Commit graph

16 commits

Author SHA1 Message Date
Daniel Onyejesi
208ce27fa4 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
a43468fd4e 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
e4faf07a6d 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 Onyejesi
a0dec0d1d7 Fix Bedrock models: remove Nova (no on-demand), add region filtering
- Removed Amazon Nova models (not available for on-demand invocation)
- Replaced DeepSeek V3 with V3.2 (correct model ID)
- Removed Mistral Large 24.07 (us-west-2 only), added Magistral Small
- Added vendor model Opus 4.1, Writer Palmyra X5, Qwen3, Command R
- Each model now has region metadata; getAvailableModels() filters
  to only show models available in the configured AWS_BEDROCK_REGION
- Fixes "on-demand throughput not allowed" and region mismatch errors
2026-03-24 17:45:36 -04:00
Daniel
fdda1c8f83 Expand ROS/PE: pertinent negatives for WNL, clinical descriptions for abnormal
- WNL/Normal systems now expand to 1-3 specific pertinent negatives instead of
  just "WNL" — varies each time, relates to chief complaint and differential
  (e.g., Skin: "no rash, no petechiae, no bruising" instead of "WNL")
- Abnormal systems: AI expands physician's brief note into clinical description
  favoring most common presentation, adds only 1-2 related pertinent negatives
  (e.g., "pimples on face" → "inflammatory papules on bilateral cheeks...")
- Format function now passes system domain details for context
- Rules applied to well visit (full + short) and sick visit prompts
2026-03-23 23:45:09 +01:00
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
a7f5d60c64 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
Daniel
9736d5f3c3 Fix: Bedrock vendor model models updated with verified IDs from AWS docs
- Source: docs.aws.amazon.com/bedrock/latest/userguide/models-supported.html
- Added: vendor model Opus 4.6 (anthropic.agent-config-opus-4-6-v1)
- Added: vendor model Opus 4.5 (anthropic.agent-config-opus-4-5-20251101-v1:0)
- Added: vendor model Sonnet 4.6 (anthropic.agent-config-sonnet-4-6) — new default
- Added: vendor model Sonnet 4.5 (anthropic.agent-config-sonnet-4-5-20250929-v1:0)
- Kept: vendor model Sonnet 4, Haiku 4.5, vendor model 3.5 Haiku
- Fallback updated to vendor model Haiku 4.5
- Bump version to 2.9.0
2026-03-23 18:23:26 +01:00
Daniel
c7f1bd4901 Fix: chart review New clears all fields/notes, date context for AI, Bedrock vendor model-only models
- resetChartReview() clears all pasted notes, visit cards, labs, demographics, and output on New
- clearTab('chart') in encounters.js now calls resetChartReview() for complete reset
- chartReview route injects today's date so AI understands time-relative terms
- Bedrock models updated to vendor model-only with verified 2025 IDs (Sonnet 4, 3.7 Sonnet, 3.5 Sonnet v2, 3.5 Haiku)
- Removed Llama/Mistral/Titan from Bedrock; fixed incorrect vendor-model-4.6 Bedrock IDs
- Bump version to 2.8.0
2026-03-23 18:12:07 +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
Daniel Onyejesi
1207202f45 Fix: milestone list — achieved states naturally, not-achieved uses Cannot/Does not
Achieved: 'Stands on one foot' (not 'Can stand on one foot')
Not achieved: 'Cannot stand on one foot' / 'Does not yet use 2-word sentences'
2026-03-21 22:48:26 -04:00
Daniel Onyejesi
34ca5f12c9 Fix: milestone list uses natural language sentences instead of X/checkmark
Replace checkmark/X symbol format with plain numbered sentences:
achieved → 'Can walk independently'
not achieved → 'Cannot walk' / 'Does not yet use 2-word sentences'
2026-03-21 22:45:55 -04:00
Daniel Onyejesi
665425c115 Fix: expand CSP connectSrc for CDN/TTS; add vendor model 4.6 models
- CSP connectSrc was blocking service worker re-fetches to cdnjs.cloudflare.com
  causing Font Awesome icons to go blank (settings, logout, nextcloud buttons)
- Add cdnjs, googleapis, gstatic, google to connectSrc to fix icon rendering
  and Chrome Web Speech API (which connects to Google servers for TTS voices)
- Add vendor model Opus 4.6 and vendor model Sonnet 4.6 to all three provider lists
  (OpenRouter, Bedrock, Azure-compatible); Sonnet 4.6 now default for Bedrock
2026-03-21 21:43:00 -04:00
Daniel Onyejesi
7069c90465 Fix: enforce plain text output in all AI prompts (no markdown)
Add PLAIN TEXT ONLY rule to CORE_RULES so no prompt returns asterisks,
pound signs, or other markdown symbols — output is copy-ready as-is.
2026-03-21 21:06:13 -04:00
ifedan-ed
04252c3015 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