#2 — Don't-miss tooltip (encounters HPI + sick visit, max 5)
- New POST /api/dont-miss returning {points: [{point, why}]} capped at 5
(cap defended both in the prompt and server-side .slice(0,5))
- New dontMissTooltip prompt in prompts.js
- New suggestDontMiss() helper in app.js mirroring suggestBillingCodes;
inserts an orange-bordered card next to the note output, silent on empty
- Wired into liveEncounter.js (encounter HPI) and sickVisit.js. Not added
to wellvisit/soap/hospital/chart per spec.
#1 — Bedside suture selector
- New ES module public/js/bedside/sutures.js (~300L) following the
burns.js pattern: site × age × tension × cosmetic × contamination ×
hours-since-injury → material, size, technique, removal day range,
glue/Steri-strip alternative, warnings, tetanus reminder.
- 15 anatomic sites covered (face, eyelid, lip vermilion, intraoral,
ear, scalp, neck, trunk, upper/lower ext, hand, foot, joint surface,
genitalia, fingertip).
- Bites: cat/human → don't-close-primarily warning; dog bite to hand →
loose-approximation note. Heavy contamination → delayed primary
closure. >12h non-face/scalp → judgment call note.
- Removal days shown as ranges (3–5, 7–10, 10–14) per source norms,
not single midpoints.
- Subungual hematoma trephination guidance corrected: any painful
hematoma with intact nail and no displaced fracture (especially if
25–50% or more), per current UpToDate guidance.
- Inline citation: Roberts & Hedges 7e (2019), Fleisher & Ludwig 8e,
AAP Section on EM, UpToDate (Pope JV).
- Pill registered in sub-nav SECTIONS + bedside/index.js. Persists
active state via existing UIState helper.
All 46 tests pass.
Bedside is now a top-level tab instead of a sub-pill inside Calculators —
it's the highest-traffic emergency reference in the app and deserves a
one-click entry. Same DOM structure and JS modules; only the container
moved.
Sidebar reorg:
- Notes: Hospital Course, Chart Review, SOAP Note, Well Visit, Sick Visit
(Well Visit + Sick Visit relocated from the old "Pediatric" group —
they're clinical note workflows, not pure reference tools).
- Section rename: "Pediatric" → "Clinical Tools". The section now holds
Vaccine Schedule, Catch-Up Schedule, Physical Exam Guide, Bedside,
Calculators, Pagers & Extensions, Learning Hub, Content Manager — mix
of reference tables + active calculators + utilities, none strictly
pediatric. "Clinical Tools" reads naturally for the combined set.
Layout changes:
- calculators.html: dropped 480 lines of bedside panel + the Bedside
nav-pill. The shared age→weight estimator moved with it.
- bedside.html: new component file, contains the full bedside card +
the age→weight estimator prepended.
- index.html: added bedside-tab section, sidebar restructured.
- e2e-harness.html: renders calculators + bedside side-by-side (not the
old calc-tab→bedside-pill dance) so the bedside smoke suite still
works without auth. e2e-bootstrap fetches both with a cache-buster.
- bedside-smoke.spec.js: removed the now-obsolete calc-nav-pill click
from each test.
Tab persistence is unchanged — ped_last_tab already survives sign-out,
and the lazy-load cache keeps sub-pill state across navigation within a
session. Persistence across browser restart for sub-pills is a separate
follow-up.
