pediatric-ai-scribe-v3/public/js/ed-encounters.js
Daniel 503f5afaad feat: ED multi-stage UX, extensions polish, docs viewer + application-logic docs
Three concurrent themes from this session:

═══════════════════════════════════════════════════════════════════
ED ENCOUNTERS — per-stage cards + consolidate→MDM finalize
═══════════════════════════════════════════════════════════════════

UX redesign per Daniel's feedback ("every stage note should be shown,
if AI is told to modify that particular note then the modified version
is used in final mdm"):

- Each generated stage stays on screen as its own editable card with
  its own embedded "Don't Miss" panel. No more single rolling note
  element that gets replaced on each generation.
- gatherCurrentNotes() reads contenteditable text from each stage card
  before any operation (advance, finalize, persist) so inline edits
  flow into the next AI call and the final consolidate.
- Stage badge is now state-accurate. "Stage N (recording)" with yellow
  background after Add-more before generation; "Stage N" with gray
  after generation. Fixes the bug where the badge flipped to Stage 2
  the moment Add-more was clicked.
- Save & Done now runs TWO server-side AI calls in /finalize:
  1. edConsolidate (new prompt) → polished single final note that
     integrates every stage chronologically (HPI / ROS / PE / ED Course /
     A&P with disposition).
  2. edFinalize (rewritten with full inline 2023 AMA E/M element
     rubric — problems / data / risk definitions, level mapping with
     concrete examples) → MDM JSON.
- Two new cards render after finalize: blue-bordered Final Consolidated
  Note + green-bordered MDM. Stage cards become read-only.
- partial_data on the saved row now stores {stages, finalNote, mdm,
  finalized} so resume re-renders the full state.

Why two-call finalize: a single combined prompt makes the model cut
corners on one task. Two focused calls cost ~2× latency at the very end
of an encounter — acceptable since finalize is a one-time terminal
action, not a per-stage hot path.

Files: public/components/ed-encounter.html, public/js/ed-encounters.js,
src/routes/edEncounters.js, src/utils/prompts.js (edConsolidate added,
edFinalize rewritten).

═══════════════════════════════════════════════════════════════════
EXTENSIONS / PAGERS — visual polish
═══════════════════════════════════════════════════════════════════

Multiple iterations based on Daniel's feedback:

- Layout: align-items:flex-start so action buttons stay pinned top-right
  when long numbers wrap (was align-items:center → buttons drifted into
  the text area, causing visible overlap).
- Number: word-break:break-all + min-width:0 + font-feature-settings:tnum
  so long numbers wrap within their column instead of pushing under the
  buttons. Click-to-copy with a 0.55s green flash + ✓ copied badge.
- Phone/pager Font Awesome icon next to the number in the type color —
  at-a-glance type signal (replacing an earlier 3px left stripe that
  Daniel found visually bulky).
- Name: font-weight 700, font-size 14.5px, color g900, letter-spacing
  -0.012em — scan-target headline typography for long lists.
- Alternating subtle backgrounds by index (white vs #fafbfc) so a long
  list reads as distinct rows.
- Hover: card lifts 1px with a soft shadow; action buttons fade from
  55% to 100% opacity. Cubic-bezier transition on transform.
- Entrance: staggered fade-up animation per card (35ms × index, capped
  at 12). prefers-reduced-motion media query disables motion.
- Empty state: 48px FA icon + heading instead of plain gray text.

Files: public/js/extensions.js, public/css/styles.css.

═══════════════════════════════════════════════════════════════════
DOCS REORGANIZATION + APPLICATION-LOGIC DOCS + ADMIN VIEWER
═══════════════════════════════════════════════════════════════════

Document moves (preserving git history via git mv):
  BROWSER_WHISPER_SETUP.md          → docs/browser-whisper-setup.md
  BROWSER_WHISPER_TROUBLESHOOTING.md → docs/browser-whisper-troubleshooting.md
  DEVELOPER_GUIDE.md                → docs/developer-guide-extended.md
  EMBEDDINGS_SETUP.md               → docs/embeddings-setup.md
  FEATURES_EXPLAINED.md             → docs/features-explained.md
  IMPROVEMENTS.md                   → docs/improvements.md
  OPENID_SETUP.md                   → docs/openid-setup.md
  TRANSCRIPTION_OPTIONS.md          → docs/transcription-options.md
README.md updated with the new paths + a Documentation section that
links to docs/logic/ at the top.

