/* MedBridge clinician workspace — neumorphic redesign (ds.css / .mbx), wired to the real window.PT FHIR data. Replaces the old patient_app/ patient_views/patient_summary trio. Defines window.PatientApp. */ const { useState: uS, useEffect: uE, useRef: uR } = React; /* ---------- inline icon sprite (Lucide-style) ---------- */ const MBX_SPRITE = ` `; function Spr({ id, size, style }) { const cls = "ic" + (size ? " s" + size : ""); return ; } const NAV_ICON = { summary: "i-spark", timeline: "i-clock", meds: "i-pill", imaging: "i-image", labs: "i-flask", allergies: "i-alert" }; const ACUITY_LABEL = { critical: "Critical", watch: "Watch", stable: "Stable" }; function initials(p) { return ((p.first[0] || "") + (p.last[0] || "")).toUpperCase(); } function hueColor(h) { return `hsl(${h} 42% 46%)`; } const SRC_ORDER = ["oracle", "epic", "meditech", "telus"]; /* ---------- safety computations (all from real data) ---------- */ function safetyTiles(p) { const al = p.allergies || [], meds = p.meds || [], labs = p.labs || []; // allergies const unconf = al.some((a) => a.status !== "confirmed"); let alT; if (!al.length) alT = { cls: "crit", val: "None on file", chip: "No record", note: "No structured allergy record returned — confirm verbally before any antibiotic.", ic: "i-alert" }; else if (unconf) alT = { cls: "crit", val: al.find((a) => a.status !== "confirmed").agent, chip: "Not reconciled", note: "Found unconfirmed — reconcile before antibiotic orders.", ic: "i-alert" }; else alT = { cls: "ok", val: al.length + " on file", chip: "Reconciled", note: "Coded allergies present and confirmed.", ic: "i-shield" }; // do-not-interrupt const crit = meds.filter((m) => m.critical); const diT = crit.length ? { cls: "warn", val: crit.slice(0, 2).map((m) => m.name.split(" (")[0]).join(" + "), chip: "Anticoagulated", note: "Anticoagulant / antiplatelet on list. Verify last dose before any procedure.", ic: "i-droplet" } : { cls: "ok", val: "None flagged", chip: "Clear", note: "No anticoagulant or antiplatelet on the active list.", ic: "i-droplet" }; // critical labs const hh = labs.find((l) => l.flag === "HH"), h = labs.find((l) => l.flag === "H"); let labT; if (hh) labT = { cls: "crit", val: `${hh.name} ${hh.val}`, chip: "Critical high", note: `Ref ${hh.ref} ${hh.unit} · ${hh.date}`, ic: "i-pulse" }; else if (h) labT = { cls: "warn", val: `${h.name} ${h.val}`, chip: "High", note: `Ref ${h.ref} ${h.unit} · ${h.date}`, ic: "i-pulse" }; else labT = { cls: "ok", val: labs.length ? "No flags" : "No labs", chip: labs.length ? "In range" : "None returned", note: labs.length ? "No out-of-range results in returned labs." : "Repeat a panel on arrival.", ic: "i-pulse" }; // data picture const responded = (p.connected || []).length; const dpT = { cls: "gap", val: `${responded} of 4 systems`, chip: responded < 4 ? "Picture incomplete" : "Complete", note: dataNote(p), ic: "i-signaloff" }; return [ { key: "allergies", lab: "Allergies", ...alT, to: "allergies" }, { key: "dni", lab: "Do-not-interrupt", ...diT, to: "meds" }, { key: "labs", lab: "Critical labs", ...labT, to: "labs" }, { key: "data", lab: "Data picture", ...dpT, to: null }, ]; } function dataNote(p) { const names = (p.connected || []).map((id) => window.PT.sources[id].name); return `${names.join(", ") || "No system"} returned records; other connected systems returned no match — picture may be incomplete.`; } function dataRows(p) { return SRC_ORDER.map((id) => { const s = window.PT.sources[id]; const on = (p.connected || []).includes(id); const unreachable = /no endpoint|no api/i.test(s.span || ""); return { s, on, unreachable }; }); } /* ---------- shared bits ---------- */ function SrcPill({ id }) { const s = window.PT.sources[id]; if (!s) return null; return {s.name}; } function SecH({ children }) { return

{children}

; } function Empty({ ic, t, n }) { return
{t}
{n}
; } /* ---------- section views ---------- */ function TimelineFull({ p }) { const rows = p.timeline || []; if (!rows.length) return ; return <>

Every dated encounter MedBridge could assemble across connected systems, most recent first.

{rows.map((e, i) => )}
; } function TlRow({ e }) { const s = window.PT.sources[e.src]; return
{e.date}
{e.title}{e.flag === "critical" && Critical}
{e.detail}
{s && {s.name}}
; } function MedsView({ p }) { const meds = p.meds || []; if (!meds.length) return ; return <>

{meds.length} active medication{meds.length !== 1 ? "s" : ""} pulled live. Anticoagulant / antiplatelet therapy is flagged — do not interrupt.

