pediatric-ai-scribe-v3/src/routes/hpi.js
Daniel d12d4f4e63 v6.2: Session management, password change, audit logging, refine context, UI fixes
Security:
- Add session management: users can view/revoke active sessions in Settings
- Add password change in Settings (requires current password, HIBP check)
- Force logout all sessions on password reset
- Fix logout to destroy server-side session (was only clearing cookie)
- Add trust proxy for correct client IP in rate limiting and audit logs
- Add CORS support for multiple domains (CORS_ORIGINS env var)
- Add HIBP breach check endpoint and inline warnings on password fields

Audit logging:
- Add audit logging to all 24 PHI-handling endpoints across 13 route files
- Covers: generation, transcription, TTS, refine, encounters, documents, Nextcloud
- All fire-and-forget (no response delay)

AI improvements:
- Refine now includes original source material (transcript, notes, labs)
  so AI can reference the full input when modifying output
- Add correction tracking (trackAIOutput) to sick visit and well visit tabs
- Fix sickvisit missing from encounter save noteIdMap

UI fixes:
- Non-blocking busy bar for transcription and AI generation (replaces full-screen overlay)
- Fix encounter recording: hide record button during recording (was showing two stop buttons)
- Fix ROS/PE "All WNL" stacking duplicate event handlers; add Clear buttons
- Enlarge AI instructions textarea in Learning Hub CMS

Domain:
- Primary domain now app.pedshub.com, with scribe.pedshub.com and peds.danvics.com as CORS origins
2026-04-08 20:27:45 +02:00

54 lines
2.6 KiB
JavaScript

const express = require('express');
const router = express.Router();
const { callAI } = require('../utils/ai');
const PROMPTS = require('../utils/prompts');
const { authMiddleware } = require('../middleware/auth');
var logger = require('../utils/logger');
// HPI from encounter
router.post('/generate-hpi-encounter', authMiddleware, async (req, res) => {
try {
const { transcript, patientAge, patientGender, model, setting, physicianMemories } = req.body;
if (!transcript || !transcript.trim()) return res.status(400).json({ error: 'Transcript empty' });
const prompt = setting === 'inpatient' ? PROMPTS.hpiInpatient : PROMPTS.hpiEncounter;
var context = `Patient: ${patientAge || 'Unknown'}, ${patientGender || 'Unknown'}\nSetting: ${setting || 'outpatient'}\n\nTRANSCRIPT:\n${transcript}`;
if (physicianMemories) context += '\n\n[STYLE HINTS (low priority — only apply if relevant to the current note, never copy content from these examples)]\n' + physicianMemories + '\n[END STYLE HINTS]';
const result = await callAI([
{ role: 'system', content: prompt },
{ role: 'user', content: context }
], { model });
res.json({ success: true, hpi: result.content, model: result.model });
logger.audit(req.user.id, 'generate_hpi_encounter', 'Generated HPI from encounter', req, { category: 'clinical' });
} catch (err) {
res.status(500).json({ error: err.message });
}
});
// HPI from dictation
router.post('/generate-hpi-dictation', authMiddleware, async (req, res) => {
try {
const { transcript, patientAge, patientGender, model, setting, physicianMemories } = req.body;
if (!transcript || !transcript.trim()) return res.status(400).json({ error: 'Dictation empty' });
const prompt = setting === 'inpatient' ? PROMPTS.hpiInpatient : PROMPTS.hpiDictation;
var context = `Patient: ${patientAge || 'Unknown'}, ${patientGender || 'Unknown'}\nSetting: ${setting || 'outpatient'}\n\nDICTATION:\n${transcript}`;
if (physicianMemories) context += '\n\n[STYLE HINTS (low priority — only apply if relevant to the current note, never copy content from these examples)]\n' + physicianMemories + '\n[END STYLE HINTS]';
const result = await callAI([
{ role: 'system', content: prompt },
{ role: 'user', content: context }
], { model });
res.json({ success: true, hpi: result.content, model: result.model });
logger.audit(req.user.id, 'generate_hpi_dictation', 'Generated HPI from dictation', req, { category: 'clinical' });
} catch (err) {
res.status(500).json({ error: err.message });
}
});
module.exports = router;