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Add MEWS Component #6760

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Dec 13, 2023
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192 changes: 192 additions & 0 deletions src/Components/Facility/Consultations/Mews.tsx
Original file line number Diff line number Diff line change
@@ -0,0 +1,192 @@
import useQuery from "../../../Utils/request/useQuery";
import routes from "../../../Redux/api";

export const Mews = (props: { consultationId: string }) => {
const { data: dailyRoundsData } = useQuery(routes.getDailyReports, {
pathParams: {
consultationId: props.consultationId,
},
query: {
rounds_type: "NORMAL,VENTILATOR,ICU",
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limit: 1,
},
});

const respRange = [
[-Infinity, 7, 2],
[8, 8, 1],
[9, 17, 0],
[18, 20, 1],
[21, 29, 2],
[30, Infinity, 3],
];

const heartRateRange = [
[-Infinity, 39, 2],
[40, 50, 1],
[51, 100, 0],
[101, 110, 1],
[111, 129, 2],
[130, Infinity, 3],
];

const systolicBloodPressureRange = [
[-Infinity, 70, 3],
[71, 80, 2],
[81, 100, 1],
[101, 159, 0],
[160, 199, 1],
[200, 220, 2],
[221, Infinity, 3],
];

const temperatureRange = [
[-Infinity, 94.9, 2],
[95, 96.8, 1],
[96.9, 100.4, 0],
[100.5, 101.3, 1],
[101.4, Infinity, 2],
];
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const consciousnessCalculator = (value: string | undefined) => {
switch (value) {
case "ALERT":
return 0;
case "RESPONDS_TO_VOICE":
case "AGITATED_OR_CONFUSED":
return 1;
case "RESPONDS_TO_PAIN":
case "ONSET_OF_AGITATION_AND_CONFUSION":
return 2;
case "UNRESPONSIVE":
return 3;
default:
return undefined;
}
};

const mewsColorRange = [
[0, 2, "bg-primary-500"],
[3, 3, "bg-yellow-300"],
[4, 5, "bg-warning-500"],
[6, Infinity, "bg-danger-500"],
];

const getIndividualScore = (value: number | undefined, ranges: any[][]) => {
if (value === undefined || value === null) return undefined;
for (const [min, max, score] of ranges) {
if (value >= min && value <= max) {
return score;
}
}
};
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const mewsCard = (isMissing: boolean, data: string[] | number) => {
if (isMissing) {
return (
<div className="tooltip mt-2 text-gray-800">
<p className="my-auto text-center text-2xl font-bold">N/A</p>
<div className="tooltip-text tooltip-left text-sm font-medium lg:-translate-y-1/2">
<p>Missing : </p>
<div className="flex flex-col items-center justify-center">
{typeof data !== "number" &&
data.map((x, id) => <span key={id}>{x}</span>)}
</div>
</div>
<div
className="mt-2 flex h-4 w-full flex-col items-center justify-center rounded-b-lg "
style={{
backgroundColor: "gray",
}}
></div>
</div>
);
} else {
return (
<div className="tooltip mt-2">
<p className="my-auto text-center text-2xl font-bold">{data} </p>
<div className="tooltip-text tooltip-left text-sm font-medium lg:-translate-y-1/2">
<p>Respiratory rate : {dailyRoundsData?.results[0].resp}</p>
<p>Heart rate : {dailyRoundsData?.results[0].pulse}</p>
<p>Systolic BP : {dailyRoundsData?.results[0].bp?.systolic}</p>
<p>Temperature : {dailyRoundsData?.results[0].temperature}</p>
<p>
Consciousness Level :{" "}
{dailyRoundsData?.results[0].consciousness_level}
</p>
</div>
<div
className={`mt-2 flex h-4 w-full flex-col items-center justify-center rounded-b-lg ${getIndividualScore(
Number(data),
mewsColorRange
)}`}
></div>
</div>
);
}
};

const mewsScore = () => {
const lastDailyRound = dailyRoundsData?.results[0];

const score = {
resp: getIndividualScore(lastDailyRound?.resp, respRange),
heartRate: getIndividualScore(lastDailyRound?.pulse, heartRateRange),
systolicBloodPressure: getIndividualScore(
lastDailyRound?.bp?.systolic,
systolicBloodPressureRange
),
temperature: getIndividualScore(
Number(lastDailyRound?.temperature),
temperatureRange
),
consciousnessLevel: consciousnessCalculator(
lastDailyRound?.consciousness_level
),
};

if (
score.resp === undefined ||
score.heartRate === undefined ||
score.systolicBloodPressure === undefined ||
score.temperature === undefined ||
score.consciousnessLevel === undefined
) {
return mewsCard(
true,
[
score.resp === undefined ? "Respiratory rate" : "",
score.heartRate === undefined ? "Heart rate" : "",
score.systolicBloodPressure === undefined ? "Systolic BP" : "",
score.temperature === undefined ? "Temperature" : "",
score.consciousnessLevel === undefined ? "Consciousness Level" : "",
].filter((x) => x !== "")
);
}

const totalScore =
score.resp +
score.heartRate +
score.systolicBloodPressure +
score.temperature +
score.consciousnessLevel;

return mewsCard(false, totalScore);
};

return (
<>
{dailyRoundsData?.results[0].rounds_type === "VENTILATOR" && (
<div
className="flex flex-col justify-start rounded-lg border border-black"
style={{
height: "fit-content",
}}
>
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<p className="px-2 pt-2 text-center">Mews Score</p>
{mewsScore()}
</div>
)}
</>
);
};
9 changes: 8 additions & 1 deletion src/Components/Patient/PatientInfoCard.tsx
Original file line number Diff line number Diff line change
Expand Up @@ -27,7 +27,9 @@ import request from "../../Utils/request/request.js";
import routes from "../../Redux/api.js";
import DropdownMenu from "../Common/components/Menu.js";
import { triggerGoal } from "../../Integrations/Plausible.js";
import useAuthUser from "../../Common/hooks/useAuthUser.js";

import useAuthUser from "../../Common/hooks/useAuthUser";
import { Mews } from "../Facility/Consultations/Mews.js";
import DischargeSummaryModal from "../Facility/DischargeSummaryModal.js";
import DischargeModal from "../Facility/DischargeModal.js";
import { useTranslation } from "react-i18next";
Expand Down Expand Up @@ -339,6 +341,11 @@ export default function PatientInfoCard(props: {
)}
</div>
</div>
{consultation?.last_daily_round && (
<div className="flex w-full justify-center bg-white px-4 py-2 lg:w-5/12 lg:flex-row lg:justify-end lg:p-6">
<Mews consultationId={props.consultationId} />
</div>
)}

<div className="flex w-full flex-col gap-2 px-4 py-1 lg:w-fit lg:p-6">
{!!consultation?.discharge_date && (
Expand Down
1 change: 1 addition & 0 deletions src/Components/Patient/models.tsx
Original file line number Diff line number Diff line change
Expand Up @@ -299,6 +299,7 @@ export interface DailyRoundsModel {
created_date?: string;
modified_date?: string;
taken_at?: string;
consciousness_level?: string;
rounds_type?: "NORMAL" | "VENTILATOR" | "ICU" | "AUTOMATED";
last_updated_by_telemedicine?: boolean;
created_by_telemedicine?: boolean;
Expand Down
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