Commit graph

18 commits

Author SHA1 Message Date
Daniel
d734f4945b honor admin default model selections 2026-05-08 06:49:50 +02:00
Daniel
68a422a7ad restore assistant streaming 2026-05-08 00:26:10 +02:00
Daniel
d99605c3c0 stabilize assistant and add diagrams 2026-05-08 00:23:00 +02:00
Daniel
65661a54c7 fix assistant stream truncation handling 2026-05-07 23:02:26 +02:00
Daniel
baf05198a8 refactor clinical assistant prompt handling 2026-05-07 22:52:46 +02:00
Daniel
60d726a293 feat: stream clinical assistant responses 2026-05-07 17:26:10 +02:00
Daniel
a76aead242 fix: auth/API logging to Loki, TTS voice auto-detection, STT ElevenLabs support
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- Add logger.audit/access calls to auth route (login, login_failed,
  login_blocked, register, password_changed, 2fa_backup_code_used,
  2fa_backup_codes_regenerated) — these previously only wrote to DB
  via raw SQL, bypassing Loki shipper
- Replace logger.info with logger.apiCall in callAI() so every AI call
  ships to Loki with model, tokens, cost, duration
- Add device identifier (parsed user agent) to audit and access logs
- Fix TTS voice/model provider mismatch: auto-detect Vertex voices
  (Puck, Charon, Kore, etc.) and ElevenLabs voice IDs, override model
  to match provider regardless of what model was previously set
- Fix TTS discovery: model IDs saved to tts.voice are detected and
  redirected to tts.model (regex for openai-tts, elevenlabs, vertex-tts)
- Fix STT transcription route: add scribe/elevenlabs/transcri to the
  isTranscriptionModel regex so ElevenLabs Scribe uses /audio/transcriptions
  endpoint instead of chat completions
- Remove OpenObserve/SigNoz code from logger (reverted to Loki-only)
2026-04-19 21:26:49 +02:00
Daniel
d79d9eeded feat: neonatal calculator, DOCX/PPTX/ODT/EPUB support, gateway-agnostic URL helper, TTS/STT fixes
- Add neonatal assessment calculator: GA classification (extremely preterm through
  post term), weight-for-GA percentile (AGA/SGA/LGA) using Fenton 2013 LMS data,
  birth weight category (ELBW/VLBW/LBW/normal/macrosomia)
- Add DOCX support via mammoth, PPTX/ODT/EPUB via jszip in Learning Hub content
  generator file upload
- Add gatewayUrl() helper for consistent API URL construction — handles
  LITELLM_API_BASE with or without /v1 suffix, works with any OpenAI-compatible
  gateway (LiteLLM, Bifrost, etc.)
- Fix TTS model/voice separation: discovery now tags items as MODEL or VOICE,
  auto-detects provider from voice name (Vertex, ElevenLabs, OpenAI)
- Fix STT discovery to include ElevenLabs Scribe and Chirp models
- Fix TTS discovery to include ElevenLabs and Vertex voices alongside models
- Fix admin model test to bypass allowlist check (skipAllowlistCheck) so
  discovered models can be tested before adding
- Fix Nextcloud token decryption in learningAI.js WebDAV browse and file import
- Fix admin embedding test to show DB model name instead of hardcoded default
- Fix admin STT test to use correct endpoint for Whisper models
- Add AI gateway migration guide to configuration docs
- Add Grafana dashboard JSON for Loki log visualization
2026-04-19 02:17:06 +02:00
Daniel
63f77aa9cf Batch of security + scale fixes
Age parser (src/routes/billing.js):
  - Now sums year + month + week + day matches so "4 yr 11 mo"
    (59 months) correctly maps to the 5-11y billing bracket instead
    of being billed as 1-4y. Added bounds sanity check.

Graceful SIGTERM shutdown (server.js):
  - Closes the HTTP listener first, then drains batched audit queues,
    then ends the Postgres pool. 9-second hard deadline to beat
    Docker's 10-second SIGKILL. Previously an in-flight note save
    during a container restart could truncate the write.

Explicit LLM fallback opt-in (src/utils/ai.js):
  - The OpenRouter / LiteLLM silent fallback now requires admin
    setting `ai.allow_model_fallback = true` (default: false). If
    primary fails and fallback is disabled, the error is surfaced
    to the caller. Prevents silent spillover from a BAA-covered
    primary to a non-covered fallback.

