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HealthLog/README.md
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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

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<p align="center">
<img src="public/logo-readme.svg" alt="HealthLog Logo" width="120" height="120" />
</p>
<h1 align="center">HealthLog</h1>
<p align="center">
<strong>Your health data belongs to you. Track it on your own terms.</strong>
</p>
<p align="center">
<a href="LICENSE"><img src="https://img.shields.io/badge/License-AGPL--3.0-blue.svg" alt="License: AGPL-3.0" /></a>
<img src="https://img.shields.io/badge/TypeScript-strict-3178C6?logo=typescript&logoColor=white" alt="TypeScript" />
<img src="https://img.shields.io/badge/Next.js-16-black?logo=next.js" alt="Next.js 16" />
<img src="https://img.shields.io/badge/Self--Hosted-yes-success" alt="Self-Hosted" />
<img src="https://img.shields.io/badge/PRs-welcome-brightgreen.svg" alt="PRs Welcome" />
</p>
<p align="center">
A self-hosted, privacy-first health tracking PWA.<br/>
Weight, blood pressure, mood, medications, AI insights -- all under your control.
</p>
<p align="center">
<a href="https://healthlog.dev">Website</a> &middot;
<a href="https://demo.healthlog.dev">Live Demo</a> &middot;
<a href="https://docs.healthlog.dev">Documentation</a>
</p>
---
## What it is
HealthLog is a self-hosted personal health tracker that runs from a single `docker compose up`. It covers the metrics most people actually log -- weight, blood pressure, pulse, body composition, blood glucose, sleep, mood, and medication compliance -- and brings them together in one dashboard with reference ranges from ESC/ESH 2018, ADA 2024, and NICE NG115. Withings devices sync automatically; multi-provider AI Insights (BYOK or local) explain what the numbers mean; a doctor-report PDF generates client-side. EN/DE end-to-end. AGPL-3.0.
Built for people who want their health data on their own server -- whether that's a NAS, a homelab, or a small VPS -- and who don't want to hand it to a US cloud to read a 7-day weight trend. **Try the [live demo](https://demo.healthlog.dev)** to see what a working install looks like, or skip to [Quick Start](#quick-start) below.
---
## Why HealthLog?
Most health apps lock your data behind proprietary clouds, push subscriptions, and sell your metrics to advertisers. HealthLog takes a different approach: your data stays on your server, encrypted at rest, accessible only to you.
---
## Key Features
**Health Metrics** -- Track weight, blood pressure, pulse, body fat, sleep, steps, blood glucose (fasting/postprandial/random/bedtime, mg/dL ↔ mmol/L), total body water, bone mass, and pulse oximetry (SpO₂) with interactive trend charts, moving averages, and traffic-light ranges based on ESC/ESH 2018, ADA 2024, and consensus pulse-oximeter guidance (NICE NG115). Body-composition + SpO₂ metrics sync automatically from Withings Body+ scales and ScanWatch devices.
**Custom Thresholds** -- Override the computed default ranges per metric with the targets your clinician set. Audit-logged. Doctor Report PDF prints both your target and the standard reference.
**Customizable Dashboard** -- Show, hide, and drag-to-reorder every widget. Per-user layout with reset-to-defaults.
**Mood Logging** -- 5-point scale with tags, notes, and trend analytics. Syncs automatically from moodLog.app via webhook.
**Medication Compliance** -- Flexible scheduling with time windows, recurrence patterns, intake logging (take/skip/snooze), and compliance heatmaps. External API for iOS Shortcuts integration.
**Withings Integration** -- OAuth2 device sync for scales, blood pressure monitors, and activity trackers with automatic deduplication.
**Multi-Provider AI Insights** -- Pick OpenAI, Anthropic Claude, or any local OpenAI-compatible endpoint (Ollama, LM Studio, vLLM). BYOK or admin-shared key. Cached daily. Local endpoints keep all data on your network.
**Doctor Report PDF Export** -- Generate professional medical reports client-side. Locale-aware (English/German), with vital sign summaries, BP/BMI/glucose classification, compliance rates, custom-threshold badges, and optional AI analysis.
**Built-in Feedback** -- Send bug reports and feature requests from inside the app. Stored in your HealthLog database — no GitHub config required. Optional GitHub escalation for admins.
**PWA with Offline Support** -- Installable on iOS and Android. Service worker with intelligent caching strategies for reliable offline access.
**Multi-Channel Notifications** -- Telegram (with inline action buttons), ntfy (self-hostable), and Web Push. Medication reminders with late/missed escalation.
