Commit graph

9 commits

Author SHA1 Message Date
Daniel
0007d0adb1 feat: ED encounters + notes model selector; remove AI corrections; fix notes framing
Four changes batched:

1. ED Encounters tab (new) — multi-stage emergency note with don't-miss
   tooltips and 2023 E/M MDM finalize. New route /api/ed-encounters
   (generate per-stage + finalize MDM), new ed-encounters.js owning all
   client logic, new ed-encounter.html component, new template_ed memory
   category. Persists draft to localStorage every keystroke and to
   saved_encounters on stage advance. encounters.js touched only to
   register the new tab in sessionStorage restore + tabMap (save and
   idempotency code untouched).

2. Notes model selector — /notes/from-voice now accepts a client-supplied
   model (validated by the existing callAI allow-list); falls back to the
   admin default. Added <select class="tab-model-select"> to notes.html
   so the existing app.js populator handles options + default.

3. Remove AI-learning-from-corrections — deleted correctionTracker.js,
   POST /memories/correction, the corrections branch in
   /memories/context, the settings UI section, the FAQ entry, and all
   dead trackAIOutput/saveCorrection guards in callers. Legacy
   correction_* DB rows are filtered (NOT LIKE) rather than dropped, so
   no destructive migration.

4. Fix notes AI framing — /notes/from-voice prompt no longer assumes
   "physician dictation". Plain notes (shopping lists, reminders,
   ideas) now match the dictation tone instead of being forced into
   clinical structure.

All 46 tests pass.
2026-04-26 19:06:00 +02:00
Daniel
bc2580b148 test(lint): static reference linter — catches dead-code + orphan refs
You were right that Playwright has been catching the easy bugs while
the high-signal bugs (lightbox stranded after the Bedside reorg, PVC
clinically wrong, prod not rebuilt) all had to be caught by you as
the user. Adding a static linter so the class of bug that produced
the lightbox regression fails CI next time instead of the app.

scripts/lint-references.js walks public/js and validates every
getElementById('X') and querySelector('#X') resolves to an id that
is defined SOMEWHERE in the repo — either a static HTML attribute,
a .id = 'X' assignment, or an id="X" substring inside a JS template
string. It also walks HTML for asset references (data-img-src,
<img src>, <audio src>, <link href>) and verifies each root-absolute
path maps to a real file on disk.

Running it on the current tree surfaced two real problems:

1. shadess.js:917 reached for #wv-note-transcript when collecting
   refine source context. The actual id is #wv-transcript (no -note-
   infix — the transcript element is shared across well-visit sub-
   panels). The bug meant a generated well-visit note's Refine call
   silently missed the original transcript as source context; the AI
   still "worked" but with less signal and no error. Fixed.

2. public/js/adminMilestones.js (221 lines) referenced 17 ids that
   were removed a year+ ago in commit 3173ce6 ("Remove milestone
   admin UI, add CMS content refresh button"). That commit dropped
   the HTML but forgot the JS, which has been dead-loaded on every
   page view since. All its addEventListener calls are guarded with
   optional chaining, so nothing errored — just silent cruft.
   Deleted the file and dropped the <script defer> tag from
   index.html.

scripts/e2e.sh runs the linter as a preflight before the Playwright
container starts; a broken reference now fails the suite before any
test even boots.

Allowlist is kept small and prefix-based for the handful of id families
that are built dynamically by JS (bedside em-* sections, BP chart
elements, etc.). When a new component is added, its ids get picked up
automatically by the repo-wide collect() pass; the allowlist rarely
needs to grow.

Suite: 294 passed / 0 failed.
2026-04-23 18:58:38 +02:00
Daniel
ee88e51f14 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
020e831b3c 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
fc3c58e4eb 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 Onyejesi
8317708bb6 Fix: load popover positioning, delete button, ICD-10 live search
- Wrap save-bar + popover in .save-bar-wrap (position:relative) so the
  absolute-positioned popover anchors correctly below the Load button
  (previously popovers were outside the save-bar, so had no positioned
  ancestor and appeared at the wrong place on screen)
- Remove confirm() dialog from deleteEncounter — encounter disappears
  immediately from the popover list after deletion
- ICD-10 diagnoses: replace static-only lookup with live NLM Clinical
  Tables API search (clinicaltables.nlm.nih.gov) with 280ms debounce;
  results appear in a dropdown below the search input; Enter/click selects
- Add clinicaltables.nlm.nih.gov to CSP connect-src
- Drop unused position:relative from .save-bar (now on .save-bar-wrap)
2026-03-22 16:56:28 -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