/metrics answered on every public hostname — app.pedshub.com, peds.danvics.com
and scribe.pedshub.com — with 201 lines naming routes, traffic volumes,
event-loop timings and process internals. No credential in it, but a free map of
the application for anyone probing. Prometheus scrapes the container directly
over the Docker network and never goes through the proxy, so a request carrying
X-Forwarded-For is by definition not Prometheus and now gets a 404.
METRICS_TOKEN allows an explicit override; unset, it can never match.
Verified: 404 on all three hostnames, and up{job="ped-ai"} still 1.
The workspace launcher was blank. [hidden]{display:none!important}, added to
stop "Retry loading settings" showing permanently, outranked
`body.assistant-mode-workspace .assistant-workspace-view { display:block }` —
and that view is the one element toggled by CSS rather than by JavaScript
removing the attribute, so it could never be revealed again. The attribute is
gone from the markup; the class already defaults it to display:none, so it still
starts hidden. Everything else using the attribute is JS-toggled and unaffected.
Verified with a real login: 17 cards at 208x40 in an 860x240 grid.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01Dv6sqaY6Vq3ChZHMem3cnU
Removed at the owner's request, entirely rather than switched off: the route's
allow-list, anonymous identity and flag lookup; the client's entry path, the
authFetch exception that let four endpoints out without an account, and the
workspace guard; the CSS, the in-page note, the admin flag and its save/load;
the test file and the assertions elsewhere that pinned it. Both settings rows
are deleted from app_settings.
Two things were checked rather than assumed on the way out. Removing the
anonymous identity collapsed every `if (!req.user.preview)` branch to its
authenticated side, so image tools, audit logging and citation storage now run
unconditionally — which is what they did before preview existed. And the route's
gate went back to a bare router.use(authMiddleware), which on a /api mount gates
every path below it in server.js; it is scoped to /clinical-assistant again, the
guard test catches it either way.
Verified after deploy: signed out, status, examples and chat all refuse with
401; signed in, chat still answers with 8 sources; extensions, encounters,
documents and admin remain shut.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01Dv6sqaY6Vq3ChZHMem3cnU
The card holds more than one Save button and nothing said so. "Save image
settings" is injected directly above "Save model & retrieval settings", with no
indication of where one stops and the other starts, and the page saves nothing
automatically. It now states that up front, and the bottom button says which
settings it applies.
"Retry loading settings" sat beside Save looking like an ordinary control,
because it did: a bare button with the hidden attribute, which the browser's own
[hidden] rule could not hide once .btn-sm set a display. It is now inside an
error message that exists only on failure, says what failed, and says that
nothing typed has been lost.
The status line used to read "Settings ready." forever, which answers a question
nobody asks. It now reports the thing an admin actually wants to know when they
come back: whether the last save went through, and at what time. A toast is gone
in three seconds; this stays on the page.
The signed-out preview moves to Feature Flags, where it belongs. It was a second
checkbox under a row labelled "Sources", followed by two paragraphs, the first
about preview and the second about citations — so neither paragraph clearly
belonged to either checkbox. It is stored as feature.assistant_preview now, with
the old clinical_assistant.preview_enabled still honoured when the new key has
never been written. That also means an ordinary admin can toggle it under
ADMIN_LOCKDOWN: clinical_assistant.* is locked, and putting a day-to-day switch
behind host access was never the intent.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01Dv6sqaY6Vq3ChZHMem3cnU
The recordings were never the problem. Six stored recordings were pulled back
out of object storage and examined: valid webm/opus, 3-5 seconds, 1.5-2s of
continuous speech-shaped audio each. Every one came back from
mistral-voxtral-mini-transcribe as an empty string, while the same model
transcribed synthesised speech perfectly — including a one-word clip, and
including that speech attenuated to the same level, so neither length nor
loudness explains it. Re-encoding to wav, mp3, flac, ogg and a remuxed webm
changed nothing; groq-whisper-large-v3-turbo transcribed all six. stt.model is
set to that now, and the real recording round-trips through /api/transcribe as
"Hello." instead of "".
So the server now says something when a model answers 200 with no words for a
non-trivial amount of audio. That silence is what made this look like lost
recordings; the log names the backup id, so the kept audio can be tried against
another model directly instead of suspecting the microphone.
Also: browsers report "audio/webm;codecs=opus", and deriving the extension by
splitting on "/" alone named the upload "audio.webm;codecs=opus". This gateway
tolerates it. A provider dispatching on extension would not.
And registration is one card again: enable it, decide whether it needs an
invitation, hand out codes — top to bottom. The invite-only switch sat in a
separate card far below the enable/disable toggle, which made one decision look
like two unrelated settings.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01Dv6sqaY6Vq3ChZHMem3cnU
Citation quality
- A citation naming a source that never came back is never rendered as a
link, so it appears as plain text and nobody learns it happened. It is now
measured on the server, where the answer and the sources both exist, so it
is seen whether or not a browser rendered it.
- Four Prometheus counters feed a Grafana dashboard (Ped-AI Citation
Quality): answers, citations written, answers affected, and individual
unresolved markers. Only answers with at least one unresolved citation are
stored, with the question and the titles retrieval returned, so an operator
can judge whether retrieval came back thin or the model over-cited. Rows
expire after 30 days: this is a quality signal, not a transcript log.
- Both answer paths are covered. /chat/stream is normal; /chat is the
fallback the client uses when streaming fails, so auditing only the first
would have hidden exactly the answers produced under failure.
- The tracker is resolved on demand and allowed to be absent. Seven test
files load this route with a hand-built list of permitted imports, and
adding a hard dependency would mean editing all seven — and the eighth
written later would break. Observation must never be able to fail an
answer, so a missing module simply means no tracking.
- Metric registration reuses an already-registered counter, because this
module can legitimately load twice in one process.
SSO settings on mobile
- Six rows were laid out inline: flex with a 160px label and an input that
would not shrink, so on a phone the row was wider than the screen with
nothing to scroll and no way to reach the rest. They use .admin-row now,
which already stacks below 640px. Verified at 390px and 360px: nothing
off-screen, no sideways overflow.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01Dv6sqaY6Vq3ChZHMem3cnU
registration_enabled was a single switch: open to anyone, or closed to
everyone. This adds the setting an operator actually wants in between — open
to people you invited.
A code is single-use, expires (7 days by default, 90 maximum), and can be
revoked or deleted. It is stored hashed with only its last four characters
kept, because an invite grants account creation and a database dump should
not hand someone a working one. The code is readable exactly once, in the
response that creates it.
The claim is a single conditional UPDATE carrying every condition, so two
registrations racing the same code cannot both succeed. It happens after the
account exists, so a code is never spent on a failed registration — and if
the race is lost, the just-created account is removed rather than left behind
as a free registration. The rejection never says which of the four reasons
applied; distinguishing them would tell someone probing codes which guesses
were closer.
Codes avoid I, L, O and U so they survive being read aloud or copied off a
screen, and matching ignores case and separators.
The sign-up field appears only when the server says a code is required. The
admin card creates, lists, revokes and deletes, and carries the toggle.