**Gamification** -- 38+ persistent achievements across intake streaks, compliance milestones, and healthy metric streaks.
**Internationalization** -- English (default) and German UI with 1500+ translation keys, guarded by a CI integrity test that fails the build on duplicate keys or drift between locales. Numbers, dates, units, and AI prompts all locale-aware via `useFormatters()`. Browser-based detection with per-user override.
**Multi-tenant ready** _(v1.4)_ — Off-host AES-GCM-encrypted weekly backups to any S3-compatible bucket (R2, B2, MinIO, AWS), encryption-key versioning + zero-downtime rotation CLI, optional `HEALTHLOG_PROCESS_TYPE=web|worker|all` so HTTP and pg-boss can scale independently, and short-lived 24h access tokens with refresh-token rotation for native API clients. The browser cookie session is unchanged.
**Test connection buttons** _(v1.4)_ — One-click probes for Withings, moodLog.app, Web Push, Glitchtip, and Umami in addition to the existing AI / Telegram / ntfy tests. Each one rate-limited, sanitised against SSRF redirects, and surfaces a localisable `errorCode` so the UI can render the failure in the user's language.
---
## Quick Start
**3 minutes from `git clone` to a working install.** The bundled `docker-compose.yml` pulls a pre-built multi-arch image (`linux/amd64` + `linux/arm64`) from [GitHub Container Registry](https://github.com/MBombeck/HealthLog/pkgs/container/healthlog); no build step required for self-hosters. Contributors who want to test local changes can `docker compose up --build`.
```bash
git clone https://github.com/MBombeck/HealthLog.git
cd HealthLog
cp .env.example .env
```
Generate the four required secrets and paste them into `.env`:
```bash
echo "POSTGRES_PASSWORD=$(openssl rand -base64 24)" >> .env
echo "SESSION_SECRET=$(openssl rand -hex 32)" >> .env
echo "ENCRYPTION_KEY=$(openssl rand -hex 32)" >> .env
echo "API_TOKEN_HMAC_KEY=$(openssl rand -hex 32)" >> .env
```
Then bring the stack up:
```bash
docker compose up -d
```
Open **http://localhost:3000**. The first registered user becomes admin.
> Behind a reverse proxy (Caddy / Traefik / Nginx) for TLS, set `NEXT_PUBLIC_APP_URL` and `APP_URL` to your public URL in `.env` before starting. See [Self-Hosting → Reverse Proxy](https://docs.healthlog.dev/self-hosting/reverse-proxy/) for examples.
---
## Tech Stack
| Layer | Technology |
| ------------- | ------------------------------------------------- |
| Framework | Next.js 16 (App Router, React Server Components) |
| Language | TypeScript (strict mode) |
| Database | PostgreSQL 16 + Prisma 7 (26 models) |
| Job Queue | pg-boss 12 (reminders, insights, backups) |
| UI | shadcn/ui, Tailwind CSS 4, Radix UI, Lucide Icons |
| Charts | Recharts 3 |
| Data Fetching | TanStack Query 5 |
| Forms | React Hook Form 7 + Zod 4 |
| Auth | SimpleWebAuthn 13, Argon2id |
| Notifications | Telegram Bot API, ntfy, Web Push (VAPID) |
| PDF | jsPDF (client-side generation) |
| Testing | Vitest 4 |
| Deployment | Docker (multi-stage Alpine) |
---
## Security and Privacy
HealthLog is designed for people who take data ownership seriously.
- **Self-hosted** -- Your data never leaves your server. No telemetry, no third-party tracking.
- **AES-256-GCM encryption** -- All stored secrets (OAuth tokens, API keys, VAPID keys) are encrypted at rest.
- **Passkey authentication** -- WebAuthn as primary auth with password fallback (Argon2id + zxcvbn strength validation).
- **Server-side sessions** -- PostgreSQL-backed with 30-day sliding expiry, HttpOnly/SameSite=Strict cookies.
- **Security headers** -- CSP with nonces, HSTS, X-Frame-Options DENY, Permissions-Policy, Referrer-Policy.
- **Rate limiting** -- Sliding window on auth and API endpoints.
- **HMAC-SHA256 API tokens** -- Bearer tokens are hashed before storage.
- **Audit logging** -- All sensitive operations tracked with IP addresses.
