- 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
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
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
Emails: white card, clean typography, dark button, no gradients.
Same minimal aesthetic as Linear/Resend/Notion emails.
Verify page responses also updated to match.
LiteLLM /audio/transcriptions gives 'Unmapped provider' for Vertex AI Chirp.
The correct approach: use /v1/chat/completions with a Gemini model and send
audio as base64 input_audio content block — Gemini natively understands audio.
Set LITELLM_STT_MODEL to your Gemini model name (e.g. gemini-2.5-flash).
- Bug 1: When user selected "Outpatient" review type but had any subspecialty
visit cards filled in, the backend ignored the top-level type and switched to
the subspecialty prompt. Fixed: top-level type dropdown is now definitive.
Per-visit note types only control data formatting/labeling, not prompt selection.
- Bug 2: Labs entered in a visit card were silently dropped for outpatient and
subspecialty visits (only ED visit labs were included). Fixed: per-visit labs
now appear immediately after their visit content, labeled with the visit date.
- Improved lab labeling: visit labs are labeled "Labs from this visit (date)"
and the separate labs section is labeled "ADDITIONAL LABS (not tied to a
specific visit)" so the AI clearly distinguishes them.
- TTS response now includes X-TTS-Provider header (google-tts, litellm/model, elevenlabs)
- Frontend reads header and shows actual provider in toast instead of hardcoded "Adam/ElevenLabs"
- CORS exposes X-TTS-Provider header so frontend can access it
- Updated .env.example: clarify that LITELLM_TTS_MODEL and LITELLM_STT_MODEL
can be either the model_name alias OR the full provider/model path depending
on your LiteLLM config (important for BAA compliance routing)
vertex_ai/chirp does not work via LiteLLM's audio transcription proxy.
Changed default LITELLM_STT_MODEL from vertex_ai/chirp to whisper-1.
Updated .env.example documentation to match.
STT: Vertex AI Chirp not supported via LiteLLM proxy (confirmed by docs).
Now uses Gemini directly (transcribeGoogle.js) — auto-detected when
GOOGLE_VERTEX_PROJECT is set, fallback to AWS then OpenAI.
TTS: LiteLLM Vertex TTS DOES work but requires the model_list ALIAS
(tts-1) not the underlying path (vertex_ai/text-to-speech).
Also pass voice param — LiteLLM supports Google Cloud voice names.
Auto-detected when LITELLM_API_BASE is set.
LiteLLM's atranscription has a routing bug with Vertex AI Chirp proxy.
AWS Transcribe is already configured and working. Auto-detect now prefers
AWS over LiteLLM. Use TRANSCRIBE_PROVIDER=litellm to force LiteLLM.
- TTS: switch to axios, drop voice param (configured in LiteLLM per model)
- STT: log full LiteLLM error body so 500s are diagnosable in logs
- TTS: same error detail logging
- Fix 'ElevenLabs unavailable' toast to generic 'TTS unavailable'
- Add red Stop button to encounter recording UI
- 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
Vertex AI Chirp via LiteLLM rejects/hangs when 'prompt' and
'response_format' are included — these are OpenAI Whisper-only params.
Send only file + model for LiteLLM/Chirp.
Having LITELLM_API_BASE for AI text was auto-routing audio transcription
through LiteLLM even when the proxy has no Whisper model configured,
causing silent hangs. Now LiteLLM STT only activates when LITELLM_STT_MODEL
is explicitly set. Falls back correctly to AWS Transcribe when configured.
OpenAI SDK's audio.transcriptions.create() hangs with LiteLLM
(no timeout, SDK-level incompatibility with multipart handling).
Use axios + form-data directly with 120s timeout — same approach
as ElevenLabs TTS. Handles both {text:"..."} and plain string responses.
