapping table documented in docs/api/cycle-healthkit-mapping.md. Adds unit
+ integration coverage for the mapping, the import routing, the FHIR
observations and the backup round-trip. OpenAPI regenerated. Six-locale
strings added.

Co-Authored-By: Claude Opus 4.8 (1M context) <noreply@anthropic.com>
2026-06-06 10:16:54 +02:00
Marc-André Bombeck d105849026 fix(fhir): resolve the medication-administration cap per call so an operator override takes effect 2026-06-03 01:00:04 +02:00
Marc-André Bombeck 8c24f3ec2a feat(insights): add a wellness-score summary to the doctor report and FHIR export
Surface the server-derived nightly scores (recovery / stress / strain) in the
health-record export without polluting the clinical layer. The aggregator now
emits a wellnessScores summary (latest / avg / min / max / count per score over
the window) built from the already-fetched COMPUTED rows. The PDF renders them
in a clearly-labelled "Wellness summary" section, separate from the clinical
vitals table, with a "descriptive, not a clinical assessment" disclaimer. The
FHIR bundle emits one Observation per score under the survey category with a
text-only concept and the same disclaimer as an Annotation note, so a viewer
never mistakes a band for a diagnosis.
2026-06-02 23:13:26 +02:00
Marc-André Bombeck 51fc48f93c feat(fhir): raise the MedicationAdministration cap to 5000 and make it configurable
Raise the per-export administration ceiling from 1000 to 5000 (~3.5 years
at four doses a day) and resolve it from FHIR_MAX_MEDICATION_ADMINISTRATIONS,
bounded 1..50000 with a fallback to 5000 on an unset or out-of-range value.
The windowed-then-capped newest-first behaviour and the honest-truncation
narrative are unchanged; this only raises the ceiling so it bites far less
often. Add the var to the compose environment whitelist and the production
env example so it reaches the container and check-env stays green.
2026-06-02 22:22:50 +02:00
Marc-André Bombeck ada9006d9c fix(export): cap the FHIR MedicationAdministration count per export
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)
2026-06-02 17:34:52 +02:00
Marc-André Bombeck 2fcd2e75f5 feat(fhir): emit ATC + RxNorm codings on the medication concept
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)
2026-06-02 16:45:23 +02:00
Marc-André Bombeck 90586d6279 feat(export): emit a FHIR Coverage resource for the insurer
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.
2026-06-01 23:24:10 +02:00
Marc-André BombeckandClaude Opus 4.8 50e0a65228 chore(release): v1.7.0
v1.7.0 — health-record export (PDF + FHIR), flexible medication schedules, first-paint dashboard snapshot, full HealthKit coverage, offline sync delta feed, Coach data clustering. See CHANGELOG.

Co-Authored-By: Claude Opus 4.8 (1M context) <noreply@anthropic.com>
2026-05-31 14:36:17 +02:00
Marc-André Bombeck 9b6e237f5f chore(release): v1.4.42 — Knip enforcing, queryKey factory closed, iOS Workouts dedup, Withings off-response classification
Six touch-disjoint waves landed on develop before this release:

- W1-KNIP — exports/types tiers flipped to enforcing-mode on main;
  35 unused exports + 52 unused types triaged to 0/0; shadcn surface
  + zod-infer contract types scoped via knip.json ignore-block.
- W2-ZOD-MULTI-ISSUE — `returnAllZodIssues` shared helper +
  `/api/dashboard/widgets` 422 now returns every Zod issue + worker
  audit-ledger breadcrumb. 41 sibling routes documented for v1.4.43.
- W3-QUERYKEY-LONGTAIL — 40 settings/medications/admin/hooks files
  migrated to the queryKeys factory; 9 new factory entries; ESLint
  rule + test-guard scope extended in lockstep.
- W4-ARCH-HYGIENE — BERLIN_DAY_FORMATTER consolidated across nine
  sites (seven status helpers + bucket-series + bp-in-target);
  Suspense double-comment consolidated; doctor-report sanitiser regex
  rewritten to escape-form so diffs are reviewable; pr-detection-
  worker soft-delete filter; offhost-backup DR-intent comment.
- W5-IOS-WORKOUTS — `dedupeWorkoutBatch` write-time cross-source
  dedup helper for the v1.5 iOS HealthKit observer ingest; dashboard
  tile-strip placeholder parity with the live TrendCard chrome.
- W6-WITHINGS-OFF + ENV-CHECK — Withings off-response classifier
  (transient/reauth/persistent) + WithingsApiError typed throw + the
  `pnpm check-env` CLI. APNs `allOrNone: true` closes the AP-2
  silent-disable gap the wave was conceived to close.

