Add ffmpeg audio conversion fallback for AWS Transcribe

- transcribeAWS.js: convert browser WebM/Opus → PCM 16kHz mono via
  ffmpeg before sending to AWS Transcribe — PCM is unambiguous and
  most reliable; gracefully falls back to ogg-opus if ffmpeg absent
- Dockerfile: install ffmpeg (apk add ffmpeg) so Docker image works
  out of the box with AWS Transcribe
- README: document Amazon Transcribe setup, ffmpeg requirement,
  Transcribe Medical specialty options, and env vars reference
This commit is contained in:
Daniel Onyejesi 2026-03-25 20:35:24 +00:00
parent b997d6d388
commit 9eaec4f2de
3 changed files with 108 additions and 14 deletions

View file

@ -2,6 +2,9 @@ FROM node:20-alpine
WORKDIR /app
# ffmpeg: audio conversion for AWS Transcribe (WebM → PCM)
RUN apk add --no-cache ffmpeg
COPY package.json ./
RUN npm install --omit=dev

View file

@ -157,12 +157,46 @@ AZURE_OPENAI_API_VERSION=2024-02-01
---
## Whisper Transcription
## Transcription (Speech-to-Text)
Always uses OpenAI Whisper regardless of the AI provider setting:
Two providers supported. The app auto-selects AWS Transcribe when `AWS_BEDROCK_REGION` is set, otherwise falls back to OpenAI Whisper.
### Amazon Transcribe (recommended for clinical use — HIPAA eligible)
Uses your existing Bedrock AWS credentials. No S3 bucket required — audio streams directly to AWS.
**Requires `ffmpeg` installed on the server** (handles audio format conversion from browser WebM to PCM). The Docker image includes ffmpeg automatically.
```env
# Auto-enabled when AWS_BEDROCK_REGION is set.
# To force it explicitly:
TRANSCRIBE_PROVIDER=aws
# Amazon Transcribe Medical — trained on clinical speech.
# Knows drug names, diagnoses, procedures. Recommended.
AWS_TRANSCRIBE_MEDICAL=true
AWS_TRANSCRIBE_SPECIALTY=PRIMARYCARE
# Other specialty options: CARDIOLOGY, NEUROLOGY, ONCOLOGY, RADIOLOGY, UROLOGY
```
Install ffmpeg on non-Docker servers:
```bash
# Ubuntu/Debian
sudo apt-get install -y ffmpeg
# Amazon Linux / RHEL
sudo yum install -y ffmpeg
# macOS
brew install ffmpeg
```
### OpenAI Whisper (default fallback)
```env
OPENAI_API_KEY=sk-...
# Optionally force Whisper even when AWS is configured:
# TRANSCRIBE_PROVIDER=openai
```
---
@ -193,7 +227,10 @@ SMTP_FROM=noreply@yourdomain.com
| `AZURE_OPENAI_ENDPOINT` | If using Azure | Azure OpenAI endpoint URL |
| `AZURE_OPENAI_API_KEY` | If using Azure | Azure API key |
| `AZURE_DEPLOYMENT_NAME` | If using Azure | Deployment name, e.g. `gpt-4o-mini` |
| `OPENAI_API_KEY` | For transcription | OpenAI key (Whisper) |
| `OPENAI_API_KEY` | For Whisper transcription | OpenAI key (Whisper fallback) |
| `TRANSCRIBE_PROVIDER` | No | `aws` or `openai` — auto-detected from AWS config |
| `AWS_TRANSCRIBE_MEDICAL` | No | `true` to use Transcribe Medical (clinical accuracy) |
| `AWS_TRANSCRIBE_SPECIALTY` | No | `PRIMARYCARE` (default), `CARDIOLOGY`, `NEUROLOGY`, etc. |
| `ELEVENLABS_API_KEY` | No | ElevenLabs TTS (optional) |
| `JWT_SECRET` | **Yes** | Random 64-char string — keep secret |
| `DATABASE_URL` | No | PostgreSQL URL (auto-set by docker-compose) |

