333 lines
10 KiB
JavaScript
333 lines
10 KiB
JavaScript
/**
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* TGICS patient questionnaire — stable codes + branching rules.
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*/
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const opt = (value, label) => ({ value, label });
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const QUESTIONS = {
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gender: {
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code: 'gender',
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label: 'Gender',
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type: 'single',
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required: true,
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options: [
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opt('male', 'Male'),
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opt('female', 'Female'),
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opt('prefer_not_to_say', 'Prefer not to say'),
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],
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},
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patient_age: {
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code: 'patient_age',
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label: 'Age (in completed years)',
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type: 'number',
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required: true,
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min: 0,
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max: 120,
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},
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exposure_history: {
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code: 'exposure_history',
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label: 'History of exposure?',
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type: 'multi',
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required: true,
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options: [
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opt('never_smoker', 'Never smoker'),
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opt('ex_smoker', 'Ex-smoker'),
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opt('current_smoker', 'Current smoker'),
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opt('pulmonary_tb_contact', 'Suffered or ever came in contact with a patient who had Pulmonary TB'),
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opt('indoor_air_pollution', 'Current exposure to any sources of Indoor Air Pollution (eg: Incense Sticks, Mosquito Coil, Loban, Dhoop, Smoke from Tandoor/ cooking, Smoker in the family, fungus on walls (grey-black patches on wall))'),
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],
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},
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occupation_exposure: {
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code: 'occupation_exposure',
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label: 'Work/occupation exposed to',
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type: 'multi',
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required: true,
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options: [
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opt('smoke', 'Smoke'),
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opt('fumes', 'Fumes'),
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opt('dust', 'Dust'),
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opt('gases', 'Gases'),
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opt('none', 'None'),
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],
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},
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family_history: {
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code: 'family_history',
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label: 'Family history',
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type: 'multi',
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required: true,
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options: [
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opt('allergic_dermatitis_rhinitis_migraine', 'Allergic Dermatitis, Allergic Rhinitis, Migraine'),
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opt('asthma', 'Asthma'),
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opt('gerd', 'GERD (Gastroesophageal Reflux Disease)'),
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opt('tb', 'TB'),
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opt('rheumatic', 'Rheumatic diseases (arthritis, heart disease)'),
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opt('cardiovascular', 'Cardiovascular diseases'),
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opt('no_specific', 'No specific'),
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],
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},
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past_disease_history: {
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code: 'past_disease_history',
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label: 'Past disease history of patient',
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type: 'multi',
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required: true,
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options: [
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opt('allergic_dermatitis_rhinitis_migraine', 'Allergic Dermatitis, Allergic Rhinitis, Migraine'),
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opt('asthma', 'Asthma'),
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opt('copd', 'COPD'),
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opt('tb', 'TB'),
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opt('sinus_issues', 'Sinus issues (Post Nasal Drip)'),
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opt('gerd', 'GERD (Gastroesophageal Reflux Disease)'),
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opt('rheumatic', 'Rheumatic diseases (arthritis, heart disease)'),
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opt('other_lung_disease', 'Any other lung disease'),
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opt('no_history', 'No history of any disease'),
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],
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},
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organ_system: {
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code: 'organ_system',
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label: 'What organ/system is involved for which the patient is visiting the doctor today?',
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type: 'multi',
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required: true,
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options: [
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opt('skin', 'Skin'),
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opt('brain_spinal', 'Brain & spinal cord'),
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opt('ent', 'Ear/Nose/Throat'),
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opt('heart', 'Heart disease'),
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opt('lungs', 'Lungs & breathing tubes'),
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opt('abdomen', 'Abdomen'),
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opt('kidney', 'Kidney'),
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opt('pregnancy_reproductive', 'Pregnancy & reproductive issues'),
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opt('muscles_bones_joints', 'Muscles/Bones/Joints'),
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],
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},
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ailment: {
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code: 'ailment',
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label: 'For which ailment is the patient visiting the Doctor today?',
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type: 'multi',
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required: true,
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options: [
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opt('fever', 'Fever'),
