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Add ATB tab for antibiotic treatment tracking

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snlavaise
2026-04-20 00:36:04 -03:00
parent e2b12a7326
commit 86be190cf0
6 changed files with 430 additions and 181 deletions
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package-lock.json
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+143 -143
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@@ -4655,9 +4655,9 @@
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"x64" "x64"
], ],
@@ -4669,9 +4669,9 @@
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"x64" "x64"
], ],
@@ -5059,9 +5059,9 @@
} }
}, },
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"license": "MIT", "license": "MIT",
"dependencies": { "dependencies": {
@@ -5069,13 +5069,13 @@
} }
}, },
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"dev": true, "dev": true,
"license": "ISC", "license": "ISC",
"dependencies": { "dependencies": {
"brace-expansion": "^2.0.1" "brace-expansion": "^2.0.2"
}, },
"engines": { "engines": {
"node": ">=16 || 14 >=14.17" "node": ">=16 || 14 >=14.17"
@@ -5244,9 +5244,9 @@
} }
}, },
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"resolved": "https://registry.npmjs.org/ajv/-/ajv-6.12.6.tgz", "resolved": "https://registry.npmjs.org/ajv/-/ajv-6.14.0.tgz",
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"dev": true, "dev": true,
"license": "MIT", "license": "MIT",
"dependencies": { "dependencies": {
@@ -5308,9 +5308,9 @@
} }
}, },
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"version": "2.3.1", "version": "2.3.2",
"resolved": "https://registry.npmjs.org/picomatch/-/picomatch-2.3.1.tgz", "resolved": "https://registry.npmjs.org/picomatch/-/picomatch-2.3.2.tgz",
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"dev": true, "dev": true,
"license": "MIT", "license": "MIT",
"engines": { "engines": {
@@ -5573,9 +5573,9 @@
"license": "MIT" "license": "MIT"
}, },
"node_modules/brace-expansion": { "node_modules/brace-expansion": {
"version": "1.1.12", "version": "1.1.14",
"resolved": "https://registry.npmjs.org/brace-expansion/-/brace-expansion-1.1.12.tgz", "resolved": "https://registry.npmjs.org/brace-expansion/-/brace-expansion-1.1.14.tgz",
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"devOptional": true, "devOptional": true,
"license": "MIT", "license": "MIT",
"dependencies": { "dependencies": {
@@ -6356,9 +6356,9 @@
} }
}, },
"node_modules/dompurify": { "node_modules/dompurify": {
"version": "3.3.3", "version": "3.4.0",
"resolved": "https://registry.npmjs.org/dompurify/-/dompurify-3.3.3.tgz", "resolved": "https://registry.npmjs.org/dompurify/-/dompurify-3.4.0.tgz",
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"license": "(MPL-2.0 OR Apache-2.0)", "license": "(MPL-2.0 OR Apache-2.0)",
"optional": true, "optional": true,
"optionalDependencies": { "optionalDependencies": {
@@ -7057,9 +7057,9 @@
} }
}, },
"node_modules/flatted": { "node_modules/flatted": {
"version": "3.3.3", "version": "3.4.2",
"resolved": "https://registry.npmjs.org/flatted/-/flatted-3.3.3.tgz", "resolved": "https://registry.npmjs.org/flatted/-/flatted-3.4.2.tgz",
"integrity": "sha512-GX+ysw4PBCz0PzosHDepZGANEuFCMLrnRTiEy9McGjmkCQYwRq4A/X786G/fjM/+OjsWSU1ZrY5qyARZmO/uwg==", "integrity": "sha512-PjDse7RzhcPkIJwy5t7KPWQSZ9cAbzQXcafsetQoD7sOJRQlGikNbx7yZp2OotDnJyrDcbyRq3Ttb18iYOqkxA==",
"dev": true, "dev": true,
"license": "ISC" "license": "ISC"
}, },
@@ -7845,9 +7845,9 @@
} }
}, },
"node_modules/lodash": { "node_modules/lodash": {
"version": "4.17.21", "version": "4.18.1",
"resolved": "https://registry.npmjs.org/lodash/-/lodash-4.17.21.tgz", "resolved": "https://registry.npmjs.org/lodash/-/lodash-4.18.1.tgz",
"integrity": "sha512-v2kDEe57lecTulaDIuNTPy3Ry4gLGJ6Z1O3vE1krgXZNrsQ+LFTGHVxVjcXPs17LhbZVGedAJv8XZ1tvj5FvSg==", "integrity": "sha512-dMInicTPVE8d1e5otfwmmjlxkZoUpiVLwyeTdUsi/Caj/gfzzblBcCE5sRHV/AsjuCmxWrte2TNGSYuCeCq+0Q==",
"license": "MIT" "license": "MIT"
}, },
