# API Reference

Working endpoint reference for the main PedAI flows. It covers the clinical, auth, Learning Hub, user data, and admin surfaces most commonly used by the frontend, but the source of truth is still `server.js` plus `src/routes/*.js`. Unless noted otherwise, authenticated endpoints require a valid web cookie or `Authorization: Bearer <token>` header.

---

## Table of Contents

- [Authentication](#authentication)
- [OIDC / SSO](#oidc--sso)
- [AI Generation](#ai-generation)
- [Transcription](#transcription)
- [Text-to-Speech](#text-to-speech)
- [Models](#models)
- [Encounters](#encounters)
- [Memories](#memories)
- [Audio Backups](#audio-backups)
- [Documents](#documents)
- [User Preferences](#user-preferences)
- [Phone Extensions And Pagers](#phone-extensions-and-pagers)
- [Nextcloud Integration](#nextcloud-integration)
- [Learning Hub (Public)](#learning-hub-public)
- [Learning Hub CMS (Moderator+)](#learning-hub-cms-moderator)
- [Admin - Users](#admin---users)
- [Admin - Configuration](#admin---configuration)
- [Logs](#logs)
- [Milestones (Admin)](#milestones-admin)
- [Health](#health)
- [Metrics](#metrics)

---

## Authentication

Base path: `/api/auth/`

### POST /api/auth/register

Register a new user account. The first user to register is automatically assigned the admin role. Turnstile is required only when `TURNSTILE_SECRET_KEY` is configured. If SMTP is configured, the response asks the user to verify email; without SMTP, the account is auto-verified and logged in.

- **Auth required:** No
- **Request body:**
  ```json
  {
    "name": "string",
    "email": "string",
    "password": "string",
    "turnstileToken": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "needsVerification": true,
    "message": "Check your email for verification link."
  }
  ```

---

### GET /api/auth/verify-email

Verify a user's email address via the link sent during registration.

- **Auth required:** No
- **Query parameters:**
  | Parameter | Type   | Description                          |
  |-----------|--------|--------------------------------------|
  | `token`   | string | Email verification token from the link |
- **Response:** HTML status page for success or expired/invalid token.

---

### POST /api/auth/resend-verification

Resend the email verification link.

- **Auth required:** No
- **Request body:**
  ```json
  {
    "email": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "message": "Verification email sent."
  }
  ```

---

### POST /api/auth/login

Authenticate a user. Supports optional TOTP two-factor authentication. On success, sets an HTTP-only JWT cookie and returns user data.

- **Auth required:** No
- **Request body:**
  ```json
  {
    "email": "string",
    "password": "string",
    "totpCode": "string (optional, required if 2FA is enabled)",
    "turnstileToken": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "token": "jwt-string",
    "sessionId": "string",
    "user": {
      "id": "number",
      "name": "string",
      "email": "string",
      "role": "admin | moderator | user",
      "totp_enabled": "boolean",
      "email_verified": "boolean"
    }
  }
  ```
  If 2FA is enabled but `totpCode` is not provided:
  ```json
  {
    "requires2FA": true
  }
  ```

---

### POST /api/auth/setup-2fa

Generate a TOTP secret and QR code for setting up two-factor authentication.

- **Auth required:** Yes
- **Request body:** None
- **Response:**
  ```json
  {
    "success": true,
    "secret": "string",
    "qrCode": "string (data URI)"
  }
  ```

---

### POST /api/auth/verify-2fa

Verify a TOTP code and enable two-factor authentication for the user.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "code": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "backupCodes": ["string"]
  }
  ```

---

### POST /api/auth/disable-2fa

Disable two-factor authentication. Requires password confirmation.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "password": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### POST /api/auth/forgot-password

Initiate password reset. Sends a reset link to the user's email.

- **Auth required:** No
- **Request body:**
  ```json
  {
    "email": "string",
    "turnstileToken": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "message": "If account exists, reset email sent"
  }
  ```

---

### POST /api/auth/reset-password

Reset the user's password using a valid reset token.

- **Auth required:** No
- **Request body:**
  ```json
  {
    "token": "string",
    "newPassword": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "passwordWarning": "string (optional)"
  }
  ```

---

### POST /api/auth/logout

Log out the current user by deleting the current session row when a token is present and clearing the auth cookie.

- **Auth required:** No
- **Request body:** None
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### GET /api/auth/me

Retrieve the currently authenticated user's profile.

- **Auth required:** Yes
- **Response:**
  ```json
  {
    "user": {
      "id": "number",
      "name": "string",
      "email": "string",
      "role": "admin | moderator | user",
      "totp_enabled": "boolean",
      "email_verified": "boolean",
      "canLocalAuth": "boolean"
    }
  }
  ```

---

### GET /api/auth/registration-status

Check whether new user registration is enabled on this instance.

- **Auth required:** No
- **Response:**
  ```json
  {
    "registrationEnabled": true
  }
  ```

---

## OIDC / SSO

Base path: `/api/auth/`

### GET /api/auth/oidc-status

Check whether OIDC single sign-on is configured and enabled.

- **Auth required:** No
- **Response:**
  ```json
  {
    "oidcEnabled": true,
    "disableLocalAuth": false,
    "buttonLabel": "Sign in with SSO"
  }
  ```

---

### GET /api/auth/oidc

Initiates the OIDC login flow. Redirects the user to the configured identity provider.

- **Auth required:** No
- **Response:** HTTP 302 redirect to the IdP authorization endpoint.

---

### GET /api/auth/oidc/callback

Handles the callback from the identity provider after authentication. Processes the authorization code and creates/logs in the user.

- **Auth required:** No
- **Query parameters:** Standard OIDC callback parameters (`code`, `state`).
- **Response:** Redirects to the application with a session cookie set.

---

## AI Generation

All generation endpoints require authentication and stream or return AI-generated clinical text. Each accepts a `model` parameter to select the LLM.

### POST /api/generate-hpi-encounter

Generate a History of Present Illness note from a patient encounter transcript.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "transcript": "string",
    "patientAge": "string",
    "patientGender": "string",
    "model": "string",
    "setting": "string",
    "physicianMemories": "string (optional)"
  }
  ```
- **Response:** JSON with `success`, generated `hpi`, and resolved `model`.