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opt('high_bp', 'High blood pressure'),
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opt('diabetes', 'Diabetes'),
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opt('anaemia', 'Anaemia'),
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opt('stomach_upset', 'Stomach upset (vomiting / loose motions)'),
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opt('cold_throat', 'Cold (runny nose) &/or throat irritation/pain'),
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opt('thyroid', 'Thyroid'),
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opt('rashes', 'Rashes (any where)'),
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opt('swelling', 'Swelling on feet / body'),
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opt('breathlessness', 'Breathlessness'),
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opt('backache_weakness', 'Back ache / Weakness / Joint pain / Body ache'),
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opt('foreign_body', 'Foreign body in eye/ear/nose/throat'),
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opt('physical_injury', 'Physical injury'),
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opt('others', 'Others (please specify briefly)'),
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],
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otherField: 'ailment_other',
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},
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has_cough: {
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code: 'has_cough',
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label: 'Does the patient complain of cough?',
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type: 'single',
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required: true,
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options: [opt('yes', 'Yes'), opt('no', 'No')],
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},
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cough_duration: {
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code: 'cough_duration',
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label: 'What is the duration of cough?',
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type: 'single',
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required: true,
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options: [
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opt('lt_7_days', 'Less than 7 days'),
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opt('7_days_to_3_weeks', '7 days to <3 weeks'),
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opt('3_weeks_to_2_months', '3 weeks to 2 months'),
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opt('gt_2_months', 'More than 2 months'),
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],
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},
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cough_type: {
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code: 'cough_type',
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label: 'Is the cough dry or wet (does the patient expel out sputum/mucus/phlegm during coughing)?',
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type: 'single',
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required: true,
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options: [
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opt('dry', 'Dry'),
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opt('wet', 'Wet (with sputum/mucus/phlegm)'),
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],
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},
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sputum_quantity: {
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code: 'sputum_quantity',
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label: 'How much is the quantity of sputum/mucus/phlegm?',
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type: 'single',
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required: true,
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options: [
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opt('scanty', 'Scanty (very less sputum/mucus/phlegm production/expulsion even after coughing)'),
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opt('moderate', 'Moderate (some amount of sputum/mucus/phlegm production/expulsion after coughing)'),
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opt('excess', 'Excess (too much sputum/mucus/phlegm production/expulsion even with or without cough)'),
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opt('sometimes_excess_sometimes_less', 'Sometimes excess and sometimes less'),
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opt('more_early_morning', 'More in early morning'),
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],
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},
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sputum_colour: {
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code: 'sputum_colour',
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label: 'What is the colour of the sputum/mucus/phlegm?',
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type: 'single',
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required: true,
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options: [
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opt('white', 'White'),
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opt('yellow', 'Yellow'),
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opt('green', 'Green'),
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opt('brownish', 'Brownish'),
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opt('pink', 'Pink'),
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opt('blood_tinged', 'Blood tinged'),
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],
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},
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cough_associated: {
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code: 'cough_associated',
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label: 'Is cough associated with?',
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type: 'multi',
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required: true,
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options: [
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opt('fever', 'Fever'),
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opt('weight_loss', 'Weight loss'),
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opt('loss_of_appetite', 'Loss of appetite'),
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opt('evening_rise_fever', 'Evening rise of fever'),
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opt('difficulty_breathing', 'Difficulty in breathing'),
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opt('wheeze', 'Whistling sound from chest/ wheeze'),
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opt('chest_pain', 'Chest pain'),
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opt('hoarseness', 'Hoarseness of voice'),
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opt('sinusitis', 'Sinusitis (Post Nasal Drip)'),
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opt('acid_reflux', 'Acid Reflux/Regurgitation'),
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opt('night_sweats', 'Night sweats'),
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opt('others', 'Others (please specify)'),
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opt('none', 'None of the above'),
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],
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otherField: 'cough_associated_other',
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},
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cough_diagnosis: {
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code: 'cough_diagnosis',
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label: 'What is the diagnosis for cough?',
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type: 'single',
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required: true,
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options: [
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opt('common_cold', 'Common cold'),
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opt('sinusitis', 'Sinusitis'),