- 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
- TRANSCRIBE_PROVIDER=litellm routes audio to LiteLLM /audio/transcriptions
- TTS_PROVIDER=litellm routes to LiteLLM /audio/speech
- Both auto-detect when LITELLM_API_BASE is set (no extra config needed)
- LITELLM_STT_MODEL (default: whisper-1), LITELLM_TTS_MODEL (default: tts-1)
- LITELLM_TTS_VOICE (default: alloy) — alloy/echo/fable/onyx/nova/shimmer
- ElevenLabs still works if ELEVENLABS_API_KEY is set and TTS_PROVIDER=elevenlabs
- Health endpoint now reports tts provider
- Root cause: PUT /config/:key(*) wildcard was registered before
/config/models/toggle and /config/models/default, intercepting them
and returning "value is required" (body had modelId not value)
- Fix: move all model-specific PUT routes before the wildcard
- LiteLLM: return empty built-in list with discovery hint (hardcoded
models don't match user's proxy — must use Search API)
- After adding a discovered model: auto-select it in the default dropdown
- GET /config/models now returns defaultModel so dropdown pre-selects it
- 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
Audio Backups:
- New audio_backups table in PostgreSQL (bytea, gzip compressed)
- POST /api/audio-backups — upload with gzip compression (level 6)
- GET /api/audio-backups — list user's backups
- GET /api/audio-backups/:id/audio — download decompressed audio
- DELETE /api/audio-backups/:id — delete backup
- Auto-cleanup every hour (24h expiry)
- Frontend saves to server first, falls back to IndexedDB
- Settings shows source badge (server/local) per backup
AI Corrections:
- Corrections list is now expandable — click to view original vs corrected
- Shows red "Original" and green "Corrected to" sections
- Click arrow to expand/collapse each correction
- Date shown on each correction
- Add GET /api/transcribe/status endpoint — returns whether any server
transcription provider (Whisper/AWS/Local) is configured
- Frontend checks status on login via checkTranscribeStatus()
- When no provider configured: recording stops instantly, keeps live
Web Speech API text, shows friendly toast — no error, no upload wait
- Works in encounter, dictation, and SOAP tabs
- App now works fully out-of-the-box with just an AI provider key
- AWS Transcribe: remove 10ms delay between chunks (was adding ~1.25s/MB),
increase chunk size from 8KB to 32KB (AWS max per frame)
- Add detailed timing logs (ffmpeg, streaming, total) for diagnostics
- OpenAI Whisper: use response_format='text' for faster response parsing
- Frontend: show transcription time in toast, request 16kHz sample rate,
increase bitrate to 32kbps Opus (better quality, still small files)
- Return duration in API response for all providers
- APK: Add WAKE_LOCK, BOOT_COMPLETED, ACCESS_NETWORK_STATE permissions
- APK: Disable allowBackup for medical data security
- APK: AudioRecordingService now acquires wake lock, has stop action in notification
- Serve /.well-known/assetlinks.json for TWA domain verification
- Service worker: cache app shell, stale-while-revalidate for assets, network-first for API
- Admin model management: validate model ID format, prevent built-in conflicts, audit toggle actions, prevent disabling all models
- Bump version to v9.0.0, Docker tag to v9
- 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
- OIDC callback now passes only ?sso=ok flag, token stays in
httpOnly cookie (prevents token leaking to logs/referrer/history)
- Frontend auth.js uses cookie-based auth for SSO flow
- Add [PHYSICIAN TEMPLATES] boundary markers around physicianMemories
in all 5 generation routes to mitigate prompt injection
- Consistent boundary format across wellVisit, sickVisit, hpi, soap,
hospitalCourse
OIDC/SSO:
- New /api/auth/oidc route with PKCE for secure authorization
- Supports Azure AD, Okta, Keycloak, PocketID, Google, any OIDC provider
- Admin configurable: issuer, client ID/secret, button label
- Option to disable local auth (force SSO only)
- Auto-creates users on first SSO login, links existing by email
- SSO button on login page, hidden until admin enables OIDC
Firefox:
- Show info toast on first recording that live preview requires
Chrome/Edge; server-side transcription still works in all browsers
- Add try-catch to /nextcloud/disconnect route (was crashing on DB errors)
- Update docker-compose.yml image tag from v7 to v8
- Remove unused SESSION_SECRET from .env.example
Previously only well-visit and sick-visit used saved physician
templates. Now HPI encounter, HPI dictation, SOAP, and hospital
course all fetch getUserMemoryContext() and pass physicianMemories
to the backend so the AI learns from saved templates/preferences.
- New src/utils/transcribeAWS.js: streams audio directly to AWS
Transcribe without requiring an S3 bucket
- Supports AWS_TRANSCRIBE_MEDICAL=true for Transcribe Medical
(better clinical accuracy: drug names, diagnoses, procedures)
- AWS_TRANSCRIBE_SPECIALTY configures specialty (default PRIMARYCARE)
- transcribe.js auto-selects AWS when AWS_BEDROCK_REGION is set,
or can be forced with TRANSCRIBE_PROVIDER=aws|openai
- Falls back to OpenAI Whisper when AWS is not configured
- Add @aws-sdk/client-transcribe-streaming as optional dependency
- Update .env.example with transcription configuration docs
Sonnet 4.6 outputs literal newline characters inside JSON string
values (e.g. in HTML body field) instead of \n escape sequences.
