///
import {
type Cell,
cell,
Default,
handler,
lift,
recipe,
str,
} from "commontools";
interface VitalThresholdsInput {
heartRate?: { min?: number; max?: number };
systolic?: { max?: number };
diastolic?: { max?: number };
temperature?: { min?: number; max?: number };
oxygen?: { min?: number };
}
interface VitalThresholds {
heartRate: { min: number; max: number };
systolic: { max: number };
diastolic: { max: number };
temperature: { min: number; max: number };
oxygen: { min: number };
}
interface VitalReadingSeed {
id?: string;
recordedAt?: string;
heartRate?: number;
systolic?: number;
diastolic?: number;
temperature?: number;
oxygenSaturation?: number;
}
interface VitalReading {
id: string;
recordedAt: string;
heartRate: number;
systolic: number;
diastolic: number;
temperature: number;
oxygenSaturation: number;
}
interface PatientVitalsArgs {
patientName: Default;
initialReadings: Default;
thresholds: Default;
}
interface RecordReadingEvent extends VitalReadingSeed {}
interface UpdateThresholdsEvent extends VitalThresholdsInput {}
interface AlertSnapshot {
readingId: string;
alerts: string[];
}
const defaultThresholds = {
heartRate: { min: 55, max: 110 },
systolic: { max: 140 },
diastolic: { max: 90 },
temperature: { min: 36, max: 38 },
oxygen: { min: 95 },
} as const satisfies VitalThresholds;
const isoMinutePattern = /^\d{4}-\d{2}-\d{2}T\d{2}:\d{2}Z$/;
const toIsoMinute = (value: unknown, fallback: string): string => {
if (typeof value === "string") {
const trimmed = value.trim();
if (isoMinutePattern.test(trimmed)) {
return trimmed;
}
const parsed = new Date(trimmed);
if (!Number.isNaN(parsed.getTime())) {
return `${parsed.toISOString().slice(0, 16)}Z`;
}
}
if (value instanceof Date && !Number.isNaN(value.getTime())) {
return `${value.toISOString().slice(0, 16)}Z`;
}
return fallback;
};
const toPositiveInt = (value: unknown, fallback: number): number => {
if (typeof value !== "number" || !Number.isFinite(value)) {
return Math.max(0, Math.trunc(fallback));
}
return Math.max(0, Math.trunc(value));
};
const toBpm = (value: unknown, fallback: number): number => {
const sanitized = toPositiveInt(value, fallback);
return Math.min(240, sanitized);
};
const toBloodPressure = (value: unknown, fallback: number): number => {
const sanitized = toPositiveInt(value, fallback);
return Math.min(250, sanitized);
};
const toTemperature = (value: unknown, fallback: number): number => {
if (typeof value === "number" && Number.isFinite(value)) {
const normalized = Math.max(30, Math.min(45, value));
return Math.round(normalized * 10) / 10;
}
if (typeof value === "string") {
const parsed = Number.parseFloat(value);
if (Number.isFinite(parsed)) {
return Math.round(Math.max(30, Math.min(45, parsed)) * 10) / 10;
}
}
return Math.round(fallback * 10) / 10;
};
const toOxygen = (value: unknown, fallback: number): number => {
if (typeof value !== "number" || !Number.isFinite(value)) {
return Math.max(50, Math.min(100, Math.trunc(fallback)));
}
return Math.max(50, Math.min(100, Math.trunc(value)));
};
const sanitizeId = (
value: unknown,
fallback: string,
used: Set,
): string => {
let base: string;
if (typeof value === "string") {
const trimmed = value.trim();
base = trimmed.length > 0 ? trimmed : fallback;
} else {
base = fallback;
}
let id = base;
let attempt = 1;
while (used.has(id)) {
attempt += 1;
id = `${base}-${attempt}`;
}
used.add(id);
return id;
};
const toFallbackTimestamp = (index: number): string => {
const start = new Date(Date.UTC(2024, 0, 1, 8, 0, 0));
start.setUTCMinutes(start.getUTCMinutes() + index * 90);
return `${start.toISOString().slice(0, 16)}Z`;
};
const toVitalReading = (
