pediatric-ai-scribe-v3/server.js
Daniel cfb8aab77d fix: /api/health/detailed reported a text-to-speech provider that does not exist
The endpoint answered from environment variables of its own rather than from the
speech code, so ELEVENLABS_API_KEY being set made it report tts: 'elevenlabs'.
There is no ElevenLabs path in ttsProvider.js — getTTSProvider() only ever
returns 'litellm' or 'none' — so the one endpoint an operator checks to find out
what speech is doing was reporting a provider this app cannot use. Likewise
whisper: OPENAI_API_KEY, which stopped describing STT when transcription moved
behind the gateway.

Both now ask getSTTProvider() and getTTSProvider(), the same functions the routes
ask, so the answer cannot drift from behaviour again.

Removed the two other ElevenLabs leftovers: the FAQ told users their notes were
read aloud by "Google, OpenAI, or ElevenLabs", and a TTS test used 'elevenlabs'
as its sample value for the passthrough of TTS_PROVIDER, which implied the
provider was supported.

Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01Dv6sqaY6Vq3ChZHMem3cnU
2026-09-12 05:05:39 +02:00

447 lines
21 KiB
JavaScript

require('dotenv').config();
const { version: APP_VERSION } = require('./package.json');
const express = require('express');
const cors = require('cors');
const helmet = require('helmet');
const rateLimit = require('express-rate-limit');
const cookieParser = require('cookie-parser');
const path = require('path');
const http = require('http');
const loggingMiddleware = require('./src/middleware/logging');
const { metricsHandler, metricsMiddleware } = require('./src/utils/metrics');
const app = express();
const server = http.createServer(app);
// Trust first proxy (Nginx/Caddy) — required for correct client IP in rate limiting and audit logs
app.set('trust proxy', 1);
// ============================================================
// SECURITY — Helmet with CSP
// ============================================================
app.use(helmet({
crossOriginEmbedderPolicy: false,
hsts: { maxAge: 31536000, includeSubDomains: true, preload: true },
contentSecurityPolicy: {
directives: {
defaultSrc: ["'self'"],
scriptSrc: ["'self'", 'https://cdn.jsdelivr.net', 'https://cdnjs.cloudflare.com', 'https://challenges.cloudflare.com'],
scriptSrcAttr: ["'none'"],
styleSrc: ["'self'", "'unsafe-inline'", 'https://fonts.googleapis.com', 'https://cdnjs.cloudflare.com'],
fontSrc: ["'self'", 'https://fonts.gstatic.com', 'https://cdnjs.cloudflare.com'],
imgSrc: ["'self'", 'data:', 'blob:'],
mediaSrc: ["'self'", 'blob:'],
connectSrc: ["'self'", 'https://cdnjs.cloudflare.com', 'https://fonts.googleapis.com', 'https://fonts.gstatic.com', 'https://www.google.com', 'wss://www.google.com', 'https://clinicaltables.nlm.nih.gov',
// Cloudflare Turnstile
'https://challenges.cloudflare.com'],
workerSrc: ["'self'", 'blob:'],
childSrc: ["'self'", 'blob:'],
frameSrc: ["'self'", 'https://challenges.cloudflare.com'],
objectSrc: ["'none'"],
// Disable helmet's default upgrade-insecure-requests so tests can hit
// the container over plain HTTP. In production, Caddy terminates TLS
// and serves HTTPS — mixed-content is a non-issue there.
upgradeInsecureRequests: null,
}
}
}));
// ============================================================
// CORS — restrict to APP_URL origin in production
// ============================================================
var allowedOrigins = [];
if (process.env.APP_URL) allowedOrigins.push(process.env.APP_URL.replace(/\/$/, ''));
if (process.env.CORS_ORIGINS) process.env.CORS_ORIGINS.split(',').forEach(function(o) { allowedOrigins.push(o.trim().replace(/\/$/, '')); });
var IS_PROD = process.env.NODE_ENV === 'production' || !!process.env.APP_URL;
if (IS_PROD && allowedOrigins.length === 0) {
console.error('[FATAL] Production mode but no APP_URL or CORS_ORIGINS set. Refusing to run with open CORS.');
process.exit(1);
}
// Scoped to /api only — static assets (including type="module" scripts which
// always send an Origin header) must not be subject to CORS checks.
