feat: A1+A2 — Playwright smoke suite + index.html mtime-based caching

Safety net for upcoming refactors:
- 26 Playwright smoke tests via @playwright/test 1.50.0 in an official
  Playwright container (no host Node needed). Covers every Bedside sub-pill,
  the age→weight estimator, dose calculators (seizure/sepsis/anaphylaxis/
  burns/airway), and interactive widgets (lightbox, vent SVG).
- `npm run e2e` wrapper runs tests inside mcr.microsoft.com/playwright:v1.50.0-noble
  on the ped-ai_default Docker network so no host port mapping is needed.
- public/e2e-harness.html + public/js/e2e-bootstrap.js load the calculators
  component without the SPA auth wall (scripts external to satisfy CSP).

Server:
- server.js now re-reads public/index.html on mtime change instead of
  caching at boot. Fixes the "edit HTML, restart container" friction.
- CSP upgradeInsecureRequests disabled in helmet config; Caddy still
  enforces HTTPS at the reverse-proxy layer in production.

.gitignore

@@ -30,3 +30,8 @@ android/.idea/
 public/models/
 .env.backup-*
 *.env.backup*
+
+# e2e test artifacts (keep config + specs, skip results + installed deps)
+e2e/node_modules/
+e2e/test-results/
+e2e/playwright-report/

e2e/package-lock.json

@@ -0,0 +1,78 @@
+{
+  "name": "ped-ai-e2e",
+  "version": "1.0.0",
+  "lockfileVersion": 3,
+  "requires": true,
+  "packages": {
+    "": {
+      "name": "ped-ai-e2e",
+      "version": "1.0.0",
+      "devDependencies": {
+        "@playwright/test": "1.50.0"
+      }
+    },
+    "node_modules/@playwright/test": {
+      "version": "1.50.0",
+      "resolved": "https://registry.npmjs.org/@playwright/test/-/test-1.50.0.tgz",
+      "integrity": "sha512-ZGNXbt+d65EGjBORQHuYKj+XhCewlwpnSd/EDuLPZGSiEWmgOJB5RmMCCYGy5aMfTs9wx61RivfDKi8H/hcMvw==",
+      "dev": true,
+      "license": "Apache-2.0",
+      "dependencies": {
+        "playwright": "1.50.0"
+      },
+      "bin": {
+        "playwright": "cli.js"
+      },
+      "engines": {
+        "node": ">=18"
+      }
+    },
+    "node_modules/fsevents": {
+      "version": "2.3.2",
+      "resolved": "https://registry.npmjs.org/fsevents/-/fsevents-2.3.2.tgz",
+      "integrity": "sha512-xiqMQR4xAeHTuB9uWm+fFRcIOgKBMiOBP+eXiyT7jsgVCq1bkVygt00oASowB7EdtpOHaaPgKt812P9ab+DDKA==",
+      "dev": true,
+      "hasInstallScript": true,
+      "license": "MIT",
+      "optional": true,
+      "os": [
+        "darwin"
+      ],
+      "engines": {
+        "node": "^8.16.0 || ^10.6.0 || >=11.0.0"
+      }
+    },
+    "node_modules/playwright": {
+      "version": "1.50.0",
+      "resolved": "https://registry.npmjs.org/playwright/-/playwright-1.50.0.tgz",
+      "integrity": "sha512-+GinGfGTrd2IfX1TA4N2gNmeIksSb+IAe589ZH+FlmpV3MYTx6+buChGIuDLQwrGNCw2lWibqV50fU510N7S+w==",
+      "dev": true,
+      "license": "Apache-2.0",
+      "dependencies": {
+        "playwright-core": "1.50.0"
+      },
+      "bin": {
+        "playwright": "cli.js"
+      },
+      "engines": {
+        "node": ">=18"
+      },
+      "optionalDependencies": {
+        "fsevents": "2.3.2"
+      }
+    },
+    "node_modules/playwright-core": {
+      "version": "1.50.0",
+      "resolved": "https://registry.npmjs.org/playwright-core/-/playwright-core-1.50.0.tgz",
+      "integrity": "sha512-CXkSSlr4JaZs2tZHI40DsZUN/NIwgaUPsyLuOAaIZp2CyF2sN5MM5NJsyB188lFSSozFxQ5fPT4qM+f0tH/6wQ==",
+      "dev": true,
+      "license": "Apache-2.0",
+      "bin": {
+        "playwright-core": "cli.js"
+      },
+      "engines": {
+        "node": ">=18"
+      }
+    }
+  }
+}

