pediatric-ai-scribe-v3/public/js/soap.js
Daniel 059fbefa7e Add automatic ICD-10 and CPT billing code suggestions
New feature: after generating any clinical note, the app automatically
suggests relevant billing codes displayed as clickable chips below the output.

Backend (src/routes/billing.js):
- POST /api/suggest-codes endpoint analyzes note text
- Extracts diagnoses from Assessment section via regex
- Looks up ICD-10 codes: local common pediatric map (40+ conditions)
  first, then NLM Clinical Tables API for unknown terms
- Suggests CPT E/M codes based on note type, visit complexity,
  ROS/PE system counts, and MDM level estimation
- Supports: outpatient (new/established), well visit (age-based),
  ED, inpatient (admit/subsequent/discharge)

Frontend (public/js/app.js):
- suggestBillingCodes() renders collapsible card with ICD-10 and CPT chips
- Click any chip to copy the code to clipboard
- Shows E/M level assessment (diagnosis count, ROS, PE, MDM complexity)
- Disclaimer: "Suggestions only. Always verify codes."

Integration: called after note generation in all 6 tabs
(encounter, SOAP, sick visit, well visit, hospital course, chart review)
2026-04-11 01:50:17 +02:00

165 lines
7 KiB
JavaScript

(function() {
var _inited = false;
document.addEventListener('tabChanged', function(e) {
if (e.detail.tab !== 'soap' || _inited) return;
_inited = true;
var recordBtn = document.getElementById('soap-record-btn');
var indicator = document.getElementById('soap-recording-indicator');
var timerEl = document.getElementById('soap-timer');
var transcript = document.getElementById('soap-transcript');
var clearBtn = document.getElementById('soap-clear');
var generateBtn = document.getElementById('soap-generate-btn');
var outputCard = document.getElementById('soap-output');
var soapText = document.getElementById('soap-text');
var modelTag = document.getElementById('soap-model-tag');
var recorder = new AudioRecorder();
recorder._module = 'soap';
var timer = createTimer(timerEl);
var isRecording = false;
var recognition = createSpeechRecognition();
var finalText = '';
var sessionFinals = '';
function escHtml(s) { return String(s).replace(/&/g,'&amp;').replace(/</g,'&lt;').replace(/>/g,'&gt;'); }
if (recognition) {
recognition.onresult = function(e) {
var interim = '';
for (var i = e.resultIndex; i < e.results.length; i++) {
if (e.results[i].isFinal) {
var chunk = e.results[i][0].transcript + ' ';
var deduped = deduplicateFinal(chunk, finalText + sessionFinals);
sessionFinals += deduped;
} else {
interim = e.results[i][0].transcript;
}
}
var combined = finalText + sessionFinals;
transcript.innerHTML = escHtml(combined) + (interim ? '<span style="color:#9ca3af;">' + escHtml(interim) + '</span>' : '');
};
recognition.onend = function() {
finalText += sessionFinals;
sessionFinals = '';
if (isRecording) try { recognition.start(); } catch(e) {}
};
}
recordBtn.addEventListener('click', function() {
if (!isRecording) {
finalText = '';
sessionFinals = '';
recorder.start().then(function() {
isRecording = true;
recordBtn.classList.add('recording');
recordBtn.querySelector('span').textContent = 'Stop';
indicator.classList.remove('hidden');
timer.start();
if (recognition) try { recognition.start(); } catch(e) {}
}).catch(function() { showToast('Microphone denied', 'error'); });
} else {
isRecording = false;
var dur = timer.stop();
recordBtn.classList.remove('recording');
recordBtn.querySelector('span').textContent = 'Dictate';
indicator.classList.add('hidden');
if (recognition) try { recognition.stop(); } catch(e) {}
var liveText = (finalText + sessionFinals).trim();
if (window._transcribeAvailable === false) {
recorder.stop().then(function() {});
if (liveText) transcript.textContent = liveText;
