feature: Sepsis Engine Refactor: Remove SIRS, Rewire qSOFA + Bundle

Frontend: GCS Entry, SOFA Display, Sepsis UI Refactor

vigilcare-dashboard/src/__tests__/AlertCard.test.js

@@ -26,7 +26,7 @@ describe('AlertCard', () => {
   it('showsAlertTypeAndSeverity', () => {
     const wrapper = mount(AlertCard, { props: { alert: openAlert } })
     expect(wrapper.text()).toContain('Critical')
-    expect(wrapper.text()).toContain('SEPSIS_WARNING')
+    expect(wrapper.text()).toContain('Sepsis Warning (SIRS — Legacy)')
   })
 
   it('acknowledgeButtonEmitsEvent', async () => {

vigilcare-dashboard/src/__tests__/AlertLabels.test.js

@@ -0,0 +1,28 @@
+import { describe, it, expect } from 'vitest'
+import { alertTypeLabel, bundleTriggerLabel } from '@/api/normalize'
+
+describe('AlertLabels', () => {
+  it('sofaSepsisLabel', () => {
+    expect(alertTypeLabel('SofaSepsis')).toBe('Sepsis Alert (SOFA)')
+  })
+
+  it('legacySepsisLabel', () => {
+    expect(alertTypeLabel('SepsisWarning')).toBe('Sepsis Warning (SIRS — Legacy)')
+  })
+
+  it('qsofaScreenLabel', () => {
+    expect(alertTypeLabel('QsofaScreen')).toBe('qSOFA Screen')
+  })
+
+  it('gcsCriticalLabel', () => {
+    expect(alertTypeLabel('GcsCritical')).toBe('GCS Critical (≤ 8)')
+  })
+
+  it('bundleTriggerSofa', () => {
+    expect(bundleTriggerLabel('SOFA_SEPSIS')).toBe('SOFA delta ≥ 2')
+  })
+
+  it('bundleTriggerLegacy', () => {
+    expect(bundleTriggerLabel('SEPSIS_WARNING')).toBe('SIRS criteria (Legacy)')
+  })
+})

vigilcare-dashboard/src/__tests__/AlertReasoning.test.js

@@ -11,11 +11,11 @@ const sepsisAlert = {
   triggeredAt: '2026-06-19T12:00:00Z',
 }
 
-const qsofaAlert = {
+const qsofaScreenAlert = {
   id: 'alert-2',
-  alertType: 'QsofaWarning',
+  alertType: 'QsofaScreen',
   severity: 'Warning',
-  details: 'qSOFA score elevated',
+  details: 'qSOFA screen positive',
   triggeredAt: '2026-06-19T12:30:00Z',
 }
 
@@ -24,16 +24,18 @@ describe('AlertReasoning', () => {
     setActivePinia(createPinia())
   })
 
-  it('showsExplanationForSepsisWarning', () => {
+  it('showsExplanationForLegacySepsisWarning', () => {
     const wrapper = mount(AlertReasoning, { props: { alert: sepsisAlert } })
-    expect(wrapper.text()).toContain('SIRS / Sepsis Alert')
-    expect(wrapper.text()).toContain('≥2 of 4 SIRS criteria met')
+    expect(wrapper.text()).toContain('SIRS / Sepsis Alert (Legacy)')
+    expect(wrapper.text()).toContain('Historical alert')
+    expect(wrapper.text()).toContain('SOFA delta')
   })
 
-  it('showsExplanationForQsofa', () => {
-    const wrapper = mount(AlertReasoning, { props: { alert: qsofaAlert } })
-    expect(wrapper.text()).toContain('qSOFA Alert')
-    expect(wrapper.text()).toContain('≥2 of 3 qSOFA criteria met')
+  it('showsExplanationForQsofaScreen', () => {
+    const wrapper = mount(AlertReasoning, { props: { alert: qsofaScreenAlert } })
+    expect(wrapper.text()).toContain('qSOFA Screen')
+    expect(wrapper.text()).toContain('Bedside screen positive')
+    expect(wrapper.text()).toContain('Recommend ordering SOFA labs (PaO₂')
   })
 
   it('showsRawDetailsForUnknownType', () => {
@@ -48,4 +50,4 @@ describe('AlertReasoning', () => {
     expect(wrapper.text()).toContain('CustomUnknown')
     expect(wrapper.text()).toContain('Something unusual happened')
   })
-})
+})

vigilcare-dashboard/src/__tests__/FeedbackSummary.test.js

@@ -28,8 +28,8 @@ describe('FeedbackSummary', () => {
   it('showsPerAlertTypeBreakdown', () => {
     const wrapper = mount(FeedbackSummary)
 
