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backlog #3

@CapuchaRojo

Description

@CapuchaRojo

🟡 MEDIUM SEVERITY / MEDIUM EFFORT

# File Issue Why It Matters Fix Approach
11 api/src/routes/callbacks.ts Race condition in pending check - Two concurrent requests can bypass status check Double-processing of callbacks Add status: 'pending' to update where clause or use Prisma transaction
12 api/tests/callbacks.ai.test.ts:28 Test sends PHI - Creates patient with real phone number "+15555550999" Test data pollution, potential phone spam Use test-dedicated phone prefix like +15551234TEST
13 api/src/routes/voice.ts:113-115 No rate limiting on voice webhooks - Twilio endpoints exposed without rate limit Voice API abuse possible Add apiLimiter to voice routes
14 web/src/pages/Dashboard.tsx:57 Polling vs real-time - 15-second polling interval causes UI lag Poor UX, unnecessary API load Replace with Server-Sent Events (SSE) or WebSocket for live updates
15 api/src/services/appointments.ts Exported but unused - Contains business logic not imported anywhere Dead code, maintenance burden Either integrate into routes or remove

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