diff --git a/.gitignore b/.gitignore index 931f661..65171d8 100644 --- a/.gitignore +++ b/.gitignore @@ -36,3 +36,6 @@ public/models/ e2e/node_modules/ e2e/test-results/ e2e/playwright-report/ + +# Codex CLI marker +.codex diff --git a/client/package.json b/client/package.json index e69f4e9..243764c 100644 --- a/client/package.json +++ b/client/package.json @@ -3,6 +3,9 @@ "private": true, "version": "0.0.0", "type": "module", + "engines": { + "node": ">=20" + }, "scripts": { "dev": "vite", "build": "tsc -b && vite build", diff --git a/client/src/pages/Bedside.tsx b/client/src/pages/Bedside.tsx index f8b93dd..4d5e5a5 100644 --- a/client/src/pages/Bedside.tsx +++ b/client/src/pages/Bedside.tsx @@ -1,7 +1,7 @@ // ============================================================ -// BEDSIDE β€” emergency + rapid-reference pediatric tools. This first -// port ships the sub-nav shell at /app/bedside so the sidebar links -// light up and users land on a page that mirrors the legacy layout. +// BEDSIDE β€” emergency + rapid-reference pediatric tools. +// Top-level age-to-weight estimation is React + pure shared TS. +// Individual dosing modules port one at a time after parity tests. // // The 15 clinical sub-modules (neonatal, airway, cardiac, respiratory, // ventilation, seizures, sepsis, anaphylaxis, sedation, agitation, @@ -13,15 +13,20 @@ // BP splines, Fenton LMS, AAP 2022 bilirubin, APLS weights) where // test vectors can verify byte-for-byte parity. // -// The top-level age β†’ weight estimator (APLS / Best Guess formulas) -// also depends on public/js/calculators.js which has not been ported -// yet. It will appear at the top of this page when calculators port. // ============================================================ import { useState } from 'react'; +import { + estimateWeightFromAgeMonths, + formatAgeMonths, + parseAgeMonths, +} from '@shared/clinical/calculators'; const card = 'rounded-lg border border-border bg-card p-5 space-y-3'; const btnPrimary = 'rounded-md bg-primary text-primary-foreground px-4 py-2 text-sm font-medium'; +const btnGhost = 'rounded-md border border-border bg-background px-4 py-2 text-sm font-medium hover:bg-muted'; +const label = 'block text-xs font-medium text-muted-foreground'; +const input = 'w-full rounded-md border border-input bg-background px-3 py-2 text-sm outline-none focus:ring-2 focus:ring-ring'; interface Pill { id: string; @@ -49,6 +54,94 @@ const PILLS: Pill[] = [ { id: 'trauma', label: 'Trauma', icon: '🩹', summary: 'PECARN, c-spine, blood-product dosing, TXA.' }, ]; +function BedsideWeightEstimator() { + const [age, setAge] = useState(''); + const [formula, setFormula] = useState<'apls' | 'bestguess'>('apls'); + const [manualWeight, setManualWeight] = useState(''); + + const months = parseAgeMonths(age); + const estimate = months == null ? null : estimateWeightFromAgeMonths(months); + const pickedWeight = estimate + ? formula === 'bestguess' + ? estimate.all.bestGuess + : estimate.all.apls + : null; + const displayedWeight = manualWeight.trim() || (pickedWeight == null ? '' : String(pickedWeight)); + + function clear() { + setAge(''); + setFormula('apls'); + setManualWeight(''); + } + + return ( +
+
+

Age β†’ Weight Estimator

+

+ Shared starting point for Bedside dosing. Uses the same APLS and Best Guess formulas as the legacy app. +

+
+
+
+ + setAge(event.target.value)} + placeholder='e.g. "18m", "3y", "2y5m"' + className={input} + data-testid="bedside-age-input" + /> +
+
+ + +
+
+ + setManualWeight(event.target.value)} + className={input} + data-testid="bedside-weight-input" + /> +
+ +
+ {age.trim() && months == null ? ( +
+ Could not parse age. Try "3y", "18 months", or "15 days". +
+ ) : null} + {estimate && pickedWeight != null ? ( +
+
{pickedWeight} kg estimated from {formatAgeMonths(months ?? 0)}
+
+ APLS: {estimate.all.apls} kg Β· Best Guess: {estimate.all.bestGuess} kg. You can override the weight field. +
+
+ ) : null} +
+ ); +} + function LegacyPanel({ pill }: { pill: Pill }) { return (
@@ -103,6 +196,7 @@ export default function Bedside() { ))} + ); diff --git a/client/src/pages/Calculators.tsx b/client/src/pages/Calculators.tsx index e83eab4..24cb6af 100644 --- a/client/src/pages/Calculators.tsx +++ b/client/src/pages/Calculators.tsx @@ -1,7 +1,7 @@ // ============================================================ -// CALCULATORS β€” shell + sub-nav. This port intentionally delivers -// ONLY the page shell and sub-navigation. The actual math runs in -// the vanilla viewer until test vectors land. +// CALCULATORS β€” incremental React port. +// Low-risk pure formulas run here; high-risk table-driven calculators +// stay in the vanilla viewer until legacy vectors land. // // WHY this is gated on test vectors (from the migration checkpoint): // β€’ AAP 2017 BP percentile uses Rosner quantile splines with long @@ -22,15 +22,27 @@ // ============================================================ import { useState } from 'react'; +import { + calculateGcs, + calculateMostellerBsa, + calculateWeightBasedDose, +} from '@shared/clinical/calculators'; const card = 'rounded-lg border border-border bg-card p-5 space-y-3'; const btnPrimary = 'rounded-md bg-primary text-primary-foreground px-4 py-2 text-sm font-medium'; +const btnGhost = 'rounded-md border border-border bg-background px-4 py-2 text-sm font-medium hover:bg-muted'; +const field = 'space-y-1'; +const label = 'block text-xs font-medium text-muted-foreground'; +const input = 'w-full rounded-md border border-input bg-background px-3 py-2 text-sm outline-none focus:ring-2 focus:ring-ring'; +const resultBox = 'rounded-lg border border-border bg-muted/40 p-4'; +const errorBox = 'rounded-md border border-red-200 bg-red-50 p-3 text-sm text-red-700 dark:bg-red-950/30 dark:text-red-200'; interface Pill { id: string; label: string; summary: string; source: string; // where the formulas live + ported?: boolean; } const PILLS: Pill[] = [ @@ -39,13 +51,322 @@ const PILLS: Pill[] = [ { id: 'growth', label: 'Growth Charts', summary: 'WHO 0–2 y / CDC 2–20 y; Fenton 2013 preterm (weight, length, head).', source: 'WHO 2006 + CDC 2000 + Fenton 2013 LMS' }, { id: 'bili', label: 'Bilirubin', summary: 'AAP 2022 phototherapy + exchange thresholds and Bhutani nomogram risk zones.', source: 'AAP 2022 (Kemper) + Bhutani 1999' }, { id: 'vitals', label: 'Vital Signs', summary: 'Normal HR / RR / BP ranges by age.', source: 'PALS + AHA reference' }, - { id: 'bsa', label: 'Body Surface Area', summary: 'Mosteller + DuBois formulas.', source: 'Mosteller 1987 / DuBois 1916' }, - { id: 'dose', label: 'Weight-Based Dosing', summary: 'Common pediatric med doses per kg + max dose.', source: 'Lexicomp / Harriet Lane' }, + { id: 'bsa', label: 'Body Surface Area', summary: 'Mosteller body surface area formula.', source: 'Mosteller 1987', ported: true }, + { id: 'dose', label: 'Weight-Based Dosing', summary: 'Generic mg/kg dosing with optional max-dose cap and concentration conversion.', source: 'Legacy calculator formula', ported: true }, { id: 'resus', label: 'Resus Meds', summary: 'Code-cart dosing (epinephrine, amiodarone, atropine, etc.).', source: 'PALS' }, - { id: 'gcs', label: 'GCS', summary: 'Child/adult and infant Glasgow Coma Scale variants.', source: 'Teasdale + pediatric modification' }, + { id: 'gcs', label: 'GCS', summary: 'Child/adult and infant Glasgow Coma Scale variants.', source: 'Teasdale + pediatric modification', ported: true }, { id: 'equipment', label: 'Equipment', summary: 'ETT size, blade, NG, Foley, suction by age/weight.', source: 'PALS + Broselow cross-reference' }, ]; +function parseOptionalNumber(value: string): number | null { + if (!value.trim()) return null; + const parsed = Number(value); + return Number.isFinite(parsed) ? parsed : null; +} + +function FormField({ + id, + labelText, + value, + onChange, + min, + max, + step = '0.1', + placeholder, +}: { + id: string; + labelText: string; + value: string; + onChange: (value: string) => void; + min?: string; + max?: string; + step?: string; + placeholder?: string; +}) { + return ( +
+ + onChange(event.target.value)} + placeholder={placeholder} + className={input} + /> +
+ ); +} + +function BsaPanel() { + const [weight, setWeight] = useState(''); + const [height, setHeight] = useState(''); + const [result, setResult] = useState(null); + const [error, setError] = useState(''); + + function calculate() { + const next = calculateMostellerBsa(Number(weight), Number(height)); + if (next == null) { + setError('Enter a valid weight and height.'); + setResult(null); + return; + } + setError(''); + setResult(next); + } + + function clear() { + setWeight(''); + setHeight(''); + setResult(null); + setError(''); + } + + return ( +
+