---

### POST /api/generate-hpi-dictation

Generate an HPI note from a physician's dictated summary (same parameters as encounter).

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "transcript": "string",
    "patientAge": "string",
    "patientGender": "string",
    "model": "string",
    "setting": "string",
    "physicianMemories": "string (optional)"
  }
  ```
- **Response:** JSON with `success`, generated `hpi`, and resolved `model`.

---

### POST /api/generate-soap

Generate a SOAP note from a patient encounter transcript.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "transcript": "string",
    "patientAge": "string",
    "patientGender": "string",
    "model": "string",
    "type": "string",
    "additionalInstructions": "string (optional)",
    "physicianMemories": "string (optional)"
  }
  ```
- **Response:** JSON with `success`, generated `soap`, and resolved `model`.

---

### POST /api/generate-chart-review

Generate a chart review summary from clinical notes.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "notes": "string",
    "visitType": "string",
    "model": "string"
  }
  ```
- **Response:** JSON with `success`, generated chart review content, and resolved `model`.

---

### POST /api/generate-hospital-course

Generate a hospital course summary from clinical notes.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "notes": "string",
    "patientAge": "string",
    "patientGender": "string",
    "model": "string",
    "format": "string",
    "physicianMemories": "string (optional)"
  }
  ```
- **Response:** JSON with `success`, generated summary, and resolved `model`.

---

### POST /api/well-visit/shadess

Generate a SHADESS (Strengths, Home, Activities, Drugs, Emotions, Sexuality, Safety) assessment from well-visit responses.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "responses": "object",
    "patientAge": "string",
    "model": "string"
  }
  ```
- **Response:** JSON with `success`, generated assessment, and resolved `model`.

---

### POST /api/sick-visit/note

Generate a sick visit note from chief complaint, transcript/dictation, ROS/PE, and diagnosis context.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "chiefComplaint": "string",
    "transcript": "string (optional)",
    "dictation": "string (optional)",
    "patientAge": "string",
    "patientGender": "string",
    "model": "string",
    "ros": "string (optional)",
    "physicalExam": "string (optional)",
    "diagnoses": "string (optional)",
    "physicianMemories": "string (optional)"
  }
  ```
- **Response:** JSON with `success`, generated note, and resolved `model`.

---

### POST /api/patient-education

Generate a parent-facing education handout from an existing clinician note. The frontend exposes this as the Handout action beside generated notes.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "noteText": "string",
    "diagnosis": "string (optional)",
    "medications": "string (optional)",
    "patientAge": "string (optional)",
    "language": "string (optional, defaults to English)",
    "readingLevel": "string (optional)",
    "model": "string (optional)"
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "handout": "plain-text parent handout",
    "model": "string"
  }
  ```

---

### POST /api/generate-milestone-narrative

Generate a developmental milestone narrative from milestone data.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "milestones": "object | array",
    "patientAge": "string",
    "patientGender": "string",
    "model": "string"
  }
  ```
- **Response:** JSON with `success`, generated narrative, and resolved `model`.

---

### POST /api/generate-milestone-summary

Generate a concise summary from a previously generated milestone narrative.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "narrative": "string",
    "model": "string"
  }
  ```
- **Response:** JSON with `success`, generated summary, and resolved `model`.

---

### POST /api/refine

Refine existing clinical text according to provided instructions.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "currentDocument": "string",
    "instructions": "string",
    "sourceContext": "string (optional)",
    "model": "string"
  }
  ```
- **Response:** JSON with `success`, refined text, and resolved `model`.

---

### POST /api/shorten

Shorten a block of clinical text while preserving key information.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "document": "string",
    "model": "string"
  }
  ```
- **Response:** JSON with `success`, shortened text, and resolved `model`.

---

### POST /api/clarify

Improve clarity and readability of clinical text.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "document": "string",
    "context": "string (optional)",
    "model": "string"
  }
  ```
- **Response:** JSON with `success`, clarified text, and resolved `model`.

---

## Transcription

### GET /api/transcribe/status

Check whether speech-to-text transcription is available and which provider is configured.

- **Auth required:** Yes
- **Response:**
  ```json
  {
    "available": true,
    "provider": "litellm | none"
  }
  ```

---

### POST /api/transcribe

Transcribe an audio file to text. Accepts multipart form data with the audio file.