Added sanitizeJsonString that walks the string character by character
and escapes unescaped control chars inside quoted values.
Opus 4.6 and other large models add preamble/thinking text before
JSON output. Fix: add system message enforcing JSON-only, strip
leading text before first {, trim trailing text after last }, and
log raw output on parse failure for debugging.
- 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
Login flash:
- Auth screen now hidden by CSS default (#auth-screen{display:none !important})
- auth.js shows it only when there is no valid token or token is expired
- No more flash of login page on refresh for logged-in users
Presentation quiz option (AI Generate panel):
- Presentation type now shows optional quiz question toggle (same as article)
- Backend: when questionCount>0, returns JSON {marpMarkdown, questions[]}
instead of plain Marp markdown
- applyAiContent fills both the Marp textarea and question blocks for presentations
Viewer revert:
- Removed the viewer presentation card change (user wants markdown as-is)
- Removed dangling viewer button wiring
Feed/CMS list:
- Presentation type shows correct icon (fa-presentation-screen) and
label "Slides" in the CMS content list
REVERT: httpOnly cookie auth removed — reverts to JWT in localStorage.
The cookie implementation broke the login page (always-hidden auth screen).
localStorage token approach is restored fully:
- Login/register return token in JSON body
- getAuthHeaders() sends Authorization: Bearer header
- Session check reads localStorage token on load
- clearSession() removes localStorage token
Fix: slide preview padding — section elements now have 40px 48px padding
so text is not flush against the frame edges.
Kept from v3.14: AI panel context-aware options (word count, slide count,
quiz question toggle), delete confirmation wording per content type.
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.
Backend (src/routes/learningAI.js):
- POST /api/admin/learning/ai-generate
* Accepts: topic text, uploaded file (PDF/TXT/MD/HTML), or Nextcloud WebDAV path
* Extracts text from PDFs via pdf-parse; plain text read directly
* Fetches WebDAV files using stored Nextcloud credentials
* Prompts AI to return structured JSON: title, subject, body (HTML), questions[]
* Strips code fences, falls back to regex JSON extraction if needed
- POST /api/admin/learning/ai-refine — refine existing body with instructions
- GET /api/admin/learning/webdav-browse — PROPFIND-based Nextcloud file browser
- POST /api/admin/learning/webdav-path — save user's default browse path
Frontend:
- AI Generate button in CMS editor header (gradient purple→blue)
- Panel with 3 source tabs: By Topic / Upload File / Nextcloud
- Drag-and-drop file dropzone with DataTransfer API support
- WebDAV file browser: navigate folders, select files, breadcrumb path
- Options: question count, content type (article/quiz/pearl), model selector, instructions
- Refine Current Body: prompt-driven AI rewrite of existing content
- Generated content auto-fills title, subject, type, Tiptap body, quiz questions
Settings:
- Nextcloud section: "Learning Hub Default Browse Path" field (shown when connected)
- Saves to webdav_learning_path column via /api/admin/learning/webdav-path
DB: ALTER TABLE users ADD COLUMN IF NOT EXISTS webdav_learning_path TEXT
- Replace textarea+toolbar with Quill.js (free, MIT) for body editor
- Full WYSIWYG: headings, bold/italic, lists, blockquote, code, link (inline, no popup)
- Rich Text toggle button on each question text field and option text field
- Plain textarea by default; toggle activates mini Quill editor per field
- New 'Multiple Select' question type: checkboxes, all correct must be chosen
- Backend scoring: allCorrectChosen && noWrongChosen
- Results show all correct options highlighted, wrong selections flagged
- quiz display uses sanitizeHtml for question/option text (supports formatted HTML)
- sanitizeHtml allows Quill class attrs (ql-indent, etc.)
- New dedicated Content Manager tab (WordPress-like layout) with:
- Stats dashboard (published, drafts, categories, quizzes, attempts)
- Sidebar with category tree and filter controls (status, category)
- Table-style content list with search
- Full-page editor with title bar, meta fields, body editor, quiz builder
- Content Manager visible only for admin and moderator roles in sidebar
- Removed CMS from admin panel (admin panel is admin-only again)
- Email templates: fully responsive with max-width, proper mobile breakpoints,
table-based layout for Outlook/Gmail compatibility, no overflow
- Security: escape all user data in emails with escHtml(), escape APP_URL
in verify-email HTML, replace raw err.message with generic errors in auth
- Security: email body from admin settings now HTML-escaped before rendering