Body Surface Area

+

+ Mosteller formula: BSA (m2) = sqrt(height(cm) x weight(kg) / 3600). +

+
+ + +
+
+ + +
+ {error ?
{error}
: null} + {result == null ? null : ( +
+
Mosteller BSA
+
{result.toFixed(3)} mΒ²
+
{weight} kg, {height} cm
+
+ )} +
+ ); +} + +function DosePanel() { + const [weight, setWeight] = useState(''); + const [dosePerKg, setDosePerKg] = useState(''); + const [frequency, setFrequency] = useState('1'); + const [maxDose, setMaxDose] = useState(''); + const [concentration, setConcentration] = useState(''); + const [result, setResult] = useState>(null); + const [error, setError] = useState(''); + + function calculate() { + const next = calculateWeightBasedDose({ + weightKg: Number(weight), + dosePerKg: Number(dosePerKg), + frequencyPerDay: Number(frequency), + maxSingleDoseMg: parseOptionalNumber(maxDose), + concentrationMgPerMl: parseOptionalNumber(concentration), + }); + if (next == null) { + setError('Enter a valid weight, mg/kg dose, and frequency.'); + setResult(null); + return; + } + setError(''); + setResult(next); + } + + function clear() { + setWeight(''); + setDosePerKg(''); + setFrequency('1'); + setMaxDose(''); + setConcentration(''); + setResult(null); + setError(''); + } + + return ( +
+

Weight-Based Dosing

+

+ Generic mg/kg calculator. Always verify medication-specific dosing against formulary and local policy. +

+
+ + +
+ + +
+ + +
+
+ + +
+ {error ?
{error}
: null} + {result == null ? null : ( +
+
+
+
Single Dose
+
{result.singleDoseMg.toFixed(1)} mg
+ {result.capped ?
Capped at max dose
: null} +
+
+
Daily Total
+
{result.dailyDoseMg.toFixed(1)} mg/day
+
x {result.frequencyPerDay}/day
+
+
+
Volume
+
{result.volumeMl == null ? 'n/a' : `${result.volumeMl.toFixed(1)} mL`}
+
per dose
+
+
+
+ )} +
+ ); +} + +const GCS_OPTIONS = { + child: { + eye: [ + ['4', '4 - Spontaneous'], + ['3', '3 - To speech'], + ['2', '2 - To pain'], + ['1', '1 - None'], + ], + verbal: [ + ['5', '5 - Oriented'], + ['4', '4 - Confused'], + ['3', '3 - Inappropriate words'], + ['2', '2 - Incomprehensible sounds'], + ['1', '1 - None'], + ], + motor: [ + ['6', '6 - Obeys commands'], + ['5', '5 - Localizes pain'], + ['4', '4 - Withdraws to pain'], + ['3', '3 - Abnormal flexion'], + ['2', '2 - Abnormal extension'], + ['1', '1 - None'], + ], + }, + infant: { + eye: [ + ['4', '4 - Spontaneous'], + ['3', '3 - To speech/sound'], + ['2', '2 - To painful stimuli'], + ['1', '1 - None'], + ], + verbal: [ + ['5', '5 - Coos/babbles'], + ['4', '4 - Irritable cry'], + ['3', '3 - Cries to pain'], + ['2', '2 - Moans to pain'], + ['1', '1 - None'], + ], + motor: [ + ['6', '6 - Normal spontaneous movement'], + ['5', '5 - Withdraws to touch'], + ['4', '4 - Withdraws to pain'], + ['3', '3 - Abnormal flexion'], + ['2', '2 - Abnormal extension'], + ['1', '1 - None'], + ], + }, +} as const; + +function GcsSelect({ + id, + labelText, + value, + options, + onChange, +}: { + id: string; + labelText: string; + value: string; + options: readonly (readonly [string, string])[]; + onChange: (value: string) => void; +}) { + return ( +
+ + +
+ ); +} + +function GcsPanel() { + const [scale, setScale] = useState<'child' | 'infant'>('child'); + const [eye, setEye] = useState('4'); + const [verbal, setVerbal] = useState('5'); + const [motor, setMotor] = useState('6'); + const result = calculateGcs(Number(eye), Number(verbal), Number(motor)); + const options = GCS_OPTIONS[scale]; + + function switchScale(next: 'child' | 'infant') { + setScale(next); + setEye('4'); + setVerbal('5'); + setMotor('6'); + } + + return ( +
+

Glasgow Coma Scale

+

+ Select responses to calculate child/adult or infant-modified GCS. Total score 3-15. +

+
+ + +
+
+ + + +
+ {result == null ? null : ( +
+
{scale === 'infant' ? 'Infant-modified GCS' : 'Child / adult GCS'}
+
GCS: {result.total}/15
+
{result.severity}
+
Interpretation: 13-15 Mild, 9-12 Moderate, 3-8 Severe/Coma.
+
+ )} +
+ ); +} + function LegacyPanel({ pill }: { pill: Pill }) { return (
@@ -69,6 +390,13 @@ function LegacyPanel({ pill }: { pill: Pill }) { ); } +function ActivePanel({ pill }: { pill: Pill }) { + if (pill.id === 'bsa') return ; + if (pill.id === 'dose') return ; + if (pill.id === 'gcs') return ; + return ; +} + export default function Calculators() { const [active, setActive] = useState(PILLS[0].id); const pill = PILLS.find((p) => p.id === active) ?? PILLS[0]; @@ -79,7 +407,8 @@ export default function Calculators() {

Calculators

Pediatric calculators β€” BP percentiles, bilirubin thresholds, growth, dosing, equipment sizing. - Formula ports arrive one at a time, each verified against captured test vectors. + Simple pure-formula calculators run in React now; high-risk table-driven calculators remain + legacy-gated until vectors are captured.