- **Auth required:** Yes
- **Content-Type:** `multipart/form-data`
- **File size limit:** 25 MB
- **Form fields:**
  | Field   | Type | Description        |
  |---------|------|--------------------|
  | `audio` | file | Audio file to transcribe |
- **Response:**
  ```json
  {
    "success": true,
    "text": "string",
    "provider": "string",
    "duration": "number (seconds)"
  }
  ```

---

## Text-to-Speech

### POST /api/text-to-speech

Convert text to speech. Returns an audio stream.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "text": "string",
    "voice": "string (optional)"
  }
  ```
- **Response:** Audio stream (`audio/mpeg`).
- **Response headers:**
  | Header           | Description                        |
  |------------------|------------------------------------|
  | `X-TTS-Provider` | The TTS provider used for synthesis |

---

## Models

### GET /api/models

List available AI models for the current instance.

- **Auth required:** Yes
- **Response:**
  ```json
  {
    "provider": "string",
    "models": [
      {
        "id": "string",
        "name": "string",
        "cost": "string",
        "category": "string"
      }
    ],
    "defaultModel": "string"
  }
  ```

---

## Encounters

### GET /api/encounters/saved

List active, unexpired saved encounters for the authenticated user.

- **Auth required:** Yes
- **Response:**
  ```json
  {
    "success": true,
    "encounters": [
      {
        "id": "number",
        "label": "string",
        "enc_type": "string",
        "status": "string",
        "created_at": "string (ISO 8601)",
        "updated_at": "string (ISO 8601)",
        "expires_at": "string (ISO 8601)",
        "transcript_preview": "string",
        "note_preview": "string"
      }
    ]
  }
  ```

---

### GET /api/encounters/saved/:id

Retrieve a single saved encounter with full data.

- **Auth required:** Yes
- **Path parameters:**
  | Parameter | Type   | Description     |
  |-----------|--------|-----------------|
  | `id`      | number | Encounter ID    |
- **Response:**
  ```json
  {
    "success": true,
    "encounter": {
      "id": "number",
      "label": "string",
      "enc_type": "string",
      "transcript": "string",
      "generated_note": "string",
      "partial_data": "stringified JSON",
      "created_at": "string (ISO 8601)",
      "updated_at": "string (ISO 8601)"
    }
  }
  ```

---

### POST /api/encounters/saved

Create or update a saved encounter. Uses `idempotency_key` to prevent duplicates on create and `expected_version` for optimistic locking on updates.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "id": "number (optional, update existing encounter)",
    "label": "string",
    "enc_type": "string",
    "transcript": "string",
    "generated_note": "string",
    "partial_data": "object (optional)",
    "status": "string (optional)",
    "idempotency_key": "string (optional)",
    "expected_version": "number (optional, update only)"
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "id": "number",
    "version": "number (updates only)"
  }
  ```

---

### DELETE /api/encounters/saved/:id

Delete a saved encounter.

- **Auth required:** Yes
- **Path parameters:**
  | Parameter | Type   | Description     |
  |-----------|--------|-----------------|
  | `id`      | number | Encounter ID    |
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

## Memories

Physician memories are encrypted user templates and prompt preferences. Only AI-context categories are injected into generation prompts; `custom` and legacy `correction_*` rows are excluded from `/api/memories/context`.

### GET /api/memories

List all memories for the authenticated user. Returns up to 200 entries.

- **Auth required:** Yes
- **Response:**
  ```json
  {
    "success": true,
    "memories": [
      {
        "id": "number",
        "category": "string",
        "name": "string",
        "content": "string",
        "created_at": "string (ISO 8601)",
        "updated_at": "string (ISO 8601)"
      }
    ]
  }
  ```

---

### POST /api/memories

Create a new memory.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "category": "string",
    "name": "string",
    "content": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "id": "number",
    "originalSize": "number",
    "compressedSize": "number"
  }
  ```

---

### PUT /api/memories/:id

Update an existing memory.

- **Auth required:** Yes
- **Path parameters:**
  | Parameter | Type   | Description |
  |-----------|--------|-------------|
  | `id`      | number | Memory ID   |
- **Request body:**
  ```json
  {
    "category": "string",
    "name": "string",
    "content": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### DELETE /api/memories/:id

Delete a memory.

- **Auth required:** Yes
- **Path parameters:**
  | Parameter | Type   | Description |
  |-----------|--------|-------------|
  | `id`      | number | Memory ID   |
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### GET /api/memories/context

Retrieve AI-context template/preference rows formatted for injection into AI
generation prompts. `custom` rows and legacy `correction_*` rows are excluded.

- **Auth required:** Yes
- **Response:**
  ```json
  {
      "success": true,
      "context": "string"
  }
  ```

---

## Audio Backups

Temporary encrypted audio backup storage with automatic 24-hour expiry.

### POST /api/audio-backups

Upload an audio backup. The file is gzip-compressed and encrypted on the server.

- **Auth required:** Yes
- **Content-Type:** `multipart/form-data`
- **Form fields:**
  | Field   | Type | Description            |
  |---------|------|------------------------|
  | `audio` | file | Audio file to back up  |
- **Response:**
  ```json
  {
    "success": true,
    "id": "number"
  }
  ```

---

### GET /api/audio-backups

List unexpired audio backups for the authenticated user.

