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* feat(drug-reference): offline FDA drug labels, conditions, and remedies
Adds an offline medical-reference feature with three coupled layers:
- Drug Reference: full-text search over openFDA drug-label indications,
a detail page per label, and a side-by-side single-drug comparison view.
A two-phase background pipeline downloads the openFDA label parts to the
storage volume (resumable) and ingests them into the search table.
- Conditions ("When to use what"): a curated spine of first-aid situations
that maps each situation to matching OTC drugs, each linking back to its
Drug Reference detail page.
- Curated remedies: hand-authored natural and home-remedy entries drawn from
US-government public-domain sources (NCCIH, CDC, MedlinePlus, FDA), shown
with their source links and the same safety disclaimers as the rest of the
feature.
The drug-reference and conditions layers are intentionally coupled: the drug
detail page shows the situations a drug treats, and the conditions controller
reads the same drug_labels table.
Safety surfaces ship as written. The amber SafetyBanner ("informational only,
not medical advice, not an FDA endorsement, not a drug-interaction checker, in
an emergency call emergency services") renders on the condition pages and the
search page; the detail and comparison pages carry their own "not a cross-drug
interaction checker" callout; and every page carries the openFDA CC0 source
citation and no-FDA-affiliation footer.
Wiring on this branch:
- start/routes.ts: the /drug-reference and /conditions page GETs plus their
/api/* groups.
- commands/queue/work.ts: the drug-download and drug-ingest queues, both at
concurrency 1. The two drug queues get a per-queue stall override
(lockDuration 1_800_000, maxStalledCount 3) because each part is one long
stream; every other queue keeps the existing 300000 default.
- inertia/pages/home.tsx: Drug Reference and "When to use what" tiles. The
icon and display_order are a starting point, open to change.
- types/kv_store.ts: the two drugReference.* keys the pipeline reads and writes.
- package.json: yauzl and stream-json (plus their @types), used by the ingest
job to stream the label JSON out of the downloaded zips.
The app reads the conditions and remedy data from the compiled TS constants in
app/data/; the repo-root collections/*.json files are the browseable mirrors.
The natural-remedies standalone test reads collections/natural_remedies.json to
assert the two stay in sync, so that file is also a test fixture.
The four standalone tests pass (drug_interactions, drug_ingest_status,
conditions, natural_remedies). tsc reports no errors in the feature code.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
* chore(drug-reference): drop a fork-internal comment reference
* fix(drug-reference): address review — defer FULLTEXT, fallback remedies prop, strip fork refs
- migration: wrap the FULLTEXT ALTER in this.defer so it runs after the
deferred createTable (was silently swallowed, index never created)
- controller: add remedies:[] to the index() error fallback (required prop)
- strip fork-internal issue/spec references from ported comments
- tsconfig: exclude tests/standalone (node --experimental-strip-types only)
- correct the varchar(768) byte-math comment; extend remedy-spine test
* fix(drug-reference): make the interaction comparison readable at five drugs
The comparison view laid its columns out on an equal-fraction CSS grid
(repeat(N, minmax(0, 1fr))), so each added drug shrank every column; at the
five-drug maximum the FDA interaction text was squeezed into unreadable slivers.
Lay the columns out with flex instead: full-width and stacked on phones, then
fixed-width columns that scroll sideways from the sm: breakpoint up, so they
never shrink below a readable width. Theme the columns with the same palette as
the rest of the page (they were on stock gray), and give the headers a fixed
min-height so columns line up when drug names wrap.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
* feat(collections): route a 'dataset' tier resource to the drug pipeline
Add an optional `type` discriminator to SpecResource ('zim' | 'dataset',
absent == 'zim'), so the tier installer can carry a DB-ingested resource
alongside ZIM files. ZimService.downloadCategoryTier branches on it: a
'dataset' resource dispatches the existing FDA download+ingest pipeline
instead of RunDownloadJob, guarded against duplicate dispatch by the drug
ingest status. Every existing manifest entry has no `type` and keeps the
exact ZIM path.
Widen InstalledResource.resource_type to include 'dataset' and exclude
dataset rows from the ZIM/map catalog-update scan (datasets aren't
filename-versioned; their freshness path is separate). No dataset rows are
written yet: the InstalledResource 'dataset' row on ingest-ready, the
manifest entry, install-gating, and the downloads-aggregator integration
are follow-up commits.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
* feat(drug-reference): rework into an opt-in medicine-standard tier dataset
Reshapes the offline FDA drug reference from a built-in feature into curated
content installed by selecting the Medicine / Standard tier, per maintainer
direction.
- install-state: the ingest writes an installed_resources 'dataset' row on
ready (version = the openFDA export_date), threaded installer to download to
ingest; the tier-status math and the home-tile gate read it. Manual ingests
write no row, so install-state stays tied to the curated path.