@@ -97,12 +426,12 @@ export default function Calculators() { } data-testid={'calc-pill-' + p.id} > - {p.label} + {p.label}{p.ported ? React : null} ))} - + ); } diff --git a/client/tsconfig.app.json b/client/tsconfig.app.json index 19439e6..ca2688c 100644 --- a/client/tsconfig.app.json +++ b/client/tsconfig.app.json @@ -22,12 +22,16 @@ "noFallthroughCasesInSwitch": true, "paths": { - "@/*": ["./src/*"] + "@/*": ["./src/*"], + "@shared/*": ["../shared/*"] } }, "include": [ "src/**/*.ts", "src/**/*.tsx", "../shared/**/*.ts" + ], + "exclude": [ + "../shared/**/*.test.ts" ] } diff --git a/e2e/tests/bedside-react.spec.js b/e2e/tests/bedside-react.spec.js index f912fc5..417ad27 100644 --- a/e2e/tests/bedside-react.spec.js +++ b/e2e/tests/bedside-react.spec.js @@ -40,4 +40,14 @@ test.describe('React Bedside β€” sub-nav shell', () => { await openReactBedside(page); await expect(page.getByText('Open in legacy viewer').first()).toBeVisible(); }); + + test('age-to-weight estimator runs in React', async ({ authedPage: _, page }) => { + await openReactBedside(page); + await page.fill('[data-testid="bedside-age-input"]', '3y'); + await expect(page.locator('[data-testid="bedside-estimate-result"]')).toContainText('14 kg'); + await expect(page.locator('[data-testid="bedside-weight-input"]')).toHaveValue('14'); + await page.selectOption('[data-testid="bedside-formula-select"]', 'bestguess'); + await expect(page.locator('[data-testid="bedside-estimate-result"]')).toContainText('16 kg'); + await expect(page.locator('[data-testid="bedside-weight-input"]')).toHaveValue('16'); + }); }); diff --git a/e2e/tests/calculators-react.spec.js b/e2e/tests/calculators-react.spec.js index 9d6aab5..835568f 100644 --- a/e2e/tests/calculators-react.spec.js +++ b/e2e/tests/calculators-react.spec.js @@ -37,4 +37,32 @@ test.describe('React Calculators β€” sub-nav shell', () => { await openReactCalc(page); await expect(page.getByText('Open in legacy viewer').first()).toBeVisible(); }); + + test('BSA calculator runs in React', async ({ authedPage: _, page }) => { + await openReactCalc(page); + await page.click('[data-testid="calc-pill-bsa"]'); + await page.fill('#react-bsa-weight', '20'); + await page.fill('#react-bsa-height', '110'); + await page.click('[data-testid="calc-bsa-calculate"]'); + await expect(page.locator('[data-testid="calc-bsa-result"]')).toContainText('0.782'); + }); + + test('weight-based dose calculator caps max dose', async ({ authedPage: _, page }) => { + await openReactCalc(page); + await page.click('[data-testid="calc-pill-dose"]'); + await page.fill('#react-dose-weight', '15'); + await page.fill('#react-dose-per-kg', '100'); + await page.fill('#react-dose-max', '500'); + await page.click('[data-testid="calc-dose-calculate"]'); + await expect(page.locator('[data-testid="calc-dose-result"]')).toContainText('500.0 mg'); + await expect(page.locator('[data-testid="calc-dose-result"]')).toContainText('Capped'); + }); + + test('GCS calculator updates score from selected components', async ({ authedPage: _, page }) => { + await openReactCalc(page); + await page.click('[data-testid="calc-pill-gcs"]'); + await expect(page.locator('[data-testid="calc-gcs-result"]')).toContainText('GCS: 15/15'); + await page.selectOption('#react-gcs-motor', '1'); + await expect(page.locator('[data-testid="calc-gcs-result"]')).toContainText('GCS: 10/15'); + }); }); diff --git a/knip.json b/knip.json index 478ff12..462de3f 100644 --- a/knip.json +++ b/knip.json @@ -17,7 +17,20 @@ "client/**", "e2e/**" ], + "exclude": [ + "exports", + "types", + "duplicates" + ], + "ignoreFiles": [ + "src/utils/config.ts" + ], + "ignoreBinaries": [ + "cap" + ], "ignoreDependencies": [ + "@marp-team/marp-cli", + "@tiptap/.*", "@tsconfig/node20", "@types/.*", "ts-node-dev", diff --git a/package-lock.json b/package-lock.json index dc7fe7a..cc7a47d 100644 --- a/package-lock.json +++ b/package-lock.json @@ -25,7 +25,9 @@ "dotenv": "^16.4.5", "express": "^4.21.0", "express-rate-limit": "^7.4.0", + "google-auth-library": "^9.15.1", "helmet": "^8.0.0", + "jszip": "^3.10.1", "jsonwebtoken": "^9.0.2", "mammoth": "^1.8.0", "multer": "^1.4.5-lts.1", diff --git a/package.json b/package.json index f7eda2e..7a10e22 100644 --- a/package.json +++ b/package.json @@ -3,18 +3,23 @@ "version": "6.35.0", "description": "AI-powered pediatric clinical documentation platform", "main": "dist/server.js", + "engines": { + "node": ">=20" + }, "scripts": { "start": "node dist/server.js", "prebuild": "rm -rf dist", "build": "tsc", "typecheck": "tsc --noEmit", + "verify": "npm run typecheck && npm test && npm run test:node && npm run lint:refs && npm run lint:dead && npm --prefix client run build", + "verify:full": "npm run verify && npm run e2e", "dev": "ts-node-dev --respawn --transpile-only server.ts", "test": "vitest run", "test:node": "node --test test/", "test:coverage": "vitest run --coverage", "e2e": "./scripts/e2e.sh", "lint:refs": "node scripts/lint-references.js", - "lint:dead": "knip", + "lint:dead": "knip --no-config-hints", "maint:check": "node scripts/maintenance.js check", "maint:reindex": "node scripts/maintenance.js reindex", "migrate": "node-pg-migrate", @@ -41,7 +46,9 @@ "dotenv": "^16.4.5", "express": "^4.21.0", "express-rate-limit": "^7.4.0", + "google-auth-library": "^9.15.1", "helmet": "^8.0.0", + "jszip": "^3.10.1", "jsonwebtoken": "^9.0.2", "mammoth": "^1.8.0", "multer": "^1.4.5-lts.1", diff --git a/public/app/assets/index-0qzAvrmR.css b/public/app/assets/index-0qzAvrmR.css deleted file mode 100644 index 011eb8a..0000000 --- a/public/app/assets/index-0qzAvrmR.css +++ /dev/null @@ -1,2 +0,0 @@ -/*! tailwindcss v4.2.4 | MIT License | https://tailwindcss.com */ -@layer properties{@supports (((-webkit-hyphens:none)) and (not (margin-trim:inline))) or ((-moz-orient:inline) and (not (color:rgb(from red r g 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components;@layer utilities{.visible{visibility:visible}.fixed{position:fixed}.static{position:static}.sticky{position:sticky}.inset-0{inset:calc(var(--spacing) * 0)}.start{inset-inline-start:var(--spacing)}.top-0{top:calc(var(--spacing) * 0)}.left-0{left:calc(var(--spacing) * 0)}.z-50{z-index:50}.col-span-2{grid-column:span 2/span 2}.col-span-3{grid-column:span 3/span 3}.mx-auto{margin-inline:auto}.mt-0\.5{margin-top:calc(var(--spacing) * .5)}.mt-1{margin-top:calc(var(--spacing) * 1)}.mr-1{margin-right:calc(var(--spacing) * 1)}.mb-1{margin-bottom:calc(var(--spacing) * 1)}.mb-2{margin-bottom:calc(var(--spacing) * 2)}.ml-2{margin-left:calc(var(--spacing) * 2)}.block{display:block}.flex{display:flex}.grid{display:grid}.inline{display:inline}.inline-block{display:inline-block}.table{display:table}.size-4{width:calc(var(--spacing) * 4);height:calc(var(--spacing) * 4)}.h-10{height:calc(var(--spacing) * 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1.5)}.py-2{padding-block:calc(var(--spacing) * 2)}.py-3{padding-block:calc(var(--spacing) * 3)}.py-4{padding-block:calc(var(--spacing) * 4)}.py-8{padding-block:calc(var(--spacing) * 8)}.pt-1{padding-top:calc(var(--spacing) * 1)}.pt-3{padding-top:calc(var(--spacing) * 3)}.pr-3{padding-right:calc(var(--spacing) * 3)}.pb-3{padding-bottom:calc(var(--spacing) * 3)}.pb-4{padding-bottom:calc(var(--spacing) * 4)}.pl-5{padding-left:calc(var(--spacing) * 5)}.pl-6{padding-left:calc(var(--spacing) * 6)}.pl-8{padding-left:calc(var(--spacing) * 8)}.text-center{text-align:center}.text-left{text-align:left}.text-right{text-align:right}.font-mono{font-family:var(--font-mono)}.text-2xl{font-size:var(--text-2xl);line-height:var(--tw-leading,var(--text-2xl--line-height))}.text-4xl{font-size:var(--text-4xl);line-height:var(--tw-leading,var(--text-4xl--line-height))}.text-base{font-size:var(--text-base);line-height:var(--tw-leading,var(--text-base--line-height))}.text-lg{font-size:var(--text-lg);line-height:var(--tw-leading,var(--text-lg--line-height))}.text-sm{font-size:var(--text-sm);line-height:var(--tw-leading,var(--text-sm--line-height))}.text-xl{font-size:var(--text-xl);line-height:var(--tw-leading,var(--text-xl--line-height))}.text-xs{font-size:var(--text-xs);line-height:var(--tw-leading,var(--text-xs--line-height))}.text-\[10px\]{font-size:10px}.text-\[11px\]{font-size:11px}.leading-relaxed{--tw-leading:var(--leading-relaxed);line-height:var(--leading-relaxed)}.font-bold{--tw-font-weight:var(--font-weight-bold);font-weight:var(--font-weight-bold)}.font-medium{--tw-font-weight:var(--font-weight-medium);font-weight:var(--font-weight-medium)}.font-normal{--tw-font-weight:var(--font-weight-normal);font-weight:var(--font-weight-normal)}.font-semibold{--tw-font-weight:var(--font-weight-semibold);font-weight:var(--font-weight-semibold)}.tracking-wide{--tw-tracking:var(--tracking-wide);letter-spacing:var(--tracking-wide)}.tracking-wider{--tw-tracking:var(--tracking-wider);letter-spacing:var(--tracking-wider)}.tracking-widest{--tw-tracking:var(--tracking-widest);letter-spacing:var(--tracking-widest)}.break-all{word-break:break-all}.whitespace-nowrap{white-space:nowrap}.whitespace-pre-line{white-space:pre-line}.whitespace-pre-wrap{white-space:pre-wrap}.text-amber-600{color:var(--color-amber-600)}.text-amber-900{color:var(--color-amber-900)}.text-destructive{color:var(--color-destructive)}.text-foreground{color:var(--color-foreground)}.text-green-600{color:var(--color-green-600)}.text-green-700{color:var(--color-green-700)}.text-muted-foreground{color:var(--color-muted-foreground)}.text-orange-500{color:var(--color-orange-500)}.text-orange-900{color:var(--color-orange-900)}.text-primary{color:var(--color-primary)}.text-primary-foreground{color:var(--color-primary-foreground)}.text-white{color:var(--color-white)}.normal-case{text-transform:none}.uppercase{text-transform:uppercase}.italic{font-style:italic}.underline{text-decoration-line:underline}.accent-orange-500{accent-color:var(--color-orange-500)}.accent-primary{accent-color:var(--color-primary)}.opacity-60{opacity:.6}.shadow-lg{--tw-shadow:0 