Grade one coverage line's five documentation items on two separated axes the
old code conflated: required_state (from plan_type + payer_rules.json) and
input_state (SUPPLIED | ABSENT). A line is "Clear to Ship" only when EVERY
required item is satisfied by positive evidence — a required item with no data
is NOT_EVALUATED and blocks green, never granted by absence of contradiction.
- plan_type never guessed: None / unmapped / casing-variant -> "Plan Type Needed",
structurally cannot be green; PECOS/PA sit NOT_EVALUATED while universal items
(SWO/visit/diagnosis per LCD L33822) still grade.
- Required-ness reads from payer_rules.json (single source of truth), removing
the latent Python-set-vs-JSON divergence.
- Config-surface fail-safe: a known plan missing/partial in config cannot grade
green (NOT_EVALUATED), and the green gate checks every item.
- Diagnosis accepts a real ICD-10 code as on-file; only explicit negatives gap.
Additive only: not wired into the live pipeline. 27 tests green (full suite 73),
code-auditor reviewed (H1/H2/M1/M2/M3/M4/L1 fixed).
PROVISIONAL, flagged for Pi/Kisa: gap->label mapping (At Risk/Action Needed/
On Track) and the visit-recency scope boundary (timing layer, not readiness).
Spec: docs/readiness-model-brief-2026-06-23.md section 4
Co-Authored-By: Claude Opus 4.8 (1M context) <noreply@anthropic.com>
Group normalized shipment rows into deduped shipments and gradeable
coverage lines (patient -> device -> shipment), the structural fix for the
row-keyed worklist bug (six months of orders no longer = six worklist lines).
- Locked dedup key (patient_id, device_type, date_of_service); order_number
is display-only. Monthly resupplies stay separate, not duplicates.
- Client-mapped plan_type carried through, never guessed from payer name;
conflicting plan types in a group route to "plan type needed".
- Quantity merge: sum across distinct component configs, max within a config
(duplicate guard) with a warning breadcrumb on disagreement.
- CGM gradeable this phase; pumps preserved/displayed but not graded.
Additive only: not yet wired into the live pipeline, grading unchanged.
30 tests green (full suite 46), code-auditor reviewed (M1/M2/L1/L2/L3 fixed).
Design: docs/dedup-design-2026-06-24.md, docs/readiness-model-brief-2026-06-23.md
Co-Authored-By: Claude Opus 4.8 (1M context) <noreply@anthropic.com>
- supabase_client.py: lazy singleton client (no-ops when env vars absent)
- persistence.py: persist_upload writes batch, source_files, normalized_records,
mapping_decisions, report_runs; persist_export records export_files
- schema.sql: 11-table schema with RLS + WORM rules for audit/raw tables
- main.py: wire persist_upload/persist_export; add ExportRequest body model
so export accepts {records, batch_id}; batch_id returned on upload response
- api.js: add exportFromBackend helper passing batch_id through
- requirements.txt: add supabase>=2.0.0
- smoke_test.py: update export call to new body format
Co-Authored-By: Claude Sonnet 4.6 <noreply@anthropic.com>
- lock CORS to Vercel domain via ALLOWED_ORIGINS env var (removes allow_origins=*)
- add X-API-Key header auth on /api/upload and /api/export
- normalizer: add mapping confidence (high/inferred), new aliases for Acct #,
Member ID, External Patient Ref, DME Description, dispensedate; 63/63 CSV files pass
- coverage_calculator: add RULE_VERSION = "v0.1", rule_version on every CoverageResult
- main.py: audit logging wired on upload + export, rule_version + mapping_summary in response
- generate_samples.py: 25 CSV files now use 25 different real-world header formats
- add generate_10k.py for 10,000-patient synthetic dataset
- add tests/smoke_test.py (passes against local backend)
- add docs/pilot-guide-v1.md for Robert Robinson pilot onboarding
- add docs/daniel-pilot-readiness-whitepaper.md and .pdf
Co-Authored-By: Claude Sonnet 4.6 <noreply@anthropic.com>
