mirror of
https://github.com/temetro/temetro.git
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feat: ambient AI visit scribe (record/paste → reviewed SOAP note)
Record a clinician↔patient visit (or paste a transcript) on the patient
sheet; the backend transcribes it (OpenAI Whisper / Gemini), de-identifies
the transcript + context through Veil, and drafts a structured SOAP note
the clinician reviews and edits before saving — the same write-approval
gate as the chat agent.
Backend: POST /api/scribe/{transcribe,draft,save} (routes/scribe.ts,
services/ai/transcribe.ts), veil.redactText() free-text redactor,
appendEncounter service, audio MIME types on attachments. Gated by
patient:write + the clinic AI policy (reception/disabled-AI excluded).
Frontend: ScribeDialog + lib/scribe.ts, "Record visit" on the patient
detail, gated by clinical access + AI availability. New `scribe` locale
namespace across all five languages. Bumps to v0.4.0.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
This commit is contained in:
@@ -7,6 +7,22 @@ for how releases are cut and published.
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## [Unreleased]
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## [0.4.0] — 2026-07-03
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### Added
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- **Ambient AI visit scribe** — a **Record visit** action on the patient sheet turns a
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clinician↔patient conversation into a draft **SOAP** encounter note. Record with the
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microphone (`MediaRecorder`, stored as an auditable patient attachment) or paste a
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transcript; the backend transcribes via the user's **OpenAI (Whisper)** or **Gemini**
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key, de-identifies the transcript + patient context through **Veil**, and the model
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drafts a structured note that the clinician **reviews and edits before saving** — the
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same write-approval gate as the chat agent. New `POST /api/scribe/{transcribe,draft,save}`
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(`backend/src/routes/scribe.ts`, `services/ai/transcribe.ts`), a `veil.redactText()`
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free-text redactor, and an `appendEncounter` service that adds one note without touching
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the rest of the record. Gated by `patient:write` + the clinic AI policy (reception and
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disabled-AI accounts don't see it). New `scribe` locale namespace across all five
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languages. Drafting also works with local Ollama from a pasted transcript.
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## [0.3.0] — 2026-07-02
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### Added
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@@ -1,6 +1,6 @@
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{
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"name": "temetro-backend",
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"version": "0.3.0",
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"version": "0.4.0",
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"private": true,
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"type": "module",
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"description": "temetro backend — Express + Postgres API with Better Auth (email/password, organizations) and org-scoped patient records.",
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@@ -28,6 +28,7 @@ import { patientsRouter } from "./routes/patients.js";
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import { patientsWalletRouter } from "./routes/patients-wallet.js";
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import { portalRouter } from "./routes/portal.js";
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import { prescriptionsRouter } from "./routes/prescriptions.js";
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import { scribeRouter } from "./routes/scribe.js";
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import { settingsRouter } from "./routes/settings.js";
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import { signingRouter } from "./routes/signing.js";
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import { staffRouter } from "./routes/staff.js";
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@@ -104,6 +105,7 @@ app.use("/api/notifications", notificationsRouter);
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app.use("/api/settings", settingsRouter);
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app.use("/api/ai", aiRouter);
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app.use("/api/chat", chatRouter);
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app.use("/api/scribe", scribeRouter);
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app.use("/api/integrations", integrationsRouter);
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app.use("/api/portal", portalRouter);
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app.use("/api/auth-helpers", authHelpersRouter);
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@@ -41,6 +41,14 @@ const ALLOWED_MIME = new Set([
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"application/vnd.openxmlformats-officedocument.wordprocessingml.document",
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"application/vnd.ms-excel",
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"application/vnd.openxmlformats-officedocument.spreadsheetml.sheet",
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// Ambient visit-scribe recordings (stored as a patient attachment so they're
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// auditable). Voice Opus/AAC stays well under the 15 MB cap for a long visit.
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"audio/webm",
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"audio/ogg",
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"audio/mp4",
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"audio/mpeg",
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"audio/wav",
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"audio/x-m4a",
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]);
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// Disk storage under UPLOAD_DIR/<orgId>/, keyed by a random id so original
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@@ -0,0 +1,240 @@
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import { readFile } from "node:fs/promises";
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import { generateText } from "ai";
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import { Router } from "express";
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import { z } from "zod";
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import { HttpError } from "../lib/http-error.js";
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import { isReceptionOnly, providerScope } from "../lib/role-scope.js";
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import {
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requireAuth,
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requireOrg,
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requirePermission,
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} from "../middleware/auth.js";
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import { recordActivity } from "../services/activity.js";
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import { getAiSettings } from "../services/ai/config.js";
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import { aiAllowedFor, getPolicy } from "../services/ai/policy.js";
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import { resolveModel } from "../services/ai/provider.js";
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import { transcribeAudio } from "../services/ai/transcribe.js";
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import { createVeil } from "../services/ai/veil.js";
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import { absolutePath, getAttachmentRow } from "../services/attachments.js";
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import { appendEncounter, getPatient } from "../services/patients.js";
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import type { Encounter } from "../types/patient.js";
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export const scribeRouter = Router();
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// The ambient scribe drafts and saves a clinical encounter note, so it needs
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// full clinical write access — never reception (demographics only).
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scribeRouter.use(
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requireAuth,
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requireOrg,
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requirePermission({ patient: ["write"] }),
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);
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// Guard shared by every scribe route: the clinic AI kill-switch must allow this
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// member, and reception (demographics-only) can never draft clinical notes.
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async function ensureScribeAllowed(req: {
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organizationId?: string;
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memberRole?: string;
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}): Promise<void> {
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if (isReceptionOnly(req.memberRole)) {
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throw new HttpError(403, "The visit scribe is not available for your role.");
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}
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const policy = await getPolicy(req.organizationId!);
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if (!aiAllowedFor(policy, req.memberRole)) {
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throw new HttpError(403, "The AI assistant is disabled for your account.");
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}
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}
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const transcribeSchema = z.object({
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attachmentId: z.string().trim().min(1),
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});
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// POST /api/scribe/transcribe — turn a stored audio attachment into a raw
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// transcript via the user's speech provider (OpenAI/Gemini). The audio does NOT
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// pass through Veil or the chat loop.
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scribeRouter.post("/transcribe", async (req, res, next) => {
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try {
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await ensureScribeAllowed(req);
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const { attachmentId } = transcribeSchema.parse(req.body);
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const row = await getAttachmentRow(req.organizationId!, attachmentId);
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if (!row) throw new HttpError(404, "Recording not found.");
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if (!row.mimeType.startsWith("audio/")) {
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throw new HttpError(400, "That attachment is not an audio recording.");
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}
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const settings = await getAiSettings(req.user!.id);
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const buffer = await readFile(absolutePath(row.storagePath));
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const { transcript, provider } = await transcribeAudio(settings, {
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buffer,
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mimeType: row.mimeType,
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filename: row.filename,
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});
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void recordActivity({
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orgId: req.organizationId!,
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actor: { id: req.user!.id, name: req.user!.name },
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action: `Transcribed a visit recording (${provider})`,
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entityType: "patient",
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patientFileNumber: row.fileNumber,
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});
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res.json({ transcript });
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} catch (err) {
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next(err);
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}
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});
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const draftSchema = z.object({
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fileNumber: z.string().trim().min(1),
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transcript: z.string().trim().min(1).max(100_000),
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visitType: z.string().trim().max(120).optional(),
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date: z.string().trim().max(40).optional(),
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});
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// Strip ```json fences and parse; returns null if the text isn't JSON.
