danvics/pediatric-ai-scribe-v3
1
0
Fork 0
Code Issues Pull requests Projects Releases 14 Packages Wiki Activity Actions

feat: diversify assistant starter prompts

Browse source
This commit is contained in:
Daniel 2026-05-07 03:19:42 +02:00
parent ced5d6fc6b
commit b2f3539c5e
2 changed files with 37 additions and 15 deletions
Show stats Download patch file Download diff file Expand all files Collapse all files

19
public/js/assistant/data.js
View file

@ -1,22 +1,27 @@
export var EMPTY_PROMPT_SETS = [
[
{ label: 'Status asthma escalation', prompt: 'In a 4-year-old with acute wheeze, when should magnesium sulfate be considered and what dose is recommended?' },
{ label: 'Bilious vomiting', prompt: 'What are the red flags for bilious vomiting in neonates, and what immediate workup is recommended?' },
{ label: 'Bronchiolitis vs asthma', prompt: 'Compare bronchiolitis and asthma management in infants, citing clinical references.' }
{ label: 'Sickle fever', prompt: 'How should fever in a child with sickle cell disease be evaluated and treated?' },
{ label: 'Toxic ingestion', prompt: 'How should an unknown pediatric ingestion be initially assessed and when is activated charcoal appropriate?' },
{ label: 'Intussusception', prompt: 'What are the red flags, diagnostic steps, and reduction approach for suspected intussusception?' }
],
[
{ label: 'Febrile neonate', prompt: 'What initial workup and empiric antibiotics are recommended for a well-appearing febrile neonate?' },
{ label: 'DKA fluids', prompt: 'Summarize pediatric DKA fluid strategy and cerebral edema warning signs.' },
{ label: 'Croup escalation', prompt: 'When should a child with croup receive nebulized epinephrine and observation?' }
{ label: 'Kawasaki workup', prompt: 'What clinical and laboratory features support incomplete Kawasaki disease evaluation?' },
{ label: 'NAT red flags', prompt: 'What injury patterns and history features should raise concern for non-accidental trauma?' }
],
[
{ label: 'Sepsis bolus', prompt: 'In pediatric septic shock, when should fluid boluses be limited and vasoactives started?' },
{ label: 'Head injury CT', prompt: 'Which pediatric head injury features should prompt CT or observation?' },
{ label: 'UTI fever', prompt: 'How should febrile UTI be evaluated and treated in young children?' }
{ label: 'Anaphylaxis epi', prompt: 'What is the recommended IM epinephrine dose for pediatric anaphylaxis and when should it be repeated?' }
],
[
{ label: 'Sickle pain fever', prompt: 'How should fever and pain crisis be managed in a child with sickle cell disease?' },
{ label: 'UTI imaging', prompt: 'When should children with febrile UTI receive renal ultrasound or further imaging?' },
{ label: 'Neonatal jaundice', prompt: 'What bilirubin risk factors change phototherapy decisions in a newborn?' },
{ label: 'Dehydration fluids', prompt: 'How should dehydration severity guide oral rehydration versus IV fluids in children?' }
],
[
{ label: 'Croup escalation', prompt: 'When should a child with croup receive nebulized epinephrine and observation?' },
{ label: 'Bilious vomiting', prompt: 'What are the red flags for bilious vomiting in neonates, and what immediate workup is recommended?' },
{ label: 'Status seizure', prompt: 'Outline first- and second-line treatment for pediatric status epilepticus.' }
]
];

