pediatric-ai-scribe-v3/scripts/import-milestones.js

#!/usr/bin/env node
/**
 * Import developmental milestones from static data file into database
 * Run: node scripts/import-milestones.js
 */

require('dotenv').config();
const db = require('../src/db/database');

// Import static data
const MILESTONES_DATA = {
  "Newborn / 1 month": {
    "Gross Motor": [
      "Moves arms and legs equally",
      "Lifts head briefly when on tummy (prone)",
      "Strong flexion posture (arms and legs tucked)",
      "Turns head side to side when lying on back"
    ],
    "Fine Motor": [
      "Hands mostly fisted",
      "Strong grasp reflex when palm is touched",
      "Brings hands near face"
    ],
    "Language": [
      "Cries to express needs",
      "Startles or quiets to sounds",
      "Makes brief throaty sounds"
    ],
    "Social/Emotional": [
      "Recognizes caregiver voice",
      "Briefly fixates on faces at close range (8-12 inches)",
      "Calms when held or hears familiar voice",
      "Shows brief alert periods"
    ],
    "Cognitive": [
      "Focuses on faces briefly",
      "Follows objects briefly to midline",
      "Prefers black and white or high-contrast patterns",
      "Responds to loud sounds (Moro reflex)"
    ]
  },

  "2 months": {
    "Gross Motor": [
      "Lifts head when prone (45 degrees)",
      "Holds head steady when held upright briefly",
      "Moves both arms and both legs",
      "Pushes up on tummy"
    ],
    "Fine Motor": [
      "Opens hands briefly",
      "Holds rattle if placed in hand briefly",
      "Brings hands to midline"
    ],
    "Language": [
      "Coos and makes gurgling sounds",
      "Makes sounds other than crying",
      "Turns head toward sounds"
    ],
    "Social/Emotional": [
      "Social smile (responsive to faces)",
      "Begins to self-soothe (hands to mouth)",
      "Tries to look at parent",
      "Calms when spoken to or picked up"
    ],
    "Cognitive": [
      "Pays attention to faces",
      "Begins to follow things with eyes",
      "Recognizes people at a distance"
    ]
  },

  "4 months": {
    "Gross Motor": [
      "Holds head steady unsupported",
      "Pushes up to elbows when on tummy",
      "May roll over tummy to back",
      "Pushes down on legs when feet on hard surface"
    ],
    "Fine Motor": [
      "Reaches for toys with one hand",
      "Uses hands and eyes together",
      "Grasps and shakes hand toys"
    ],
    "Language": [
      "Babbles with expression and copies sounds",
      "Cries differently for hunger pain and tiredness",
      "Makes vowel sounds ah eh oh"
    ],
    "Social/Emotional": [
      "Smiles spontaneously especially at people",
      "Likes to play and may cry when playing stops",
      "Copies movements and facial expressions"
    ],
    "Cognitive": [
      "Lets you know if happy or sad",
      "Follows moving things with eyes side to side",
      "Watches faces closely",
      "Recognizes familiar people at a distance"
    ]
  },

  "6 months": {
    "Gross Motor": [
      "Rolls over in both directions",
      "Begins to sit without support",
      "Supports weight on legs and might bounce",
      "Rocks back and forth on hands and knees"
    ],
    "Fine Motor": [
      "Reaches for and grasps objects",
      "Transfers objects hand to hand",
      "Raking grasp to pick up objects",
      "Brings things to mouth"
    ],
    "Language": [
      "Responds to own name",
      "Responds to sounds by making sounds",
      "Strings vowels together when babbling",
      "Begins consonant sounds m and b",
      "Makes sounds to show joy and displeasure"
    ],
    "Social/Emotional": [
      "Knows familiar faces and recognizes strangers",
      "Likes to play with others especially parents",
      "Responds to other peoples emotions",
      "Likes to look at self in mirror"
    ],
    "Cognitive": [
      "Looks around at things nearby",
      "Shows curiosity and tries to get things out of reach",
      "Begins to pass things from one hand to the other"
    ]
  }
  // Add more age groups as needed...
};

async function importMilestones() {
  console.log('🚀 Starting milestones import...\n');

  try {
    // Check if milestones already exist
    const existing = await db.query('SELECT COUNT(*) as count FROM developmental_milestones');
    if (parseInt(existing.rows[0].count) > 0) {
      console.log(`⚠️  Database already contains ${existing.rows[0].count} milestones.`);
      console.log('   Clear existing data first or skip import.');
      const readline = require('readline');
      const rl = readline.createInterface({ input: process.stdin, output: process.stdout });

      await new Promise((resolve) => {
        rl.question('Clear existing data and re-import? (yes/no): ', (answer) => {
          rl.close();
          if (answer.toLowerCase() !== 'yes') {
            console.log('Import cancelled.');
            process.exit(0);
          }
          resolve();
        });
      });

      await db.query('DELETE FROM developmental_milestones');
      console.log('✅ Cleared existing milestones\n');
    }

    let imported = 0;
    let sortOrder = 0;

    for (const ageGroup in MILESTONES_DATA) {
      console.log(`📋 Importing: ${ageGroup}`);

      for (const domain in MILESTONES_DATA[ageGroup]) {
        const milestones = MILESTONES_DATA[ageGroup][domain];

        for (const milestone of milestones) {
          await db.query(
            `INSERT INTO developmental_milestones (age_group, domain, milestone_text, sort_order)
             VALUES ($1, $2, $3, $4)`,
            [ageGroup, domain, milestone, sortOrder]
          );
          sortOrder++;
          imported++;
        }
      }
    }

    console.log(`\n✅ Import complete!`);
    console.log(`   Imported: ${imported} milestones`);
    console.log(`\nYou can now manage milestones via the Admin dashboard.\n`);

    process.exit(0);
  } catch (err) {
    console.error('❌ Import failed:', err.message);
    process.exit(1);
  }
}

importMilestones();