pediatric-ai-scribe-v3/public/js/liveEncounter.js
Daniel 560ec43f8b feat: don't-miss tooltip after notes + bedside suture selector
#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.
2026-04-28 03:09:38 +02:00

241 lines
11 KiB
JavaScript

(function() {
var _inited = false;
document.addEventListener('tabChanged', function(e) {
if (e.detail.tab !== 'encounter' || _inited) return;
_inited = true;
var recordBtn = document.getElementById('enc-record-btn');
var pauseBtn = document.getElementById('enc-pause-btn');
var indicator = document.getElementById('enc-recording-indicator');
var timerEl = document.getElementById('enc-timer');
var transcript = document.getElementById('enc-transcript');
var clearBtn = document.getElementById('enc-clear');
var generateBtn = document.getElementById('enc-generate-btn');
var outputCard = document.getElementById('enc-output');
var hpiText = document.getElementById('enc-hpi-text');
var modelTag = document.getElementById('enc-model-tag');
var stopBtn = document.getElementById('enc-stop-btn');
var recorder = new AudioRecorder();
recorder._module = 'encounter';
var timer = createTimer(timerEl);
var isRecording = false;
var isPaused = 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 && !isPaused) try { recognition.start(); } catch(e) {}
};
recognition.onerror = function(e) {
if (e.error === 'no-speech' || e.error === 'aborted') return;
console.warn('[SpeechRecognition] error:', e.error);
};
}
recordBtn.addEventListener('click', function() {
if (!isRecording) {
finalText = '';
sessionFinals = '';
recorder.start().then(function() {
isRecording = true;
isPaused = false;
recordBtn.classList.add('recording');
recordBtn.style.display = 'none';
if (pauseBtn) pauseBtn.classList.remove('hidden');
if (stopBtn) stopBtn.classList.remove('hidden');
indicator.classList.remove('hidden');
timer.start();
if (recognition) try { recognition.start(); } catch(e) {}
if (typeof nativeHaptic === 'function') nativeHaptic('heavy');
if (typeof nativeKeepAwake === 'function') nativeKeepAwake(true);
if (typeof nativeStartRecordingService === 'function') nativeStartRecordingService();
showToast('Recording started', 'info');
document.dispatchEvent(new CustomEvent('recording-started', { detail: { module: 'enc' } }));
}).catch(function() { showToast('Microphone denied', 'error'); });
} else {
isRecording = false;
isPaused = false;
var dur = timer.stop();
recordBtn.classList.remove('recording');
recordBtn.style.display = '';
recordBtn.querySelector('span').textContent = 'Start Recording';
if (pauseBtn) { pauseBtn.classList.add('hidden'); pauseBtn.innerHTML = '<i class="fas fa-pause"></i> Pause'; pauseBtn.classList.remove('btn-primary'); pauseBtn.classList.add('btn-ghost'); }
if (stopBtn) stopBtn.classList.add('hidden');
indicator.classList.add('hidden');
if (recognition) try { recognition.stop(); } catch(e) {}
if (typeof nativeHaptic === 'function') nativeHaptic('medium');
if (typeof nativeKeepAwake === 'function') nativeKeepAwake(false);
if (typeof nativeStopRecordingService === 'function') nativeStopRecordingService();
document.dispatchEvent(new CustomEvent('recording-stopped', { detail: { module: 'enc' } }));
// If no server transcription API, use live transcript directly (no upload)
var liveText = (finalText + sessionFinals).trim();
if (window._transcribeAvailable === false) {
recorder.stop().then(function() {});
if (liveText) transcript.textContent = liveText;
showToast('Using browser speech recognition (no transcription API configured)', 'info');
} else {
showBusy('Transcribing...');
recorder.stop().then(function(blob) {
if (!blob || blob.size === 0) { 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; showToast('Transcribed ' + dur + 's', 'success'); }
else if (data.noProvider) { if (liveText) transcript.textContent = liveText; showToast('Using live transcript', 'info'); }
else { if (liveText) transcript.textContent = liveText; showToast(data.error || 'Failed', 'error'); }
});
}).catch(function(err) { hideBusy(); if (liveText) transcript.textContent = liveText; showToast(err.message, 'error'); });
}
}
});
// Dedicated stop button (always visible during recording)
if (stopBtn) {
stopBtn.addEventListener('click', function() {
if (!isRecording) return;
// Temporarily show recordBtn so .click() triggers the stop flow