New application-logic doc series (~8,300 lines total) at docs/logic/.
Built with 5 parallel doc-writing agents per Daniel's "use multiple
agents" directive. Each doc explains how a part of the app actually
works — application logic, data flow, design decisions, sacred zones,
how-to-extend recipes — at a depth that lets a new dev (or an AI
assistant) modify the code confidently.

  docs/logic/README.md                — index + recommended reading order
  docs/logic/architecture.md (2166 L) — frontend IIFE pattern, lazy tab
                                         load, backend route convention,
                                         schema, encryption, deployment
  docs/logic/clinical-notes.md (1546L) — every note tab + helper trio
  docs/logic/bedside-and-calculators.md (1373L) — bedside ES module
                                         pocket + calculators + PE Guide
                                         + suture selector
  docs/logic/auth-admin-learning.md (1281L) — auth (local+OIDC+2FA) +
                                         admin panel + Learning Hub
                                         (Quiz engine logic at sub-detail
                                         only — TODO follow-up)
  docs/logic/ai-and-voice.md (1128 L) — callAI 5-provider routing,
                                         prompts, voice/STT, helper trio
  docs/logic/ed-encounters.md (821 L) — multi-stage ED + MDM (this
                                         session's worked example)

Admin-only docs viewer:
- New route /api/admin/docs/{tree,file}: recursively walks docs/, returns
  the tree as JSON; /file?path=X validates path stays inside docs/ and
  renders markdown via marked. Both gated by req.user.role==='admin'.
- New tab "Docs" (book icon) in the sidebar, hidden by default and
  revealed in auth.js when user.role==='admin' (same pattern as the
  existing Admin and CMS tabs).
- New component public/components/admin-docs.html: split-pane layout
  with a tree sidebar + filter input + a markdown reader pane.
- New module public/js/admin-docs.js: lazy-loads the tree on first tab
  activation, renders collapsible folders, persists expanded state and
  last-opened path via UIState. Server-rendered HTML so no client
  markdown parser needed.
- CSS for the viewer (responsive split-pane, code-block styling, table
  scrolling, etc.).
- Mounted at /api/admin/docs (NOT /api) — important: mounting a router
  with router.use(authMiddleware) at /api accidentally 401s every other
  /api/* path (caught and fixed during testing — /api/health was 401'ing).

Files: docs/* (moved + new), README.md, public/components/admin-docs.html
(new), public/js/admin-docs.js (new), src/routes/adminDocs.js (new),
public/index.html (tab + section + script), public/js/auth.js (admin
gate + logout cleanup), public/css/styles.css (viewer styles), server.js
(mount).

═══════════════════════════════════════════════════════════════════
KNOWN GAPS (TODO follow-ups)
═══════════════════════════════════════════════════════════════════

- Learning Hub quiz engine (MCQ / multi-select / T-F scoring + attempt
  tracking + progress dashboard) is covered at the architectural level
  in docs/logic/auth-admin-learning.md but not drilled into the quiz
  data model and scoring flow. Worth a focused follow-up doc.
- ED finalize: if MDM step JSON parse fails, server returns 502 with
  the consolidated finalNote in the error payload, but client doesn't
  surface the partial result. Add a "MDM failed, retry" affordance.
- No e2e Playwright coverage for ED encounters or the new docs viewer.
2026-04-28 03:09:38 +02:00

