Files
HealthLog/src/lib/openapi
Marc-André Bombeck 7575275d7e feat(mental-health): opt-in PHQ-9 / GAD-7 screeners with item-9 crisis signposting
Add the validated mental-health self-assessment surface, beside mood tracking
(never replacing it) and off by default:

- MentalHealthAssessment stores per-item answers in a single AES-256-GCM Bytes
  blob (registered for key rotation); only the server-authoritative total,
  severity band, and item-9 flag are denormalised. The total projects to a
  PHQ9_SCORE / GAD7_SCORE measurement row so the trend rides existing infra
  without ever exposing item content.
- Item-9 safety: any non-zero PHQ-9 self-harm answer surfaces a calm,
  locale-aware crisis-resource set (DE: TelefonSeelsorge 0800 111 0 111 / 112;
  international fallback) and stamps crisisShownAt. No clinical interpretation,
  no AI ingestion of item content, no third-party alerting.
- API + OpenAPI: POST/GET /api/mental-health/assessments; the response excludes
  raw item answers by construction. Required Pfizer/PHQ attribution lives in the
  instrument module, rendered verbatim.

The screener scores are kept off the Coach snapshot and MCP surfaces, and out of
exports by default — item content never reaches the AI pipeline.
2026-06-28 15:47:39 +02:00
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