Add titrated prescription dosage type (#6565)

* feat: option to add titrated drug dose in prescription * Update prescription model and form to use dosage_type and base_dosage instead of is_prn and dosage * Update edit prescription form and fix dosage validation * Refactor administration dosage validation * Fix unit validation in PrescriptionFormValidator * Add dosage information to TimelineNode * Remove dosage from TimelineNode component * fix: renamed cypress dosage field selector to base_dosage * Merge branch 'develop' into fix-issue-6432 * update cypress to match new dosage field's id * fixed linting issue --------- Co-authored-by: Rithvik Nishad <mail@rithviknishad.dev> Co-authored-by: Mohammed Nihal <57055998+nihal467@users.noreply.github.com> Co-authored-by: khavinshankar <khavinshankar@gmail.com>
ohcnetwork · Mar 19, 2024 · df8c57b · df8c57b
1 parent 921fb4c
commit df8c57b
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Showing 17 changed files with 409 additions and 96 deletions.
diff --git a/cypress/pageobject/Patient/PatientPrescription.ts b/cypress/pageobject/Patient/PatientPrescription.ts
@@ -27,7 +27,7 @@ export class PatientPrescription {
   }
 
   enterDosage(doseAmount: string) {
-    cy.get("#dosage").type(doseAmount, { force: true });
+    cy.get("#base_dosage").type(doseAmount, { force: true });
   }
 
   selectDosageFrequency(frequency: string) {

diff --git a/src/Components/Form/FormFields/DosageFormField.tsx b/src/Components/Form/FormFields/DosageFormField.tsx
@@ -0,0 +1,14 @@
+import { DOSAGE_UNITS } from "../../Medicine/models";
+import NumericWithUnitsFormField from "./NumericWithUnitsFormField";
+import { FormFieldBaseProps } from "./Utils";
+
+type Props = FormFieldBaseProps<string> & {
+  placeholder?: string;
+  autoComplete?: string;
+  min?: string | number;
+  max?: string | number;
+};
+
+export default function DosageFormField(props: Props) {
+  return <NumericWithUnitsFormField {...props} units={DOSAGE_UNITS} />;
+}
diff --git a/src/Components/Form/FormFields/NumericWithUnitsFormField.tsx b/src/Components/Form/FormFields/NumericWithUnitsFormField.tsx
@@ -35,6 +35,7 @@ export default function NumericWithUnitsFormField(props: Props) {
           autoComplete={props.autoComplete}
           required={field.required}
           value={numValue}
+          disabled={props.disabled}
           onChange={(e) =>
             field.handleChange(Number(e.target.value) + " " + unitValue)
           }
@@ -48,6 +49,7 @@ export default function NumericWithUnitsFormField(props: Props) {
             onChange={(e) =>
               field.handleChange(numValue + " " + e.target.value)
             }
+            disabled={props.disabled}
           >
             {props.units.map((unit) => (
               <option key={unit}>{unit}</option>

diff --git a/src/Components/Medicine/AdministerMedicine.tsx b/src/Components/Medicine/AdministerMedicine.tsx
@@ -13,6 +13,8 @@ import dayjs from "../../Utils/dayjs";
 import useSlug from "../../Common/hooks/useSlug";
 import request from "../../Utils/request/request";
 import MedicineRoutes from "./routes";
+import DosageFormField from "../Form/FormFields/DosageFormField";
+import { AdministrationDosageValidator } from "./validators";
 
