565bec9ca8
Features: - Live encounter recording → HPI (outpatient/inpatient) - Voice dictation → HPI / SOAP note - Hospital course generator (prose/day-by-day/organ system/psych) - Chart review / precharting (outpatient/subspecialty/ED) - SOAP note generator (full/subjective only) - Developmental milestones (AAP/Nelson) with narrative + 3-sentence summary - AI refine & shorten for all outputs - Ask AI what's missing (clarification) - Authentication (email/password, email verification, 2FA) - Nextcloud integration with auto date folders - PWA support (installable on phone) - 18+ AI models via OpenRouter - HIPAA compliance guidance - Docker support
62 lines
2.2 KiB
JavaScript
62 lines
2.2 KiB
JavaScript
const express = require('express');
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const router = express.Router();
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const { callAI } = require('../utils/ai');
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const PROMPTS = require('../utils/prompts');
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// Generate chart review
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router.post('/generate-chart-review', async (req, res) => {
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try {
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const {
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type, // 'outpatient' | 'subspecialty' | 'ed'
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patientAge, patientGender, pmh,
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visits, // Array of { date, type, content }
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subspecialty, // Array of { date, specialistName, specialty, content }
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edVisits, // Array of { date, content, labs }
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labs, // Array of { date, values }
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model,
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additionalInstructions
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} = req.body;
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let prompt;
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let clinicalData = `Patient: ${patientAge || 'Unknown'}, ${patientGender || 'Unknown'}`;
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if (pmh) clinicalData += `\nPMH: ${pmh}`;
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if (type === 'ed' || (edVisits && edVisits.length > 0)) {
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prompt = PROMPTS.chartReviewED;
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(edVisits || []).forEach(v => {
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clinicalData += `\n\n=== ED VISIT (${v.date}) ===\n${v.content}`;
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if (v.labs) clinicalData += `\nLabs: ${v.labs}`;
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});
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} else if (type === 'subspecialty' || (subspecialty && subspecialty.length > 0)) {
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prompt = PROMPTS.chartReviewSubspecialty;
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(subspecialty || []).forEach(s => {
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clinicalData += `\n\n=== ${(s.specialty || 'Subspecialty').toUpperCase()} — ${s.specialistName || 'Unknown'} (${s.date}) ===\n${s.content}`;
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});
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} else {
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prompt = PROMPTS.chartReviewOutpatient;
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(visits || []).forEach(v => {
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clinicalData += `\n\n=== ${(v.type || 'Visit').toUpperCase()} (${v.date}) ===\n${v.content}`;
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});
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}
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if (labs && labs.length > 0) {
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clinicalData += '\n\n=== LABS ===';
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labs.forEach(l => { clinicalData += `\n${l.date}: ${l.values}`; });
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}
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if (additionalInstructions) {
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prompt += `\n\nADDITIONAL INSTRUCTIONS:\n${additionalInstructions}`;
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}
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const result = await callAI([
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{ role: 'system', content: prompt },
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{ role: 'user', content: clinicalData }
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], { model, maxTokens: 4000 });
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res.json({ success: true, review: result.content, model: result.model });
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} catch (err) {
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res.status(500).json({ error: err.message });
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}
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});
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module.exports = router;
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