10px 15px -3px var(--tw-shadow-color,#0000001a), 0 4px 6px -4px var(--tw-shadow-color,#0000001a);box-shadow:var(--tw-inset-shadow), var(--tw-inset-ring-shadow), var(--tw-ring-offset-shadow), var(--tw-ring-shadow), var(--tw-shadow)}.outline{outline-style:var(--tw-outline-style);outline-width:1px}.filter{filter:var(--tw-blur,) var(--tw-brightness,) var(--tw-contrast,) var(--tw-grayscale,) var(--tw-hue-rotate,) var(--tw-invert,) var(--tw-saturate,) var(--tw-sepia,) var(--tw-drop-shadow,)}.transition-colors{transition-property:color,background-color,border-color,outline-color,text-decoration-color,fill,stroke,--tw-gradient-from,--tw-gradient-via,--tw-gradient-to;transition-timing-function:var(--tw-ease,var(--default-transition-timing-function));transition-duration:var(--tw-duration,var(--default-transition-duration))}.last\:border-0:last-child{border-style:var(--tw-border-style);border-width:0}.even\:bg-muted\/20:nth-child(2n){background-color:#f1f5f933}@supports (color:color-mix(in lab, red, red)){.even\:bg-muted\/20:nth-child(2n){background-color:color-mix(in oklab, var(--color-muted) 20%, transparent)}}@media (hover:hover){.hover\:bg-muted:hover{background-color:var(--color-muted)}.hover\:bg-muted\/40:hover{background-color:#f1f5f966}@supports (color:color-mix(in lab, red, red)){.hover\:bg-muted\/40:hover{background-color:color-mix(in oklab, var(--color-muted) 40%, transparent)}}.hover\:bg-muted\/50:hover{background-color:#f1f5f980}@supports (color:color-mix(in lab, red, red)){.hover\:bg-muted\/50:hover{background-color:color-mix(in oklab, var(--color-muted) 50%, transparent)}}.hover\:bg-muted\/60:hover{background-color:#f1f5f999}@supports (color:color-mix(in lab, red, red)){.hover\:bg-muted\/60:hover{background-color:color-mix(in oklab, var(--color-muted) 60%, transparent)}}.hover\:bg-muted\/80:hover{background-color:#f1f5f9cc}@supports (color:color-mix(in lab, red, red)){.hover\:bg-muted\/80:hover{background-color:color-mix(in oklab, var(--color-muted) 80%, transparent)}}}.disabled\:opacity-50:disabled{opacity:.5}@media (width>=40rem){.sm\:grid-cols-2{grid-template-columns:repeat(2,minmax(0,1fr))}}@media (width>=48rem){.md\:col-span-1{grid-column:span 1/span 1}.md\:grid-cols-2{grid-template-columns:repeat(2,minmax(0,1fr))}}@media (prefers-color-scheme:dark){.dark\:bg-amber-950\/30{background-color:#4619014d}@supports (color:color-mix(in lab, red, red)){.dark\:bg-amber-950\/30{background-color:color-mix(in oklab, var(--color-amber-950) 30%, transparent)}}.dark\:bg-green-950\/30{background-color:#032e154d}@supports (color:color-mix(in lab, red, red)){.dark\:bg-green-950\/30{background-color:color-mix(in oklab, var(--color-green-950) 30%, transparent)}}.dark\:bg-orange-950\/30{background-color:#4413064d}@supports (color:color-mix(in lab, red, red)){.dark\:bg-orange-950\/30{background-color:color-mix(in oklab, var(--color-orange-950) 30%, 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--tw-drop-shadow-size{syntax:"*";inherits:false} diff --git a/public/app/assets/index-x592EjRR.js b/public/app/assets/index-DmvH7O2M.js similarity index 94% rename from public/app/assets/index-x592EjRR.js rename to public/app/assets/index-DmvH7O2M.js index a1b9064..0218267 100644 --- a/public/app/assets/index-x592EjRR.js +++ b/public/app/assets/index-DmvH7O2M.js @@ -49,4 +49,4 @@ Please change the parent to 1&&e.reused===`ref`){a(n);continue}}}function bc(e,t){let n=e.seen.get(t);if(!n)throw Error(`Unprocessed schema. 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It helps physicians generate structured clinical notes from voice recordings or typed text, saving time on documentation so you can focus on patient care. It supports HPIs, SOAP notes, hospital courses, chart reviews, well visits, sick visits, developmental milestone assessments, and more.`},{q:`How do I create my first note?`,a:`The easiest way to start is with Live Encounter: Go to the Encounter tab Enter the patient's age and gender Click Start Recording and speak naturally during your patient encounter Click Stop when done — the audio is transcribed automatically Click Generate HPI to create a structured note Edit the note as needed, then Copy to paste into your EHR`},{q:`Can I type or paste notes instead of recording?`,a:`Yes. Every transcript box is editable. You can type directly, paste from another source, or combine typed text with a recording. The AI works with whatever text is in the transcript area when you click Generate.`},{q:`What types of notes can I generate?`,a:`HPI — from live encounters or dictation, with OLDCARTS structure SOAP Notes — full SOAP or subjective-only from dictation Hospital Course — from progress notes, in prose, day-by-day, or organ-system format Chart Review — summarize outpatient, subspecialty, or ED visits for precharting Well Visit — complete preventive care notes with SSHADESS, milestones, and vaccines Sick Visit — quick documentation with auto-suggested ROS and PE Milestone Assessment — developmental narrative from selected milestones`}]},{section:`AI & Models`,items:[{q:`What AI model should I use?`,a:`Each tab has a model selector dropdown. All available models have been tested and configured by your administrator for clinical documentation quality. They are routed through HIPAA-compliant providers with signed Business Associate Agreements (BAAs). All models are capable of generating accurate clinical notes. If you are unsure which to pick, start with the default. You can experiment with different models and see which output style you prefer — some may be faster, some more detailed, some more concise. You can choose a different model per tab depending on the task.`},{q:`Does the AI learn from my edits?`,a:`Yes. The app uses a correction tracking system inspired by Dragon Medical's adaptive learning. Here is how it works: When the AI generates a note, the original output is stored in memory You edit the note to match your preferred style — fix phrasing, add details, restructure sections When you click Save, the app detects what you changed and stores the correction On future notes, your past corrections are included as style hints so the AI adapts to your documentation preferences The more you use the app and save your edits, the better the AI gets at matching your style. You can view and manage your stored corrections in Settings > AI Corrections. Note: Corrections are applied as gentle suggestions, not strict rules. The AI prioritizes clinical accuracy over style matching.`},{q:`Can I customize the AI's prompts?`,a:`Administrators can edit all AI prompts from the Admin Panel > Settings > Prompts section. This lets you adjust the instructions the AI follows for each note type without changing any code. Changes take effect immediately.`},{q:`What does the "Refine" button do?`,a:`After generating a note, you can give the AI plain-language instructions to modify it. For example: "Make it shorter" "Add that the patient has a history of asthma" "Summarize the labs" "Change the assessment to include bronchiolitis" The AI references both its current output and your original source material (transcript, pasted notes, labs) when refining, so it can look up details from the original input.`}]},{section:`Voice & Transcription`,items:[{q:`How does voice transcription work?`,a:`When you stop recording, the audio is sent to a speech-to-text service that converts it to text. The app supports multiple transcription providers including Whisper, Deepgram, and Google Gemini. Your administrator configures which provider is used. You will see a blue status bar at the top while transcription is in progress. You can continue working on the page while it processes.`},{q:`What is Browser Whisper?`,a:`Browser Whisper runs the Whisper AI model entirely in your browser using WebAssembly. Your audio never leaves your device, making it the most private transcription option. You can enable it in Settings > Browser Whisper. It works offline and is HIPAA-safe since no data is transmitted. The tradeoff is that it is slower than cloud-based transcription and requires downloading the model (~40–240 MB) on first use.`},{q:`Can I use the app on my phone?`,a:`Yes. The app is a Progressive Web App (PWA) that works in any modern browser. On mobile: Open the app in Chrome or Safari Tap "Add to Home Screen" to install it as a standalone app Recording works in the foreground, but audio stops if you lock the screen or switch apps on iOS and most Android devices — this is a browser limitation, not specific to this app On desktop, recording continues normally when the browser is minimized or in the background.