"node_modules/lodash.debounce": { "node_modules/lodash.debounce": {
@@ -8014,9 +8014,9 @@
} }
}, },
"node_modules/micromatch/node_modules/picomatch": { "node_modules/micromatch/node_modules/picomatch": {
"version": "2.3.1", "version": "2.3.2",
"resolved": "https://registry.npmjs.org/picomatch/-/picomatch-2.3.1.tgz", "resolved": "https://registry.npmjs.org/picomatch/-/picomatch-2.3.2.tgz",
"integrity": "sha512-JU3teHTNjmE2VCGFzuY8EXzCDVwEqB2a8fsIvwaStHhAWJEeVd1o1QD80CU6+ZdEXXSLbSsuLwJjkCBWqRQUVA==", "integrity": "sha512-V7+vQEJ06Z+c5tSye8S+nHUfI51xoXIXjHQ99cQtKUkQqqO1kO/KCJUfZXuB47h/YBlDhah2H3hdUGXn8ie0oA==",
"dev": true, "dev": true,
"license": "MIT", "license": "MIT",
"engines": { "engines": {
@@ -8072,9 +8072,9 @@
} }
}, },
"node_modules/minimatch": { "node_modules/minimatch": {
"version": "3.1.2", "version": "3.1.5",
"resolved": "https://registry.npmjs.org/minimatch/-/minimatch-3.1.2.tgz", "resolved": "https://registry.npmjs.org/minimatch/-/minimatch-3.1.5.tgz",
"integrity": "sha512-J7p63hRiAjw1NDEww1W7i37+ByIrOWO5XQQAzZ3VOcL0PNybwpfmV/N05zFAzwQ9USyEcX6t3UO+K5aqBQOIHw==", "integrity": "sha512-VgjWUsnnT6n+NUk6eZq77zeFdpW2LWDzP6zFGrCbHXiYNul5Dzqk2HHQ5uFH2DNW5Xbp8+jVzaeNt94ssEEl4w==",
"devOptional": true, "devOptional": true,
"license": "ISC", "license": "ISC",
"dependencies": { "dependencies": {
@@ -8633,9 +8633,9 @@
"license": "ISC" "license": "ISC"
}, },
"node_modules/picomatch": { "node_modules/picomatch": {
"version": "4.0.3", "version": "4.0.4",
"resolved": "https://registry.npmjs.org/picomatch/-/picomatch-4.0.3.tgz", "resolved": "https://registry.npmjs.org/picomatch/-/picomatch-4.0.4.tgz",
"integrity": "sha512-5gTmgEY/sqK6gFXLIsQNH19lWb4ebPDLA4SdLP7dsWkIXHWlG66oPuVvXSGFPppYZz8ZDZq0dYYrbHfBCVUb1Q==", "integrity": "sha512-QP88BAKvMam/3NxH6vj2o21R6MjxZUAd6nlwAS/pnGvN9IVLocLHxGYIzFhg6fUQ+5th6P4dv4eW9jX3DSIj7A==",
"dev": true, "dev": true,
"license": "MIT", "license": "MIT",
"engines": { "engines": {
@@ -9252,9 +9252,9 @@
} }
}, },
"node_modules/readdirp/node_modules/picomatch": { "node_modules/readdirp/node_modules/picomatch": {
"version": "2.3.1", "version": "2.3.2",
"resolved": "https://registry.npmjs.org/picomatch/-/picomatch-2.3.1.tgz", "resolved": "https://registry.npmjs.org/picomatch/-/picomatch-2.3.2.tgz",
"integrity": "sha512-JU3teHTNjmE2VCGFzuY8EXzCDVwEqB2a8fsIvwaStHhAWJEeVd1o1QD80CU6+ZdEXXSLbSsuLwJjkCBWqRQUVA==", "integrity": "sha512-V7+vQEJ06Z+c5tSye8S+nHUfI51xoXIXjHQ99cQtKUkQqqO1kO/KCJUfZXuB47h/YBlDhah2H3hdUGXn8ie0oA==",
"dev": true, "dev": true,
"license": "MIT", "license": "MIT",
"engines": { "engines": {
@@ -9441,9 +9441,9 @@
} }
}, },
"node_modules/rollup": { "node_modules/rollup": {
"version": "4.55.1", "version": "4.60.2",
"resolved": "https://registry.npmjs.org/rollup/-/rollup-4.55.1.tgz", "resolved": "https://registry.npmjs.org/rollup/-/rollup-4.60.2.tgz",
"integrity": "sha512-wDv/Ht1BNHB4upNbK74s9usvl7hObDnvVzknxqY/E/O3X6rW1U1rV1aENEfJ54eFZDTNo7zv1f5N4edCluH7+A==", "integrity": "sha512-J9qZyW++QK/09NyN/zeO0dG/1GdGfyp9lV8ajHnRVLfo/uFsbji5mHnDgn/qYdUHyCkM2N+8VyspgZclfAh0eQ==",
"dev": true, "dev": true,
"license": "MIT", "license": "MIT",
"dependencies": { "dependencies": {
@@ -9457,31 +9457,31 @@
"npm": ">=8.0.0" "npm": ">=8.0.0"
}, },
"optionalDependencies": { "optionalDependencies": {
"@rollup/rollup-android-arm-eabi": "4.55.1", "@rollup/rollup-android-arm-eabi": "4.60.2",
"@rollup/rollup-android-arm64": "4.55.1", "@rollup/rollup-android-arm64": "4.60.2",
"@rollup/rollup-darwin-arm64": "4.55.1", "@rollup/rollup-darwin-arm64": "4.60.2",
"@rollup/rollup-darwin-x64": "4.55.1", "@rollup/rollup-darwin-x64": "4.60.2",
"@rollup/rollup-freebsd-arm64": "4.55.1", "@rollup/rollup-freebsd-arm64": "4.60.2",
"@rollup/rollup-freebsd-x64": "4.55.1", "@rollup/rollup-freebsd-x64": "4.60.2",
"@rollup/rollup-linux-arm-gnueabihf": "4.55.1", "@rollup/rollup-linux-arm-gnueabihf": "4.60.2",
"@rollup/rollup-linux-arm-musleabihf": "4.55.1", "@rollup/rollup-linux-arm-musleabihf": "4.60.2",
"@rollup/rollup-linux-arm64-gnu": "4.55.1", "@rollup/rollup-linux-arm64-gnu": "4.60.2",