No migration, no env-var change, no API contract break for iOS v0.5.4.
The new `/api/dashboard/widgets` 422 envelope is additively extended.

pnpm test --run green at 4815 passing / 1 skipped.
pnpm typecheck, pnpm lint, pnpm knip (no --include flag) green.
2026-05-21 19:33:07 +02:00
Marc-André Bombeck 67207d725e chore(release): v1.4.41 — iOS perf hotfix, soft-delete completeness, tree hygiene
Eight touch-disjoint waves landed on develop before this release:

- W-INSIGHTS-HOT + W-RECONCILE-INSIGHTS — extract the timeout-stub
  persist helper and wire all seven *-status routes through it, closing
  the recurring ~14 s warm response the iOS client sees on dashboard
  open once the AI provider has stalled once that day.
- W-DELETED-2 — close the remaining three soft-delete reader-tier gaps
  (export bundle, gamification achievements, doctor-report aggregator)
  with a five-route integration-test pin.
- W-ORG — types consolidation into src/types/analytics.ts and
  src/types/backups.ts; prompt directory unification.
- W-FRONTEND-FACTORY — queryKey factory expansion + ESLint rule lift.
- W-IOS-COORD — POST /api/auth/check-user four-branch onboarding
  discovery, identifier matched verbatim, per-IP rate-limited.
- W-SIMPLIFIER — today-intake projection helper extract; unused tx?
  params dropped; 13 knip-flagged dead exports trimmed.
- W-PERF-OPS — v1.4.39 W-SUM legacy-NULL UNION discovery arm retired.
- W-PROCESS-DOCS — pg.Pool sizing operator doc; ESLint rule
  formalisation; knip CI gate staged for v1.4.42 flip.

No migration, no env-var change, no API contract break for iOS v0.5.4.
The new check-user endpoint is an additive surface. AP-2 .p8 key is
installed; SB-5 time-sensitive APNs is live as of this deploy.

pnpm test --run green at 4732 passing / 1 skipped.
pnpm typecheck, pnpm lint, pnpm knip green.
2026-05-21 18:36:17 +02:00
Marc-André Bombeck 17b8d8d2c2 chore(release): v1.4.25
Largest feature delta in the v1.4.x line. Insights expands into seven dedicated metric sub-pages; GLP-1 medication tracking lands end-to-end (drug-level chart with Research Mode acknowledgment, EMA titration ladder, cadence + compliance, side-effect taxonomy, pen/vial inventory); cross-source priority becomes a two-axis resolver; per-user timezone threads through ten analytics surfaces; Withings activity + sleep v2 sync; onboarding rebuilt as a nested-route wizard; Personal Records ship end-to-end; Health Score provenance accordion; Coach runs native first-party prompts across six locales with a 1800-assertion refusal-probe matrix; OpenAPI drift gate hard-fails; multi-arch GHCR image. Migrations 0043 through 0060 are additive and forward-only. PROMPT_VERSION 4.24.0 → 4.25.0 with GROUND RULE 9 (refuses dose recommendations) and GROUND RULE 15 (refuses drug-level estimates with MDR + MDCG 2021-24 cites).

See CHANGELOG.md for the full per-section delta.
2026-05-14 23:49:32 +02:00
Marc-André BombeckandClaude Opus 4.7 4dcaa08b42 chore(release): v1.4.15
Bumps version to 1.4.15 and adds the corresponding CHANGELOG entry
covering backup completeness, achievements UI, onboarding tour,
doctor-report v2, auto-deploy on GHCR push, empty-states sweep,
notification + integration status UI, AI hallucination guardrails,
mobile UX fixes, and the BD-Zielbereich percentage fix.

Includes the formatting drift left over by the v1.4.15 development
phases (Prettier sweep on touched files) and a typecheck fix in
`dashboard-layout.test.ts` so `pnpm typecheck`, `pnpm lint`,
`pnpm format:check`, `pnpm test`, and `pnpm test:integration` all
pass green on the release tag.

Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
2026-05-09 22:27:13 +02:00
Marc-André BombeckandClaude Opus 4.7 28467b2590 feat(doctor-report): practice name on cover page (persisted as user preference)
Marc wanted the addressee visible at first glance on the printout —
"Praxis Dr. Müller" should be the first thing the GP sees, so the
report doubles as a polite opening line.