- **Auth required:** Yes
- **Response:**
  ```json
  {
    "success": true,
    "backups": [
      {
        "id": "number",
        "module": "string",
        "mime_type": "string",
        "size_bytes": "number",
        "compressed_bytes": "number",
        "created_at": "string (ISO 8601)",
        "expires_at": "string (ISO 8601)"
      }
    ]
  }
  ```

---

### GET /api/audio-backups/:id/audio

Download a decompressed audio backup.

- **Auth required:** Yes
- **Path parameters:**
  | Parameter | Type   | Description       |
  |-----------|--------|-------------------|
  | `id`      | number | Audio backup ID   |
- **Response:** Binary audio stream with appropriate content-type header.

---

### DELETE /api/audio-backups/:id

Delete an audio backup.

- **Auth required:** Yes
- **Path parameters:**
  | Parameter | Type   | Description       |
  |-----------|--------|-------------------|
  | `id`      | number | Audio backup ID   |
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

## Documents

S3-backed document storage for clinical files.

### GET /api/documents

List all documents for the authenticated user.

- **Auth required:** Yes
- **Response:**
  ```json
  {
    "success": true,
    "s3_configured": true,
    "documents": [
      {
        "id": "number",
        "filename": "string",
        "mime_type": "string",
        "size_bytes": "number",
        "description": "string",
        "created_at": "string (ISO 8601)"
      }
    ]
  }
  ```

---

### POST /api/documents/upload

Upload a document to S3 storage.

- **Auth required:** Yes
- **Content-Type:** `multipart/form-data`
- **File size limit:** 10 MB
- **Allowed types:** PDF, images (JPEG, PNG, GIF), Word documents (.doc, .docx), plain text (.txt), CSV (.csv)
- **Form fields:**
  | Field  | Type | Description         |
  |--------|------|---------------------|
  | `file` | file | Document to upload  |
- **Response:**
  ```json
  {
    "success": true,
    "id": "number",
    "filename": "string"
  }
  ```

---

### GET /api/documents/:id/download

Download a document.

- **Auth required:** Yes
- **Path parameters:**
  | Parameter | Type   | Description   |
  |-----------|--------|---------------|
  | `id`      | number | Document ID   |
- **Response:** JSON containing a short-lived pre-signed download URL.
  ```json
  {
    "success": true,
    "url": "string"
  }
  ```

---

### DELETE /api/documents/:id

Delete a document from S3 storage.

- **Auth required:** Yes
- **Path parameters:**
  | Parameter | Type   | Description   |
  |-----------|--------|---------------|
  | `id`      | number | Document ID   |
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

## User Preferences

### GET /api/user/preferences

Get the authenticated user's preferences.

- **Auth required:** Yes
- **Response:**
  ```json
  {
    "success": true,
    "stt_model": "string",
    "tts_voice": "string"
  }
  ```

---

### POST /api/user/preferences

Save user preferences.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "stt_model": "string",
    "tts_voice": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### GET /api/user/preferences/options

List available STT models and TTS voices that the user can choose from.

- **Auth required:** Yes
- **Response:**
  ```json
  {
    "success": true,
    "sttModels": [
      { "value": "string", "label": "string" }
    ],
    "ttsVoices": [
      { "value": "string", "label": "string" }
    ],
    "sttProvider": "string",
    "ttsProvider": "string"
  }
  ```

---

### POST /api/user/webdav-path

Save the user's preferred WebDAV learning content path.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "path": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

## Phone Extensions And Pagers

Base path: `/api/extensions`. All endpoints require authentication and operate on the current user's personal directory.

Portable import/export fields are `location`, `name`, `number`, `type`, and `notes`. Exports intentionally omit database IDs and user IDs. `type` is either `extension` or `pager`.

### GET /api/extensions

List active or trashed phone directory entries.

- **Auth required:** Yes
- **Query parameters:**
  | Parameter | Type | Description |
  |-----------|------|-------------|
  | `trash` | string | `1` or `true` returns trashed entries instead of active entries. |
  | `q` | string | Case-insensitive search over location, name, number, and notes. |
- **Response:**
  ```json
  {
    "success": true,
    "items": [
      {
        "id": 1,
        "location": "ED",
        "name": "Charge Nurse",
        "number": "1234",
        "type": "extension",
        "notes": "Nights",
        "trashed_at": null,
        "created_at": "2026-05-08T00:00:00.000Z",
        "updated_at": "2026-05-08T00:00:00.000Z"
      }
    ]
  }
  ```

