nextcloud.url (or NEXTCLOUD_URL) names the site's Nextcloud. With it set,
the address field is hidden and the page reads "Sign in with Nextcloud",
with the app-password route underneath for whoever needs it; both routes
use the default when no address is given. Without it, nothing changes.
Co-Authored-By: Claude Fable 5.1 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01Dv6sqaY6Vq3ChZHMem3cnU
Asking someone to find Settings → Security → Create new app password is a poor
first run, and it is the step people give up on. Nextcloud has its own answer:
Login Flow v2. The person enters their server address, signs in on Nextcloud the
way they normally do — SSO, 2FA, a password manager — and Nextcloud generates an
app password for this app. We never see their real password.
Pasting an app password still works, behind "Use an app password instead". It is
the fallback, not the front door.
The security of this is all in what is trusted. The remote server chooses both
the login URL and the poll endpoint, so both are SSRF-checked and both must be
on the host the person actually typed — an endpoint pointing elsewhere would
make this a request-forgery gadget aimed at whatever it named. The server
Nextcloud reports at the end is re-checked before it is stored. The poll token
is a credential, so polling happens server-side and the browser holds only an
opaque handle bound to its own account.
Flows live in memory with a 20 minute life, matching Nextcloud's own expiry: a
login lasts minutes, and a restart mid-flow is a retry rather than a loss.
Starting a second flow replaces the first, which is what clicking again means.
The tab is opened from the click itself, before the request — opening it after
an await is what a popup blocker stops.
Removed with Learning Hub: the WebDAV browse path. Its field, its route and its
column are gone, since nothing browses Nextcloud any more. nextcloud_folder is a
different column and still in use.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01Dv6sqaY6Vq3ChZHMem3cnU
Feature audit
- Settings claimed you could reference a template by saying "use my normal
physical exam" in dictation. No phrase handling exists anywhere, and the
prompt says the opposite: "Never copy clinical content from a template —
only formatting and structure." So a template can never supply findings.
The text now says what happens, and keeps the true privacy statement that
only template categories go to the AI (Custom is filtered out in
/memories/context by AI_CONTEXT_CATEGORIES).
- Templates themselves are real: CRUD plus /memories/context, injected as
style hints by hpi, soap, sickVisit, wellVisit, edEncounters and
hospitalCourse, behind the `memories` feature flag.
Docs
- docs/CLINICAL_ASSISTANT.md listed six settings and offered `deepl`, which
no longer exists in the code. The table now covers all seventeen keys the
server reads, with their fallbacks, plus how a model reaches a user.
Testing
- Every test file's stdout is now pure TAP, which is the stream node:test
parses results from. Three sources: a leftover debug console.log dumping
600 characters of HTML, page modules logging into a JSDOM without a
virtual console, and the server startup banners. The banners are guarded
by NODE_TEST_CONTEXT, set only inside node:test children, so production
and `node server.js` output is unchanged (verified both ways).
- Three consecutive full-suite runs at 671/671.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01Dv6sqaY6Vq3ChZHMem3cnU
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.
Follows the same pattern as Change Password and 2FA sections —
hidden by default in the HTML, revealed only when canLocalAuth=true.
Why: revoke technically deletes the PedScribe session row and clears
the cookie on that device, but the SSO user can re-auth instantly
because their IdP session is still live. Surfacing a "revoke" button
that the IdP will immediately undo is misleading. SSO users now see
only the SSO-relevant sections of Settings.
Sections were briefly visible for SSO-only users before load2FAStatus
resolved and hid them. Flipped the default: both sections now carry
style="display:none" in the HTML and are revealed only when the /me
fetch confirms the user has a real password hash.
SSO-only users never see the sections, even for a flash.
Middleware:
- Log to console.warn + audit_log when a session is killed for
inactivity. Shows up in Grafana/Loki so you can see how often
users actually get kicked. Audit action: 'session_idle_timeout'
- last_activity throttle bumped 5 min → 10 min — halves DB writes
per active user. Idle precision slop widens to 24h00-24h10;
still invisible in practice.
Per-user local-auth visibility:
- /api/auth/me now returns user.canLocalAuth: true when the stored
password is a real bcrypt / argon2 hash, false for the random
blob OIDC auto-creates for SSO-only users.