Prompt injection delimiters (src/utils/promptSafe.js):
  - Wraps user transcripts, dictations, refine-instructions, and
    pasted documents in <UNTRUSTED_*>...</UNTRUSTED_*> tags and
    appends an explicit system instruction telling the model to
    treat the wrapped content as data rather than commands.
  - Applied to soap.js, hpi.js, refine.js. Extend to other AI
    routes incrementally.

Cross-tab logout sync (public/js/authFetch.js, auth.js):
  - BroadcastChannel('pedscribe-auth') — logout in one tab posts
    a message; all sibling tabs clear state and reload, dropping
    any PHI-containing UI immediately.

Backup code race-free consumption (src/routes/auth.js):
  - tryConsumeBackupCode() now uses a Postgres transaction with
    SELECT ... FOR UPDATE so concurrent login attempts using the
    same code serialize. First wins, second sees the already-
    shortened array.

Optimistic encounter locking (migrations/...add-encounter-version):
  - saved_encounters.version INTEGER NOT NULL DEFAULT 1
  - POST /api/encounters/saved accepts an expected_version and
    rejects with 409 if the row has advanced. Falls back to
    last-write-wins if the client doesn't pass one (backward compat).

Audit log batching (src/utils/auditQueue.js):
  - Audit / api_log / access_log writes are buffered in memory and
    flushed every 1s or every 50 entries via one multi-row INSERT.
    Under load this reduces DB pressure by ~50x. On SIGTERM the
    shutdown path drains the queue before exiting.
2026-04-14 05:24:40 +02:00
Daniel
8893e484fd Enforce server-side LLM model whitelist + scope idle timeout to writes
Two findings from review:

1. callAI() previously accepted any model string from the client.
   POST /api/hpi with { model: "openai/o1" } would call the reasoning
   model regardless of whether the operator enabled it. Added
   getAllowedModelIds() in src/utils/models.js (60s TTL DB-backed
   cache) and a guard at the top of callAI() that rejects with
   "model_not_permitted" when the requested ID isn't in the active
   roster. No model supplied → silent fallback to DEFAULT_MODEL.

2. Middleware was updating user_sessions.last_activity on every
   request, including GETs. Client-side polling (/api/auth/me
   heartbeats, dashboard refreshes, log tail calls) kept sessions
   alive indefinitely, defeating the 24h sliding idle policy. Now
   only POST/PUT/DELETE/PATCH count as "user activity". GETs are
   read-only and often automated — they no longer extend the
   session. Idle enforcement still runs on every method, so a
   24h-idle user still gets kicked on their next GET.
2026-04-14 05:15:55 +02:00
ifedan-ed
f98b9b7b71 feat: Add model search, testing, and TTS/STT/embedding management to admin
- Fix model search for all providers: Bedrock now falls back to built-in
  list (with live ListFoundationModels attempt), Azure returns built-in list
- Add Test button on every model row (built-in, discovered, custom) that
  sends a live prompt and shows response + latency in a toast
- Add TTS management section: search voices from provider API (Google TTS
  voices.list, LiteLLM /v1/models, ElevenLabs /v1/voices), Set as Default
  writes tts.voice/tts.model to DB, runtime respects DB override
- Add STT management section: search models from provider (Gemini, Whisper,
  LiteLLM, OpenAI, local), Set as Default writes stt.model to DB, runtime
  respects DB override in transcribe.js
- Add Embedding models section: search from provider (LiteLLM, Vertex,
  OpenAI), Set as Default writes embeddings.model+dimensions to DB,
  embeddings.js respects DB override
- Add record-and-transcribe STT test (browser MediaRecorder)
- Add TTS synthesize-and-play test (returns base64 audio)
- Add embedding generate test (shows dims + vector sample)
- Expand PUT /config/:key(*) whitelist to include tts., stt., embeddings.
- Add @aws-sdk/client-bedrock as optional dependency for live Bedrock discovery
2026-04-03 19:55:11 +00:00
Daniel Onyejesi
9ec4cbf6b1 v9.1: Add Google Vertex AI + LiteLLM support, admin model management panel
- Add Vertex AI provider (Gemini models via @google-cloud/vertexai SDK)
- Add LiteLLM proxy support (OpenAI-compatible, routes to any provider)
- Admin panel: model search/discover from provider API, enable/disable, custom models, set default
- New endpoints: /config/models/discover, /config/models/add-discovered, /config/models/default
- Updated models.js with VERTEX_MODELS and LITELLM_MODELS lists
- Updated health endpoint with vertex + litellm status
2026-03-29 10:32:45 -04:00
Daniel Onyejesi
986ee76489 Comprehensive Bedrock fix: inference profiles + maxTokens clamping
- ALL models that need inference profiles now use us. prefix IDs:
  Anthropic (all 8), Nova (3), Meta Llama (3), DeepSeek R1, Writer
- Models with low max output tokens (Cohere 4096, Jamba 4096) now
  have maxOut field; callBedrock clamps maxTokens automatically
- Removed Qwen3 235B (no us-east-1 support, no inference profile)
- Added better debug logging for response block structure
2026-03-24 18:26:43 -04:00
Daniel Onyejesi
6932dddbc1 Fix Anthropic models: use cross-region inference profiles (us. prefix)
Opus 4.6, Opus 4.5, Sonnet 4.6, Haiku 4.5 do NOT support direct
on-demand invocation — they require cross-region inference profile IDs
(us.anthropic.* prefix). Updated all affected bedrockIds. Also fixed
isAnthropic check to handle us.anthropic.* prefix.