app.use('/api', cors({
origin: function(origin, callback) {
// Allow requests with no origin (mobile apps, curl, server-to-server)
if (!origin) return callback(null, true);
// Development only: if no origins configured, allow all
if (!IS_PROD && allowedOrigins.length === 0) return callback(null, true);
if (allowedOrigins.indexOf(origin) !== -1) return callback(null, true);
callback(new Error('CORS: origin not allowed'));
},
credentials: true,
exposedHeaders: ['X-TTS-Provider']
}));
app.use(cookieParser());
app.use(metricsMiddleware);
// ============================================================
// BODY LIMITS — 10mb for JSON (chart review with many notes can be large),
// transcribe uses multipart (25mb limit set in multer)
// ============================================================
app.use(express.json({ limit: '10mb' }));
// ============================================================
// RATE LIMITING
// ============================================================
// General API: 200 req/min default; configurable so the e2e container
// can raise it without weakening production.
app.use('/api/', rateLimit({
windowMs: 60000,
max: parseInt(process.env.API_RATE_LIMIT_MAX || '200', 10),
message: { error: 'Too many requests' },
standardHeaders: true, legacyHeaders: false
}));
// Auth routes: 10 attempts/15min per IP (brute-force protection).
// LOGIN_RATE_LIMIT_MAX env var lets the e2e container raise it to a
// level that accommodates multi-worker Playwright runs without
// weakening production.
app.use('/api/auth/login', rateLimit({
windowMs: 15 * 60 * 1000,
max: parseInt(process.env.LOGIN_RATE_LIMIT_MAX || '10', 10),
message: { error: 'Too many login attempts. Try again in 15 minutes.' },
standardHeaders: true, legacyHeaders: false
}));
// Asking for a code sends mail to someone else's address, so it is limited more
// tightly than a login attempt: the cost of abuse lands on the mailbox owner.
// Note these are separate limiters rather than covered by the one above —
// Express matches app.use paths on segment boundaries, so '/api/auth/login'
// does not match '/api/auth/login-code'.
app.use('/api/auth/login-code/request', rateLimit({
windowMs: 60 * 60 * 1000,
max: parseInt(process.env.LOGIN_CODE_RATE_LIMIT_MAX || '5', 10),
message: { error: 'Too many code requests. Try again later, or sign in with your password.' },
standardHeaders: true, legacyHeaders: false
}));
app.use('/api/auth/login-code/verify', rateLimit({
windowMs: 15 * 60 * 1000,
max: parseInt(process.env.LOGIN_RATE_LIMIT_MAX || '10', 10),
message: { error: 'Too many attempts. Try again in 15 minutes.' },
standardHeaders: true, legacyHeaders: false
}));
app.use('/api/auth/register', rateLimit({
windowMs: 60 * 60 * 1000, max: 5,
message: { error: 'Too many registration attempts.' },
standardHeaders: true, legacyHeaders: false
}));
app.use('/api/auth/forgot-password', rateLimit({
windowMs: 60 * 60 * 1000, max: 5,
message: { error: 'Too many password reset attempts.' },
standardHeaders: true, legacyHeaders: false
}));
app.use('/api/auth/resend-verification', rateLimit({
windowMs: 15 * 60 * 1000, max: 3,
message: { error: 'Too many verification requests. Try again in 15 minutes.' },
standardHeaders: true, legacyHeaders: false
}));
// Post-login sensitive endpoints — protect against brute force with a stolen cookie.
// Keyed per-IP; 20 attempts / 15 min covers legitimate use, blocks TOTP brute force (10^6 space).
var sensitiveAuthLimiter = rateLimit({
windowMs: 15 * 60 * 1000, max: 20,
message: { error: 'Too many attempts. Try again in 15 minutes.' },
standardHeaders: true, legacyHeaders: false
});
app.use('/api/auth/change-password', sensitiveAuthLimiter);
app.use('/api/auth/setup-2fa', sensitiveAuthLimiter);
app.use('/api/auth/verify-2fa', sensitiveAuthLimiter);
app.use('/api/auth/disable-2fa', sensitiveAuthLimiter);
// Serve .well-known/assetlinks.json for TWA verification (must be before static)
app.get('/.well-known/assetlinks.json', (req, res) => {
res.setHeader('Content-Type', 'application/json');
res.setHeader('Cache-Control', 'public, max-age=86400');
res.sendFile(path.join(__dirname, 'public', '.well-known', 'assetlinks.json'));
});
// ============================================================
// CACHE-BUSTING VERSION STAMP
// ============================================================
// Use the full source revision for asset cache busting and /api/build.
