Commit graph

5 commits

Author SHA1 Message Date
Daniel
639a5d2873 Add automatic ICD-10 and CPT billing code suggestions
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)
2026-04-11 01:50:17 +02:00
Daniel
09193538fb 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 Onyejesi
868afcda20 Fix module init: defer all tab scripts until component HTML is loaded
All JS modules were running immediately (IIFE/DOMContentLoaded) but
tab HTML is lazy-loaded from /components/*.html, causing null errors
on every addEventListener call. Each module now listens for tabChanged
with its tab name and initializes once after the DOM is ready.

Also: quiz question/explanation boxes changed to textarea for
multi-line support; quiz display uses sanitizeHtml() so formatted
text (bold, lists, etc.) renders correctly.
2026-03-23 22:03:54 -04:00
Daniel Onyejesi
ca68177abb Fix line breaks in AI output: use innerHTML instead of textContent
Adds setOutputText() helper that escapes HTML and converts \n to <br>,
applied to all AI-generated note outputs so line breaks are preserved
in contenteditable divs. Also cleans up CSS for quiz option markers.
2026-03-23 21:17:50 -04:00
Daniel Onyejesi
5dd08f8da3 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