Files
temetro/frontend/components/patients/patient-detail.tsx
T
Khalid Abdi 36461a5498 feat: patient blood type & phone + clinic location setting (v0.9.0)
Patient record:
- Add `bloodType` and `phone` to the patient model (schema, canonical types on
  both backend + frontend, zod validation). `phone` is a demographic field
  (reception can read/write); `bloodType` is clinical PHI, redacted for the
  reception role. Surface both in the record sheet, chat summary card, and the
  add/edit patient form. Migration 0033.

Clinic location:
- New org-scoped `clinic_settings` table (address/city/country + optional
  lat/long), service, and routes: GET /api/clinic/settings (any clinician) and
  PUT /api/clinic/location (owner/admin). Edited in Settings → Signing → Clinic
  location. Consumed later by the wallet app. Migration 0034.

i18n:
- Translate all new keys into every shipped locale (en/de/fr/ar/so) and document
  the "translate into every locale" rule in frontend/CLAUDE.md.

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
2026-07-06 22:07:27 +03:00

699 lines
22 KiB
TypeScript

"use client";
import {
ArrowLeftRight,
FileDown,
Mic,
Network,
Pencil,
Send,
Trash2,
} from "lucide-react";
import { type ReactNode, useEffect, useState } from "react";
import { useTranslation } from "react-i18next";
import { Sparkline } from "@/components/chat/sparkline";
import { AttachmentsSection } from "@/components/patients/patient-files";
import { Avatar, AvatarFallback } from "@/components/ui/avatar";
import { type ActivityEntry, listPatientActivity } from "@/lib/activity";
import { printPatientSummary } from "@/lib/patient-pdf";
import { Badge } from "@/components/ui/badge";
import { Button } from "@/components/ui/button";
import {
Dialog,
DialogClose,
DialogDescription,
DialogFooter,
DialogHeader,
DialogPanel,
DialogPopup,
DialogTitle,
} from "@/components/ui/dialog";
import type { Appointment } from "@/lib/appointments";
import {
formatMoney,
type Invoice,
invoiceTotal,
} from "@/lib/invoices";
import type { AllergySeverity, LabFlag, Patient, Trend } from "@/lib/patients";
import type { Prescription } from "@/lib/prescriptions";
import { listProviders, type Provider, specialtyLabel } from "@/lib/staff";
import { cn } from "@/lib/utils";
// A record "file" surfaced both in the graph and the sheet's clickable list.
type RecordFile = {
id: string;
kind: "problem" | "visit";
title: string;
sub: string;
rows: { label: string; value: string }[];
};
type BadgeVariant =
| "default"
| "secondary"
| "destructive"
| "outline"
| "success"
| "info"
| "warning";
const severityVariant: Record<AllergySeverity, BadgeVariant> = {
mild: "outline",
moderate: "secondary",
severe: "destructive",
};
const labFlagVariant: Record<LabFlag, BadgeVariant> = {
normal: "outline",
low: "secondary",
high: "secondary",
critical: "destructive",
};
const statusVariant: Record<Patient["status"], BadgeVariant> = {
active: "success",
inpatient: "info",
discharged: "outline",
};
function Section({ title, children }: { title: string; children: ReactNode }) {
return (
<section className="rounded-2xl border bg-card/30 p-4">
<h3 className="mb-3 font-medium text-foreground text-sm">{title}</h3>
{children}
</section>
);
}
function Stat({ label, value }: { label: string; value: ReactNode }) {
return (
<div className="flex flex-col gap-0.5">
<span className="text-muted-foreground text-xs">{label}</span>
<span className="text-foreground text-sm">{value}</span>
</div>
);
}
function Row({ label, value }: { label: ReactNode; value: ReactNode }) {
return (
<div className="flex items-baseline justify-between gap-3">
<span className="text-foreground text-sm">{label}</span>
<span className="shrink-0 text-muted-foreground text-sm">{value}</span>
</div>
);
}
function TrendBlock({ trend }: { trend: Trend }) {
if (trend.points.length === 0) return null;
return (
<div className="mt-3 flex flex-col gap-1.5">
<div className="flex items-baseline justify-between gap-2">
<span className="text-muted-foreground text-xs uppercase tracking-wide">
{trend.label}
</span>
<span className="text-foreground text-sm">
{trend.points.at(-1)}
<span className="text-muted-foreground"> {trend.unit}</span>
</span>
</div>
<div className="text-primary">
<Sparkline className="h-12" points={trend.points} unit={trend.unit} />
</div>
</div>
);
}
// The patient's record history: every audited add/change on this chart, newest
// first. Reuses the clinic activity log scoped to this file number.