---
## Environment Variables
### Required
| Variable | Description |
| -------------------- | ------------------------------------------------------------- |
| `POSTGRES_PASSWORD` | Password for the bundled Postgres service (Docker Compose) |
| `DATABASE_URL` | PostgreSQL connection string (uses `POSTGRES_PASSWORD` above) |
| `SESSION_SECRET` | 64-char hex string for session signing |
| `ENCRYPTION_KEY` | 64-char hex string for AES-256-GCM |
| `API_TOKEN_HMAC_KEY` | 64-char hex string for API token hashing |
### Optional
| Variable | Description |
| ------------------------- | ---------------------------------------------------- |
| `NEXT_PUBLIC_APP_URL` | Public-facing URL (default: `http://localhost:3000`) |
| `WITHINGS_CLIENT_ID` | Withings OAuth2 client ID |
| `WITHINGS_CLIENT_SECRET` | Withings OAuth2 client secret |
| `WITHINGS_REDIRECT_URI` | OAuth callback URL |
| `WITHINGS_WEBHOOK_SECRET` | Webhook URL hardening secret |
| `TELEGRAM_WEBHOOK_SECRET` | Telegram bot webhook secret |
Telegram bot token, ntfy settings, Web Push VAPID keys, Umami, and GlitchTip URLs are configured in the **Admin Panel** and stored encrypted in the database.
---
## Architecture
```
src/
├── app/ # Next.js App Router pages & API routes
│ ├── api/ # REST API endpoints (100+ route files)
│ ├── admin/ # Admin panel
│ ├── auth/ # Login, register, passkey enrolment
│ ├── medications/ # Medication management
│ ├── measurements/ # Health metric entry
│ ├── mood/ # Mood log
│ ├── insights/ # AI-powered analytics
│ ├── charts/ # Long-form charts
│ ├── achievements/ # Gamification page
│ ├── targets/ # Custom thresholds dashboard
│ ├── notifications/ # Notification preferences matrix
│ ├── bugreport/ # Built-in feedback / bug report
│ ├── onboarding/ # 4-step guided setup
│ └── settings/ # User preferences (8 top-level sections)
├── components/
│ ├── ui/ # shadcn/ui primitives
│ ├── layout/ # Shell (sidebar, topbar, bottom nav)
│ ├── medications/ # Medication cards, forms, timeline
│ ├── measurements/ # Measurement form, list
│ ├── mood/ # Mood form, mood list
│ ├── charts/ # Recharts wrappers
│ ├── insights/ # AI insight status / advisor cards
│ ├── gamification/ # Achievement cards, progress
│ ├── monitoring/ # Umami / GlitchTip bootstrap
│ └── settings/ # Settings-page section components
├── lib/
│ ├── auth/ # Session, audit, passkey logic
│ ├── notifications/ # Dispatcher + channel senders
│ ├── jobs/ # pg-boss worker (reminders, insights, backups)
│ ├── analytics/ # Trend calculations, compliance, correlations
│ ├── ai/ # Multi-provider client (OpenAI, Anthropic, local)
│ ├── insights/ # Insight pipeline + medical prompts
│ ├── gamification/ # Achievement definitions
│ ├── feedback/ # Built-in feedback + GitHub escalation
│ ├── moodlog/ # moodLog.app webhook + sync
│ ├── monitoring/ # Umami / GlitchTip server-side hooks
│ ├── withings/ # OAuth client, sync service
│ ├── logging/ # Wide Events: builder, context, transports
│ ├── i18n/ # Translations context & config
│ ├── validations/ # Shared Zod schemas
│ ├── api-handler.ts # apiHandler wrapper, requireAuth/requireAdmin
│ ├── api-response.ts # { data, error } envelope helpers
│ ├── crypto.ts # AES-256-GCM encrypt/decrypt
│ ├── rate-limit.ts # Sliding-window rate limiter
│ ├── db.ts # Prisma singleton
│ └── doctor-report-pdf.ts # Client-side PDF generation
├── hooks/ # React hooks
└── generated/prisma/ # Generated Prisma client
```
### Key Patterns
- **RSC by default** -- `"use client"` only for interactive components
- **API envelope** -- All responses follow `{ data, error }` shape via `apiSuccess()` / `apiError()` in `src/lib/api-response.ts`
- **apiHandler wrapper** -- Every API route wraps its handler in `apiHandler()` (`src/lib/api-handler.ts`) for consistent error handling, Wide-Event structured logging, and `x-request-id` propagation
- **Encrypted secrets** -- Withings tokens, API keys, VAPID keys, notification credentials
- **Timezone-aware** -- `Europe/Berlin` for display, UTC in database
- **Route protection** -- `proxy.ts` (Next.js 16's renamed middleware) checks session cookie, redirects unauthenticated requests
- **Client-side PDF** -- Doctor reports generated in browser via jsPDF
---
## API Reference
All mutations require authentication via session cookie. External ingest uses Bearer tokens.