---

### POST /api/extensions

Create a phone extension or pager entry.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "location": "ED",
    "name": "Charge Nurse",
    "number": "1234",
    "type": "extension",
    "notes": "Optional note"
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "id": 1
  }
  ```

---

### PUT /api/extensions/:id

Update an existing entry owned by the current user.

- **Auth required:** Yes
- **Path parameters:**
  | Parameter | Type | Description |
  |-----------|------|-------------|
  | `id` | number | Entry ID. |
- **Request body:** Same fields as `POST /api/extensions`.
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### DELETE /api/extensions/:id

Move an active entry to trash. This is a soft delete.

- **Auth required:** Yes
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### POST /api/extensions/:id/restore

Restore a trashed entry.

- **Auth required:** Yes
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### DELETE /api/extensions/:id/purge

Permanently delete a trashed entry.

- **Auth required:** Yes
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### GET /api/extensions/export

Export active entries as `pedscribe-extensions.zip`. The ZIP contains `pedscribe-extensions.json`.

- **Auth required:** Yes
- **Response headers:**
  | Header | Description |
  |--------|-------------|
  | `Content-Type` | `application/zip` |
  | `Content-Disposition` | Attachment filename. |
  | `X-Export-Count` | Number of exported active entries. |
- **JSON file shape inside ZIP:**
  ```json
  {
    "format": "pedscribe-phone-directory",
    "version": 1,
    "exported_at": "2026-05-08T00:00:00.000Z",
    "items": [
      {
        "location": "ED",
        "name": "Charge Nurse",
        "number": "1234",
        "type": "extension",
        "notes": "Optional note"
      }
    ]
  }
  ```

---

### POST /api/extensions/import

Import entries from a JSON request body. Exact active duplicates are skipped. Exact trashed matches can be restored when requested. Possible duplicates are identified by loose matching (`location + number` or `number + type`) and skipped unless explicitly imported.

- **Auth required:** Yes
- **Request body:** Export payload object, an array of entry objects, or an object with `items` and `options`.
  ```json
  {
    "items": [
      {
        "location": "ED",
        "name": "Charge Nurse",
        "number": "1234",
        "type": "extension",
        "notes": "Optional note"
      }
    ],
    "options": {
      "restoreTrashed": true,
      "importPossibleDuplicates": false
    }
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "imported": 2,
    "restored": 1,
    "skipped": 1,
    "possibleSkipped": 1,
    "total": 3
  }
  ```

---

### POST /api/extensions/import/preview

Preview a JSON import before committing it. The preview categorizes entries as new, exact active duplicates, exact trashed matches, or possible duplicates.

- **Auth required:** Yes
- **Request body:** Same JSON shapes accepted by `POST /api/extensions/import`.
- **Response:**
  ```json
  {
    "success": true,
    "preview": {
      "summary": {
        "total": 3,
        "new": 1,
        "exactActive": 1,
        "exactTrashed": 0,
        "possible": 1
      },
      "entries": []
    }
  }
  ```

---

### POST /api/extensions/import-file

Import entries from a multipart file upload. Accepts a PedScribe JSON export or a ZIP export containing JSON. Form fields `restoreTrashed=true` and `importPossibleDuplicates=true` control the same duplicate handling options as JSON import.

- **Auth required:** Yes
- **Request body:** `multipart/form-data` with field `file`.
- **Limits:** Maximum upload size is 1 MB. At most 1000 valid entries are processed.
- **Response:** Same as `POST /api/extensions/import`.

---

### POST /api/extensions/import-file/preview

Preview a multipart JSON or ZIP import before committing it.

- **Auth required:** Yes
- **Request body:** `multipart/form-data` with field `file`.
- **Response:** Same preview shape as `POST /api/extensions/import/preview`.

---

## Nextcloud Integration

### POST /api/nextcloud/connect

Connect the user's account to a Nextcloud instance via WebDAV.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "url": "string",
    "username": "string",
    "password": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "message": "Connected to Nextcloud."
  }
  ```

