pediatric-ai-scribe-v3/docs/authentication.md

# Authentication & security

## Password hashing

- Primary: **argon2id**, memory cost 19 MiB, time cost 2, parallelism 1
  (OWASP 2023 recommended profile).
- Fallback: **bcryptjs** (12 rounds) for legacy rows.
- Transparent migration: on successful login against a bcrypt hash, the
  password is rehashed as argon2id and the row updated. Users migrate without
  any action.
- The `argon2` package is loaded optionally — if not installed, registration
  and password changes fall back to bcrypt without breaking.

## Token transport

Hybrid, chosen at request time by `src/utils/platform.js` based on User-Agent
and optional `X-Client` header:

| Client | Transport | Storage | JWT lifetime |
|---|---|---|---|
| Web browser | `ped_auth` httpOnly + `sameSite=lax` cookie | — (no client storage) | 30 d (sliding 24 h idle enforced server-side) |
| Capacitor app | `Authorization: Bearer <jwt>` | iOS Keychain / Android EncryptedSharedPreferences | 365 d (no idle check) |

`authMiddleware` reads Bearer first, falls back to cookie. An empty Bearer
string falls through to cookie parsing — fixes clients that always emit the
header.

## Session table

`user_sessions` is the authoritative source. Each row holds `token_hash`
(SHA-256 of the JWT), `user_id`, `ip_address`, `device_label`, `last_activity`.

Middleware on every authenticated request:

1. Verify JWT signature and expiry.
2. Look up `token_hash` in `user_sessions`. If missing and the user has any
   other sessions → 401 "Session revoked". No sessions at all → fail open
   (pre-migration users).
3. Compute idle (`NOW() - last_activity`).
   - Web (`!isMobileClient`): if idle > 24 h → delete the session row, clear
     cookie, return 401 with `idleTimeout: true`.
   - Mobile: skip idle check.
4. On POST / PUT / DELETE / PATCH only, if idle > 10 min (throttle), update
   `last_activity = NOW()` and re-set the cookie with a fresh 30-day maxAge
   (cookie slides with activity). GET / HEAD do NOT extend the session —
   prevents polling from defeating the idle policy.

Idle-timeout kicks write an `audit_log` entry with
`action='session_idle_timeout'` and the minute count, plus a `console.warn`
for Loki.

## Two-factor authentication

TOTP via `speakeasy`, 30-second step, verification window ±1 step.

### Backup codes

- Generated automatically on first 2FA enable (10 codes, 10 characters,
  `XXXXX-XXXXX` format, excluded-characters alphabet: no `0/O/1/I`).
- Stored as bcrypt hashes in `users.totp_backup_codes` (JSON array).
- Consumed atomically on login via `SELECT … FOR UPDATE` transaction — race
  between parallel attempts serializes correctly, a code can only succeed once.
- `POST /api/auth/2fa/backup-codes` regenerates the full set (requires current
  password). `GET /api/auth/2fa/backup-codes/count` returns remaining count.
- Consumed codes are also logged in `audit_log` (`2fa_backup_code_used`).
- Cleared when 2FA is disabled.

## OIDC (Authorization Code + PKCE)

- Implemented with `openid-client`.
- State + PKCE verifier + nonce are bundled into an HMAC-signed token
  (signed with `JWT_SECRET`) — stateless, survives restarts and scales
  horizontally. 5-minute TTL.
- SSRF guard: issuer URL must use `https://` and not resolve to any private /
  loopback / link-local IP. Blocks attacks like issuer set to
  `http://169.254.169.254/` (AWS metadata).
- First-time link: requires `email_verified: true` claim from the IdP.
  Missing or false → 401 with `error=email_unverified`. Prevents an
  unverified-email SSO account from taking over an existing local account.
- Already-linked users with a DIFFERENT `oidc_sub` are refused
  (`error=sub_mismatch`).
- Auto-create on first SSO: new user row, `email_verified=true`, password
  column holds a random 32-byte hex string (not a hash). `canLocalAuth=false`
  hides password/2FA/sessions UI for these users. Server-side endpoints
  (`/change-password`, `/setup-2fa`) also reject with an SSO-aware message.

Providers tested: Authentik, Azure AD, Okta, Keycloak, Google, PocketID.

## Logout and cross-tab sync

- `POST /api/auth/logout` deletes the current session row and clears the
  cookie.
- Frontend broadcasts `{type:'logout'}` on `BroadcastChannel('pedscribe-auth')`;
  sibling tabs drop UI and reload.
- `authFetch.js` installs a global `fetch` interceptor; any 401 on an
  authenticated `/api/*` request triggers the same logout path.
- Service-worker caches are cleared on every logout (`caches.keys()` →
  `caches.delete`).

