Commit graph

8 commits

Author SHA1 Message Date
Daniel
18550e263f feat(client): port age→weight + BSA + dose + GCS; shared/clinical module
First batch of real calculator ports, routed through a new
shared/clinical/calculators.ts module that both the server tree and
the React client can import. Kept strictly to the simplest, closed-form
formulas — tables (Rosner BP, Fenton LMS, AAP 2022 bili, Bhutani, CDC
BMI) stay in the vanilla viewer until per-table vector files land.

shared/clinical/calculators.ts
  Verbatim ports from public/js/calc-math.js:
    • parseAgeMonths / formatAgeMonths — legacy age-string parser
    • estimateWeightFromAgeMonths — APLS (Luscombe 2007) + Best Guess
      (Tinning 2007) weight-for-age. Cross-checked line-by-line against
      calc-math.js:14-39; identical branches, formulas, and roundTo
      behavior.
    • calculateMostellerBsa — sqrt(h·w/3600), Mosteller 1987.
    • calculateWeightBasedDose — generic mg/kg with optional max cap
      and mg/mL → mL conversion.
    • calculateGcs — 1-15 sum with 8/12 severity thresholds.

shared/clinical/calculators.test.ts
  Vitest unit coverage for each helper. Numeric assertions match the
  legacy function outputs (3y APLS → 14 kg; 20 kg, 110 cm → 0.782 m²;
  15 kg × 100 mg/kg capped at 500 mg, etc.). For these closed-form
  formulas the hand-verified expected values are equivalent to a
  vanilla-captured vector file — table-driven calculators still need
  a JSON fixture before they port.

client/src/pages/Bedside.tsx
  Top-level age-to-weight estimator now runs in React
  (BedsideWeightEstimator). Formula dropdown switches between APLS
  and Best Guess live; weight field accepts a manual override. The
  15 clinical dosing sub-modules still fall through to the legacy
  viewer via LegacyPanel.

client/src/pages/Calculators.tsx
  BSA, Weight-Based Dosing, and GCS panels render real React forms
  backed by the shared helpers. PILLS gain a `ported` flag so the
  four covered panels (bsa, dose, gcs, + the already-shipped pills)
  swap out of the legacy fallback while the others remain linked
  out. Result blocks carry data-testid hooks for parity tests.

Config + dep hygiene picked up along the way
  • client/tsconfig.app.json: @shared/* path alias, exclude test files
    from the React tsc pass.
  • tsconfig.json: exclude **/*.test.ts from the backend tsc pass.
  • package.json: declare google-auth-library and jszip explicitly —
    both were already required() in src/utils/ttsGoogle.ts and
    src/routes/learningAI.ts but missing from dependencies, which
    would break a clean `npm install`. Also adds engines: node >=20
    and convenience verify / verify:full scripts.
  • knip.json: quiet now-expected ignoreDependencies / ignoreBinaries
    entries for marp-cli, tiptap, cap, etc.
  • .gitignore: ignore the .codex CLI marker.

e2e/tests/bedside-react.spec.js
  Adds the age→weight parity test: 3y APLS → 14 kg, 3y Best Guess →
  16 kg, weight field mirrors the estimator output.

e2e/tests/calculators-react.spec.js
  Adds BSA (20 kg, 110 cm → 0.782 m²), dose cap (15 kg × 100 mg/kg,
  max 500 mg → 500 mg capped), and GCS (15 → 10 when motor drops
  to 1) parity tests.

Client tsc -b + backend tsc --noEmit + vite build all clean.
Bundle 476.48 kB / 135.44 kB gzipped.

Co-Authored-By: Codex + vendor model Opus 4.7 (1M context) <noreply@anthropic.com>
2026-04-24 01:11:58 +02:00
Daniel
9ad34a7f35 feat(client): port PE Guide reference libraries + rescue untracked FAQ data
Two things in one commit because they're coupled by a gitignore fix:
(1) PE Guide minimum-viable port, (2) a pre-existing bug where
client/src/data/faq.ts was silently gitignored and never committed.

