Commit graph

6 commits

Author SHA1 Message Date
Daniel
f8e883e969 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.
2026-04-28 03:09:38 +02:00
Daniel
241c376750 feat(security): AES-256-GCM at-rest encryption for encounters and memories
Extends the existing crypto helper (already used for audio backups and the
Nextcloud token) to cover every column that can hold PHI:

- saved_encounters.transcript, .generated_note, .partial_data
- user_memories.content (templates + Dragon-style corrections)
- user_memories.name (auto-derived from original snippet on corrections,
  so effectively PHI)

Reads decrypt transparently. Legacy plaintext rows continue to work —
decryptString passes non-enc1: values through unchanged — so no migration
is required; rows re-encrypt on their next save.

The encounters list query previously used LEFT(transcript, 200) for a
preview. With ciphertext that slice is meaningless, so the route now
fetches the full columns, decrypts in Node, then slices. At 7-day auto-
delete the row count is bounded and the cost is a handful of GCM
decrypts per list call.

user_memories ORDER BY moved from (category, name) to (category, id)
since SQL can no longer order on encrypted names.

Closes the HHS breach-notification safe-harbor gap on at-rest PHI.
2026-04-22 01:01:00 +02:00
Daniel
54552df795 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
Daniel
b97c5f146b v6.1: Turnstile bot protection, LiteLLM provider, PPTX tables, audio backup fixes, docs
- 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
2026-04-04 22:56:24 +02:00
Daniel Onyejesi
5f066bb760 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
Daniel Onyejesi
7719e564be 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