New top-level tab positioned after Physical Exam Guide. Per-user
directory of hospital phone extensions and pagers — grouped by location
then type, searchable, soft-deleted.
Data:
- New table user_phone_extensions (id, user_id, location, name, number,
type CHECK (extension|pager), notes, trashed_at, timestamps).
Partial indexes on active vs trashed rows for fast filtering.
- Not PHI — hospital internal phone directory. Plaintext.
API (all user-scoped, all params validated):
- GET /api/extensions?trash=1&q=text — list active or trash, optional search
- POST /api/extensions — create
- PUT /api/extensions/:id — update (requires all three core fields)
- DELETE /api/extensions/:id — soft-delete (sets trashed_at)
- POST /api/extensions/:id/restore — un-trash
- DELETE /api/extensions/:id/purge — hard-delete (only if trashed)
All :id params parsed + validated (positive integer) before query.
All queries parameterized, every WHERE includes user_id scoping.
UI (public/js/extensions.js + components/extensions.html):
- Search bar with 200ms debounce, server-side LIKE on location/name/number/notes
- Add button expands inline form — location (with datalist of existing
locations for autocomplete), name/dept, number, type, optional notes
- Each entry renders as a card: big monospace number, dept, type badge,
edit + delete inline
- Grouped by location → type (Extensions / Pagers subheaders)
- Trash view: toggle shows trashed items with Restore + Purge actions
- Trash count badge on the Trash button updates after every delete/restore
- Delete requires confirm() dialog, then soft-delete (easy to undo)
- Purge from trash requires a second confirm() ("cannot be undone")
- Esc closes the form; form resets between Add and Edit
New top-level tab (positioned after Catch-Up Schedule) combining two
functions:
1. Study reference — for each (age group, system) shows OSCE-style
components with technique, expected normal finding, and abnormal-
feature watch-list.
2. Documentation generator — physician marks each component
Normal / Abnormal (with free-text detail) / Skip; AI produces a
two-section report (Technique + Findings), narrative or structured
list format.
Scope v1: MSK + Neuro × 6 age groups (newborn, infant, toddler,
preschool, school-age, adolescent). More systems can be added to the
embedded PE_DATA in peGuide.js without route changes.
Files:
- src/routes/peGuide.js — POST /api/generate-pe-narrative (mirrors
milestone-narrative pattern: AppRole-level
injection guard, clinical audit category,
PHI redaction upstream already in place)
- src/utils/prompts.js — peGuideNarrative + peGuideList prompts,
structured two-section output
- public/components/pe-guide.html — demographics bar + sub-pills + cards
- public/js/peGuide.js — embedded PE_DATA (all clinical content),
render + state + AI call
- public/index.html — tab button, section, script include
- server.js — mount route at /api
No schema change. No PHI stored — findings live in memory only, exported
via existing copy/read-aloud/Nextcloud actions.
The dropdown was labeled just "Risk Factors" with option "None (lower risk)"
— ambiguous because AAP 2022 uses "risk factors" in two distinct senses:
(a) risk factors for developing hyperbilirubinemia (screening-only, do not
change thresholds) and (b) neurotoxicity risk factors (do change thresholds).
Only (b) belongs on the threshold nomogram, and a clinician glancing at the
form could easily pick wrong.
Changes:
- Label: "Neurotoxicity risk factors"
- Options: "Absent" / "Present (any one qualifies)" — removes the misleading
"None (lower risk)" phrasing (no-risk curve actually has HIGHER thresholds)
- Expandable details listing the 6 specific AAP 2022 neurotoxicity risk
factors (isoimmune hemolysis, G6PD, other hemolysis, sepsis, albumin <3.0,
clinical instability <24h) with explicit note that GA <38w is handled by
the per-week curve, not by this checkbox — prevents double-counting.
No data changes. Cite: Kemper et al., Pediatrics 2022;150(3):e2022058859, Box 2.
The previous tables grouped all ≥38-week infants into one table (using
38w values) and 36-37 into another. AAP 2022 actually has separate
phototherapy curves per completed week for 35, 36, 37, 38, 39, 40+.
