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

Frontend: GCS Entry, SOFA Display, Sepsis UI Refactor
2026-06-21 03:56:27 +08:00
parent 93ea473d2b
commit bf46e6554a
48 changed files with 2686 additions and 714 deletions
@@ -8,6 +8,14 @@ export function fetchCurrentQsofa(encounterId) {
  return api.get(`/api/v1/encounters/${encounterId}/qsofa/current`)
 }

+export function fetchCurrentGcs(encounterId) {
+  return api.get(`/api/v1/encounters/${encounterId}/gcs`)
+}
+
+export function fetchCurrentSofa(encounterId) {
+  return api.get(`/api/v1/encounters/${encounterId}/sofa`)
+}
+
 export function fetchSepsisBundle(encounterId) {
  return api.get(`/api/v1/encounters/${encounterId}/sepsis-bundle/current`)
 }
@@ -16,6 +24,35 @@ export function fetchOrders(encounterId) {
  return api.get(`/api/v1/encounters/${encounterId}/orders`)
 }

+export async function submitGcsObservations(encounterId, eye, verbal, motor) {
+  const recordedAt = new Date().toISOString()
+  return api.post(`/api/v1/encounters/${encounterId}/observations`, {
+    observations: [
+      {
+        observationCode: 'GCS_EYE',
+        value: eye,
+        unit: 'score',
+        source: 'Manual',
+        recordedAt,
+      },
+      {
+        observationCode: 'GCS_VERBAL',
+        value: verbal,
+        unit: 'score',
+        source: 'Manual',
+        recordedAt,
+      },
+      {
+        observationCode: 'GCS_MOTOR',
+        value: motor,
+        unit: 'score',
+        source: 'Manual',
+        recordedAt,
+      },
+    ],
+  })
+}
+
 export async function fetchNews2History(encounterId, { limit = 100 } = {}) {
  const all = []
  let cursor = null
@@ -1,7 +1,60 @@
-// Map API PascalCase alert types to display labels (e.g. WarningHeartRate → WARNING_HEART_RATE)
+const ALERT_TYPE_LABELS = {
+  SepsisWarning: 'Sepsis Warning (SIRS — Legacy)',
+  QsofaWarning: 'qSOFA Alert (Legacy)',
+  QsofaScreen: 'qSOFA Screen',
+  SofaSepsis: 'Sepsis Alert (SOFA)',
+  SofaWarning: 'SOFA Warning',
+  GcsCritical: 'GCS Critical (≤ 8)',
+  GcsWarning: 'GCS Warning (9–12)',
+  News2Warning: 'NEWS2 Warning',
+  News2Emergency: 'NEWS2 Emergency',
+  RapidDeterioration: 'Rapid Deterioration',
+  CriticalHeartRate: 'Critical Heart Rate',
+  CriticalTempC: 'Critical Temperature',
+  CriticalPotassiumMeqL: 'Critical Potassium',
+  CriticalSpo2: 'Critical SpO₂',
+  CriticalRespRate: 'Critical Respiratory Rate',
+  CriticalWbcKUl: 'Critical WBC',
+  CriticalSystolicBp: 'Critical Systolic BP',
+  CriticalDiastolicBp: 'Critical Diastolic BP',
+  CriticalLactateMmolL: 'Critical Lactate',
+  CriticalAvpu: 'Critical AVPU',
+  CriticalGlucoseMgDl: 'Critical Glucose',
+  WarningHeartRate: 'Warning Heart Rate',
+  WarningTempC: 'Warning Temperature',
+  WarningPotassiumMeqL: 'Warning Potassium',
+  WarningSpo2: 'Warning SpO₂',
+  WarningRespRate: 'Warning Respiratory Rate',
+  WarningWbcKUl: 'Warning WBC',
+  WarningSystolicBp: 'Warning Systolic BP',
+  WarningDiastolicBp: 'Warning Diastolic BP',
+  WarningLactateMmolL: 'Warning Lactate',
+  WarningGlucoseMgDl: 'Warning Glucose',
+  CriticalPao2MmHg: 'Critical PaO₂',
+  WarningPao2MmHg: 'Warning PaO₂',
+  CriticalPlateletKUl: 'Critical Platelets',
+  WarningPlateletKUl: 'Warning Platelets',
+  CriticalBilirubinMgDl: 'Critical Bilirubin',
+  WarningBilirubinMgDl: 'Warning Bilirubin',
+  CriticalCreatinineMgDl: 'Critical Creatinine',
+  WarningCreatinineMgDl: 'Warning Creatinine',
+}
+
+const BUNDLE_TRIGGER_LABELS = {
+  SOFA_SEPSIS: 'SOFA delta ≥ 2',
+  SEPSIS_WARNING: 'SIRS criteria (Legacy)',
+  QSOFA_WARNING: 'qSOFA alert (Legacy)',
+}
+
 export function alertTypeLabel(type) {
  if (!type) return ''
-  return type.replace(/([A-Z])/g, '_$1').slice(1).toUpperCase()
+  return ALERT_TYPE_LABELS[type]
+    ?? type.replace(/([A-Z])/g, '_$1').slice(1).toUpperCase()
+}
+
+export function bundleTriggerLabel(triggerType) {
+  if (!triggerType) return ''
+  return BUNDLE_TRIGGER_LABELS[triggerType] ?? triggerType.replace(/_/g, ' ')
 }

 export function alertStatusToApiFilter(status) {
@@ -23,6 +76,9 @@ const OBSERVATION_LABELS = {
  AVPU: 'AVPU',
  SUPPLEMENTAL_O2: 'Supplemental O₂',
  WBC_K_UL: 'WBC',
+  GCS_EYE: 'GCS Eye',
+  GCS_VERBAL: 'GCS Verbal',
+  GCS_MOTOR: 'GCS Motor',
 }

 export function observationCodeLabel(code) {