`},{q:`What happens if transcription fails?`,a:`If transcription fails, your audio is automatically backed up to the server for 24 hours. You can retry transcription from Settings > Audio Backups. If browser speech recognition was active during recording, the live transcript is preserved as a fallback.`},{q:`Can the AI read my notes aloud?`,a:`Yes. Click the Read button on any generated note to hear it spoken aloud. This uses text-to-speech (TTS) powered by Google, OpenAI, or ElevenLabs depending on your setup. You can choose your preferred voice in Settings > Voice Preferences.`}]},{section:`Saving & Export`,items:[{q:`Are my encounters saved?`,a:`You can save encounters using the Save button at the top of each tab. Saved encounters include the transcript, generated note, and patient label. You can reload them later using the Load button. Saved encounters are automatically deleted after 7 days (configurable by your administrator). This is intentional — the app is a documentation tool, not a medical record system. Copy your final notes to your EHR for permanent storage.`},{q:`How do I export notes?`,a:`Copy — one-click copy to clipboard, ready to paste into any EHR Nextcloud — export directly to your Nextcloud instance (configure in Settings) Documents — upload files to S3-compatible storage from Settings All generated text is plain text with no markdown formatting, designed to paste cleanly into any EHR system.`}]},{section:`Privacy & Security`,items:[{q:`Is my patient data safe?`,a:`The app is designed with clinical privacy in mind: All connections use HTTPS/TLS encryption Audio and encounter data are temporary — auto-deleted within hours or days No patient data is stored long-term on the server Every action is audit-logged (who accessed what, when) Two-factor authentication (2FA) and session management are available Browser Whisper keeps audio entirely on your device For HIPAA compliance, ensure your administrator has configured a BAA-covered AI provider (such as AWS Bedrock, Google Vertex AI, or Azure OpenAI).`},{q:`What is two-factor authentication (2FA)?`,a:`2FA adds an extra layer of security to your account. 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Bilirubin — AAP 2022 phototherapy threshold calculator and Bhutani hour-specific nomogram with risk zone classification. Includes Nelson Table 137.1 risk factors. Vital Signs by Age — Harriet Lane reference table for HR, RR, BP, and weight by age from preterm through 18 years. Includes quick formulas for estimated weight, minimum SBP, ETT size, and maintenance fluids. Body Surface Area — Mosteller formula for BSA calculation. Weight-Based Dosing — Dose per kg with frequency, max dose cap, and volume calculation from concentration.`},{q:`How accurate is the BP calculator?`,a:`The BP calculator uses the same Rosner quantile spline regression method as the Baylor College of Medicine reference calculator. It computes exact percentiles (1st-99th) based on your patient's age, sex, and height using published regression coefficients. This is the same methodology underlying the AAP 2017 normative tables. 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lesion`],[`Asymmetric`,`Always abnormal at any age`]]},beighton:{title:`Beighton hypermobility score (0–9)`,icon:`fa-hands`,rows:[[`≀ 3`,`Normal flexibility`],[`4`,`Borderline β€” consider in context`],[`β‰₯ 5`,`Hypermobility spectrum; screen for hEDS if other features present`]]},atr:{title:`Scoliometer β€” angle of trunk rotation`,icon:`fa-ruler`,rows:[[`< 5Β°`,`Normal, no follow-up`],[`5–6Β°`,`Borderline β€” re-check at each visit`],[`β‰₯ 7Β°`,`Refer for PA/lateral spine x-ray + orthopedic evaluation`]]},rr:{title:`Respiratory rate β€” upper limit by age (awake)`,icon:`fa-lungs`,rows:[[`Newborn`,`≀ 60 /min`],[`< 2 months`,`≀ 60 /min (WHO tachypnea cutoff)`],[`2–12 months`,`≀ 50 /min (WHO tachypnea cutoff)`],[`1–5 years`,`≀ 40 /min (WHO tachypnea cutoff)`],[`6–11 years`,`≀ 30 /min`],[`β‰₯ 12 years`,`≀ 20 /min (adult pattern)`]]},spo2:{title:`Pulse oximetry (SpOβ‚‚) β€” at room air`,icon:`fa-heart-pulse`,rows:[[`β‰₯ 95%`,`Normal`],[`92–94%`,`Mild hypoxemia β€” investigate cause`],[`< 92%`,`Moderate hypoxemia β€” supplemental Oβ‚‚`],[`< 88%`,`Severe β€” urgent intervention; target β‰₯ 90% acutely`]]},silverman:{title:`Silverman–Andersen retraction score (neonatal, 0–10)`,icon:`fa-baby`,rows:[[`0`,`No respiratory distress`],[`1–3`,`Mild β€” close observation`],[`4–6`,`Moderate distress β€” consider CPAP / support`],[`7–10`,`Severe β€” imminent respiratory failure, intubate`]]},westley:{title:`Westley croup severity score`,icon:`fa-stethoscope`,rows:[[`≀ 2`,`Mild β€” home management, cool mist, oral dexamethasone`],[`3–5`,`Moderate β€” nebulised epinephrine + dexamethasone`],[`6–11`,`Severe β€” admit, continuous monitoring`],[`β‰₯ 12`,`Impending respiratory failure β€” ICU / airway management`]]},murmurGrade:{title:`Heart-murmur grading (Levine 1–6)`,icon:`fa-wave-square`,rows:[[`1/6`,`Very faint β€” heard only with concentration`],[`2/6`,`Soft but readily heard`],[`3/6`,`Moderately loud, no thrill`],[`4/6`,`Loud WITH a palpable thrill`],[`5/6`,`Very loud; audible with stethoscope just off the chest`],[`6/6`,`Audible without the stethoscope touching the chest`]]},pulseAmp:{title:`Pulse amplitude grade (0–4)`,icon:`fa-heart-pulse`,rows:[[`0`,`Absent`],[`1+`,`Diminished, thready`],[`2+`,`Normal`],[`3+`,`Bounding`],[`4+`,`Bounding with visible pulsation (e.g., aortic regurgitation)`]]},capRefill:{title:`Capillary refill time`,icon:`fa-hand`,rows:[[`< 2 sec`,`Normal`],[`2–3 sec`,`Borderline β€” consider hydration / perfusion`],[`β‰₯ 3 sec`,`Delayed β€” dehydration, shock, low cardiac output`]]}},Td=[{letter:`A`,color:`#dc2626`,title:`Aortic area`,location:`2nd ICS, right sternal border`,listen:`S2 (aortic component), aortic stenosis, aortic regurgitation`},{letter:`P`,color:`#2563eb`,title:`Pulmonic area`,location:`2nd ICS, left sternal border`,listen:`S2 (pulmonic component), pulmonic stenosis, PDA, physiologic split of S2`,innocent:`Pulmonary flow murmur (children, adolescents) β€” upper left sternal border`},{letter:`E`,color:`#059669`,title:`Erb's point`,location:`3rd ICS, left sternal border`,listen:`Aortic regurgitation (best here), transitional zone murmurs`,innocent:`Still's murmur classically radiates to Erb's / LLSB`},{letter:`T`,color:`#d97706`,title:`Tricuspid area`,location:`4th–5th ICS, lower left sternal border`,listen:`Tricuspid regurgitation, VSD, S3/S4, holosystolic murmurs`,innocent:`Still's murmur β€” vibratory, musical, age 3–7 y (loudest between LLSB and apex)`},{letter:`M`,color:`#7c3aed`,title:`Mitral area (apex)`,location:`5th ICS, mid-clavicular line`,listen:`S1, mitral regurgitation, mitral stenosis (with bell, left-lateral decubitus)`}],Ed=[{name:`Still's (vibratory) murmur`,age:`3–7 y (most common in children)`,location:`LLSB, radiating to apex`,character:`Low-frequency vibratory / musical systolic, grade 2–3/6, mid-systolic, "twanging-string" quality`,confirm:`Louder supine, softer or disappears on standing or Valsalva. No radiation to neck/back. Normal S2.`},{name:`Pulmonary flow murmur`,age:`School-age and adolescents, thin chest`,location:`Upper left sternal border (2nd–3rd ICS)`,character:`Soft blowing early systolic ejection, grade 1–2/6, higher-pitched`,confirm:`No ejection click. Physiologic split of S2. Louder supine, softer on standing. No radiation.`},{name:`Venous hum`,age:`Ages 3–8, disappears by adolescence`,location:`Supraclavicular or infraclavicular area, usually right`,character:`Soft continuous hum, louder in diastole. Only innocent continuous murmur.`,confirm:`Disappears when supine OR when jugular vein is gently compressed (key maneuver). Turning head to opposite side also alters it.`},{name:`Carotid bruit / supraclavicular bruit`,age:`Children and adolescents`,location:`Supraclavicular fossa, right > left; may radiate to carotid`,character:`Brief early systolic, grade 2–3/6, higher-pitched than Still's`,confirm:`Softer or disappears with hyperextension of the shoulders. Normal cardiac exam otherwise. No radiation below the clavicles.`},{name:`Peripheral pulmonary stenosis (PPS, neonatal)`,age:`Newborns and infants < 6–12 months`,location:`Upper LSB, radiates to BOTH axillae and the back`,character:`Soft systolic ejection murmur, grade 1–2/6`,confirm:`Typical age + radiation to back/axillae. Resolves by age 1 as branch pulmonary arteries grow. Persistence or louder grade warrants echo.`}],Dd=[{key:`normal`,src:`/audio/respiratory/normal-vesicular.ogg`,title:`Normal vesicular breath sounds`,where:`Peripheral lung fields`,features:`Soft, rustling. Inspiration louder and longer than expiration.`,clinical:`Baseline β€” deviation elsewhere is what you listen for.`},{key:`wheeze`,src:`/audio/respiratory/wheeze.ogg`,title:`Wheeze`,where:`Diffuse in asthma; localised in foreign body`,features:`Continuous, high-pitched, musical. Usually expiratory; biphasic if severe.