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function parseDraftJson(text: string): { type?: string; summary?: string } | null {
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const cleaned = text
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.replace(/^\s*```(?:json)?/i, "")
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.replace(/```\s*$/i, "")
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.trim();
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try {
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const parsed = JSON.parse(cleaned);
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return typeof parsed === "object" && parsed ? parsed : null;
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} catch {
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return null;
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}
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}
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const DRAFT_SYSTEM = [
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"You are a clinical scribe. From a visit transcript, write a concise, structured",
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"encounter note in SOAP format (Subjective, Objective, Assessment, Plan).",
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"Rules:",
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"- Use ONLY what the transcript supports. Never invent vitals, doses, or findings.",
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"- If a SOAP section has nothing to report, write \"Not discussed.\" under it.",
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"- Identifiers may appear as tokens like [PATIENT_1] or [PROVIDER_1]; keep them",
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" verbatim — do not guess real names.",
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"Respond with a JSON object ONLY (no prose, no code fences):",
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'{ "type": "<short visit type, e.g. Follow-up / New patient / Telehealth>",',
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' "summary": "<the SOAP note as markdown with **Subjective** / **Objective** /',
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' **Assessment** / **Plan** headings>" }',
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].join("\n");
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// POST /api/scribe/draft — draft an encounter note from a transcript. The
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// transcript + patient context are Veil-redacted before any external call and
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// the output is rehydrated. Nothing is written — the clinician reviews and
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// approves via POST /save (the same write-approval gate as the chat agent).
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scribeRouter.post("/draft", async (req, res, next) => {
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try {
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await ensureScribeAllowed(req);
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const { fileNumber, transcript, visitType, date } = draftSchema.parse(
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req.body,
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);
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const patient = await getPatient(
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req.organizationId!,
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fileNumber,
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false,
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providerScope(req.memberRole, req.user!.id),
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);
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if (!patient) throw new HttpError(404, "Patient not found.");
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const settings = await getAiSettings(req.user!.id);
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const resolved = resolveModel(settings, settings.defaultModel);
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const veil = createVeil(settings.veilLevel, resolved.isExternal);
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// Seed Veil's token maps with this patient's identifiers, then redact the
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// free-text transcript against them before it leaves the clinic.
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const redactedPatient = veil.redactPatient(patient);
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const redactedTranscript = veil.redactText(transcript);
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const context = [
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`Patient: ${redactedPatient.name} (MRN ${redactedPatient.fileNumber}), ${patient.age}y ${patient.sex}.`,
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patient.problems.length
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? `Known problems: ${patient.problems.map((p) => p.label).join(", ")}.`
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: "",
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patient.medications.length
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? `Current medications: ${patient.medications
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.map((m) => `${m.name} ${m.dose}`)
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.join(", ")}.`
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: "",
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visitType ? `Visit type hint: ${visitType}.` : "",
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"",
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"Transcript:",
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redactedTranscript,
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]
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.filter(Boolean)
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.join("\n");
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const result = await generateText({
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model: resolved.model,
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system: DRAFT_SYSTEM,
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prompt: context,
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});
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const parsed = parseDraftJson(result.text);
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const summary = veil.rehydrate(
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(parsed?.summary ?? result.text ?? "").trim(),
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);
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const type = (parsed?.type ?? visitType ?? "Visit").trim() || "Visit";
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const draft: Encounter = {
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date: date || new Date().toISOString().slice(0, 10),
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type,
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// The responsible clinician is the signed-in user, not the model's guess.
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provider: req.user!.name ?? "",
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summary,
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};
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res.json({
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draft,
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veil: {
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active: veil.active,
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level: veil.level,
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classes: veil.usedClasses(),
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provider: resolved.providerLabel,
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},
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});
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} catch (err) {
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next(err);
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}
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});
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const saveSchema = z.object({
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fileNumber: z.string().trim().min(1),
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encounter: z.object({
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date: z.string().trim().min(1),
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type: z.string().trim().min(1),
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provider: z.string().trim().default(""),
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summary: z.string().trim().min(1),
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}),
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});
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// POST /api/scribe/save — the approval step: append the reviewed encounter note
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// to the patient record. Re-validates server-side and audits like any add.
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scribeRouter.post("/save", async (req, res, next) => {
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try {
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await ensureScribeAllowed(req);
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const { fileNumber, encounter } = saveSchema.parse(req.body);
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const updated = await appendEncounter(
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req.organizationId!,
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fileNumber,
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encounter,
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);
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if (!updated) throw new HttpError(404, "Patient not found.");
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void recordActivity({
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orgId: req.organizationId!,
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actor: { id: req.user!.id, name: req.user!.name },
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action: `Added a scribe visit note for ${updated.name}`,
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entityType: "patient",
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entityId: updated.fileNumber,
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patientName: updated.name,
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patientFileNumber: updated.fileNumber,
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});
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res.status(201).json(updated);
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} catch (err) {
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next(err);
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}
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});
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@@ -0,0 +1,132 @@
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import { HttpError } from "../../lib/http-error.js";
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import type { userAiSettings } from "../../db/schema/ai.js";
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import { getApiKey } from "./config.js";
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type AiSettingsRow = typeof userAiSettings.$inferSelect;
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export type AudioInput = {
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buffer: Buffer;
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mimeType: string;
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filename: string;
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};
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// Which transcription backend a user's AI settings can reach. Anthropic has no
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// speech-to-text API, so an Anthropic-only user must paste a transcript instead.
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export type TranscribeProvider = "openai" | "gemini";
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export function transcribeProviderFor(
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settings: AiSettingsRow,
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): TranscribeProvider | null {
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if (getApiKey(settings, "openai")) return "openai";
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if (getApiKey(settings, "gemini")) return "gemini";
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return null;
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}
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const OPENAI_MODEL = "whisper-1";
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const GEMINI_MODEL = "gemini-2.5-flash";
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const TRANSCRIBE_PROMPT =
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"Transcribe this clinical visit recording verbatim. Return only the spoken words as plain text, with no commentary, headings, or timestamps.";
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async function transcribeWithOpenAI(
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apiKey: string,
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audio: AudioInput,
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): Promise<string> {
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const form = new FormData();
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form.append(
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"file",
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new Blob([new Uint8Array(audio.buffer)], { type: audio.mimeType }),
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audio.filename,
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);
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form.append("model", OPENAI_MODEL);
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form.append("response_format", "json");
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const res = await fetch("https://api.openai.com/v1/audio/transcriptions", {
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method: "POST",
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headers: { Authorization: `Bearer ${apiKey}` },
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body: form,
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});
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if (!res.ok) {
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const detail = await res.text().catch(() => "");
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throw new HttpError(
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502,
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`Transcription failed (OpenAI ${res.status}). ${detail.slice(0, 300)}`,
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);
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}
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const json = (await res.json()) as { text?: string };
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return (json.text ?? "").trim();
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}
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async function transcribeWithGemini(
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apiKey: string,
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audio: AudioInput,
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): Promise<string> {
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const url = `https://generativelanguage.googleapis.com/v1beta/models/${GEMINI_MODEL}:generateContent?key=${encodeURIComponent(
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apiKey,
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)}`;
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const res = await fetch(url, {
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method: "POST",
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headers: { "Content-Type": "application/json" },
|
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body: JSON.stringify({
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contents: [
|
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{
|
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parts: [
|
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{
|
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inline_data: {
|
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mime_type: audio.mimeType,
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data: audio.buffer.toString("base64"),
|
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},
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},
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{ text: TRANSCRIBE_PROMPT },
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],
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},
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||||
],
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||||
}),
|
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});
|
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if (!res.ok) {
|
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const detail = await res.text().catch(() => "");
|
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throw new HttpError(
|
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502,
|
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`Transcription failed (Gemini ${res.status}). ${detail.slice(0, 300)}`,
|
||||
);
|
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}
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const json = (await res.json()) as {
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candidates?: { content?: { parts?: { text?: string }[] } }[];
|
||||
};
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const text =
|
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json.candidates?.[0]?.content?.parts
|
||||
?.map((p) => p.text ?? "")
|
||||
.join("")
|
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.trim() ?? "";
|
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return text;
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}
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|
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// Send an audio recording to the user's transcription provider and return the
|
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// raw transcript. The audio never passes through the chat loop or Veil — Veil
|
||||
// cannot redact speech, so the caller must warn the clinician that audio leaves
|
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// the clinic when an external provider is used (only the DRAFTING step is
|
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// Veil-protected). Throws a 400 when no speech-capable provider is configured.
