Commit graph

244 commits

Author SHA1 Message Date
Daniel
ed45822cb6 test clinical note entrypoints 2026-05-08 06:33:34 +02:00
Daniel
f8b563e642 fix diagram delete confirmation 2026-05-08 06:28:12 +02:00
Daniel
9af599a0b0 remove redundant app wrappers 2026-05-08 06:21:55 +02:00
Daniel
fbae4ebc89 convert admin entrypoint to module 2026-05-08 06:19:51 +02:00
Daniel
d6dccd2c65 simplify TTS provider handling 2026-05-08 06:00:33 +02:00
Daniel
e7b706a4fa remove redundant module wrappers 2026-05-08 05:30:32 +02:00
Daniel
b4d7420f22 extract well visit schedule data 2026-05-08 05:11:29 +02:00
Daniel
03285532cb deduplicate admin HTML escaping 2026-05-08 04:45:02 +02:00
Daniel
acbd42aa43 consolidate calculator growth helpers 2026-05-08 04:36:39 +02:00
Daniel
15c74cba0a extract calculator GCS helper 2026-05-08 04:33:46 +02:00
Daniel
fc0536f38b extract calculator dosing helpers 2026-05-08 04:32:09 +02:00
Daniel
9aafa055d2 extract calculator BP data 2026-05-08 04:24:18 +02:00
Daniel
40926c8f5f extract calculator growth data 2026-05-08 04:05:51 +02:00
Daniel
d676de471f extract calculator BMI data 2026-05-08 03:52:08 +02:00
Daniel
a1326b1c01 extract AAP bilirubin threshold data 2026-05-08 03:42:51 +02:00
Daniel
e64fe52f48 extract bilirubin risk zone data 2026-05-08 03:28:52 +02:00
Daniel
d2983e9a11 remove duplicate bedside handlers from calculators 2026-05-08 03:25:30 +02:00
Daniel
9a3b3643a7 extract calculator reference data 2026-05-08 03:18:37 +02:00
Daniel
a4b03e8195 extract calculator vitals data 2026-05-08 03:06:14 +02:00
Daniel
0891894cc0 extract calculator shared modules 2026-05-08 02:58:58 +02:00
Daniel
d419fc3a63 split notes frontend modules 2026-05-08 02:44:22 +02:00
Daniel
302add00da convert notes scripts to modules 2026-05-08 01:37:41 +02:00
Daniel
4df3898b0a extract notes api client 2026-05-08 01:31:06 +02:00
Daniel
da6ffc1464 split assistant frontend modules 2026-05-08 01:19:12 +02:00
Daniel
67a7293eb9 extract assistant frontend api client 2026-05-08 00:58:44 +02:00
Daniel
68a422a7ad restore assistant streaming 2026-05-08 00:26:10 +02:00
Daniel
d99605c3c0 stabilize assistant and add diagrams 2026-05-08 00:23:00 +02:00
Daniel
4e3e6031d4 fix assistant image follow-up routing 2026-05-07 23:06:13 +02:00
Daniel
65661a54c7 fix assistant stream truncation handling 2026-05-07 23:02:26 +02:00
Daniel
baf05198a8 refactor clinical assistant prompt handling 2026-05-07 22:52:46 +02:00
Daniel
c3e58cd5c5 fix: simplify assistant lookup wording 2026-05-07 17:44:06 +02:00
Daniel
60d726a293 feat: stream clinical assistant responses 2026-05-07 17:26:10 +02:00
Daniel
624d084b49 feat: improve clinical assistant export and citations 2026-05-07 17:15:26 +02:00
Daniel
aa8ded5bc4 feat: use visual captions in assistant sources 2026-05-07 04:42:32 +02:00
Daniel
044ea765ae feat: diversify assistant starter prompts 2026-05-07 03:19:51 +02:00
Daniel
34a53e35df feat: map assistant visual source intent 2026-05-07 03:01:45 +02:00
Daniel
18a69d2a13 feat: improve clinical assistant visual sources 2026-05-07 02:45:17 +02:00
Daniel
39675eedc0 refactor: move assistant examples to module 2026-05-06 23:39:41 +02:00
Daniel
931caae3b2 feat: blend multimodal assistant sources 2026-05-06 23:35:02 +02:00
Daniel
2a19f32f21 fix: preview generated assistant images inline 2026-05-06 23:31:43 +02:00
Daniel
17aff3b4c3 feat: add assistant PDF export 2026-05-06 23:29:20 +02:00
Daniel
b60ae9d9cc fix: enforce Vancouver citation clusters 2026-05-06 23:07:56 +02:00
Daniel
af7eb3b750 fix: polish clinical assistant citations 2026-05-06 23:04:40 +02:00
Daniel
88b6b7ebce fix: show assistant progress and order citations 2026-05-06 08:19:31 +02:00
Daniel
2ca4db1e8d fix: improve clinical assistant rendering 2026-05-06 08:03:28 +02:00
Daniel
b942519d0c feat: add clinical assistant MCP search 2026-05-06 07:31:32 +02:00
Daniel
588b206ea1 rebrand to Pediatric Clinical Tools, add diagrams tab, simplify litellm transcribe/tts 2026-05-02 18:23:06 +02:00
Daniel
8f49c4dcb9 feat(mobile): biometric sign-in (Face ID / Touch ID / fingerprint)
Adds opt-in biometric login to the Capacitor app. Replaces the password
step on subsequent sign-ins; the 2FA step (if any) still applies — by
design, defense in depth.

