Add a camera barcode/QR scanner (components/scan/barcode-scanner.tsx,
@zxing/browser lazy-loaded) and a Barcode/NDC field to the pharmacy
Add-item dialog. Scanning a GS1 DataMatrix auto-fills expiry (AI 17) and
lot (AI 10 -> notes), with the GTIN (AI 01) as the barcode; plain 1D
barcodes drop straight into the field. Persists a nullable inventory
barcode column (migration 0036) through the type/validation/service, and
surfaces it on the item detail. i18n added to all locales.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
A prescription written in the clinic never reached the patient's wallet.
createPrescription writes to the `prescriptions` table, but the pushed
bundle only carried `patient.medications`, which comes from the separate
`patient_medications` table and never grows when a prescription is
written. The patient approved a bundle identical to what they already
had, so the app's Prescriptions section showed nothing new — the
"New prescription: X" line in `changes` is display text, not data.
Pull listPrescriptions into the bundle alongside the appointments and
invoices that were already handled the same way, keeping the full
prescription shape rather than flattening to {name, dose, frequency}.
Also add `clinicId` (the org id) to the update event. Wallets pinned a
clinic's signing key against `clinicName`, which is mutable and falls
back to the literal "A clinic" for unnamed orgs, so unnamed clinics
collided on one pin and tripped a bogus "key changed" warning. It also
gives the wallet the relay routing id it needs to fetch document bytes.
Log the silent drops on this path: sendToWallet no-ops when an org has
no live hub, and applyUpdateResponse returned null without a word when a
response arrived unsigned or already resolved. Both looked, from the
clinic side, exactly like a patient who never tapped Approve.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
- patients: move status filter to its own "Filter" row above the table
- patient sheet: name + ⋯ menu on one left row; Edit moved into the ⋯ menu
- settings: redesign sections with the COSS CardFrame surface (SettingsFrame)
- AI: add Automatic (auto-pick provider) and Off modes; default to Automatic
so a fresh install shows the setup banner until a provider is configured
- AI: fix the setup banner never showing (defaulted Ollama URL counted as
configured); add an "AI off" notice; add a fallback render for unknown chat
data parts so cards never silently vanish
- backend: include patient attachment metadata in the wallet record-update
bundle so pushed documents reach the wallet
- i18n: add mode/off/card keys across all five locales
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
The portal 'link' action no longer asks the device for a name + file number.
The wallet is identified solely by its relay-verified wallet number: the clinic
attaches that number to the file ahead of time (Import from a patient app / QR
pairing), and linkWallet now just resolves the paired file (friendly 404 when
it hasn't been paired yet).
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
- services/portal.ts: clinic-scoped portal actions (clinic info, doctors,
availability, linkWallet, conflict-checked booking, results, downloadable lab
files) plus handlePortalRequest to dispatch a relayed portal:request.
- relay-client.ts: handle portal:request on the hub and ack the result back down
the relay (device path identifies the patient by verified wallet number).
- patients: new nullable wallet_number column (+ migration); linking stores it,
and walletNumberForPatient now resolves via it so pushes work after a portal
link, not only after a permanent share.
- routes/portal.ts: GET /:clinic/link returns the relay-based pairing descriptor
(clinic signing key + relay URL) for the QR — no more localhost-baked API URL.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Appointments and invoices live in their own tables, not on the Patient
snapshot, so a clinic->wallet push previously sealed only the patient record
and the patient's appointments/invoices never reached the wallet app. Load and
attach them to the sealed bundle ({ patient, appointments, invoices, changes }).
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Patient record:
- Add `bloodType` and `phone` to the patient model (schema, canonical types on
both backend + frontend, zod validation). `phone` is a demographic field
(reception can read/write); `bloodType` is clinical PHI, redacted for the
reception role. Surface both in the record sheet, chat summary card, and the
add/edit patient form. Migration 0033.