33
src/routes/clinicalAssistant.js
View file

@ -36,15 +36,25 @@ var VISUAL_CLASSIFIER_LIMIT = 6;
var VISUAL_CLASSIFIER_MIN_CONFIDENCE = Number(process.env.CLINICAL_ASSISTANT_VISUAL_CLASSIFIER_MIN_CONFIDENCE || '0.005');
var EXAMPLE_CANDIDATES = [
{ label: 'Status asthma escalation', prompt: 'In a 4-year-old with acute wheeze, when should magnesium sulfate be considered and what dose is recommended?' },
{ label: 'Asthma ED disposition', prompt: 'What clinical features support discharge versus admission after a pediatric asthma exacerbation?' },
{ label: 'Bronchiolitis support', prompt: 'What evidence-based supportive care is recommended for bronchiolitis, and when is admission indicated?' },
{ label: 'Febrile neonate', prompt: 'What initial workup and empiric antibiotics are recommended for a well-appearing febrile neonate?' },
{ label: 'Neonatal resuscitation', prompt: 'Summarize the first minute steps in neonatal resuscitation and when positive pressure ventilation is indicated.' },
{ label: 'DKA cerebral edema', prompt: 'What warning signs suggest cerebral edema during pediatric DKA treatment, and what immediate treatment is recommended?' },
{ label: 'Sepsis vasoactives', prompt: 'In pediatric septic shock, when should fluid boluses be limited and vasoactives started?' },
{ label: 'Toxic ingestion', prompt: 'How should an unknown pediatric ingestion be initially assessed and when is activated charcoal appropriate?' },
{ label: 'Meningitis antibiotics', prompt: 'What empiric antibiotics are recommended for suspected bacterial meningitis by pediatric age group?' },
{ label: 'Sickle fever', prompt: 'How should fever in a child with sickle cell disease be evaluated and treated?' },
{ label: 'Head injury CT', prompt: 'Which pediatric head injury features should prompt CT imaging or ED observation?' },
{ label: 'Anaphylaxis IM epi', prompt: 'What is the recommended IM epinephrine dose for pediatric anaphylaxis and when should it be repeated?' },
{ label: 'Dehydration fluids', prompt: 'How should dehydration severity guide oral rehydration versus IV fluids in children?' },
{ label: 'Neonatal jaundice', prompt: 'Which neonatal jaundice risk factors change phototherapy thresholds or urgency?' },
{ label: 'UTI imaging', prompt: 'When should children with febrile UTI receive renal ultrasound or further imaging?' },
{ label: 'Kawasaki workup', prompt: 'What clinical and laboratory features support incomplete Kawasaki disease evaluation?' },
{ label: 'Intussusception', prompt: 'What are the red flags, diagnostic steps, and reduction approach for suspected intussusception?' },
{ label: 'NAT red flags', prompt: 'What injury patterns and history features should raise concern for non-accidental trauma?' },
{ label: 'Status epilepticus', prompt: 'Outline first- and second-line treatment for pediatric status epilepticus with typical dosing.' },
{ label: 'Croup escalation', prompt: 'When should a child with croup receive nebulized epinephrine, and how long should they be observed?' },
{ label: 'Sepsis fluids', prompt: 'In pediatric septic shock, when should fluid boluses be limited and vasoactives started?' },
{ label: 'Bilious vomiting', prompt: 'What are the red flags for bilious vomiting in neonates, and what immediate workup is recommended?' }
{ label: 'Bilious vomiting', prompt: 'What are the red flags for bilious vomiting in neonates, and what immediate workup is recommended?' },
{ label: 'Bronchiolitis oxygen', prompt: 'What supportive care and oxygen/admission criteria are recommended for infant bronchiolitis?' },
{ label: 'DKA cerebral edema', prompt: 'What warning signs suggest cerebral edema during pediatric DKA treatment, and what immediate treatment is recommended?' },
{ label: 'Neonatal resuscitation', prompt: 'Summarize the first minute steps in neonatal resuscitation and when positive pressure ventilation is indicated.' }
];
var TOPIC_SUGGESTIONS = {
asthma: [
@ -1047,8 +1057,9 @@ async function getAvailableExamples() {
if (_exampleCache.expiresAt > now && _exampleCache.examples.length) return _exampleCache.examples;
var examples = [];
for (var i = 0; i < EXAMPLE_CANDIDATES.length && examples.length < 6; i++) {
var item = EXAMPLE_CANDIDATES[i];
var candidates = rotateExamples(EXAMPLE_CANDIDATES, now);
for (var i = 0; i < candidates.length && examples.length < 9; i++) {
var item = candidates[i];
try {
var searchResponse = await semanticSearch(item.prompt, {
limit: 2,
@ -1076,6 +1087,12 @@ async function getAvailableExamples() {
return examples;
}
function rotateExamples(items, seed) {
var copy = items.slice();
var offset = Math.floor(seed / EXAMPLE_CACHE_MS) % copy.length;
return copy.slice(offset).concat(copy.slice(0, offset));
}
async function generateImage(prompt, model) {
if (!process.env.LITELLM_API_BASE) throw new Error('LiteLLM is required for image generation');
var headers = { 'Content-Type': 'application/json' };