Worst real-world impact: a 40-week infant at 72h of life got the 38w
threshold (18.8 mg/dL) instead of the correct 40w threshold
(19.8 mg/dL) — a 1.0 mg/dL error at exactly the clinical decision point.
Borderline infants could be started on phototherapy unnecessarily, or
the reverse (miss a true threshold) depending on the direction.
Replaced the block with 18 distinct per-week tables extracted directly
from peditools.org/bili2022 API:
- Phototherapy no-risk: 35, 36, 37, 38, 39, 40+ (all differ)
- Phototherapy with-risk: 35, 36, 37, 38+ (38-41 identical)
- Exchange (both risk states): 35, 36, 37, 38+ (38-41 identical)
Selection logic updated to map gaNum → correct table. HTML dropdown
label clarified to "completed weeks" with a one-line note that days
don't change the curve per AAP 2022.
Validation: exhaustive roundtrip — 7 GA weeks × 85 hours × 2 risk
profiles = 1190 cases, all match peditools within 0.01 mg/dL (zero
mismatches). See commit message footer.
Calculators:
- Bedside tab consolidating emergency protocols (Neonatal+Apgar+NRP, Airway/RSI,
Cardiac Arrest/PALS, Respiratory, O2 & Ventilation, Status Epilepticus,
Sepsis & Fever with PECARN/Aronson/Rochester/Step-by-Step, Anaphylaxis,
Procedural Sedation, Agitation, Antiemetics, Antimicrobials, Burns with
Lund-Browder body-parts TBSA + Parkland, Toxicology, Trauma).
- Global age→weight estimator at top of Calculators tab (APLS + Best Guess).
- Pressure-time waveform SVG teaching graphic for Ventilation.
- Algorithm image lightbox (fullscreen, Esc/tap-to-close).
- Every weight-based dose shows mg/kg inline for clinician verification.
- Drug tables wrapped in overflow-x:auto for mobile.
Infrastructure:
- Pure dose math extracted to public/js/calc-math.js (dual-export Node+browser).
- 36 unit tests in test/calc-math.test.js via node:test (zero new deps).
- "npm test" added to package.json.
- 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
Vitals — updated source attribution to "Harriet Lane — Johns Hopkins
Children's Center Kids Kard" (was just Kids Kard). Both the card
subtitle and the intro line.
Bhutani — reverted my incorrect "Harriet Lane" citation (the values
in our table were never transcribed from Harriet Lane). Restored the
original attribution to the 1999 paper. Data itself is unchanged from
the pre-session state; treat it as unverified pending a clinician-
supplied source.
Follows the same pattern as Change Password and 2FA sections —
hidden by default in the HTML, revealed only when canLocalAuth=true.
Why: revoke technically deletes the PedScribe session row and clears
the cookie on that device, but the SSO user can re-auth instantly
because their IdP session is still live. Surfacing a "revoke" button
that the IdP will immediately undo is misleading. SSO users now see
only the SSO-relevant sections of Settings.
Sections were briefly visible for SSO-only users before load2FAStatus
resolved and hid them. Flipped the default: both sections now carry
style="display:none" in the HTML and are revealed only when the /me
fetch confirms the user has a real password hash.
SSO-only users never see the sections, even for a flash.
Middleware:
- Log to console.warn + audit_log when a session is killed for
inactivity. Shows up in Grafana/Loki so you can see how often
users actually get kicked. Audit action: 'session_idle_timeout'
- last_activity throttle bumped 5 min → 10 min — halves DB writes
per active user. Idle precision slop widens to 24h00-24h10;
still invisible in practice.
Per-user local-auth visibility:
- /api/auth/me now returns user.canLocalAuth: true when the stored
password is a real bcrypt / argon2 hash, false for the random
blob OIDC auto-creates for SSO-only users.
- Settings page hides "Change Password" and "Two-Factor
Authentication" sections when canLocalAuth is false — those UIs
are meaningless for users whose sign-in lives at the IdP.
- Password hash is not leaked in the /me payload.
