Fix PermissionError with robust directory creation fallback

api/routes/messaging.py

@@ -795,14 +795,25 @@ async def upload_file(
         )
     
     # Create uploads directory if it doesn't exist
-    try:
-        upload_dir = Path("uploads")
-        upload_dir.mkdir(exist_ok=True)
-    except PermissionError:
-        # In containerized environments, use temp directory
-        import tempfile
-        upload_dir = Path(tempfile.gettempdir()) / "uploads"
-        upload_dir.mkdir(exist_ok=True)
+    def get_upload_dir():
+        default_dir = Path("uploads")
+        try:
+            default_dir.mkdir(exist_ok=True)
+            return default_dir
+        except (PermissionError, OSError):
+            # In containerized environments, use temp directory
+            import tempfile
+            temp_dir = Path(tempfile.gettempdir()) / "uploads"
+            try:
+                temp_dir.mkdir(exist_ok=True)
+                return temp_dir
+            except (PermissionError, OSError):
+                # Last resort: use current directory
+                current_dir = Path.cwd() / "uploads"
+                current_dir.mkdir(exist_ok=True)
+                return current_dir
+    
+    upload_dir = get_upload_dir()
     
     # Create category subdirectory
     category_dir = upload_dir / file_category

api/routes/patients.py

@@ -34,15 +34,27 @@ router = APIRouter()
 
 # Configuration
 BASE_DIR = Path(__file__).resolve().parent.parent.parent
-SYNTHEA_DATA_DIR = BASE_DIR / "output" / "fhir"
-try:
-    os.makedirs(SYNTHEA_DATA_DIR, exist_ok=True)
-except PermissionError:
-    # In containerized environments, we might not have write permissions
-    # Use a temporary directory instead
-    import tempfile
-    SYNTHEA_DATA_DIR = Path(tempfile.gettempdir()) / "fhir"
-    os.makedirs(SYNTHEA_DATA_DIR, exist_ok=True)
+
+# Try to create the default directory, fallback to temp if permission denied
+def get_synthea_data_dir():
+    default_dir = BASE_DIR / "output" / "fhir"
+    try:
+        os.makedirs(default_dir, exist_ok=True)
+        return default_dir
+    except (PermissionError, OSError):
+        # In containerized environments, use temp directory
+        import tempfile
+        temp_dir = Path(tempfile.gettempdir()) / "fhir"
+        try:
+            os.makedirs(temp_dir, exist_ok=True)
+            return temp_dir
+        except (PermissionError, OSError):
+            # Last resort: use current directory
+            current_dir = Path.cwd() / "fhir"
+            os.makedirs(current_dir, exist_ok=True)
+            return current_dir
+
+SYNTHEA_DATA_DIR = get_synthea_data_dir()
 
 # Pydantic models for update validation
 class ConditionUpdate(BaseModel):