e33cd4dc60
- Add local Whisper (whisper.cpp / faster-whisper) as transcription provider Set TRANSCRIBE_PROVIDER=local with configurable model size and binary path - Upgrade all refine/instruction inputs to resizable textareas across encounter, dictation, hospital course, chart review, well visit, sick visit - Make AI memory injection flexible: physician preferences and corrections are now actively applied (not just "formatting reference"), while still overridable by current prompt instructions
96 lines
3.3 KiB
Text
96 lines
3.3 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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# Option C: Local Whisper (privacy-first, no cloud API needed)
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# Requires whisper.cpp or faster-whisper installed on the server.
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# TRANSCRIBE_PROVIDER=local
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# WHISPER_MODEL_SIZE=small # tiny, base, small, medium, large
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# WHISPER_BINARY=whisper-cpp # or: whisper, faster-whisper
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# WHISPER_MODEL_PATH= # custom path to .bin model file
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# WHISPER_LANGUAGE=en
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# WHISPER_THREADS=4 # defaults to CPU count - 1
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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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# 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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# S3 Document Storage (optional — works with AWS S3, Backblaze B2, MinIO)
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# S3_BUCKET=your-bucket-name
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# S3_REGION=us-east-1
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# S3_PREFIX=documents/
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#
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# For AWS S3: uses same AWS credentials as Bedrock above, or set S3-specific keys:
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# S3_ACCESS_KEY_ID=...
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# S3_SECRET_ACCESS_KEY=...
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#
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# For Backblaze B2:
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# S3_ENDPOINT=https://s3.us-west-004.backblazeb2.com
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# S3_REGION=us-west-004
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# S3_ACCESS_KEY_ID=your-b2-application-key-id
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# S3_SECRET_ACCESS_KEY=your-b2-application-key
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#
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# For MinIO (self-hosted):
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# S3_ENDPOINT=http://minio:9000
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# S3_REGION=us-east-1
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# S3_ACCESS_KEY_ID=minio-access-key
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# S3_SECRET_ACCESS_KEY=minio-secret-key
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# S3_FORCE_PATH_STYLE=true
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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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