Verified against the live database: create, claim, second claim refused,
unknown code refused, revoking a used code refused, delete. 684 tests pass.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01Dv6sqaY6Vq3ChZHMem3cnU
Feature audit
- Settings claimed you could reference a template by saying "use my normal
physical exam" in dictation. No phrase handling exists anywhere, and the
prompt says the opposite: "Never copy clinical content from a template —
only formatting and structure." So a template can never supply findings.
The text now says what happens, and keeps the true privacy statement that
only template categories go to the AI (Custom is filtered out in
/memories/context by AI_CONTEXT_CATEGORIES).
- Templates themselves are real: CRUD plus /memories/context, injected as
style hints by hpi, soap, sickVisit, wellVisit, edEncounters and
hospitalCourse, behind the `memories` feature flag.
Docs
- docs/CLINICAL_ASSISTANT.md listed six settings and offered `deepl`, which
no longer exists in the code. The table now covers all seventeen keys the
server reads, with their fallbacks, plus how a model reaches a user.
Testing
- Every test file's stdout is now pure TAP, which is the stream node:test
parses results from. Three sources: a leftover debug console.log dumping
600 characters of HTML, page modules logging into a JSDOM without a
virtual console, and the server startup banners. The banners are guarded
by NODE_TEST_CONTEXT, set only inside node:test children, so production
and `node server.js` output is unchanged (verified both ways).
- Three consecutive full-suite runs at 671/671.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01Dv6sqaY6Vq3ChZHMem3cnU
iOS zoom (and the menu button scrolling away with it)
- Safari zooms the whole page when a text field under 16px takes focus and
never zooms back; while zoomed, fixed chrome sits outside the visual
viewport, which is why the menu button had to be scrolled to. All 144
visible text controls were 13-15px. They are 16px on phones now.
!important is deliberate: per-component rules like `.demo-field select`
outrank any element selector, and a new component would slip through.
- The composer set 15px AFTER its own mobile 16px rule, so at equal
specificity the base rule won; the size is per breakpoint now.
- Pinch-zoom is untouched: no user-scalable=no. Desktop unchanged (13/15px).
Composer
- "Ready" / "Looking up sources..." / "saved" repeated what the send button
already shows by turning into Stop, and on a phone they wrapped under the
model control. Kept in the DOM as live regions; nothing is drawn.
- The model control shows the word "Model" (76px) instead of ids as long as
"openrouter-gemini-3.1-flash-image-preview", and opens the full list on
click. The select stays as the state holder, so choosing still saves
through the same change event.
Search
- Nothing typed lists the 19 destinations only; sub-items appear once there
is something to match.
- Listing, matching and opening now read one attribute list instead of three
that could drift, and bedside's emergency sections are searchable.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01Dv6sqaY6Vq3ChZHMem3cnU
Admin links
- The [data-admin-jump] click handler had been pasted inside
discoverModels(), so it only registered once someone pressed Search in AI
Model Management, and re-registered on every later search. Normally
nothing intercepted the click, so href="#" did what it says: jump to the
top and leave "#" in the URL.
- This is an app, so the pointers are plain text naming the sections rather
than links, and the handler is gone.
Test flake
- admin-clinical-assistant-wiring failed about 1 run in 4 with "Unable to
deserialize cloned data due to invalid or unsupported version": node:test
reads a test file's results back over the child's stdout, and app.js's own
console.log landed inside a serialized frame.
- The page's console is now forwarded to stderr (jsdom 29: forwardTo).
Verified: child stdout clean, 0 failures in 32 stress runs (was 6 in 24),
and three full-suite runs at 668/668.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01Dv6sqaY6Vq3ChZHMem3cnU
Image models
- The Clinical Assistant "Image models" list waited on an old
#assistant-image-model dropdown that no longer exists, so discovery never
reached it and only four hard-coded fallbacks appeared — with no way to
add any of the gateway's 50 image models.
- Image Generation search rows now have + Add / Added. Added models are
saved as clinical_assistant.image_model_roster (validated server-side:
up to 100 ids) and appear in the Clinical Assistant list at once; ticking
one there offers it to users. Anything already allowed or configured
stays listed. Unsaved ticks survive an add.
- The roster notification is guarded, so it can never fail the settings load.
Phone top bar
- The page is drawn under the status bar (viewport-fit=cover) and its
theme colour was the removed header's blue, so on an iPhone content showed
scrolling at the top of the screen. The row is now a real fixed element
that extends behind the status bar (env(safe-area-inset-top), 0 in a
normal tab), the menu button, sources pill and drawers clear it, and the
theme colour is white.
Verified in Chromium: + Add -> saved roster -> listed unticked; tick kept;
remove works. Top bar is the only thing in the top 48px on all 22 pages;
phone menu positions unchanged.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01W4rptBNvn6RYieQw54GXNS
The list is simply there now. Its collapse preference is removed too, so a
list someone had collapsed cannot come back hidden with no control to open
it. The header's CSS (desktop, phone and preview) goes with it.
Sizes, measured in Chromium before and after: switch, New chat and the
name card are unchanged (desktop card 848, phone 790). The list takes the
header's 16px, and the first date heading sits 10px below New chat on both
desktop (167 -> 151) and phone (173 -> 165; phone list top padding 2px ->
10px), matching the menu's 10px rhythm. The rail itself still never scrolls.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01W4rptBNvn6RYieQw54GXNS
Phone
- The desktop collapse rules (52px icon rail) were unscoped, and menu-hidden
is remembered across viewports, so after collapsing on a desktop the phone
sheet opened with its links, the Assistant/Workspace switch and the account
name all display:none. Scoped them to min-width:769px.
- Workspace pill: the sheet now closes on tap, and the launcher is no longer
display:none below 640px, so the pill opens the workspace instead of
toggling a view that could never appear.
- The menu button has its own 48px row instead of floating over the page;
layouts subtract --mobile-bar (0px on desktop, so desktop is unchanged).
- Sources open as their own scrollable band under that row, and the toggle
sits in the row, instead of a sheet/FAB covering the composer.
- The sheet uses dvh, so the account card is not pushed below the visible
screen by the browser toolbar.
Admin
- Image Generation card beside TTS and STT: search the gateway's image
models and test one. No Set button: an image model is chosen per workflow.
It searches only on demand, so opening Admin still makes one discovery call.
- Account card sits at the same height in every rail state; the model
availability list points to where new models are added.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01W4rptBNvn6RYieQw54GXNS
Three faults, all visible on a phone at once.
Two hamburgers, neither useful. The assistant added a drawer button of its own
AND the app's button was still there, stacked on top of it. Worse, the assistant
hid the app sidebar unconditionally, so the app's button opened something
invisible. A phone now has exactly one menu — the app sidebar — and the assistant
only replaces it with its own rail on desktop.
The collapse control had nothing to collapse on a phone, where the menu is a
sheet rather than a rail. It closes the sheet instead.
Sources were `display:none` below 640px with no alternative, so every SRC chip in
an answer pointed at nothing. They now slide up as a dismissible sheet, opened by
a button that appears only when an answer actually has citations, or by tapping a
citation itself. Tapping away or pressing Escape closes it — a sheet with no way
out is a trap.