`,clinical:`Lower-airway narrowing β€” asthma, bronchiolitis, foreign body, bronchomalacia. Silent chest in severe asthma is an ominous sign.`},{key:`stridor`,src:`/audio/respiratory/stridor.ogg`,title:`Stridor`,where:`Louder over neck than chest β€” upper airway`,features:`Continuous, high-pitched, harsh. Classically inspiratory (extrathoracic obstruction); biphasic if fixed.`,clinical:`Croup, epiglottitis, foreign body, laryngomalacia (infant). Distinguish from wheeze by auscultating the neck β€” stridor is loudest there.`},{key:`finecrackles`,src:`/audio/respiratory/crackles-fine.ogg`,title:`Fine (end-inspiratory) crackles`,where:`Bibasilar in pulmonary edema/fibrosis; focal in pneumonia`,features:`Discontinuous, brief, high-pitched. "Velcro" quality. Late inspiratory, do NOT clear with cough.`,clinical:`Alveolar opening β€” pulmonary fibrosis, pulmonary edema, early pneumonia, atelectasis.`},{key:`coarsecrackles`,src:`/audio/respiratory/crackles-coarse.ogg`,title:`Coarse crackles`,where:`Lower lobes; either side`,features:`Discontinuous, longer and louder than fine crackles. Lower-pitched. Can be early or late inspiratory; often clear partly with cough.`,clinical:`Secretions in larger airways β€” bronchitis, later pneumonia, bronchiectasis, aspiration.`},{key:`rhonchi`,src:`/audio/respiratory/rhonchi.ogg`,title:`Rhonchi`,where:`Central or anywhere with airway secretions`,features:`Continuous, low-pitched, snore-like. Typically expiratory. Clear or change with cough.`,clinical:`Large-airway secretions β€” bronchitis, pneumonia with large-airway involvement, cystic fibrosis, bronchiectasis.`},{key:`pleuralrub`,src:`/audio/respiratory/pleural-rub.ogg`,title:`Pleural friction rub`,where:`Focal, often lateral or posterior lower chest`,features:`Grating, creaky β€” "leather on leather". Biphasic (heard in inspiration and expiration). Does NOT clear with cough.`,clinical:`Pleural inflammation β€” pleuritis, pulmonary embolism, pneumonia with pleural involvement, viral pleurisy.`}],Od=[{key:`normal`,src:`/audio/cardiac/normal.ogg`,title:`Normal heart sounds (S1, S2)`,where:`All four classic auscultation points`,rate:`~61 bpm reference`,features:`"lub-dub": S1 (closure of mitral + tricuspid) louder at apex; S2 (closure of aortic + pulmonic) louder at base. Physiologic S2 split on inspiration.`,clinical:`Reference for rhythm, rate, and the normal S1–S2 interval. Listen for what's changed β€” not just what's added.`},{key:`infant-normal`,src:`/audio/cardiac/infant-normal.ogg`,title:`Infant normal heart sounds`,where:`Infant chest β€” rate will be higher than adult`,rate:`Pediatric reference (120–160 bpm range)`,features:`Same S1–S2 pattern, faster rate. Short diastole makes murmurs easier to miss β€” careful auscultation needed.`,clinical:`Reference for neonatal/infant rhythm. Any murmur in the first 72 h should prompt pre/postductal sat screening.`},{key:`vsd`,src:`/audio/cardiac/vsd.wav`,title:`Ventricular septal defect (VSD)`,where:`Lower left sternal border (4th ICS)`,features:`Harsh, blowing, holosystolic (pansystolic) murmur β€” plateau shape through all of systole. Often accompanied by a thrill if large.`,clinical:`Most common congenital heart defect. Small VSD: loud murmur, usually asymptomatic, may close spontaneously. Large VSD: softer murmur (less pressure gradient) but signs of heart failure, pulmonary hypertension.`},{key:`mvp`,src:`/audio/cardiac/mitral-prolapse.wav`,title:`Mitral valve prolapse (MVP) β€” click + late systolic murmur`,where:`Apex (5th ICS, mid-clavicular line)`,features:`Mid-systolic click followed by a late-systolic crescendo murmur. Timing of click changes with maneuvers: earlier with standing or Valsalva, later with squatting.`,clinical:`Often benign, especially in thin young women. Features suggesting need for echo: thickened/redundant leaflets, associated MR, symptoms (palpitations, chest pain), arrhythmias.`},{key:`stills`,src:`/audio/cardiac/stills-murmur.ogg`,title:`Still's murmur (innocent)`,where:`LLSB, radiating to apex`,rate:`Classic age 3–7 y (this recording is a toddler)`,features:`Low-frequency vibratory / musical systolic, grade 2–3/6, mid-systolic, "twanging-string" quality.`,clinical:`The most common innocent murmur of childhood. Louder supine, softer or disappears on standing or Valsalva. Normal S2. No radiation to neck or back. No workup needed when classic.`},{key:`functional`,src:`/audio/cardiac/functional-murmur.wav`,title:`Functional (innocent) murmur β€” adult female`,where:`Left sternal border, soft systolic`,features:`Soft systolic murmur in a structurally normal heart β€” often from increased cardiac output, thin chest wall, anemia, hyperthyroidism, or pregnancy.`,clinical:`Benign if it meets the 7 S criteria. Investigate if loud (β‰₯3/6), holosystolic, diastolic, radiating, or with thrill / symptoms.`}],kd=`rounded-lg border border-border bg-card p-5 space-y-3`,Ad=`rounded-md bg-primary text-primary-foreground px-3 py-2 text-sm font-medium disabled:opacity-50`;function jd({id:e,scale:t}){return(0,A.jsxs)(`section`,{className:kd,"data-testid":`scale-`+e,children:[(0,A.jsx)(`h3`,{className:`text-base font-semibold`,children:t.title}),(0,A.jsx)(`table`,{className:`w-full text-sm`,children:(0,A.jsx)(`tbody`,{children:t.rows.map(([e,t],n)=>(0,A.jsxs)(`tr`,{className:`border-b border-border last:border-0`,children:[(0,A.jsx)(`td`,{className:`py-1.5 pr-3 font-mono font-semibold whitespace-nowrap`,children:e}),(0,A.jsx)(`td`,{className:`py-1.5 text-muted-foreground`,children:t})]},n))})})]})}function Md({entry:e}){let t=(0,_.useRef)(null);return(0,A.jsxs)(`section`,{className:kd,"data-testid":`sound-`+e.key,children:[(0,A.jsx)(`h4`,{className:`text-sm 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space-y-6`,children:[(0,A.jsxs)(`header`,{children:[(0,A.jsx)(`h1`,{className:`text-2xl font-semibold`,children:`Physical Exam Guide`}),(0,A.jsx)(`p`,{className:`text-sm text-muted-foreground`,children:`Reference scales, the five cardiac auscultation points, innocent childhood murmurs, and sound libraries.`})]}),(0,A.jsxs)(`section`,{className:`rounded-md border border-amber-300 bg-amber-50 dark:bg-amber-950/30 p-4 text-sm space-y-2`,children:[(0,A.jsx)(`div`,{className:`font-semibold text-amber-900 dark:text-amber-100`,children:`Exam-step checklist lives in the legacy viewer`}),(0,A.jsx)(`p`,{className:`text-amber-900 dark:text-amber-100`,children:`The full age-group Γ— system checklist and the Generate Exam Report flow still run in the legacy app. They port in a dedicated session so the clinical content can be verified entry-for-entry against the vanilla source.`}),(0,A.jsx)(`a`,{href:`/#peGuide`,className:Ad+` inline-block`,children:`Open checklist in legacy 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lesion`],[`Asymmetric`,`Always abnormal at any age`]]},beighton:{title:`Beighton hypermobility score (0–9)`,icon:`fa-hands`,rows:[[`≀ 3`,`Normal flexibility`],[`4`,`Borderline β€” consider in context`],[`β‰₯ 5`,`Hypermobility spectrum; screen for hEDS if other features present`]]},atr:{title:`Scoliometer β€” angle of trunk rotation`,icon:`fa-ruler`,rows:[[`< 5Β°`,`Normal, no follow-up`],[`5–6Β°`,`Borderline β€” re-check at each visit`],[`β‰₯ 7Β°`,`Refer for PA/lateral spine x-ray + orthopedic evaluation`]]},rr:{title:`Respiratory rate β€” upper limit by age (awake)`,icon:`fa-lungs`,rows:[[`Newborn`,`≀ 60 /min`],[`< 2 months`,`≀ 60 /min (WHO tachypnea cutoff)`],[`2–12 months`,`≀ 50 /min (WHO tachypnea cutoff)`],[`1–5 years`,`≀ 40 /min (WHO tachypnea cutoff)`],[`6–11 years`,`≀ 30 /min`],[`β‰₯ 12 years`,`≀ 20 /min (adult pattern)`]]},spo2:{title:`Pulse oximetry (SpOβ‚‚) β€” at room air`,icon:`fa-heart-pulse`,rows:[[`β‰₯ 95%`,`Normal`],[`92–94%`,`Mild hypoxemia β€” investigate cause`],[`< 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with stethoscope just off the chest`],[`6/6`,`Audible without the stethoscope touching the chest`]]},pulseAmp:{title:`Pulse amplitude grade (0–4)`,icon:`fa-heart-pulse`,rows:[[`0`,`Absent`],[`1+`,`Diminished, thready`],[`2+`,`Normal`],[`3+`,`Bounding`],[`4+`,`Bounding with visible pulsation (e.g., aortic regurgitation)`]]},capRefill:{title:`Capillary refill time`,icon:`fa-hand`,rows:[[`< 2 sec`,`Normal`],[`2–3 sec`,`Borderline β€” consider hydration / perfusion`],[`β‰₯ 3 sec`,`Delayed β€” dehydration, shock, low cardiac output`]]}},Td=[{letter:`A`,color:`#dc2626`,title:`Aortic area`,location:`2nd ICS, right sternal border`,listen:`S2 (aortic component), aortic stenosis, aortic regurgitation`},{letter:`P`,color:`#2563eb`,title:`Pulmonic area`,location:`2nd ICS, left sternal border`,listen:`S2 (pulmonic component), pulmonic stenosis, PDA, physiologic split of S2`,innocent:`Pulmonary flow murmur (children, adolescents) β€” upper left sternal border`},{letter:`E`,color:`#059669`,title:`Erb's point`,location:`3rd ICS, left sternal border`,listen:`Aortic regurgitation (best here), transitional zone murmurs`,innocent:`Still's murmur classically radiates to Erb's / LLSB`},{letter:`T`,color:`#d97706`,title:`Tricuspid area`,location:`4th–5th ICS, lower left sternal border`,listen:`Tricuspid regurgitation, VSD, S3/S4, holosystolic murmurs`,innocent:`Still's murmur β€” vibratory, musical, age 3–7 y (loudest between LLSB and apex)`},{letter:`M`,color:`#7c3aed`,title:`Mitral area (apex)`,location:`5th ICS, mid-clavicular line`,listen:`S1, mitral regurgitation, mitral stenosis (with bell, left-lateral decubitus)`}],Ed=[{name:`Still's (vibratory) murmur`,age:`3–7 y (most common in children)`,location:`LLSB, radiating to apex`,character:`Low-frequency vibratory / musical systolic, grade 2–3/6, mid-systolic, "twanging-string" quality`,confirm:`Louder supine, softer or disappears on standing or Valsalva. No radiation to neck/back. Normal S2.