"@rollup/rollup-linux-arm64-musl": "4.55.1", "@rollup/rollup-linux-arm64-musl": "4.60.2",
"@rollup/rollup-linux-loong64-gnu": "4.55.1", "@rollup/rollup-linux-loong64-gnu": "4.60.2",
"@rollup/rollup-linux-loong64-musl": "4.55.1", "@rollup/rollup-linux-loong64-musl": "4.60.2",
"@rollup/rollup-linux-ppc64-gnu": "4.55.1", "@rollup/rollup-linux-ppc64-gnu": "4.60.2",
"@rollup/rollup-linux-ppc64-musl": "4.55.1", "@rollup/rollup-linux-ppc64-musl": "4.60.2",
"@rollup/rollup-linux-riscv64-gnu": "4.55.1", "@rollup/rollup-linux-riscv64-gnu": "4.60.2",
"@rollup/rollup-linux-riscv64-musl": "4.55.1", "@rollup/rollup-linux-riscv64-musl": "4.60.2",
"@rollup/rollup-linux-s390x-gnu": "4.55.1", "@rollup/rollup-linux-s390x-gnu": "4.60.2",
"@rollup/rollup-linux-x64-gnu": "4.55.1", "@rollup/rollup-linux-x64-gnu": "4.60.2",
"@rollup/rollup-linux-x64-musl": "4.55.1", "@rollup/rollup-linux-x64-musl": "4.60.2",
"@rollup/rollup-openbsd-x64": "4.55.1", "@rollup/rollup-openbsd-x64": "4.60.2",
"@rollup/rollup-openharmony-arm64": "4.55.1", "@rollup/rollup-openharmony-arm64": "4.60.2",
"@rollup/rollup-win32-arm64-msvc": "4.55.1", "@rollup/rollup-win32-arm64-msvc": "4.60.2",
"@rollup/rollup-win32-ia32-msvc": "4.55.1", "@rollup/rollup-win32-ia32-msvc": "4.60.2",
"@rollup/rollup-win32-x64-gnu": "4.55.1", "@rollup/rollup-win32-x64-gnu": "4.60.2",
"@rollup/rollup-win32-x64-msvc": "4.55.1", "@rollup/rollup-win32-x64-msvc": "4.60.2",
"fsevents": "~2.3.2" "fsevents": "~2.3.2"
} }
}, },
@@ -10555,9 +10555,9 @@
} }
}, },
"node_modules/vite": { "node_modules/vite": {
"version": "7.3.0", "version": "7.3.2",
"resolved": "https://registry.npmjs.org/vite/-/vite-7.3.0.tgz", "resolved": "https://registry.npmjs.org/vite/-/vite-7.3.2.tgz",
"integrity": "sha512-dZwN5L1VlUBewiP6H9s2+B3e3Jg96D0vzN+Ry73sOefebhYr9f94wwkMNN/9ouoU8pV1BqA1d1zGk8928cx0rg==", "integrity": "sha512-Bby3NOsna2jsjfLVOHKes8sGwgl4TT0E6vvpYgnAYDIF/tie7MRaFthmKuHx1NSXjiTueXH3do80FMQgvEktRg==",
"dev": true, "dev": true,
"license": "MIT", "license": "MIT",
"dependencies": { "dependencies": {
server/server.js
+28
View File
@@ -183,6 +183,25 @@ try {
console.log('Error tabla interconsultas:', e.message); console.log('Error tabla interconsultas:', e.message);
} }
try {
const existingATB = db.prepare("SELECT name FROM sqlite_master WHERE type='table' AND name='atb'").get();
if (!existingATB) {
db.exec(`
CREATE TABLE atb (
id TEXT PRIMARY KEY,
pacienteId TEXT NOT NULL,
internacionId TEXT NOT NULL,
antibiotico TEXT,
fechaInicio TEXT,
fechaFinalizacion TEXT
)
`);
console.log('Tabla atb creada');
}
} catch (e) {
console.log('Error tabla atb:', e.message);
}
const app = express(); const app = express();
app.use(cors()); app.use(cors());
app.use(express.json({ limit: '50mb' })); app.use(express.json({ limit: '50mb' }));
@@ -233,6 +252,7 @@ app.get('/api/state', (req, res) => {
cultivos: queryAll('SELECT * FROM cultivos'), cultivos: queryAll('SELECT * FROM cultivos'),
estudiosComplementarios: queryAll('SELECT * FROM estudiosComplementarios'), estudiosComplementarios: queryAll('SELECT * FROM estudiosComplementarios'),
interconsultas: queryAll('SELECT * FROM interconsultas').map(ic => ({ ...ic, realizada: !!ic.realizada })), interconsultas: queryAll('SELECT * FROM interconsultas').map(ic => ({ ...ic, realizada: !!ic.realizada })),
atb: queryAll('SELECT * FROM atb'),
vistaActual: 'dashboard', vistaActual: 'dashboard',
currentInternacionId: null currentInternacionId: null
}; };
@@ -323,6 +343,14 @@ if (state.laboratorios?.length) {
} }
} }
run('DELETE FROM atb');
if (state.atb?.length) {
const stmt = db.prepare('INSERT INTO atb (id, pacienteId, internacionId, antibiotico, fechaInicio, fechaFinalizacion) VALUES (?, ?, ?, ?, ?, ?)');
for (const atb of state.atb) {
stmt.run(atb.id, atb.pacienteId, atb.internacionId, atb.antibiotico, atb.fechaInicio, atb.fechaFinalizacion || null);
}
}
res.json({ ok: true }); res.json({ ok: true });
}); });
src/App.tsx
+4
View File
@@ -145,6 +145,7 @@ function AppContent() {
cultivos={store.getCultivosByPaciente(paciente.id)} cultivos={store.getCultivosByPaciente(paciente.id)}