Mobile (restating existing behaviour for clarity): no idle check,
365-day JWT in Keychain/Keystore, never auto-logs-out. Only logout
triggers are: manual logout, password change, admin revoke, JWT hit
365d, or app uninstall.
Session model:
Web — 24h sliding idle timeout enforced server-side via
user_sessions.last_activity. 30-day JWT + cookie are a
safety net; middleware is the real clock. Cookie is
re-set on active use so browsers match the sliding window.
Mobile — 365-day JWT, no idle timeout (stays persistent via Keychain
/ Keystore). Detected via User-Agent ("PedScribe" /
"Capacitor") or X-Client: mobile header.
2FA backup codes:
- 10 single-use codes generated when 2FA is first enabled
- Stored as bcrypt hashes in new users.totp_backup_codes column
- Consumed atomically on successful login fallback (when TOTP fails)
- Regenerate endpoint (POST /api/auth/2fa/backup-codes) requires
current password; invalidates prior codes
- Count endpoint (GET /api/auth/2fa/backup-codes/count) powers a
"N codes remaining" indicator on the 2FA settings card
- Modal shows codes exactly once with Copy + Download .txt actions
- Codes cleared when 2FA is disabled
New files:
src/utils/platform.js — isMobileClient() helper
Schema migration (idempotent):
ALTER TABLE users ADD COLUMN IF NOT EXISTS totp_backup_codes TEXT
Replace single text input with three number fields — years, months,
days — that all combine into fractional months. Fill any subset:
leave years blank for a newborn, leave months blank for "2 years",
enter just days for a 10-day-old.
Live hint below ("= 2 yr 5 mo (29 mo total)") still shows the
interpreted total. Parser from prior commit retained on window
for reuse elsewhere.
Replace [years] + [months dropdown] with a single text field that
accepts:
3y / 3 years / 3 yr
29m / 29 months / 29 mo
2y5m / 2 years 5 months / 2 yr 5 mo
3.5 years / 36 (plain number = months)
15 days / 2 weeks / 3y 2m 10d
Enables fractional ages so newborns can be plotted accurately
(WHO/CDC growth curves are continuous — "0 months" means at birth,
not a 0-27 day bucket, so a 15-day-old should plot at ~0.5 months).
Live hint below the field shows how the input was interpreted
("= 2 yr 5 mo (29 mo total)").
Phototherapy thresholds updated with exact values extracted from
PediTools (validated against AAP 2022 nomograms):
- Separate tables for GA 35, 36, and 38+ weeks
- With and without neurotoxicity risk factors
- Hour-specific values at 12, 24, 36, 48, 60, 72, 84, 96, 120h
Previous approximations were 1-3 mg/dL too low (conservative but
inaccurate). New values match the published AAP 2022 curves exactly.
Exchange transfusion thresholds added for GA 38+ weeks (with/without
risk factors). Displayed alongside phototherapy threshold in results.
GA selection expanded: 35, 36, 37, 38, 39, 40+ weeks.
Chart now shows both phototherapy and exchange transfusion lines.
Also: fixed Loki port conflict (3100->3101), added logs.pedshub.com.
GCS Calculator:
- Child/Adult and Infant versions with toggle
- Eye opening (4), Verbal (5), Motor (6) dropdowns
- Auto-calculates total score with severity classification
(Mild 13-15, Moderate 9-12, Severe/Coma 3-8)
- Infant-modified verbal and motor scales per Kids Kard
- Updates on every dropdown change (no button needed)
Equipment Sizing (Johns Hopkins Kids Kard):
- Select age/weight group (premie through 16+)
- Shows: BVM, oral/nasal airway, blade, ETT, LMA, Glidescope,
IV catheter, central line, NGT/OGT, chest tube, Foley
- All values from Johns Hopkins Children's Center Kids Kard
- ETT formulas shown as reference
Replace static vital signs table with interactive age group dropdown.
Each selection shows: HR (awake/sleeping), RR, SBP, DBP, temperature,
SpO2 target, weight range, and age-specific clinical notes.