The menu itself is sized for a thumb, borrowing the reference layout: a wide
sheet, close and search leading, tappable rows, and padding clear of the home
indicator.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_0161xNW1z4vPusrXKGWcQdQu
Search now reaches sub-navigation, because people look for "bili" rather than
"Calculators". It reads whatever a loaded component exposes — data-calc,
data-subtab, data-section — so it covers every tab with sub-navigation instead of
one hard-coded list, and the relevant components are warmed when the palette
opens. Opening a result survives the component still loading, and reaching one
from the assistant navigates first and opens it after.
Menu head order is now show/hide menu, then the mark, then search. In the
collapsed rail every item is the same centred 52px box, so the icons finally
share one axis — the brand was a flex row with a gap and sat off-centre from the
buttons beneath it.
Settings, FAQ and Admin are no longer listed in the menu: they already have a
place in the account card, and listing them twice only made the tab list longer.
Their sections remain, and activateTab already tolerates a tab whose section
exists without a sidebar button.
The retry loops are named functions rather than IIFEs, which the module
entrypoint rules forbid.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01GmpYHPSLGmXGZMyLpn2Lbe
Collapsing hid the sidebar entirely, and the toggle had moved into .menu-head
while the hide rule still targeted direct children of .sidebar-nav — so the head
went, taking the toggle with it, and there was no way to reopen the menu.
Collapsed is now a 52px icon rail rather than a disappearance: the mark, the
toggle, search and the account avatar stay reachable in place, so nothing has to
be floated over the content and there is always a way back. The assistant rail
collapses to the same strip.
Scrolling. The workspace list in the assistant rail had no overflow rule, so its
list of every app tab ran off the bottom and scrolling only appeared once you
left for the app. In the app sidebar the opposite: the whole sidebar scrolled, so
the account card scrolled away with the list and Settings and Log out became
something to hunt for. Both now scroll only the list, with the head and the
account card pinned.
The toggle was also being styled twice — as a head-row icon button and by its own
older rule with a different size and margin. It is now only the behavioural hook
that flips the icon.
Brand is PedAI, which is short enough to sit in the head row without squeezing
the controls; the collapsed rail shows the mark alone.
The reachability test now walks the toggle's real ancestor chain and fails if any
collapse rule hides a branch it sits on, rather than asserting one rule's text —
this class of bug has broken twice by moving the toggle deeper.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01GmpYHPSLGmXGZMyLpn2Lbe
The header bar is gone. Settings and Log out moved into the account card, so a
whole band of chrome had nothing left to hold. The brand now heads the menu
alongside the search and collapse controls, on one row rather than three stacked
full-width ones. btn-settings and btn-logout are retained hidden as the canonical
handlers other code already calls, rather than duplicating that logic.
One shell for every view. Each tab was a plain white page while the assistant and
the workspace launcher sat on a tiled card, so opening any menu item changed the
whole face of the app. The tiled ground and the card edge now belong to
.main-content, and only the contents differ. The assistant replaces the shell
card rather than nesting a second one inside it.
Search, in both views, from the same palette: the workspace searches the app
menu, the assistant searches saved chats. Both sources are already in memory, so
this needs no new endpoint. Cmd/Ctrl+K opens it, arrows and Enter work, and the
assistant publishes its chats rather than the palette reaching into its
internals.
The collapse icon is now directional angles that rotate when collapsed, so it
always states what the click will do; fa-table-columns said nothing.
Mobile: the sidebar slides in whole, so the in-sidebar collapse control is hidden
there, the account card sticks to the foot of a scrolling menu, and the palette
is full-bleed instead of a centred dialog on a small screen.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01GmpYHPSLGmXGZMyLpn2Lbe
The view now decides only what the menu LISTS. Everything structural is shared,
so switching redraws the content and nothing else:
- One width. The app sidebar is 210px; the assistant rail was 260px, so every
switch shifted the content sideways.
- One surface. The tiled ground belongs to the shared panel rather than to one
view's empty state, so the transcript and the workspace launcher sit on the
same background.
- One menu ending. An account card closes both menus with Settings, FAQ, Log out
and — for admins only — Admin. These were unlabelled icon buttons in the old
header; log out reuses the existing flow rather than a second implementation.
The blue gradient header is now a slim white bar. Being the loudest element on
screen, it made any view without it look like a different product. Everything
measured against it follows from 66px to 52px.
The composer has room around it and centres on an empty transcript instead of
sitting at the very top, and Create image joins take home, export and attach in
the + menu — it acts on the conversation, so it belongs with them rather than as
its own button on the rail.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01GmpYHPSLGmXGZMyLpn2Lbe
The assistant carried its own bar above the layout, on top of the blue app
header that both pages now share. On desktop it held a visually-hidden title, a
mobile-only drawer button and a status pill — so it was mostly dead space, and it
made the assistant taller than the app page it is supposed to match.
The bar is gone. The ready/busy indicator moved into the composer footer, next to
the work it describes, and the drawer button floats on phones rather than
occupying a strip the desktop layout does not have. The rail now sticks to the
top of the layout instead of 52px below a bar that no longer exists.
The menu toggle used fa-table-columns, a split-pane glyph that does not read as
"menu". Both copies now use fa-bars and rotate when collapsed to show which way
they will act.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01GmpYHPSLGmXGZMyLpn2Lbe
Sources (correcting what I built earlier)
The previous toggle branched the SYSTEM PROMPT, so the same question could get a
different answer depending on a display setting — the bias this was meant to
avoid. The prompt is now unconditional: buildSystemPrompt takes no display
argument and is byte-identical either way. Hiding sources happens on the way out
— the server omits them and strips the now-orphaned [n] markers from the copy it
sends. The answer is generated, stored and exported with citations intact, so
turning the setting back on restores them without re-asking anything. Renamed to
clinical_assistant.show_sources; the old key is still honoured.
Signed-out preview (admin opt-in, default off)
A visitor may try the assistant; reaching for the workspace asks them to sign in.
Deliberately narrow:
- Reachable paths are an exact allow-list, not a pattern, so a new endpoint is
private unless someone adds it on purpose.
- A preview visitor gets no identity at all (id: null), so nothing can be owned,
saved, billed or addressed to them.
- The image tool is withheld rather than left to fail on a null owner, and no
audit rows are written.
- A caller presenting a token is authenticated normally, so preview can never
downgrade a real session; if the setting cannot be read, authentication is
required.
- Actions needing an account are hidden rather than offered and refused.
Composer
The bar above the transcript is gone. Patient take home, Export PDF, Download
transcript and Attach images moved into a + menu in the composer, and the model
selector moved beside send — shown only when there is more than one model, as
before. Both views now start at the same top edge, so switching modes cannot
nudge the page up or down. On an empty transcript the tiled ground runs behind
and below the composer, which floats on it above centre.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01GmpYHPSLGmXGZMyLpn2Lbe
The app IS workspace mode, so the switch belongs in both places and the only
difference between the two screens is which pill is highlighted:
- The app sidebar's "AI Assistant" nav entry is replaced by the switch, with
Workspace highlighted. The assistant rail carries the same control with
Assistant highlighted. Clicking Assistant from the app navigates to
/assistant; inside the assistant, Workspace opens the launcher in place.