estudiosComplementarios={store.estudiosComplementarios.filter(e => e.pacienteId === paciente.id)} estudiosComplementarios={store.estudiosComplementarios.filter(e => e.pacienteId === paciente.id)}
interconsultas={(store.interconsultas || []).filter(ic => ic.internacionId === internacion.id)} interconsultas={(store.interconsultas || []).filter(ic => ic.internacionId === internacion.id)}
atb={(store.atb || []).filter(a => a.internacionId === internacion.id)}
onAgregarEvolucion={store.agregarEvolucion} onAgregarEvolucion={store.agregarEvolucion}
onActualizarEvolucion={store.actualizarEvolucion} onActualizarEvolucion={store.actualizarEvolucion}
onEliminarEvolucion={store.eliminarEvolucion} onEliminarEvolucion={store.eliminarEvolucion}
@@ -163,6 +164,9 @@ function AppContent() {
onAgregarInterconsulta={(ic) => store.agregarInterconsulta({ ...ic, internacionId: internacion.id })} onAgregarInterconsulta={(ic) => store.agregarInterconsulta({ ...ic, internacionId: internacion.id })}
onActualizarInterconsulta={store.actualizarInterconsulta} onActualizarInterconsulta={store.actualizarInterconsulta}
onEliminarInterconsulta={store.eliminarInterconsulta} onEliminarInterconsulta={store.eliminarInterconsulta}
onAgregarATB={(atb) => store.agregarATB({ ...atb, internacionId: internacion.id })}
onActualizarATB={store.actualizarATB}
onEliminarATB={store.eliminarATB}
onActualizarInternacion={store.actualizarInternacion} onActualizarInternacion={store.actualizarInternacion}
onActualizarCama={store.actualizarCama} onActualizarCama={store.actualizarCama}
onVolver={() => store.setVista('internaciones')} onVolver={() => store.setVista('internaciones')}
src/hooks/useHospitalStore.ts
+29
View File
@@ -10,6 +10,7 @@ import type {
Cultivo, Cultivo,
EstudioComplementario, EstudioComplementario,
Interconsulta, Interconsulta,
ATB,
Vista Vista
} from '@/types'; } from '@/types';
@@ -37,6 +38,7 @@ interface HospitalState {
cultivos: Cultivo[]; cultivos: Cultivo[];
estudiosComplementarios: EstudioComplementario[]; estudiosComplementarios: EstudioComplementario[];
interconsultas: Interconsulta[]; interconsultas: Interconsulta[];
atb: ATB[];
vistaActual: Vista; vistaActual: Vista;
currentInternacionId?: string | null; currentInternacionId?: string | null;
} }
@@ -54,6 +56,7 @@ const defaultState = (): HospitalState => ({
cultivos: [], cultivos: [],
estudiosComplementarios: [], estudiosComplementarios: [],
interconsultas: [], interconsultas: [],
atb: [],
vistaActual: 'dashboard', vistaActual: 'dashboard',
camas: [] camas: []
}); });
@@ -376,6 +379,29 @@ const finalizarInternacion = useCallback((internacionId: string, datos: {
})); }));
}, []); }, []);
const agregarATB = useCallback((atb: Omit<ATB, 'id'>) => {
const nuevoATB: ATB = { ...atb, id: generateUUID() };
setState(prev => ({
...prev,
atb: [...prev.atb, nuevoATB],
}));
return nuevoATB.id;
}, []);
const actualizarATB = useCallback((id: string, datos: Partial<ATB>) => {
setState(prev => ({
...prev,
atb: prev.atb.map(a => a.id === id ? { ...a, ...datos } : a),
}));
}, []);
const eliminarATB = useCallback((id: string) => {
setState(prev => ({
...prev,
atb: prev.atb.filter(a => a.id !== id),
}));
}, []);
// Acciones de areas // Acciones de areas
const agregarArea = useCallback((area: Omit<Area, 'id'>) => { const agregarArea = useCallback((area: Omit<Area, 'id'>) => {
const nuevaArea: Area = { ...area, id: generateUUID() }; const nuevaArea: Area = { ...area, id: generateUUID() };
@@ -502,6 +528,9 @@ const getEstadisticas = useCallback(() => {
agregarInterconsulta, agregarInterconsulta,
actualizarInterconsulta, actualizarInterconsulta,
eliminarInterconsulta, eliminarInterconsulta,
agregarATB,
actualizarATB,
eliminarATB,
agregarArea, agregarArea,
actualizarArea, actualizarArea,
eliminarArea, eliminarArea,
src/sections/HistoriaClinica.tsx
+217 -38
View File
@@ -22,7 +22,7 @@ import {
FileText, FileText,
ChevronDown, ChevronDown,
ChevronUp, ChevronUp,
ChevronRight, List,
FileDown, FileDown,
Thermometer, Thermometer,