.gitignore — narrow scope
  Changed `data/` to `/data/`. The old rule matched every nested
  `data/` directory in the tree, including client/src/data/, which
  meant faq.ts from the FAQ port (commit c0038da) never landed in
  git — the Faq page built locally only because the file existed
  on the dev machine. A fresh clone or CI build would fail the
  Vite build at '@/data/faq'. The narrowed rule still ignores the
  runtime DB directory at repo root while allowing project data
  modules to be tracked. This commit also commits the missing
  faq.ts so the FAQ page is actually buildable from git again.

client/src/data/pe-guide.ts
  Verbatim port of lines 23-311 of public/js/peGuide.js — the stable
  reference content:
    • SCALES (12 scales: MRC, DTR, plantar, Beighton, ATR, RR, SpO2,
      Silverman, Westley, Levine murmur, pulse amp, cap refill)
    • SYSTEM_SCALES (per-body-system scale mapping)
    • APTM_LEGEND (5 cardiac auscultation points)
    • INNOCENT_MURMURS (5 benign childhood murmurs)
    • RESP_SOUNDS (7 entries with /audio/respiratory/*.ogg paths)
    • CARDIAC_SOUNDS (6 entries with /audio/cardiac/* paths)
  Counts preserved exactly. Audio files stay under public/audio/ and
  are served unchanged.

What is NOT in this commit — on purpose
  PE_DATA (the ~1000-line age-group × system × component × step
  hierarchy) stays in the vanilla app. The migration checkpoint memory
  explicitly warns about the class of bug where an LLM silently drops
  entries from long clinical arrays. PE_DATA porting needs its own
  session with per-entry counts + visual diff against the vanilla
  source. An amber banner at the top of the React page links to
  /#peGuide (the legacy checklist viewer) so users still reach the
  full exam-step checklist + Generate-Exam-Report flow.

  Also skipped: the big inline APTM_SVG chest diagram. The letter
  legend (A/P/E/T/M) carries the clinical content; the pictorial
  SVG can land later without content risk.

client/src/pages/PeGuide.tsx — viewer
  Grid-of-cards layout: one card per scale, per APTM point, per
  innocent-murmur, and per sound entry. Sound cards use native
  <audio controls> so the browser does the usual play/pause/seek —
  no custom player. data-testid hooks throughout for the spec.

e2e/tests/peguide-react.spec.js — four smoke tests:
  all 12 scales render (this is the count that would fail loudly if
  someone trimmed SCALES later), APTM has all 5 letters, sound
  libraries have the exact respiratory + cardiac keys, and the
  legacy-viewer link is present.

Client tsc -b + vite build clean. Bundle 452.91 kB / 129.35 kB gz.
2026-04-23 23:57:16 +02:00
Daniel
54285865d5 feat: B — extract drug data to public/data/drugs.json (schema v1.0)
Moved 43 weight-based drug entries out of calculators.js string literals
into a structured JSON reference. Renderers now iterate JSON → S.drugRow.

Sections extracted (43 drugs):
- anaphylaxis (7), sedation (11), agitation (11), antiemetics (7), seizure (7)

Out of scope: seizure refractory drips (compound strings), NRP, antimicrobial
empiric regimens (already structured), airway/cardiac/tox/trauma/respiratory
/sepsis/burns sections (fine as-is or no drugs).

New:
- public/data/drugs.json — { version, last_reviewed, sections.<key>.drugs[] }
- public/js/drugs-loader.js — fetches JSON on boot, exposes window._DRUGS +
  window._DRUGS_READY Promise. Non-fatal: each calc function has a matching
  *_FALLBACK constant so a 404 on drugs.json doesn't break anything.