- New optional free-text field "Praxis / clinic name" in the export
  dialog. The dialog pre-fills it with the user's last-used value so
  recurring exports don't require re-typing.
- Persisted as a user preference: new `User.lastReportPracticeName`
  column (migration `0031_user_last_report_practice_name`). The value
  is updated only on a successful POST that supplied a non-empty
  string — passing `null` does NOT clear the stored preference so the
  value sticks across years of follow-ups. Best-effort write: a DB
  failure here MUST NOT break the report (caught + ignored).
- `sanitisePracticeName()` enforces a strict envelope upstream: strips
  ASCII C0 + DEL controls (which jsPDF can't render), collapses
  whitespace, and hard-caps at 120 characters. Defends the PDF layout
  from runaway input + protects the PDF text stream from
  control-character corruption.
- PDF cover prints the line in 11pt bold above the separator when set;
  omitted entirely when `null` so the cover stays compact for
  self-archive use. Both client (`doctor-report-pdf.ts`) and server
  (`doctor-report-pdf-core.ts`) renderers carry the change so the
  visual output matches whichever path the user takes (browser
  download vs iOS Safari fallback).
- `/api/auth/me` now echoes `lastReportPracticeName` so the dialog
  pre-fills without an extra round-trip.
- Audit-log + Wide-Event annotations record `practiceNameProvided:
  boolean` (NOT the value itself — practice names are personal and we
  already store one canonical copy on the user record).

i18n: 6 new keys (`doctorReport.practiceLabel`, `doctorReport.dialog.{practiceLabel,practicePlaceholder}`)
in EN + DE.

Tests: 12 new unit cases covering sanitisation (whitespace, controls,
length cap, type guard), PDF cover rendering (DE label "Praxis:", EN
"Practice:", omission when null), API persistence (prisma.user.update
called with the right shape, audit detail flag set). 965 / 965 unit
pass, 31 / 31 integration pass. Lint 0 errors. Typecheck clean for B6
files (pre-existing dashboard-layout.test.ts errors are A4 territory).
v1.4.15 phase B6.

Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
2026-05-09 21:36:47 +02:00
Marc-André BombeckandClaude Opus 4.7 d692119454 feat(doctor-report): configurable date range with default last-90-days
The PDF used to render a fixed 90-day window. Marc wants the period
selectable so chronic-condition follow-ups can pull a longer history and
acute issues a shorter one.

- New `<DoctorReportDialog>` (Radix Dialog + native `<input type="date">`)
  prompts the user before the request fires. Defaults: end=today,
  start=today-90d. Inline validation: end >= start, span <= 2 years.
  Three convenience presets (90d / 6mo / 12mo).
- `normaliseDateRange()` (in `doctor-report-data.ts`) parses
  `{ startDate?, endDate?, days? }` and falls back to last-90-days for
  invalid input — silent fallback rather than 422 so a malformed retry
  still yields a useful report.
- `collectDoctorReportData()` accepts a `DoctorReportRange` and filters
  measurements / intake events / mood entries with both `gte` AND `lte`,
  so a custom window (not just "last N days") is honoured.
- The PDF cover ("Auswertungszeitraum: 01.02.2026 — 09.05.2026") now
  reads from `period.start` / `period.end` instead of the legacy
  (since, now()) calculation. Old `period.since` field preserved for
  backwards compatibility.
- Audit-log + Wide-Event annotations now record `startDate`/`endDate`
  alongside `days` so a forensic replay can reconstruct the requested
  window.

Tests: 18 new unit tests in `doctor-report-data.test.ts` (range parse,
fallback ladder, edge cases), 1 new test in `doctor-report-pdf-core`
(period rendering on cover), 2 new in pdf-route (range + invalid range),
13 new dialog i18n + module-export contract tests. Total +34 unit cases
(955 -> 955 with the suite reorg). Typecheck clean for B6 files; lint
clean (existing dashboard-layout test errors are A4 territory). v1.4.15
phase B6.

Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
2026-05-09 21:34:28 +02:00
Marc-André BombeckandClaude Opus 4.7 7479211531 feat(doctor-report): server-rendered PDF endpoint
Adds `POST /api/doctor-report/pdf` that returns a fully rendered PDF
(`Content-Type: application/pdf`) using the same jsPDF document the web
client builds locally, just executed server-side. Locale resolves from
explicit body param → `Accept-Language` → `de` fallback.

The existing `POST /api/doctor-report` JSON endpoint is unchanged; both
endpoints share `collectDoctorReportData()` so any future change to the
aggregation lands in one place. The render core (`doctor-report-pdf-core`)
is isomorphic — same code paths run in browser jsPDF and Node jsPDF.

Rate-limit (10/h per user) is shared between the two endpoints so the
quota cannot be doubled by mixing JSON and PDF requests.

Tests: 6 core tests (PDF header bytes, size, determinism, DE+EN, empty
data, jsPDF doc shape) + 5 route tests (401, 429, 200 happy-path with
content-type/disposition, default `days=90`, Accept-Language fallback).

Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
2026-05-03 21:52:43 +02:00