Heart, Heart,
@@ -51,7 +51,7 @@ import { Table, TableBody, TableCell, TableHead, TableHeader, TableRow } from '@
import { ScrollArea, ScrollBar } from "@/components/ui/scroll-area" import { ScrollArea, ScrollBar } from "@/components/ui/scroll-area"
import { DropdownMenu, DropdownMenuContent, DropdownMenuItem, DropdownMenuTrigger } from '@/components/ui/dropdown-menu'; import { DropdownMenu, DropdownMenuContent, DropdownMenuItem, DropdownMenuTrigger } from '@/components/ui/dropdown-menu';
import { LineChart, Line, XAxis, YAxis, CartesianGrid, Tooltip, ResponsiveContainer } from 'recharts'; import { LineChart, Line, XAxis, YAxis, CartesianGrid, Tooltip, ResponsiveContainer } from 'recharts';
import type { Laboratorio, AcidoBase, Cultivo, Paciente, ResultadoLaboratorio, Internacion, Evolucion, Cama, EstudioComplementario, Interconsulta } from '@/types'; import type { Laboratorio, AcidoBase, Cultivo, Paciente, ResultadoLaboratorio, Internacion, Evolucion, Cama, EstudioComplementario, Interconsulta, ATB } from '@/types';
import { formatDateDDMMYYYY } from '@/lib/utils'; import { formatDateDDMMYYYY } from '@/lib/utils';
interface HistoriaClinicaProps { interface HistoriaClinicaProps {
@@ -65,6 +65,7 @@ interface HistoriaClinicaProps {
cultivos: Cultivo[]; cultivos: Cultivo[];
estudiosComplementarios: EstudioComplementario[]; estudiosComplementarios: EstudioComplementario[];
interconsultas: Interconsulta[]; interconsultas: Interconsulta[];
atb: ATB[];
onAgregarEvolucion: (evolucion: Omit<Evolucion, 'id'>) => void; onAgregarEvolucion: (evolucion: Omit<Evolucion, 'id'>) => void;
onActualizarEvolucion: (id: string, datos: Partial<Evolucion>) => void; onActualizarEvolucion: (id: string, datos: Partial<Evolucion>) => void;
onEliminarEvolucion: (id: string) => void; onEliminarEvolucion: (id: string) => void;
@@ -84,6 +85,9 @@ interface HistoriaClinicaProps {
onAgregarInterconsulta: (interconsulta: Omit<Interconsulta, 'id'>) => void; onAgregarInterconsulta: (interconsulta: Omit<Interconsulta, 'id'>) => void;
onActualizarInterconsulta: (id: string, datos: Partial<Interconsulta>) => void; onActualizarInterconsulta: (id: string, datos: Partial<Interconsulta>) => void;
onEliminarInterconsulta: (id: string) => void; onEliminarInterconsulta: (id: string) => void;
onAgregarATB: (atb: Omit<ATB, 'id'>) => void;
onActualizarATB: (id: string, datos: Partial<ATB>) => void;
onEliminarATB: (id: string) => void;
onActualizarInternacion: (id: string, datos: Partial<Internacion>) => void; onActualizarInternacion: (id: string, datos: Partial<Internacion>) => void;
onActualizarCama: (id: string, datos: Partial<Cama>) => void; onActualizarCama: (id: string, datos: Partial<Cama>) => void;
onVolver: () => void; onVolver: () => void;
@@ -192,6 +196,10 @@ export function HistoriaClinica({
onAgregarInterconsulta, onAgregarInterconsulta,
onActualizarInterconsulta, onActualizarInterconsulta,
onEliminarInterconsulta, onEliminarInterconsulta,
atb,
onAgregarATB,
onActualizarATB,
onEliminarATB,
onActualizarInternacion, onActualizarInternacion,
onActualizarCama, onActualizarCama,
onVolver, onVolver,
@@ -473,6 +481,13 @@ export function HistoriaClinica({
<span className="hidden sm:inline">Evoluciones</span> <span className="hidden sm:inline">Evoluciones</span>
({evoluciones.length}) ({evoluciones.length})
</TabsTrigger> </TabsTrigger>
<TabsTrigger value="indicaciones" className="flex-shrink-0 flex items-center gap-1 text-xs sm:text-sm">
<List className="h-3 w-3 sm:h-4 sm:w-4" />
<span className="hidden sm:inline">Indicaciones</span>
</TabsTrigger>
<TabsTrigger value="laboratorios" className="flex-shrink-0 flex items-center gap-1 text-xs sm:text-sm"> <TabsTrigger value="laboratorios" className="flex-shrink-0 flex items-center gap-1 text-xs sm:text-sm">
<FlaskConical className="h-3 w-3 sm:h-4 sm:w-4" /> <FlaskConical className="h-3 w-3 sm:h-4 sm:w-4" />
<span className="hidden sm:inline">Laboratorio</span> <span className="hidden sm:inline">Laboratorio</span>
@@ -488,6 +503,11 @@ export function HistoriaClinica({
