pediatric-ai-scribe-v3/shared/clinical/calculators.ts

// ============================================================
// 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 };
}