// Unversioned development builds are explicitly "unknown", never random SHAs.
var fs = require('fs');
var BUILD_ID = require('./src/utils/buildId').getBuildId(__dirname);
console.log('🔖 Build ID:', BUILD_ID);
// Template index.html on each request if the file changed (mtime-based).
// Avoids a stale in-memory copy after static edits / script additions while
// still being essentially free — just an fs.stat per request, zero template
// rebuild when mtime hasn't changed.
var INDEX_PATH = path.join(__dirname, 'public', 'index.html');
var _indexCached = { mtime: 0, html: null };
function getTemplatedIndex() {
try {
var st = fs.statSync(INDEX_PATH);
if (st.mtimeMs === _indexCached.mtime && _indexCached.html) return _indexCached.html;
var raw = fs.readFileSync(INDEX_PATH, 'utf8');
_indexCached.html = raw.replace(
/(<(?:script|link)[^>]+(?:src|href)=["'])(\/(?:js|css)\/[^"'?]+)(?:\?v=[^"']*)?(["'])/g,
'$1$2?v=' + BUILD_ID + '$3'
);
_indexCached.mtime = st.mtimeMs;
return _indexCached.html;
} catch (e) {
console.warn('[build-id] index.html read failed:', e.message);
return null;
}
}
// Prime once at boot so first request is fast
getTemplatedIndex();
app.get(['/', '/index.html', '/assistant'], function(req, res) {
var html = getTemplatedIndex();
if (!html) return res.sendFile(INDEX_PATH);
res.setHeader('Content-Type', 'text/html; charset=utf-8');
res.setHeader('Cache-Control', 'no-cache, no-store, must-revalidate');
res.setHeader('X-Build-Id', BUILD_ID);
res.send(html);
});
// Public endpoint for cache-bust debugging + build-info
app.get('/api/build', function(req, res) { res.json({ buildId: BUILD_ID }); });
// Registers the citation-quality counters at boot. Without this they appear
// only after the first answer, so a fresh Grafana panel reads "no data"
// instead of zero — which looks like broken wiring rather than a quiet day.
require('./src/utils/citationAudit');
// Metrics are for Prometheus, which scrapes pediatric-ai-scribe:3000 directly
// over the Docker network. Served unguarded, this endpoint answered on every
// public hostname: 201 lines naming routes, traffic volumes, event-loop timings
// and process internals to anyone who asked. Nothing here is a credential, but
// it is a free map of the application for someone probing it.
//
// A request that arrived through the reverse proxy carries X-Forwarded-For;
// one from a container on our own network does not. That is the distinction
// that matters here, and it does not depend on getting a CIDR list right.
// METRICS_TOKEN allows an explicit override for scraping from elsewhere.
app.get('/metrics', function (req, res, next) {
var token = process.env.METRICS_TOKEN;
if (token && req.get('authorization') === 'Bearer ' + token) return next();
if (req.get('x-forwarded-for')) return res.status(404).end();
return next();
}, metricsHandler);
app.use(loggingMiddleware);
app.use('/vendor/dompurify', express.static(path.join(__dirname, 'node_modules', 'dompurify', 'dist'), {
setHeaders: function(res) {
res.setHeader('Cache-Control', 'public, max-age=3600');
}
}));
app.use('/vendor/markdown-it', express.static(path.join(__dirname, 'node_modules', 'markdown-it', 'dist'), {
setHeaders: function(res) {
res.setHeader('Cache-Control', 'public, max-age=3600');
}
}));
app.use('/vendor/marked', express.static(path.join(__dirname, 'node_modules', 'marked', 'lib'), {
setHeaders: function(res) {
res.setHeader('Cache-Control', 'public, max-age=3600');
}
}));
app.use('/vendor/katex', express.static(path.join(__dirname, 'node_modules', 'katex', 'dist'), {
setHeaders: function(res) {
res.setHeader('Cache-Control', 'public, max-age=3600');
}
}));
app.use('/vendor/mathjax', express.static(path.join(__dirname, 'node_modules', 'mathjax-full', 'es5'), {
setHeaders: function(res) {
res.setHeader('Cache-Control', 'public, max-age=3600');
}
}));
app.use(express.static(path.join(__dirname, 'public'), {
setHeaders: (res, filePath) => {
if (filePath.endsWith('.html')) {
// Never cache HTML — ensures new deployments are picked up immediately
res.setHeader('Cache-Control', 'no-cache, no-store, must-revalidate');
res.setHeader('Pragma', 'no-cache');
res.setHeader('Expires', '0');
} else if (filePath.match(/\.(js|css)$/)) {
// Short cache for JS/CSS — 1 hour
res.setHeader('Cache-Control', 'public, max-age=3600');
} else if (filePath.indexOf('/components/') !== -1) {
// Component HTML — 1 hour cache
res.setHeader('Cache-Control', 'public, max-age=3600');
}
}
}));
// Routes
app.use('/api/auth', require('./src/routes/auth'));
app.use('/api/auth', require('./src/routes/oidc'));
// Learning Hub CMS — must come BEFORE general /api/admin to avoid adminMiddleware conflict
// (moderators need access to /api/admin/learning but not other /api/admin routes)
app.use('/api/admin/learning/image', require('./src/routes/generatedImages').learningRouter);
app.use('/api/admin/learning', require('./src/routes/learningAdmin'));
app.use('/api/admin/learning', require('./src/routes/learningAI'));
// Config exposes only its authenticated announcement before its own admin guard.