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export async function transcribeAudio(
|
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settings: AiSettingsRow,
|
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audio: AudioInput,
|
||||
): Promise<{ transcript: string; provider: TranscribeProvider }> {
|
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const provider = transcribeProviderFor(settings);
|
||||
if (!provider) {
|
||||
throw new HttpError(
|
||||
400,
|
||||
"Transcription needs an OpenAI or Gemini API key. Add one in Settings → AI, or paste the visit transcript instead.",
|
||||
);
|
||||
}
|
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const apiKey = getApiKey(settings, provider)!;
|
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const transcript =
|
||||
provider === "openai"
|
||||
? await transcribeWithOpenAI(apiKey, audio)
|
||||
: await transcribeWithGemini(apiKey, audio);
|
||||
if (!transcript) {
|
||||
throw new HttpError(
|
||||
502,
|
||||
"The transcription came back empty — try again or paste the transcript.",
|
||||
);
|
||||
}
|
||||
return { transcript, provider };
|
||||
}
|
||||
@@ -26,6 +26,15 @@ export type Veil = {
|
||||
redactPatient: (patient: Patient) => Patient;
|
||||
/** Map a possibly-tokenized file number from a tool call back to the real one. */
|
||||
resolveFileNumber: (input: string) => string;
|
||||
/**
|
||||
* De-identify free text (e.g. a visit transcript) by swapping any KNOWN
|
||||
* identifiers — the patient name, MRN and provider names already seen via
|
||||
* redactPatient — for their tokens. Seed the token maps by calling
|
||||
* redactPatient(patient) first. Note: this only catches identifiers we know
|
||||
* about; free-text PHI spoken aloud (addresses, relatives' names) is not
|
||||
* covered — see the ambient-scribe consent notice.
|
||||
*/
|
||||
redactText: (text: string) => string;
|
||||
/** Swap any tokens in model output back to real identifiers. */
|
||||
rehydrate: (text: string) => string;
|
||||
/** Token classes actually emitted — for the audit log. */
|
||||
@@ -81,6 +90,21 @@ export function createVeil(level: VeilLevel, active: boolean): Veil {
|
||||
return mrnByToken.get(input.trim()) ?? input;
|
||||
}
|
||||
|
||||
function redactText(text: string): string {
|
||||
if (!isActive || fromToken.size === 0) return text;
|
||||
let out = text;
|
||||
// Longest real values first so a provider name containing the patient name
|
||||
// (or similar overlap) is replaced whole before its substrings.
|
||||
const byLength = [...fromToken.entries()]
|
||||
.filter(([, real]) => real.trim().length > 0)
|
||||
.sort((a, b) => b[1].length - a[1].length);
|
||||
for (const [token, real] of byLength) {
|
||||
const escaped = real.replace(/[.*+?^${}()|[\]\\]/g, "\\$&");
|
||||
out = out.replace(new RegExp(escaped, "gi"), token);
|
||||
}
|
||||
return out;
|
||||
}
|
||||
|
||||
function rehydrate(text: string): string {
|
||||
if (!isActive || fromToken.size === 0) return text;
|
||||
let out = text;
|
||||
@@ -101,6 +125,7 @@ export function createVeil(level: VeilLevel, active: boolean): Veil {
|
||||
level,
|
||||
redactPatient,
|
||||
resolveFileNumber,
|
||||
redactText,
|
||||
rehydrate,
|
||||
usedClasses,
|
||||
};
|
||||
|
||||
@@ -570,6 +570,46 @@ export async function appendLabs(
|
||||
return getPatient(orgId, fileNumber);
|
||||
}
|
||||
|
||||
// Append a single encounter (visit note) without touching the rest of the
|
||||
// record — used by the ambient AI scribe, which drafts one note at a time and
|
||||
// must not go through updatePatient's wholesale child replacement. Position
|
||||
// continues after the current max so the new note sorts last.
|
||||
export async function appendEncounter(
|
||||
orgId: string,
|
||||
fileNumber: string,
|
||||
entry: Encounter,
|
||||
): Promise<Patient | null> {
|
||||
const inserted = await db.transaction(async (tx) => {
|
||||
const [existing] = await tx
|
||||
.select({ id: patients.id })
|
||||
.from(patients)
|
||||
.where(
|
||||
and(
|
||||
eq(patients.organizationId, orgId),
|
||||
eq(patients.fileNumber, fileNumber),
|
||||
),
|
||||
);
|
||||
if (!existing) return false;
|
||||
|
||||
const [pos] = await tx
|
||||
.select({ max: sql<number>`coalesce(max(${encounters.position}), -1)` })
|
||||
.from(encounters)
|
||||
.where(eq(encounters.patientId, existing.id));
|
||||
await tx.insert(encounters).values({
|
||||
patientId: existing.id,
|
||||
position: (pos?.max ?? -1) + 1,
|
||||
...entry,
|
||||
});
|
||||
await tx
|
||||
.update(patients)
|
||||
.set({ updatedAt: new Date() })
|
||||
.where(eq(patients.id, existing.id));
|
||||
return true;
|
||||
});
|
||||
if (!inserted) return null;
|
||||
return getPatient(orgId, fileNumber);
|
||||
}
|
||||
|
||||
// Remove a single lab result from a patient, identified by its
|
||||
// name/value/takenAt (the frontend has no row id). Scoped to the org via the
|
||||
// owning patient. Returns the reloaded patient, or null when the chart is gone.
|
||||
|
||||
@@ -7,6 +7,7 @@ import { AiBadge } from "@/components/ai-badge";
|
||||
import { PatientFormDialog } from "@/components/chat/patient-form-dialog";
|
||||
import { RecordGraph } from "@/components/graph/record-graph";
|
||||
import { PatientDetail } from "@/components/patients/patient-detail";
|
||||
import { ScribeDialog } from "@/components/patients/scribe-dialog";
|
||||
import { TransferPatientDialog } from "@/components/patients/transfer-patient-dialog";
|
||||
import { ConfirmDialog } from "@/components/ui/confirm-dialog";
|
||||
import {
|
||||
@@ -28,6 +29,7 @@ import { type Appointment, listAppointments } from "@/lib/appointments";
|
||||
import { type Invoice, listInvoices } from "@/lib/invoices";
|
||||
import { deletePatient, getPatient, type Patient } from "@/lib/patients";
|
||||
import { listPrescriptions, type Prescription } from "@/lib/prescriptions";
|
||||
import { useAiAccess } from "@/lib/ai-policy";
|
||||
import { hasClinicalAccess, useActiveRole } from "@/lib/roles";
|
||||
import { notify } from "@/lib/toast";
|
||||
|
||||
@@ -76,9 +78,14 @@ export function PatientDetailSheet({
|
||||
// Deleting a chart is destructive — only offer it once we know the role is
|
||||
// a full clinician (patient:delete), never optimistically.