645 lines
28 KiB
JavaScript

// ============================================================
// ED ENCOUNTER TAB — multi-stage emergency note with per-stage
// don't-miss tooltips and 2023 E/M MDM finalize.
//
// State model:
// _state = {
// stage: 1|2|..., // current stage number (what the recorder is for)
// stages: [ // per-stage history — one entry per generated stage
// { transcript, note, dontMiss, model, generatedAt }
// ],
// finalized: false,
// finalNote: null, // consolidated final note from /finalize
// mdm: null
// }
//
// UX rules:
// - Every generated stage stays on screen as its own editable card with
// its own don't-miss panel. The physician can edit any stage at any
// time; gatherCurrentNotes() reads the live DOM into _state.stages
// before any operation that depends on the current text.
// - The badge under the patient label reflects exactly where you are:
// "Stage N (recording)" — advanced to stage N but no note yet
// "Stage N" — stage N's note has been generated
// "Finalized" — Save & Done done
// - Save & Done sends every stage's current text to the server, which
// consolidates them into one polished final note and then generates
// MDM from that. Stages become read-only after finalize.
//
// Persistence: localStorage on every input (debounced) + auto-save
// draft row to saved_encounters on stage transitions.
// ============================================================
(function() {
'use strict';
var LS_KEY = 'ped_ed_draft_v1';
var _state = freshState();
var _saveTimer = null;
var _recorder = null;
var _timer = null;
var _recording = false;
var _paused = false;
var _recognition = null;
var _liveTranscript = '';
function freshState() {
return { stage: 1, stages: [], finalized: false, finalNote: null, mdm: null };
}
// ── DOM helpers ──────────────────────────────────────────────────────
function getVal(id) { var el = document.getElementById(id); return el ? el.value : ''; }
function setVal(id, v) { var el = document.getElementById(id); if (el) el.value = v; }
function getText(id) {
var el = document.getElementById(id);
if (!el) return '';
return (el.innerText || el.textContent || '').trim();
}
function setText(id, v) {
var el = document.getElementById(id);
if (!el) return;
el.textContent = v;
}
function showEl(id) { var el = document.getElementById(id); if (el) el.classList.remove('hidden'); }
function hideEl(id) { var el = document.getElementById(id); if (el) el.classList.add('hidden'); }
function escHtml(s) { return String(s == null ? '' : s).replace(/&/g, '&amp;').replace(/</g, '&lt;').replace(/>/g, '&gt;').replace(/"/g, '&quot;'); }
function stageTextElId(idx) { return 'ed-stage-text-' + idx; }
// Read the current contenteditable text from each rendered stage card
// and write it back into _state.stages. Call before any operation
// (advance, finalize, persist) that needs the latest user edits.
function gatherCurrentNotes() {
for (var i = 0; i < _state.stages.length; i++) {
var el = document.getElementById(stageTextElId(i));
if (el) {
var t = (el.innerText || el.textContent || '').trim();
if (t) _state.stages[i].note = t;
}
}
}
// ── Persistence ──────────────────────────────────────────────────────
function persistLocal() {
if (_saveTimer) clearTimeout(_saveTimer);
_saveTimer = setTimeout(function() {
try {
gatherCurrentNotes();
var snap = {
state: _state,
label: getVal('ed-label'),
age: getVal('ed-age'),
gender: getVal('ed-gender'),
cc: getVal('ed-cc'),
currentTranscript: getText('ed-transcript')
};
localStorage.setItem(LS_KEY, JSON.stringify(snap));
} catch (e) {}
}, 300);
}
function loadLocal() {
try {
var raw = localStorage.getItem(LS_KEY);
if (!raw) return;
var snap = JSON.parse(raw);
if (!snap || !snap.state) return;
_state = snap.state;
// Backfill new fields if a snapshot pre-dates this version
if (typeof _state.finalNote === 'undefined') _state.finalNote = null;
setVal('ed-label', snap.label || '');
setVal('ed-age', snap.age || '');
setVal('ed-gender', snap.gender || '');
setVal('ed-cc', snap.cc || '');
