pediatric-ai-scribe-v3/docs/learning-hub.md
Daniel 67e416c6d9
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docs: merge the duplicate pairs and correct them against the running app
Three pairs of docs described the same thing twice, and the copies had drifted
apart. Merged each into one file, keeping the unique content from both:

- ARCHITECTURE.md -> architecture.md (its operational map: ownership, request
  flow, runtime boundaries, source of truth, deployment shape)
- DEVELOPMENT.md -> developer-guide.md (change workflow, Clinical Assistant
  high-risk areas, frontend rendering rules, deployment checks)
- transcription-options.md -> speech.md (the clinic setup table, and the list
  of browser-Whisper paths that must stay removed)

Then audited what remained against the code and the live database rather than
against the previous docs. Corrected:

- Google Vertex was still documented as a provider across nine files. The SDK
  is gone; AI_PROVIDER=vertex now logs an advisory and falls back to
  OpenRouter, and Gemini is reached through LiteLLM. Fixed the provider
  selection order to match src/utils/ai.js, which starts from LITELLM_API_BASE.
- promptSafe was documented on 8 routes; it is on 13.
- Node 20 -> 24, "24 vanilla JS modules" -> no fixed count, and
  transcribe.js/tts.js -> sttProvider.js/ttsProvider.js, which is what exists.
- STT/TTS are LiteLLM-only; README listed direct Google, AWS Transcribe and
  ElevenLabs paths that are not in the runtime.
- Learning Hub PPTX export was documented as pptxgenjs, which is not a
  dependency. It is pandoc against a reference deck.
- POST /api/admin/milestones/seed does not exist; it is /bulk-import.
- NEXTCLOUD_URL and NTFY_TOPIC are not read anywhere. Nextcloud is per-user in
  the users table, and the ntfy topic is derived as pedscribe-{userId}.
- A prose paragraph sat inside the Clinical Assistant settings table, so half
  the rows rendered as text.

Filled the gaps the audit exposed:

- database.md was missing 12 of 29 tables, including user_resources,
  personal_notes, login_codes, registration_invites and generated_image_jobs.
- developer-guide.md was missing 11 routers and 10 frontend modules.
- api-reference.md detailed 121 of 244 endpoints and said so, but whole
  features were absent. Added an endpoint index covering Clinical Assistant,
  My Resources, Notes, Diagrams, ED Encounters, invites and sign-in codes.
- configuration.md was missing METRICS_TOKEN, REDIS_URL, API_RATE_LIMIT_MAX,
  the LITELLM_* model variables, the DB_* ones maintenance.js reads, and the
  per-purpose S3 resolution scheme.
- clinical-assistant.md documented 2 of its 17 environment variables.
- features-explained.md had no entry for My Resources or Clinical Assistant.

Renamed the three remaining SHOUTING filenames to kebab-case, which is what the
docs viewer's prettyName() was working around, and rewrote README's index,
which listed architecture.md twice and omitted nine files.

Noted but not changed: the Turnstile site key is hardcoded in index.html rather
than read from TURNSTILE_SITE_KEY, and /api/health/detailed can report
tts: 'elevenlabs' though no ElevenLabs path exists.

Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01Dv6sqaY6Vq3ChZHMem3cnU
2026-09-12 04:57:35 +02:00

3.9 KiB

Learning Hub

A CMS + content-delivery module for clinical education material inside the app. Supports articles, clinical pearls, quizzes, and Marp-rendered presentations with PPTX export. Quiz questions are stored alongside article content and can optionally be generated by AI from uploaded source material.

Content types

Type Description
article Rich HTML body with an optional attached quiz
pearl Short clinical snippet (no quiz, no heavy media)
quiz Standalone quiz (no article body)
presentation Marp markdown rendered as slides; PPTX export supported

User-facing features

  • Browse by category.
  • Three search modes:
    • Keyword — Postgres full-text.
    • Semantic — pgvector cosine similarity on the embedding column.
    • Hybrid — weighted merge of both result sets.
  • Articles render with sanitized HTML (DOMPurify, loaded via SRI-pinned cdnjs).
  • Quizzes: multiple-choice, multi-select, true/false. Score computed on submit, per-question explanations revealed after.
  • Presentation viewer: modal with keyboard / swipe navigation.
  • Progress: learning_progress stores per-attempt score + total.

CMS (moderator / admin)

  • Tiptap rich-text editor for article body.
  • Draft / published toggle.
  • Category assignment.
  • Quiz builder: add/remove questions, add/remove options, mark correct, enter explanation.
  • Marp editor for presentations with live preview.

AI content generation

POST /api/admin/learning/generate takes one of:

Input Notes
topic Plain-text description of the topic
Uploaded files PDF / TXT / MD / HTML / CSV / JSON, ≤ 100 MB each, max 10 files
WebDAV path Pulled from the user's connected Nextcloud instance

Parameters: model (from the provider whitelist), slideCount for presentations, wordCount for articles.

File uploads pass the src/utils/fileType.js magic-byte check so a mismatched extension is rejected before it reaches the parser.

Marp → PPTX export

POST /api/admin/learning/generate-pptx writes the markdown to a temp directory and runs pandoc against assets/learning/slides-reference.pptx. The reference deck carries the fonts, palette and slide layouts, so restyling the export means editing that file in PowerPoint — not changing code.

Images are handled before pandoc sees the markdown. Each /api/generated-images/{id} link is resolved through the ownership check and written beside the deck under a name this route chooses; any link that does not resolve to one of those is dropped. Pandoc resolves image links against the filesystem, so passing an arbitrary local path through would embed that file into the deck.

This is the Learning Hub's own path and is separate from My Resources, which renders decks with python-pptx from a typed deck rather than from markdown — see my-resources.md.

Store pgvector on learning_content.embedding VECTOR(768)
Index IVFFLAT, cosine distance
Primary model vertex/text-embedding-005 (768 dims), served through LiteLLM
Fallback model OpenAI text-embedding-3-small (truncated to 768 to match the column)

Embeddings are generated on content publish + on every edit. If the embedding provider is unreachable, the content still saves — keyword search remains available.

Tables

Table Purpose
learning_categories Top-level groupings
learning_content Articles / pearls / quizzes / presentations. Body + embedding vector.
learning_questions Quiz question prompts (FK to content)
learning_options Answer options (FK to question)
learning_progress Per-user attempt history

Retrieval sizing

How many corpus excerpts the Clinical Assistant, the Learning Hub and My Resources each receive, and the reranker cap that overrides all three: retrieval-tuning.md.