- Accent corrected: I had it backwards last round and turned the assistant
purple. The app's accent is blue (.tab-btn.active in styles.css); the
assistant now uses it throughout, so neither screen looks like a different
product. Citation chips keep purple so evidence stays distinct from
interactive blue.
- One menu toggle labelled "Hide menu", shared by the app sidebar and the
assistant rail. It replaces three separate controls: a pin button, a floating
expand button, and the assistant's own rail toggle. The toggle stays reachable
when the rail it collapses is hidden, or there would be no way back.
- Workspace cards list clinical work only. Settings, FAQ, Admin, Docs and
Content Manager stay in the app sidebar under Account, where they belong.
- Model availability is discovery-only again: a hand-typed id cannot be verified
at that point, so the manual entry field is gone.
The in-page mode state machine is removed along with the whole class of
hidden-versus-display bugs it carried.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01WjVc5oaAaYFNbZGLeJp6TX
The mode switch was toggling the `hidden` attribute on elements that each carry
their own `display:` rule. A class selector beats the UA stylesheet's
[hidden]{display:none}, so every one of those toggles silently did nothing —
which is why workspace mode still showed the chat, and why coming back never
restored the saved-chat list. Every affected element was in that state.
CSS now owns both modes from a single body class, in one block, and the JS does
nothing but set that class. No element.hidden juggling remains.
One accent. The assistant used --blue for user bubbles, focus rings, blockquotes
and example pills while citations, cards and the mode switch used --purple, so
the two halves read as two different apps. Purple was already dominant (23 uses
to 6) and is the assistant's identity, so blue is gone entirely. Source cards
pick up the same shape, shadow and hover accent as the workspace cards, and a
targeted citation highlights in the accent instead of a bare border.
Go back is removed from both the topbar and the rail: the Assistant/Workspace
switch is how you leave now, and the dead handler went with it.
Create image no longer takes a full-width gradient row competing with New chat;
it is a square icon button beside it with a tooltip and an aria-label.
Also guards the delegated document listeners against double registration.
initIfNeeded already prevented a second bind in production, but nothing stopped
a stray bindEvents() from double-firing every click — which is exactly what the
test harness hit, activating a tab twice from one click.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01WjVc5oaAaYFNbZGLeJp6TX
Both surfaces render from the same pass over the app's real .tab-btn list, so
neither can drift from the menu it mirrors.
- The card view now shares the empty state's graph-paper ground, card language
and spacing, and is centred with a max width, so switching modes reads as the
same app instead of a page that looks nothing like it.
- Cards carry the clinical work tabs only: Settings, Admin, Docs and FAQ stay in
the rail list, where someone looking for them will go, rather than sitting
alongside Encounter HPI and Calculators.
- On phones the card grid is hidden entirely and the chat stays on screen — the
drawer already is the menu there, so a second copy only pushed it away.
- The Sources column and its 330px grid track both go in workspace mode.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01BkfrkQwA4YGrGw9LZSpeAq
Workspace mode rendered the app menu twice — once in the rail and again as a
card grid that replaced the chat column — so clicking it landed you somewhere
that looked nothing like the assistant. There is one menu now: the rail swaps,
the chat column stays where it is.
The Sources panel was already hidden in workspace mode, but its 330px grid track
was not, leaving an empty gutter. Both collapse states now drop the track.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01BkfrkQwA4YGrGw9LZSpeAq
Borrowed from the Tinfoil chat layout, keeping our own palette:
- The empty state leads with a title and a single status pill instead of an
oversized icon plus two paragraphs, so the composer is what the eye lands on.
- Example prompts are raised pill buttons rather than flat outlines.
- A faint graph-paper ground behind the transcript makes the composer read as a
lifted surface; it switches off as soon as there are messages, where it would
fight the text.
- New chat carries its Ctrl+Shift+O shortcut on the right, and the shortcut now
actually works — scoped to the assistant workspace so it does not hijack the
key elsewhere in the app.
- Saved Chats is a collapsible group with a chevron, remembered per browser.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01BkfrkQwA4YGrGw9LZSpeAq
The rail's Workspace section was a collapsible extra sitting under the chats.
It is now the second of two modes, selected by a segmented switch at the top of
the rail:
- Assistant keeps the chat column, the saved-chat list, New chat and Create image.
- Workspace REPLACES the chat column and the Sources panel with the app's own
menu — a card grid in the main column and the same list in the rail — so
nothing from the assistant is left half-visible beside it.
Both the rail list and the cards are built from the app's real .tab-btn
elements, so a tab added, renamed or hidden in index.html follows automatically.
Learning Hub moved down from second place to sit immediately before Content
Manager, with the other content tools rather than above the clinical ones.
Also removed dead CSS for .assistant-view-switch, .assistant-learning-view and
#assistant-learning-root: that markup no longer exists anywhere in the app.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01BkfrkQwA4YGrGw9LZSpeAq
Multimodal removal
The multimodal path called nc_multimodal_search against a second hardcoded
collection whose embedding service (multimodal-embeddings:7999) was never
deployed and ENABLE_MULTIMODAL_RAG has always been false, so it only ever logged
"multimodal search skipped". Removed rather than left as dead weight:
- clinicalRetrieval: normalizeMcpMultimodalResponse, isVisualSourceQuery,
isRadiologyQuery, buildMultimodalSearchQuery, classifyAndRerankMultimodalResults,
selectMultimodalResults, visualIntent, visualMetadataScore,
shouldRejectVisualSource, allowsFrontMatterQuery, looksLikeFrontMatterPage,
looksLikeTextOnlyPage and MULTIMODAL_CANDIDATE_LIMIT (~140 lines).
- clinicalMcpClient: multimodalSearch.
- The route's visual/text slot split is gone; the whole search limit is text.
- The "[visual PDF page match]" prompt label and the "visual PDF page" source
badge are gone with it.
Adding models
Model availability could only be ticked from what the gateway advertised, so an
admin could never offer a model discovery did not list. Each list now has a text
field: a typed id joins the same checkbox list, is enabled by default, is
de-duplicated, and persists through the normal allowed_models save.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01BkfrkQwA4YGrGw9LZSpeAq
New setting clinical_assistant.citations_enabled (default true, admin checkbox).
With it off, retrieval, grounding and every other rule are unchanged — answers
are still built only from retrieved sources — but:
- buildSystemPrompt swaps only the citation block: the "cite factual claims with
[1]" rules are replaced with "do not include citations, source numbers or
bracketed markers", and the note that the sourcing requirement itself is
unchanged. Grounding, scope, table formatting and tone rules are byte-identical
between the two modes.
- The server strips any stray [n] the model emits anyway, from the stored answer
rather than only the view, so saved chats and exports match what was shown.
- No sources are sent to the client at all, and the status endpoint reports the
mode so the UI hides the Sources panel and gives its 330px column back to the
chat instead of showing an empty rail.