seed: VitalReadingSeed | undefined,
index: number,
usedIds: Set,
): VitalReading => {
const recordedAt = toIsoMinute(seed?.recordedAt, toFallbackTimestamp(index));
const heartRate = toBpm(seed?.heartRate, 72);
const systolic = toBloodPressure(seed?.systolic, 118);
const diastolic = toBloodPressure(seed?.diastolic, 76);
const temperature = toTemperature(seed?.temperature, 36.8);
const oxygen = toOxygen(seed?.oxygenSaturation, 97);
const id = sanitizeId(seed?.id, `reading-${index + 1}`, usedIds);
return {
id,
recordedAt,
heartRate,
systolic,
diastolic,
temperature,
oxygenSaturation: oxygen,
};
};
const sanitizeReadings = (
entries: readonly VitalReadingSeed[] | undefined,
): VitalReading[] => {
if (!Array.isArray(entries)) {
return [];
}
const used = new Set();
const sanitized = entries.map((entry, index) =>
toVitalReading(entry, index, used)
);
sanitized.sort((left, right) => {
if (left.recordedAt === right.recordedAt) {
return left.id.localeCompare(right.id);
}
return left.recordedAt.localeCompare(right.recordedAt);
});
return sanitized;
};
const sanitizeThresholds = (
seed: VitalThresholdsInput | undefined,
fallback: VitalThresholds,
): VitalThresholds => {
const heartMin = toBpm(seed?.heartRate?.min, fallback.heartRate.min);
const heartMax = toBpm(seed?.heartRate?.max, fallback.heartRate.max);
const systolicMax = toBloodPressure(
seed?.systolic?.max,
fallback.systolic.max,
);
const diastolicMax = toBloodPressure(
seed?.diastolic?.max,
fallback.diastolic.max,
);
const tempMin = toTemperature(
seed?.temperature?.min,
fallback.temperature.min,
);
const tempMax = toTemperature(
seed?.temperature?.max,
fallback.temperature.max,
);
const oxygenMin = toOxygen(seed?.oxygen?.min, fallback.oxygen.min);
const heartRate = heartMin <= heartMax
? { min: heartMin, max: heartMax }
: { min: heartMax, max: heartMin };
const temperature = tempMin <= tempMax
? { min: tempMin, max: tempMax }
: { min: tempMax, max: tempMin };
return {
heartRate,
systolic: { max: systolicMax },
diastolic: { max: diastolicMax },
temperature,
oxygen: { min: oxygenMin },
};
};
const summarizeReading = (reading: VitalReading): string => {
const bp = `${reading.systolic}/${reading.diastolic}`;
return `${reading.recordedAt} · HR ${reading.heartRate} bpm · BP ${bp} mmHg · ` +
`Temp ${
reading.temperature.toFixed(1)
}°C · SpO₂ ${reading.oxygenSaturation}%`;
};
const computeAlerts = (
reading: VitalReading | null,
thresholds: VitalThresholds,
): string[] => {
if (!reading) {
return [];
}
const alerts: string[] = [];
if (reading.heartRate < thresholds.heartRate.min) {
alerts.push(
`Heart rate low: ${reading.heartRate} bpm (min ` +
`${thresholds.heartRate.min})`,
);
} else if (reading.heartRate > thresholds.heartRate.max) {
alerts.push(
`Heart rate high: ${reading.heartRate} bpm (max ` +
`${thresholds.heartRate.max})`,
);
}
if (
reading.systolic > thresholds.systolic.max ||
reading.diastolic > thresholds.diastolic.max
) {
alerts.push(
`Blood pressure high: ${reading.systolic}/${reading.diastolic} mmHg (` +
`max ${thresholds.systolic.max}/${thresholds.diastolic.max})`,
);
}
if (reading.temperature < thresholds.temperature.min) {
alerts.push(
`Temperature low: ${reading.temperature.toFixed(1)}°C (min ` +
`${thresholds.temperature.min.toFixed(1)}°C)`,
);
} else if (reading.temperature > thresholds.temperature.max) {
alerts.push(
`Temperature high: ${reading.temperature.toFixed(1)}°C (max ` +
`${thresholds.temperature.max.toFixed(1)}°C)`,
);
}
if (reading.oxygenSaturation < thresholds.oxygen.min) {
alerts.push(
`Oxygen saturation low: ${reading.oxygenSaturation}% (min ` +
`${thresholds.oxygen.min}%)`,
);
}
return alerts;
};
const buildAlertHistory = (