 interface Props {
   prescription: Prescription;
@@ -24,6 +26,8 @@ export default function AdministerMedicine({ prescription, ...props }: Props) {
   const consultation = useSlug("consultation");
   const [isLoading, setIsLoading] = useState(false);
   const [notes, setNotes] = useState<string>("");
+  const [dosage, setDosage] = useState<string | undefined>();
+  const [error, setError] = useState<string>();
   const [isCustomTime, setIsCustomTime] = useState(false);
   const [customTime, setCustomTime] = useState<string>(
     dayjs().format("YYYY-MM-DDTHH:mm")
@@ -41,21 +45,45 @@ export default function AdministerMedicine({ prescription, ...props }: Props) {
       description={
         <div className="text-sm font-semibold leading-relaxed text-gray-600">
           <CareIcon className="care-l-history-alt pr-1" /> Last administered
-          <span className="pl-1">
-            {prescription.last_administered_on
-              ? formatDateTime(prescription.last_administered_on)
+          <span className="whitespace-nowrap pl-2">
+            <CareIcon className="care-l-clock" />{" "}
+            {prescription.last_administration?.administered_date
+              ? formatDateTime(
+                  prescription.last_administration.administered_date
+                )
               : t("never")}
           </span>
+          {prescription.dosage_type === "TITRATED" && (
+            <span className="whitespace-nowrap pl-2">
+              <CareIcon className="care-l-syringe" /> {t("dosage")}
+              {":"} {prescription.last_administration?.dosage ?? "NA"}
+            </span>
+          )}
+          <span className="whitespace-nowrap pl-2">
+            <CareIcon className="care-l-user" /> Administered by:{" "}
+            {prescription.last_administration?.administered_by?.username ??
+              "NA"}
+          </span>
         </div>
       }
       show
       onClose={() => props.onClose(false)}
       onConfirm={async () => {
+        if (prescription.dosage_type === "TITRATED") {
+          const error = AdministrationDosageValidator(
+            prescription.base_dosage,
+            prescription.target_dosage
+          )(dosage);
+          setError(error);
+          if (error) return;
+        }
+
         setIsLoading(true);
         const { res } = await request(MedicineRoutes.administerPrescription, {
           pathParams: { consultation, external_id: prescription.id },
           body: {
             notes,
+            dosage,
             administered_date: isCustomTime ? customTime : undefined,
           },
         });
@@ -70,6 +98,24 @@ export default function AdministerMedicine({ prescription, ...props }: Props) {
       <div className="mt-4 flex flex-col gap-8">
         <PrescriptionDetailCard prescription={prescription} readonly />
 
+        {prescription.dosage_type === "TITRATED" && (
+          <DosageFormField
+            name="dosage"
+            label={
+              t("dosage") +
+              ` (${prescription.base_dosage} - ${prescription.target_dosage})`
+            }
+            value={dosage}
+            onChange={({ value }) => setDosage(value)}
+            required
+            min={prescription.base_dosage}
+            max={prescription.target_dosage}
+            disabled={isLoading}
+            error={error}
+            errorClassName={error ? "block" : "hidden"}
+          />
+        )}
+
         <div className="flex flex-col gap-4 lg:flex-row lg:gap-6">
           <TextAreaFormField
             label={t("administration_notes")}

diff --git a/src/Components/Medicine/CreatePrescriptionForm.tsx b/src/Components/Medicine/CreatePrescriptionForm.tsx
@@ -3,21 +3,18 @@ import Form from "../Form/Form";
 import { SelectFormField } from "../Form/FormFields/SelectFormField";
 import TextAreaFormField from "../Form/FormFields/TextAreaFormField";
 import TextFormField from "../Form/FormFields/TextFormField";
-import {
-  DOSAGE_UNITS,
-  MedicineAdministrationRecord,
-  Prescription,
-} from "./models";
+import { MedicineAdministrationRecord, Prescription } from "./models";
 import { useState } from "react";
-import NumericWithUnitsFormField from "../Form/FormFields/NumericWithUnitsFormField";
 import { useTranslation } from "react-i18next";
 import MedibaseAutocompleteFormField from "./MedibaseAutocompleteFormField";
 import dayjs from "../../Utils/dayjs";
 import { PrescriptionFormValidator } from "./validators";
+import CheckBoxFormField from "../Form/FormFields/CheckBoxFormField";
 import MedicineRoutes from "./routes";
 import request from "../../Utils/request/request";
 import useSlug from "../../Common/hooks/useSlug";
 import { Success } from "../../Utils/Notifications";
+import DosageFormField from "../Form/FormFields/DosageFormField";
 