View file

@ -2,6 +2,10 @@
// TRANSCRIBE-AWS.JS — Amazon Transcribe Streaming
// No S3 required. Audio streams directly to AWS.
//
// Audio conversion: ffmpeg converts browser WebM/Opus → PCM 16kHz
// which is the most reliable format for AWS Transcribe. If ffmpeg
// is not installed, falls back to sending ogg-opus directly.
//
// Env vars:
// TRANSCRIBE_PROVIDER=aws — use this instead of Whisper
// AWS_TRANSCRIBE_MEDICAL=true — use Transcribe Medical (better
@ -13,12 +17,50 @@
// AWS_ACCESS_KEY_ID / AWS_SECRET_ACCESS_KEY — reused credentials
// ============================================================
const { spawn } = require('child_process');
const CHUNK_SIZE = 32768; // 32 KB per audio chunk
// Convert any browser audio (WebM, OGG, etc.) to raw PCM s16le 16kHz mono
// using ffmpeg. Returns a Buffer of raw PCM bytes.
// Throws if ffmpeg is not installed.
function convertToPCM(inputBuffer) {
return new Promise(function(resolve, reject) {
var ff = spawn('ffmpeg', [
'-i', 'pipe:0', // read from stdin
'-f', 's16le', // raw signed 16-bit little-endian PCM
'-ar', '16000', // 16 kHz — ideal for speech recognition
'-ac', '1', // mono
'-acodec', 'pcm_s16le',
'pipe:1' // write to stdout
]);
var out = [];
var errBuf = [];
ff.stdout.on('data', function(d) { out.push(d); });
ff.stderr.on('data', function(d) { errBuf.push(d); }); // ffmpeg logs to stderr, not an error
ff.on('close', function(code) {
if (code !== 0) {
reject(new Error('ffmpeg conversion failed (code ' + code + '): ' + Buffer.concat(errBuf).toString().slice(-200)));
return;
}
resolve(Buffer.concat(out));
});
ff.on('error', function(err) {
reject(new Error('ffmpeg not found. Install ffmpeg on the server: ' + err.message));
});
ff.stdin.write(inputBuffer);
ff.stdin.end();
});
}
async function* makeAudioStream(buffer) {
for (var i = 0; i < buffer.length; i += CHUNK_SIZE) {
yield { AudioEvent: { AudioChunk: buffer.slice(i, i + CHUNK_SIZE) } };
// Yield to event loop between chunks to avoid blocking
await new Promise(function(r) { setTimeout(r, 0); });
}
}
@ -35,27 +77,39 @@ async function transcribeWithAWS(audioBuffer, mimeType) {
var client = new TranscribeStreamingClient({ region: region, credentials: credentials });
// Map browser MIME type to AWS MediaEncoding
// audio/webm;codecs=opus → ogg-opus (same Opus codec, different container)
// audio/ogg;codecs=opus → ogg-opus (exact match)
// audio/wav → pcm
// Try ffmpeg conversion to PCM (most reliable with AWS Transcribe).
// Falls back to ogg-opus passthrough if ffmpeg is not installed.
var audioToSend = audioBuffer;
var mediaEncoding = 'ogg-opus';
if (mimeType && mimeType.indexOf('wav') !== -1) mediaEncoding = 'pcm';
var sampleRate = 48000;
try {
audioToSend = await convertToPCM(audioBuffer);
mediaEncoding = 'pcm';
sampleRate = 16000;
console.log('[Transcribe] ffmpeg conversion OK — PCM 16kHz, ' + audioToSend.length + ' bytes');
} catch (ffErr) {
console.warn('[Transcribe] ffmpeg unavailable, sending ogg-opus directly:', ffErr.message);
// For WAV input, try pcm anyway without ffmpeg
if (mimeType && mimeType.indexOf('wav') !== -1) {
mediaEncoding = 'pcm';
sampleRate = 16000;
}
}
var useMedical = process.env.AWS_TRANSCRIBE_MEDICAL === 'true';
var specialty = process.env.AWS_TRANSCRIBE_SPECIALTY || 'PRIMARYCARE';
var transcript = '';
if (useMedical) {
var StartMedicalStreamTranscriptionCommand = TranscribeModule.StartMedicalStreamTranscriptionCommand;
var medCmd = new StartMedicalStreamTranscriptionCommand({
LanguageCode: 'en-US',
MediaSampleRateHertz: 48000,
MediaSampleRateHertz: sampleRate,
MediaEncoding: mediaEncoding,
Specialty: specialty,
Type: 'DICTATION',
AudioStream: makeAudioStream(audioBuffer)
AudioStream: makeAudioStream(audioToSend)
});
var medResp = await client.send(medCmd);
for await (var event of medResp.TranscriptResultStream) {
@ -73,9 +127,9 @@ async function transcribeWithAWS(audioBuffer, mimeType) {
var StartStreamTranscriptionCommand = TranscribeModule.StartStreamTranscriptionCommand;
var cmd = new StartStreamTranscriptionCommand({
LanguageCode: 'en-US',
MediaSampleRateHertz: 48000,
MediaSampleRateHertz: sampleRate,
MediaEncoding: mediaEncoding,
AudioStream: makeAudioStream(audioBuffer)
AudioStream: makeAudioStream(audioToSend)
});
var resp = await client.send(cmd);
for await (var ev of resp.TranscriptResultStream) {