e2e/package.json

@@ -0,0 +1,9 @@
+{
+  "name": "ped-ai-e2e",
+  "version": "1.0.0",
+  "description": "End-to-end smoke tests for PedScribe. Runs inside an official Playwright container; no host Node needed.",
+  "private": true,
+  "devDependencies": {
+    "@playwright/test": "1.50.0"
+  }
+}

e2e/playwright.config.js

@@ -0,0 +1,24 @@
+// Playwright config — runs smoke tests against the already-running PedScribe
+// container (no dev server spin-up). Expects BASE_URL (default
+// http://host.docker.internal:3552 when run via scripts/e2e.sh).
+const { defineConfig, devices } = require('@playwright/test');
+
+module.exports = defineConfig({
+  testDir: './tests',
+  timeout: 30_000,
+  expect: { timeout: 5_000 },
+  fullyParallel: false,
+  retries: 0,
+  workers: 1,
+  reporter: [['list']],
+  use: {
+    baseURL: process.env.BASE_URL || 'http://host.docker.internal:3552',
+    trace: 'retain-on-failure',
+    screenshot: 'only-on-failure',
+    actionTimeout: 5_000,
+    navigationTimeout: 15_000,
+  },
+  projects: [
+    { name: 'chromium', use: { ...devices['Desktop Chrome'] } },
+  ],
+});