How it works:
- After a successful password sign-in on a Capacitor build, prompt the
  user to enroll. If they accept, capacitor-native-biometric.setCredentials
  stores the (email, password) pair in the iOS Keychain / Android Keystore
  with biometric-protected access. The local flag ped_bio_enabled=1 is
  set so the next launch knows to probe.
- On the login form, if isNativeApp() + bioStored() + bioAvailable.ok,
  reveal the "Sign in with Face ID / Touch ID / fingerprint" button at
  the top. Label is set from the actual biometryType returned by the
  plugin so users see what their device supports.
- Tap → verifyIdentity (OS prompt) → getCredentials → fill the email +
  password fields → fire the existing form submit so all the regular
  flow runs (turnstile, 2FA prompt, error handling, session storage).
- Explicit logout deletes credentials AND clears the local flag,
  hiding the button on the next visit. Auto-logout (token expiry,
  network) does NOT come through that path, so biometric persists
  across silent session resets.

Storage choice — password not JWT:
- JWTs expire and the storage would constantly need refresh.
- Storing the password lets the standard /api/auth/login flow run,
  which already handles password-rotation (a stale stored password
  just fails 401 → user falls back to typing the new one → re-enrolls).
- The password sits in OS-level secure storage, accessible only after
  successful biometric verification — same security posture as a
  password manager autofill.

Files:
- mobile/package.json: add capacitor-native-biometric@^5.0.0 (Capacitor 6
  compat)
- mobile/android/app/src/main/AndroidManifest.xml: add USE_BIOMETRIC
  uses-permission
- mobile/ios/App/App/Info.plist: add NSFaceIDUsageDescription string
- public/js/auth.js: bioPlugin/bioAvailable/bioStored/bioEnroll/
  bioRetrieve/bioForget helpers; window.PedBio surface; reveal-on-load;
  click handler; post-login enrollment prompt; logout cleanup
- public/index.html: hidden #btn-bio-login + #bio-divider above the
  email field on the login form
- public/css/styles.css: themed gradient button + hover lift
- mobile/README.md: feature list updated

Build steps for Daniel:
  cd mobile && npm install        # picks up capacitor-native-biometric
  npx cap sync                    # ports the plugin into android/ + ios/
  # then build APK / IPA as usual
2026-04-28 03:09:38 +02:00
Daniel
503f5afaad feat: ED multi-stage UX, extensions polish, docs viewer + application-logic docs
Three concurrent themes from this session:

═══════════════════════════════════════════════════════════════════
ED ENCOUNTERS — per-stage cards + consolidate→MDM finalize
═══════════════════════════════════════════════════════════════════

UX redesign per Daniel's feedback ("every stage note should be shown,
if AI is told to modify that particular note then the modified version
is used in final mdm"):