readings: readonly VitalReading[],
thresholds: VitalThresholds,
): AlertSnapshot[] => {
return readings.map((reading) => ({
readingId: reading.id,
alerts: computeAlerts(reading, thresholds),
}));
};
const buildHistorySummaries = (
readings: readonly VitalReading[],
): string[] => {
return readings.map(summarizeReading);
};
const recordVitalReading = handler(
(
event: RecordReadingEvent | undefined,
context: {
state: Cell;
combined: Cell;
thresholds: Cell;
},
) => {
const existing = context.combined.get() ?? [];
const used = new Set(existing.map((entry) => entry.id));
const reading = toVitalReading(event, existing.length, used);
const nextHistory = [...existing.slice(-11), reading];
context.state.set(nextHistory);
},
);
const updateThresholds = handler(
(
event: UpdateThresholdsEvent | undefined,
context: { thresholds: Cell },
) => {
const current = sanitizeThresholds(
context.thresholds.get(),
defaultThresholds,
);
const next = sanitizeThresholds(event, current);
context.thresholds.set(next as VitalThresholdsInput);
},
);
/** Pattern tracking patient vitals with derived alert summaries. */
export const patientVitalsDashboardPattern = recipe(
"Patient Vitals Dashboard",
({ patientName, initialReadings, thresholds }) => {
const readableName = lift((value: string | undefined) => {
if (typeof value === "string") {
const trimmed = value.trim();
if (trimmed.length > 0) {
return trimmed;
}
}
return "Unknown patient";
})(patientName);
const history = cell([]);
const historySeed = lift((seed: VitalReadingSeed[] | undefined) =>
sanitizeReadings(seed)
)(initialReadings);
const historyView = lift(
(
input: { state: VitalReading[]; seed: VitalReading[] },
): VitalReading[] => {
const stateEntries = Array.isArray(input.state) ? input.state : [];
return stateEntries.length > 0 ? stateEntries : input.seed;
},
)({ state: history, seed: historySeed });
const summariesView = lift((entries: VitalReading[]) =>
buildHistorySummaries(entries)
)(historyView);
const thresholdsView = lift((seed: VitalThresholdsInput | undefined) =>
sanitizeThresholds(seed, defaultThresholds)
)(thresholds);
const latestReading = lift((entries: VitalReading[]) => {
return entries.length === 0 ? null : entries[entries.length - 1];
})(historyView);
const alerts = lift(
(
input: {
reading: VitalReading | null;
thresholds: VitalThresholds;
},
) => computeAlerts(input.reading, input.thresholds),
)({ reading: latestReading, thresholds: thresholdsView });
const alertHistory = lift(
(
input: {
readings: VitalReading[];
thresholds: VitalThresholds;
},
) => buildAlertHistory(input.readings, input.thresholds),
)({ readings: historyView, thresholds: thresholdsView });
const alertCount = lift((list: string[] | undefined) =>
Array.isArray(list) ? list.length : 0
)(alerts);
const critical = lift((count: number) => count > 0)(alertCount);
const latestSummaryText = lift((reading: VitalReading | null) =>
reading ? summarizeReading(reading) : "No readings yet"
)(latestReading);
const alertSummaryText = lift((count: number) =>
count === 0 ? "All vitals within range" : `${count} active alerts`
)(alertCount);
const statusLabel = str`${readableName} · Alerts: ${alertCount}`;
const latestSummary = str`Latest: ${latestSummaryText}`;
const alertLabel = str`Alerts: ${alertSummaryText}`;
return {
patientName: readableName,
thresholds: thresholdsView,
readings: historyView,
historySummaries: summariesView,
alertHistory,
alerts,
alertCount,
isCritical: critical,
statusLabel,
latestSummary,
alertLabel,
recordReading: recordVitalReading({
state: history,
combined: historyView,
thresholds: thresholdsView,
}),
updateThresholds: updateThresholds({ thresholds }),
};
},
);