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Fix blood pressure being negative values when field is cleared #6986

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Jan 6, 2024
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47 changes: 29 additions & 18 deletions src/Components/Common/BloodPressureFormField.tsx
Original file line number Diff line number Diff line change
@@ -1,44 +1,41 @@
import { FieldValidator } from "../Form/FieldValidators";
import FormField from "../Form/FormFields/FormField";
import RangeAutocompleteFormField from "../Form/FormFields/RangeAutocompleteFormField";
import {
FieldChangeEvent,
FormFieldBaseProps,
useFormFieldPropsResolver,
} from "../Form/FormFields/Utils";
import { DailyRoundsModel } from "../Patient/models";

export interface BloodPressure {
systolic: number;
diastolic: number;
}
type BloodPressure = NonNullable<DailyRoundsModel["bp"]>;

type Props = FormFieldBaseProps<Partial<BloodPressure>>;
type Props = FormFieldBaseProps<BloodPressure>;

export default function BloodPressureFormField(props: Props) {
const field = useFormFieldPropsResolver(props as any);

const handleChange = (event: FieldChangeEvent<number>) => {
field.onChange({
name: field.name,
value: {
...field.value,
[event.name]: event.value ?? -1,
},
});
const value: BloodPressure = {
...field.value,
[event.name]: event.value,
};
value.mean = meanArterialPressure(value);
field.onChange({ name: field.name, value });
};

const map =
!!props.value?.diastolic &&
!!props.value.systolic &&
meanArterialPressure(props.value as BloodPressure);
meanArterialPressure(props.value);

return (
<FormField
field={{
...field,
labelSuffix:
map && map !== -1 ? (
<span className="font-medium">MAP: {map.toFixed(1)}</span>
) : undefined,
labelSuffix: map ? (
<span className="font-medium">MAP: {map.toFixed(1)}</span>
) : undefined,
}}
>
<div className="flex flex-row items-center">
Expand Down Expand Up @@ -108,5 +105,19 @@ export const meanArterialPressure = ({
diastolic,
systolic,
}: BloodPressure) => {
return (2 * diastolic + systolic) / 3;
if (diastolic != null && systolic != null) {
return (2 * diastolic + systolic) / 3;
}
};

export const BloodPressureValidator: FieldValidator<BloodPressure> = (bp) => {
if (Object.values(bp).every((v) => v == null)) {
return;
}
if (bp.diastolic == null) {
return "Diastolic is missing. Either specify both or clear both.";
}
if (bp.systolic == null) {
return "Systolic is missing. Either specify both or clear both.";
}
};
2 changes: 0 additions & 2 deletions src/Components/Facility/Consultations/Mews.tsx
Original file line number Diff line number Diff line change
Expand Up @@ -26,7 +26,6 @@ const getHeartRateScore = (value?: number) => {

const getSystolicBPScore = (value?: number) => {
if (typeof value !== "number") return;
if (value === -1) return;

if (value <= 70) return 3;
if (value <= 80) return 2;
Expand All @@ -38,7 +37,6 @@ const getSystolicBPScore = (value?: number) => {
};

const getTempRange = (value?: number) => {
console.log(value);
if (typeof value !== "number") return;