---

### POST /api/nextcloud/export

Export text content to the connected Nextcloud instance.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "text": "string",
    "title": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "path": "string"
  }
  ```

---

### POST /api/nextcloud/disconnect

Disconnect the user's Nextcloud integration.

- **Auth required:** Yes
- **Request body:** None
- **Response:**
  ```json
  {
    "success": true,
    "message": "Disconnected from Nextcloud."
  }
  ```

---

## Learning Hub (Public)

Public-facing learning content endpoints. Authentication is required to track progress and submit quizzes.

### GET /api/learning/categories

List all learning content categories.

- **Auth required:** Yes
- **Response:**
  ```json
  [
    {
      "id": "number",
      "name": "string",
      "slug": "string",
      "description": "string"
    }
  ]
  ```

---

### GET /api/learning/feed

Get a paginated feed of learning content.

- **Auth required:** Yes
- **Query parameters:**
  | Parameter | Type   | Default | Description           |
  |-----------|--------|---------|-----------------------|
  | `limit`   | number | 20      | Items per page        |
  | `offset`  | number | 0       | Pagination offset     |
- **Response:**
  ```json
  [
    {
      "id": "number",
      "title": "string",
      "slug": "string",
      "summary": "string",
      "category": "string",
      "created_at": "string (ISO 8601)"
    }
  ]
  ```

---

### GET /api/learning/category/:slug

Get all learning content within a specific category.

- **Auth required:** Yes
- **Path parameters:**
  | Parameter | Type   | Description    |
  |-----------|--------|----------------|
  | `slug`    | string | Category slug  |
- **Response:** Array of content items in the category.

---

### GET /api/learning/content/:slug

Get a single piece of learning content, including quiz questions, answer options, and the user's progress.

- **Auth required:** Yes
- **Path parameters:**
  | Parameter | Type   | Description   |
  |-----------|--------|---------------|
  | `slug`    | string | Content slug  |
- **Response:**
  ```json
  {
    "id": "number",
    "title": "string",
    "slug": "string",
    "body": "string (markdown)",
    "category": "object",
    "questions": [
      {
        "id": "number",
        "text": "string",
        "options": [
          {
            "id": "number",
            "text": "string"
          }
        ]
      }
    ],
    "progress": {
      "completed": "boolean",
      "score": "number | null"
    }
  }
  ```

---

### GET /api/learning/content/:slug/slides

Render Marp-formatted markdown content as HTML presentation slides.

- **Auth required:** Yes
- **Path parameters:**
  | Parameter | Type   | Description   |
  |-----------|--------|---------------|
  | `slug`    | string | Content slug  |
- **Response:** HTML presentation content.

---

### POST /api/learning/submit-quiz

Submit quiz answers for a piece of learning content.

- **Auth required:** Yes
- **Request body:**
  ```json
  {
    "contentId": "number",
    "answers": [
      {
        "questionId": "number",
        "optionIds": ["number"]
      }
    ]
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "score": "number",
    "total": "number",
    "results": [
      {
        "questionId": "number",
        "correct": "boolean"
      }
    ]
  }
  ```

---

### GET /api/learning/search

Keyword-based search across learning content.

- **Auth required:** Yes
- **Query parameters:**
  | Parameter | Type   | Description     |
  |-----------|--------|-----------------|
  | `q`       | string | Search query    |
- **Response:** Array of matching content items.

---

### GET /api/learning/search/semantic

Semantic (vector-based) search across learning content using embeddings.

- **Auth required:** Yes
- **Query parameters:**
  | Parameter | Type   | Description     |
  |-----------|--------|-----------------|
  | `q`       | string | Search query    |
- **Response:** Array of matching content items ranked by semantic similarity.

---

### GET /api/learning/search/hybrid

Combined keyword and semantic search for best-of-both-worlds results.

- **Auth required:** Yes
- **Query parameters:**
  | Parameter | Type   | Description     |
  |-----------|--------|-----------------|
  | `q`       | string | Search query    |
- **Response:** Array of matching content items with combined ranking.

---

## Learning Hub CMS (Moderator+)

Content management endpoints for learning content. Requires moderator or admin role.

### GET /api/admin/learning/categories

List all learning categories (admin view).

- **Auth required:** Yes (moderator+)
- **Response:** Array of category objects.

---

### POST /api/admin/learning/categories

Create a new learning category.

- **Auth required:** Yes (moderator+)
- **Request body:**
  ```json
  {
    "name": "string",
    "slug": "string",
    "description": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "id": "number"
  }
  ```

---

### PUT /api/admin/learning/categories/:id

Update a learning category.

- **Auth required:** Yes (moderator+)
- **Path parameters:**
  | Parameter | Type   | Description   |
  |-----------|--------|---------------|
  | `id`      | number | Category ID   |
- **Request body:**
  ```json
  {
    "name": "string",
    "slug": "string",
    "description": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### DELETE /api/admin/learning/categories/:id

Delete a learning category.

- **Auth required:** Yes (moderator+)
- **Path parameters:**
  | Parameter | Type   | Description   |
  |-----------|--------|---------------|
  | `id`      | number | Category ID   |
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### GET /api/admin/learning/content

List all learning content (admin view, includes unpublished).

- **Auth required:** Yes (moderator+)
- **Response:** Array of content objects.

---

### POST /api/admin/learning/content

Create new learning content.

- **Auth required:** Yes (moderator+)
- **Request body:**
  ```json
  {
    "title": "string",
    "slug": "string",
    "body": "string (markdown)",
    "categoryId": "number",
    "questions": "array (optional)"
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "id": "number"
  }
  ```

---

### GET /api/admin/learning/content/:id

Get a single content item for editing.

- **Auth required:** Yes (moderator+)
- **Path parameters:**
  | Parameter | Type   | Description  |
  |-----------|--------|--------------|
  | `id`      | number | Content ID   |
- **Response:** Full content object with questions and metadata.

---

### PUT /api/admin/learning/content/:id

Update existing learning content.

- **Auth required:** Yes (moderator+)
- **Path parameters:**
  | Parameter | Type   | Description  |
  |-----------|--------|--------------|
  | `id`      | number | Content ID   |
- **Request body:**
  ```json
  {
    "title": "string",
    "slug": "string",
    "body": "string (markdown)",
    "categoryId": "number",
    "questions": "array (optional)"
  }
  ```
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### DELETE /api/admin/learning/content/:id

Delete learning content.

- **Auth required:** Yes (moderator+)
- **Path parameters:**
  | Parameter | Type   | Description  |
  |-----------|--------|--------------|
  | `id`      | number | Content ID   |
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### POST /api/admin/learning/ai-generate

Generate learning content or presentations using AI. Accepts either multipart form data (with file uploads) or JSON.