-    expect(wrapper.text()).toContain('SEPSIS_WARNING')
-    expect(wrapper.text()).toContain('WARNING_HEART_RATE')
+    expect(wrapper.text()).toContain('Sepsis Warning (SIRS — Legacy)')
+    expect(wrapper.text()).toContain('Warning Heart Rate')
     expect(wrapper.text()).toContain('2 ratings')
     expect(wrapper.text()).toContain('1 ratings')
   })

vigilcare-dashboard/src/__tests__/GcsEntryForm.test.js

@@ -0,0 +1,63 @@
+import { describe, it, expect } from 'vitest'
+import { mount } from '@vue/test-utils'
+import GcsEntryForm from '@/components/patient/GcsEntryForm.vue'
+
+describe('GcsEntryForm', () => {
+  it('rendersThreeDropdowns', () => {
+    const wrapper = mount(GcsEntryForm)
+    expect(wrapper.findAll('select')).toHaveLength(3)
+    expect(wrapper.text()).toContain('Eye (E)')
+    expect(wrapper.text()).toContain('Verbal (V)')
+    expect(wrapper.text()).toContain('Motor (M)')
+  })
+
+  it('computesTotalCorrectly', async () => {
+    const wrapper = mount(GcsEntryForm)
+    await wrapper.findAll('select')[0].setValue(2)
+    await wrapper.findAll('select')[1].setValue(3)
+    await wrapper.findAll('select')[2].setValue(4)
+    expect(wrapper.text()).toContain('GCS 9/15')
+  })
+
+  it('showsClassification', async () => {
+    const wrapper = mount(GcsEntryForm)
+    await wrapper.findAll('select')[0].setValue(2)
+    await wrapper.findAll('select')[1].setValue(3)
+    await wrapper.findAll('select')[2].setValue(3)
+    expect(wrapper.text()).toContain('Severe')
+
+    await wrapper.findAll('select')[0].setValue(4)
+    await wrapper.findAll('select')[1].setValue(4)
+    await wrapper.findAll('select')[2].setValue(4)
+    expect(wrapper.text()).toContain('Moderate')
+
+    await wrapper.findAll('select')[0].setValue(4)
+    await wrapper.findAll('select')[1].setValue(5)
+    await wrapper.findAll('select')[2].setValue(6)
+    expect(wrapper.text()).toContain('Mild')
+  })
+
+  it('emitsSubmitWithComponents', async () => {
+    const wrapper = mount(GcsEntryForm)
+    await wrapper.findAll('select')[0].setValue(3)
+    await wrapper.findAll('select')[1].setValue(4)
+    await wrapper.findAll('select')[2].setValue(5)
+    await wrapper.find('button').trigger('click')
+    expect(wrapper.emitted('submit')?.[0]?.[0]).toEqual({ eye: 3, verbal: 4, motor: 5 })
+  })
+
+  it('defaultsToNormalValues', () => {
+    const wrapper = mount(GcsEntryForm)
+    expect(wrapper.text()).toContain('GCS 15/15')
+    expect(wrapper.text()).toContain('E4 V5 M6')
+  })
+
+  it('usesResponsiveLayout', () => {
+    const wrapper = mount(GcsEntryForm)
+    const grid = wrapper.find('.grid')
+    expect(grid.classes()).toContain('grid-cols-1')
+    expect(grid.classes()).toContain('sm:grid-cols-3')
+    expect(wrapper.find('button').classes()).toContain('w-full')
+    expect(wrapper.find('button').classes()).toContain('sm:w-auto')
+  })
+})

vigilcare-dashboard/src/__tests__/ScoresPanel.test.js

@@ -0,0 +1,49 @@
+import { describe, it, expect, beforeEach } from 'vitest'
+import { mount } from '@vue/test-utils'
+import { createPinia, setActivePinia } from 'pinia'
+import ScoresPanel from '@/components/patient/ScoresPanel.vue'
+import { useScoringStore } from '@/stores/scoring'
+
+describe('ScoresPanel', () => {
+  beforeEach(() => {
+    setActivePinia(createPinia())
+    const store = useScoringStore()
+    store.$patch({
+      news2: { totalScore: 5, riskLevel: 'Medium' },
+      gcs: { eyeScore: 4, verbalScore: 5, motorScore: 6, totalScore: 15 },
+      sofa: { totalScore: 4, deltaFromBaseline: 0, respiratoryScore: 1, coagulationScore: 0, liverScore: 0, cardiovascularScore: 1, cnsScore: 1, renalScore: 1 },
+      qsofa: { activeCriteria: 2 },
+    })
+  })
+
+  it('showsGcsSection', () => {
+    const wrapper = mount(ScoresPanel)
+    expect(wrapper.text()).toContain('GCS')
+    expect(wrapper.text()).toContain('15/15')
+    expect(wrapper.text()).toContain('E4 V5 M6')
+  })
+
+  it('showsSofaSection', () => {
+    const wrapper = mount(ScoresPanel)
+    expect(wrapper.text()).toContain('SOFA')
+    expect(wrapper.text()).toContain('4/24')
+  })
+
+  it('noSirsReference', () => {
+    const wrapper = mount(ScoresPanel)
+    expect(wrapper.text().toUpperCase()).not.toContain('SIRS')
+  })
+
+  it('qsofaLabeledAsScreen', () => {
+    const wrapper = mount(ScoresPanel)
+    expect(wrapper.text()).toContain('qSOFA Screen')
+    expect(wrapper.text()).toContain('Bedside screening')
+  })
+
+  it('sofaOrganBadgesUseResponsiveGrid', () => {
+    const wrapper = mount(ScoresPanel)
+    const grid = wrapper.find('.grid.grid-cols-2')
+    expect(grid.exists()).toBe(true)
+    expect(grid.classes()).toContain('sm:flex')
+  })
+})

