Restores two pieces of vanilla behavior the React port silently dropped: 1. The output divs were contenteditable in vanilla — clinicians fix AI mistakes inline before saving the encounter or copying out. The early React port rendered the output as a read-only div, so any edit forced a copy-paste workflow. 2. correctionTracker.js (public/js/correctionTracker.js) saved every meaningful inline edit to user_memories under category correction_<section> so the AI learns user preferences. Settings → Corrections still showed them, but nothing in React was *writing* them — the loop was broken. New EditableResult component wraps the result body in a textarea, captures the AI baseline on first render / after refine|shorten, and on blur posts to /api/memories/correction (only when the edit clears the noise threshold from vanilla — wordDiff ≥ 2 OR charDiff ≥ 20 on outputs > 100 chars). Wired into all 7 note pages: Encounter → section: 'encounter' Dictation → section: 'hpi' SOAP → section: 'soap' SickVisit → section: 'sickvisit' WellVisit → section: 'wellvisit' HospitalCourse → section: null (server enum has no correction_hospital) ChartReview → section: null (server enum has no correction_chart) Tests: shared/clinical/correction-tracker.ts (+ .test.ts) — pure heuristic with vectors covering the noise floor (single-word swap on long text → skipped; new sentence → tracked; large char diff → tracked). Lives in shared/ so the root vitest config picks it up; the React component imports from there.
147 lines
6.2 KiB
TypeScript
147 lines
6.2 KiB
TypeScript
// ============================================================
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// SICK VISIT — /api/sick-visit/note
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// ============================================================
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import { useState } from 'react';
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import { useMutation } from '@tanstack/react-query';
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import { api, ApiError } from '@/lib/api';
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import type { VisitNoteOk } from '@/shared/types';
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import { SickVisitRequestSchema, type SickVisitRequest } from '@/shared/schemas';
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import Recorder from '@/components/Recorder';
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import EncounterToolbar from '@/components/EncounterToolbar';
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import EditableResult from '@/components/EditableResult';
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const TYPE = 'sickvisit' as const;
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export default function SickVisit() {
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const [label, setLabel] = useState('');
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const [patientAge, setPatientAge] = useState('');
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const [patientGender, setPatientGender] = useState('');
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const [chiefComplaint, setChiefComplaint] = useState('');
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const [transcript, setTranscript] = useState('');
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const [interim, setInterim] = useState('');
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const [result, setResult] = useState<string | null>(null);
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const [validationError, setValidationError] = useState<string | null>(null);
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const [recError, setRecError] = useState<string | null>(null);
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const generate = useMutation<VisitNoteOk, Error, SickVisitRequest>({
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mutationFn: (body) => api.post<VisitNoteOk>('/api/sick-visit/note', body),
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onSuccess: (data) => setResult(data.note),
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});
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function submit(e: React.FormEvent) {
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e.preventDefault();
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setValidationError(null);
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const body: SickVisitRequest = { patientAge, patientGender, chiefComplaint, transcript: (interim || transcript).trim() };
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const parsed = SickVisitRequestSchema.safeParse(body);
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if (!parsed.success) {
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setValidationError(parsed.error.issues.map((i: { message: string }) => i.message).join(', '));
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return;
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}
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setResult(null);
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generate.mutate(parsed.data);
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}
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const input = 'w-full rounded-md border border-input bg-background px-3 py-2 text-sm';
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const displayedTranscript = interim || transcript;
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return (
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<div className="max-w-4xl mx-auto p-6 space-y-4">
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<header>
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<h1 className="text-2xl font-semibold">Sick Visit</h1>
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<p className="text-sm text-muted-foreground">
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Chief complaint + transcript → structured sick-visit note.
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</p>
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</header>
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<EncounterToolbar
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type={TYPE}
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label={label} setLabel={setLabel}
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transcript={transcript} generatedNote={result || ''}
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partialData={{ age: patientAge, gender: patientGender, chiefComplaint }}
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onLoad={(enc) => {
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setTranscript(enc.transcript || '');
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setInterim('');
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setResult(enc.generated_note || null);
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try {
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const pd = enc.partial_data ? JSON.parse(enc.partial_data) : null;
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if (pd?.age) setPatientAge(pd.age);
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if (pd?.gender) setPatientGender(pd.gender);
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if (pd?.chiefComplaint) setChiefComplaint(pd.chiefComplaint);
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} catch { /* ignore */ }
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setLabel(enc.label || '');
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}}
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onClear={() => {
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setTranscript(''); setInterim(''); setResult(null); setValidationError(null);
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setPatientAge(''); setPatientGender(''); setChiefComplaint('');
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}}
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/>
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<form onSubmit={submit} className="space-y-4">
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<div className="grid grid-cols-3 gap-3">
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<label className="flex flex-col gap-1">
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<span className="text-xs font-semibold uppercase tracking-wider text-muted-foreground">Age</span>
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<input className={input} placeholder="e.g. 4 years" value={patientAge} onChange={(e) => setPatientAge(e.target.value)} />
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</label>
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<label className="flex flex-col gap-1">
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<span className="text-xs font-semibold uppercase tracking-wider text-muted-foreground">Gender</span>
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<select className={input} value={patientGender} onChange={(e) => setPatientGender(e.target.value)}>
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<option value="">Select</option>
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<option>Male</option>
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<option>Female</option>
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</select>
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</label>
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<label className="flex flex-col gap-1 col-span-3 md:col-span-1">
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<span className="text-xs font-semibold uppercase tracking-wider text-muted-foreground">Chief complaint</span>
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<input className={input} placeholder="e.g. Fever x 2 days" value={chiefComplaint} onChange={(e) => setChiefComplaint(e.target.value)} />
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</label>
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</div>
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<Recorder
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module="sickvisit"
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onTranscript={(text, meta) => {
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setTranscript((prev) => (meta.appended ? (prev ? prev + ' ' + text : text) : text));
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setInterim('');
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setRecError(null);
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}}
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onInterim={(t) => setInterim(t ? (transcript ? transcript + ' ' + t : t) : '')}
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onError={(msg) => setRecError(msg)}
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/>
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{recError && <div className="text-sm text-destructive">{recError}</div>}
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<label className="flex flex-col gap-1">
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<span className="text-xs font-semibold uppercase tracking-wider text-muted-foreground">Transcript / dictation</span>
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<textarea
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className={input + ' min-h-[200px] font-mono text-sm'}
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placeholder="Click Start recording, or type / paste encounter narrative."
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value={displayedTranscript}
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onChange={(e) => { setTranscript(e.target.value); setInterim(''); }}
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/>
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</label>
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{validationError && <div className="text-sm text-destructive">{validationError}</div>}
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{generate.error && <div className="text-sm text-destructive">{(generate.error as ApiError).message}</div>}
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<button
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type="submit"
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disabled={generate.isPending || !chiefComplaint.trim()}
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className="rounded-md bg-primary text-primary-foreground px-4 py-2 text-sm font-medium disabled:opacity-50"
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>
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{generate.isPending ? 'Generating…' : 'Generate Note'}
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</button>
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</form>
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{result !== null && (
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<EditableResult
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text={result}
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onChange={setResult}
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section="sickvisit"
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title="Sick Visit Note"
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exportLabel="sick-visit-note"
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exportType="sick-visit"
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sourceContext={displayedTranscript}
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/>
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)}
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</div>
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);
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}
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