- **Auth required:** Yes (moderator+)
- **Content-Type:** `multipart/form-data` or `application/json`
- **Request body (JSON):**
  ```json
  {
    "topic": "string",
    "type": "article | presentation",
    "model": "string"
  }
  ```
- **Request body (multipart):** Same fields plus uploaded reference files.
- **Response:**
  ```json
  {
    "success": true,
    "content": "string (markdown)"
  }
  ```

---

### POST /api/admin/learning/ai-refine

Refine learning content body text using AI.

- **Auth required:** Yes (moderator+)
- **Request body:**
  ```json
  {
    "body": "string",
    "instructions": "string",
    "model": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "content": "string"
  }
  ```

---

### POST /api/admin/learning/preview-slides

Preview Marp-formatted markdown as rendered presentation slides.

- **Auth required:** Yes (moderator+)
- **Request body:**
  ```json
  {
    "markdown": "string"
  }
  ```
- **Response:**
  ```json
  {
    "css": "string",
    "slides": ["string (HTML)"]
  }
  ```

---

### POST /api/admin/learning/generate-pptx

Generate a PowerPoint file from Marp markdown.

- **Auth required:** Yes (moderator+)
- **Request body:**
  ```json
  {
    "markdown": "string",
    "title": "string"
  }
  ```
- **Response:** Binary `.pptx` file download.

---

### GET /api/admin/learning/webdav-browse

Browse files on the connected WebDAV/Nextcloud server.

- **Auth required:** Yes (moderator+)
- **Query parameters:**
  | Parameter | Type   | Description                  |
  |-----------|--------|------------------------------|
  | `path`    | string | Directory path to browse     |
- **Response:** Array of file/directory entries.

---

### GET /api/admin/learning/stats

Get learning hub statistics (content counts, quiz completion rates, etc.).

- **Auth required:** Yes (moderator+)
- **Response:**
  ```json
  {
    "totalContent": "number",
    "totalCategories": "number",
    "totalQuizSubmissions": "number",
    "averageScore": "number"
  }
  ```

---

## Admin - Users

Requires admin role.

### GET /api/admin/users

List all registered users.

- **Auth required:** Yes (admin)
- **Response:**
  ```json
  {
    "success": true,
    "users": [
      {
        "id": "number",
        "name": "string",
        "email": "string",
        "role": "string",
        "email_verified": "boolean",
        "totp_enabled": "boolean",
        "disabled": "boolean",
        "created_at": "string (ISO 8601)"
      }
    ]
  }
  ```

---

### GET /api/admin/users/:id

Get detailed information and usage statistics for a specific user.

- **Auth required:** Yes (admin)
- **Path parameters:**
  | Parameter | Type   | Description |
  |-----------|--------|-------------|
  | `id`      | number | User ID     |
- **Response:**
  ```json
  {
    "success": true,
    "user": {
      "id": "number",
      "name": "string",
      "email": "string",
      "role": "string",
      "email_verified": "boolean",
      "totp_enabled": "boolean",
      "disabled": "boolean",
      "api_calls": "number",
      "last_login": "string (ISO 8601) | null"
    }
  }
  ```

---

### POST /api/admin/users/:id/verify

Manually verify a user's email address (bypass email verification).

- **Auth required:** Yes (admin)
- **Path parameters:**
  | Parameter | Type   | Description |
  |-----------|--------|-------------|
  | `id`      | number | User ID     |
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### POST /api/admin/users/:id/disable

Disable a user account, preventing login.

- **Auth required:** Yes (admin)
- **Path parameters:**
  | Parameter | Type   | Description |
  |-----------|--------|-------------|
  | `id`      | number | User ID     |
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### POST /api/admin/users/:id/enable

Re-enable a previously disabled user account.

- **Auth required:** Yes (admin)
- **Path parameters:**
  | Parameter | Type   | Description |
  |-----------|--------|-------------|
  | `id`      | number | User ID     |
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

## Admin - Configuration

Requires admin role unless noted otherwise.

### GET /api/admin/config/announcement

Get the current announcement banner. Any authenticated user can read this endpoint.

- **Auth required:** Yes
- **Response:**
  ```json
  {
    "success": true,
    "enabled": "boolean",
    "text": "string",
    "type": "info | warning | error | success"
  }
  ```

---

### GET /api/admin/config

Get all application configuration settings.

- **Auth required:** Yes (admin)
- **Response:** Object containing all configuration key-value pairs.

---

### PUT /api/admin/config/:key

Update one application configuration setting. The key must use an allowed prefix such as `announcement.`, `feature.`, `email.`, `prompt.`, `registration_enabled`, `site.`, `smtp.`, `models.`, `tts.`, `stt.`, `embeddings.`, or `clinical_assistant.`.