Clinic location:
- New org-scoped `clinic_settings` table (address/city/country + optional
lat/long), service, and routes: GET /api/clinic/settings (any clinician) and
PUT /api/clinic/location (owner/admin). Edited in Settings → Signing → Clinic
location. Consumed later by the wallet app. Migration 0034.
i18n:
- Translate all new keys into every shipped locale (en/de/fr/ar/so) and document
the "translate into every locale" rule in frontend/CLAUDE.md.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
The default http://localhost:8080 silently failed for clinics that joined
the network without setting RELAY_URL — inside Docker localhost is the
container itself, so the hub connection never reached the relay (endless
"relay unreachable" retries) and pairing QRs encoded an unreachable
localhost. Default to https://network.temetro.com so "Join Temetro Network"
works out of the box; self-hosters running their own relay still override
it. Also (re)ensure the hub is connected before pre-registering a pairing.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
QR "scan to connect" pairing has no wallet number, so nothing registered
the request with the relay and the scanning device's response was rejected
("unknown or expired request"). The backend now pre-registers the pairing
request over the relay's new hub:expect event on POST /pair, and
re-registers still-pending requests on hub (re)connect so routing survives
a relay restart. /pair now requires the clinic to have joined the network
(clear 409, surfaced in the import dialog, localized in all five langs).
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
The relay is now multi-clinic. Each clinic authenticates to the /hub
namespace by signing a challenge with its own Ed25519 clinic signing key
(a per-clinic identity, not a shared RELAY_TOKEN), and the relay routes
every device response back to only the clinic that originated the request
(keyed by requestId) — so clinics never see each other's traffic.
Backend:
- clinic_signing_keys.network_enabled + GET/PUT /api/signing/network
(owner/admin) to join/leave the network.
- relay-client keeps one authenticated hub connection per network-enabled
org (connectOrg/disconnectOrg, hubs map keyed by orgId); emitToWallet/
sendToWallet take orgId; offline flush is org-scoped.
- Wallet import/push return 409 until a clinic joins.
- RELAY_TOKEN is now optional/legacy (open relay needs no shared secret).
Frontend:
- "Join Temetro Network" toggle in Settings → Signing, localized in all
five languages (en, fr, de, so, ar).
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Devices no longer connect to the backend directly. The /wallet Socket.io
namespace is removed from realtime.ts; a new services/relay-client.ts connects
to the standalone Temetro Network relay's /hub namespace (RELAY_TOKEN-auth),
emitToWallet delegates to its sendToWallet, and device responses + wallet:online
replay are handled there via the same wallet-share/wallet-updates services.
- Add RELAY_URL + RELAY_TOKEN env (env.ts, .env.example, docker-compose.yml);
the wallet-import QR (resolveRelayUrl) now points at RELAY_URL.
- Add socket.io-client dependency.
- Document the Temetro Network folder/service in root + backend CLAUDE.md.
- Bump root/backend/frontend to 0.7.0; CHANGELOG entry.
The relay service itself lives in github.com/temetro/temetro-network.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Expose temetro's own records as a read-only FHIR R4 server at /fhir,
authenticated with per-clinic API keys (tmf_… bearer tokens, SHA-256
hashed, shown once). Serves Patient, Observation (labs + vitals),
AllergyIntolerance, Condition, MedicationRequest, Encounter and
Appointment as text-only CodeableConcepts (temetro stores free-text
clinical values); CapabilityStatement at /fhir/metadata (unauth).
Searchset Bundles with _count/_offset pagination and self/next/prev
links; every request is org-scoped and written to the activity log.
Keys are created/revoked under Settings → Integrations (owner/admin).
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
A clinician can push an updated record to a wallet-linked patient (permanent
share). The snapshot is signed with the clinic Ed25519 key and sealed to the
wallet's X25519 key — derived from its Ed25519 wallet number via the birational
map, verified byte-for-byte against the wallet's own derivation. Stored pending,
delivered over the /wallet relay live and on the wallet's next authenticated
connect (offline catch-up). The patient approves/denies in-app; the wallet signs
its decision, the backend verifies it, and the record is replaced only on
approval. Wallet pins the clinic key (TOFU) and warns on change.