setText('ed-transcript', snap.currentTranscript || '');
renderStages();
if (_state.finalNote) renderFinalNote(_state.finalNote);
if (_state.finalized && _state.mdm) renderMdm(_state.mdm);
updateBadge();
} catch (e) {}
}
function clearLocal() {
try { localStorage.removeItem(LS_KEY); } catch (e) {}
}
// ── Stage rendering ──────────────────────────────────────────────────
function renderStages() {
var container = document.getElementById('ed-stages-container');
if (!container) return;
container.innerHTML = '';
if (_state.stages.length === 0) {
hideEl('ed-tail-controls');
return;
}
for (var i = 0; i < _state.stages.length; i++) {
container.appendChild(buildStageCard(i, _state.stages[i]));
}
// Tail controls visible once at least one stage exists.
// Hidden when finalized — encounter is locked.
if (_state.finalized) hideEl('ed-tail-controls');
else showEl('ed-tail-controls');
}
function buildStageCard(idx, stage) {
var card = document.createElement('div');
card.className = 'card output-card stage-card';
card.dataset.stageIdx = String(idx);
card.style.marginBottom = '10px';
var modelShort = (stage.model || '').split('/').pop();
var editable = _state.finalized ? 'false' : 'true';
var dontMissHtml = '';
if (stage.dontMiss && stage.dontMiss.length) {
dontMissHtml =
'<div style="border-top:1px solid var(--g100);padding:10px 14px;background:#fffbeb;">' +
'<div style="font-size:12px;font-weight:700;color:#92400e;margin-bottom:6px;">' +
'<i class="fas fa-triangle-exclamation" style="color:#f59e0b;margin-right:6px;"></i>' +
'Don\'t Miss — Stage ' + (idx + 1) +
'</div>' +
stage.dontMiss.map(function(it) {
var why = it.why ? '<div style="font-size:11px;color:var(--g500);margin-top:1px;">' + escHtml(it.why) + '</div>' : '';
return '<div style="padding:4px 0;font-size:13px;color:var(--g800);">' +
'<i class="fas fa-circle-exclamation" style="color:#f59e0b;font-size:10px;margin-right:6px;"></i>' +
escHtml(it.point) +
why +
'</div>';
}).join('') +
'</div>';
}
card.innerHTML =
'<div class="card-header output-header">' +
'<h3>' +
'<i class="fas fa-file-medical"></i> Stage ' + (idx + 1) + ' Note' +
(modelShort ? ' <span class="model-tag" style="margin-left:6px;">' + escHtml(modelShort) + '</span>' : '') +
'</h3>' +
'<div class="output-actions">' +
'<button class="btn-sm btn-primary" data-action="copy" data-target="' + stageTextElId(idx) + '"><i class="fas fa-copy"></i> Copy</button>' +
'</div>' +
'</div>' +
'<div id="' + stageTextElId(idx) + '" class="output-text" contenteditable="' + editable + '"></div>' +
dontMissHtml;
// Set the note text via textContent so contenteditable shows the correct content
// (and so any HTML in the model output is treated as plain text, not parsed).
var textEl = card.querySelector('#' + stageTextElId(idx));
if (textEl) textEl.textContent = stage.note || '';
return card;
}
function renderFinalNote(note) {
var container = document.getElementById('ed-final-note-card');
if (!container) {
// Create the final-note card lazily and insert before the MDM card
container = document.createElement('div');
container.id = 'ed-final-note-card';
container.className = 'card output-card';
container.style.cssText = 'margin-top:10px;border-left:3px solid #2563eb;';
var mdm = document.getElementById('ed-mdm-card');
if (mdm && mdm.parentNode) mdm.parentNode.insertBefore(container, mdm);
else document.body.appendChild(container);
}
container.innerHTML =
'<div class="card-header output-header">' +
'<h3><i class="fas fa-file-medical-alt" style="color:#2563eb;"></i> Final Consolidated Note</h3>' +
'<div class="output-actions">' +
'<button class="btn-sm btn-primary" data-action="copy" data-target="ed-final-note-text"><i class="fas fa-copy"></i> Copy</button>' +
'</div>' +
'</div>' +
'<div id="ed-final-note-text" class="output-text"></div>';
var t = container.querySelector('#ed-final-note-text');
if (t) t.textContent = note;
container.classList.remove('hidden');
container.scrollIntoView({ behavior: 'smooth' });
}
function renderMdm(mdm) {
