Commit graph

9 commits

Author SHA1 Message Date
Daniel
9d823e19d0 remove legacy well visit schedule data 2026-05-08 08:59:23 +02:00
Daniel
6c7d687dd0 Prompt-injection wrap: remaining AI routes
Applied the <UNTRUSTED_*> delimiter + INJECTION_GUARD pattern to:
  - src/routes/sickVisit.js  (chief complaint, transcript, dictation,
                               ROS, physical exam, diagnoses, style hints)
  - src/routes/wellVisit.js  (SSHADESS answers + full well-visit context)
  - src/routes/chartReview.js (PMH + all visit content + labs)
  - src/routes/hospitalCourse.js (all notes/H&P/ED + clarification
                                   & update endpoints)
  - src/routes/milestones.js (narrative + summary)

Each wraps patient-derived text in <UNTRUSTED_*>…</UNTRUSTED_*>
tags and appends the INJECTION_GUARD system instruction that tells
the model to treat wrapped content strictly as data. Operator-
supplied `additionalInstructions` stays unwrapped (trusted).
2026-04-14 05:31:54 +02:00
Daniel
54552df795 Stop leaking e.message to clients across all routes
88 occurrences of res.status(500).json({ error: e.message }) (or
err.message) swept to generic 'Request failed'. Server-side
console.error / logger.error calls are untouched, so the full detail
still lands in logs and Grafana.

Covers: admin, adminConfig, adminMilestones, chartReview, documents,
encounters, hospitalCourse, hpi, learningAdmin, learningAI, learningHub,
logs, memories, milestones, oidc, refine, sessions, sickVisit, soap,
userPreferences, wellVisit.

Also extends .gitignore to exclude .env.backup-* files.
2026-04-14 03:04:24 +02:00
Daniel
d12d4f4e63 v6.2: Session management, password change, audit logging, refine context, UI fixes
Security:
- Add session management: users can view/revoke active sessions in Settings
- Add password change in Settings (requires current password, HIBP check)
- Force logout all sessions on password reset
- Fix logout to destroy server-side session (was only clearing cookie)
- Add trust proxy for correct client IP in rate limiting and audit logs
- Add CORS support for multiple domains (CORS_ORIGINS env var)
- Add HIBP breach check endpoint and inline warnings on password fields

Audit logging:
- Add audit logging to all 24 PHI-handling endpoints across 13 route files
- Covers: generation, transcription, TTS, refine, encounters, documents, Nextcloud
- All fire-and-forget (no response delay)

AI improvements:
- Refine now includes original source material (transcript, notes, labs)
  so AI can reference the full input when modifying output
- Add correction tracking (trackAIOutput) to sick visit and well visit tabs
- Fix sickvisit missing from encounter save noteIdMap

UI fixes:
- Non-blocking busy bar for transcription and AI generation (replaces full-screen overlay)
- Fix encounter recording: hide record button during recording (was showing two stop buttons)
- Fix ROS/PE "All WNL" stacking duplicate event handlers; add Clear buttons
- Enlarge AI instructions textarea in Learning Hub CMS

Domain:
- Primary domain now app.pedshub.com, with scribe.pedshub.com and peds.danvics.com as CORS origins
2026-04-08 20:27:45 +02:00
Daniel
b97c5f146b v6.1: Turnstile bot protection, LiteLLM provider, PPTX tables, audio backup fixes, docs
- Add Cloudflare Turnstile to login, register, and password reset forms
- Switch AI provider to LiteLLM, transcription to OpenAI Whisper
- Change domain to scribe.pedshub.com
- Fix PPTX export: add tables, bold/italic, numbered lists, code blocks, blockquotes
- Fix announcement banner close button (CSP was blocking inline onclick)
- Fix auth middleware: empty Bearer token now falls through to cookie auth
- Fix audio backups: only save on transcription failure, stop auto-deleting on success
- Soften AI correction injection to prevent model hallucination from correction history
- Fix LiteLLM TTS model name handling (no incorrect openai/ prefix)
- Expand AI instructions textarea in Learning Hub CMS
- Update README for v6 with all features and providers
- Add comprehensive docs/: architecture, API reference, database schema,
  authentication, AI providers, speech, learning hub, configuration, deployment
2026-04-04 22:56:24 +02:00
Daniel Onyejesi
e33cd4dc60 v10: Local Whisper transcription, bigger text areas, flexible AI memory
- Add local Whisper (whisper.cpp / faster-whisper) as transcription provider
  Set TRANSCRIBE_PROVIDER=local with configurable model size and binary path
- Upgrade all refine/instruction inputs to resizable textareas across
  encounter, dictation, hospital course, chart review, well visit, sick visit
- Make AI memory injection flexible: physician preferences and corrections
  are now actively applied (not just "formatting reference"), while still
  overridable by current prompt instructions
2026-03-28 22:00:30 +00:00
Daniel Onyejesi
15494b4675 Security fixes: remove SSO token from URL, add prompt boundaries
- OIDC callback now passes only ?sso=ok flag, token stays in
  httpOnly cookie (prevents token leaking to logs/referrer/history)
- Frontend auth.js uses cookie-based auth for SSO flow
- Add [PHYSICIAN TEMPLATES] boundary markers around physicianMemories
  in all 5 generation routes to mitigate prompt injection
- Consistent boundary format across wellVisit, sickVisit, hpi, soap,
  hospitalCourse
2026-03-25 19:25:49 -04:00
Daniel
0be925f58f Add growth velocity, feeding guidance, BMI classification to well visits
- Growth reference data by age (newborn through 21y): expected weight/length/HC
  gains per day/month/year, puberty growth spurt details
- Feeding/nutrition guidance by age: formula amounts, breastfeeding frequency,
  solid food introduction timeline, juice limits, milk transitions, calorie needs
- BMI/obesity classification per AAP 2023 CPG + CDC Extended BMI:
  Underweight, Healthy, Overweight, Obesity Class I/II/III with action items
  (≥120% and ≥140% of 95th percentile thresholds)
- Weight-for-length guidance for children <2 years
- "By Visit" panel now shows growth reference + feeding guidance + BMI table
- Well visit AI prompt updated to include growth assessment, BMI classification,
  and feeding counseling in generated notes
- Backend injects age-appropriate growth/nutrition data into AI context
2026-03-23 23:11:24 +01:00
Daniel Onyejesi
7719e564be Feat: admin CMS, save/resume encounters, user templates, SSHADESS, well visit notes, sick visit, ROS/PE checklists, ICD-10 diagnoses
- Admin CMS: announcements, feature flags, email templates, AI prompts, SMTP, model management, reset-to-defaults
- Save/resume encounter progress with 7-day auto-expiry and patient labels
- Inline searchable load popover (replaces settings-modal redirect)
- User memory/template system (physical exam, ROS, encounter format, etc.)
- SSHADESS psychosocial screening form (8 domains, listen-in recording)
- Well visit note generation with vitals, vaccines, screenings, SSHADESS
- Interactive screenings/vaccines status buttons (Done/Refused/Already Given/N/A)
- ROS 15-system checklist + PE 17-system checklist in well visit note tab
- ICD-10 diagnoses tag picker (28 common pediatric codes + free text)
- Simple sick visit tab: chief complaint, inferred ROS (4) + PE (7), diagnoses, generate note
- Settings converted from modal to full-page tab
- Fix: /api/models moved before authenticated routes (was returning 401 → empty model selector)
- Fix: getUserMemoryContext always fetches from API regardless of cache state
- Pause/resume recording on all recording tabs
- Site-level SMTP config stored in DB; ElevenLabs TTS with browser fallback
2026-03-22 16:43:39 -04:00