Backend: walletRecordUpdates table + service, ed25519PubToX25519Hex helper,
POST /api/patients/wallet/push, GET .../link/:fileNumber|updates|updates/:id,
wallet:update-request / wallet:update-response relay events.
Frontend: "Push to wallet" dialog with live status, wallet-link gating on the
patient sheet, "Sent updates" list under Settings → Signing, walletPush /
walletUpdatesList locale namespaces across all five languages. Bumps to v0.5.0.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
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>
"Show me <name>'s medical record" relied on the model chaining
searchPatients → getPatient, but Gemini Flash often calls searchPatients
then emits the canned closing line ("Here's the record.") without the
second tool call, so no data-patientCard part is ever written and no card
renders. (The prior Gemini fix only covered the empty-schema list tools.)
searchPatients now writes the record card (data-patientCard, or
data-recordGraph in graph mode) and a source directly when EXACTLY ONE
patient matches — mirroring getPatient — so the common name-lookup flow no
longer depends on a second tool call. Multiple/zero matches keep returning
the disambiguation list. The tool description and system prompt tell the
model the card is already shown on a unique match so it doesn't double-render.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
The card-emitting chat tools (listAppointments, listTasks,
listPrescriptions, getClinicInfo, getAnalytics, listInventory) used an
empty `z.object({})` parameter schema. Google Gemini can't emit a
function call for a tool whose JSON schema has no properties — it prints
the call as `tool_code` text instead of invoking it — so the tool never
ran and the frontend never received the data part to render a card.
Give those tools a shared `emptyToolArgs` schema with one optional,
ignored field so the schema is non-empty and Gemini calls them. execute
bodies are unchanged; other providers ignore the extra field. This is the
same fix already documented for previewImport.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Add GET /api/activity/patient/:fileNumber (every audited change on one chart,
newest first, readable by any clinic member) and surface it as a Record
history timeline in the patient detail sheet. Add a Download summary action
that builds a clean, printable one-page clinical summary in the browser
(Save as PDF) — no PDF dependency, nothing leaves the server.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Give previewImport a concrete object schema (was z.array(z.unknown())) so
Google Gemini can emit a real function call — an array-of-unknown serializes
to an empty JSON schema, which made Gemini print the call as a `tool_code`
text block instead of invoking the tool. Validation stays lenient in
execute() via patientInputSchema. Also strengthen the system prompt: never
print tool calls/JSON or re-list record fields; keep prose to one sentence.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Two changes so off-network wallet scanning actually works:
- Force the cloudflared edge connection over http2 (TCP/443) instead of
QUIC (UDP/7844) in both the Docker tunnel and the dev-tunnel script.
QUIC is blocked on many networks/Docker setups, which left the tunnel
stuck "Failed to dial a quic connection" and the QR pointing at a dead
URL — the root cause of "must be on the same network" failures.
- Gate the discovered quick-tunnel URL on real end-to-end reachability:
poll the tunnel's own /health until it answers (Cloudflare 1033 clears
in ~30s) before publishing it, and have /pair await that discovery so
the QR never carries a not-yet-live URL.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Add `npm run docker:tunnel` (docker-compose.tunnel.yml overlay): a
cloudflared sidecar opens a public quick tunnel to the backend, and the
backend auto-discovers its https://…trycloudflare.com URL from cloudflared's
metrics endpoint (services/relay-url.ts) and bakes it into the wallet-import
QR — so a phone on any network can scan, with no install/account/PUBLIC_RELAY_URL.