function RecordHistory({ fileNumber }: { fileNumber: string }) {
const { t } = useTranslation();
const [entries, setEntries] = useState<ActivityEntry[] | null>(null);
const [error, setError] = useState(false);
useEffect(() => {
let active = true;
listPatientActivity(fileNumber)
.then((e) => active && setEntries(e))
.catch(() => active && setError(true));
return () => {
active = false;
};
}, [fileNumber]);
return (
<Section title={t("patientCard.history.title")}>
{error ? (
<p className="text-muted-foreground text-sm">
{t("patientCard.history.loadError")}
</p>
) : entries === null ? (
<p className="text-muted-foreground text-sm">{t("patients.loading")}</p>
) : entries.length === 0 ? (
<p className="text-muted-foreground text-sm">
{t("patientCard.history.empty")}
</p>
) : (
<ol className="flex flex-col gap-3">
{entries.map((e) => (
<li className="flex items-start gap-3" key={e.id}>
<Avatar className="mt-0.5 size-7 shrink-0">
<AvatarFallback className="text-[11px]">
{e.actorInitials}
</AvatarFallback>
</Avatar>
<div className="flex min-w-0 flex-1 flex-col">
<span className="text-foreground text-sm">
<span className="font-medium">{e.actorName}</span> {e.action}
</span>
<span className="text-muted-foreground text-xs">
{new Date(e.createdAt).toLocaleString()}
</span>
</div>
</li>
))}
</ol>
)}
</Section>
);
}
// Full patient record laid out vertically for the side Sheet — plain full-width
// sections (no fixed-width cards, no nested click-to-expand dialogs).
export function PatientDetail({
patient,
onEdit,
onScribe,
onWalletPush,
onTransfer,
onDelete,
onOpenGraph,
prescriptions,
appointments,
invoices,
}: {
patient: Patient;
onEdit?: () => void;
// Opens the ambient AI visit scribe (record/transcribe → draft note).
onScribe?: () => void;
// Pushes the record to the patient's wallet (only when wallet-linked).
onWalletPush?: () => void;
onTransfer?: () => void;
onDelete?: () => void;
// Pops the record graph out into its own dialog (closing this sheet).
onOpenGraph?: () => void;
prescriptions?: Prescription[];
appointments?: Appointment[];
invoices?: Invoice[];
}) {
const { t } = useTranslation();
const sex = t(`patientCard.sex.${patient.sex}`);
const idLine = `${patient.age} · ${sex} · MRN ${patient.fileNumber}`;
// The record "file" opened in a detail dialog from the records list.
const [openFile, setOpenFile] = useState<RecordFile | null>(null);
// Resolve the responsible clinician's specialty (set by an admin in Care
// Team) to show alongside the primary-care provider.
const [providers, setProviders] = useState<Provider[]>([]);
useEffect(() => {
if (!patient.primaryProviderId) return;
let active = true;
listProviders()
.then((p) => active && setProviders(p))
.catch(() => {});
return () => {
active = false;
};
}, [patient.primaryProviderId]);
const providerSpecialty = specialtyLabel(
t,
providers.find((p) => p.userId === patient.primaryProviderId)?.specialty,
);
// The same problems + visits the graph plots, as a clickable list.