 export default function CreatePrescriptionForm(props: {
   prescription: Prescription;
@@ -64,7 +61,27 @@ export default function CreatePrescriptionForm(props: {
             {...field("medicine_object", RequiredFieldValidator())}
             required
           />
-          <div className="flex items-center gap-4">
+          {props.prescription.dosage_type !== "PRN" && (
+            <CheckBoxFormField
+              label={t("titrate_dosage")}
+              name="Titrate Dosage"
+              value={field("dosage_type").value === "TITRATED"}
+              onChange={(e) => {
+                if (e.value) {
+                  field("dosage_type").onChange({
+                    name: "dosage_type",
+                    value: "TITRATED",
+                  });
+                } else {
+                  field("dosage_type").onChange({
+                    name: "dosage_type",
+                    value: "REGULAR",
+                  });
+                }
+              }}
+            />
+          )}
+          <div className="flex flex-wrap items-center gap-x-4">
             <SelectFormField
               className="flex-1"
               label={t("route")}
@@ -73,27 +90,44 @@ export default function CreatePrescriptionForm(props: {
               optionLabel={(key) => t("PRESCRIPTION_ROUTE_" + key)}
               optionValue={(key) => key}
             />
-            <NumericWithUnitsFormField
-              className="flex-1"
-              label={t("dosage")}
-              {...field("dosage", RequiredFieldValidator())}
-              required
-              units={DOSAGE_UNITS}
-              min={0}
-            />
+            {field("dosage_type").value === "TITRATED" ? (
+              <div className="flex w-full gap-4">
+                <DosageFormField
+                  className="flex-1"
+                  label={t("start_dosage")}
+                  {...field("base_dosage", RequiredFieldValidator())}
+                  required
+                  min={0}
+                />
+                <DosageFormField
+                  className="flex-1"
+                  label={t("target_dosage")}
+                  {...field("target_dosage", RequiredFieldValidator())}
+                  required
+                  min={0}
+                />
+              </div>
+            ) : (
+              <DosageFormField
+                className="flex-1"
+                label={t("dosage")}
+                {...field("base_dosage", RequiredFieldValidator())}
+                required={field("dosage_type").value !== "TITRATED"}
+                min={0}
+              />
+            )}
           </div>
 
-          {props.prescription.is_prn ? (
+          {props.prescription.dosage_type === "PRN" ? (
             <>
               <TextFormField
                 label={t("indicator")}
                 {...field("indicator", RequiredFieldValidator())}
                 required
               />
-              <NumericWithUnitsFormField
+              <DosageFormField
                 className="flex-1"
                 label={t("max_dosage_24_hrs")}
-                units={DOSAGE_UNITS}
                 min={0}
                 {...field("max_dosage")}
               />
@@ -130,6 +164,13 @@ export default function CreatePrescriptionForm(props: {
             </div>
           )}
 
+          {field("dosage_type").value === "TITRATED" && (
+            <TextAreaFormField
+              label={t("instruction_on_titration")}
+              {...field("instruction_on_titration")}
+            />
+          )}
+
           <TextAreaFormField label={t("notes")} {...field("notes")} />
         </>
       )}

