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Marc-André Bombeck
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Two new self-report instruments join the mental-wellbeing engine on the existing PHQ-9 / GAD-7 infrastructure: - WHO-5 Well-Being Index: 5 items on the 6-point 5..0 scale over the last two weeks; the reported total is raw-sum x 4 (0-100) per the official WHO scoring (WHO/UCN/MSD/MHE/2024.1, CC BY-NC-SA 3.0 IGO). A total of 50 or below follows the WHO comment (below 50 = indication for further assessment). - Sleep Condition Indicator: 8 DSM-5-aligned items, 0-4 each with item-specific anchors, total 0-32, higher = better sleep; a total of 16 or below maps to the probable-insomnia range of the source publication (Espie et al., BMJ Open 2014;4:e004183, CC BY-NC, (c) Sleepio Limited). The instrument registry generalises rather than forking: per-item answer ceilings, option order/label schemes, recall-stem captions, a reported- score multiplier, score direction (higher-is-better inverts the follow-up threshold), per-instrument attribution lines, and the validated-item locale set are now instrument properties. Scoring stays server- authoritative; the create route validates the per-instrument answer ceiling and projects the total onto a COMPUTED WHO5_SCORE / SCI_SCORE measurement row (never client-attributable), which also auto-satisfies a planned screening reminder. Migration 0226 adds the enum values (additive, idempotent). OpenAPI regenerated. Neither instrument carries a self-harm item; the PHQ-9 item-9 crisis routing is unchanged.
docs/ — internal reference + operator playbooks
The user-facing documentation lives at https://docs.healthlog.dev — that's the canonical surface for self-hosting guides, integration walkthroughs, AI-provider setup, and the doctor-report workflow.
The files in this directory are the internal operator playbooks, audit notes, and machine-readable specs that ship alongside the source:
api/— the OpenAPI 3.1 spec for the native-client subset (iOS DTO codegen target). Seeapi/README.mdfor the preview commands. Also home to the MCP-server contract:api/mcp-capabilities.md(tools, resources, prompts, write model) andapi/mcp-skills.md(building a connector / skill).ops/— backup / restore + encryption-key-rotation playbooks. These are the runbooks an operator reaches for during an incident.self-hosting/— horizontal-scaling notes (HEALTHLOG_PROCESS_TYPE=web|worker|all) and the deploy-pipeline recipe. Routine install steps stay ondocs.healthlog.dev. Includesself-hosting/mcp.md— enabling the off-by-default MCP connector and pointing Claude.ai / ChatGPT / Claude Desktop at it.migration/— release-by-release migration notes. Read the entry for the version you're upgrading from.audit/— per-release audit summaries archived for forensic traceability.apple-store-connect-checklist.md— the iOS submission gate.doctor-report.md— PDF generator design notes.codex-protocol-spec.md— Codex / ChatGPT OAuth protocol reverse-engineering notes.ui-guidelines.md— UI / a11y house style.
If you're a self-hoster looking to spin up an instance, start at https://docs.healthlog.dev or jump to the Quick Start in the project README.