<span className="hidden sm:inline">Cultivos</span> <span className="hidden sm:inline">Cultivos</span>
({cultivos.length}) ({cultivos.length})
</TabsTrigger> </TabsTrigger>
<TabsTrigger value="atb" className="flex-shrink-0 flex items-center gap-1 text-xs sm:text-sm">
<Pill className="h-3 w-3 sm:h-4 sm:w-4" />
<span className="hidden sm:inline">ATB</span>
({atb.length})
</TabsTrigger>
<TabsTrigger value="estudios" className="flex-shrink-0 flex items-center gap-1 text-xs sm:text-sm"> <TabsTrigger value="estudios" className="flex-shrink-0 flex items-center gap-1 text-xs sm:text-sm">
<ClipboardList className="h-3 w-3 sm:h-4 sm:w-4" /> <ClipboardList className="h-3 w-3 sm:h-4 sm:w-4" />
<span className="hidden sm:inline">Estudios</span> <span className="hidden sm:inline">Estudios</span>
@@ -519,10 +539,14 @@ export function HistoriaClinica({
</TabsContent> </TabsContent>
<TabsContent value="atb" className="mt-4"> <TabsContent value="atb" className="mt-4">
<div className="text-center py-8 text-gray-400"> <SeccionATB
<Pill className="h-12 w-12 mx-auto mb-2 opacity-50" /> atb={atb}
<p>Sección ATB en desarrollo</p> internacionId={internacion.id}
</div> pacienteId={paciente.id}
add={onAgregarATB}
update={onActualizarATB}
del={onEliminarATB}
/>
</TabsContent> </TabsContent>
<TabsContent value="estudios" className="mt-4"> <TabsContent value="estudios" className="mt-4">
@@ -679,10 +703,9 @@ function SeccionLaboratorios({ lab, patientId, add, update, del, addAcidoBase }:
const observacionesExtra: string[] = []; const observacionesExtra: string[] = [];
const mapeoParametros: Record<string, { nombre: string; unidad: string; esPrincipal: boolean }> = { const mapeoParametros: Record<string, { nombre: string; unidad: string; esPrincipal: boolean }> = {
'hematíes': { nombre: 'Hematíes', unidad: '10⁶/µl', esPrincipal: false },
'hematocrito': { nombre: 'Hematocrito', unidad: '%', esPrincipal: true }, 'hematocrito': { nombre: 'Hematocrito', unidad: '%', esPrincipal: true },
'hemoglobina corpuscular media': { nombre: 'HCM', unidad: 'pg', esPrincipal: false }, 'hemoglobina corpuscular media': { nombre: 'HCM', unidad: 'pg', esPrincipal: false },
'concentración de hemoglobina media': { nombre: 'CHCM', unidad: 'g/dL', esPrincipal: false },
'hemoglobina': { nombre: 'Hemoglobina', unidad: 'g/dL', esPrincipal: true }, 'hemoglobina': { nombre: 'Hemoglobina', unidad: 'g/dL', esPrincipal: true },
'volumen corpuscular medio': { nombre: 'VCM', unidad: 'fL', esPrincipal: false }, 'volumen corpuscular medio': { nombre: 'VCM', unidad: 'fL', esPrincipal: false },
'rdw': { nombre: 'RDW', unidad: '%', esPrincipal: false }, 'rdw': { nombre: 'RDW', unidad: '%', esPrincipal: false },
@@ -1433,6 +1456,7 @@ function SeccionAcidosBase({ ab, patientId, add, update, del }: {
const [lactato, setLactato] = useState(''); const [lactato, setLactato] = useState('');
const [fio2, setFio2] = useState(''); const [fio2, setFio2] = useState('');
const [interpretacion, setInterpretacion] = useState(''); const [interpretacion, setInterpretacion] = useState('');
const [eabSortAsc, setEabSortAsc] = useState(false);
const reset = () => { const reset = () => {
setFecha(new Date().toISOString().split('T')[0]); setFecha(new Date().toISOString().split('T')[0]);
@@ -1555,38 +1579,71 @@ function SeccionAcidosBase({ ab, patientId, add, update, del }: {
</DialogContent> </DialogContent>
</Dialog> </Dialog>
{abFiltered.length === 0 ? <div className="text-center py-8 text-gray-400"><Activity className="h-12 w-12 mx-auto mb-2 opacity-50" /><p>No hay gasometrías</p></div> : {abFiltered.length === 0 ? <div className="text-center py-8 text-gray-400"><Activity className="h-12 w-12 mx-auto mb-2 opacity-50" /><p>No hay gasometrías</p></div> :
abFiltered.map(a => {
const phSt = getEstadoParametro('ph', a.ph);
return (
<Card key={a.id} className="mb-2"><CardContent className="p-4">
<div className="flex flex-col gap-3">
<div className="flex items-start justify-between">
<div><p className="font-medium">{a.fecha} {a.hora}</p></div>