e2e/tests/bedside-smoke.spec.js

@@ -0,0 +1,147 @@
+// Bedside module smoke tests.
+// Each test navigates to the Calculators tab, opens Bedside, clicks the target
+// sub-pill, and asserts a known string is rendered. Catches "button doesn't
+// fire / section goes blank" regressions.
+
+const { test, expect } = require('@playwright/test');
+
+// Helper — open Calculators tab + Bedside panel + (optionally) a sub-pill
+async function openCalculators(page) {
+  await page.goto('/e2e-harness.html');
+  await page.waitForFunction(() => window.__harnessReady === true);
+  // Give the async innerHTML injection + JS init one more microtask tick
+  await page.waitForSelector('button.calc-nav-pill[data-calc="bedside"]');
+}
+
+async function openBedside(page, subPill) {
+  await openCalculators(page);
+  await page.click('button.calc-nav-pill[data-calc="bedside"]');
+  if (subPill) {
+    await page.click(`button.calc-pill[data-em="${subPill}"]`);
+  }
+}
+
+test.describe('Bedside — top-level', () => {
+  test('Calculators tab shows age-weight estimator', async ({ page }) => {
+    await openCalculators(page);
+    await expect(page.locator('#bedside-age')).toBeVisible();
+    await expect(page.locator('#bedside-formula')).toBeVisible();
+    await expect(page.locator('#bedside-weight')).toBeVisible();
+  });
+
+  test('Age → Weight: typing 3y auto-fills weight (APLS)', async ({ page }) => {
+    await openCalculators(page);
+    await page.fill('#bedside-age', '3y');
+    await expect(page.locator('#bedside-weight')).toHaveValue('14');
+    await expect(page.locator('#bedside-estimate-note')).toContainText('APLS');
+  });
+
+  test('Formula switch to Best Guess updates weight', async ({ page }) => {
+    await openCalculators(page);
+    await page.fill('#bedside-age', '3y');
+    await page.selectOption('#bedside-formula', 'bestguess');
+    await expect(page.locator('#bedside-weight')).toHaveValue('16');  // 2 * (3+5) = 16
+    await expect(page.locator('#bedside-estimate-note')).toContainText('Best Guess');
+  });
+
+  test('Clear button resets the estimator', async ({ page }) => {
+    await openCalculators(page);
+    await page.fill('#bedside-age', '5y');
+    await page.click('#btn-bedside-clear');
+    await expect(page.locator('#bedside-age')).toHaveValue('');
+    await expect(page.locator('#bedside-weight')).toHaveValue('');
+  });
+});
+
+test.describe('Bedside — every sub-pill renders', () => {
+  const subPills = [
+    { key: 'neonatal',     expected: /Neonatal Assessment/i },
+    { key: 'airway',       expected: /Airway Management/i },
+    { key: 'cardiac',      expected: /Cardiac Arrest/i },
+    { key: 'respiratory',  expected: /Respiratory Management/i },
+    { key: 'ventilation',  expected: /Oxygen & Ventilation/i },
+    { key: 'seizure',      expected: /Status Epilepticus/i },
+    { key: 'sepsis',       expected: /Sepsis & Fever/i },
+    { key: 'anaphylaxis',  expected: /Anaphylaxis/i },
+    { key: 'sedation',     expected: /Procedural Sedation/i },
+    { key: 'agitation',    expected: /Acute Agitation/i },
+    { key: 'antiemetics',  expected: /Antiemetics/i },
+    { key: 'antimicrobials', expected: /Empiric Antimicrobials/i },
+    { key: 'burns',        expected: /Burn Management/i },
+    { key: 'toxicology',   expected: /Toxicology/i },
+    { key: 'trauma',       expected: /Trauma/i },
+  ];
+
+  for (const { key, expected } of subPills) {
+    test(`${key} sub-pill shows header`, async ({ page }) => {
+      await openBedside(page, key);
+      await expect(page.locator(`#em-${key}`)).toContainText(expected);
+    });
+  }
+});
+
+test.describe('Bedside — dose calculators fire', () => {
+  test('Status Epilepticus: Show Pathway renders timeline with weight', async ({ page }) => {
+    await openBedside(page, 'seizure');
+    await page.fill('#seizure-weight', '20');
+    await page.click('#btn-seizure-calc');
+    await expect(page.locator('#seizure-result')).toContainText(/20 kg/);
+    await expect(page.locator('#seizure-result')).toContainText(/Lorazepam/);
+    await expect(page.locator('#seizure-result')).toContainText(/0\.1 mg\/kg/);  // per-kg visible
+  });
+
+  test('Sepsis: Show Approach renders Phoenix criteria + first-hour bundle', async ({ page }) => {
+    await openBedside(page, 'sepsis');
+    await page.fill('#sepsis-weight', '25');
+    await page.click('#btn-sepsis-show');
+    await expect(page.locator('#sepsis-result')).toContainText(/Phoenix/);
+    await expect(page.locator('#sepsis-result')).toContainText(/first-hour/i);
+  });
+
+  test('Anaphylaxis: Calculate Doses shows weight-based epinephrine', async ({ page }) => {
+    await openBedside(page, 'anaphylaxis');
+    await page.fill('#anaph-weight', '25');
+    await page.click('#btn-anaph-calc');
+    await expect(page.locator('#anaph-result')).toContainText(/Epinephrine/);
+    await expect(page.locator('#anaph-result')).toContainText(/0\.25 mg/);  // 25*0.01
+  });
+
+  test('Burns: body-parts calculator + Parkland', async ({ page }) => {
+    await openBedside(page, 'burns');
+    await page.fill('#burn-weight', '20');
+    await page.fill('input[data-burn-region="head"]', '50');      // 50% of 13 (young) = 6.5
+    await page.fill('input[data-burn-region="ant_trunk"]', '100'); // 100% of 13 = 13
+    await page.click('#btn-burn-calc');
+    await expect(page.locator('#burn-result')).toContainText(/Parkland/);
+    await expect(page.locator('#burn-result')).toContainText(/20 kg/);
+  });
+
+  test('Airway: Calculate renders RSI drugs with per-kg', async ({ page }) => {
+    await openBedside(page, 'airway');
+    await page.fill('#airway-weight', '20');
+    await page.fill('#airway-age', '5');
+    await page.click('#btn-airway-calc');
+    await expect(page.locator('#airway-result')).toContainText(/Ketamine/);
+    await expect(page.locator('#airway-result')).toContainText(/mg\/kg/);  // per-kg visible
+    await expect(page.locator('#airway-result')).toContainText(/ETT/);
+  });
+});
+
+test.describe('Bedside — interactive widgets', () => {
+  test('Lightbox: View pathway image button opens modal', async ({ page }) => {
+    await openBedside(page, 'seizure');
+    await page.click('button[data-img-src="/img/epilepsy_eiic_pathway.png"]');
+    await expect(page.locator('#img-lightbox')).toBeVisible();
+    await page.click('#img-lightbox-close');
+    await expect(page.locator('#img-lightbox')).toBeHidden();
+  });
+
+  test('Ventilation: Show Reference renders pressure-time SVG', async ({ page }) => {
+    await openBedside(page, 'ventilation');
+    await page.fill('#vent-weight', '20');
+    await page.click('#btn-vent-show');
+    await expect(page.locator('#vent-result svg')).toBeVisible();
+    await expect(page.locator('#vent-result')).toContainText(/Target SpO2/);
+    await expect(page.locator('#vent-result')).toContainText(/PEEP/);
+  });
+});

