feature: add handoff report

2026-06-23 20:32:33 +08:00
parent 79b6d9d85e
commit c6b98b5f7c
14 changed files with 906 additions and 7 deletions
@@ -0,0 +1,93 @@
+import { describe, it, expect } from 'vitest'
+import {
+  buildPatientReport,
+  buildSbar,
+  buildWardSummary,
+  extractLatestVitals,
+  formatAlertsSummary,
+  formatVitalsSummary,
+} from '@/composables/handoffReport'
+
+const wardPatient = {
+  encounterId: 'enc-1',
+  firstName: 'Jane',
+  lastName: 'Doe',
+  mrn: 'MRN001',
+  roomBed: 'ICU-3',
+  department: 'ICU',
+  attendingPhysician: 'Dr Smith',
+  news2Score: 8,
+  sofaScore: 6,
+  sofaDelta: 2,
+  gcsScore: 14,
+  qsofaScore: 2,
+  openAlertCount: 1,
+}
+
+const enrichment = {
+  encounter: {
+    admissionReason: 'Sepsis workup',
+    patient: { allergies: 'Penicillin' },
+  },
+  openAlerts: [{ alertType: 'News2Emergency' }],
+  pendingOrders: [{ description: 'Blood cultures', status: 'Pending' }],
+  vitals: extractLatestVitals([
+    { observationCode: 'HEART_RATE', value: 110, unit: 'bpm', recordedAt: '2026-06-23T10:00:00Z' },
+    { observationCode: 'SPO2', value: 94, unit: '%', recordedAt: '2026-06-23T10:00:00Z' },
+  ]),
+  bundle: null,
+}
+
+describe('handoffReport', () => {
+  it('buildsWardSummary', () => {
+    const summary = buildWardSummary(
+      [
+        wardPatient,
+        { news2Score: 3, openAlertCount: 0, sepsisActive: true },
+      ],
+      'ICU',
+    )
+    expect(summary).toMatchObject({
+      department: 'ICU',
+      patientCount: 2,
+      criticalCount: 1,
+      alertCount: 1,
+      activeBundles: 1,
+    })
+  })
+
+  it('formatsLatestVitals', () => {
+    expect(formatVitalsSummary(enrichment.vitals)).toContain('HR 110 bpm')
+    expect(formatVitalsSummary(enrichment.vitals)).toContain('SpO₂ 94%')
+  })
+
+  it('formatsAlertSummary', () => {
+    expect(formatAlertsSummary(enrichment.openAlerts)).toContain('NEWS2 Emergency')
+  })
+
+  it('buildsPatientReportWithSbar', () => {
+    const report = buildPatientReport(wardPatient, enrichment)
+    expect(report.name).toBe('Jane Doe')
+    expect(report.pendingOrders).toContain('Blood cultures')
+    expect(report.sbar.situation).toBe('Sepsis workup')
+    expect(report.sbar.background).toContain('Penicillin')
+    expect(report.sbar.assessment).toContain('NEWS2 8')
+    expect(report.sbar.recommendation).toContain('Blood cultures')
+  })
+
+  it('includesBundleInRecommendation', () => {
+    const sbar = buildSbar(wardPatient, enrichment.encounter, {
+      ...enrichment,
+      pendingOrders: [],
+      bundle: {
+        complianceStatus: 'IN_PROGRESS',
+        elements: [
+          { elementType: 'BloodCultures', status: 'Pending' },
+          { elementType: 'SerumLactate', status: 'Completed' },
+        ],
+      },
+    })
+    expect(sbar.recommendation).toContain('Sepsis bundle')
+    expect(sbar.recommendation).toContain('Blood cultures')
+  })
+})