- manifest: declare the dataset in the medicine-standard tier (runtime fetches
the remote manifest, so this also needs to land upstream).
- install-gating: the drug-reference home tiles render only when installed.
- uninstall: DrugReferenceService.uninstall() stops the two drug queues, deletes
the on-disk parts, truncates drug_labels (schema kept), clears the KV markers,
and drops the install row. Best-effort, logged, scoped to drug data only.
- downloads: the download phase reports the canonical {percent, downloadedBytes,
totalBytes} shape as one drug-data card in the Active Downloads aggregator with
cancel/remove; the heavy ingest stays in the IngestStatus surface with an
Indexing handoff on the card.
- auto-update: a daily DrugAutoUpdateJob compares the manifest export_date and
re-downloads when newer, gated on installed + no active job.
typecheck clean; the drug standalone suites pass. Three points are flagged in
code for the maintainer: the InstalledResource 'dataset' approach, the tier
home, and the export_date string format.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
* fix(downloads): keep the drug download card live across all parts
The Active Downloads card filtered to the deterministic jobId, but the
download's continuations run under auto-generated jobIds (only part 0 uses the
deterministic one). So the card tracked part 0 and then vanished while parts
2..N kept downloading. The queue is concurrency 1, so collapse to whichever
single part is in flight and report the deterministic jobId: one card tracks
aggregate progress through the whole download and cancel/remove still routes.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
* feat(drug-reference): co-locate a persistent safety note with affirmative remedy guidance
Add RemedySafetyNote at the head of every natural-remedy section — the two on
Drug Reference and the one on "When to use what" — so the "informational only,
not medical advice, seek real medical care in an emergency" framing appears with
the guidance itself, not only in the page-top banner. Replaces the terse
per-section caveat with the same amber alert language as SafetyBanner.
Addresses the upstream #1040 review request that the disclaimer be unmistakable
and present wherever affirmative self-care guidance appears, not a one-time banner.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
* fix(drug-reference): fold dataset freshness into the content-auto-update path
The drug dataset auto-updated on its own daily cron that ignored the
contentAutoUpdate.* master switch, so it would refresh even with content
auto-update turned off, and it didn't ride the content-update path the way
ZIMs and maps do.
Move the export_date freshness/apply orchestration onto
DrugReferenceService.attemptAutoUpdate(), add
ContentAutoUpdateService.attemptDrugDataset() gated on the same enabled +
window config, and have the hourly ContentAutoUpdateJob drive both. Retire
the standalone DrugAutoUpdateJob. The ZIM/map attempt() path is unchanged.
Addresses the upstream #1040 request to wire the openFDA export_date check
into the content updater so the dataset updates alongside ZIMs and maps.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
* feat(drug-reference): strengthen the remedy note to consult a clinician before combining with meds
Widen the affirmative-remedy safety note from "talk to a clinician before use"
to explicitly cover using a remedy AND combining one with a medication the user
already takes — the interaction case is the higher-risk path for an off-grid
user self-treating.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
* feat(drug-reference): gate affirmative remedy content behind an off-by-default flag
Add drugReference.remediesEnabled (default off), independent of the tier
install. When off, the server emits no remedy data at any boundary — the
drug-reference page prop, conditions show, and the /api/conditions/drugs
situation search — and the "Natural" filter is hidden, so installing the
medicine-standard tier lights up the verbatim FDA label search and the
condition-to-OTC matching but not the hand-authored self-care and herbal
sections. No user-facing toggle: it is flipped on after a clinician content-pass.
Implements the upstream #1040 split-by-risk request: the regulated label content
ships with the tier; the authored remedy guidance stays gated until sign-off.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
---------
Co-authored-by: Claude Opus 4.8 <noreply@anthropic.com>
Co-authored-by: Jake Turner <52841588+jakeaturner@users.noreply.github.com>
120 lines
5.8 KiB
TypeScript
120 lines
5.8 KiB
TypeScript
import { BaseSchema } from '@adonisjs/lucid/schema'
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/**
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* Drug Reference v1 — openFDA drug label catalog.
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*
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* ~259k rows of FDA drug labels (Rx + OTC), downloaded from the openFDA bulk
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* export and streamed into MySQL in 500-row batches. The idempotent upsert key
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* is `set_id` — a stable GUID for a labeling across all revisions. Re-running
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* the ingest refreshes existing rows in place; no manual purge needed.
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*
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* Section text columns use mediumtext (up to 16 MB) so no openFDA section is
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* truncated. The `searchable_name` varchar(768) is indexed (idx_drug_labels_searchable_name).
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* Under utf8mb4 that column is 768 × 4 = 3072 bytes, which is exactly the InnoDB
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* index-prefix limit for the DYNAMIC / COMPRESSED row formats (DYNAMIC is the
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* MySQL 8.0 default). It would overflow the 767-byte limit of the older
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* REDUNDANT / COMPACT row formats, so this depends on the 8.0 default row format.