package.json

@@ -6,6 +6,7 @@
   "scripts": {
     "start": "node server.js",
     "test": "node --test test/",
+    "e2e": "./scripts/e2e.sh",
     "maint:check": "node scripts/maintenance.js check",
     "maint:reindex": "node scripts/maintenance.js reindex",
     "migrate": "node-pg-migrate",

public/e2e-harness.html

@@ -0,0 +1,22 @@
+<!DOCTYPE html>
+<!-- E2E test harness — loads the calculators component + JS in isolation
+     (no auth wall). Playwright points here instead of the full SPA.
+     All scripts are external because the app's CSP blocks inline scripts. -->
+<html lang="en">
+<head>
+<meta charset="UTF-8">
+<title>E2E harness — calculators</title>
+<link rel="stylesheet" href="/css/styles.css">
+<style>
+  body { margin: 0; padding: 16px; background: #f9fafb; }
+  #calculators-tab { max-width: 1100px; margin: 0 auto; }
+</style>
+</head>
+<body>
+  <section id="calculators-tab" class="tab-content active" data-component="calculators"></section>
+
+  <script defer src="/js/calc-math.js"></script>
+  <script defer src="/js/calculators.js"></script>
+  <script defer src="/js/e2e-bootstrap.js"></script>
+</body>
+</html>

public/js/e2e-bootstrap.js

@@ -0,0 +1,15 @@
+// E2E harness bootstrap — external file because the app's CSP blocks inline scripts.
+// Runs after calc-math.js + calculators.js (all three have `defer`, so execution
+// is in document order once parsing completes).
+(async function bootstrap() {
+  try {
+    const host = document.getElementById('calculators-tab');
+    const html = await fetch('/components/calculators.html').then(r => r.text());
+    host.innerHTML = html;
+    document.dispatchEvent(new CustomEvent('tabChanged', { detail: { tab: 'calculators' } }));
+    window.__harnessReady = true;
+  } catch (e) {
+    console.error('[e2e-harness] bootstrap failed:', e);
+    window.__harnessError = String(e);
+  }
+})();