var card = document.getElementById('ed-mdm-card');
var text = document.getElementById('ed-mdm-text');
var tag = document.getElementById('ed-mdm-level-tag');
if (!card || !text || !mdm) return;
if (tag) tag.textContent = mdm.suggestedLevel || '';
text.innerHTML =
'<div style="margin-bottom:6px;"><strong>Problems Addressed</strong> (' + escHtml(mdm.problemsAddressed) + ')<br>' + escHtml(mdm.problemsNarrative) + '</div>' +
'<div style="margin-bottom:6px;"><strong>Data Reviewed</strong> (' + escHtml(mdm.dataReviewed) + ')<br>' + escHtml(mdm.dataNarrative) + '</div>' +
'<div style="margin-bottom:6px;"><strong>Risk</strong> (' + escHtml(mdm.risk) + ')<br>' + escHtml(mdm.riskNarrative) + '</div>' +
'<div style="padding-top:8px;border-top:1px solid var(--g100);"><strong>Suggested Level: ' + escHtml(mdm.suggestedLevel) + '</strong><br>' +
'<span style="font-size:12px;color:var(--g600);">' + escHtml(mdm.levelRationale) + '</span></div>' +
'<p style="font-size:10px;color:var(--g400);margin:8px 0 0;">Suggestion only. Verify against your institution\'s coding guidelines.</p>';
card.classList.remove('hidden');
}
// Badge accurately reflects state.
// - "Stage N (recording)" — advanced past last generation; no note yet for stage N
// - "Stage N" — stage N's note has been generated
// - "Finalized" — Save & Done complete
function updateBadge() {
var badge = document.getElementById('ed-stage-badge');
var rec = document.getElementById('ed-rec-stage-num');
var gen = document.getElementById('ed-gen-stage-num');
if (rec) rec.textContent = String(_state.stage);
if (gen) gen.textContent = String(_state.stage);
if (!badge) return;
if (_state.finalized) {
badge.textContent = 'Finalized';
badge.style.background = '#d1fae5';
badge.style.color = '#047857';
return;
}
var generatedHere = _state.stages.length >= _state.stage;
if (generatedHere) {
badge.textContent = 'Stage ' + _state.stage;
badge.style.background = 'var(--g100)';
badge.style.color = 'var(--g600)';
} else {
badge.textContent = 'Stage ' + _state.stage + ' (recording)';
badge.style.background = '#fef3c7';
badge.style.color = '#92400e';
}
}
// ── Recording ────────────────────────────────────────────────────────
function initRecording() {
var recordBtn = document.getElementById('ed-record-btn');
var pauseBtn = document.getElementById('ed-pause-btn');
var indicator = document.getElementById('ed-rec-indicator');
var timerEl = document.getElementById('ed-timer');
var transcriptEl = document.getElementById('ed-transcript');
if (!recordBtn) return;
_timer = createTimer(timerEl);
_recognition = createSpeechRecognition();
if (_recognition) {
_recognition.onresult = function(e) {
var interim = '';
for (var i = e.resultIndex; i < e.results.length; i++) {
if (e.results[i].isFinal) _liveTranscript += e.results[i][0].transcript + ' ';
else interim = e.results[i][0].transcript;
}
if (transcriptEl) transcriptEl.innerHTML = _liveTranscript + (interim ? '<span style="color:#9ca3af;">' + interim + '</span>' : '');
};
_recognition.onend = function() { if (_recording && !_paused) try { _recognition.start(); } catch(e) {} };
}
recordBtn.addEventListener('click', function() {
if (!_recording) {
_liveTranscript = '';
_recorder = new AudioRecorder();
_recorder.start().then(function() {
_recording = true; _paused = false;
recordBtn.innerHTML = '<i class="fas fa-stop"></i> Stop';
recordBtn.classList.add('recording');
if (pauseBtn) pauseBtn.classList.remove('hidden');
indicator.classList.remove('hidden');
_timer.start();
if (_recognition) try { _recognition.start(); } catch(e) {}
showToast('ED recording started — Stage ' + _state.stage, 'info');
document.dispatchEvent(new CustomEvent('recording-started', { detail: { module: 'ed' } }));
}).catch(function() { showToast('Microphone denied', 'error'); });
} else {
_recording = false; _paused = false;
var dur = _timer.stop();
recordBtn.innerHTML = '<i class="fas fa-microphone"></i> Listen In';
recordBtn.classList.remove('recording');
if (pauseBtn) pauseBtn.classList.add('hidden');
indicator.classList.add('hidden');
