✦ Synalux for VS Code
The High-Performance Clinical Development & Practice Automation Extension
Synalux integrates comprehensive practice management and clinical reasoning directly into the IDE. It is the first VS Code extension engineered for high-compliance healthcare environments (ABA, mental health, pediatrics), combining advanced developer tools with on-device clinical intelligence.
🏗️ Core Architecture & Capabilities
🏥 1. Unified Clinical Workspace
Maintain operational continuity by accessing your primary practice database within the development environment.
- Direct Database Orchestration: Perform secure, role-scoped queries against Supabase for patient records, treatment plans, and clinical data.
- Operational Management: Monitor daily schedules, clinical TODOs, and project health metrics via the integrated sidebar.
- Automated Clinical Drafting: Generate structured SOAP notes and BIP drafts using local WASM-based Whisper transcription (
Cmd+Shift+H).
🛡️ 2. Zero-Cloud HIPAA Enforcement
Synalux prioritizes a Local-First security model to ensure Protected Health Information (PHI) remains isolated on the local machine.
- On-Device Computer Vision: Multimodal analysis (LLaVA) for screenshots and clinical imagery is executed locally, bypassing cloud API transit.
- Ollama Integration: Support for high-parameter models (32B/70B) for offline clinical reasoning and decision support.
- Fail-Closed Privacy Architecture: Cloud-based processing is disabled by default, requiring explicit provider authorization.
⚡ 3. O(1) Cognitive Memory (Zero-Search Retrieval)
Utilizing the Prism MCP engine, Synalux maintains a mathematically direct "Mind Palace" of development and clinical context.
- Constant-Time Recall: Structured project facts and clinical history are recovered instantly using Holographic Reduced Representations (HRR), regardless of memory size.
- Contextual Awareness: The assistant maintains active awareness of open editors, file structures, and currently selected patient context.
🔬 4. Deep Research Intelligence (v11.0 Elite)
The v11.0 engine introduces a multi-provider discovery pipeline that transforms the assistant into a clinical scientist.
- Parallel Academic Discovery: Ground reasoning in real-time data from PubMed, ERIC, and Semantic Scholar.
- Evidence-Based Reasoning: Gemini 2.5 Flash logic is filtered through a database of 200M+ academic papers to provide empirical clinical warnings.
- Benchmarking Precision: Move beyond generic templates to data-driven insights (e.g., specific risk percentages for behavioral interventions).
🖥️ IDE Panels (v0.15.0+)
Synalux ships 4 specialized webview panels accessible via the Command Palette (Cmd+Shift+P):
🎨 Drag-and-Drop Builder (synalux.openBuilder)
A WYSIWYG page builder with 11 configurable sections for rapid prototyping:
- Hero, Features, Testimonials, Pricing, FAQ, Contact, Stats, Team, Blog, CTA, Footer
- Drag sections to reorder, expand/collapse for editing
- Live preview with responsive layout
- Export to HTML/React components
🔐 Auth & Database Panel (synalux.openAuthDB)
Full-stack auth + database management without leaving the IDE:
- 6 Auth Providers: Email/Password, Google, GitHub, Apple, SAML SSO, Magic Link
- Table CRUD: Create/edit tables with column types, constraints, and relationships
- Row-Level Security (RLS): Visual policy builder with role templates
- Storage Manager: Bucket creation, file upload, access policies
- SQL Editor: Execute raw queries with syntax highlighting and result tables
📦 DevContainer Panel (synalux.openDevContainer)
Cloud development environment lifecycle manager:
- 8 Base Images: Node 20, Python 3.12, Go 1.22, Rust 1.77, .NET 8, Java 21, PHP 8.3, Ruby 3.3
- Resource Sliders: CPU cores (1-8), RAM (512MB-16GB), Disk (1-50GB)
- State Indicators: Running (green), Stopped (yellow), Error (red)
- One-click actions: Start, Stop, Rebuild, SSH Connect, Open Terminal
💬 Customer Board (synalux.openCustomerBoard)
HIPAA-compliant community discussion board:
- Categories: Bug Reports, Feature Requests, General, Announcements
- 12-Pattern PHI Detection: Automatic flagging of SSN, MRN, DOB, phone numbers, email addresses, and 7 additional PHI patterns before submission
- Role-based threading with admin moderation tools
- Markdown support with code blocks and emoji reactions
| Category |
Capabilities |
| Clinical |
list_patients, manage_session_note, list_appointments, generate_report |
| Workspace |
read_file, list_files, search_files, get_open_editors |
| Shell & Git |
run_command, git_status, git_commit, git_push |
| Testing |
vitest, deps_scanner, security_audit |
| Media |
image_gen, tts, voice_input, ocr |
| IDE Panels |
openBuilder, openAuthDB, openDevContainer, openCustomerBoard |
| Compliance |
Integrated BoldSign & DocuSign templates for intake and BIP signing |
🚀 Deployment
- Installation: Search for
Synalux in the VS Code Extensions Marketplace.
- Authentication:
Cmd+Shift+P → Synalux: Sign In with Google. This synchronizes with your existing synalux.ai profile.
- Initialization:
Cmd+Shift+P → Synalux: Open Chat.
- Air-Gapped Mode: Configure Ollama for 100% on-device clinical reasoning.
🔧 Technical Specification (Admins & Engineers)
🧠 Prism Memory Engine
Synalux leverages Prism MCP to maintain a persistent, traversable graph of development history and architectural decisions.
🛡️ Role-Based Access Control (RBAC)
The system enforces 9 distinct clinical and administrative roles. Tool permissions are fail-closed; lack of verified role authorization results in immediate tool deactivation.
📊 Model Tiers & Routing
| Tier |
Models Included |
Access Level |
| Free |
Local Ollama, Gemini 2.5 Flash |
Standard Clinical Tools |
| Pro |
+ Claude 3.5 Sonnet, Gemini 1.5 Pro |
Advanced Research Pipeline |
| Enterprise |
+ Deep Reasoning (o3/R1), Full Audits |
Custom Compliance Controls |
License
MIT / BSL-1.1
© 2024–2026 Dmitri Costenco. All rights reserved.
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