app.use('/api/admin', require('./src/routes/adminConfig'));
app.use('/api/admin', require('./src/routes/admin'));
app.use('/api/admin', require('./src/routes/adminMilestones'));
app.use('/api/admin/docs', require('./src/routes/adminDocs'));
// Public endpoints — must come BEFORE any router that applies authMiddleware to /api/*
const { getAvailableModels, activeProvider: modelsProvider } = require('./src/utils/models');
app.get('/api/models', async (req, res) => {
try {
var { getAvailableModelsWithOverrides, getEffectiveDefaultModel } = require('./src/utils/models');
var db = require('./src/db/database');
var models = await getAvailableModelsWithOverrides(db);
var defaultModel = await getEffectiveDefaultModel(db, models);
res.json({ models: models, provider: modelsProvider, defaultModel: defaultModel });
} catch(e) {
res.status(503).json({ models: [], provider: modelsProvider, defaultModel: '', error: 'Model policy unavailable' });
}
});
const { activeProvider } = require('./src/utils/ai');
// Public health: minimal — just confirm the server is up.
app.get('/api/health', (req, res) => {
res.json({ ok: true });
});
// Detailed health: admin-only — exposes which providers are configured.
const { authMiddleware: _hcAuth, adminMiddleware: _hcAdmin } = require('./src/middleware/auth');
app.get('/api/health/detailed', _hcAuth, _hcAdmin, (req, res) => {
res.json({
status: 'running', version: APP_VERSION, provider: activeProvider,
timestamp: new Date().toISOString(),
openrouter: process.env.OPENROUTER_API_KEY ? 'configured' : 'missing',
bedrock: process.env.AWS_BEDROCK_REGION ? 'configured' : 'not configured',
azure: process.env.AZURE_OPENAI_ENDPOINT ? 'configured' : 'not configured',
litellm: process.env.LITELLM_API_BASE ? 'configured' : 'not configured',
// Asked of the same functions the routes ask, so this cannot drift from what
// speech actually does. It used to answer from environment variables of its
// own and would report tts: 'elevenlabs' for a provider that does not exist
// in this app — a health check that lies is worse than one that is absent.
stt: require('./src/utils/sttProvider').getSTTProvider(),
tts: require('./src/utils/ttsProvider').getTTSProvider()
});
});
// Learning Hub routes (all authenticated users can read content & take quizzes)
app.use('/api/learning', require('./src/routes/learningHub'));
// A person's own generated teaching material. Separate from Learning, which is
// moderator-owned and published; this is private to whoever made it.