Validated as a boolean in adminConfig, like the feature.* keys.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01BkfrkQwA4YGrGw9LZSpeAq
Mobile
body.assistant-workspace .assistant-layout is both later in the file and more
specific than the .assistant-layout rule inside @media (max-width:640px), so
phones were inheriting height: calc(100vh - 64px) — an offset for the app header
that workspace mode already hides — plus grid rules on a flex container. The
topbar then overlapped the content. Added a matching-specificity mobile override
restoring 100dvh and the flex layout.
Workspace menu in the rail
The saved-chats rail gains a collapsible Workspace section listing the app's own
tabs, so the assistant sidebar carries both its chats and the workspace
navigation. It is built from the real .tab-btn elements rather than a second copy
of the menu, so tabs added, renamed or hidden in index.html follow automatically
and admin-only tabs stay hidden.
Prompt
Rewritten as principles instead of an enumerated rulebook: "respond to the user's
latest message, not to an earlier one", "if it carries no question, ask what they
would like you to look up", "never repeat a previous answer", and for the tool
"use it when the latest message asks for a picture, or for a change to one you
just made, and not otherwise". No example words in any language remain — the
model reads the message as written. 1032 -> 788 characters.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01BkfrkQwA4YGrGw9LZSpeAq
Saved chats
Grouped the way Open WebUI groups them: Pinned, Today, Yesterday, Previous 3
days, Previous 7 days, Previous 30 days, then calendar months (with the year
once it is not the current one). Chats with no usable timestamp land in Undated
rather than disappearing.
Sidebar toggle
The collapse button used <i class="fas fa-sidebar">, which is a Font Awesome PRO
icon; on the Free 6.5.0 build this app loads it rendered nothing, so the toggle
has been an invisible button since it shipped. It now uses fa-table-columns,
keeps aria-expanded/aria-controls in sync, flips its label between "Hide saved
chats" and "Show saved chats" so the collapsed state is escapable, and animates.
Acknowledgements
"Окей", "Nice", "Perfect", "gracias" and friends now get the existing
"What clinical question would you like me to look up?" reply instead of a
retrieval and a paid generation. "yes", "sure", "no" and "more" are deliberately
excluded: answers end by offering more detail, so those must still be answered.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01BkfrkQwA4YGrGw9LZSpeAq
Translation
- Stop scrubbing markdown before sending it to LibreTranslate. The scrub
deleted ordered-list numbering ("1. Give amoxicillin" -> "Give amoxicillin"),
flattened tables into ambiguous whitespace and ate underscores inside
identifiers. Raw markdown now goes to the translator unchanged.
- Render the translation through the same markdown pipeline as the original
bubble, with the message's own sources, so [n] markers come back as the usual
clickable .assistant-cite chips instead of escaped literal text. Headings,
lists and tables survive with them.
- When the translator drops citation markers, surface the affected sources in a
recovery block rather than letting the evidence disappear.
- Image cards are live nodes: they are now re-attached on every path out of a
translation (success, failure and Show original), so a failed translation no
longer silently removes a generating image from the message.
Patient take home
- Add a language selector to the take-home modal, reusing the existing
/translate endpoint and offering only what the local LibreTranslate reports.
- Copy, Export and Email carry what the caregiver is actually reading; the
original stays canonical behind "Original".
Conversation budget
- The admin field no longer prefills with the environment value, which turned
the next Save into an accidental override and made the documented "leave
empty to use the environment" path unreachable. The effective limit is shown
as a placeholder instead.
- Report source 'default' honestly instead of naming an unset env var.
- The load-failure notice now lands on the <p> instead of an <input>'s
textContent, where it rendered nothing.
- One validator for the budget everywhere: conversationLimit() replaces a
parseInt that accepted "120000abc".
Other
- /assistant is addressed by its URL, not by ped_last_tab, so "/" no longer
reopens the assistant; the URL follows tab changes and Back leaves it.
- Remove the dead DeepL path (it referenced an undefined DEEPL_BASES) and stop
offering admins a provider the server silently ignores.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01BkfrkQwA4YGrGw9LZSpeAq
Voice lists were a single flat set from LITELLM_TTS_VOICES, so picking a
model could leave an incompatible voice selected and the request would
fail at the gateway. Voices are now resolved per model family (Kokoro,
Kitten, Supertonic, Groq Orpheus EN/AR), with a compatibility check that
falls back through user → admin → env → first valid voice. Groq Orpheus
requests also pin response_format to wav.
Also refreshes the cardiac/respiratory auscultation samples, extends the
well-visit component, and fixes the Android launch theme background
(@null → colorPrimary) so the splash does not flash through.
NOTE: this is in-progress work that was already sitting uncommitted in
the working tree; it is committed here as-is so the tree was clean for
the release bump.
Three concurrent themes from this session:
═══════════════════════════════════════════════════════════════════
ED ENCOUNTERS — per-stage cards + consolidate→MDM finalize
═══════════════════════════════════════════════════════════════════
UX redesign per Daniel's feedback ("every stage note should be shown,
if AI is told to modify that particular note then the modified version
is used in final mdm"):
- Each generated stage stays on screen as its own editable card with
its own embedded "Don't Miss" panel. No more single rolling note
element that gets replaced on each generation.
- gatherCurrentNotes() reads contenteditable text from each stage card
before any operation (advance, finalize, persist) so inline edits
flow into the next AI call and the final consolidate.
- Stage badge is now state-accurate. "Stage N (recording)" with yellow
background after Add-more before generation; "Stage N" with gray
after generation. Fixes the bug where the badge flipped to Stage 2
the moment Add-more was clicked.
- Save & Done now runs TWO server-side AI calls in /finalize:
1. edConsolidate (new prompt) → polished single final note that
integrates every stage chronologically (HPI / ROS / PE / ED Course /
A&P with disposition).
2. edFinalize (rewritten with full inline 2023 AMA E/M element
rubric — problems / data / risk definitions, level mapping with
concrete examples) → MDM JSON.
- Two new cards render after finalize: blue-bordered Final Consolidated
Note + green-bordered MDM. Stage cards become read-only.
- partial_data on the saved row now stores {stages, finalNote, mdm,
finalized} so resume re-renders the full state.
Why two-call finalize: a single combined prompt makes the model cut
corners on one task. Two focused calls cost ~2× latency at the very end
of an encounter — acceptable since finalize is a one-time terminal
action, not a per-stage hot path.
Files: public/components/ed-encounter.html, public/js/ed-encounters.js,
src/routes/edEncounters.js, src/utils/prompts.js (edConsolidate added,
edFinalize rewritten).
═══════════════════════════════════════════════════════════════════
EXTENSIONS / PAGERS — visual polish
═══════════════════════════════════════════════════════════════════
Multiple iterations based on Daniel's feedback:
- Layout: align-items:flex-start so action buttons stay pinned top-right
when long numbers wrap (was align-items:center → buttons drifted into
the text area, causing visible overlap).
- Number: word-break:break-all + min-width:0 + font-feature-settings:tnum
so long numbers wrap within their column instead of pushing under the
buttons. Click-to-copy with a 0.55s green flash + ✓ copied badge.