PUBLIC_RELAY_URL still wins when set. Verified end-to-end: the backend logs
the discovered tunnel URL on startup.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
- Backend: nullable wallet_number on wallet_share_requests (migration 0029);
createPairingRequest + POST /api/patients/wallet/pair; applyShareResponse
binds the authenticated wallet on QR (pairing) requests
- Frontend: Import dialog gains a "Show QR" mode rendering a temetro-pair QR
(react-qr-code) the patient scans; requestWalletPairing helper; i18n keys
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
- auth: forgot-password now has Email/Username tabs; new public
/api/auth-helpers/reset-by-username resolves a username and hands off to the
existing reset flow (real email or admin-notify fallback)
- messages: conversations expose isSystem; System notices are read-only (no
composer, no call button) and styled distinctly (shield icon + badge)
- meetings: compact, larger control bar; self tile shows real initials and an
avatar (not black) when the camera is off; delete-room UI with confirm
- sidebar: username-only accounts show @username instead of a synthetic email
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Chat: history pill now shows a History icon + a Start-new-chat (SquarePen)
button; removed the duplicate chat-history list from the sidebar.
Email: deployment-wide email provider config (Resend/Postmark/SendGrid/SMTP) in
Settings → Developers, with encrypted API key and a Send-test action. sendEmail
dispatches via the chosen provider (REST via fetch; SMTP via nodemailer).
Forgot password with no provider: alert the clinic admin(s) via a "System"
message card in Messages + a bell notification (seeded system user + per-clinic
System conversation); clicking deep-links to /settings?tab=careTeam&member=<id>.
Admins can set a member's password directly from the employee dialog
(PATCH /api/staff/:id/password via Better Auth's internal context — no admin
plugin needed).
Patient Portal: "New patient" booking path registers a demographics-only patient
then books; bookings reject double-booked slots (409).
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Backend: add tasks.assignee_user_id (nullable, fk user) + migration; persist
it through create/update and surface tasks to the assigned person in listTasks.
Frontend: New Task dialog gains a three-way Assignee control
(Myself / Department / Person) with a provider picker from /api/staff/providers;
task card + detail show the assignee's name when set.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
- Live invite: ring a clinic member into a room (socket call:invite + a bell
notification); the invitee gets a toast with a Join action. Notifications of
type "meeting" deep-link to /messages/meetings?room=, which auto-joins.
- Scheduling: new scheduled_meetings table + /api/meetings/events (list mine,
create, delete); a Calendar tab on the Meetings page with a month picker
(meeting-day dots), the day's agenda, and a Schedule-meeting dialog
(title/date/time/participants).
- Redesign: rounded control bar with tooltips (mic/cam/screen/invite + separated
red Leave), speaking ring on tiles (Web Audio), and live room-occupancy counts
via call:presence broadcasts. Migration 0025.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Backend: meeting_rooms table + /api/meetings (list/create/delete, org-scoped),
and WebRTC mesh signaling over the existing authed Socket.io (call:join with a
≤4 cap and org authorization, call:signal relay, peer-joined/left, disconnect
cleanup). Migration 0024.
Frontend: Messages nav is now expandable (Inbox + Meetings); new
/messages/meetings page with a room list and a Discord-style call UI — a
useWebRtcMesh hook (camera/mic, screen share via replaceTrack, ≤4 mesh) and a
tile grid with a mic/camera/screen/leave control bar. New lib/meetings + i18n.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Retrieval tools now register a PHI-free sourceId per record/list and stream a
data-source part with the real clinician-facing title; the system prompt asks
the model to cite facts inline as [[src:id]]. The chat renders those markers as
numbered inline citation chips (PreviewCard hover) via a Streamdown link
override, with a Sources footer fallback when the model omits markers.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
In Graph mode, a natural-language request ("graph for John Smith") went
through the getPatient tool, which always emitted record cards — so the
clinician got Summary/Vitals cards instead of a graph (the mode prompt
even wrongly claimed the graph rendered automatically). Thread the
composer mode into the chat tools and have getPatient emit
data-recordGraph in graph mode (matching the client-side /patient
fast-path), with the cards kept for chat/analysis modes.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
The import preview only showed counts + skipped-row errors with no way to
fix anything. Now every parsed record is editable before import:
- backend: shared validatePatientImport() (used by the previewImport tool)
+ POST /api/ai/import/validate for dry-run re-validation; the import
preview payload now carries the original records (and the source record on
each invalid row) so the UI can edit them.