|
||||
const canDelete = role != null && hasClinicalAccess(role);
|
||||
// The ambient scribe writes a clinical note, so it needs full clinical write
|
||||
// access AND the clinic's AI must be enabled for this member.
|
||||
const { allowed: aiAllowed } = useAiAccess();
|
||||
const canScribe = role != null && hasClinicalAccess(role) && aiAllowed;
|
||||
const [patient, setPatient] = useState<Patient | null>(null);
|
||||
const [status, setStatus] = useState<Status>("loading");
|
||||
const [editOpen, setEditOpen] = useState(false);
|
||||
const [scribeOpen, setScribeOpen] = useState(false);
|
||||
const [transferOpen, setTransferOpen] = useState(false);
|
||||
const [confirmOpen, setConfirmOpen] = useState(false);
|
||||
// Graph popped out of the sheet into its own dialog (the sheet closes first).
|
||||
@@ -171,6 +178,7 @@ export function PatientDetailSheet({
|
||||
setEditKey((k) => k + 1);
|
||||
setEditOpen(true);
|
||||
}}
|
||||
onScribe={canScribe ? () => setScribeOpen(true) : undefined}
|
||||
onOpenGraph={() => {
|
||||
onOpenChange(false);
|
||||
setGraphOpen(true);
|
||||
@@ -197,6 +205,15 @@ export function PatientDetailSheet({
|
||||
/>
|
||||
)}
|
||||
|
||||
{patient && (
|
||||
<ScribeDialog
|
||||
onOpenChange={setScribeOpen}
|
||||
onSaved={(updated) => setPatient(updated)}
|
||||
open={scribeOpen}
|
||||
patient={patient}
|
||||
/>
|
||||
)}
|
||||
|
||||
{patient && (
|
||||
<TransferPatientDialog
|
||||
onOpenChange={setTransferOpen}
|
||||
|
||||
@@ -1,6 +1,13 @@
|
||||
"use client";
|
||||
|
||||
import { ArrowLeftRight, FileDown, Network, Pencil, Trash2 } from "lucide-react";
|
||||
import {
|
||||
ArrowLeftRight,
|
||||
FileDown,
|
||||
Mic,
|
||||
Network,
|
||||
Pencil,
|
||||
Trash2,
|
||||
} from "lucide-react";
|
||||
import { type ReactNode, useEffect, useState } from "react";
|
||||
import { useTranslation } from "react-i18next";
|
||||
|
||||
@@ -173,6 +180,7 @@ function RecordHistory({ fileNumber }: { fileNumber: string }) {
|
||||
export function PatientDetail({
|
||||
patient,
|
||||
onEdit,
|
||||
onScribe,
|
||||
onTransfer,
|
||||
onDelete,
|
||||
onOpenGraph,
|
||||
@@ -182,6 +190,8 @@ export function PatientDetail({
|
||||
}: {
|
||||
patient: Patient;
|
||||
onEdit?: () => void;
|
||||
// Opens the ambient AI visit scribe (record/transcribe → draft note).
|
||||
onScribe?: () => void;
|
||||
onTransfer?: () => void;
|
||||
onDelete?: () => void;
|
||||
// Pops the record graph out into its own dialog (closing this sheet).
|
||||
@@ -287,6 +297,12 @@ export function PatientDetail({
|
||||
{t("patients.transfer.action")}
|
||||
</Button>
|
||||
)}
|
||||
{onScribe && (
|
||||
<Button onClick={onScribe} size="sm" type="button" variant="outline">
|
||||
<Mic className="size-4" />
|
||||
{t("scribe.recordVisit")}
|
||||
</Button>
|
||||
)}
|
||||
{onEdit && (
|
||||
<Button onClick={onEdit} size="sm" type="button" variant="outline">
|
||||
<Pencil className="size-4" />
|
||||
|
||||
@@ -0,0 +1,436 @@
|
||||
"use client";
|
||||
|
||||
import { Mic, Square, Sparkles, Trash2 } from "lucide-react";
|
||||
import { useEffect, useRef, useState } from "react";
|
||||
import { useTranslation } from "react-i18next";
|
||||
|
||||
import { Button } from "@/components/ui/button";
|
||||
import {
|
||||
Dialog,
|
||||
DialogDescription,
|
||||
DialogFooter,
|
||||
DialogHeader,
|
||||
DialogPanel,
|
||||
DialogPopup,
|
||||
DialogTitle,
|
||||
} from "@/components/ui/dialog";
|
||||
import { Input } from "@/components/ui/input";
|
||||
import { Label } from "@/components/ui/label";
|
||||
import { Spinner } from "@/components/ui/spinner";
|
||||
import {
|
||||
Tabs,
|
||||
TabsList,
|
||||
TabsPanel,
|
||||
TabsTab,
|
||||
} from "@/components/ui/tabs";
|
||||
import { Textarea } from "@/components/ui/textarea";
|
||||
import { uploadAttachment } from "@/lib/attachments";
|
||||
import type { Encounter, Patient } from "@/lib/patients";
|
||||
import { draftNote, saveNote, transcribeRecording } from "@/lib/scribe";
|
||||
import { notify } from "@/lib/toast";
|
||||
import { ApiError } from "@/lib/api-client";
|
||||
|
||||
type Phase = "input" | "processing" | "review";
|
||||
type InputTab = "record" | "paste";
|
||||
type RecState = "idle" | "recording" | "recorded";
|
||||
|
||||
// Pick a supported audio mime for MediaRecorder (Opus in WebM/OGG is tiny for
|
||||
// speech; Safari falls back to mp4). Returns "" to let the browser choose.
|
||||
function pickAudioMime(): string {
|
||||
if (typeof MediaRecorder === "undefined") return "";
|
||||
const candidates = [
|
||||
"audio/webm;codecs=opus",
|
||||
"audio/webm",
|
||||
"audio/ogg;codecs=opus",
|
||||
"audio/mp4",
|
||||
];
|
||||
return candidates.find((m) => MediaRecorder.isTypeSupported(m)) ?? "";
|
||||
}
|
||||
|
||||
function fmtElapsed(sec: number): string {
|
||||
const m = Math.floor(sec / 60);
|
||||
const s = sec % 60;
|
||||
return `${m}:${String(s).padStart(2, "0")}`;
|
||||
}
|
||||
|
||||
// The ambient AI scribe: record or paste a visit conversation, draft a SOAP
|
||||
// encounter note, review it, and append it to the patient record.
