/// 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 }), }; }, );