if (_recognition) try { _recognition.stop(); } catch(e) {}
document.dispatchEvent(new CustomEvent('recording-stopped', { detail: { module: 'ed' } }));
showBusy('Transcribing...');
_recorder.stop().then(function(blob) {
if (!blob || blob.size === 0) {
hideBusy();
if (_liveTranscript.trim() && transcriptEl) transcriptEl.textContent = _liveTranscript.trim();
persistLocal();
return;
}
return transcribeAudio(blob).then(function(data) {
hideBusy();
if (data && data.success) {
if (transcriptEl) transcriptEl.textContent = data.text;
showToast('Transcribed ' + dur + 's', 'success');
} else if (_liveTranscript.trim() && transcriptEl) {
transcriptEl.textContent = _liveTranscript.trim();
}
persistLocal();
});
}).catch(function() { hideBusy(); });
}
});
if (pauseBtn) {
pauseBtn.addEventListener('click', function() {
if (!_recording || !_recorder || !_recorder.mediaRecorder) return;
if (!_paused) {
try { if (_recorder.mediaRecorder.state === 'recording') _recorder.mediaRecorder.pause(); } catch(e) {}
_timer.stop(); _paused = true;
pauseBtn.innerHTML = '<i class="fas fa-play"></i> Resume';
if (_recognition) try { _recognition.stop(); } catch(e) {}
} else {
try {
if (_recorder.mediaRecorder.state === 'paused') { _recorder.mediaRecorder.resume(); }
else if (_recorder.mediaRecorder.state === 'inactive' && _recorder.stream && _recorder.stream.active) {
var mime = MediaRecorder.isTypeSupported('audio/webm;codecs=opus') ? 'audio/webm;codecs=opus' : 'audio/webm';
_recorder.mediaRecorder = new MediaRecorder(_recorder.stream, { mimeType: mime, audioBitsPerSecond: 32000 });
_recorder.mediaRecorder.ondataavailable = function(e) { if (e.data.size > 0) _recorder.chunks.push(e.data); };
_recorder.mediaRecorder.start(1000);
}
} catch(e) {}
_timer.resume(); _paused = false;
pauseBtn.innerHTML = '<i class="fas fa-pause"></i> Pause';
if (_recognition) try { _recognition.start(); } catch(e) {}
}
});
}
}
// ── Generate (per-stage) ─────────────────────────────────────────────
function generateStage() {
if (_state.finalized) { showToast('Encounter is finalized — start a new one', 'error'); return; }
var cc = getVal('ed-cc');
if (!cc.trim()) { showToast('Enter a chief complaint first', 'error'); return; }
var transcript = getText('ed-transcript');
if (!transcript) { showToast('No transcript — record or type the dictation first', 'error'); return; }
// Capture any in-place edits to earlier stages so the AI sees them as the
// baseline for the new stage.
gatherCurrentNotes();
var modelEl = document.getElementById('ed-model-select');
var selectedModel = modelEl ? modelEl.value : '';
showBusy('Generating ED note (Stage ' + _state.stage + ')...');
var memoriesPromise = (typeof getUserMemoryContext === 'function') ? getUserMemoryContext() : Promise.resolve('');
memoriesPromise.then(function(memCtx) {
var prevNote = _state.stages.length > 0 ? _state.stages[_state.stages.length - 1].note : '';
return fetch('/api/ed-encounters/generate', {
method: 'POST',
headers: getAuthHeaders(),
body: JSON.stringify({
stage: _state.stage,
transcript: transcript,
chiefComplaint: cc,
patientAge: getVal('ed-age'),
patientGender: getVal('ed-gender'),
previousNote: prevNote || undefined,
physicianMemories: memCtx || undefined,
model: selectedModel || undefined
})
});
})
.then(function(r) { return r.json(); })
.then(function(data) {
hideBusy();
if (!data.success) { showToast(data.error || 'Generation failed', 'error'); return; }
// Place this stage at index (_state.stage - 1). If the user is regenerating
// an existing stage (shouldn't happen via UI, but defensively), overwrite.
var idx = _state.stage - 1;
_state.stages[idx] = {
transcript: transcript,
note: data.note || '',
dontMiss: data.dontMiss || [],
model: data.model || '',
generatedAt: new Date().toISOString()
};
renderStages();
updateBadge();
persistLocal();
autoSaveDraft();
// Scroll to the newly added card
var card = document.querySelector('.stage-card[data-stage-idx="' + idx + '"]');
if (card) card.scrollIntoView({ behavior: 'smooth', block: 'start' });