- frontend: the import card gets a "Review & edit" dialog listing every
record with a ready / needs-fixing badge; opening one reuses the full
PatientFormDialog in a new non-persisting review mode (editable file
number) and re-validates on save, so skipped rows can be fixed and
included.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Add a real file-storage layer to the backend and wire upload UI into the
frontend.
backend:
- new `attachments` table (org-scoped, links to a patient file number and
optionally a lab result) + Drizzle migration
- `/api/attachments` route: upload (multer → disk under UPLOAD_DIR),
list, stream/download, delete; gated by patient:write OR lab:write via
a new requireAnyPermission helper so lab staff can attach analyses
- UPLOAD_DIR env (default ./uploads) + a persistent docker volume
frontend:
- lib/attachments.ts client (multipart upload, list, delete, preview URL)
- staged file picker in the patient Add/Edit dialog (uploaded after save)
and the lab Add-result dialog (linked to the result)
- a Files section in the patient sheet that lists attachments and opens
them in a preview dialog (images inline, others via download)
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Add optional startDate/endDate columns to prescriptions (schema,
validation, types, service) — when set, endDate drives expiry.
Add a new append-only `dispenses` resource (schema, types, validation,
service, route at /api/dispenses) recording who received which medication,
gated on the existing inventory RBAC statement. Migration 0020.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
- new org_ai_policy table + GET/PUT /api/ai/policy (read for any member,
write owner/admin only); migration 0018
- /api/chat hard-blocks (403) when AI is off for the caller
- Settings → AI "Availability" section: enable AI, or disable for
employees only (owners/admins keep access); read-only for non-admins
- sidebar, command palette and route guard hide/redirect the AI chat
when it's disabled for the current user
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
- add a `status` field to tasks (backend schema/validation/service/types
+ frontend types), kept in sync with the legacy `done` flag
- migration 0017 adds the column and backfills done tasks to "done"
- rewrite the tasks page as a three-column board: per-column add buttons,
draggable cards, and a status mover in the detail sheet
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Chat fixes (#1/#6/#7):
- chat-input passes raw File[] up instead of inlining file text
- chat-panel sends files as FileUIPart and renders them with the
ai-elements Attachments component (no more raw text dumps)
- backend extracts text-like file content for the model in routes/chat
- Chain-of-Thought now defaults to collapsed
- file upload works regardless of whether the input has text
AI add-to-inventory (#2):
- new proposeInventory tool (validates items, streams an approval card)
- system prompt distinguishes stocking inventory vs. billing a patient
- ActionPreviewCard commits inventory via POST /api/inventory
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
real Live card, persistent chat history
Analytics & earnings:
- Analytics now carries real money computed from invoices (billed/paid/
outstanding + by-month); new Earnings section on the Analysis page drawn with
the project's Bklit chart components (shared EarningsChart).
AI agent reaches the whole clinic:
- new read tools getClinicInfo / getAnalytics / listInventory render clinic,
analytics (with a Bklit earnings chart) and inventory cards in chat
- proposeInvoice turns an uploaded purchase/medication list into an invoice
(new "invoice" action-preview kind → createInvoice); invoices/appointments
auto-create/link a patient (ensurePatient) so they hit the Patients page
Live card:
- plots real data — patients checked in today — via GET /api/analytics/live
(polled); value pill clamped and margins widened so nothing spills the card
Persistent AI chat history (Claude-style):
- ai_chat_threads + ai_chat_messages (migration 0016); per-user, org-scoped
thread CRUD under /api/chat/threads
- chat panel owns a thread id, loads /?thread=<id>, and auto-saves after each
exchange; sidebar lists past chats (open/delete), "New chat" starts fresh
Verified with backend typecheck + frontend tsc + next build.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
1. Chat input toolbar was clipped in the empty state: the form's overflow-hidden
made its flex min-height resolve to 0, so the vertically-centered layout
squeezed it and hid the bottom toolbar (attach/add-patient/model/mic/send).