diff --git a/src/Components/Medicine/EditPrescriptionForm.tsx b/src/Components/Medicine/EditPrescriptionForm.tsx
@@ -1,13 +1,12 @@
 import { useState } from "react";
 import Form from "../Form/Form";
-import { DOSAGE_UNITS, Prescription } from "./models";
+import { Prescription } from "./models";
 import request from "../../Utils/request/request";
 import * as Notification from "../../Utils/Notifications";
 import useSlug from "../../Common/hooks/useSlug";
 import { RequiredFieldValidator } from "../Form/FieldValidators";
 import { useTranslation } from "react-i18next";
 import { SelectFormField } from "../Form/FormFields/SelectFormField";
-import NumericWithUnitsFormField from "../Form/FormFields/NumericWithUnitsFormField";
 import {
   PRESCRIPTION_FREQUENCIES,
   PRESCRIPTION_ROUTES,
@@ -16,6 +15,8 @@ import TextFormField from "../Form/FormFields/TextFormField";
 import TextAreaFormField from "../Form/FormFields/TextAreaFormField";
 import { EditPrescriptionFormValidator } from "./validators";
 import MedicineRoutes from "./routes";
+import CheckBoxFormField from "../Form/FormFields/CheckBoxFormField";
+import DosageFormField from "../Form/FormFields/DosageFormField";
 
 interface Props {
   initial: Prescription;
@@ -88,6 +89,27 @@ export default function EditPrescriptionForm(props: Props) {
             {...field("discontinued_reason")}
           />
 
+          {props.initial.dosage_type !== "PRN" && (
+            <CheckBoxFormField
+              label={t("titrate_dosage")}
+              name="Titrate Dosage"
+              value={field("dosage_type").value === "TITRATED"}
+              onChange={(e) => {
+                if (e.value) {
+                  field("dosage_type").onChange({
+                    name: "dosage_type",
+                    value: "TITRATED",
+                  });
+                } else {
+                  field("dosage_type").onChange({
+                    name: "dosage_type",
+                    value: "REGULAR",
+                  });
+                }
+              }}
+            />
+          )}
+
           <div className="flex items-center gap-4">
             <SelectFormField
               className="flex-1"
@@ -97,27 +119,44 @@ export default function EditPrescriptionForm(props: Props) {
               optionLabel={(key) => t("PRESCRIPTION_ROUTE_" + key)}
               optionValue={(key) => key}
             />
-            <NumericWithUnitsFormField
-              className="flex-1"
-              label={t("dosage")}
-              {...field("dosage", RequiredFieldValidator())}
-              required
-              units={DOSAGE_UNITS}
-              min={0}
-            />
+            {field("dosage_type").value === "TITRATED" ? (
+              <div className="flex w-full gap-4">
+                <DosageFormField
+                  className="flex-1"
+                  label={t("start_dosage")}
+                  {...field("base_dosage", RequiredFieldValidator())}
+                  required
+                  min={0}
+                />
+                <DosageFormField
+                  className="flex-1"
+                  label={t("target_dosage")}
+                  {...field("target_dosage", RequiredFieldValidator())}
+                  required
+                  min={0}
+                />
+              </div>
+            ) : (
+              <DosageFormField
+                className="flex-1"
+                label={t("dosage")}
+                {...field("base_dosage", RequiredFieldValidator())}
+                required={field("dosage_type").value !== "TITRATED"}
+                min={0}
+              />
+            )}
           </div>
 
-          {props.initial.is_prn ? (
+          {props.initial.dosage_type === "PRN" ? (
             <>
               <TextFormField
                 label={t("indicator")}
                 {...field("indicator", RequiredFieldValidator())}
                 required
               />
-              <NumericWithUnitsFormField
+              <DosageFormField
                 className="flex-1"
                 label={t("max_dosage_24_hrs")}
-                units={DOSAGE_UNITS}
                 min={0}
                 {...field("max_dosage")}
               />
@@ -154,6 +193,13 @@ export default function EditPrescriptionForm(props: Props) {
             </div>
           )}
 
+          {field("dosage_type").value === "TITRATED" && (
+            <TextAreaFormField
+              label={t("instruction_on_titration")}
+              {...field("instruction_on_titration")}
+            />
+          )}
+
           <TextAreaFormField label={t("notes")} {...field("notes")} />
         </>
       )}