showToast('Stage ' + _state.stage + ' generated. Edit, add more, or Save & Done.', 'success');
})
.catch(function(err) { hideBusy(); showToast(err.message, 'error'); });
}
// ── Add another stage — DOES NOT change displayed cards ─────────────
function advanceStage() {
if (_state.finalized) { showToast('Encounter is finalized', 'error'); return; }
if (_state.stages.length < _state.stage) {
showToast('Generate the current stage before advancing', 'error');
return;
}
gatherCurrentNotes();
_state.stage += 1;
setText('ed-transcript', '');
_liveTranscript = '';
updateBadge();
persistLocal();
showToast('Ready for Stage ' + _state.stage + ' — record or type additional findings.', 'info');
var rec = document.getElementById('ed-record-btn');
if (rec) rec.scrollIntoView({ behavior: 'smooth', block: 'center' });
}
// ── Finalize → consolidate + MDM + persist as final ──────────────────
function finalize() {
if (_state.finalized) { showToast('Already finalized', 'info'); return; }
if (_state.stages.length === 0) { showToast('Generate at least one stage first', 'error'); return; }
var label = getVal('ed-label');
if (!label.trim()) { showToast('Enter a patient label before finalizing', 'error'); return; }
gatherCurrentNotes();
var modelEl = document.getElementById('ed-model-select');
var selectedModel = modelEl ? modelEl.value : '';
showBusy('Consolidating note + generating MDM...');
fetch('/api/ed-encounters/finalize', {
method: 'POST',
headers: getAuthHeaders(),
body: JSON.stringify({
stages: _state.stages.map(function(s) {
return { transcript: s.transcript || '', note: s.note || '' };
}),
chiefComplaint: getVal('ed-cc'),
patientAge: getVal('ed-age'),
patientGender: getVal('ed-gender'),
model: selectedModel || undefined
})
})
.then(function(r) { return r.json(); })
.then(function(data) {
if (!data.success) { hideBusy(); showToast(data.error || 'Finalize failed', 'error'); return; }
_state.finalNote = data.finalNote || '';
_state.mdm = data.mdm;
_state.finalized = true;
renderStages(); // re-render with read-only stage cards
renderFinalNote(_state.finalNote);
renderMdm(_state.mdm);
updateBadge();
var fullTranscript = _state.stages.map(function(s, i) {
return '--- Stage ' + (i + 1) + ' ---\n' + (s.transcript || '');
}).join('\n\n');
var partial = { stages: _state.stages, finalNote: _state.finalNote, mdm: _state.mdm, finalized: true };
if (typeof saveEncounter === 'function') {
saveEncounter({
id: window._savedEncId_ed || null,
label: label,
enc_type: 'ed',
transcript: fullTranscript,
generated_note: composeFinalNoteForSave(_state.finalNote, _state.mdm),
partial_data: partial,
status: 'final',
idempotency_key: 'ed-final-' + Date.now(),
onSaved: function(id) {
window._savedEncId_ed = id;
try { sessionStorage.setItem('_savedEncId_ed', id); } catch(e) {}
clearLocal();
hideBusy();
showToast('Encounter finalized and saved.', 'success');
}
});
} else {
hideBusy();
}
})
.catch(function(err) { hideBusy(); showToast(err.message, 'error'); });
}
function composeFinalNoteForSave(noteText, mdm) {
if (!mdm) return noteText;
return [
noteText,
'',
'Medical Decision Making (2023 E/M):',
'Problems Addressed (' + (mdm.problemsAddressed || '') + '): ' + (mdm.problemsNarrative || ''),
'Data Reviewed (' + (mdm.dataReviewed || '') + '): ' + (mdm.dataNarrative || ''),
'Risk (' + (mdm.risk || '') + '): ' + (mdm.riskNarrative || ''),
'Suggested Level: ' + (mdm.suggestedLevel || '') + ' — ' + (mdm.levelRationale || '')
].join('\n');
}
// ── Save draft (manual / auto on stage transition) ──────────────────
function autoSaveDraft() {
var label = getVal('ed-label');
if (!label.trim()) return;
if (typeof saveEncounter !== 'function') return;
gatherCurrentNotes();
var fullTranscript = _state.stages.map(function(s) { return s.transcript || ''; }).join('\n\n');
var partial = { stages: _state.stages, finalized: false };
var lastNote = _state.stages.length ? _state.stages[_state.stages.length - 1].note : '';
saveEncounter({
id: window._savedEncId_ed || null,
label: label,