<details>
<summary><strong>Health Data</strong></summary>
| Method | Endpoint | Description |
| -------- | ----------------------- | ----------------------------------------- |
| `GET` | `/api/measurements` | List measurements (paginated, filterable) |
| `POST` | `/api/measurements` | Create measurement |
| `DELETE` | `/api/measurements/:id` | Delete measurement |
| `GET` | `/api/analytics` | Trend summaries (7d/30d) |
| `GET` | `/api/export` | Export as CSV or JSON |
| `POST` | `/api/import` | Import from JSON |
| `POST` | `/api/doctor-report` | Aggregated data for PDF |
</details>
<details>
<summary><strong>Mood</strong></summary>
| Method | Endpoint | Description |
| -------- | ----------------------------------- | -------------------- |
| `GET` | `/api/mood-entries` | List mood entries |
| `POST` | `/api/mood-entries` | Create mood entry |
| `DELETE` | `/api/mood-entries/:id` | Delete mood entry |
| `GET` | `/api/mood/analytics` | Mood trend analytics |
| `POST` | `/api/integrations/moodlog/webhook` | moodLog.app webhook |
</details>
<details>
<summary><strong>Medications</strong></summary>
| Method | Endpoint | Description |
| -------- | --------------------------------- | ------------------------ |
| `GET` | `/api/medications` | List all medications |
| `POST` | `/api/medications` | Create medication |
| `PUT` | `/api/medications/:id` | Update medication |
| `DELETE` | `/api/medications/:id` | Delete medication |
| `POST` | `/api/medications/:id/intake` | Log intake event |
| `GET` | `/api/medications/:id/compliance` | Compliance stats |
| `POST` | `/api/ingest/medication` | External intake (Bearer) |
</details>
<details>
<summary><strong>Auth and Integrations</strong></summary>
| Method | Endpoint | Description |
| ------- | -------------------------------- | ----------------------------------- |
| `POST` | `/api/auth/register` | Create account |
| `POST` | `/api/auth/login` | Password login |
| `POST` | `/api/auth/logout` | Destroy session |
| `GET` | `/api/auth/me` | Current user profile + Gravatar URL |
| `POST` | `/api/auth/password` | Change password |
| `PATCH` | `/api/auth/profile` | Update profile fields |
| `POST` | `/api/auth/passkey/*` | WebAuthn flows (4 sub-routes) |
| `GET` | `/api/auth/passkeys` | List enrolled passkeys |
| `GET` | `/api/auth/codex/authorize` | ChatGPT (codex) OAuth start |
| `GET` | `/api/withings/connect` | Initiate Withings OAuth |
| `POST` | `/api/withings/sync` | Trigger manual Withings sync |
| `POST` | `/api/withings/webhook` | Withings notification webhook |
| `POST` | `/api/insights/generate` | Regenerate AI insights |
| `GET` | `/api/insights/comprehensive` | Aggregated insight payload |
| `GET` | `/api/gamification/achievements` | Achievement progress |
| `GET` | `/api/health` | Docker health check |
</details>
<details>
<summary><strong>Personalization (Thresholds + Dashboard)</strong></summary>
| Method | Endpoint | Description |
| ------ | -------------------------- | ---------------------------------------------- |
| `GET` | `/api/user/thresholds` | Read per-user threshold overrides |
| `PUT` | `/api/user/thresholds` | Upsert thresholds (rate-limited, audit-logged) |
| `GET` | `/api/insights/targets` | Effective ranges (defaults + overrides merged) |
| `GET` | `/api/dashboard/widgets` | Read dashboard layout |
| `PUT` | `/api/dashboard/widgets` | Persist dashboard layout (show/hide/reorder) |
| `POST` | `/api/onboarding/complete` | Mark onboarding finished |
</details>
<details>
<summary><strong>Feedback + API Tokens</strong></summary>
| Method | Endpoint | Description |
| -------- | ----------------------- | ----------------------------------- |
| `POST` | `/api/feedback` | Submit in-app feedback |
| `GET` | `/api/bugreport/status` | Check published GitHub issue state |
| `GET` | `/api/tokens` | List own API tokens |
| `POST` | `/api/tokens` | Mint new API token (Bearer, hashed) |
| `DELETE` | `/api/tokens/:id` | Revoke API token |
</details>
<details>
<summary><strong>Notifications</strong></summary>
| Method | Endpoint | Description |
| ------ | -------------------------------- | ----------------------------------- |
| `GET` | `/api/notifications/preferences` | Read per-channel × per-event matrix |
| `PUT` | `/api/notifications/preferences` | Update preferences |