|
||||
export function ScribeDialog({
|
||||
patient,
|
||||
open,
|
||||
onOpenChange,
|
||||
onSaved,
|
||||
}: {
|
||||
patient: Patient;
|
||||
open: boolean;
|
||||
onOpenChange: (open: boolean) => void;
|
||||
onSaved: (updated: Patient) => void;
|
||||
}) {
|
||||
const { t } = useTranslation();
|
||||
const [phase, setPhase] = useState<Phase>("input");
|
||||
const [tab, setTab] = useState<InputTab>("record");
|
||||
const [recState, setRecState] = useState<RecState>("idle");
|
||||
const [elapsed, setElapsed] = useState(0);
|
||||
const [transcript, setTranscript] = useState("");
|
||||
const [visitType, setVisitType] = useState("");
|
||||
const [draft, setDraft] = useState<Encounter | null>(null);
|
||||
const [veilNote, setVeilNote] = useState<string | null>(null);
|
||||
const [error, setError] = useState<string | null>(null);
|
||||
|
||||
const mediaRef = useRef<MediaRecorder | null>(null);
|
||||
const chunksRef = useRef<Blob[]>([]);
|
||||
const blobRef = useRef<Blob | null>(null);
|
||||
const timerRef = useRef<ReturnType<typeof setInterval> | null>(null);
|
||||
|
||||
// Tear down any live recording + object state when the dialog closes.
|
||||
const stopTracks = () => {
|
||||
mediaRef.current?.stream.getTracks().forEach((track) => track.stop());
|
||||
mediaRef.current = null;
|
||||
if (timerRef.current) clearInterval(timerRef.current);
|
||||
timerRef.current = null;
|
||||
};
|
||||
|
||||
// Stop tracks on unmount.
|
||||
useEffect(() => () => stopTracks(), []);
|
||||
|
||||
// Reset all state for the next open. Called on every close (the parent only
|
||||
// ever closes this dialog through our onOpenChange), so no reset-in-effect.
|
||||
const reset = () => {
|
||||
setPhase("input");
|
||||
setTab("record");
|
||||
setRecState("idle");
|
||||
setElapsed(0);
|
||||
setTranscript("");
|
||||
setVisitType("");
|
||||
setDraft(null);
|
||||
setVeilNote(null);
|
||||
setError(null);
|
||||
chunksRef.current = [];
|
||||
blobRef.current = null;
|
||||
};
|
||||
|
||||
const handleOpenChange = (next: boolean) => {
|
||||
if (!next) {
|
||||
stopTracks();
|
||||
reset();
|
||||
}
|
||||
onOpenChange(next);
|
||||
};
|
||||
|
||||
const startRecording = async () => {
|
||||
setError(null);
|
||||
try {
|
||||
const stream = await navigator.mediaDevices.getUserMedia({ audio: true });
|
||||
const mime = pickAudioMime();
|
||||
const recorder = new MediaRecorder(
|
||||
stream,
|
||||
mime ? { mimeType: mime } : undefined,
|
||||
);
|
||||
chunksRef.current = [];
|
||||
recorder.ondataavailable = (e) => {
|
||||
if (e.data.size > 0) chunksRef.current.push(e.data);
|
||||
};
|
||||
recorder.onstop = () => {
|
||||
blobRef.current = new Blob(chunksRef.current, {
|
||||
type: recorder.mimeType || "audio/webm",
|
||||
});
|
||||
setRecState("recorded");
|
||||
};
|
||||
recorder.start();
|
||||
mediaRef.current = recorder;
|
||||
setRecState("recording");
|
||||
setElapsed(0);
|
||||
timerRef.current = setInterval(() => setElapsed((s) => s + 1), 1000);
|
||||
} catch {
|
||||
setError(t("scribe.errors.mic"));
|
||||
}
|
||||
};
|
||||
|
||||
const stopRecording = () => {
|
||||
mediaRef.current?.stop();
|
||||
mediaRef.current?.stream.getTracks().forEach((track) => track.stop());
|
||||
if (timerRef.current) clearInterval(timerRef.current);
|
||||
timerRef.current = null;
|
||||
};
|
||||
|
||||
const discardRecording = () => {
|
||||
blobRef.current = null;
|
||||
chunksRef.current = [];
|
||||
setRecState("idle");
|
||||
setElapsed(0);
|
||||
};
|
||||
|
||||
const filenameFor = (blob: Blob): string => {
|
||||
const ext = blob.type.includes("mp4")
|
||||
? "m4a"
|
||||
: blob.type.includes("ogg")
|
||||
? "ogg"
|
||||
: "webm";
|
||||
return `visit-${patient.fileNumber}-${Date.now()}.${ext}`;
|
||||
};
|
||||
|
||||
const generate = async () => {
|
||||
setError(null);
|
||||
setPhase("processing");
|
||||
try {
|
||||
let text = transcript.trim();
|
||||
if (tab === "record") {
|
||||
const blob = blobRef.current;
|
||||
if (!blob) {
|
||||
setError(t("scribe.errors.noRecording"));
|
||||
setPhase("input");
|
||||
return;
|
||||
}
|
||||
// Store the recording as a patient attachment (auditable), then
|
||||
// transcribe it server-side.
|
||||
const file = new File([blob], filenameFor(blob), { type: blob.type });
|
||||
const attachment = await uploadAttachment({
|
||||
file,
|
||||
fileNumber: patient.fileNumber,
|
||||
labKey: "scribe",
|
||||
});
|
||||
const res = await transcribeRecording(attachment.id);
|
||||
text = res.transcript.trim();
|
||||
setTranscript(text);
|
||||
}
|
||||
if (!text) {
|
||||
setError(t("scribe.errors.empty"));
|
||||
setPhase("input");
|
||||
return;
|
||||
}
|
||||
const { draft: note, veil } = await draftNote({
|
||||
fileNumber: patient.fileNumber,
|
||||
transcript: text,
|
||||
visitType: visitType.trim() || undefined,
|
||||
});
|
||||
setDraft(note);
|
||||
setVeilNote(
|
||||
veil.active ? t("scribe.review.veil", { provider: veil.provider }) : null,
|
||||
);
|
||||
setPhase("review");
|
||||
} catch (err) {
|
||||
setError(
|
||||
err instanceof ApiError ? err.message : t("scribe.errors.generic"),
|
||||
);
|
||||
setPhase("input");
|
||||
}
|
||||
};
|
||||
|
||||
const save = async () => {
|
||||
if (!draft) return;
|
||||
setPhase("processing");
|
||||
try {
|
||||
const updated = await saveNote(patient.fileNumber, draft);
|
||||
notify.success(t("scribe.saved.title"), patient.name);
|
||||
onSaved(updated);
|
||||
handleOpenChange(false);
|
||||
} catch (err) {
|
||||
setError(
|
||||
err instanceof ApiError ? err.message : t("scribe.errors.generic"),
|
||||
);
|
||||
setPhase("review");
|
||||
}
|
||||
};
|
||||
|
||||
const busy = phase === "processing";
|
||||
|
||||
return (
|
||||
<Dialog onOpenChange={handleOpenChange} open={open}>
|
||||
<DialogPopup className="flex max-h-[85dvh] flex-col sm:max-w-lg">
|
||||
<DialogHeader>
|
||||
<DialogTitle className="flex items-center gap-2">
|
||||
<Sparkles className="size-4 text-primary" />
|
||||
{t("scribe.title")}
|
||||
</DialogTitle>
|
||||
<DialogDescription>
|
||||
{t("scribe.subtitle", { name: patient.name })}
|
||||
</DialogDescription>
|
||||
</DialogHeader>
|
||||
|
||||
<DialogPanel className="min-h-0 flex-1 overflow-y-auto">
|
||||
{phase === "review" && draft ? (
|
||||
<div className="flex flex-col gap-4">
|
||||
<div className="grid grid-cols-2 gap-3">
|
||||