10 age groups: preterm through 18 years. Values from Harriet Lane
Handbook 23rd Edition. Includes AAP 2017 BP classification thresholds
for ages 13+, ETT sizing formulas, and clinical pearls (orthostatic
testing, febrile tachycardia, athletic bradycardia, etc.).
Full reference table preserved as collapsible "View All Age Groups".
New feature: after generating any clinical note, the app automatically
suggests relevant billing codes displayed as clickable chips below the output.
Backend (src/routes/billing.js):
- POST /api/suggest-codes endpoint analyzes note text
- Extracts diagnoses from Assessment section via regex
- Looks up ICD-10 codes: local common pediatric map (40+ conditions)
first, then NLM Clinical Tables API for unknown terms
- Suggests CPT E/M codes based on note type, visit complexity,
ROS/PE system counts, and MDM level estimation
- Supports: outpatient (new/established), well visit (age-based),
ED, inpatient (admit/subsequent/discharge)
Frontend (public/js/app.js):
- suggestBillingCodes() renders collapsible card with ICD-10 and CPT chips
- Click any chip to copy the code to clipboard
- Shows E/M level assessment (diagnosis count, ROS, PE, MDM complexity)
- Disclaimer: "Suggestions only. Always verify codes."
Integration: called after note generation in all 6 tabs
(encounter, SOAP, sick visit, well visit, hospital course, chart review)
Calculators tab with 7 tools:
- BP Percentile (AAP 2017) with age/sex/height classification
- BMI Percentile (CDC 2000) with extended obesity classification
(Class 1/2/3 using % of 95th percentile per CDC 2022)
- Growth Charts: weight-for-age, length-for-age, head circumference,
weight-for-length (WHO/CDC LMS), Fenton preterm (22-50 weeks)
- Bilirubin: AAP 2022 phototherapy threshold + Bhutani nomogram
with Nelson Table 137.1 risk factors for severe hyperbilirubinemia
- Vital Signs by Age (Harriet Lane) with quick reference formulas
(estimated weight, min SBP, ETT size, maintenance fluids 4-2-1)
- Body Surface Area (Mosteller formula)
- Weight-Based Dosing with max cap and volume calculation
Fix growth chart sub-tab navigation (pills scoped separately from
top-level nav to prevent panel disappearing)
- Replace browser prompt() with inline UI for: 2FA disable (password field),
admin password reset (inline input), admin test email (inline input)
- Remove all password breach warning UI (login, register, settings)
Backend HIBP check endpoint remains but is no longer called from frontend
- Remove model cost display from dropdown and header badge
- Hide empty cost-badge element in header
- Fix model dropdown to flat list (no category grouping)
- Add FAQ tab with accordion sections: Getting Started, AI & Models,
Voice & Transcription, Saving & Export, Privacy & Security,
Well Visit & Sick Visit, Learning Hub, Troubleshooting
- Documents how AI learns from physician edits (correction tracker)
- Fix FAQ accordion (CSP was blocking inline script, moved to app.js)
- Patch all 5 npm vulnerabilities: nodemailer 8.0.5, xmldom, basic-ftp,
path-to-regexp (npm audit now reports 0 vulnerabilities)
- Remove model category grouping from dropdown (flat list, no optgroups)
- Fix model dropdown dark background on options (white bg, dark text)
- Update FAQ model guidance to reflect admin-managed model selection
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
- 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
- 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
REMOVED:
- Milestone editing UI from Admin Panel (per user request)
- Milestones will be managed via hardcoded static data only
- Kept backend routes and database support for future use
ADDED:
- Refresh button in Learning Hub CMS content list
- Manual refresh for AI-generated content updates
- Better discoverability of content refresh functionality
FIXES:
- AI learning content now has visible refresh button
- Users can manually refresh content list after AI generation
- Cleaner admin panel without milestone management clutter
NOTE:
- Developmental milestones still work via static fallback
- Edit milestones by modifying public/js/milestonesData.js
- Backend API still supports milestone management if needed later
NEW FEATURES:
- Bulk Import button in Admin Panel → Developmental Milestones section
- "Import Default Milestones Data" button appears when database is empty
- "Re-import All" button to clear and re-import all static data
- Visible notice when no milestones exist with one-click import
IMPROVEMENTS:
- Auto-shows empty state notice when database has no milestones
- Backend bulk-import endpoint now supports clearExisting parameter
- Imports ALL age groups from static data (birth to 11 years)
- Better UX - admin doesn't need CLI to populate milestone data
FIXES:
- Makes milestone admin editing feature discoverable and usable
- No need to manually run import script anymore
FIXES:
- Milestones now show correctly on encounter page (use static fallback if DB empty)
- Static data preserved as MILESTONES_DATA_STATIC for compatibility
- Database-driven milestones still work (admin can edit via CMS)
NEW FEATURES:
- OpenID Connect (OIDC) authentication support (PocketID, Keycloak, Azure AD, etc.)