if (value < 95) return 2;
Expand Down
10 changes: 2 additions & 8 deletions src/Components/Patient/DailyRoundListDetails.tsx
Original file line number Diff line number Diff line change
Expand Up @@ -158,20 +158,14 @@ export const DailyRoundListDetails = (props: any) => {
<span className="font-semibold leading-relaxed">
Systolic:{" "}
</span>
{dailyRoundListDetailsData.bp?.systolic &&
dailyRoundListDetailsData.bp?.systolic !== -1
? dailyRoundListDetailsData.bp?.systolic
: "-"}
{dailyRoundListDetailsData.bp?.systolic ?? "-"}
</div>
<div className="flex">
{" "}
<span className="font-semibold leading-relaxed">
Diastolic:
</span>
{dailyRoundListDetailsData.bp?.diastolic &&
dailyRoundListDetailsData.bp?.diastolic !== -1
? dailyRoundListDetailsData.bp?.diastolic
: "-"}
{dailyRoundListDetailsData.bp?.diastolic ?? "-"}
</div>
</div>
</div>
Expand Down
44 changes: 10 additions & 34 deletions src/Components/Patient/DailyRounds.tsx
Original file line number Diff line number Diff line change
Expand Up @@ -23,7 +23,7 @@ import { DraftSection, useAutoSaveReducer } from "../../Utils/AutoSave";
import * as Notification from "../../Utils/Notifications";
import { formatDateTime } from "../../Utils/utils";
import BloodPressureFormField, {
meanArterialPressure,
BloodPressureValidator,
} from "../Common/BloodPressureFormField";
import { SymptomsSelect } from "../Common/SymptomsSelect";
import TemperatureFormField from "../Common/TemperatureFormField";
Expand Down Expand Up @@ -63,9 +63,9 @@ const initForm: any = {
ventilator_spo2: null,
consciousness_level: "UNKNOWN",
bp: {
systolic: -1,
diastolic: -1,
mean: -1,
systolic: undefined,
diastolic: undefined,
mean: undefined,
},
// bed: null,
};
Expand Down Expand Up @@ -247,18 +247,14 @@ export const DailyRounds = (props: any) => {
invalidForm = true;
}
return;
case "bp":
if (
(state.form.bp?.systolic &&
state.form.bp?.diastolic &&
state.form.bp.systolic !== -1 &&
state.form.bp.diastolic === -1) ||
(state.form.bp.systolic === -1 && state.form.bp.diastolic !== -1)
) {
errors.bp = "Please enter both systolic and diastolic values";
case "bp": {
const error = BloodPressureValidator(state.form.bp);
if (error) {
errors.bp = error;
invalidForm = true;
}
return;
}
default:
return;
}
Expand Down Expand Up @@ -303,27 +299,7 @@ export const DailyRounds = (props: any) => {
if (["NORMAL", "TELEMEDICINE"].includes(state.form.rounds_type)) {
data = {
...data,
bp:
state.form.bp?.systolic !== -1 && state.form.bp?.diastolic !== -1
? {
systolic: state.form.bp?.systolic
? Number(state.form.bp?.systolic)
: -1,
diastolic: state.form.bp?.diastolic
? Number(state.form.bp?.diastolic)
: -1,
mean:
state.form.bp?.systolic && state.form.bp?.diastolic
? parseFloat(
meanArterialPressure(state.form.bp).toFixed(2)
)
: -1,
}
: {
systolic: -1,
diastolic: -1,
mean: -1,
},
bp: state.form.bp ?? {},
pulse: state.form.pulse ?? null,
resp: state.form.resp ?? null,
temperature: state.form.temperature ?? null,
Expand Down
10 changes: 5 additions & 5 deletions src/Components/Patient/models.tsx
Original file line number Diff line number Diff line change
Expand Up @@ -282,9 +282,9 @@ export interface DailyRoundsModel {
rhythm?: string;
rhythm_detail?: string;
bp?: {
diastolic: number;
mean: number;
systolic: number;
diastolic?: number;
mean?: number;
systolic?: number;
};
pulse?: number;
resp?: number;
Expand All @@ -297,7 +297,7 @@ export interface DailyRoundsModel {
medication_given?: Array<any>;
additional_symptoms_text?: string;
current_health?: string;
id: string;
id?: string;
other_symptoms?: string;
admitted_to?: string;
patient_category?: PatientCategory;
Expand All @@ -314,7 +314,7 @@ export interface DailyRoundsModel {
| "AGITATED_OR_CONFUSED"
| "ONSET_OF_AGITATION_AND_CONFUSION"
| "UNKNOWN";
rounds_type: (typeof DailyRoundTypes)[number];
rounds_type?: (typeof DailyRoundTypes)[number];
last_updated_by_telemedicine?: boolean;
created_by_telemedicine?: boolean;
created_by?: {
Expand Down
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