<div className="flex flex-col gap-1.5">
|
||||
<Label htmlFor="scribe-type">{t("scribe.review.type")}</Label>
|
||||
<Input
|
||||
id="scribe-type"
|
||||
onChange={(e) =>
|
||||
setDraft({ ...draft, type: e.target.value })
|
||||
}
|
||||
value={draft.type}
|
||||
/>
|
||||
</div>
|
||||
<div className="flex flex-col gap-1.5">
|
||||
<Label htmlFor="scribe-date">{t("scribe.review.date")}</Label>
|
||||
<Input
|
||||
id="scribe-date"
|
||||
onChange={(e) =>
|
||||
setDraft({ ...draft, date: e.target.value })
|
||||
}
|
||||
type="date"
|
||||
value={draft.date}
|
||||
/>
|
||||
</div>
|
||||
</div>
|
||||
<div className="flex flex-col gap-1.5">
|
||||
<Label htmlFor="scribe-summary">
|
||||
{t("scribe.review.summary")}
|
||||
</Label>
|
||||
<Textarea
|
||||
className="min-h-56"
|
||||
id="scribe-summary"
|
||||
onChange={(e) =>
|
||||
setDraft({ ...draft, summary: e.target.value })
|
||||
}
|
||||
value={draft.summary}
|
||||
/>
|
||||
</div>
|
||||
<p className="text-muted-foreground text-xs">
|
||||
{t("scribe.review.provider", { provider: draft.provider })}
|
||||
</p>
|
||||
{veilNote && (
|
||||
<p className="rounded-lg bg-muted px-3 py-2 text-muted-foreground text-xs">
|
||||
{veilNote}
|
||||
</p>
|
||||
)}
|
||||
</div>
|
||||
) : (
|
||||
<Tabs
|
||||
onValueChange={(v) => setTab(v as InputTab)}
|
||||
value={tab}
|
||||
>
|
||||
<TabsList className="w-full">
|
||||
<TabsTab value="record">
|
||||
<Mic className="size-4" />
|
||||
{t("scribe.tabs.record")}
|
||||
</TabsTab>
|
||||
<TabsTab value="paste">{t("scribe.tabs.paste")}</TabsTab>
|
||||
</TabsList>
|
||||
|
||||
<TabsPanel className="pt-3" value="record">
|
||||
<div className="flex flex-col items-center gap-4 py-4">
|
||||
{recState === "recording" ? (
|
||||
<>
|
||||
<div className="flex items-center gap-2 text-destructive">
|
||||
<span className="size-2.5 animate-pulse rounded-full bg-destructive" />
|
||||
<span className="font-mono text-lg tabular-nums">
|
||||
{fmtElapsed(elapsed)}
|
||||
</span>
|
||||
</div>
|
||||
<Button
|
||||
onClick={stopRecording}
|
||||
type="button"
|
||||
variant="destructive"
|
||||
>
|
||||
<Square className="size-4" />
|
||||
{t("scribe.record.stop")}
|
||||
</Button>
|
||||
</>
|
||||
) : recState === "recorded" ? (
|
||||
<>
|
||||
<p className="text-foreground text-sm">
|
||||
{t("scribe.record.ready", {
|
||||
duration: fmtElapsed(elapsed),
|
||||
})}
|
||||
</p>
|
||||
<Button
|
||||
onClick={discardRecording}
|
||||
size="sm"
|
||||
type="button"
|
||||
variant="outline"
|
||||
>
|
||||
<Trash2 className="size-4" />
|
||||
{t("scribe.record.discard")}
|
||||
</Button>
|
||||
</>
|
||||
) : (
|
||||
<Button onClick={startRecording} type="button">
|
||||
<Mic className="size-4" />
|
||||
{t("scribe.record.start")}
|
||||
</Button>
|
||||
)}
|
||||
</div>
|
||||
</TabsPanel>
|
||||
|
||||
<TabsPanel className="pt-3" value="paste">
|
||||
<Textarea
|
||||
className="min-h-40"
|
||||
onChange={(e) => setTranscript(e.target.value)}
|
||||
placeholder={t("scribe.paste.placeholder")}
|
||||
value={transcript}
|
||||
/>
|
||||
</TabsPanel>
|
||||
|
||||
<div className="mt-4 flex flex-col gap-3">
|
||||
<div className="flex flex-col gap-1.5">
|
||||
<Label htmlFor="scribe-visit-type">
|
||||
{t("scribe.visitType.label")}
|
||||
</Label>
|
||||
<Input
|
||||
id="scribe-visit-type"
|
||||
onChange={(e) => setVisitType(e.target.value)}
|
||||
placeholder={t("scribe.visitType.placeholder")}
|
||||
value={visitType}
|
||||
/>
|
||||
</div>
|
||||
<p className="rounded-lg bg-muted px-3 py-2 text-muted-foreground text-xs">
|
||||
{t("scribe.consent")}
|
||||
</p>
|
||||
</div>
|
||||
</Tabs>
|
||||
)}
|
||||
|
||||
{error && (
|
||||
<p className="mt-3 text-destructive text-sm" role="alert">
|
||||
{error}
|
||||
</p>
|
||||
)}
|
||||
</DialogPanel>
|
||||
|
||||
<DialogFooter>
|
||||
{phase === "review" ? (
|
||||
<>
|
||||
<Button
|
||||
disabled={busy}
|
||||
onClick={() => setPhase("input")}
|
||||
type="button"
|
||||
variant="outline"
|
||||
>
|
||||
{t("scribe.review.back")}
|
||||
</Button>
|
||||
<Button disabled={busy} onClick={save} type="button">
|
||||
{busy && <Spinner className="size-4" />}
|
||||
{t("scribe.review.save")}
|
||||
</Button>
|
||||
</>
|
||||
) : (
|
||||
<>
|
||||
<Button
|
||||
disabled={busy}
|
||||
onClick={() => handleOpenChange(false)}
|
||||
type="button"
|
||||
variant="outline"
|
||||
>
|
||||
{t("scribe.cancel")}
|
||||
</Button>
|
||||
<Button
|
||||
disabled={
|
||||
busy ||
|
||||
(tab === "record"
|
||||
? recState !== "recorded"
|
||||
: transcript.trim().length === 0)
|
||||
}
|
||||
onClick={generate}
|
||||
type="button"
|
||||
>
|
||||
{busy && <Spinner className="size-4" />}
|
||||
{busy ? t("scribe.processing") : t("scribe.generate")}
|
||||
</Button>
|
||||
</>
|
||||
)}
|
||||
</DialogFooter>
|
||||
</DialogPopup>
|
||||
</Dialog>
|
||||
);
|
||||
}
|
||||
@@ -1,4 +1,48 @@
|
||||
{
|
||||
"scribe": {
|
||||
"recordVisit": "تسجيل الزيارة",
|
||||
"title": "كاتب الزيارة",
|
||||
"subtitle": "سجّل أو الصق زيارة لـ {{name}}، ثم راجع الملاحظة المُصاغة قبل الحفظ.",
|
||||
"tabs": {
|
||||
"record": "تسجيل",
|
||||
"paste": "لصق النص"
|
||||
},
|
||||
"record": {
|
||||
"start": "بدء التسجيل",
|
||||
"stop": "إيقاف",
|
||||
"ready": "التسجيل جاهز ({{duration}})",
|
||||
"discard": "تجاهل"
|
||||
},
|
||||
"paste": {
|
||||
"placeholder": "الصق نص الزيارة هنا…"
|
||||
},
|
||||
"visitType": {
|
||||
"label": "نوع الزيارة (اختياري)",
|
||||
"placeholder": "مثال: متابعة"
|
||||
},
|
||||
"consent": "يُخزَّن الصوت في ملف المريض. عند استخدام مزوّد ذكاء اصطناعي خارجي، يغادر التسجيل العيادة ليُفرَّغ نصيًّا — لا يستطيع Veil إخفاء الكلام، لذا تُخفى هوية الملاحظة المُصاغة فقط.",
|
||||
"generate": "صياغة الملاحظة",
|
||||
"processing": "جارٍ العمل…",
|
||||
"cancel": "إلغاء",
|
||||
"review": {
|
||||
"type": "نوع الزيارة",
|
||||
"date": "التاريخ",
|
||||
"summary": "الملاحظة",
|
||||
"provider": "الطبيب: {{provider}}",
|
||||
"veil": "أُخفيت الهوية عبر Veil قبل {{provider}}.",
|
||||
"back": "رجوع",
|
||||
"save": "الحفظ في السجل"
|
||||
},
|
||||
"saved": {
|
||||
"title": "تم حفظ ملاحظة الزيارة"
|
||||
},
|
||||
"errors": {
|
||||
"mic": "تعذّر الوصول إلى الميكروفون. تحقّق من أذونات المتصفح أو الصق نصًّا بدلاً من ذلك.",
|
||||
"noRecording": "سجّل الزيارة أولاً، أو انتقل إلى تبويب اللصق.",
|
||||
"empty": "النص فارغ.",
|
||||
"generic": "حدث خطأ ما. يُرجى المحاولة مرة أخرى."