recordBtn.style.display = '';
recordBtn.click();
});
}
// Pause / Resume
if (pauseBtn) {
pauseBtn.addEventListener('click', function() {
if (!isRecording) return;
if (!isPaused) {
// Pause: try MediaRecorder.pause(), fall back to stop+accumulate
if (recorder.mediaRecorder) {
try {
if (typeof recorder.mediaRecorder.pause === 'function' && recorder.mediaRecorder.state === 'recording') {
recorder.mediaRecorder.pause();
}
} catch(e) { console.warn('[Rec] Pause not supported:', e.message); }
}
timer.stop();
isPaused = true;
pauseBtn.innerHTML = '<i class="fas fa-play"></i> Resume';
pauseBtn.classList.add('btn-primary');
pauseBtn.classList.remove('btn-ghost');
if (recognition) try { recognition.stop(); } catch(e) {}
showToast('Recording paused', 'info');
} else {
// Resume: try MediaRecorder.resume(), fall back to just restarting recognition
if (recorder.mediaRecorder) {
try {
if (typeof recorder.mediaRecorder.resume === 'function' && recorder.mediaRecorder.state === 'paused') {
recorder.mediaRecorder.resume();
} else if (recorder.mediaRecorder.state === 'inactive') {
// MediaRecorder was stopped (browser killed it) — restart it on the same stream
if (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) { console.warn('[Rec] Resume error:', e.message); }
}
timer.resume();
isPaused = false;
pauseBtn.innerHTML = '<i class="fas fa-pause"></i> Pause';
pauseBtn.classList.remove('btn-primary');
pauseBtn.classList.add('btn-ghost');
if (recognition) try { recognition.start(); } catch(e) {}
showToast('Recording resumed', 'info');
}
});
}
clearBtn.addEventListener('click', function() {
transcript.textContent = ''; finalText = ''; outputCard.classList.add('hidden');
window._savedEncId_encounter = null;
var labelEl = document.getElementById('enc-label');
if (labelEl) labelEl.value = '';
var refineEl = document.getElementById('enc-refine-input');
if (refineEl) refineEl.value = '';
});
generateBtn.addEventListener('click', function() {
var text = transcript.innerText.trim();
if (!text) { showToast('No transcript', 'error'); return; }
showBusy('Generating HPI...');
var memoriesPromise = (typeof getUserMemoryContext === 'function') ? getUserMemoryContext() : Promise.resolve('');
memoriesPromise.then(function(memCtx) {
return fetch('/api/generate-hpi-encounter', {
method: 'POST',
headers: getAuthHeaders(),
body: JSON.stringify({
transcript: text,
patientAge: document.getElementById('enc-age').value,
patientGender: document.getElementById('enc-gender').value,
setting: document.getElementById('enc-setting').value,
physicianMemories: memCtx || null,
model: getSelectedModel()
})
});
})
.then(function(r) { return r.json(); })
.then(function(data) {
hideBusy();
if (data.success) {
setOutputText(hpiText, data.hpi);
storeSourceContext('enc-hpi-text', transcript.innerText.trim());
modelTag.textContent = (data.model || '').split('/').pop();
outputCard.classList.remove('hidden');
outputCard.scrollIntoView({ behavior: 'smooth' });
showToast('HPI generated!', 'success');
if (typeof suggestBillingCodes === 'function') suggestBillingCodes('enc-hpi-text', data.hpi, 'hpi', document.getElementById('enc-age').value, document.getElementById('enc-setting').value);
if (typeof suggestDontMiss === 'function') suggestDontMiss('enc-hpi-text', data.hpi, 'hpi', document.getElementById('enc-age').value);
} else showToast(data.error || 'Failed', 'error');
})
.catch(function(err) { hideBusy(); showToast(err.message, 'error'); });
});
// Refine & Shorten
document.getElementById('enc-refine-btn').addEventListener('click', function() { refineDocument('enc-hpi-text', 'enc-refine-input'); });
document.getElementById('enc-shorten-btn').addEventListener('click', function() { shortenDocument('enc-hpi-text'); });
// Register load handler for resuming saved encounters
if (typeof registerEncounterLoadHandler === 'function') {
registerEncounterLoadHandler('encounter', function(enc) {
if (enc.transcript) transcript.textContent = enc.transcript;
if (enc.generated_note) {
hpiText.textContent = enc.generated_note;
outputCard.classList.remove('hidden');
}
try { var pd = JSON.parse(enc.partial_data || '{}'); if (pd.age) document.getElementById('enc-age').value = pd.age; if (pd.gender) document.getElementById('enc-gender').value = pd.gender; } catch(e) {}
});
}
console.log('✅ Encounter module loaded');
});
})();