<div className="flex items-end gap-2">
<Badge variant="outline" className="text-xs">{a.fio2 && a.po2 && <span className="mr-1">PaFiO2: {Math.round(a.po2 / a.fio2 * 100) / 100}</span>}</Badge>
<Badge variant="outline" className="text-xs">{a.fio2 && <span className="mr-1">FiO₂:{a.fio2}</span>}</Badge>
<Badge className={getColorPh(a.ph)}>pH: {a.ph}</Badge>
<Button size="sm" variant="ghost" className="text-blue-600" onClick={() => loadEdit(a)}><Edit /></Button>
<Button size="sm" variant="ghost" className="text-red-600" onClick={() => del(a.id)}><Trash2 /></Button>
</div>
</div>
<div className="grid grid-cols-3 sm:grid-cols-8 gap-2">
<div className="bg-gray-50 p-2 rounded text-center"><p className="text-xs text-gray-500">pH</p><p className={`font-bold ${phSt.color}`}>{a.ph}</p></div>
<div className="bg-gray-50 p-2 rounded text-center"><p className="text-xs text-gray-500">pCO2</p><p className="font-bold">{a.pco2}</p></div>
<div className="bg-gray-50 p-2 rounded text-center"><p className="text-xs text-gray-500">pO2</p><p className="font-bold">{a.po2}</p></div>
<div className="bg-gray-50 p-2 rounded text-center"><p className="text-xs text-gray-500">HCO3</p><p className="font-bold">{a.hco3}</p></div>
<div className="bg-gray-50 p-2 rounded text-center"><p className="text-xs text-gray-500">BE</p><p className="font-bold">{a.be}</p></div>
<div className="bg-gray-50 p-2 rounded text-center"><p className="text-xs text-gray-500">SatO2</p><p className="font-bold">{a.sato2}%</p></div>
{a.lactato && <div className="bg-gray-50 p-2 rounded text-center"><p className="text-xs text-gray-500">Lactato</p><p className="font-bold">{a.lactato}</p></div>}
{a.fio2 && <div className="bg-gray-50 p-2 rounded text-center"><p className="text-xs text-gray-500">FiO2</p><p className="font-bold">{a.fio2}</p></div>}
</div> <div className="grid grid-cols-1 w-full">
{a.interpretacion && <div className="bg-teal-50 p-3 rounded-lg border border-teal-200"><p className="text-sm font-medium text-teal-800">Interpretación: {a.interpretacion}</p></div>} <div className="w-full overflow-x-auto rounded-md border pb-2">
</div>
</CardContent></Card> <Table className="w-full min-w-max text-sm">
); <TableHeader>
}) <TableRow>
<TableHead className="cursor-pointer hover:bg-muted" onClick={() => setEabSortAsc(!eabSortAsc)}>
Fecha {eabSortAsc ? '↑' : '↓'}
</TableHead>
<TableHead>pH</TableHead>
<TableHead>pCO2</TableHead>
<TableHead>pO2</TableHead>
<TableHead>HCO3</TableHead>
<TableHead>BE</TableHead>
<TableHead>SatO2</TableHead>
<TableHead>Lactato</TableHead>
<TableHead>FiO2</TableHead>
<TableHead>PaFiO2</TableHead>
</TableRow>
</TableHeader>
<TableBody>
{abFiltered.map(a => (
<TableRow key={a.id}>
<TableCell>{a.fecha} {a.hora || ''}</TableCell>
<TableCell>{a.ph}</TableCell>
<TableCell>{a.pco2}</TableCell>
<TableCell>{a.po2}</TableCell>
<TableCell>{a.hco3}</TableCell>
<TableCell>{a.be}</TableCell>
<TableCell>{a.sato2}</TableCell>
<TableCell>{a.lactato}</TableCell>
<TableCell>{a.fio2}</TableCell>
<TableCell>
<DropdownMenu>
<DropdownMenuTrigger asChild>
<Button size="sm" variant="ghost" className="h-8 w-8 p-0">
<MoreHorizontal className="h-4 w-4" />
</Button>
</DropdownMenuTrigger>
<DropdownMenuContent align="end">
<DropdownMenuItem onClick={() => loadEdit(a)}>
<Edit className="mr-2 h-4 w-4" />
Editar
</DropdownMenuItem>
<DropdownMenuItem onClick={() => del(a.id)} className="text-red-600">
<Trash2 className="mr-2 h-4 w-4" />
Eliminar
</DropdownMenuItem>
</DropdownMenuContent>
</DropdownMenu>
</TableCell>
</TableRow>
))}
</TableBody>
</Table>
</div>
</div>
} }
</div> </div>
); );
@@ -2163,3 +2220,125 @@ function SeccionInterconsultas({ interconsultas, pacienteId, internacionId, add,
</div> </div>
); );
} }
function SeccionATB({ atb, internacionId, pacienteId, add, update, del }: {
atb: ATB[];
internacionId: string;
pacienteId: string;
add: (a: Omit<ATB, 'id'>) => void;
update: (id: string, data: Partial<ATB>) => void;
del: (id: string) => void;
}) {
const [dialog, setDialog] = useState(false);
const [edit, setEdit] = useState<ATB | null>(null);