scripts/e2e.sh

@@ -0,0 +1,22 @@
+#!/usr/bin/env bash
+# Runs Playwright smoke tests inside the official Playwright container against
+# the running PedScribe app. Usage: npm run e2e  (or ./scripts/e2e.sh)
+set -euo pipefail
+
+cd "$(dirname "$0")/.."
+
+IMAGE="mcr.microsoft.com/playwright:v1.50.0-noble"
+
+# Attach the Playwright container to the same Docker network as the app so it
+# can resolve pediatric-ai-scribe by service name. Internal container port is 3000.
+NETWORK="${E2E_NETWORK:-ped-ai_default}"
+BASE_URL="${BASE_URL:-http://pediatric-ai-scribe:3000}"
+
+docker run --rm --ipc=host \
+  --network="$NETWORK" \
+  -v "$PWD/e2e":/work \
+  -w /work \
+  -e BASE_URL="$BASE_URL" \
+  -e CI=true \
+  "$IMAGE" \
+  sh -c "npm install --no-audit --no-fund --silent && npx playwright test"

server.js

@@ -45,6 +45,10 @@ app.use(helmet({
       childSrc: ["'self'", 'blob:', 'https://cdn.jsdelivr.net'],
       frameSrc: ["'self'", 'https://challenges.cloudflare.com'],
       objectSrc: ["'none'"],
+      // Disable helmet's default upgrade-insecure-requests so tests can hit
+      // the container over plain HTTP. In production, Caddy terminates TLS
+      // and serves HTTPS — mixed-content is a non-issue there.
+      upgradeInsecureRequests: null,
     }
   }
 }));
@@ -158,23 +162,38 @@ try {
 }
 console.log('🔖 Build ID:', BUILD_ID);
 
-// Template index.html once at boot with the version stamp. Serves fast
+// Template index.html on each request if the file changed (mtime-based).
-// because the rewrite happens one time and the string is reused.
+// Avoids a stale in-memory copy after static edits / script additions while
-var INDEX_HTML_TEMPLATED = null;
+// still being essentially free — just an fs.stat per request, zero template
-try {
+// rebuild when mtime hasn't changed.
-  var raw = fs.readFileSync(path.join(__dirname, 'public', 'index.html'), 'utf8');
+var INDEX_PATH = path.join(__dirname, 'public', 'index.html');
-  INDEX_HTML_TEMPLATED = raw.replace(
+var _indexCached = { mtime: 0, html: null };
-    /(<(?:script|link)[^>]+(?:src|href)=["'])(\/(?:js|css)\/[^"'?]+)(["'])/g,
+function getTemplatedIndex() {
-    '$1$2?v=' + BUILD_ID + '$3'
+  try {
-  );
+    var st = fs.statSync(INDEX_PATH);
-} catch (e) { console.warn('[build-id] index.html template skipped:', e.message); }
+    if (st.mtimeMs === _indexCached.mtime && _indexCached.html) return _indexCached.html;
+    var raw = fs.readFileSync(INDEX_PATH, 'utf8');
+    _indexCached.html = raw.replace(
+      /(<(?:script|link)[^>]+(?:src|href)=["'])(\/(?:js|css)\/[^"'?]+)(["'])/g,
+      '$1$2?v=' + BUILD_ID + '$3'
+    );
+    _indexCached.mtime = st.mtimeMs;
+    return _indexCached.html;
+  } catch (e) {
+    console.warn('[build-id] index.html read failed:', e.message);
+    return null;
+  }
+}
+// Prime once at boot so first request is fast
+getTemplatedIndex();
 
 app.get(['/', '/index.html'], function(req, res) {
-  if (!INDEX_HTML_TEMPLATED) return res.sendFile(path.join(__dirname, 'public', 'index.html'));
+  var html = getTemplatedIndex();
+  if (!html) return res.sendFile(INDEX_PATH);
   res.setHeader('Content-Type', 'text/html; charset=utf-8');
   res.setHeader('Cache-Control', 'no-cache, no-store, must-revalidate');
   res.setHeader('X-Build-Id', BUILD_ID);
-  res.send(INDEX_HTML_TEMPLATED);
+  res.send(html);
 });
 
 // Public endpoint for cache-bust debugging + build-info