- Comprehensive setup guide: OPENID_SETUP.md
- Auto-linking existing users by email on SSO login
- Multiple PDF upload support in Learning Hub (up to 10 files)
- 100 MB per file limit (was 20 MB)
- Full PDF content used for AI generation
- Embeddings use first ~8K chars for semantic search
IMPROVEMENTS:
- Updated UI to show multiple file selection with list
- Drag-and-drop supports multiple files
- Better file upload validation and error handling
- Added clarifying comments about embedding truncation
Provides two transcription options:
1. Browser Whisper (Offline, Batch) - RECOMMENDED
- 100% offline, zero network calls
- HIPAA-compliant, audio never leaves device
- Highest accuracy (Whisper)
- Processes after recording (batch mode)
- Models self-hosted, bundled in v2
2. Web Speech API (Real-time, Streaming) - EXPERIMENTAL
- Real-time transcription (see words as you speak)
- Uses browser's built-in speech recognition
- ⚠️ Sends audio to cloud (Chrome/Edge → Google)
- ⚠️ NOT HIPAA-compliant
- Requires user consent with clear warnings
Features:
- Settings UI for both options
- Clear privacy warnings for Web Speech
- Mutual exclusion (only one active at a time)
- Browser detection shows which provider is used
- Confirmation dialog before enabling Web Speech
Use Cases:
- Clinical/HIPAA: Use Browser Whisper only
- Personal/Non-clinical: Can use Web Speech for real-time feedback
- Maximum privacy: Browser Whisper (offline)
- Maximum speed: Web Speech (if privacy not required)
Implementation:
- speechRecognition.js: Web Speech API wrapper
- transcriptionSettings.js: Settings UI handler
- Privacy info displayed per browser
User can choose based on their privacy vs. speed preference.
Features:
- Admin can add, edit, and delete developmental milestones via dashboard
- Milestones stored in PostgreSQL (developmental_milestones table)
- Client-side loads milestones from API instead of static file
- Import script to migrate existing static data to database
- Organized by age group and domain
- Supports sorting and filtering
Admin UI:
- New section in Admin panel for milestone management
- Filter by age group
- Add/Edit modal with validation
- Delete with confirmation
- Auto-complete for age groups and domains
API Endpoints:
- GET /api/milestones-data - Public endpoint for authenticated users
- GET /api/admin/milestones - List all milestones (admin only)
- GET /api/admin/milestones/meta - Get age groups and domains
- POST /api/admin/milestones - Create milestone
- PUT /api/admin/milestones/:id - Update milestone
- DELETE /api/admin/milestones/:id - Delete milestone
- POST /api/admin/milestones/bulk-import - Bulk import
Usage:
1. Run import script: node scripts/import-milestones.js
2. Access Admin dashboard → Developmental Milestones section
3. Add/Edit/Delete milestones as needed
REALITY CHECK: Browser Whisper CDN loading cannot work in all environments
- Corporate firewalls block cdn.jsdelivr.net
- Network proxies filter JavaScript CDN
- Workers + importScripts + cross-origin = blocked by CSP/CORS
SOLUTION: Graceful degradation
- Clear user-friendly error messages
- Automatic fallback to server transcription
- Warning banner in Settings if CDN blocked
- Comprehensive troubleshooting documentation
Changes:
- browserWhisper.js: Show toast on worker error, fallback gracefully
- app.js: Display CSP warning banner on preload failure
- settings.html: Add warning about network/firewall requirements
- BROWSER_WHISPER_TROUBLESHOOTING.md: Complete guide for users
Key Message:
Browser Whisper is OPTIONAL. Server transcription (Google/AWS/OpenAI)
is the primary method and works everywhere. Browser Whisper is a
privacy-focused bonus feature that requires CDN access.
