mirror of
https://github.com/MBombeck/HealthLog.git
synced 2026-11-08 20:42:43 +00:00
Marc-André Bombeck
17b8d8d2c2
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.
80 lines
2.7 KiB
SQL
80 lines
2.7 KiB
SQL
-- v1.4.25 W19d — MedicationSideEffect logbook.
|
||
--
|
||
-- 21-entry × 5-category structured side-effect taxonomy derived from
|
||
-- EMA EPAR §4.8 ("Undesirable effects") clustered into the five
|
||
-- surfaces the HealthLog UI renders. 1-5 Likert severity (finer
|
||
-- granularity than the EMA 3-level reporting convention; the UI maps
|
||
-- each integer to a translated semantic label).
|
||
--
|
||
-- Daily capture, not per-shot — delayed-onset symptoms (nausea on
|
||
-- day 4 post-tirzepatide is common) keep their actual onset time.
|
||
-- The Coach reads these against MedicationDoseChange +
|
||
-- MedicationIntakeEvent to surface patterns without making a clinical
|
||
-- claim.
|
||
--
|
||
-- Composite index (user_id, medication_id, occurred_at) is the
|
||
-- dominant read path: "last N entries for this medication on the
|
||
-- detail page". A second per-user (user_id, occurred_at) index serves
|
||
-- the Coach snapshot aggregation, which correlates across medications.
|
||
--
|
||
-- Severity is bounded with a CHECK constraint at the DB level —
|
||
-- defence in depth against client-side Zod drift. Notes are unbounded
|
||
-- TEXT, application-layer capped to 280 chars in the Zod schema.
|
||
|
||
CREATE TYPE "medication_side_effect_category" AS ENUM (
|
||
'GI',
|
||
'METABOLIC',
|
||
'INJECTION_SITE',
|
||
'COGNITIVE',
|
||
'GLP1_SPECIFIC'
|
||
);
|
||
|
||
CREATE TYPE "medication_side_effect_entry" AS ENUM (
|
||
-- GI (5)
|
||
'NAUSEA',
|
||
'VOMITING',
|
||
'DIARRHEA',
|
||
'CONSTIPATION',
|
||
'ABDOMINAL_PAIN',
|
||
-- Metabolic (4)
|
||
'HYPOGLYCEMIA_SYMPTOMS',
|
||
'DEHYDRATION',
|
||
'ANOREXIA',
|
||
'ELECTROLYTE_FATIGUE',
|
||
-- Injection-site (4)
|
||
'INJECTION_REDNESS',
|
||
'INJECTION_SWELLING',
|
||
'INJECTION_BRUISING',
|
||
'INJECTION_INDURATION',
|
||
-- Cognitive (4)
|
||
'BRAIN_FOG',
|
||
'DIZZINESS',
|
||
'LOW_MOOD',
|
||
'LOW_ENERGY',
|
||
-- GLP-1 specific (4)
|
||
'EARLY_SATIETY',
|
||
'GASTROPARESIS_LIKE',
|
||
'DYSGEUSIA',
|
||
'GALLBLADDER_DISCOMFORT'
|
||
);
|
||
|
||
CREATE TABLE "medication_side_effects" (
|
||
"id" TEXT PRIMARY KEY,
|
||
"user_id" TEXT NOT NULL REFERENCES "users"("id") ON DELETE CASCADE,
|
||
"medication_id" TEXT NOT NULL REFERENCES "medications"("id") ON DELETE CASCADE,
|
||
"occurred_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
|
||
"category" "medication_side_effect_category" NOT NULL,
|
||
"entry" "medication_side_effect_entry" NOT NULL,
|
||
"severity" INTEGER NOT NULL,
|
||
"notes" TEXT,
|
||
"created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
|
||
CONSTRAINT "medication_side_effects_severity_range_chk"
|
||
CHECK ("severity" >= 1 AND "severity" <= 5)
|
||
);
|
||
|
||
CREATE INDEX "medication_side_effects_user_med_occurred_idx"
|
||
ON "medication_side_effects" ("user_id", "medication_id", "occurred_at");
|
||
|
||
CREATE INDEX "medication_side_effects_user_occurred_idx"
|
||
ON "medication_side_effects" ("user_id", "occurred_at");
|