Add the clinical-signals wave's new measurement types and wire them through
the signal registry so FHIR, correlation eligibility, ingestion, and the
measurement-list surfaces derive from one definition each:
- MeasurementType: PHQ9_SCORE, GAD7_SCORE, GRIP_STRENGTH, PAIN_NRS,
WAIST_CIRCUMFERENCE, WAIST_TO_HEIGHT (+ AssessmentInstrument enum and the
MentalHealthAssessment model that backs the screener scores).
- Registry: the six measurement/score signals plus the longevity lab panel as
kind:"biomarker" entries; the FHIR golden fixture is regenerated in lockstep.
Grip-strength and waist-to-height carry a null LOINC (NEEDS-VERIFY) and emit a
local text concept until a stable code is confirmed.
- FHIR: add the survey observation category for the screener / pain signals.
- Labs: extend the biomarker catalogue with ApoB, Lp(a), fasting insulin, and
the omega-3 index; add LOINC codes for those plus GGT and hs-CRP; add a
computed HOMA-IR helper.
- Exhaustive maps updated to keep the enum coverage, category, list-meta, and
personal-record drift guards green.
Close the three FHIR R4 coding gaps in the health-record export. Both are
export-layer only — no schema column, no migration, no contract change.
Illness Conditions now carry a broad SNOMED CT category concept per
IllnessType (infectious disease, allergy, injury, mental disorder, autoimmune
disease, chronic disease, with the generic Disease root as the fallback for an
unknown type) instead of the single generic placeholder. The user's own label
stays on code.text, the class on category.text, and the unconfirmed +
patient-reported guard rails are unchanged — the export still asserts no
specific diagnosis.
Lab Observations resolve a curated analyte to a real LOINC coding alongside the
user's code.text for the common biomarkers (HbA1c, lipid panel, ferritin, TSH,
vitamin D, creatinine, eGFR, ALT, AST, CRP, fasting glucose, hemoglobin), with
analyte-key and EN/DE alias normalisation. The canonical UCUM code is stamped
on the value only when the recorded unit matches the mapped canonical symbol;
an unmapped analyte or a non-matching unit keeps the honest text-only code and
display-only unit, never a fabricated code. The resolver takes an optional
canonical-name argument so a future Biomarker-catalog link can take precedence
over the free-text analyte without a further change here.
Marc-André Bombeck