HealthLog/src/lib/documents/commit.ts

/**
 * v1.25 (W-DOCS-IN) — commit an APPROVED staged fact into a structured store.
 *
 * The only write path out of the staging area. Each approved fact is routed to
 * its existing structured store through the same field-by-field create the
 * manual / OCR paths use — no mass assignment, owner-scoped:
 *   - OBSERVATION          → `LabResult` (resolve-or-mint the biomarker)
 *   - CONDITION            → `IllnessEpisode` (condition journal)
 *   - MEDICATION_STATEMENT → `Medication` (as-needed record, no reminders)
 *
 * The app reproduces what the document stated; it never interprets. A Condition
 * is stored with `type = OTHER` (mapping a free-text diagnosis to a clinical
 * category would BE interpretation) and the stated status/code is transcribed
 * verbatim into the encrypted note. A MedicationStatement is recorded as an
 * as-needed medication with notifications off — a record of what the patient
 * takes, never a prescription action. An Observation never carries a
 * range-flag; the reference bounds ride along only as the document stated them.
 */
import { encryptToBytes } from "@/lib/ai/coach/bytes-codec";
import { prisma } from "@/lib/db";
import { decryptFactData } from "@/lib/documents/store";
import { resolveOrMintBiomarker } from "@/lib/labs/biomarker-store";
import type { ExtractedFact } from "@/generated/prisma/client";
import type {
  ConditionFactData,
  MedicationStatementFactData,
  ObservationFactData,
} from "@/lib/validations/inbound-documents";

/** A per-fact commit failure the caller maps to a per-fact 422 entry. */
export class FactCommitError extends Error {
  code: string;
  constructor(code: string, message: string) {
    super(message);
    this.name = "FactCommitError";
    this.code = code;
  }
}

export interface CommittedRecordRef {
  recordType: "labResult" | "illnessEpisode" | "medication";
  recordId: string;
}

/** Parse a stated YYYY-MM-DD into a UTC instant, or fall back to now. */
function statedDateOrNow(date: string | null): Date {
  if (date && /^\d{4}-\d{2}-\d{2}$/u.test(date)) {
    return new Date(`${date}T00:00:00.000Z`);
  }
  return new Date();
}

async function commitObservation(
  userId: string,
  data: ObservationFactData,
): Promise<CommittedRecordRef> {
  const isQualitative = typeof data.value !== "number";
  // A numeric reading needs a unit so the catalog has something to mint with —
  // we never coerce or assume one (fail closed; the user adds it on the review
  // screen).
  if (!isQualitative && (!data.unit || !data.unit.trim())) {
    throw new FactCommitError(
      "observation.unitRequired",
      "A numeric value needs a unit before it can be saved",
    );
  }
  const biomarker = await resolveOrMintBiomarker(userId, {
    analyte: data.label,
    unit: isQualitative ? (data.unit ?? "") : (data.unit as string),
    referenceLow: isQualitative ? null : data.referenceLow,
    referenceHigh: isQualitative ? null : data.referenceHigh,
    panel: null,
  });
  // Fail closed on a unit mismatch against an EXISTING marker. A freshly
  // minted marker adopts the document's unit, so this only bites when the
  // stated unit disagrees with the catalog's authoritative one (e.g. a
  // document states "6.1 mmol/L" against a marker stored in mg/dL). Writing
  // the stated number under the catalog's unit would corrupt the reading AND
  // break the "transcribe verbatim" contract — so reject the fact and let the
  // user reconcile on the review screen, exactly like the `unitRequired` gate.
  if (!isQualitative) {
    const stated = (data.unit as string).trim().toLowerCase();
    const target = biomarker.unit.trim().toLowerCase();
    if (stated !== target) {
      throw new FactCommitError(
        "observation.unitMismatch",
        `The stated unit (${(data.unit as string).trim()}) does not match the saved unit for ${biomarker.name} (${biomarker.unit || "none"}). Reconcile the unit before saving.`,
      );
    }
  }
  const created = await prisma.labResult.create({
    data: {
      userId,
      biomarkerId: biomarker.id,
      panel: biomarker.panel,
      analyte: biomarker.name,
      value: isQualitative ? null : (data.value as number),
      valueText: isQualitative ? data.valueText : null,
      unit: biomarker.unit,
      referenceLow: biomarker.lowerBound,
      referenceHigh: biomarker.upperBound,
      takenAt: statedDateOrNow(data.effectiveDate),
      source: "DOCUMENT",
      noteEncrypted: null,
    },
  });
  return { recordType: "labResult", recordId: created.id };
}

async function commitCondition(
  userId: string,
  data: ConditionFactData,
): Promise<CommittedRecordRef> {
  // Reproduce the stated status + code verbatim in the note — never interpret
  // it into the `type` / `lifecycle` enums (that would assign meaning). The
  // type stays OTHER so the diagnosis is recorded, not categorised.
  const noteParts: string[] = [];
  if (data.clinicalStatus) noteParts.push(`Status: ${data.clinicalStatus}`);
  if (data.verificationStatus) {
    noteParts.push(`Verification: ${data.verificationStatus}`);
  }
  if (data.code && data.codeSystem) {
    noteParts.push(`Code: ${data.codeSystem} ${data.code}`);
  }
  const note = noteParts.length > 0 ? noteParts.join(" · ") : null;

  const created = await prisma.illnessEpisode.create({
    data: {
      userId,
      label: data.label,
      type: "OTHER",
      lifecycle: "ACUTE",
      onsetAt: statedDateOrNow(data.onsetDate),
      resolvedAt: null,
      parentConditionId: null,
      noteEncrypted: note ? encryptToBytes(note) : null,
    },
  });
  return { recordType: "illnessEpisode", recordId: created.id };
}

async function commitMedication(
  userId: string,
  data: MedicationStatementFactData,
): Promise<CommittedRecordRef> {
  const created = await prisma.medication.create({
    data: {
      userId,
      name: data.name,
      // The document may not state a dose; record it as unspecified rather
      // than invent a number. A blank dose is not allowed by the column.
      dose: data.dose && data.dose.trim() ? data.dose.trim() : "unspecified",
      // A MedicationStatement is a RECORD of what the patient takes, not a
      // prescription action: as-needed (no schedule) with reminders off.
      asNeeded: true,
      notificationsEnabled: false,
      ...(data.atcCode ? { atcCode: data.atcCode } : {}),
      ...(data.rxNormCode ? { rxNormCode: data.rxNormCode } : {}),
    },
  });
  return { recordType: "medication", recordId: created.id };
}

/**
 * Commit one approved fact into its structured store. Throws `FactCommitError`
 * on a per-fact validation miss (e.g. a numeric observation with no unit) so
 * the confirm route can report it without failing the whole batch.
 */
export async function commitApprovedFact(
  userId: string,
  fact: ExtractedFact,
): Promise<CommittedRecordRef> {
  // Decrypt the staged payload at confirm time to write it into the normal
  // structured store. Fail-closed: a bad key id throws and aborts the commit.
  const data = decryptFactData(fact.dataEncrypted);
  if (fact.factType === "OBSERVATION") {
    return commitObservation(userId, data as ObservationFactData);
  }
  if (fact.factType === "CONDITION") {
    return commitCondition(userId, data as ConditionFactData);
  }
  return commitMedication(userId, data as MedicationStatementFactData);
}