|
||||
}
|
||||
},
|
||||
"common": {
|
||||
"appName": "temetro",
|
||||
"email": "البريد الإلكتروني",
|
||||
|
||||
@@ -1,4 +1,48 @@
|
||||
{
|
||||
"scribe": {
|
||||
"recordVisit": "Besuch aufnehmen",
|
||||
"title": "Besuchs-Schreiber",
|
||||
"subtitle": "Nehmen Sie einen Besuch für {{name}} auf oder fügen Sie ihn ein und prüfen Sie die entworfene Notiz vor dem Speichern.",
|
||||
"tabs": {
|
||||
"record": "Aufnehmen",
|
||||
"paste": "Transkript einfügen"
|
||||
},
|
||||
"record": {
|
||||
"start": "Aufnahme starten",
|
||||
"stop": "Stopp",
|
||||
"ready": "Aufnahme bereit ({{duration}})",
|
||||
"discard": "Verwerfen"
|
||||
},
|
||||
"paste": {
|
||||
"placeholder": "Besuchstranskript hier einfügen…"
|
||||
},
|
||||
"visitType": {
|
||||
"label": "Besuchsart (optional)",
|
||||
"placeholder": "z. B. Nachsorge"
|
||||
},
|
||||
"consent": "Die Audioaufnahme wird in der Patientenakte gespeichert. Bei Nutzung eines externen KI-Anbieters verlässt die Aufnahme zur Transkription die Klinik — Veil kann Sprache nicht schwärzen, daher wird nur die entworfene Notiz anonymisiert.",
|
||||
"generate": "Notiz entwerfen",
|
||||
"processing": "In Arbeit…",
|
||||
"cancel": "Abbrechen",
|
||||
"review": {
|
||||
"type": "Besuchsart",
|
||||
"date": "Datum",
|
||||
"summary": "Notiz",
|
||||
"provider": "Behandler: {{provider}}",
|
||||
"veil": "Über Veil anonymisiert vor {{provider}}.",
|
||||
"back": "Zurück",
|
||||
"save": "In Akte speichern"
|
||||
},
|
||||
"saved": {
|
||||
"title": "Besuchsnotiz gespeichert"
|
||||
},
|
||||
"errors": {
|
||||
"mic": "Kein Zugriff auf das Mikrofon. Prüfen Sie die Browser-Berechtigungen oder fügen Sie ein Transkript ein.",
|
||||
"noRecording": "Nehmen Sie zuerst den Besuch auf oder wechseln Sie zum Einfügen-Tab.",
|
||||
"empty": "Das Transkript ist leer.",
|
||||
"generic": "Etwas ist schiefgelaufen. Bitte versuchen Sie es erneut."
|
||||
}
|
||||
},
|
||||
"common": {
|
||||
"appName": "temetro",
|
||||
"email": "E-Mail",
|
||||
|
||||
@@ -1,4 +1,48 @@
|
||||
{
|
||||
"scribe": {
|
||||
"recordVisit": "Record visit",
|
||||
"title": "Visit scribe",
|
||||
"subtitle": "Record or paste a visit for {{name}}, then review the drafted note before saving.",
|
||||
"tabs": {
|
||||
"record": "Record",
|
||||
"paste": "Paste transcript"
|
||||
},
|
||||
"record": {
|
||||
"start": "Start recording",
|
||||
"stop": "Stop",
|
||||
"ready": "Recording ready ({{duration}})",
|
||||
"discard": "Discard"
|
||||
},
|
||||
"paste": {
|
||||
"placeholder": "Paste the visit transcript here…"
|
||||
},
|
||||
"visitType": {
|
||||
"label": "Visit type (optional)",
|
||||
"placeholder": "e.g. Follow-up"
|
||||
},
|
||||
"consent": "The audio is stored on the patient's chart. When you use an external AI provider, the recording leaves the clinic to be transcribed — Veil cannot redact speech, so only the drafted note is de-identified.",
|
||||
"generate": "Draft note",
|
||||
"processing": "Working…",
|
||||
"cancel": "Cancel",
|
||||
"review": {
|
||||
"type": "Visit type",
|
||||
"date": "Date",
|
||||
"summary": "Note",
|
||||
"provider": "Provider: {{provider}}",
|
||||
"veil": "De-identified through Veil before {{provider}}.",
|
||||
"back": "Back",
|
||||
"save": "Save to record"
|
||||
},
|
||||
"saved": {
|
||||
"title": "Visit note saved"
|
||||
},
|
||||
"errors": {
|
||||
"mic": "Couldn't access the microphone. Check browser permissions or paste a transcript instead.",
|
||||
"noRecording": "Record the visit first, or switch to the paste tab.",
|
||||
"empty": "The transcript is empty.",
|
||||
"generic": "Something went wrong. Please try again."