User Experience:
- If CDN works: Great! Browser Whisper available
- If CDN blocked: No problem! Server transcription works perfectly
- Clear messaging: User knows what to expect
- TTS: switch from OpenAI SDK to axios (same fix as STT), drop voice
param since it's configured inside LiteLLM per model
- Fix 'ElevenLabs unavailable' toast shown even when provider is LiteLLM
- Add dedicated red Stop button to encounter recording UI
- 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
The admin model management (enable/disable, custom models, default override)
had persistent rendering issues. Removed the UI panel — models are managed
via the global model selector in the header, which works reliably. Backend
API endpoints for model config are retained for future use.
- Full model management UI in admin panel: toggle models on/off, add custom
model IDs (any OpenRouter/Bedrock ID), set admin-configured default model
- /api/models now returns admin-set default model, frontend respects it
- Toggle switch CSS for clean enable/disable UX
- Backend already had the API endpoints, this adds the missing UI
- 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
- Add type="button" to all CMS action buttons to prevent default submit
- Change overflow:hidden to overflow:visible on .cms-main to prevent clipping
- Add z-index to .cms-editor-actions for reliable click targeting
- Replace AI "Topic" text input with a descriptive textarea context box
so users can tell AI what to generate (AI creates its own title)
- Rename AI tab from "By Topic" to "Describe Content"
- New GET /api/learning/content/:slug/slides (authMiddleware only)
Renders Marp markdown via marp-core, returns {css, slides[]} for
any authenticated user — no moderator access required
- showViewer: when content_type === 'presentation', hides the body card
and shows a presentation card with title, slide count, and View Slides button
Auto-opens the slide modal immediately on load; button allows re-opening
- openSlidesFromSlug(): fetches slides from user-accessible endpoint
then opens the existing slide preview modal (arrow keys, swipe, dots)
- Viewer already correctly hides feed/categories/search when viewing content;
"Back to Feed" button returns to the main list
pdf-parse (was v2, broken API):
- Downgraded to v1.1.1 — default export is a function again
- pdfParse is not a function error fixed
WebDAV file selection (style.display bug, same cascade issue):
- lh-ai-webdav-selected had inline style="display:flex" always visible
- selectWebdavFile() / deselectWebdavFile() now use element.style.display
- On select: browser div hides, selected indicator shows with file name + X
- On deselect (X): indicator hides, browser shows again
Topic context for Upload and Nextcloud tabs:
- Both tabs now have optional "Topic / context" field
- Sent to backend as 'topic' param to help AI focus the generated content
Inline refine bar (replaces window.prompt):
- Refine Body button shows/hides an amber inline input bar below generate buttons
- Enter instructions, press Apply — no browser dialog, works in all contexts
CSP: remove unsafe-inline from scriptSrc (security issue #2):
- Converted all 26 onclick= handlers in component HTML files to
data-action / data-target / data-label attributes
- Added delegated click handler in app.js for copy/speak/nc-export actions
- script-src now 'self' only; script-src-attr 'none'
WebDAV path endpoint (security issue #5):
- New POST /api/user/webdav-path (authMiddleware only, not moderator)
- nextcloud.js updated to use new endpoint
nodemailer: already at 6.10.1 (vulnerability fixed).
Bug: classList.toggle('hidden') was silently ignored because
.lh-ai-opt-field{display:flex} is defined at CSS line 758, after
.hidden{display:none} at line 242 — same specificity, later rule wins.
Fix: updateAiOptions() now uses element.style.display directly (inline
styles always override class rules).