const files: RecordFile[] = [
...patient.problems.map((p, i) => ({
id: `prob-${i}`,
kind: "problem" as const,
title: p.label,
sub: p.since,
rows: [{ label: t("patientCard.graph.fields.since"), value: p.since }],
})),
...patient.encounters.map((e, i) => ({
id: `enc-${i}`,
kind: "visit" as const,
title: e.type,
sub: e.date,
rows: [
{ label: t("patientCard.graph.fields.date"), value: e.date },
{ label: t("patientCard.graph.fields.provider"), value: e.provider },
{ label: t("patientCard.graph.fields.summary"), value: e.summary },
].filter((r) => r.value),
})),
];
return (
<div className="flex flex-col gap-4">
<div className="flex flex-col gap-3">
{/* Identity — full width so the name never gets squeezed by the actions. */}
<div className="flex items-start gap-3">
<Avatar className="size-12">
<AvatarFallback>{patient.initials}</AvatarFallback>
</Avatar>
<div className="flex min-w-0 flex-1 flex-col gap-1">
<div className="flex flex-wrap items-center gap-2">
<span className="font-semibold text-base text-foreground">
{patient.name}
</span>
<Badge variant={statusVariant[patient.status]}>
{t(`patients.status.${patient.status}`)}
</Badge>
</div>
<span className="text-muted-foreground text-sm">{idLine}</span>
{patient.alerts.length > 0 && (
<div className="mt-1 flex flex-wrap gap-1.5">
{patient.alerts.map((alert) => (
<Badge key={alert} variant="outline">
{alert}
</Badge>
))}
</div>
)}
</div>
</div>
{/* Actions — their own wrapping row beneath the identity. */}
<div className="flex flex-wrap items-center gap-2">
<Button
onClick={() => printPatientSummary(patient, t)}
size="sm"
type="button"
variant="outline"
>
<FileDown className="size-4" />
{t("patientCard.exportPdf")}
</Button>
{onTransfer && (
<Button
onClick={onTransfer}
size="sm"
type="button"
variant="outline"
>
<ArrowLeftRight className="size-4" />
{t("patients.transfer.action")}
</Button>
)}
{onScribe && (
<Button onClick={onScribe} size="sm" type="button" variant="outline">
<Mic className="size-4" />
{t("scribe.recordVisit")}
</Button>
)}
{onEdit && (
<Button onClick={onEdit} size="sm" type="button" variant="outline">
<Pencil className="size-4" />
{t("patientCard.edit")}
</Button>
)}
{onWalletPush && (
<Button
onClick={onWalletPush}
size="sm"
type="button"
variant="outline"
>
<Send className="size-4" />
{t("walletPush.action")}
</Button>
)}
{onDelete && (
<Button
aria-label={t("patients.delete.action")}
className="ms-auto"
onClick={onDelete}
size="sm"
type="button"
variant="destructive"
>
<Trash2 className="size-4" />
</Button>
)}
</div>
</div>
<Section title={t("patientCard.overview")}>
<div className="grid grid-cols-2 gap-x-4 gap-y-3">
<Stat
label={t("patientCard.summary.primaryCare")}
value={
providerSpecialty ? `${patient.pcp} · ${providerSpecialty}` : patient.pcp
}
/>
<Stat
label={t("patientCard.summary.lastSeen")}
value={patient.encounters[0]?.date ?? "—"}
/>
<Stat
label={t("patientCard.summary.activeMeds")}
value={patient.medications.length}
/>
<Stat
label={t("patientCard.summary.openProblems")}
value={patient.problems.length}
/>
<Stat
label={t("patientCard.summary.bloodType")}
value={patient.bloodType || "—"}
/>
<Stat
label={t("patientCard.summary.phone")}
value={patient.phone || "—"}
/>
</div>
</Section>
<Section title={t("patientCard.graph.title")}>
<div className="flex flex-col gap-3">
<div className="flex items-start justify-between gap-3">