Sonnet 4.5, Sonnet 4, 3.5 Haiku also updated to use profiles for
consistency (profiles work everywhere, direct IDs are limited).
2026-03-24 18:17:36 -04:00
Daniel Onyejesi
c2646f0384 Fix Opus 4.6 thinking blocks, re-add Amazon Nova models
- Opus 4.6 returns multiple content blocks (thinking + text); was only
  reading content[0] which was the thinking block (just '{')
- Now iterates all blocks and extracts only type:'text' blocks
- Added debug logging for Bedrock response structure
- Re-added Nova Pro, Nova Lite, Nova Micro with correct region metadata
2026-03-24 18:05:27 -04:00
Daniel
d2ed08cd46 v3.0: Add multi-provider Bedrock models, newborn milestones, Converse API
- Bedrock: Add 14 non-vendor model models (Amazon Nova, Meta Llama 4, DeepSeek R1/V3,
  Mistral Large 3, Cohere Command R+, AI21 Jamba) with verified AWS model IDs
- Bedrock: Implement Converse API for non-Anthropic models (unified cross-model API),
  keep native Messages API for vendor model models (best performance)
- Milestones: Add Newborn / 1 month developmental milestones (Gross Motor, Fine Motor,
  Language, Social/Emotional, Cognitive) — previously started at 2 months
- Bump version to 3.0.0, docker-compose tag to v3.0
2026-03-23 22:13:19 +01:00
ifedan-ed
ac8e7bb890 v3.0.0: Auth, admin panel, security fixes, per-tab model selector
- Add authMiddleware to all AI/transcribe routes (were unauthenticated)
- Add full admin panel: user management, registration toggle, stats
- Fix XSS in email verification (escape user.name in HTML)
- Fix missing APP_URL fallback in password reset email
- Add per-tab model selector (respects OpenRouter/Bedrock/Azure lists)
- Fix transcribeAudio to send Authorization header
- Fix labs input: textarea instead of single-line input
- Add structured logging: audit_log, api_log, access_log tables
- Add admin CLI (admin-cli.js) for Docker exec management
- Fix duplicate var duration declaration in ai.js catch block
- Fix RETURNING check case-sensitivity in database.js
2026-03-21 19:25:51 -04:00
ifedan-ed
565bec9ca8 v2.0.0: Pediatric AI Scribe
Features:
- Live encounter recording → HPI (outpatient/inpatient)
- Voice dictation → HPI / SOAP note
- Hospital course generator (prose/day-by-day/organ system/psych)
- Chart review / precharting (outpatient/subspecialty/ED)
- SOAP note generator (full/subjective only)
- Developmental milestones (AAP/Nelson) with narrative + 3-sentence summary
- AI refine & shorten for all outputs
- Ask AI what's missing (clarification)
- Authentication (email/password, email verification, 2FA)
- Nextcloud integration with auto date folders
- PWA support (installable on phone)
- 18+ AI models via OpenRouter
- HIPAA compliance guidance
- Docker support
2026-03-21 16:55:50 -04:00