- Each generated stage stays on screen as its own editable card with
  its own embedded "Don't Miss" panel. No more single rolling note
  element that gets replaced on each generation.
- gatherCurrentNotes() reads contenteditable text from each stage card
  before any operation (advance, finalize, persist) so inline edits
  flow into the next AI call and the final consolidate.
- Stage badge is now state-accurate. "Stage N (recording)" with yellow
  background after Add-more before generation; "Stage N" with gray
  after generation. Fixes the bug where the badge flipped to Stage 2
  the moment Add-more was clicked.
- Save & Done now runs TWO server-side AI calls in /finalize:
  1. edConsolidate (new prompt) → polished single final note that
     integrates every stage chronologically (HPI / ROS / PE / ED Course /
     A&P with disposition).
  2. edFinalize (rewritten with full inline 2023 AMA E/M element
     rubric — problems / data / risk definitions, level mapping with
     concrete examples) → MDM JSON.
- Two new cards render after finalize: blue-bordered Final Consolidated
  Note + green-bordered MDM. Stage cards become read-only.
- partial_data on the saved row now stores {stages, finalNote, mdm,
  finalized} so resume re-renders the full state.

Why two-call finalize: a single combined prompt makes the model cut
corners on one task. Two focused calls cost ~2× latency at the very end
of an encounter — acceptable since finalize is a one-time terminal
action, not a per-stage hot path.

Files: public/components/ed-encounter.html, public/js/ed-encounters.js,
src/routes/edEncounters.js, src/utils/prompts.js (edConsolidate added,
edFinalize rewritten).

═══════════════════════════════════════════════════════════════════
EXTENSIONS / PAGERS — visual polish
═══════════════════════════════════════════════════════════════════

Multiple iterations based on Daniel's feedback:

- Layout: align-items:flex-start so action buttons stay pinned top-right
  when long numbers wrap (was align-items:center → buttons drifted into
  the text area, causing visible overlap).
- Number: word-break:break-all + min-width:0 + font-feature-settings:tnum
  so long numbers wrap within their column instead of pushing under the
  buttons. Click-to-copy with a 0.55s green flash + ✓ copied badge.
- Phone/pager Font Awesome icon next to the number in the type color —
  at-a-glance type signal (replacing an earlier 3px left stripe that
  Daniel found visually bulky).
- Name: font-weight 700, font-size 14.5px, color g900, letter-spacing
  -0.012em — scan-target headline typography for long lists.
- Alternating subtle backgrounds by index (white vs #fafbfc) so a long
  list reads as distinct rows.
- Hover: card lifts 1px with a soft shadow; action buttons fade from
  55% to 100% opacity. Cubic-bezier transition on transform.
- Entrance: staggered fade-up animation per card (35ms × index, capped
  at 12). prefers-reduced-motion media query disables motion.
- Empty state: 48px FA icon + heading instead of plain gray text.

Files: public/js/extensions.js, public/css/styles.css.

═══════════════════════════════════════════════════════════════════
DOCS REORGANIZATION + APPLICATION-LOGIC DOCS + ADMIN VIEWER
═══════════════════════════════════════════════════════════════════

Document moves (preserving git history via git mv):
  BROWSER_WHISPER_SETUP.md          → docs/browser-whisper-setup.md
  BROWSER_WHISPER_TROUBLESHOOTING.md → docs/browser-whisper-troubleshooting.md
  DEVELOPER_GUIDE.md                → docs/developer-guide-extended.md
  EMBEDDINGS_SETUP.md               → docs/embeddings-setup.md
  FEATURES_EXPLAINED.md             → docs/features-explained.md
  IMPROVEMENTS.md                   → docs/improvements.md
  OPENID_SETUP.md                   → docs/openid-setup.md
  TRANSCRIPTION_OPTIONS.md          → docs/transcription-options.md
README.md updated with the new paths + a Documentation section that
links to docs/logic/ at the top.

New application-logic doc series (~8,300 lines total) at docs/logic/.
Built with 5 parallel doc-writing agents per Daniel's "use multiple
agents" directive. Each doc explains how a part of the app actually
works — application logic, data flow, design decisions, sacred zones,
how-to-extend recipes — at a depth that lets a new dev (or an AI
assistant) modify the code confidently.

  docs/logic/README.md                — index + recommended reading order
  docs/logic/architecture.md (2166 L) — frontend IIFE pattern, lazy tab
                                         load, backend route convention,
                                         schema, encryption, deployment
  docs/logic/clinical-notes.md (1546L) — every note tab + helper trio
  docs/logic/bedside-and-calculators.md (1373L) — bedside ES module
                                         pocket + calculators + PE Guide
                                         + suture selector
  docs/logic/auth-admin-learning.md (1281L) — auth (local+OIDC+2FA) +
                                         admin panel + Learning Hub
                                         (Quiz engine logic at sub-detail
                                         only — TODO follow-up)
  docs/logic/ai-and-voice.md (1128 L) — callAI 5-provider routing,
                                         prompts, voice/STT, helper trio
  docs/logic/ed-encounters.md (821 L) — multi-stage ED + MDM (this
                                         session's worked example)