{meds.map((m, i) =>
{m.name}{m.critical && Do not interrupt}
{[m.dose, m.route, m.cls].filter(Boolean).join(" · ")}
{m.note}
)} ; } function LabsView({ p }) { const labs = p.labs || []; if (!labs.length) return ; return <>

Most recent result per test across all responding sources. Out-of-range values flagged.

{labs.map((l, i) =>
{l.name}{l.flag && {l.flag === "HH" ? "Critical high" : "High"}}
Reference {l.ref} {l.unit}
{l.val}{l.unit}{l.date}
)} ; } function downloadReport(r) { const src = (window.PT.sources[r.src] || {}).name || "—"; const text = [ "MEDBRIDGE — IMAGING REPORT", "=".repeat(46), `Study : ${r.title} (${r.mod})`, `Date : ${r.date}`, `Facility: ${r.site}`, `Source : ${src}`, "", "IMPRESSION / REPORT", "-".repeat(46), r.read, "", "Generated by MedBridge · AI-assisted summary of the source report.", "Verify against the originating system before clinical decisions.", ].join("\n"); const a = document.createElement("a"); a.href = URL.createObjectURL(new Blob([text], { type: "text/plain" })); a.download = `${r.title.replace(/[^a-z0-9]+/gi, "_")}_${r.date.replace(/\s+/g, "")}.txt`; document.body.appendChild(a); a.click(); a.remove(); URL.revokeObjectURL(a.href); } function ReportModal({ r, onClose }) { uE(() => { const h = (e) => e.key === "Escape" && onClose(); window.addEventListener("keydown", h); return () => window.removeEventListener("keydown", h); }, []); return
e.stopPropagation()}>
{r.title} {r.mod}
Report · {r.date} · {r.site}
Impression / report

{r.read}

Read live from the source system · not copied or stored by MedBridge
; } function ImageViewer({ r, onClose }) { uE(() => { const h = (e) => e.key === "Escape" && onClose(); window.addEventListener("keydown", h); return () => window.removeEventListener("keydown", h); }, []); return
e.stopPropagation()}>
{r.title} {r.mod}
Image viewer · {r.date} · {r.site}
{r.mod} · {r.site}
{r.date}
SER 1 / IMG 1
DICOM not exposed by this endpoint
Pixel data stays in the facility PACS · MedBridge links out, never copies images

The full study opens in the originating facility's PACS / DICOM viewer via the FHIR ImagingStudy.endpoint (DICOMweb / WADO). Sandbox endpoints don't expose raw pixel data, so a representative frame is shown here.

; } function ImagingView({ p }) { const im = p.imaging || []; const [rep, setRep] = uS(null); const [img, setImg] = uS(null); if (!im.length) return ; return <>

Imaging studies across connected sources. Open the image in the facility viewer, or read & download the report — nothing is copied or stored centrally.

{im.map((r, i) =>
{r.title}{r.mod}
{r.read}
{r.site}
{r.date}
)} {rep && setRep(null)} />} {img && setImg(null)} />} ; } function AllergiesView({ p }) { const al = p.allergies || []; const [rec, setRec] = uS({}); const anyUnconf = al.some((a) => a.status !== "confirmed"); return <> {(!al.length || anyUnconf) &&
{al.length === 0 ? <>No structured allergy record exists in any connected system. Confirm allergies verbally before ordering any new medication, especially antibiotics. : <>An allergy is unconfirmed. It must be formally reconciled before antibiotic orders.}
} {!al.length ? : al.map((a, i) =>
{a.agent}{a.status === "confirmed" ? Confirmed : Unconfirmed}{!a.coded && Not coded}
Reaction: {a.reaction} · Severity: {a.severity}
{a.note}
{a.status === "confirmed" ? null : rec[i] ? Reconciled : }
)} ; } /* ---------- AI summary ---------- */ function AISummary({ p, onAccept, onAsk }) { const S = p.summary || {}; const baseProse = S.prose && S.prose.length ? S.prose : [{ t: S.headline || "" }]; const [ans, setAns] = uS(null); const [body, setBody] = uS(baseProse); const [editing, setEditing] = uS(false); const [draft, setDraft] = uS(""); const [edited, setEdited] = uS(false); const [flagged, setFlagged] = uS(false); function ask(q) { setAns({ q, a: (S.answers && S.answers[q]) || "Grounded in the connected records — try one of the suggested questions." }); if (onAsk) onAsk(q); } const effectiveText = body.map((x) => x.t).join(" "); function startEdit() { setDraft(body.map((x) => x.t).join("\n\n")); setEditing(true); } function saveEdit() { const paras = draft.split(/\n{2,}/).map((t) => t.trim()).filter(Boolean).map((t) => ({ t })); setBody(paras.length ? paras : [{ t: draft.trim() }]); setEdited(true); setEditing(false); setFlagged(false); } return
Patient summary{edited && edited}
MedBridge AI · grounded in {(p.connected || []).length} of 4 responding sources · most recent first
claude
{editing ?