vigilcare-dashboard/src/__tests__/SofaScorePanel.test.js

@@ -0,0 +1,110 @@
+import { describe, it, expect, vi, beforeEach } from 'vitest'
+import { mount } from '@vue/test-utils'
+import SofaScorePanel from '@/components/patient/SofaScorePanel.vue'
+
+const mockFetch = vi.fn()
+const mockState = {
+  total: null,
+  delta: null,
+  organs: [],
+  hasStaleData: false,
+  staleness: null,
+  loading: false,
+  fetch: mockFetch,
+}
+
+vi.mock('@/composables/useSofa', () => ({
+  useSofa: () => mockState,
+}))
+
+describe('SofaScorePanel', () => {
+  beforeEach(() => {
+    mockState.total = null
+    mockState.delta = null
+    mockState.organs = []
+    mockState.hasStaleData = false
+    mockState.staleness = null
+    mockState.loading = false
+    mockFetch.mockClear()
+  })
+
+  it('showsLabsPending_WhenNoScore', () => {
+    const wrapper = mount(SofaScorePanel, {
+      props: { encounterId: 'enc-1' },
+    })
+    expect(wrapper.text()).toContain('Labs pending')
+  })
+
+  it('showsOrganBreakdown', () => {
+    mockState.total = 8
+    mockState.organs = [
+      { name: 'Respiratory', score: 2, max: 4 },
+      { name: 'Coagulation', score: 1, max: 4 },
+      { name: 'Liver', score: 0, max: 4 },
+      { name: 'Cardiovascular', score: 3, max: 4 },
+      { name: 'CNS', score: 1, max: 4 },
+      { name: 'Renal', score: 1, max: 4 },
+    ]
+    const wrapper = mount(SofaScorePanel, {
+      props: { encounterId: 'enc-1' },
+    })
+    expect(wrapper.text()).toContain('Respiratory')
+    expect(wrapper.text()).toContain('Renal')
+    expect(wrapper.text()).toContain('8/24')
+  })
+
+  it('showsDeltaBadge_WhenDeltaGe2', () => {
+    mockState.total = 10
+    mockState.delta = 2
+    mockState.organs = [{ name: 'CNS', score: 2, max: 4 }]
+    const wrapper = mount(SofaScorePanel, {
+      props: { encounterId: 'enc-1' },
+    })
+    expect(wrapper.text()).toContain('+2 from baseline')
+  })
+
+  it('showsStalenessWarning', () => {
+    mockState.total = 6
+    mockState.hasStaleData = true
+    mockState.staleness = {
+      staleComponents: ['Platelets'],
+      missingComponents: ['PaO2'],
+      usedSpO2Fallback: true,
+    }
+    mockState.organs = [{ name: 'Coagulation', score: 1, max: 4 }]
+    const wrapper = mount(SofaScorePanel, {
+      props: { encounterId: 'enc-1' },
+    })
+    expect(wrapper.text()).toContain('Missing: PaO2')
+    expect(wrapper.text()).toContain('Stale: Platelets')
+    expect(wrapper.text()).toContain('SpO₂/FiO₂ proxy')
+  })
+
+  it('organScoreColors', () => {
+    mockState.total = 3
+    mockState.organs = [
+      { name: 'Liver', score: 0, max: 4 },
+      { name: 'CNS', score: 2, max: 4 },
+      { name: 'Renal', score: 4, max: 4 },
+    ]
+    const wrapper = mount(SofaScorePanel, {
+      props: { encounterId: 'enc-1' },
+    })
+    const badges = wrapper.findAll('span')
+    expect(badges.some(b => b.text().includes('0/4'))).toBe(true)
+    expect(badges.some(b => b.text().includes('2/4'))).toBe(true)
+    expect(badges.some(b => b.text().includes('4/4'))).toBe(true)
+  })
+
+  it('usesResponsiveOrganGrid', () => {
+    mockState.total = 4
+    mockState.organs = [{ name: 'CNS', score: 1, max: 4 }]
+    const wrapper = mount(SofaScorePanel, {
+      props: { encounterId: 'enc-1' },
+    })
+    const grid = wrapper.find('.grid')
+    expect(grid.classes()).toContain('grid-cols-2')
+    expect(grid.classes()).toContain('sm:grid-cols-3')
+    expect(grid.classes()).toContain('lg:grid-cols-6')
+  })
+})