- Phone/pager Font Awesome icon next to the number in the type color —
at-a-glance type signal (replacing an earlier 3px left stripe that
Daniel found visually bulky).
- Name: font-weight 700, font-size 14.5px, color g900, letter-spacing
-0.012em — scan-target headline typography for long lists.
- Alternating subtle backgrounds by index (white vs #fafbfc) so a long
list reads as distinct rows.
- Hover: card lifts 1px with a soft shadow; action buttons fade from
55% to 100% opacity. Cubic-bezier transition on transform.
- Entrance: staggered fade-up animation per card (35ms × index, capped
at 12). prefers-reduced-motion media query disables motion.
- Empty state: 48px FA icon + heading instead of plain gray text.
Files: public/js/extensions.js, public/css/styles.css.
═══════════════════════════════════════════════════════════════════
DOCS REORGANIZATION + APPLICATION-LOGIC DOCS + ADMIN VIEWER
═══════════════════════════════════════════════════════════════════
Document moves (preserving git history via git mv):
BROWSER_WHISPER_SETUP.md → docs/browser-whisper-setup.md
BROWSER_WHISPER_TROUBLESHOOTING.md → docs/browser-whisper-troubleshooting.md
DEVELOPER_GUIDE.md → docs/developer-guide-extended.md
EMBEDDINGS_SETUP.md → docs/embeddings-setup.md
FEATURES_EXPLAINED.md → docs/features-explained.md
IMPROVEMENTS.md → docs/improvements.md
OPENID_SETUP.md → docs/openid-setup.md
TRANSCRIPTION_OPTIONS.md → docs/transcription-options.md
README.md updated with the new paths + a Documentation section that
links to docs/logic/ at the top.
New application-logic doc series (~8,300 lines total) at docs/logic/.
Built with 5 parallel doc-writing agents per Daniel's "use multiple
agents" directive. Each doc explains how a part of the app actually
works — application logic, data flow, design decisions, sacred zones,
how-to-extend recipes — at a depth that lets a new dev (or an AI
assistant) modify the code confidently.
docs/logic/README.md — index + recommended reading order
docs/logic/architecture.md (2166 L) — frontend IIFE pattern, lazy tab
load, backend route convention,
schema, encryption, deployment
docs/logic/clinical-notes.md (1546L) — every note tab + helper trio
docs/logic/bedside-and-calculators.md (1373L) — bedside ES module
pocket + calculators + PE Guide
+ suture selector
docs/logic/auth-admin-learning.md (1281L) — auth (local+OIDC+2FA) +
admin panel + Learning Hub
(Quiz engine logic at sub-detail
only — TODO follow-up)
docs/logic/ai-and-voice.md (1128 L) — callAI 5-provider routing,
prompts, voice/STT, helper trio
docs/logic/ed-encounters.md (821 L) — multi-stage ED + MDM (this
session's worked example)
Admin-only docs viewer:
- New route /api/admin/docs/{tree,file}: recursively walks docs/, returns
the tree as JSON; /file?path=X validates path stays inside docs/ and
renders markdown via marked. Both gated by req.user.role==='admin'.
- New tab "Docs" (book icon) in the sidebar, hidden by default and
revealed in auth.js when user.role==='admin' (same pattern as the
existing Admin and CMS tabs).
- New component public/components/admin-docs.html: split-pane layout
with a tree sidebar + filter input + a markdown reader pane.
- New module public/js/admin-docs.js: lazy-loads the tree on first tab
activation, renders collapsible folders, persists expanded state and
last-opened path via UIState. Server-rendered HTML so no client
markdown parser needed.
- CSS for the viewer (responsive split-pane, code-block styling, table
scrolling, etc.).
- Mounted at /api/admin/docs (NOT /api) — important: mounting a router
with router.use(authMiddleware) at /api accidentally 401s every other
/api/* path (caught and fixed during testing — /api/health was 401'ing).
Files: docs/* (moved + new), README.md, public/components/admin-docs.html
(new), public/js/admin-docs.js (new), src/routes/adminDocs.js (new),
public/index.html (tab + section + script), public/js/auth.js (admin
gate + logout cleanup), public/css/styles.css (viewer styles), server.js
(mount).
═══════════════════════════════════════════════════════════════════
KNOWN GAPS (TODO follow-ups)
═══════════════════════════════════════════════════════════════════
- Learning Hub quiz engine (MCQ / multi-select / T-F scoring + attempt
tracking + progress dashboard) is covered at the architectural level
in docs/logic/auth-admin-learning.md but not drilled into the quiz
data model and scoring flow. Worth a focused follow-up doc.
- ED finalize: if MDM step JSON parse fails, server returns 502 with
the consolidated finalNote in the error payload, but client doesn't
surface the partial result. Add a "MDM failed, retry" affordance.
- No e2e Playwright coverage for ED encounters or the new docs viewer.
#2 — Don't-miss tooltip (encounters HPI + sick visit, max 5)
- New POST /api/dont-miss returning {points: [{point, why}]} capped at 5
(cap defended both in the prompt and server-side .slice(0,5))
- New dontMissTooltip prompt in prompts.js
- New suggestDontMiss() helper in app.js mirroring suggestBillingCodes;
inserts an orange-bordered card next to the note output, silent on empty
- Wired into liveEncounter.js (encounter HPI) and sickVisit.js. Not added
to wellvisit/soap/hospital/chart per spec.
#1 — Bedside suture selector
- New ES module public/js/bedside/sutures.js (~300L) following the
burns.js pattern: site × age × tension × cosmetic × contamination ×
hours-since-injury → material, size, technique, removal day range,
glue/Steri-strip alternative, warnings, tetanus reminder.
- 15 anatomic sites covered (face, eyelid, lip vermilion, intraoral,
ear, scalp, neck, trunk, upper/lower ext, hand, foot, joint surface,
genitalia, fingertip).
- Bites: cat/human → don't-close-primarily warning; dog bite to hand →
loose-approximation note. Heavy contamination → delayed primary
closure. >12h non-face/scalp → judgment call note.
- Removal days shown as ranges (3–5, 7–10, 10–14) per source norms,
not single midpoints.
- Subungual hematoma trephination guidance corrected: any painful
hematoma with intact nail and no displaced fracture (especially if
25–50% or more), per current UpToDate guidance.
- Inline citation: Roberts & Hedges 7e (2019), Fleisher & Ludwig 8e,
AAP Section on EM, UpToDate (Pope JV).
- Pill registered in sub-nav SECTIONS + bedside/index.js. Persists
active state via existing UIState helper.
All 46 tests pass.
Four changes batched:
1. ED Encounters tab (new) — multi-stage emergency note with don't-miss
tooltips and 2023 E/M MDM finalize. New route /api/ed-encounters
(generate per-stage + finalize MDM), new ed-encounters.js owning all
client logic, new ed-encounter.html component, new template_ed memory
category. Persists draft to localStorage every keystroke and to
saved_encounters on stage advance. encounters.js touched only to
register the new tab in sessionStorage restore + tabMap (save and
idempotency code untouched).
2. Notes model selector — /notes/from-voice now accepts a client-supplied
model (validated by the existing callAI allow-list); falls back to the
admin default. Added <select class="tab-model-select"> to notes.html
so the existing app.js populator handles options + default.