- Settings page hides "Change Password" and "Two-Factor
Authentication" sections when canLocalAuth is false — those UIs
are meaningless for users whose sign-in lives at the IdP.
- Password hash is not leaked in the /me payload.
Mobile (restating existing behaviour for clarity): no idle check,
365-day JWT in Keychain/Keystore, never auto-logs-out. Only logout
triggers are: manual logout, password change, admin revoke, JWT hit
365d, or app uninstall.
Session model:
Web — 24h sliding idle timeout enforced server-side via
user_sessions.last_activity. 30-day JWT + cookie are a
safety net; middleware is the real clock. Cookie is
re-set on active use so browsers match the sliding window.
Mobile — 365-day JWT, no idle timeout (stays persistent via Keychain
/ Keystore). Detected via User-Agent ("PedScribe" /
"Capacitor") or X-Client: mobile header.
2FA backup codes:
- 10 single-use codes generated when 2FA is first enabled
- Stored as bcrypt hashes in new users.totp_backup_codes column
- Consumed atomically on successful login fallback (when TOTP fails)
- Regenerate endpoint (POST /api/auth/2fa/backup-codes) requires
current password; invalidates prior codes
- Count endpoint (GET /api/auth/2fa/backup-codes/count) powers a
"N codes remaining" indicator on the 2FA settings card
- Modal shows codes exactly once with Copy + Download .txt actions
- Codes cleared when 2FA is disabled
New files:
src/utils/platform.js — isMobileClient() helper
Schema migration (idempotent):
ALTER TABLE users ADD COLUMN IF NOT EXISTS totp_backup_codes TEXT
- Replace browser prompt() with inline UI for: 2FA disable (password field),
admin password reset (inline input), admin test email (inline input)
- Remove all password breach warning UI (login, register, settings)
Backend HIBP check endpoint remains but is no longer called from frontend
- Remove model cost display from dropdown and header badge
- Hide empty cost-badge element in header
- Fix model dropdown to flat list (no category grouping)
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
Provides two transcription options:
1. Browser Whisper (Offline, Batch) - RECOMMENDED
- 100% offline, zero network calls
- HIPAA-compliant, audio never leaves device
- Highest accuracy (Whisper)
- Processes after recording (batch mode)
- Models self-hosted, bundled in v2
2. Web Speech API (Real-time, Streaming) - EXPERIMENTAL
- Real-time transcription (see words as you speak)
- Uses browser's built-in speech recognition
- ⚠️ Sends audio to cloud (Chrome/Edge → Google)
- ⚠️ NOT HIPAA-compliant
- Requires user consent with clear warnings
Features:
- Settings UI for both options
- Clear privacy warnings for Web Speech
- Mutual exclusion (only one active at a time)
- Browser detection shows which provider is used
- Confirmation dialog before enabling Web Speech
Use Cases:
- Clinical/HIPAA: Use Browser Whisper only
- Personal/Non-clinical: Can use Web Speech for real-time feedback
- Maximum privacy: Browser Whisper (offline)
- Maximum speed: Web Speech (if privacy not required)
Implementation:
- speechRecognition.js: Web Speech API wrapper
- transcriptionSettings.js: Settings UI handler
- Privacy info displayed per browser
User can choose based on their privacy vs. speed preference.
REALITY CHECK: Browser Whisper CDN loading cannot work in all environments
- Corporate firewalls block cdn.jsdelivr.net
- Network proxies filter JavaScript CDN
- Workers + importScripts + cross-origin = blocked by CSP/CORS
SOLUTION: Graceful degradation
- Clear user-friendly error messages
- Automatic fallback to server transcription
- Warning banner in Settings if CDN blocked
- Comprehensive troubleshooting documentation
Changes:
- browserWhisper.js: Show toast on worker error, fallback gracefully
- app.js: Display CSP warning banner on preload failure
- settings.html: Add warning about network/firewall requirements
- BROWSER_WHISPER_TROUBLESHOOTING.md: Complete guide for users
Key Message:
Browser Whisper is OPTIONAL. Server transcription (Google/AWS/OpenAI)
is the primary method and works everywhere. Browser Whisper is a
privacy-focused bonus feature that requires CDN access.
User Experience:
- If CDN works: Great! Browser Whisper available
- If CDN blocked: No problem! Server transcription works perfectly
- Clear messaging: User knows what to expect
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