<p className="text-muted-foreground text-xs">
{t("patientCard.graph.hint")}
</p>
{onOpenGraph && (
<Button
className="shrink-0"
onClick={onOpenGraph}
size="sm"
type="button"
variant="outline"
>
<Network className="size-4" />
{t("patientCard.graph.open")}
</Button>
)}
</div>
{files.length === 0 ? (
<p className="text-muted-foreground text-sm">
{t("patientCard.graph.empty")}
</p>
) : (
<div className="divide-y divide-border overflow-hidden rounded-xl border bg-card/30">
{files.map((file) => (
<button
className="flex w-full items-center gap-2.5 px-3 py-2 text-start transition-colors hover:bg-accent"
key={file.id}
onClick={() => setOpenFile(file)}
type="button"
>
<span
className={cn(
"size-2.5 shrink-0 rounded-full",
file.kind === "problem"
? "bg-destructive"
: "bg-foreground/55",
)}
/>
<span className="min-w-0 flex-1 truncate text-foreground text-sm">
{file.title}
</span>
<span className="shrink-0 text-muted-foreground text-xs">
{file.sub}
</span>
</button>
))}
</div>
)}
</div>
</Section>
<AttachmentsSection fileNumber={patient.fileNumber} />
<Section title={t("patientCard.vitals.title")}>
<div className="grid grid-cols-2 gap-x-4 gap-y-3 sm:grid-cols-4">
<Stat label={t("patientCard.vitals.bp")} value={patient.vitals.bp} />
<Stat label={t("patientCard.vitals.hr")} value={patient.vitals.hr} />
<Stat
label={t("patientCard.vitals.temp")}
value={patient.vitals.temp}
/>
<Stat
label={t("patientCard.vitals.spo2")}
value={patient.vitals.spo2}
/>
</div>
<p className="mt-2 text-muted-foreground text-xs">
{t("patientCard.vitals.taken", { at: patient.vitals.takenAt })}
</p>
<TrendBlock trend={patient.vitalsTrend} />
</Section>
<Section title={t("patientCard.labs.title")}>
{patient.labs.length === 0 ? (
<p className="text-muted-foreground text-sm">
{t("patientCard.labs.empty")}
</p>
) : (
<div className="flex flex-col gap-2">
{patient.labs.map((lab) => (
<Row
key={lab.name}
label={lab.name}
value={
<span className="flex items-center gap-2">
{lab.value}
<Badge variant={labFlagVariant[lab.flag]}>
{t(`patientCard.labFlag.${lab.flag}`)}
</Badge>
</span>
}
/>
))}
</div>
)}
<TrendBlock trend={patient.labTrend} />
</Section>
<Section title={t("patientCard.medications.title")}>
{patient.medications.length === 0 ? (
<p className="text-muted-foreground text-sm">
{t("patientCard.medications.empty")}
</p>
) : (
<div className="flex flex-col gap-2">
{patient.medications.map((med) => (
<Row
key={med.name}
label={med.name}
value={`${med.dose} · ${med.frequency}`}
/>
))}
</div>
)}
</Section>
<Section title={t("patientCard.problems.title")}>
{patient.problems.length === 0 ? (
<p className="text-muted-foreground text-sm">
{t("patientCard.problems.empty")}
</p>
) : (
<div className="flex flex-col gap-2">
{patient.problems.map((problem) => (
<Row
key={problem.label}
label={problem.label}
value={t("patientCard.problems.since", { date: problem.since })}
/>
))}
</div>
)}
</Section>
<Section title={t("patientCard.allergies.title")}>
{patient.allergies.length === 0 ? (
<p className="text-muted-foreground text-sm">
{t("patientCard.allergies.none")}
</p>
) : (
<div className="flex flex-col gap-2">
{patient.allergies.map((allergy) => (
<Row
key={allergy.substance}
label={
<>
{allergy.substance}
<span className="text-muted-foreground">
{" "}
{allergy.reaction}
</span>
</>
}
value={
<Badge variant={severityVariant[allergy.severity]}>
