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Marc-André Bombeck
725f69097f
Add the migration (0232), Prisma model MedicationEfficacyTarget (persists ONLY the user's explicit target override; everything else derives each read), and the server builder buildMedicationEfficacy that composes the target's series, a before/after-start comparison, the cadence-aware adherence lane (never recomputed), an optional conservative level-shift note, honest data-floor states and the retarget options into one strictly-descriptive DTO — no verdict/score field by construction. Expose GET /api/medications/[id]/efficacy and PUT /api/medications/[id]/efficacy/target, regenerate the OpenAPI contract.
50 lines
2.2 KiB
SQL
50 lines
2.2 KiB
SQL
-- Medication efficacy tracking ("Wirkung"): persist ONLY the user's explicit
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-- target override.
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--
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-- `medication_efficacy_targets` — a lean child of `medications`. The
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-- drug-class → outcome resolution (WHO ATC-prefix → whole-word name
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-- inference) is computed each read from the closed in-repo lookup table, so
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-- nothing about a class→outcome association is denormalised (it cannot drift
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-- as the map improves). The ONE thing that must survive is the user's own
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-- pick when they retarget a medication or choose a target for a med the
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-- resolver could not classify — that is this table.
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--
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-- Exactly one of `measurement_type` (a first-class metric series) /
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-- `biomarker_id` (a lab analyte) is set per row; `primary` marks the
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-- storyline-leading target when several are pinned. `medication_id`
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-- cascades (the override dies with the medication); `biomarker_id` sets
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-- null (a deleted biomarker leaves an orphan row the resolver treats as no
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-- override). `user_id` is never a column here — ownership is narrowed
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-- through the parent medication, never a body field.
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--
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-- Additive; applies clean on a 0231 database and on a fresh database as part
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-- of the ordered migration chain.
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CREATE TABLE "medication_efficacy_targets" (
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"id" TEXT NOT NULL,
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"medication_id" TEXT NOT NULL,
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"measurement_type" "measurement_type",
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"biomarker_id" TEXT,
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"primary" BOOLEAN NOT NULL DEFAULT true,
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"created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
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"updated_at" TIMESTAMP(3) NOT NULL,
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CONSTRAINT "medication_efficacy_targets_pkey" PRIMARY KEY ("id")
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);
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CREATE INDEX "medication_efficacy_targets_medication_id_idx"
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ON "medication_efficacy_targets" ("medication_id");
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CREATE INDEX "medication_efficacy_targets_biomarker_id_idx"
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ON "medication_efficacy_targets" ("biomarker_id");
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ALTER TABLE "medication_efficacy_targets"
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ADD CONSTRAINT "medication_efficacy_targets_medication_id_fkey"
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FOREIGN KEY ("medication_id") REFERENCES "medications" ("id")
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ON DELETE CASCADE ON UPDATE CASCADE;
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ALTER TABLE "medication_efficacy_targets"
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ADD CONSTRAINT "medication_efficacy_targets_biomarker_id_fkey"
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FOREIGN KEY ("biomarker_id") REFERENCES "biomarkers" ("id")
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ON DELETE SET NULL ON UPDATE CASCADE;
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