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* If a deployment forces an older row format, drop the column to varchar(191)
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* (191 × 4 = 764 ≤ 767) to stay within the 767-byte budget.
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*
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* The FULLTEXT index is created in a guarded try/catch so a non-InnoDB engine
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* or an older MySQL version that doesn't support FULLTEXT doesn't break the
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* migration. The search service degrades gracefully to LIKE when FULLTEXT is
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* unavailable.
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*/
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export default class extends BaseSchema {
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protected tableName = 'drug_labels'
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async up() {
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this.schema.createTable(this.tableName, (table) => {
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table.bigIncrements('id').primary()
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// Idempotent upsert key. UNIQUE enforced in DB so re-ingest never dupes.
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table.string('set_id', 64).notNullable().unique('uniq_drug_labels_set_id')
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// Per-revision GUID for provenance (not the upsert key).
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table.string('spl_id', 64).nullable()
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table.string('version', 16).nullable()
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// Identity fields — sourced from openfda sub-object.
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table.string('brand_name', 255).nullable()
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table.string('generic_name', 512).nullable()
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table.string('manufacturer', 512).nullable()
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table.string('product_ndc', 255).nullable()
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table.string('route', 255).nullable()
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// OTC vs Rx discriminator. Expected: 'HUMAN OTC DRUG' | 'HUMAN PRESCRIPTION DRUG'.
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// Plain varchar — not a native enum — to allow future product type additions
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// without ALTER TABLE (stl_files convention).
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table.string('product_type', 32).nullable()
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// Normalized brand+generic blob — computed once at ingest, never on read.
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// 768 chars × 4 bytes (utf8mb4) = 3072 = the InnoDB DYNAMIC/COMPRESSED
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// index-prefix limit (see header note).
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table.string('searchable_name', 768).nullable()
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// Section text — mediumtext so even the longest FDA label bodies are stored
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// in full (indications/dosage/warnings can be multiple pages of text).
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table.specificType('indications', 'mediumtext').nullable()
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table.specificType('dosage', 'mediumtext').nullable()
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table.specificType('warnings', 'mediumtext').nullable()
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table.specificType('boxed_warning', 'mediumtext').nullable()
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table.specificType('drug_interactions', 'mediumtext').nullable()
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table.specificType('contraindications', 'mediumtext').nullable()
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// when_using / stop_use are OTC-specific and typically shorter.
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table.text('when_using').nullable()
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table.text('stop_use').nullable()
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// Label version date, parsed from effective_time (YYYYMMDD → 'YYYY-MM-DD').
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// Stored as a fixed-width varchar, not a DATE column, so it round-trips as a
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// plain string: the model declares it string|null, but mysql2 hands back a
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// JS Date for a DATE column. v1 never range-queries this field, and
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// 'YYYY-MM-DD' sorts chronologically as text.
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table.string('source_updated_at', 10).nullable()
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// Set on every upsert pass — tracks when this row was last refreshed.
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table.timestamp('ingested_at').notNullable()
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// ── Non-FULLTEXT indexes ────────────────────────────────────────────────
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// OTC vs Rx filter pill.
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table.index('product_type', 'idx_drug_labels_product_type')
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// LIKE fallback + alpha sort on the brand name column.
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table.index('brand_name', 'idx_drug_labels_brand')
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// LIKE fallback on the normalized search blob.
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table.index('searchable_name', 'idx_drug_labels_searchable_name')
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})
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// ── FULLTEXT index — guarded so a non-InnoDB engine doesn't block migration ──
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//
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// MySQL 8.0 InnoDB supports FULLTEXT natively (confirmed: repo uses mysql:8.0).
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// The guard ensures a future engine change or a fresh install on an engine
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// without FULLTEXT doesn't brick the migration runner — the search service
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// degrades to LIKE on a MATCH() failure, so an absent index is non-fatal.
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//
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// Only the name index ships in v1; search MATCHes searchable_name. A combined
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// name+indications index (search-by-what-it-treats) is deferred: FULLTEXT
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// can't take a prefix length, and indexing the full mediumtext body adds heavy
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// index weight v1 doesn't use.
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//
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// Deferred so it runs AFTER createTable executes — Lucid's schema builder
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// is deferred, so a bare ALTER here would hit a not-yet-created table. The
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// this.defer(db => …) pattern (see 1775100000001_create_custom_library_sources_table.ts)
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// queues it to run on the live connection once the table exists.
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this.defer(async (db) => {
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try {
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await db.rawQuery(
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`ALTER TABLE drug_labels ADD FULLTEXT INDEX ft_drug_labels_name (searchable_name)`
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)
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} catch {
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// Non-InnoDB or FULLTEXT unsupported — search falls back to LIKE.
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}
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})
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}
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async down() {
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this.schema.dropTable(this.tableName)
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}
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}
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