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opt('allergic_cough', 'Allergic Cough'),
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opt('allergic_rhinitis', 'Allergic Rhinitis'),
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opt('asthma', 'Asthma'),
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opt('drug_induced', 'Drug induced cough'),
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opt('acidity_gerd', 'Acidity induced cough (GERD)'),
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opt('post_nasal_drip', 'Post Nasal Drip (Upper Airway Cough Syndrome)'),
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opt('tb', 'TB'),
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opt('copd', 'COPD'),
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opt('others', 'Others (please specify)'),
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opt('not_sure', 'Not sure of diagnosis'),
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],
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otherField: 'cough_diagnosis_other',
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},
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};
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function optionValues(question) {
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return new Set(question.options.map((o) => o.value));
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}
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function validateAnswers(answers) {
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if (!answers || typeof answers !== 'object') {
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return { ok: false, message: 'Answers are required.' };
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}
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const requireSingle = (code) => {
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const q = QUESTIONS[code];
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const val = answers[code];
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if (val === undefined || val === null || val === '') {
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return `${q.label} is required.`;
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}
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if (!optionValues(q).has(String(val))) {
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return `Invalid value for ${q.label}.`;
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}
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return null;
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};
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const requireMulti = (code) => {
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const q = QUESTIONS[code];
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const val = answers[code];
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if (!Array.isArray(val) || val.length === 0) {
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return `${q.label} is required.`;
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}
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const allowed = optionValues(q);
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for (const v of val) {
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if (!allowed.has(String(v))) {
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return `Invalid value for ${q.label}.`;
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}
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}
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return null;
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};
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const requireOther = (code) => {
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const q = QUESTIONS[code];
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if (!q.otherField) return null;
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const val = answers[code];
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const selected = Array.isArray(val) ? val : [val];
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if (selected.includes('others')) {
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const other = String(answers[q.otherField] || '').trim();
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if (!other) {
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return `Please specify details for ${q.label}.`;
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}
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}
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return null;
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};
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let err =
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requireSingle('gender') ||
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null;
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if (err) return { ok: false, message: err };
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const age = Number(answers.patient_age);
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if (!Number.isFinite(age) || age < 0 || age > 120) {
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return { ok: false, message: 'Valid patient age is required (0–120).' };
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}
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for (const code of [
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'exposure_history',
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'occupation_exposure',
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'family_history',
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'past_disease_history',
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'organ_system',
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'ailment',
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]) {
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err = requireMulti(code) || requireOther(code);
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if (err) return { ok: false, message: err };
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}
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err = requireSingle('has_cough');
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if (err) return { ok: false, message: err };
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const hasCough = String(answers.has_cough) === 'yes';
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if (!hasCough) {
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return { ok: true, hasCough: false };
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}
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err =
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requireSingle('cough_duration') ||
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requireSingle('cough_type');
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if (err) return { ok: false, message: err };
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const isWet = String(answers.cough_type) === 'wet';
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if (isWet) {
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err =
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requireSingle('sputum_quantity') ||
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requireSingle('sputum_colour');
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if (err) return { ok: false, message: err };
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}
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err =
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requireMulti('cough_associated') ||
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requireOther('cough_associated') ||
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requireSingle('cough_diagnosis') ||
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requireOther('cough_diagnosis');
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if (err) return { ok: false, message: err };
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return { ok: true, hasCough: true };
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}
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module.exports = {
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QUESTIONS,
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validateAnswers,
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};
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