Files
temetro/backend/src/services/ai/transcribe.ts
T
Khalid Abdi b29fdff1cb 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>
2026-07-03 18:33:30 +03:00

133 lines
4.0 KiB
TypeScript

import { HttpError } from "../../lib/http-error.js";
import type { userAiSettings } from "../../db/schema/ai.js";
import { getApiKey } from "./config.js";
type AiSettingsRow = typeof userAiSettings.$inferSelect;
export type AudioInput = {
buffer: Buffer;
mimeType: string;
filename: string;
};
// Which transcription backend a user's AI settings can reach. Anthropic has no
// speech-to-text API, so an Anthropic-only user must paste a transcript instead.
export type TranscribeProvider = "openai" | "gemini";
export function transcribeProviderFor(
settings: AiSettingsRow,
): TranscribeProvider | null {
if (getApiKey(settings, "openai")) return "openai";
if (getApiKey(settings, "gemini")) return "gemini";
return null;
}
const OPENAI_MODEL = "whisper-1";
const GEMINI_MODEL = "gemini-2.5-flash";
const TRANSCRIBE_PROMPT =
"Transcribe this clinical visit recording verbatim. Return only the spoken words as plain text, with no commentary, headings, or timestamps.";
async function transcribeWithOpenAI(
apiKey: string,
audio: AudioInput,
): Promise<string> {
const form = new FormData();
form.append(
"file",
new Blob([new Uint8Array(audio.buffer)], { type: audio.mimeType }),
audio.filename,
);
form.append("model", OPENAI_MODEL);
form.append("response_format", "json");
const res = await fetch("https://api.openai.com/v1/audio/transcriptions", {
method: "POST",
headers: { Authorization: `Bearer ${apiKey}` },
body: form,
});
if (!res.ok) {
const detail = await res.text().catch(() => "");
throw new HttpError(
502,
`Transcription failed (OpenAI ${res.status}). ${detail.slice(0, 300)}`,
);
}
const json = (await res.json()) as { text?: string };
return (json.text ?? "").trim();
}
async function transcribeWithGemini(
apiKey: string,
audio: AudioInput,
): Promise<string> {
const url = `https://generativelanguage.googleapis.com/v1beta/models/${GEMINI_MODEL}:generateContent?key=${encodeURIComponent(
apiKey,
)}`;
const res = await fetch(url, {
method: "POST",
headers: { "Content-Type": "application/json" },
body: JSON.stringify({
contents: [
{
parts: [
{
inline_data: {
mime_type: audio.mimeType,
data: audio.buffer.toString("base64"),
},
},
{ text: TRANSCRIBE_PROMPT },
],
},
],
}),
});
if (!res.ok) {
const detail = await res.text().catch(() => "");
throw new HttpError(
502,
`Transcription failed (Gemini ${res.status}). ${detail.slice(0, 300)}`,
);
}
const json = (await res.json()) as {
candidates?: { content?: { parts?: { text?: string }[] } }[];
};
const text =
json.candidates?.[0]?.content?.parts
?.map((p) => p.text ?? "")
.join("")
.trim() ?? "";
return text;
}
// Send an audio recording to the user's transcription provider and return the
// 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
// the clinic when an external provider is used (only the DRAFTING step is
// Veil-protected). Throws a 400 when no speech-capable provider is configured.
export async function transcribeAudio(
settings: AiSettingsRow,
audio: AudioInput,
): Promise<{ transcript: string; provider: TranscribeProvider }> {
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.",
);
}
const apiKey = getApiKey(settings, provider)!;
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 };
}