`},{name:`Pulmonary flow murmur`,age:`School-age and adolescents, thin chest`,location:`Upper left sternal border (2nd–3rd ICS)`,character:`Soft blowing early systolic ejection, grade 1–2/6, higher-pitched`,confirm:`No ejection click. Physiologic split of S2. Louder supine, softer on standing. No radiation.`},{name:`Venous hum`,age:`Ages 3–8, disappears by adolescence`,location:`Supraclavicular or infraclavicular area, usually right`,character:`Soft continuous hum, louder in diastole. Only innocent continuous murmur.`,confirm:`Disappears when supine OR when jugular vein is gently compressed (key maneuver). Turning head to opposite side also alters it.`},{name:`Carotid bruit / supraclavicular bruit`,age:`Children and adolescents`,location:`Supraclavicular fossa, right > left; may radiate to carotid`,character:`Brief early systolic, grade 2–3/6, higher-pitched than Still's`,confirm:`Softer or disappears with hyperextension of the shoulders. Normal cardiac exam otherwise. No radiation below the clavicles.`},{name:`Peripheral pulmonary stenosis (PPS, neonatal)`,age:`Newborns and infants < 6–12 months`,location:`Upper LSB, radiates to BOTH axillae and the back`,character:`Soft systolic ejection murmur, grade 1–2/6`,confirm:`Typical age + radiation to back/axillae. Resolves by age 1 as branch pulmonary arteries grow. Persistence or louder grade warrants echo.`}],Dd=[{key:`normal`,src:`/audio/respiratory/normal-vesicular.ogg`,title:`Normal vesicular breath sounds`,where:`Peripheral lung fields`,features:`Soft, rustling. Inspiration louder and longer than expiration.`,clinical:`Baseline β€” deviation elsewhere is what you listen for.`},{key:`wheeze`,src:`/audio/respiratory/wheeze.ogg`,title:`Wheeze`,where:`Diffuse in asthma; localised in foreign body`,features:`Continuous, high-pitched, musical. Usually expiratory; biphasic if severe.`,clinical:`Lower-airway narrowing β€” asthma, bronchiolitis, foreign body, bronchomalacia. Silent chest in severe asthma is an ominous sign.`},{key:`stridor`,src:`/audio/respiratory/stridor.ogg`,title:`Stridor`,where:`Louder over neck than chest β€” upper airway`,features:`Continuous, high-pitched, harsh. Classically inspiratory (extrathoracic obstruction); biphasic if fixed.`,clinical:`Croup, epiglottitis, foreign body, laryngomalacia (infant). Distinguish from wheeze by auscultating the neck β€” stridor is loudest there.`},{key:`finecrackles`,src:`/audio/respiratory/crackles-fine.ogg`,title:`Fine (end-inspiratory) crackles`,where:`Bibasilar in pulmonary edema/fibrosis; focal in pneumonia`,features:`Discontinuous, brief, high-pitched. "Velcro" quality. Late inspiratory, do NOT clear with cough.`,clinical:`Alveolar opening β€” pulmonary fibrosis, pulmonary edema, early pneumonia, atelectasis.`},{key:`coarsecrackles`,src:`/audio/respiratory/crackles-coarse.ogg`,title:`Coarse crackles`,where:`Lower lobes; either side`,features:`Discontinuous, longer and louder than fine crackles. Lower-pitched. Can be early or late inspiratory; often clear partly with cough.`,clinical:`Secretions in larger airways β€” bronchitis, later pneumonia, bronchiectasis, aspiration.`},{key:`rhonchi`,src:`/audio/respiratory/rhonchi.ogg`,title:`Rhonchi`,where:`Central or anywhere with airway secretions`,features:`Continuous, low-pitched, snore-like. Typically expiratory. Clear or change with cough.`,clinical:`Large-airway secretions β€” bronchitis, pneumonia with large-airway involvement, cystic fibrosis, bronchiectasis.`},{key:`pleuralrub`,src:`/audio/respiratory/pleural-rub.ogg`,title:`Pleural friction rub`,where:`Focal, often lateral or posterior lower chest`,features:`Grating, creaky β€” "leather on leather". Biphasic (heard in inspiration and expiration). Does NOT clear with cough.`,clinical:`Pleural inflammation β€” pleuritis, pulmonary embolism, pneumonia with pleural involvement, viral pleurisy.`}],Od=[{key:`normal`,src:`/audio/cardiac/normal.ogg`,title:`Normal heart sounds (S1, S2)`,where:`All four classic auscultation points`,rate:`~61 bpm reference`,features:`"lub-dub": S1 (closure of mitral + tricuspid) louder at apex; S2 (closure of aortic + pulmonic) louder at base. Physiologic S2 split on inspiration.`,clinical:`Reference for rhythm, rate, and the normal S1–S2 interval. Listen for what's changed β€” not just what's added.`},{key:`infant-normal`,src:`/audio/cardiac/infant-normal.ogg`,title:`Infant normal heart sounds`,where:`Infant chest β€” rate will be higher than adult`,rate:`Pediatric reference (120–160 bpm range)`,features:`Same S1–S2 pattern, faster rate. Short diastole makes murmurs easier to miss β€” careful auscultation needed.`,clinical:`Reference for neonatal/infant rhythm. Any murmur in the first 72 h should prompt pre/postductal sat screening.`},{key:`vsd`,src:`/audio/cardiac/vsd.wav`,title:`Ventricular septal defect (VSD)`,where:`Lower left sternal border (4th ICS)`,features:`Harsh, blowing, holosystolic (pansystolic) murmur β€” plateau shape through all of systole. Often accompanied by a thrill if large.`,clinical:`Most common congenital heart defect. Small VSD: loud murmur, usually asymptomatic, may close spontaneously. Large VSD: softer murmur (less pressure gradient) but signs of heart failure, pulmonary hypertension.`},{key:`mvp`,src:`/audio/cardiac/mitral-prolapse.wav`,title:`Mitral valve prolapse (MVP) β€” click + late systolic murmur`,where:`Apex (5th ICS, mid-clavicular line)`,features:`Mid-systolic click followed by a late-systolic crescendo murmur. Timing of click changes with maneuvers: earlier with standing or Valsalva, later with squatting.`,clinical:`Often benign, especially in thin young women. Features suggesting need for echo: thickened/redundant leaflets, associated MR, symptoms (palpitations, chest pain), arrhythmias.`},{key:`stills`,src:`/audio/cardiac/stills-murmur.ogg`,title:`Still's murmur (innocent)`,where:`LLSB, radiating to apex`,rate:`Classic age 3–7 y (this recording is a toddler)`,features:`Low-frequency vibratory / musical systolic, grade 2–3/6, mid-systolic, "twanging-string" quality.`,clinical:`The most common innocent murmur of childhood. Louder supine, softer or disappears on standing or Valsalva. Normal S2. No radiation to neck or back. No workup needed when classic.`},{key:`functional`,src:`/audio/cardiac/functional-murmur.wav`,title:`Functional (innocent) murmur β€” adult female`,where:`Left sternal border, soft systolic`,features:`Soft systolic murmur in a structurally normal heart β€” often from increased cardiac output, thin chest wall, anemia, hyperthyroidism, or pregnancy.`,clinical:`Benign if it meets the 7 S criteria. 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diff --git a/shared/clinical/calculators.test.ts b/shared/clinical/calculators.test.ts new file mode 100644 index 0000000..2a3a41c --- /dev/null +++ b/shared/clinical/calculators.test.ts @@ -0,0 +1,143 @@ +import { describe, expect, it } from 'vitest'; +import { + calculateGcs, + calculateMostellerBsa, + calculateWeightBasedDose, + estimateWeightFromAgeMonths, + formatAgeMonths, + parseAgeMonths, +} from './calculators'; + +describe('parseAgeMonths', () => { + it('parses flexible age strings from the legacy calculator parser', () => { + expect(parseAgeMonths('3y')).toBe(36); + expect(parseAgeMonths('2y5m')).toBe(29); + expect(parseAgeMonths('2 years 5 months')).toBe(29); + expect(parseAgeMonths('6 months')).toBe(6); + expect(parseAgeMonths('2 wk')).toBeCloseTo(14 / 30.4375); + expect(parseAgeMonths('15 days')).toBeCloseTo(15 / 30.4375); + }); + + it('keeps plain numbers as months for legacy parity', () => { + expect(parseAgeMonths('36')).toBe(36); + expect(parseAgeMonths(6)).toBe(6); + }); + + it('rejects blank and unparseable ages', () => { + expect(parseAgeMonths('')).toBeNull(); + expect(parseAgeMonths('older child')).toBeNull(); + expect(parseAgeMonths(null)).toBeNull(); + }); +}); + +describe('formatAgeMonths', () => { + it('formats days, months, and years', () => { + expect(formatAgeMonths(15 / 30.4375)).toBe('15 days (0.49 mo)'); + expect(formatAgeMonths(18)).toBe('18 months'); + expect(formatAgeMonths(29)).toBe('2 yr 5 mo (29 mo total)'); + }); +}); + +describe('estimateWeightFromAgeMonths', () => { + it('matches APLS infant band', () => { + const result = estimateWeightFromAgeMonths(6); + expect(result).toEqual({ + weight: 7, + formulaLabel: 'APLS 0-12 mo', + all: { apls: 7, bestGuess: 7.5 }, + }); + }); + + it('matches APLS 1-5 year band', () => { + const result = estimateWeightFromAgeMonths(36); + expect(result?.weight).toBe(14); + expect(result?.formulaLabel).toBe('APLS 1-5 yr'); + expect(result?.all).toEqual({ apls: 14, bestGuess: 16 }); + }); + + it('matches APLS 6-12 year