enc_type: 'ed',
transcript: fullTranscript,
generated_note: lastNote,
partial_data: partial,
status: 'draft',
idempotency_key: 'ed-draft-' + (window._savedEncId_ed || 'new'),
onSaved: function(id) {
window._savedEncId_ed = id;
try { sessionStorage.setItem('_savedEncId_ed', id); } catch(e) {}
}
});
}
function manualSaveDraft() {
if (!getVal('ed-label').trim()) { showToast('Enter a patient label first', 'error'); return; }
autoSaveDraft();
showToast('Draft saved', 'success');
}
// ── Reset / new patient ──────────────────────────────────────────────
function resetEncounter() {
_state = freshState();
setVal('ed-label', '');
setVal('ed-age', '');
setVal('ed-gender', '');
setVal('ed-cc', '');
setText('ed-transcript', '');
_liveTranscript = '';
var container = document.getElementById('ed-stages-container');
if (container) container.innerHTML = '';
var finalCard = document.getElementById('ed-final-note-card');
if (finalCard) finalCard.remove();
hideEl('ed-tail-controls');
hideEl('ed-mdm-card');
window._savedEncId_ed = null;
try { sessionStorage.removeItem('_savedEncId_ed'); } catch(e) {}
clearLocal();
updateBadge();
showToast('ED encounter cleared for new patient', 'info');
}
// ── Refine the latest stage ──────────────────────────────────────────
function refineLatestStage() {
if (_state.finalized) { showToast('Encounter is finalized', 'error'); return; }
if (_state.stages.length === 0) { showToast('Generate a stage first', 'error'); return; }
var idx = _state.stages.length - 1;
var elId = stageTextElId(idx);
if (typeof refineDocument === 'function') refineDocument(elId, 'ed-refine-input');
}
function shortenLatestStage() {
if (_state.finalized) { showToast('Encounter is finalized', 'error'); return; }
if (_state.stages.length === 0) { showToast('Generate a stage first', 'error'); return; }
var idx = _state.stages.length - 1;
var elId = stageTextElId(idx);
if (typeof shortenDocument === 'function') shortenDocument(elId);
}
// ── Wire click handlers ──────────────────────────────────────────────
document.addEventListener('click', function(e) {
if (e.target.closest('#btn-ed-generate')) generateStage();
if (e.target.closest('#btn-ed-add-more')) advanceStage();
if (e.target.closest('#btn-ed-finalize')) finalize();
if (e.target.closest('#btn-ed-new')) resetEncounter();
if (e.target.closest('#btn-ed-save')) manualSaveDraft();
if (e.target.closest('#ed-refine-btn')) refineLatestStage();
if (e.target.closest('#ed-shorten-btn')) shortenLatestStage();
});
// Persist on input — capture stage edits via gatherCurrentNotes inside persistLocal
document.addEventListener('input', function(e) {
if (!e.target) return;
var t = e.target;
if (t.id === 'ed-label' || t.id === 'ed-age' || t.id === 'ed-gender' || t.id === 'ed-cc' || t.id === 'ed-transcript') {
persistLocal();
return;
}
if (t.id && t.id.indexOf('ed-stage-text-') === 0) {
persistLocal();
}
});
// ── Load handler (resume from saved encounters list) ────────────────
if (typeof registerEncounterLoadHandler === 'function') {
registerEncounterLoadHandler('ed', function(enc) {
_state = freshState();
setVal('ed-label', enc.label || '');
var partial = enc.partial_data;
try { if (typeof partial === 'string') partial = JSON.parse(partial); } catch (e) { partial = null; }
if (partial && partial.stages) {
_state.stages = partial.stages;
_state.stage = partial.stages.length || 1;
_state.finalized = !!partial.finalized;
_state.finalNote = partial.finalNote || null;
_state.mdm = partial.mdm || null;
}
renderStages();
if (_state.finalNote) renderFinalNote(_state.finalNote);
if (_state.mdm) renderMdm(_state.mdm);
if (enc.transcript && _state.stages.length === 0) setText('ed-transcript', enc.transcript);
updateBadge();
});
}
// ── Init on tab activation ───────────────────────────────────────────
var _inited = false;
document.addEventListener('tabChanged', function(e) {
if (e.detail.tab !== 'ed' || _inited) return;
_inited = true;
initRecording();
loadLocal();
updateBadge();
});
console.log('ED encounters module loaded');
})();