- **Auth required:** Yes (admin)
- **Request body:**
  ```json
  {
    "value": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### POST /api/admin/config/test-email

Send a test email to verify SMTP configuration.

- **Auth required:** Yes (admin)
- **Request body:**
  ```json
  {
    "to": "string (email address)"
  }
  ```
- **Response:**
  ```json
  {
    "success": true,
    "message": "Test email sent."
  }
  ```

---

### GET /api/admin/config/prompts

Get all AI prompt templates, including any admin overrides.

- **Auth required:** Yes (admin)
- **Response:** Object mapping prompt keys to their current values.

---

### POST /api/admin/config/prompts/:key/reset

Reset a specific AI prompt template back to its default value.

- **Auth required:** Yes (admin)
- **Path parameters:**
  | Parameter | Type   | Description         |
  |-----------|--------|---------------------|
  | `key`     | string | Prompt template key |
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### POST /api/admin/config/reset-defaults

Reset all configuration settings to their default values.

- **Auth required:** Yes (admin)
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### GET /api/admin/config/smtp/status

Check the current SMTP configuration status.

- **Auth required:** Yes (admin)
- **Response:**
  ```json
  {
    "configured": "boolean",
    "host": "string",
    "port": "string",
    "user": "string",
    "from": "string",
    "source": "env | database | none"
  }
  ```

---

### PUT /api/admin/config/smtp

Update SMTP email configuration.

- **Auth required:** Yes (admin)
- **Request body:**
  ```json
  {
    "host": "string",
    "port": "number",
    "user": "string",
    "pass": "string",
    "from": "string",
    "secure": "boolean"
  }
  ```
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### POST /api/admin/settings/registration

Update registration settings (enable/disable new registrations).

- **Auth required:** Yes (admin)
- **Request body:**
  ```json
  {
    "enabled": "boolean"
  }
  ```
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### GET /api/auth/oidc/config

Get the current OIDC/SSO configuration.

- **Auth required:** Yes (admin)
- **Response:**
  ```json
  {
    "success": true,
    "config": {
      "oidc.enabled": "string",
      "oidc.issuer": "string",
      "oidc.client_id": "string",
      "oidc.client_secret": "masked string",
      "oidc.disable_local_auth": "string",
      "oidc.button_label": "string"
    }
  }
  ```

---

### PUT /api/auth/oidc/config

Update the OIDC/SSO configuration.

- **Auth required:** Yes (admin)
- **Request body:**
  ```json
  {
    "oidc.enabled": "string",
    "oidc.issuer": "string",
    "oidc.client_id": "string",
    "oidc.client_secret": "string",
    "oidc.disable_local_auth": "string",
    "oidc.button_label": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### GET /api/admin/config/models

List all AI models with their enabled/disabled status.

- **Auth required:** Yes (admin)
- **Response:**
  ```json
  [
    {
      "id": "string",
      "name": "string",
      "enabled": "boolean",
      "isDefault": "boolean",
      "category": "string"
    }
  ]
  ```

---

### PUT /api/admin/config/models/toggle

Enable or disable a specific AI model.

- **Auth required:** Yes (admin)
- **Request body:**
  ```json
  {
    "modelId": "string",
    "enabled": "boolean"
  }
  ```
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### PUT /api/admin/config/models/default

Set the default AI model for all users.

- **Auth required:** Yes (admin)
- **Request body:**
  ```json
  {
    "modelId": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### POST /api/admin/config/models/custom

Add a custom AI model definition.

- **Auth required:** Yes (admin)
- **Request body:**
  ```json
  {
    "id": "string",
    "name": "string",
    "category": "string"
  }
  ```
- **Response:**
  ```json
  {
    "success": true
  }
  ```

---

### GET /api/admin/config/models/discover

Discover available models from the configured AI provider.

- **Auth required:** Yes (admin)
- **Response:**
  ```json
  {
    "success": true,
    "models": [
      {
        "id": "string",
        "name": "string"
      }
    ]
  }
  ```

---

## Logs

Requires admin role.

### GET /api/logs/usage

Get a 30-day usage summary broken down by model and endpoint.

- **Auth required:** Yes (admin)
- **Response:**
  ```json
  {
    "byModel": [
      {
        "model": "string",
        "count": "number",
        "tokens": "number"
      }
    ],
    "byEndpoint": [
      {
        "endpoint": "string",
        "count": "number"
      }
    ]
  }
  ```

---

### GET /api/logs/audit

Get the audit log of user actions (login, settings changes, etc.).

- **Auth required:** Yes (admin)
- **Response:** Array of audit log entries with timestamps, user IDs, and action descriptions.

---

### GET /api/logs/api

Get API call metrics (request counts, latency, error rates).

- **Auth required:** Yes (admin)
- **Response:** Array of API metric entries.

---

### GET /api/logs/access

Get user access history (login times, IP addresses).

- **Auth required:** Yes (admin)
- **Response:** Array of access log entries.

---

## Milestones (Admin)

Developmental milestones management. Requires admin role.

### GET /api/admin/milestones

List all developmental milestones in the database.

- **Auth required:** Yes (admin)
- **Response:** Array of milestone objects organized by age group and domain.

---

### POST /api/admin/milestones/seed

Seed the database with the default set of developmental milestones.

- **Auth required:** Yes (admin)
- **Request body:** None
- **Response:**
  ```json
  {
    "success": true,
    "count": "number"
  }
  ```

---

## Health

### GET /api/health

Application health check endpoint.

- **Auth required:** No
- **Response:**
  ```json
  {
    "ok": true
  }
  ```

---

## Metrics

### GET /metrics

Prometheus scrape endpoint for operational metrics. Metric names use the `ped_ai_` prefix and include HTTP request counters, durations, and in-flight request gauges. Unmatched 404 routes are collapsed under `route="unmatched"` to avoid unbounded path labels.

- **Auth required:** No
- **Response:** Prometheus text exposition format.