|
||||
}
|
||||
},
|
||||
"common": {
|
||||
"appName": "temetro",
|
||||
"email": "Email",
|
||||
|
||||
@@ -1,4 +1,48 @@
|
||||
{
|
||||
"scribe": {
|
||||
"recordVisit": "Enregistrer la visite",
|
||||
"title": "Scribe de visite",
|
||||
"subtitle": "Enregistrez ou collez une visite pour {{name}}, puis vérifiez la note rédigée avant de l'enregistrer.",
|
||||
"tabs": {
|
||||
"record": "Enregistrer",
|
||||
"paste": "Coller la transcription"
|
||||
},
|
||||
"record": {
|
||||
"start": "Démarrer l'enregistrement",
|
||||
"stop": "Arrêter",
|
||||
"ready": "Enregistrement prêt ({{duration}})",
|
||||
"discard": "Supprimer"
|
||||
},
|
||||
"paste": {
|
||||
"placeholder": "Collez la transcription de la visite ici…"
|
||||
},
|
||||
"visitType": {
|
||||
"label": "Type de visite (facultatif)",
|
||||
"placeholder": "ex. Suivi"
|
||||
},
|
||||
"consent": "L'audio est enregistré dans le dossier du patient. Si vous utilisez un fournisseur d'IA externe, l'enregistrement quitte la clinique pour être transcrit — Veil ne peut pas expurger la parole, seule la note rédigée est dépersonnalisée.",
|
||||
"generate": "Rédiger la note",
|
||||
"processing": "En cours…",
|
||||
"cancel": "Annuler",
|
||||
"review": {
|
||||
"type": "Type de visite",
|
||||
"date": "Date",
|
||||
"summary": "Note",
|
||||
"provider": "Praticien : {{provider}}",
|
||||
"veil": "Dépersonnalisé via Veil avant {{provider}}.",
|
||||
"back": "Retour",
|
||||
"save": "Enregistrer dans le dossier"
|
||||
},
|
||||
"saved": {
|
||||
"title": "Note de visite enregistrée"
|
||||
},
|
||||
"errors": {
|
||||
"mic": "Impossible d'accéder au microphone. Vérifiez les autorisations du navigateur ou collez une transcription.",
|
||||
"noRecording": "Enregistrez d'abord la visite, ou passez à l'onglet coller.",
|
||||
"empty": "La transcription est vide.",
|
||||
"generic": "Une erreur s'est produite. Veuillez réessayer."
|
||||
}
|
||||
},
|
||||
"common": {
|
||||
"appName": "temetro",
|
||||
"email": "E-mail",
|
||||
|
||||
@@ -1,4 +1,48 @@
|
||||
{
|
||||
"scribe": {
|
||||
"recordVisit": "Duub booqasho",
|
||||
"title": "Qoraaga booqashada",
|
||||
"subtitle": "Duub ama ku dhaji booqasho {{name}}, ka dibna dib u eeg qoraalka la sameeyay ka hor inta aadan keydin.",
|
||||
"tabs": {
|
||||
"record": "Duub",
|
||||
"paste": "Ku dhaji qoraalka"
|
||||
},
|
||||
"record": {
|
||||
"start": "Bilow duubista",
|
||||
"stop": "Jooji",
|
||||
"ready": "Duubista diyaar ({{duration}})",
|
||||
"discard": "Tirtir"
|
||||
},
|
||||
"paste": {
|
||||
"placeholder": "Halkan ku dhaji qoraalka booqashada…"
|
||||
},
|
||||
"visitType": {
|
||||
"label": "Nooca booqashada (ikhtiyaari)",
|
||||
"placeholder": "tusaale: Dib-u-eegis"
|
||||
},
|
||||
"consent": "Codka waxaa lagu keydiyaa faylka bukaanka. Marka aad isticmaasho bixiye AI dibadeed, duubistu waxay ka baxdaa rugta si loo qoro — Veil ma tirtiri karo hadalka, sidaas darteed kaliya qoraalka la sameeyay ayaa la qariyaa.",
|
||||
"generate": "Samee qoraalka",
|
||||
"processing": "Waa la shaqaynayaa…",
|
||||
"cancel": "Jooji",
|
||||
"review": {
|
||||
"type": "Nooca booqashada",
|
||||
"date": "Taariikhda",
|
||||
"summary": "Qoraalka",
|
||||
"provider": "Bixiye: {{provider}}",
|
||||
"veil": "Waxaa lagu qariyay Veil ka hor {{provider}}.",
|
||||
"back": "Dib u noqo",
|
||||
"save": "Ku keydi diiwaanka"
|
||||
},
|
||||
"saved": {
|
||||
"title": "Qoraalka booqashada waa la keydiyay"
|
||||
},
|
||||
"errors": {
|
||||
"mic": "Lama gaari karin makarafoonka. Hubi oggolaanshaha browserka ama ku dhaji qoraal.",
|
||||
"noRecording": "Marka hore duub booqashada, ama u wareeg tabka ku-dhajinta.",
|
||||
"empty": "Qoraalku waa madhan yahay.",
|
||||
"generic": "Wax baa qaldamay. Fadlan isku day mar kale."
|
||||
}
|
||||
},
|
||||
"common": {
|
||||
"appName": "temetro",
|
||||
"email": "Iimayl",
|
||||
|
||||
@@ -0,0 +1,51 @@
|
||||
// Client for the ambient AI visit-scribe API. The dialog records (or accepts a
|
||||
// pasted transcript of) a clinician↔patient visit, transcribes it, drafts a
|
||||
// structured encounter note, and — after the clinician reviews it — appends the
|
||||
// note to the patient record (the same write-approval gate as the chat agent).
|
||||
|
||||
import { apiFetch } from "@/lib/api-client";
|
||||
import type { Encounter, Patient } from "@/lib/patients";
|
||||
|
||||
export type ScribeVeil = {
|
||||
active: boolean;
|
||||
level: string;
|
||||
classes: string[];
|
||||
provider: string;
|
||||
};
|
||||
|
||||
// Turn a stored audio attachment into a raw transcript (server streams it to the
|
||||
// user's OpenAI/Gemini speech provider). Audio does NOT pass through Veil.
|
||||
export function transcribeRecording(
|
||||
attachmentId: string,
|
||||
): Promise<{ transcript: string }> {
|
||||
return apiFetch<{ transcript: string }>("/api/scribe/transcribe", {
|
||||
method: "POST",
|
||||
body: JSON.stringify({ attachmentId }),
|
||||
});
|
||||
}
|
||||
|
||||
// Draft an encounter note from a transcript. The transcript + patient context
|
||||
// are de-identified through Veil before any external call; the draft is never
|
||||
// saved automatically.
|
||||
export function draftNote(input: {
|
||||
fileNumber: string;
|
||||
transcript: string;
|
||||
visitType?: string;
|
||||
date?: string;
|
||||
}): Promise<{ draft: Encounter; veil: ScribeVeil }> {
|
||||
return apiFetch<{ draft: Encounter; veil: ScribeVeil }>("/api/scribe/draft", {
|
||||
method: "POST",
|
||||
body: JSON.stringify(input),
|
||||
});
|
||||
}
|
||||
|
||||
// The approval step: append the reviewed note to the patient record.
|
||||
export function saveNote(
|
||||
fileNumber: string,
|
||||
encounter: Encounter,
|
||||
): Promise<Patient> {
|
||||
return apiFetch<Patient>("/api/scribe/save", {
|
||||
method: "POST",
|
||||
body: JSON.stringify({ fileNumber, encounter }),
|
||||
});
|
||||
}
|
||||
@@ -1,6 +1,6 @@
|
||||
{
|
||||
"name": "frontend",
|
||||
"version": "0.3.0",
|
||||
"version": "0.4.0",
|
||||
"private": true,
|
||||
"scripts": {
|
||||
"dev": "next dev",
|
||||
|
||||
+1
-1
@@ -1,6 +1,6 @@
|
||||
{
|
||||
"name": "temetro",
|
||||
"version": "0.3.0",
|
||||
"version": "0.4.0",
|
||||
"private": true,
|
||||
"devDependencies": {
|
||||
"shadcn": "^4.11.0"
|
||||
|
||||
Reference in New Issue
Block a user