app.use('/api', require('./src/routes/myResources'));
// Authenticated feature routes
app.use('/api', require('./src/routes/transcribe'));
app.use('/api', require('./src/routes/hpi'));
app.use('/api', require('./src/routes/hospitalCourse'));
app.use('/api', require('./src/routes/chartReview'));
app.use('/api', require('./src/routes/milestones'));
app.use('/api', require('./src/routes/peGuide'));
app.use('/api', require('./src/routes/extensions'));
app.use('/api', require('./src/routes/soap'));
app.use('/api', require('./src/routes/tts'));
app.use('/api', require('./src/routes/nextcloud'));
app.use('/api', require('./src/routes/refine'));
app.use('/api', require('./src/routes/logs'));
app.use('/api', require('./src/routes/encounters'));
app.use('/api', require('./src/routes/memories'));
app.use('/api', require('./src/routes/notes'));
app.use('/api', require('./src/routes/diagrams'));
app.use('/api', require('./src/routes/clinicalAssistant'));
app.use('/api', require('./src/routes/generatedImages'));
var imageWorker = require('./src/utils/generatedImages').service();
imageWorker.start();
app.use('/api', require('./src/routes/documents'));
app.use('/api', require('./src/routes/audioBackups'));
app.use('/api', require('./src/routes/billing'));
app.use('/api/sessions', require('./src/routes/sessions'));
app.use('/api', require('./src/routes/wellVisit'));
app.use('/api', require('./src/routes/sickVisit'));
app.use('/api', require('./src/routes/edEncounters'));
app.use('/api', require('./src/routes/dontMiss'));
app.use('/api', require('./src/routes/patientEducation'));
app.use('/api/user', require('./src/routes/userPreferences'));
// User-level preference: save WebDAV learning path (auth only, not moderator-only)
(function() {
var { authMiddleware } = require('./src/middleware/auth');
var db = require('./src/db/database');
app.post('/api/user/webdav-path', authMiddleware, require('./src/utils/policy').requireFeature('nextcloud'), async function(req, res) {
try {
await db.run('UPDATE users SET webdav_learning_path = ? WHERE id = ?', [req.body.path || null, req.user.id]);
res.json({ success: true });
} catch(e) { res.status(500).json({ error: e.message }); }
});
})();
app.get('/', (req, res) => {
res.setHeader('Cache-Control', 'no-cache, no-store, must-revalidate');
res.setHeader('Pragma', 'no-cache');
res.setHeader('Expires', '0');
res.sendFile(path.join(__dirname, 'public', 'index.html'));
});
// 404 handler — must be last
app.use((req, res) => {
res.status(404).sendFile(path.join(__dirname, 'public', '404.html'));
});
// Load prompt DB overrides after DB is ready (3s grace period)
const PROMPTS = require('./src/utils/prompts');
const db = require('./src/db/database');
setTimeout(() => { PROMPTS.loadFromDb(db); }, 3000);
const PORT = process.env.PORT || 3000;
server.listen(PORT, () => {
console.log('');
console.log('==========================================');
console.log('🏥 PEDIATRIC AI SCRIBE v' + APP_VERSION);
console.log('==========================================');
console.log('🌐 http://localhost:' + PORT);
console.log('🤖 Provider: ' + activeProvider);
console.log('==========================================');
});
// Graceful shutdown — drain in-flight requests (including note writes)
// before Docker kills us. Without this, a `docker restart` mid-save
// truncates the write. Express accepts SIGTERM immediately by default.
var shuttingDown = false;
function shutdown(signal) {
if (shuttingDown) return;
shuttingDown = true;
console.log('[' + signal + '] starting graceful shutdown…');
var imageWorkerStopped = imageWorker.stop();
// Stop accepting new connections; finish the ones already in-flight.
server.close(async function(err) {
if (err) console.error('[shutdown] server.close error:', err.message);
console.log('[shutdown] HTTP server closed.');
// Drain batched audit/api/access log queues before the DB pool ends.
try {
var queues = require('./src/utils/auditQueue');
if (queues && typeof queues.drainAll === 'function') {
await queues.drainAll();
console.log('[shutdown] Audit queues flushed.');
}
} catch (e) { console.error('[shutdown] audit drain:', e.message); }
// Stop image claims and abort/drain the active worker before closing its DB.
await imageWorkerStopped;
// Close the Postgres pool so pending queries finish/reject cleanly.
try {
var dbMod = require('./src/db/database');
// Clear the hourly cleanup interval first — otherwise its handle
// keeps the event loop alive past process.exit(0) and Docker
// ends up SIGKILL'ing us mid-shutdown at the 10s hard limit.
if (dbMod && dbMod._cleanupInterval) clearInterval(dbMod._cleanupInterval);
if (dbMod && dbMod.pool && typeof dbMod.pool.end === 'function') {
await dbMod.pool.end();
console.log('[shutdown] DB pool drained.');
}
} catch (e) {}
// Shared corpus client belongs to the app, not to individual user logouts.
// Data drainage above takes priority; the existing hard deadline still applies.
try { await require('./src/utils/clinicalMcpClient').closeMcpSession(); }
catch (e) { console.error('[shutdown] MCP cleanup incomplete'); }
process.exit(0);
});
// Hard deadline — Docker sends SIGKILL after 10s by default, so beat it
// to the punch with a clean exit if we're still hanging.
setTimeout(function() {
console.error('[shutdown] forcing exit after 9s');
process.exit(1);
}, 9000).unref();
}
process.on('SIGTERM', function() { shutdown('SIGTERM'); });
process.on('SIGINT', function() { shutdown('SIGINT'); });