Admin-only docs viewer:
- New route /api/admin/docs/{tree,file}: recursively walks docs/, returns
  the tree as JSON; /file?path=X validates path stays inside docs/ and
  renders markdown via marked. Both gated by req.user.role==='admin'.
- New tab "Docs" (book icon) in the sidebar, hidden by default and
  revealed in auth.js when user.role==='admin' (same pattern as the
  existing Admin and CMS tabs).
- New component public/components/admin-docs.html: split-pane layout
  with a tree sidebar + filter input + a markdown reader pane.
- New module public/js/admin-docs.js: lazy-loads the tree on first tab
  activation, renders collapsible folders, persists expanded state and
  last-opened path via UIState. Server-rendered HTML so no client
  markdown parser needed.
- CSS for the viewer (responsive split-pane, code-block styling, table
  scrolling, etc.).
- Mounted at /api/admin/docs (NOT /api) — important: mounting a router
  with router.use(authMiddleware) at /api accidentally 401s every other
  /api/* path (caught and fixed during testing — /api/health was 401'ing).

Files: docs/* (moved + new), README.md, public/components/admin-docs.html
(new), public/js/admin-docs.js (new), src/routes/adminDocs.js (new),
public/index.html (tab + section + script), public/js/auth.js (admin
gate + logout cleanup), public/css/styles.css (viewer styles), server.js
(mount).

═══════════════════════════════════════════════════════════════════
KNOWN GAPS (TODO follow-ups)
═══════════════════════════════════════════════════════════════════

- Learning Hub quiz engine (MCQ / multi-select / T-F scoring + attempt
  tracking + progress dashboard) is covered at the architectural level
  in docs/logic/auth-admin-learning.md but not drilled into the quiz
  data model and scoring flow. Worth a focused follow-up doc.
- ED finalize: if MDM step JSON parse fails, server returns 502 with
  the consolidated finalNote in the error payload, but client doesn't
  surface the partial result. Add a "MDM failed, retry" affordance.
- No e2e Playwright coverage for ED encounters or the new docs viewer.
2026-04-28 03:09:38 +02:00
Daniel
560ec43f8b feat: don't-miss tooltip after notes + bedside suture selector
#2 — Don't-miss tooltip (encounters HPI + sick visit, max 5)
- New POST /api/dont-miss returning {points: [{point, why}]} capped at 5
  (cap defended both in the prompt and server-side .slice(0,5))
- New dontMissTooltip prompt in prompts.js
- New suggestDontMiss() helper in app.js mirroring suggestBillingCodes;
  inserts an orange-bordered card next to the note output, silent on empty
- Wired into liveEncounter.js (encounter HPI) and sickVisit.js. Not added
  to wellvisit/soap/hospital/chart per spec.

#1 — Bedside suture selector
- New ES module public/js/bedside/sutures.js (~300L) following the
  burns.js pattern: site × age × tension × cosmetic × contamination ×
  hours-since-injury → material, size, technique, removal day range,
  glue/Steri-strip alternative, warnings, tetanus reminder.
- 15 anatomic sites covered (face, eyelid, lip vermilion, intraoral,
  ear, scalp, neck, trunk, upper/lower ext, hand, foot, joint surface,
  genitalia, fingertip).
- Bites: cat/human → don't-close-primarily warning; dog bite to hand →
  loose-approximation note. Heavy contamination → delayed primary
  closure. >12h non-face/scalp → judgment call note.
- Removal days shown as ranges (3–5, 7–10, 10–14) per source norms,
  not single midpoints.
- Subungual hematoma trephination guidance corrected: any painful
  hematoma with intact nail and no displaced fracture (especially if
  25–50% or more), per current UpToDate guidance.
- Inline citation: Roberts & Hedges 7e (2019), Fleisher & Ludwig 8e,
  AAP Section on EM, UpToDate (Pope JV).
- Pill registered in sub-nav SECTIONS + bedside/index.js. Persists
  active state via existing UIState helper.

All 46 tests pass.
2026-04-28 03:09:38 +02:00