const [antibiotico, setAntibiotico] = useState('');
const [fechaInicio, setFechaInicio] = useState(new Date().toISOString().split('T')[0]);
const [fechaFinalizacion, setFechaFinalizacion] = useState('');
const calcularDias = (inicio: string, fin?: string): number => {
const ini = new Date(inicio);
const finDate = fin ? new Date(fin) : new Date();
const diff = finDate.getTime() - ini.getTime();
return Math.ceil(diff / (1000 * 60 * 60 * 24));
};
const reset = () => {
setEdit(null);
setAntibiotico('');
setFechaInicio(new Date().toISOString().split('T')[0]);
setFechaFinalizacion('');
};
const loadEdit = (a: ATB) => {
setEdit(a);
setAntibiotico(a.antibiotico);
setFechaInicio(a.fechaInicio);
setFechaFinalizacion(a.fechaFinalizacion || '');
};
const handleGuardar = () => {
if (!antibiotico.trim() || !fechaInicio) return;
if (edit) {
update(edit.id, { antibiotico, fechaInicio, fechaFinalizacion: fechaFinalizacion || undefined });
} else {
add({ pacienteId, internacionId, antibiotico, fechaInicio, fechaFinalizacion: fechaFinalizacion || undefined });
}
setDialog(false);
reset();
};
const atbOrdenado = atb.sort((a, b) => new Date(b.fechaInicio).getTime() - new Date(a.fechaInicio).getTime());
return (
<div className="space-y-4">
<div className="flex justify-between">
<Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
<Plus className="h-4 w-4 mr-2" />Nuevo
</Button>
</div>
<Dialog open={dialog} onOpenChange={setDialog}>
<DialogContent className="sm:max-w-md">
<DialogHeader>
<DialogTitle>{edit ? 'Editar' : 'Nuevo'} Antibiótico</DialogTitle>
</DialogHeader>
<div className="space-y-4">
<div>
<Label>Antibiótico</Label>
<Input value={antibiotico} onChange={e => setAntibiotico(e.target.value)} placeholder="Nombre del antibiótico" />
</div>
<div>
<Label>Fecha de Inicio</Label>
<Input type="date" value={fechaInicio} onChange={e => setFechaInicio(e.target.value)} />
</div>
<div>
<Label>Fecha de Finalización (opcional)</Label>
<Input type="date" value={fechaFinalizacion} onChange={e => setFechaFinalizacion(e.target.value)} />
</div>
</div>
<div className="flex justify-end gap-2 mt-4">
<Button variant="outline" onClick={() => setDialog(false)}>
<X className="h-4 w-4 mr-2" />Cancelar
</Button>
<Button onClick={handleGuardar}>
<Save className="h-4 w-4 mr-2" />Guardar
</Button>
</div>
</DialogContent>
</Dialog>
{atbOrdenado.length === 0 ? (
<div className="text-center py-8 text-gray-500">No hay antibiotics registrados</div>
) : (
<div className="space-y-2">
{atbOrdenado.map(a => (
<Card key={a.id}>
<CardContent className="p-4 flex flex-col sm:flex-row sm:items-center justify-between gap-4">
<div className="flex-1">
<div className="font-medium">{a.antibiotico}</div>
<div className="text-sm text-gray-500 flex flex-wrap gap-2 mt-1">
<span>Inicio: {formatDateDDMMYYYY(a.fechaInicio)}</span>
{a.fechaFinalizacion && (
<span>Fin: {formatDateDDMMYYYY(a.fechaFinalizacion)}</span>
)}
<Badge className="bg-green-100 text-green-800">
{calcularDias(a.fechaInicio, a.fechaFinalizacion)} días
</Badge>
</div>
</div>
<div className="flex gap-1">
<Button size="sm" variant="outline" onClick={() => loadEdit(a)}>
<Pencil className="h-4 w-4" />
</Button>
<Button size="sm" variant="outline" className="text-red-600" onClick={() => del(a.id)}>
<Trash2 className="h-4 w-4" />
</Button>
</div>
</CardContent>
</Card>
))}
</div>
)}
</div>
);
}
src/types/index.ts
+9
View File
@@ -162,4 +162,13 @@ export interface Interconsulta {
respuestaFecha?: string; respuestaFecha?: string;
} }
export interface ATB {
id: string;
pacienteId: string;
internacionId: string;
antibiotico: string;
fechaInicio: string;
fechaFinalizacion?: string;
}
export type Vista = 'dashboard' | 'camas' | 'pacientes' | 'internaciones' | 'evoluciones' | 'laboratorios' | 'acidobase' | 'cultivos' | 'historiaclinica' | 'nuevoingreso' | 'editaringreso'; export type Vista = 'dashboard' | 'camas' | 'pacientes' | 'internaciones' | 'evoluciones' | 'laboratorios' | 'acidobase' | 'cultivos' | 'historiaclinica' | 'nuevoingreso' | 'editaringreso';