767d28fc54
- New src/utils/transcribeAWS.js: streams audio directly to AWS Transcribe without requiring an S3 bucket - Supports AWS_TRANSCRIBE_MEDICAL=true for Transcribe Medical (better clinical accuracy: drug names, diagnoses, procedures) - AWS_TRANSCRIBE_SPECIALTY configures specialty (default PRIMARYCARE) - transcribe.js auto-selects AWS when AWS_BEDROCK_REGION is set, or can be forced with TRANSCRIBE_PROVIDER=aws|openai - Falls back to OpenAI Whisper when AWS is not configured - Add @aws-sdk/client-transcribe-streaming as optional dependency - Update .env.example with transcription configuration docs
66 lines
2.2 KiB
Text
66 lines
2.2 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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# ============================================================
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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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# 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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SESSION_SECRET=generate-another-random-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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# ============================================================
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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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