| `GET` | `/api/notifications/vapid` | VAPID public key for Web Push |
| `POST` | `/api/notifications/web-push` | Register Web Push subscription |
| `POST` | `/api/telegram/webhook` | Telegram bot inline-button callback |
</details>
<details>
<summary><strong>Admin (admin role required)</strong></summary>
| Method | Endpoint | Description |
| ------ | ------------------------------------- | ------------------------------------- |
| `GET` | `/api/admin/status` | System + integration status |
| `GET` | `/api/admin/users` | List users |
| `POST` | `/api/admin/users/:id/reset-password` | Force password reset |
| `GET` | `/api/admin/feedback` | All feedback / bug reports |
| `POST` | `/api/admin/feedback/:id/github` | Escalate feedback to GitHub issue |
| `GET` | `/api/admin/audit-log` | Audit-log viewer |
| `GET` | `/api/admin/ai-settings` | Read shared AI provider config |
| `PUT` | `/api/admin/ai-settings` | Update shared AI provider config |
| `GET` | `/api/admin/tokens` | All issued API tokens |
| `POST` | `/api/admin/notifications/test` | Send test notification |
| `GET` | `/api/admin/data` | Data backups + counts |
| `GET` | `/api/admin/status-overview` | Aggregated status for the 6-card grid |
| `POST` | `/api/admin/backup/test` | Probe S3-compatible backup target |
</details>
<details>
<summary><strong>Public + v1.4 additions</strong></summary>
| Method | Endpoint | Description |
| ------ | ---------------------------------- | ----------------------------------------------- |
| `GET` | `/api/version` | Public — version + build SHA + license, no auth |
| `POST` | `/api/integrations/withings/test` | Probe a saved Withings connection |
| `POST` | `/api/integrations/moodlog/test` | Probe moodLog.app webhook reachability |
| `POST` | `/api/notifications/web-push/test` | Send a test Web Push to the current user |
| `POST` | `/api/monitoring/glitchtip/test` | Trigger a Glitchtip ingest probe |
| `POST` | `/api/monitoring/umami/test` | Verify Umami script + website ID resolve |
| `POST` | `/api/auth/refresh` | Native client refresh-token rotation |
| `POST` | `/api/auth/refresh/revoke` | Revoke an issued refresh token |
</details>
---
## Integrations
| Integration | Setup | Purpose |
| --------------- | ------------- | ---------------------------------------- |
| **Withings** | Env vars | Auto-sync weight, BP, and activity |
| **Telegram** | Admin Panel | Medication reminders with inline buttons |
| **ntfy** | User Settings | Self-hosted push notifications |
| **Web Push** | Admin Panel | Browser-native VAPID notifications |
| **OpenAI** | User Settings | AI health insights (BYOK) |
| **moodLog.app** | User Settings | Mood tracking sync |
| **Umami** | Admin Panel | Privacy-friendly analytics |
| **GlitchTip** | Admin Panel | Sentry-compatible error tracking |
---
## Local Development
```bash
# Prerequisites: Node.js 20+, pnpm, PostgreSQL
cp .env.example .env
pnpm install
pnpm db:generate
pnpm db:migrate
pnpm dev
```
### Scripts
```bash
pnpm dev # Development server
pnpm build # Production build
pnpm lint # ESLint
pnpm typecheck # TypeScript strict check
pnpm test # Vitest
pnpm format # Prettier
pnpm db:generate # Generate Prisma client
pnpm db:migrate # Create & apply migration
pnpm db:migrate:deploy # Apply migrations (production)
pnpm db:studio # Prisma Studio GUI
```
---
## Deployment
The included `docker-compose.yml` runs the app and PostgreSQL. The entrypoint automatically waits for the database, runs pending migrations, and starts the server.
The app listens on port **3000**. Place it behind Nginx, Caddy, or Traefik for TLS termination. Works out of the box with [Coolify](https://coolify.io/).
---
## Contributing
Contributions are welcome. See [CONTRIBUTING.md](CONTRIBUTING.md) for guidelines.
- Code style: `pnpm format && pnpm lint`
- Type safety: `pnpm typecheck` must pass
- Tests: `pnpm test`
- UI language: English by default, German selectable per user. Code, comments, and commits: English.
---
## License
HealthLog is licensed under the [GNU Affero General Public License v3.0](LICENSE).
---
<p align="center">
<a href="https://healthlog.dev">healthlog.dev</a> &middot;
<a href="https://demo.healthlog.dev">Live Demo</a> &middot;
<a href="https://docs.healthlog.dev">Docs</a>
</p>