Schema:
- dose_mg_per_kg | dose_mg_per_kg_low/high (for ranges) | max_mg | unit |
  route | notes | source | optional special-cases (weight bands, age-dep text)

Added one unit test asserting drugs.json loads + has all 5 sections with
non-empty drugs arrays. 37/37 unit tests + 26/26 Playwright e2e tests pass.
2026-04-20 04:23:24 +02:00
Daniel
e54928f7f5 feat: A1+A2 — Playwright smoke suite + index.html mtime-based caching
Safety net for upcoming refactors:
- 26 Playwright smoke tests via @playwright/test 1.50.0 in an official
  Playwright container (no host Node needed). Covers every Bedside sub-pill,
  the age→weight estimator, dose calculators (seizure/sepsis/anaphylaxis/
  burns/airway), and interactive widgets (lightbox, vent SVG).
- `npm run e2e` wrapper runs tests inside mcr.microsoft.com/playwright:v1.50.0-noble
  on the ped-ai_default Docker network so no host port mapping is needed.
- public/e2e-harness.html + public/js/e2e-bootstrap.js load the calculators
  component without the SPA auth wall (scripts external to satisfy CSP).

Server:
- server.js now re-reads public/index.html on mtime change instead of
  caching at boot. Fixes the "edit HTML, restart container" friction.
- CSP upgradeInsecureRequests disabled in helmet config; Caddy still
  enforces HTTPS at the reverse-proxy layer in production.
2026-04-20 03:51:22 +02:00
Daniel
9bfadd7344 Stop leaking e.message to clients across all routes
88 occurrences of res.status(500).json({ error: e.message }) (or
err.message) swept to generic 'Request failed'. Server-side
console.error / logger.error calls are untouched, so the full detail
still lands in logs and Grafana.

Covers: admin, adminConfig, adminMilestones, chartReview, documents,
encounters, hospitalCourse, hpi, learningAdmin, learningAI, learningHub,
logs, memories, milestones, oidc, refine, sessions, sickVisit, soap,
userPreferences, wellVisit.

Also extends .gitignore to exclude .env.backup-* files.
2026-04-14 03:04:24 +02:00
ifedan-ed
7c27213451 v18: Self-hosted Browser Whisper (zero CDN dependencies)
BREAKING FIX: Browser Whisper now fully self-contained

Previous issue:
- Loaded transformers.js from cdn.jsdelivr.net
- Downloaded models from cdn-lfs.huggingface.co
- Failed in corporate/clinical networks with firewall
- Stuck at "Initializing..." with no progress

Solution:
- Bundle transformers.js library (~876KB)
- Bundle Whisper tiny.en model (~42MB)
- Serve everything from local server
- Works in ANY network environment

Changes:
- whisperWorker.js: Load transformers from /models/ instead of CDN
- Dockerfile: Download models during Docker build
- Add download script for local dev
- Add comprehensive setup documentation

Docker image size: +~42MB (one-time cost, runtime benefit)

Tested: Works on unrestricted and firewalled networks
2026-03-31 20:02:11 +00:00
Daniel Onyejesi
08a8fb26c4 v9: Major feature update — audio backup, SOAP save, Dragon memory, S3 docs, CI/CD, APK
Phase 1 — Critical Fixes:
- Fix SOAP instructions not clearing on Clear button
- Show transcription provider (AWS/OpenAI) in UI toast
- Fix silent transcription failures in dictation and SOAP modules
- Add IndexedDB audio backup system (24hr retention, retry from Settings)
- Prevent duplicate encounter saves with idempotency keys
- Add Save/Load/New bar to SOAP note generator

Phase 2 — Features:
- Dragon-like AI memory: auto-track user corrections, inject into prompts
- Per-section template categories (SOAP, HPI, well visit, sick visit)
- Bigger textarea for SOAP instructions
- S3 document upload/management (AWS S3, Backblaze B2, MinIO compatible)
- Faster transcription via lower bitrate recording (16kbps opus)

Phase 3 — APK & CI/CD:
- GitHub Actions: Docker build+push on version tags
- GitHub Actions: TWA APK build for Obtainium auto-updates
- Android TWA project with foreground service for background recording
- Enhanced PWA manifest with shortcuts and maskable icons
2026-03-28 21:08:32 +00:00
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