band', () => { + const result = estimateWeightFromAgeMonths(96); + expect(result?.weight).toBe(31); + expect(result?.formulaLabel).toBe('APLS 6-12 yr'); + expect(result?.all).toEqual({ apls: 31, bestGuess: 32 }); + }); + + it('uses Best Guess from 13 years onward', () => { + const result = estimateWeightFromAgeMonths(168); + expect(result?.weight).toBe(56); + expect(result?.formulaLabel).toBe('Best Guess 5-14 yr'); + }); + + it('rejects invalid ages', () => { + expect(estimateWeightFromAgeMonths(null)).toBeNull(); + expect(estimateWeightFromAgeMonths(Number.NaN)).toBeNull(); + expect(estimateWeightFromAgeMonths(-1)).toBeNull(); + }); +}); + +describe('calculateMostellerBsa', () => { + it('matches the legacy 20 kg, 110 cm smoke-test value', () => { + expect(calculateMostellerBsa(20, 110)?.toFixed(3)).toBe('0.782'); + }); + + it('rejects invalid measurements', () => { + expect(calculateMostellerBsa(0, 110)).toBeNull(); + expect(calculateMostellerBsa(20, 0)).toBeNull(); + }); +}); + +describe('calculateWeightBasedDose', () => { + it('calculates a single dose and daily total', () => { + const result = calculateWeightBasedDose({ weightKg: 15, dosePerKg: 10, frequencyPerDay: 3 }); + expect(result).toEqual({ + singleDoseMg: 150, + dailyDoseMg: 450, + frequencyPerDay: 3, + capped: false, + volumeMl: null, + }); + }); + + it('respects a max single-dose cap', () => { + const result = calculateWeightBasedDose({ weightKg: 15, dosePerKg: 100, maxSingleDoseMg: 500 }); + expect(result?.singleDoseMg).toBe(500); + expect(result?.capped).toBe(true); + }); + + it('calculates dose volume when concentration is supplied', () => { + const result = calculateWeightBasedDose({ + weightKg: 20, + dosePerKg: 12.5, + concentrationMgPerMl: 50, + }); + expect(result?.singleDoseMg).toBe(250); + expect(result?.volumeMl).toBe(5); + }); + + it('rejects invalid dose inputs', () => { + expect(calculateWeightBasedDose({ weightKg: 0, dosePerKg: 10 })).toBeNull(); + expect(calculateWeightBasedDose({ weightKg: 15, dosePerKg: 0 })).toBeNull(); + expect(calculateWeightBasedDose({ weightKg: 15, dosePerKg: 10, frequencyPerDay: 0 })).toBeNull(); + }); +}); + +describe('calculateGcs', () => { + it('scores maximum child/adult defaults as mild GCS 15', () => { + expect(calculateGcs(4, 5, 6)).toEqual({ total: 15, severity: 'Mild' }); + }); + + it('scores 4/5/1 as moderate GCS 10', () => { + expect(calculateGcs(4, 5, 1)).toEqual({ total: 10, severity: 'Moderate' }); + }); + + it('scores 1/1/1 as severe coma', () => { + expect(calculateGcs(1, 1, 1)).toEqual({ total: 3, severity: 'Severe (Coma)' }); + }); + + it('rejects invalid component scores', () => { + expect(calculateGcs(0, 5, 6)).toBeNull(); + expect(calculateGcs(5, 5, 6)).toBeNull(); + expect(calculateGcs(4, 6, 6)).toBeNull(); + expect(calculateGcs(4, 5, 7)).toBeNull(); + }); +}); diff --git a/shared/clinical/calculators.ts b/shared/clinical/calculators.ts new file mode 100644 index 0000000..7ec2330 --- /dev/null +++ b/shared/clinical/calculators.ts @@ -0,0 +1,206 @@ +// ============================================================ +// Pure pediatric calculator helpers. +// +// Keep clinical math out of React components and DOM event handlers. +// High-risk tables such as Rosner BP, Fenton LMS, and bilirubin +// thresholds should be added here only after legacy vectors exist. +// ============================================================ + +export type WeightFormulaBand = + | 'APLS 0-12 mo' + | 'APLS 1-5 yr' + | 'APLS 6-12 yr' + | 'Best Guess 5-14 yr'; + +export interface EstimatedWeight { + weight: number; + formulaLabel: WeightFormulaBand; + all: { + apls: number; + bestGuess: number; + }; +} + +export function parseAgeMonths(input: string | number | null | undefined): number | null { + if (input == null) return null; + const value = String(input).toLowerCase().trim(); + if (!value) return null; + + if (/^[\d.]+$/.test(value)) { + const parsed = Number.parseFloat(value); + return Number.isNaN(parsed) ? null : parsed; + } + + let total = 0; + let matched = false; + const years = value.match(/([\d.]+)\s*(?:years|year|yrs|yr|y)(?![a-z])/); + if (years) { + total += Number.parseFloat(years[1]) * 12; + matched = true; + } + const months = value.match(/([\d.]+)\s*(?:months|month|mos|mo|m)(?![a-z])/); + if (months) { + total += Number.parseFloat(months[1]); + matched = true; + } + const weeks = value.match(/([\d.]+)\s*(?:weeks|week|wks|wk|w)(?![a-z])/); + if (weeks) { + total += Number.parseFloat(weeks[1]) * 7 / 30.4375; + matched = true; + } + const days = value.match(/([\d.]+)\s*(?:days|day|d)(?![a-z])/); + if (days) { + total += Number.parseFloat(days[1]) / 30.4375; + matched = true; + } + + return matched ? total : null; +} + +export function formatAgeMonths(months: number): string { + if (months < 1) { + const days = Math.round(months * 30.4375); + return `${days} day${days === 1 ? '' : 's'} (${months.toFixed(2)} mo)`; + } + if (months < 24) return `${roundTo(months, 1)} months`; + + let years = Math.floor(months / 12); + let remainingMonths = Math.round(months - years * 12); + if (remainingMonths === 12) { + years += 1; + remainingMonths = 0; + } + return `${years} yr${remainingMonths ? ` ${remainingMonths} mo` : ''} (${Math.round(months)} mo total)`; +} + +export interface WeightBasedDoseInput { + weightKg: number; + dosePerKg: number; + frequencyPerDay?: number; + maxSingleDoseMg?: number | null; + concentrationMgPerMl?: number | null; +} + +export interface WeightBasedDoseResult { + singleDoseMg: number; + dailyDoseMg: number; + frequencyPerDay: number; + capped: boolean; + volumeMl: number | null; +} + +export type GcsSeverity = 'Mild' | 'Moderate' | 'Severe (Coma)'; + +export interface GcsResult { + total: number; + severity: GcsSeverity; +} + +export function roundTo(value: number, places: number): number { + const multiplier = Math.pow(10, places); + return Math.round(value * multiplier) / multiplier; +} + +// APLS (Luscombe & Owens 2007 / APLS-UK 2016) and Best Guess +// (Tinning & Acworth 2007). Ported from public/js/calc-math.js. +export function estimateWeightFromAgeMonths(months: number | null | undefined): EstimatedWeight | null { + if (months == null || Number.isNaN(months) || months < 0) return null; + + const years = months / 12; + let apls: number; + if (months < 12) apls = 0.5 * months + 4; + else if (years <= 5) apls = 2 * years + 8; + else apls = 3 * years + 7; + + let bestGuess: number; + if (months < 12) bestGuess = (months + 9) / 2; + else if (years <= 5) bestGuess = 2 * (years + 5); + else bestGuess = 4 * years; + + let formulaLabel: WeightFormulaBand; + if (years < 13) { + if (months < 12) formulaLabel = 'APLS 0-12 mo'; + else if (years <= 5) formulaLabel = 'APLS 1-5 yr'; + else formulaLabel = 'APLS 6-12 yr'; + } else { + formulaLabel = 'Best Guess 5-14 yr'; + } + + const primary = years < 13 ? apls : bestGuess; + return { + weight: Math.max(0.3, roundTo(primary, 1)), + formulaLabel, + all: { + apls: roundTo(apls, 1), + bestGuess: roundTo(bestGuess, 1), + }, + }; +} + +// Mosteller formula used by the legacy BSA calculator: +// BSA (m2) = sqrt(height(cm) * weight(kg) / 3600). +export function calculateMostellerBsa(weightKg: number, heightCm: number): number | null { + if (!Number.isFinite(weightKg) || !Number.isFinite(heightCm) || weightKg <= 0 || heightCm <= 0) { + return null; + } + return Math.sqrt((heightCm * weightKg) / 3600); +} + +// Ported from public/js/calculators.js weight-based dosing panel. +export function calculateWeightBasedDose(input: WeightBasedDoseInput): WeightBasedDoseResult | null { + const frequencyPerDay = input.frequencyPerDay ?? 1; + const maxSingleDoseMg = input.maxSingleDoseMg ?? 0; + const concentrationMgPerMl = input.concentrationMgPerMl ?? 0; + + if ( + !Number.isFinite(input.weightKg) || + !Number.isFinite(input.dosePerKg) || + !Number.isFinite(frequencyPerDay) || + input.weightKg <= 0 || + input.dosePerKg <= 0 || + frequencyPerDay <= 0 + ) { + return null; + } + + let singleDoseMg = input.weightKg * input.dosePerKg; + let capped = false; + if (maxSingleDoseMg > 0 && singleDoseMg > maxSingleDoseMg) { + singleDoseMg = maxSingleDoseMg; + capped = true; + } + + return { + singleDoseMg, + dailyDoseMg: singleDoseMg * frequencyPerDay, + frequencyPerDay, + capped, + volumeMl: concentrationMgPerMl > 0 ? singleDoseMg / concentrationMgPerMl : null, + }; +} + +// Child/adult and infant GCS scoring share the same numeric interpretation. +// Ported from public/js/calculators.js. +export function calculateGcs(eye: number, verbal: number, motor: number): GcsResult | null { + if ( + !Number.isFinite(eye) || + !Number.isFinite(verbal) || + !Number.isFinite(motor) || + eye < 1 || + eye > 4 || + verbal < 1 || + verbal > 5 || + motor < 1 || + motor > 6 + ) { + return null; + } + + const total = eye + verbal + motor; + let severity: GcsSeverity; + if (total <= 8) severity = 'Severe (Coma)'; + else if (total <= 12) severity = 'Moderate'; + else severity = 'Mild'; + + return { total, severity }; +} diff --git a/tsconfig.json b/tsconfig.json index 0ecf971..9b4c924 100644 --- a/tsconfig.json +++ b/tsconfig.json @@ -36,6 +36,7 @@ "e2e", "scripts", "test", - "client" + "client", + "**/*.test.ts" ] }