Enumerations

Ten enumerations are persisted, alongside the sixteen entities. Each is defined in apps/api/prisma/schema.prisma and mirrored in packages/shared/src/enums.ts, which is what the web app is allowed to know about them.

Every value below is reproduced from the schema. The meanings are the ones the code enforces, not expansions of the names.

Role

Which kind of account this is. Assigned at registration, never changed afterwards.

Value	Meaning
PATIENT	Books and attends consultations; reads their own record.
DOCTOR	Applies for approval; runs consultations; writes notes and prescriptions.
ADMIN	Pre-provisioned. Reviews doctors, moderates accounts, reads the audit log.

AccountStatus

Whether the account may be used at all. Checked by the authentication guard on every request, which is why suspending an account takes effect immediately rather than when its token expires.

Value	Meaning
ACTIVE	The account works normally.
SUSPENDED	Sign-in refused with a message naming the administrator. Reversible.
DEACTIVATED	Sign-in refused. The terminal state of the three.

ApprovalState

A doctor's standing in the directory. Patients and administrators do not have one.

Value	Meaning
PENDING	Registered, awaiting review. Not listed, not bookable.
APPROVED	Listed publicly and bookable.
REJECTED	Not listed. rejectionReason tells the doctor why.

AppointmentState

The stored lifecycle of an appointment.

Value	Meaning
SCHEDULED	Booked and upcoming, or in progress.
COMPLETED	The consultation finished.
CANCELLED	Cancelled by a participant or an administrator.

MISSED is deliberately absent. An appointment whose join window closed without completion is derived at read time, not written — nothing has to sweep the table on a schedule, and there is no stored flag that can disagree with the clock.

SessionState

The consultation's own lifecycle, tracked on ConsultationSession separately from the appointment's state.

Value	Meaning
SCHEDULED	The window is not open yet.
JOINED	One participant has arrived.
IN_PROGRESS	Both have arrived.
COMPLETED	The doctor completed it.

CancelledBy

Who cancelled. Recorded with the reason so the other party can be told.

Value	Meaning
PATIENT	The patient cancelled.
DOCTOR	The doctor cancelled.
ADMIN	An administrator intervened.

Specialization

The application-defined list of specialties. A doctor chooses from it rather than naming their own, and an administrator can correct it after approval; there is no route that lets a doctor invent a value.

Value	Display label
GENERAL_PRACTICE	General Practice
CARDIOLOGY	Cardiology
DERMATOLOGY	Dermatology
PEDIATRICS	Pediatrics
PSYCHIATRY	Psychiatry
ORTHOPEDICS	Orthopedics
NEUROLOGY	Neurology
GASTROENTEROLOGY	Gastroenterology
OBSTETRICS_GYNECOLOGY	Obstetrics & Gynecology
ENDOCRINOLOGY	Endocrinology
OPHTHALMOLOGY	Ophthalmology
PULMONOLOGY	Pulmonology
ENT	Ear, Nose & Throat

This is also the enumeration the matching rules score against: a SymptomRule maps a symptom to one of these values with a weight.

MedicalHistoryKind

What kind of self-reported history entry this is. The four kinds are what the consultation workspace groups the patient's context into.

Value	Meaning
ALLERGY	Something the patient reacts to.
MEDICATION	Something the patient currently takes.
CONDITION	An ongoing diagnosis.
NOTE	Anything else the patient wants a doctor to know.

NotificationType

What a notification is about. Notifications are stored rows, not computed messages, so this enumeration describes the events the system actually raises.

Value	Meaning
APPOINTMENT_BOOKED	A new booking, to the other party.
APPOINTMENT_RESCHEDULED	An appointment moved.
APPOINTMENT_CANCELLED	An appointment cancelled, either side.
APPOINTMENT_REMINDER	An upcoming appointment.
RECORDS_AVAILABLE	A note and its prescriptions are readable.
DOCTOR_APPROVED	An application was approved.
DOCTOR_REJECTED	An application was rejected, with the reason.
ACCOUNT_STATUS_CHANGED	An administrator changed the account's status.

AuditAction

The administrator and generation actions the audit log records. See admin for which operations write one and which deliberately do not.

Value	Meaning
ACCOUNT_ACTIVATED	An account was activated.
ACCOUNT_SUSPENDED	An account was suspended, with a reason.
ACCOUNT_DEACTIVATED	An account was deactivated, with a reason.
DOCTOR_APPROVED	A doctor application was approved.
DOCTOR_REJECTED	A doctor application was rejected, with a reason.
DOCTOR_SPECIALIZATION_UPDATED	An administrator corrected a doctor's specialties.
APPOINTMENT_CANCELLED	An administrator cancelled an appointment.
NOTE_DRAFT_GENERATED	A note draft was generated by the model.
RECORD_SUMMARY_GENERATED	A record summary was generated by the model.

One enumeration is not persisted

Severity — MILD, MODERATE, SEVERE — exists in packages/shared/src/enums.ts and has no Prisma counterpart. It is an input to matching, carried on the intake request, and it is not stored: the match result is returned to the caller rather than kept. It is listed here so that a reader who finds it in the shared enums file knows why the schema does not have it.