3. Remove AI-learning-from-corrections — deleted correctionTracker.js,
POST /memories/correction, the corrections branch in
/memories/context, the settings UI section, the FAQ entry, and all
dead trackAIOutput/saveCorrection guards in callers. Legacy
correction_* DB rows are filtered (NOT LIKE) rather than dropped, so
no destructive migration.
4. Fix notes AI framing — /notes/from-voice prompt no longer assumes
"physician dictation". Plain notes (shopping lists, reminders,
ideas) now match the dictation tone instead of being forced into
clinical structure.
All 46 tests pass.
Soft-delete for notes — Daniel asked for "deleted notes go to trash"
so a slip of the finger doesn't lose work.
Schema: migrations/1777090000000_notes-trash.js adds a deleted_at
timestamptz column to personal_notes (NULL = active) plus an index
on (user_id, deleted_at).
Server (src/routes/notes.js):
GET /api/notes now filters deleted_at IS NULL
GET /api/notes/trash new — list trashed items, newest-
deleted first
DELETE /api/notes/:id now soft-deletes (sets deleted_at)
DELETE /api/notes/:id?hard=1 hard-delete, only allowed on items
already in trash (UI bug can't
erase an active note)
POST /api/notes/:id/restore pull a note out of trash
POST /api/notes/trash/empty hard-delete every trashed note for
the user
Frontend (public/components/notes.html + public/js/notes.js +
public/css/styles.css):
• Sidebar gets two tabs — "Notes" / "Trash (n)" with live count
• Trash tab shows deleted-at timestamps, Restore + delete-forever
per row, Empty-trash button at the bottom
• Active list and trash count refresh in parallel after every
save / delete / restore
• Delete button in the editor now says "Move to trash" and uses
the showConfirm helper (no native dialogs)
Sanitizer swap (public/js/notes.js):
Replaced the homegrown allowlist walker with DOMPurify (already
loaded from cdnjs in index.html, used by learningHub.js too).
Custom HTML sanitizers historically have bypasses; DOMPurify is
the right primitive.
Tests (test/notes-sanitize.test.js — node:test + jsdom + dompurify
as new dev deps):
9 contract tests covering script-tag stripping, inline event
handlers, img onerror, iframe/object, style attributes, every
preserved tag in the allowlist, javascript: URI rejection,
null/undefined input, and nested-script-inside-paragraph. Total
test count: 37 → 46 passing.
SW cache bumped to pedscribe-v12-notes5.
Removed the "your note saves as you type" / "encrypted at rest" /
tip-list filler that telegraphs AI-generated code. UI now reads
the way a real app reads — names where names go, no paragraphs
explaining what a button does.
• Module header: "Notes" — removed the paragraph tagline.
• Empty state: icon + "New note" button only — removed the
"Hello 👋" heading, the description, and the three-tip list.
• Placeholders: "Title" / "Search" — removed the "…" ellipses
and the "Note title" / "Search notes" verbosity.
• Status + meta: emptied the "New note — will save automatically
once you type" meta string and the "This note is empty. Tap
Edit to add content" reader placeholder.
• Empty-list copy trimmed to just "No matches" when the search
filter is active.
SW cache bumped to pedscribe-v12-notes3.
Four changes landing together so the UX flows properly.
1. Fix voice-generation model error.
/api/notes/from-voice was passing `req.body.model` (undefined)
through to callAI, which resolved to LITELLM_DEFAULT_MODEL (empty
for LiteLLM deployments with no explicit default) → `model=""` →
LiteLLM 400 "Invalid model name". Server now reads the admin-
configured `models.default` setting, falls back to the
LITELLM_DEFAULT_MODEL env var, and only passes a model if one
resolved. Empty string never reaches the provider.
2. Read mode as the default post-save.
Opening an existing note or saving a new one now lands on a
clean, read-only rendering of the body (sanitized HTML with an
allowlist — p/h2/h3/strong/em/u/s/a/ul/ol/li/blockquote/code/pre).
Click the "Edit" button to switch to the Tiptap editor. Matches
the mental model of "notes are documents I review, not drafts I'm
always editing."
3. Autosave during edit.
Title-input + Tiptap onUpdate trigger a 1.2-second-debounced save.
In-flight saves coalesce: if the user types more while a save is
in progress, a follow-up fires right after it lands so the last
keystroke never gets stranded. beforeunload uses navigator.
sendBeacon to best-effort flush on tab close. The manual Save
button is kept as a "save + switch to reader" shortcut. Ctrl/
Cmd+S still works in the editor.
4. Mobile layout.
The two-pane layout collapses to a single-pane view below 900px,
driven by a data-view attribute on .notes-layout. Back buttons
appear in the reader + editor heads on mobile to return to the
list. Desktop layout unchanged (sidebar + right pane always
visible).
Also:
• CSS specificity fix — .hidden{display:none} was losing to
.notes-rec-indicator{display:inline-flex} on source order, so
the "Recording" indicator was showing when idle. Added explicit
.notes-rec-indicator.hidden + .notes-voice-bar .btn-sm.hidden
overrides at higher specificity.
• Reader-body sanitizer — allowlist of safe tags + attributes;
<a> links get target=_blank + rel=noopener.
• SW cache bumped to pedscribe-v12-notes2 so clients pick up the
new module / component / CSS.
New "Notes" tab under Clinical Tools — a per-user scratchpad that's
explicitly NOT fed into AI prompts (distinct from user_memories).
Two-pane layout: searchable list on the left, rich-text editor with
title + save/edit/delete on the right.
Backend:
migrations/…_add-personal-notes.js — personal_notes table
(id, user_id → users ON DELETE CASCADE, title, body, created_at,
updated_at) with indexes on user_id + (user_id, updated_at).
src/routes/notes.js — CRUD + one AI endpoint:
GET /api/notes list, newest-updated first
GET /api/notes/:id fetch one
POST /api/notes create (title + body required)
PUT /api/notes/:id update
DELETE /api/notes/:id remove
POST /api/notes/from-voice transcript → { title, body }
via callAI (admin-controlled
provider — never selectable by
the clinician).
Body + title encrypted at rest via the same cryptoUtil used for
user_memories; 500-note per-user cap; 200-char title / 50 KB
body limits.
Frontend:
public/components/notes.html — empty-state card ("Hello 👋"),
sidebar list with search, editor head with voice-bar (Dictate /
Pause / Resume / Stop + live timer + pulse indicator), Tiptap
body, metadata footer. Uses existing .tp-* toolbar classes.
public/js/notes.js — lazy-init on first tab activation; Tiptap
editor built from window.Tiptap (same bundle the Content
Manager uses); delegated list clicks; Ctrl/Cmd+S to save;
uses app.js's AudioRecorder + transcribeAudio so the STT
pipeline is shared. On stop → transcribe → /api/notes/from-
voice → drop the AI-structured title + body into the editor;
clinician reviews then saves.
public/css/styles.css — 70 lines of .notes-* styles (card
layout, warm empty-state with gradient icon + tips, pulse
animation for the recording indicator, focus states, hover
nudges).
public/sw.js — bump cache from pedscribe-v12 → pedscribe-v12-
notes1 so clients pick up the new module/component.