{t(`patientCard.severity.${allergy.severity}`)}
</Badge>
}
/>
))}
</div>
)}
</Section>
<Section title={t("patientCard.visits.title")}>
{patient.encounters.length === 0 ? (
<p className="text-muted-foreground text-sm">
{t("patientCard.visits.empty")}
</p>
) : (
<div className="flex flex-col gap-3">
{patient.encounters.map((encounter) => (
<div
className="flex flex-col gap-0.5"
key={encounter.date + encounter.type}
>
<div className="flex items-baseline justify-between gap-3">
<span className="text-foreground text-sm">
{encounter.type}
</span>
<span className="shrink-0 text-muted-foreground text-xs">
{encounter.date}
</span>
</div>
<span className="text-muted-foreground text-sm">
{encounter.summary}
</span>
<span className="text-muted-foreground text-xs">
{encounter.provider}
</span>
</div>
))}
</div>
)}
</Section>
{appointments && (
<Section title={t("patientCard.appointments.title")}>
{appointments.length === 0 ? (
<p className="text-muted-foreground text-sm">
{t("patientCard.appointments.empty")}
</p>
) : (
<div className="flex flex-col gap-2">
{appointments.map((appt) => (
<Row
key={appt.id}
label={`${appt.date} · ${appt.time}`}
value={
<span className="flex items-center gap-2">
{appt.type}
<Badge variant="outline">
{t(`appointments.status.${appt.status}`)}
</Badge>
</span>
}
/>
))}
</div>
)}
</Section>
)}
{prescriptions && (
<Section title={t("patientCard.prescriptions.title")}>
{prescriptions.length === 0 ? (
<p className="text-muted-foreground text-sm">
{t("patientCard.prescriptions.empty")}
</p>
) : (
<div className="flex flex-col gap-2">
{prescriptions.map((rx) => (
<Row
key={rx.id}
label={rx.medication}
value={
<span className="flex items-center gap-2">
{`${rx.dose} · ${rx.frequency}`}
<Badge variant="outline">
{t(`prescriptions.status.${rx.status}`)}
</Badge>
</span>
}
/>
))}
</div>
)}
</Section>
)}
{invoices && (
<Section title={t("patientCard.invoices.title")}>
{invoices.length === 0 ? (
<p className="text-muted-foreground text-sm">
{t("patientCard.invoices.empty")}
</p>
) : (
<div className="flex flex-col gap-2">
{invoices.map((inv) => (
<Row
key={inv.id}
label={inv.number}
value={
<span className="flex items-center gap-2 tabular-nums">
{formatMoney(invoiceTotal(inv))}
<Badge variant="outline">
{t(`invoices.status.${inv.status}`)}
</Badge>
</span>
}
/>
))}
</div>
)}
</Section>
)}
<RecordHistory fileNumber={patient.fileNumber} />
<Dialog
onOpenChange={(o) => {
if (!o) setOpenFile(null);
}}
open={openFile !== null}
>
<DialogPopup className="sm:max-w-md">
<DialogHeader>
<DialogTitle className="flex items-center gap-2.5">
<span
className={cn(
"size-2.5 shrink-0 rounded-full",
openFile?.kind === "problem"
? "bg-destructive"
: "bg-foreground/55",
)}
/>
{openFile?.title}
</DialogTitle>
<DialogDescription>
{openFile
? t(`patientCard.graph.kind.${openFile.kind}`)
: ""}
</DialogDescription>
</DialogHeader>
<DialogPanel className="flex flex-col gap-3">
{openFile?.rows.map((row) => (
<div className="flex flex-col gap-0.5" key={row.label}>
<span className="text-muted-foreground text-xs">
{row.label}
</span>
<span className="text-foreground text-sm">{row.value}</span>
</div>
))}
</DialogPanel>
<DialogFooter>
<DialogClose render={<Button type="button" variant="outline" />}>
{t("patientCard.graph.close")}
</DialogClose>
</DialogFooter>
</DialogPopup>
</Dialog>
</div>
);
}