## Rate limits

| Endpoint | Limit |
|---|---|
| `/api/*` general | 200 req / min / IP |
| `/api/auth/login` | 10 / 15 min |
| `/api/auth/register` | 5 / hour |
| `/api/auth/forgot-password` | 5 / hour |
| `/api/auth/resend-verification` | 3 / 15 min |
| `/api/auth/change-password`, `/setup-2fa`, `/verify-2fa`, `/disable-2fa` | 20 / 15 min |

Limits are per-IP (`express-rate-limit`). A clinic behind a single NAT shares
the bucket; increase or switch to per-user keying if that becomes a problem.

## Login enumeration resistance

`/api/auth/login` returns `"Invalid credentials"` for:
- unknown email (runs a bcrypt compare against a fixed dummy hash to equalize timing)
- wrong password
- disabled account

`"Email not verified"` is still returned for unverified accounts — deemed a
necessary UX tradeoff over perfect indistinguishability.

## Turnstile (Cloudflare bot protection)

Applied to `/api/auth/register` and `/api/auth/forgot-password` when
`TURNSTILE_SECRET_KEY` is set. No-op when unset (dev mode).

`/api/auth/login` is deliberately **not** gated: the widget could not
reliably complete a challenge inside the Capacitor WebView, which locked
mobile users out of the app. Login is covered instead by its per-IP rate
limit (10 / 15 min), the constant-time credential check, and TOTP 2FA.

The two remaining widgets are rendered explicitly (`api.js?render=explicit`)
the first time their form becomes visible — Turnstile does not reliably
complete a challenge inside a `display:none` container, and both forms start
hidden. Tokens are captured from the render callback, not read back out of
the injected `[name="cf-turnstile-response"]` input.

Note that the site key is currently **hardcoded** in `public/index.html`.
`TURNSTILE_SITE_KEY` exists in OpenBao but is not read by any code.

## Encryption at rest

`src/utils/crypto.js` provides AES-256-GCM helpers. Key loaded from
`DATA_ENCRYPTION_KEY` env var (64 hex chars = 32 bytes; any other string is
SHA-256-derived with a warning). In production mode the server refuses to
start without it.

| Data | Encryption |
|---|---|
| Nextcloud access tokens (`users.nextcloud_token`) | AES-256-GCM via `encryptString`; legacy plaintext rows are detected and re-encrypted on next use |
| Audio backups (`audio_backups.audio_data`) | Gzipped, then AES-256-GCM with a `0x01` version byte prefix; legacy rows (no prefix) pass through unchanged |
| PHI in audit details | Redacted via `src/utils/redact.js` (SSN, phone, email, DoB regex patterns; 500-char cap; note-body heuristic truncation) before insert |

## HTTP security headers

Helmet defaults plus:

- `Strict-Transport-Security: max-age=31536000; includeSubDomains; preload`
- Content-Security-Policy:
  - `script-src 'self' 'wasm-unsafe-eval' 'unsafe-eval' cdn.jsdelivr.net cdnjs.cloudflare.com challenges.cloudflare.com`
    (do not add `unsafe-eval` unless a reviewed dependency requires it)
  - `script-src-attr 'none'` (blocks inline event handlers)
  - `frame-src 'self' challenges.cloudflare.com`
  - `object-src 'none'`
- `X-Content-Type-Options: nosniff`
- Response bodies on 5xx use generic `'Request failed'`; full error stays
  server-side in `logger.error` / Loki.

## File uploads

`src/routes/documents.js` accepts document uploads after:
1. Extension / MIME check.
2. Magic-byte sniff via `src/utils/fileType.js` — refuses mismatches (e.g., a
   `.jpg` with a PHP payload).

## CORS

- Production (`NODE_ENV=production` or `APP_URL` set): refuses to start if
  neither `APP_URL` nor `CORS_ORIGINS` is configured.
- Origin whitelist = union of `APP_URL` and comma-separated `CORS_ORIGINS`.
- Requests with no Origin header always pass (mobile, curl, server-to-server).
- `credentials: true` so the cookie travels on cross-origin web requests
  from permitted origins.

## Roles

| Role | Access |
|---|---|
| `admin` | Everything. First registered user auto-promoted. |
| `moderator` | Learning Hub CMS + standard user features. |
| `user` | Clinical features, no admin routes. |

## Audit logging

Every auth-adjacent event is written to `audit_log` via a batched writer
(`src/utils/auditQueue.js`) — 1-second flush interval or 50-entry batch.
Drained on SIGTERM before pool close. Sent to Loki in parallel (fire-and-forget).

Common `action` values: `register`, `login`, `login_failed`, `login_blocked`,
`login_oidc`, `logout`, `email_verified`, `password_changed`,
`password_reset`, `2fa_enabled`, `2fa_backup_code_used`,
`2fa_backup_codes_regenerated`, `oidc_linked`, `session_idle_timeout`.

## Maintenance

`scripts/maintenance.js`:
- `npm run maint:check` — reports collation drift, row counts, index list
- `npm run maint:reindex` — `REINDEX DATABASE` + `ALTER DATABASE … REFRESH COLLATION VERSION` + `ANALYZE`

Run after any Postgres image upgrade. The startup drift check runs this
automatically when `pg_database.datcollversion` diverges from the library's
actual version.