Admin-controlled STT provider: the recorder posts its audio blob
to the existing /api/transcribe (Google / LiteLLM / ElevenLabs /
Browser Whisper — whatever admin wired up in Settings). Users
cannot pick the provider from this UI.
open from the Bedside tab
The #img-lightbox overlay markup was sitting at the bottom of
calculators.html. Before the reorg it was fine — the calculators tab
was always the only home for bedside, so by the time a user clicked
the seizure or NRP pathway button the lightbox HTML was guaranteed to
be in the DOM. After promoting Bedside to its own tab, a user can
open Bedside -> Seizures without having visited Calculators first;
the lightbox JS's getElementById('img-lightbox') then returns null
and the click silently no-ops.
Moved the overlay markup to the bottom of index.html so it exists
from page load regardless of which tab has been lazy-loaded. The e2e
harness gets a duplicate copy so the existing lightbox smoke test
keeps working.
Added a regression test for NRP (bedside-smoke.spec.js:141) to catch
any future breakage — the prior seizure-only test didn't exercise the
second pathway button and so the neonatal/NRP path had never been
clicked in CI.
Suite: 252 passed / 0 failed.
Bedside is now a top-level tab instead of a sub-pill inside Calculators —
it's the highest-traffic emergency reference in the app and deserves a
one-click entry. Same DOM structure and JS modules; only the container
moved.
Sidebar reorg:
- Notes: Hospital Course, Chart Review, SOAP Note, Well Visit, Sick Visit
(Well Visit + Sick Visit relocated from the old "Pediatric" group —
they're clinical note workflows, not pure reference tools).
- Section rename: "Pediatric" → "Clinical Tools". The section now holds
Vaccine Schedule, Catch-Up Schedule, Physical Exam Guide, Bedside,
Calculators, Pagers & Extensions, Learning Hub, Content Manager — mix
of reference tables + active calculators + utilities, none strictly
pediatric. "Clinical Tools" reads naturally for the combined set.
Layout changes:
- calculators.html: dropped 480 lines of bedside panel + the Bedside
nav-pill. The shared age→weight estimator moved with it.
- bedside.html: new component file, contains the full bedside card +
the age→weight estimator prepended.
- index.html: added bedside-tab section, sidebar restructured.
- e2e-harness.html: renders calculators + bedside side-by-side (not the
old calc-tab→bedside-pill dance) so the bedside smoke suite still
works without auth. e2e-bootstrap fetches both with a cache-buster.
- bedside-smoke.spec.js: removed the now-obsolete calc-nav-pill click
from each test.
Tab persistence is unchanged — ped_last_tab already survives sign-out,
and the lazy-load cache keeps sub-pill state across navigation within a
session. Persistence across browser restart for sub-pills is a separate
follow-up.
Fourth PE system added. Adolescent cardiovascular exam at the same
teaching-focused depth as respiratory/neuro: five components with
significance + pearls + detailed step methods + watch-for blocks.
APTM auscultation diagram (new, inline SVG, no image file):
- Stylised anterior chest with sternum, clavicles, ICS level lines,
left mid-clavicular line
- Five colour-coded landmarks:
A Aortic — 2nd ICS right sternal border
P Pulmonic — 2nd ICS left sternal border
E Erb's pt — 3rd ICS left sternal border
T Tricuspid — 4th ICS left sternal border
M Mitral — 5th ICS mid-clavicular (apex)
- Side legend: location + what to listen for at each point
- Patient's-left / patient's-right labels to prevent mirror-image
confusion
CV-specific grading scales (3 new entries in SCALES):
- Murmur grade Levine 1–6
- Pulse amplitude 0–4+
- Capillary refill time thresholds
CV components:
1. Inspection (general appearance, central/peripheral cyanosis,
clubbing with Schamroth sign, precordial bulge, visible apex, JVP)
2. Palpation (apex position + character, parasternal heave, thrills
at all 5 points, peripheral pulses upper + lower, radio-femoral
delay for coarctation)
3. Auscultation — approach (positioning, diaphragm vs bell, systematic
walk through all 5 points, left lateral decub for MS, leaning
forward for AR)
4. Auscultation — heart sounds + murmurs (S1, S2 split, S3/S4 gallops,
murmur characterisation by timing/location/radiation/character,
Levine grading, dynamic maneuvers, innocent-murmur "7 S" pearl)
5. Peripheral vascular (four-limb BP for coarctation, radio-femoral
delay, bounding pulse differential)
UI wiring:
- renderSystem() emits APTM diagram card at the top of cv system,
before scales. Two-column layout: SVG on left, legend on right.
- accentMap/iconMap/labelMap extended with cv = rose accent,
heart-pulse icon, "Cardiovascular" label
- New sub-tab pill in pe-guide.html
Third PE system added. Adolescent respiratory fully fleshed out with
the same teaching-focused depth as neuro: overview, grading scales,
per-component significance + pearls, detailed step methods with HOW
and NORMAL labels, and a watch-for red-flag block.
New respiratorySounds.js uses the Web Audio API to synthesize 8 classic
breath sounds on demand — no network, no audio files, no licensing:
- Normal vesicular
- Wheeze (two-partial + vibrato, filtered sawtooth)
- Stridor (inspiratory, bandpass-filtered sawtooth sweep)
- Fine crackles (dense brief high-freq noise bursts, late inspiration)
- Coarse crackles (sparser, longer, lower-freq bursts)
- Rhonchi (low-pitched warbled sawtooth, expiratory)
- Pleural friction rub (bandpass noise, biphasic)
- Expiratory grunting (square-wave short grunts)
Sounds are synthesised approximations intended to teach the pattern
(what makes a wheeze a wheeze vs a stridor). Labelled as such in the UI.
Controls: one play at a time, auto-stop ~3s.
Respiratory-specific grading scales:
- RR by age (WHO tachypnea cutoffs)
- Pulse ox (SpO2) with hypoxemia thresholds
- Silverman–Andersen (neonatal retractions, 0–10)
- Westley croup severity score
Components in adolescent respiratory:
1. Inspection (observation-first — RR, pattern, WOB, audible sounds,
chest shape, colour, clubbing with Schamroth sign)
2. Palpation (trachea, expansion symmetry, tactile fremitus,
tenderness, subcutaneous emphysema)
3. Percussion (technique + systematic zones + cardiac/hepatic
dullness + diaphragmatic excursion)
4. Auscultation — normal breath sounds (vesicular, bronchovesicular,
bronchial) with systematic side-to-side comparison
5. Auscultation — adventitious sounds with per-sound listen buttons
linking directly to the sounds library
6. Special maneuvers — bronchophony, egophony, whispered pectoriloquy
Older age groups (newborn through school-age) will get their own resp
blocks incrementally — v1 focused on adolescent for the quality bar.
UI: new sub-tab pill "Respiratory" with lung icon, sky-blue accent.
renderSystem refactored to use accent/icon maps instead of per-system
if/else — scales to future systems (cardiovascular coming next).