Add `shrink-0` to the form; let the empty-state column scroll.
2. AI-imported appointments now create/link a patient: services.ensurePatient
reuses a same-name patient or creates one (auto file number, source "ai");
appointments.createAppointment calls it when the booking has no file number,
so imported people appear on the Patients page.
3. Many proposals collapse into one BatchActionPreviewCard → a review dialog
with per-row remove and "Add all" (commits sequentially), instead of one
Add/Discard card per record.
Plus: widen the Live chart right margin so the value pill stays inside the card.
Verified with `next build`.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Backend (new `invoice` RBAC resource, granted to clinicians + reception):
- invoices table (line items + installments as JSONB), types, zod validation,
service (CRUD + splitIntoInstallments + auto invoice numbers), org-scoped
REST routes mounted at /api/invoices, activity logging (migration 0015)
Frontend:
- lib/invoices.ts API client + money/date helpers
- /invoices page: list with KPIs and search, create/edit dialog (searchable
patient combobox, inline line-item editor, live total), detail sheet to split
a bill into equal monthly installments, delete, and Download PDF
- dependency-free PDF via a print-styled window (browser "Save as PDF")
- sidebar "Invoices" entry under the Patients group; "Added by AI" badge honored
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Stop blocking AI imports/proposals on missing non-critical fields. Records
the chat agent drafts now save with safe placeholders, auto-generated file
numbers, and a source="ai" marker that surfaces an "Added by AI" badge so a
clinician can review/edit them later.
Backend:
- add `source` (manual|ai) column to patients/appointments/prescriptions
(migration 0014) + canonical types, services, validation schemas
- relax patient/appointment validation: empty file number allowed, demographic
+ type/provider/initials fall back to placeholders (initials derived from name)
- patients.generateFileNumber() auto-assigns an MRN when one is missing
- proposeAppointment accepts a name when no file number resolves; AI commits +
/api/ai/import stamp source="ai"
Frontend:
- `source` on Appointment/Patient/Prescription types; AI commits send source="ai"
- reusable <AiBadge> shown on the Patients table/detail and prescriptions list
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Make the chat feel alive and let the agent act on the clinic — safely.
UX (frontend):
- Stream `data-step` parts from each tool into an inline Chain-of-Thought
trace, plus a "Thinking…" shimmer while a request is in flight (works even
on the non-streamed external+Veil path).
- Replace the modal Veil consent Dialog with an inline, once-per-session
"Veil" confirmation above the input (with a "Use local model" option).
- Render new list + action-preview cards; chat-input now uses COSS tokens.
Agent (backend):
- Add display tools (listAppointments / listTasks / listPrescriptions) and
propose tools (proposeAppointment / proposeTask / proposePrescription) that
validate as a dry run and stream an approval card — nothing is written until
the clinician approves, via the existing RBAC-gated create endpoints.
- previewImport now also covers single-patient add + migration.
- System prompt: display + add only, never edit/delete or alter the schema;
stronger migration guidance. ToolContext carries the viewer for task scoping.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
The chat defaulted to a Claude model, so a user who saved only a Gemini key got
a silent failure (backend derived Anthropic, found no key, errored — and the UI
showed nothing).
- Backend: resolveModel now falls back to whichever provider actually has a key
(preferring the configured one), so a Gemini key just works regardless of the
picked model. Clear 400 if no provider is configured at all.
- Frontend: the chat seeds its model/effort from the saved AI config, and now
surfaces request failures as both a persistent alert banner and a toast —
never silent.
- Settings: switching provider auto-selects that provider's default model.