showToast('Using browser speech recognition', 'info');
} else {
showBusy('Transcribing...');
recorder.stop().then(function(blob) {
if (!blob) { hideBusy(); if (liveText) transcript.textContent = liveText; return; }
if (blob.size > 24 * 1024 * 1024) {
hideBusy();
transcript.textContent = liveText;
showToast('Recording too large for AI transcription — using live transcript', 'info');
return;
}
return transcribeAudio(blob).then(function(data) {
hideBusy();
if (data.success) transcript.textContent = data.text;
else if (data.noProvider) { if (liveText) transcript.textContent = liveText; showToast('Using live transcript', 'info'); }
else { if (liveText) transcript.textContent = liveText; showToast(data.error || 'Transcription failed — using live transcript', 'error'); }
});
}).catch(function(err) { hideBusy(); if (liveText) transcript.textContent = liveText; showToast('Transcription error: ' + (err.message || 'unknown'), 'error'); });
}
}
});
clearBtn.addEventListener('click', function() {
transcript.textContent = ''; finalText = ''; outputCard.classList.add('hidden');
var instrEl = document.getElementById('soap-instructions');
if (instrEl) instrEl.value = '';
window._savedEncId_soap = null;
var labelEl = document.getElementById('soap-label');
if (labelEl) labelEl.value = '';
});
generateBtn.addEventListener('click', function() {
var text = transcript.innerText.trim();
if (!text) { showToast('No input', 'error'); return; }
showBusy('Generating SOAP note...');
var memoriesPromise = (typeof getUserMemoryContext === 'function') ? getUserMemoryContext() : Promise.resolve('');
memoriesPromise.then(function(memCtx) {
return fetch('/api/generate-soap', {
method: 'POST',
headers: getAuthHeaders(),
body: JSON.stringify({
transcript: text,
patientAge: document.getElementById('soap-age').value,
patientGender: document.getElementById('soap-gender').value,
type: document.getElementById('soap-type').value,
additionalInstructions: document.getElementById('soap-instructions').value,
physicianMemories: memCtx || null,
model: getSelectedModel()
})
});
})
.then(function(r) { return r.json(); })
.then(function(data) {
hideBusy();
if (data.success) {
setOutputText(soapText, data.soap);
storeSourceContext('soap-text', transcript.innerText.trim());
if (typeof trackAIOutput === 'function') trackAIOutput('soap-text', data.soap);
modelTag.textContent = (data.model || '').split('/').pop();
outputCard.classList.remove('hidden');
outputCard.scrollIntoView({ behavior: 'smooth' });
showToast('SOAP note generated!', 'success');
if (typeof suggestBillingCodes === 'function') suggestBillingCodes('soap-text', data.soap, 'soap', document.getElementById('soap-age').value);
} else showToast(data.error || 'Failed', 'error');
})
.catch(function(err) { hideBusy(); showToast(err.message, 'error'); });
});
document.getElementById('soap-refine-btn').addEventListener('click', function() { refineDocument('soap-text', 'soap-refine-input'); });
document.getElementById('soap-shorten-btn').addEventListener('click', function() { shortenDocument('soap-text'); });
// Register load handler for resuming saved SOAP notes
if (typeof registerEncounterLoadHandler === 'function') {
registerEncounterLoadHandler('soap', function(enc) {
if (enc.transcript) transcript.textContent = enc.transcript;
if (enc.generated_note) {
setOutputText(soapText, enc.generated_note);
outputCard.classList.remove('hidden');
}
try {
var pd = JSON.parse(enc.partial_data || '{}');
if (pd.age) document.getElementById('soap-age').value = pd.age;
if (pd.gender) document.getElementById('soap-gender').value = pd.gender;
if (pd.type) document.getElementById('soap-type').value = pd.type;
} catch(e) {}
});
}
console.log('✅ SOAP module loaded');
});
})();