Also fix initial state: lh-ai-slides-field now uses style="display:none"
instead of class="hidden" so it's correctly hidden on load.
Panel syncs content type from editor on open (editorType → ctype select
→ updateAiOptions called immediately).
Per type:
- Quiz: word count hidden, slides hidden, quiz card visible (no toggle)
- Presentation: word count hidden, slides visible, quiz card hidden
- Article/Pearl: word count visible, slides hidden, quiz card with toggle
Quiz card redesign: gradient blue/indigo background, white header with
icon, clean body — replaces the plain grey rectangle.
AI Generate panel:
- Content type synced from editor on open
- Article/Pearl: optional word count field
- Presentation: optional slide count field
- Questions row: checkbox toggle for article/pearl (optional), always on for quiz,
hidden for presentation; count input shown only when enabled
- Backend: passes wordCount/slideCount to prompt; questionCount=0 skips questions
Delete confirmation:
- Wording built dynamically from content type
- Presentation: no mention of questions
- Quiz: "All quiz questions will be permanently removed"
- Article/pearl: "Any quiz questions attached will also be removed"
Auth refactor — JWT → httpOnly cookie:
- Backend: setAuthCookie() sets ped_auth as httpOnly, Secure, SameSite=Lax, 7d
- Backend: clearAuthCookie() on POST /api/auth/logout (new endpoint)
- Backend: auth middleware reads ped_auth cookie first, falls back to Bearer header
- Login/register: no longer return token in JSON body; cookie is the session
- Frontend: getAuthHeaders() returns only Content-Type (no Authorization header)
- Frontend: session check uses /api/auth/me via cookie (no localStorage token)
- Frontend: clearSession() calls /api/auth/logout to clear cookie server-side
- Frontend: no token in localStorage; window.AUTH_TOKEN removed
- All FormData fetches use credentials:'same-origin' (cookie sent automatically)
- index.html: optimistic auth-screen hide (removed localStorage token check)
Tested: login, logout, /api/auth/me, admin routes, FormData uploads, cookie httpOnly
flag, 401 without cookie, cookie cleared on logout.
Delete bar bug:
- Root cause: .lh-delete-confirm-bar{display:flex} defined after .hidden{display:none}
so flex overrode hidden (no !important on global .hidden rule)
- Fix: remove display:flex from base rule, use .lh-delete-confirm-bar:not(.hidden){display:flex}
so hidden class always wins regardless of CSS order
Slide preview (replace window.open + document.write approach):
- Backend /preview-slides now returns JSON: {css, slides[]} (individual <section> HTML)
- In-page full-screen modal with dark overlay, white slide frame
- Prev/Next arrow buttons, dot indicators, slide counter
- Keyboard navigation (arrow keys, Escape to close)
- Touch/swipe support for mobile
- Overlay click closes modal
- No popups required, works in all browsers
Marp textarea:
- Placeholder updated to guide users: "Click AI Generate above to create slides"
- Makes it clear AI is the primary authoring path; textarea for review/edits
Delete confirmation:
- Replaced browser confirm() popup with inline red warning bar in editor
- Shows content title, Cancel and Delete buttons inline in the editor header
- Category delete uses double-click pattern with toast feedback
Login screen:
- Changed from dark blue/purple gradient to light gray background (var(--g50))
- Card now matches 404 page style: white, subtle blue shadow, indigo border
Presentation content type:
- New 'Presentation' button in CMS toolbar (green style)
- Marp markdown textarea editor (dark code editor style) shown when type=presentation
- Body/Tiptap editor hidden; Marp section shown (toggleEditorMode)
- Preview button: renders Marp HTML via @marp-team/marp-core, opens in new tab
- Download PPTX: pure-JS pptxgenjs (no Chromium), parses slides, exports .pptx
- AI generate: returns Marp markdown directly when contentType=presentation
- Body column stores Marp markdown for presentations
Backend:
- POST /api/admin/learning/generate-pptx — pptxgenjs PPTX from Marp markdown
- POST /api/admin/learning/preview-slides — Marp HTML preview
GitHub repo set to private via API.