- Refreshed the model catalog to current ids (Gemini 2.5 Pro/Flash + 2.0 Flash;
dropped the retired gemini-1.5-pro); per-provider default model updated.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Real LLM chat replacing the mock, backend-centric per the plan:
- Multi-provider API-key mode (OpenAI / Anthropic / Gemini via the AI SDK) plus
local Ollama (OpenAI-compatible endpoint). Provider is derived from the
picked model id; the matching stored key is used. New user_ai_settings table
holds per-user config with provider API keys encrypted at rest (AES-256-GCM,
src/lib/crypto.ts, keyed by AI_CREDENTIALS_KEY).
- POST /api/ai/config (get/put, secrets never returned), POST /api/ai/test
(Ollama ping / key presence), POST /api/ai/import (approved migration commit,
re-validated server-side, reuses the audited patient service).
- POST /api/chat: streamText agent with tools (getPatient, getPatientLabs,
searchPatients, previewImport). Real record data streams to the clinician as
custom data parts (cards) while the model sees only Veil-redacted results.
- Veil (src/services/ai/veil.ts): de-identifies patient identifiers to tokens
before external calls, resolves tokens on tool args, and rehydrates the final
answer. Bypassed for local Ollama. External mode runs non-streamed so the
rehydrated text is correct. Every call is audited (provider + Veil level).
- Shared role-scoping helpers extracted to src/lib/role-scope.ts (reused by the
patient routes and chat tools so visibility rules match).
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Add an `inventory` resource mirroring the prescriptions feature end-to-end:
Drizzle table (org-scoped, indexed), domain type, zod validation, service
(list/get/create/update/delete), and an RBAC-gated CRUD router mounted at
/api/inventory. Grant the new `inventory` statement to roles — pharmacy gets
read/write, full clinicians read/write/delete, reception/lab none — in both the
backend access control and (mirrored) the frontend. Record writes in the
activity log via a new `inventory` entity type. Includes the migration and an
idempotent demo seed script.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Count messages from others newer than the caller's read pointer alongside the
existing last-message lookup, expose it as unreadCount on
ConversationSummary, and derive the unread boolean from it.
Co-Authored-By: Claude Fable 5 <noreply@anthropic.com>
Lab staff hold lab:write but not patient:write, so they can't go through the
wholesale PUT update. The new endpoint appends lab rows (positions continue
after the current max), bumps updatedAt, records activity and notifies the
clinic — without touching the rest of the record.
Co-Authored-By: Claude Fable 5 <noreply@anthropic.com>
- Add patients.primary_provider_id (FK to user) + migration; persist it through
create/update and surface it on the Patient shape.
- Scope patient list/get for the `doctor` role to their own panel (with a
createdBy fallback for legacy rows); admin/owner/member/reception/viewer keep
seeing every patient.
- Add POST /api/patients/:fileNumber/transfer to reassign a chart (updates the
provider link + PCP label, records activity, notifies the clinic).
- Add GET /api/staff/providers (any member) listing clinical-capable members for
the PCP picker and transfer dialog.
- Scope the activity feed: non-admins see only their own actions; owners/admins
see the whole clinic.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
- Hide "Create clinic" (sidebar footer) for non-admins; only owner/admin can
spin up additional clinics. Onboarding for brand-new users is unaffected.
- Analysis: drop the bar charts; show line charts (Sparkline) inside KPI cards
that open a detail dialog with the full chart + per-point breakdown.
- Add Team Member: validate the username client-side (no spaces; letters,
numbers, dots, underscores) with a clear warning + field hint.
- Tasks: New Task now has an Assignee selector (Myself / Other → department).
Tasks are visible to the department they're assigned to (or the creator), and
show who created them. Backend adds assignee_role + created_by_name with
visibility filtering in listTasks; owners/admins see all.
- Care team: removing a member now asks for confirmation first (dialog) and
surfaces success/failure + refreshes.
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
Khalid Abdi