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- 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
118 lines
4.2 KiB
Text
118 lines
4.2 KiB
Text
# ============================================================
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# AI PROVIDER (choose one)
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# ============================================================
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# Option 1: OpenRouter (default, cheapest, NOT HIPAA)
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AI_PROVIDER=openrouter
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OPENROUTER_API_KEY=sk-or-v1-your-key
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# Option 2: AWS Bedrock (HIPAA compliant with BAA)
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# AI_PROVIDER=bedrock
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# AWS_BEDROCK_REGION=us-east-1
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# AWS_ACCESS_KEY_ID=AKIA...
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# AWS_SECRET_ACCESS_KEY=...
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# (Or use IAM role — no keys needed if running on EC2/ECS)
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# Option 3: Azure OpenAI (HIPAA compliant with BAA)
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# AI_PROVIDER=azure
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# AZURE_OPENAI_ENDPOINT=https://your-resource.openai.azure.com
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# AZURE_OPENAI_API_KEY=your-key
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# AZURE_DEPLOYMENT_NAME=gpt-4o-mini
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# AZURE_OPENAI_API_VERSION=2024-02-01
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# Option 4: Google Vertex AI (HIPAA compliant with BAA)
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# AI_PROVIDER=vertex
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# GOOGLE_VERTEX_PROJECT=your-gcp-project-id
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# GOOGLE_VERTEX_LOCATION=us-central1
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# GOOGLE_APPLICATION_CREDENTIALS=/path/to/service-account.json
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# (Or use default credentials if running on GCE/GKE/Cloud Run)
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# Option 5: LiteLLM Proxy (self-hosted, routes to any provider)
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# AI_PROVIDER=litellm
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# LITELLM_API_BASE=http://localhost:4000
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# LITELLM_API_KEY=sk-litellm-your-key
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# Admin can discover available models via the admin panel
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#
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# LiteLLM Speech-to-Text (auto-enabled when LITELLM_API_BASE is set)
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# TRANSCRIBE_PROVIDER=litellm
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# LITELLM_STT_MODEL=whisper-1 # or: groq/whisper-large-v3, openai/whisper-1
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#
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# LiteLLM Text-to-Speech (auto-enabled when LITELLM_API_BASE is set)
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# TTS_PROVIDER=litellm
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# LITELLM_TTS_MODEL=tts-1 # or: tts-1-hd, openai/tts-1
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# LITELLM_TTS_VOICE=alloy # alloy, echo, fable, onyx, nova, shimmer
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# ============================================================
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# TRANSCRIPTION (speech-to-text)
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# ============================================================
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# Option A: OpenAI Whisper (default if no AWS configured)
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OPENAI_API_KEY=sk-your-openai-key
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# Option B: Amazon Transcribe (HIPAA eligible, no S3 needed)
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# Uses same AWS credentials as Bedrock above.
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# Set TRANSCRIBE_PROVIDER=aws to force AWS even if OPENAI_API_KEY is set.
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# Leave unset to auto-detect (uses AWS when AWS_BEDROCK_REGION is configured).
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# TRANSCRIBE_PROVIDER=aws
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# Option C: Local Whisper (privacy-first, no cloud API needed)
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# Requires whisper.cpp or faster-whisper installed on the server.
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# TRANSCRIBE_PROVIDER=local
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# WHISPER_MODEL_SIZE=small # tiny, base, small, medium, large
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# WHISPER_BINARY=whisper-cpp # or: whisper, faster-whisper
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# WHISPER_MODEL_PATH= # custom path to .bin model file
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# WHISPER_LANGUAGE=en
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# WHISPER_THREADS=4 # defaults to CPU count - 1
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# Amazon Transcribe Medical — better accuracy for clinical dictation
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# Knows drug names, diagnoses, procedures, SOAP terminology
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# HIPAA eligible (ensure your AWS account has a BAA)
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# AWS_TRANSCRIBE_MEDICAL=true
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# AWS_TRANSCRIBE_SPECIALTY=PRIMARYCARE
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# Other options: CARDIOLOGY, NEUROLOGY, ONCOLOGY, RADIOLOGY, UROLOGY
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# Optional
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ELEVENLABS_API_KEY=
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# App
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PORT=3000
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APP_URL=https://your-domain.com
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JWT_SECRET=generate-a-random-64-char-string-here
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# Email (for verification & password reset)
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SMTP_HOST=smtp.gmail.com
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SMTP_PORT=587
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SMTP_USER=your-email@gmail.com
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SMTP_PASS=your-app-password
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SMTP_FROM=noreply@yourdomain.com
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# Nextcloud (optional)
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NEXTCLOUD_URL=https://cloud.yourdomain.com
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# S3 Document Storage (optional — works with AWS S3, Backblaze B2, MinIO)
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# S3_BUCKET=your-bucket-name
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# S3_REGION=us-east-1
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# S3_PREFIX=documents/
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#
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# For AWS S3: uses same AWS credentials as Bedrock above, or set S3-specific keys:
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# S3_ACCESS_KEY_ID=...
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# S3_SECRET_ACCESS_KEY=...
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#
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# For Backblaze B2:
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# S3_ENDPOINT=https://s3.us-west-004.backblazeb2.com
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# S3_REGION=us-west-004
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# S3_ACCESS_KEY_ID=your-b2-application-key-id
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# S3_SECRET_ACCESS_KEY=your-b2-application-key
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#
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# For MinIO (self-hosted):
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# S3_ENDPOINT=http://minio:9000
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# S3_REGION=us-east-1
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# S3_ACCESS_KEY_ID=minio-access-key
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# S3_SECRET_ACCESS_KEY=minio-secret-key
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# S3_FORCE_PATH_STYLE=true
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# ============================================================
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# DATABASE
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# ============================================================
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DATABASE_URL=postgresql://pedscribe:pedscribe_secret_change_me@postgres:5432/pedscribe
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DB_PASSWORD=pedscribe_secret_change_me
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