npm audit reports 0 vulnerabilities. It reported 2 high and 2 moderate this
morning.
@google-cloud/vertexai was the last source of findings — gaxios and a uuid with
a missing buffer bounds check, neither reachable in this deployment because
GOOGLE_VERTEX_PROJECT is unset and the require sits inside that check. Dormant
is not the same as gone, and the provider is available through the gateway
anyway, so the direct path has been removed rather than left to rot:
- the SDK client and callVertex, which without the package could never run
- the dispatch and discovery branches that reached them
- VERTEX_MODELS, a list of ids nothing could route any more, and the two
places in adminConfig that concatenated it into the built-in set
- the health endpoint's vertex line, and the env vars documented for it
AI_PROVIDER=vertex now says where to configure the model instead of quietly
becoming something else. The Google STT and TTS paths keyed off the same
variable are untouched; neither ever used this SDK.
Verified after deploy: provider litellm, the assistant answers with 8 sources,
/api/models returns 10, and @aws-sdk/s3-request-presigner — which documents.js
needs for presigned MinIO URLs — is still declared and resolvable.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01Dv6sqaY6Vq3ChZHMem3cnU
Feature audit
- Settings claimed you could reference a template by saying "use my normal
physical exam" in dictation. No phrase handling exists anywhere, and the
prompt says the opposite: "Never copy clinical content from a template —
only formatting and structure." So a template can never supply findings.
The text now says what happens, and keeps the true privacy statement that
only template categories go to the AI (Custom is filtered out in
/memories/context by AI_CONTEXT_CATEGORIES).
- Templates themselves are real: CRUD plus /memories/context, injected as
style hints by hpi, soap, sickVisit, wellVisit, edEncounters and
hospitalCourse, behind the `memories` feature flag.
Docs
- docs/CLINICAL_ASSISTANT.md listed six settings and offered `deepl`, which
no longer exists in the code. The table now covers all seventeen keys the
server reads, with their fallbacks, plus how a model reaches a user.
Testing
- Every test file's stdout is now pure TAP, which is the stream node:test
parses results from. Three sources: a leftover debug console.log dumping
600 characters of HTML, page modules logging into a JSDOM without a
virtual console, and the server startup banners. The banners are guarded
by NODE_TEST_CONTEXT, set only inside node:test children, so production
and `node server.js` output is unchanged (verified both ways).
- Three consecutive full-suite runs at 671/671.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01Dv6sqaY6Vq3ChZHMem3cnU
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.
- LITELLM_MODELS = [] — no hardcoded models, global selector now only
shows what admin has actually added via Search API
- getAvailableModelsWithOverrides: for LiteLLM returns only custom list
- Remove toggle safety check — admin can disable any/all models freely
- Admin panel always reloads on tab open (was cached, showing stale data)
- Add 'Clear all models' button for LiteLLM to wipe and start fresh
- Add POST /config/models/clear-all endpoint
- 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
- Re-added Opus 4.6 (JSON sanitizer now handles its output)
- Added Logs & Debugging section with docker logs commands and prefixes
- Added Bedrock Model Notes (inference profiles, maxTokens, JSON sanitization)
- Updated version history through v5.8
- Updated rate limiting docs, build/push process, current image tag
- 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
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).
- 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
- 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
- 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
- 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
- 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
- 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
