@openmrs/esm-patient-tests-app 11.3.1-patch.9064 → 11.3.1-patch.9310

package/src/test-results/loadPatientTestData/helpers.ts

@@ -7,6 +7,8 @@ import {
   type ObsMetaInfo,
   type OBSERVATION_INTERPRETATION,
 } from '@openmrs/esm-patient-common-lib';
+import type { FHIRObservationResource } from '../../types';
+import { type ReferenceRanges } from '../grouped-timeline/reference-range-helpers';
 
 const PAGE_SIZE = 300;
 const CHUNK_PREFETCH_COUNT = 1;
@@ -151,6 +153,118 @@ export function exist(...args: any[]): boolean {
   return true;
 }
 
+/**
+ * Extracts reference ranges from FHIR Observation referenceRange field.
+ * Handles different range types: normal, treatment, and absolute.
+ */
+export function extractObservationReferenceRanges(
+  resource: FHIRObservationResource | ObsRecord,
+): ReferenceRanges | undefined {
+  if (!resource.referenceRange || resource.referenceRange.length === 0) {
+    return undefined;
+  }
+
+  const ranges: ReferenceRanges = {
+    units: resource.valueQuantity?.unit,
+  };
+
+  resource.referenceRange.forEach((range) => {
+    const rangeType = range.type?.coding?.[0]?.code;
+    const rangeSystem = range.type?.coding?.[0]?.system;
+
+    if (rangeSystem === 'http://terminology.hl7.org/CodeSystem/referencerange-meaning') {
+      if (rangeType === 'normal') {
+        ranges.hiNormal = range.high?.value;
+        ranges.lowNormal = range.low?.value;
+      } else if (rangeType === 'treatment') {
+        ranges.hiCritical = range.high?.value;
+        ranges.lowCritical = range.low?.value;
+      }
+    } else if (rangeSystem === 'http://fhir.openmrs.org/ext/obs/reference-range' && rangeType === 'absolute') {
+      ranges.hiAbsolute = range.high?.value;
+      ranges.lowAbsolute = range.low?.value;
+    }
+  });
+
+  // Only return if we found at least one range value
+  if (
+    ranges.hiNormal !== undefined ||
+    ranges.lowNormal !== undefined ||
+    ranges.hiCritical !== undefined ||
+    ranges.lowCritical !== undefined ||
+    ranges.hiAbsolute !== undefined ||
+    ranges.lowAbsolute !== undefined
+  ) {
+    return ranges;
+  }
+
+  return undefined;
+}
+
+/**
+ * Extracts and maps FHIR Observation interpretation to OBSERVATION_INTERPRETATION.
+ * Supports both interpretation codes (e.g., "LL", "N", "H") and display values (e.g., "Critically Low", "Normal").
+ */
+export function extractObservationInterpretation(
+  resource: FHIRObservationResource | ObsRecord,
+): OBSERVATION_INTERPRETATION | undefined {
+  if (!resource.interpretation || resource.interpretation.length === 0) {
+    return undefined;
+  }
+
+  const interpretation = resource.interpretation[0];
+  const code = interpretation.coding?.[0]?.code;
+  const display = interpretation.coding?.[0]?.display || interpretation.text;
+
+  // Map FHIR interpretation codes (HL7 v3 ObservationInterpretation codes)
+  if (code) {
+    switch (code.toUpperCase()) {
+      case 'LL':
+        return 'CRITICALLY_LOW';
+      case 'HH':
+        return 'CRITICALLY_HIGH';
+      case 'L':
+        return 'LOW';
+      case 'H':
+        return 'HIGH';
+      case 'N':
+        return 'NORMAL';
+      case 'LU':
+        return 'OFF_SCALE_LOW';
+      case 'HU':
+        return 'OFF_SCALE_HIGH';
+      default:
+        // Fall through to display mapping
+        break;
+    }
+  }
+
+  // Map FHIR interpretation display values
+  if (display) {
+    const normalized = display.trim().toLowerCase();
+    switch (normalized) {
+      case 'critically low':
+        return 'CRITICALLY_LOW';
+      case 'critically high':
+        return 'CRITICALLY_HIGH';
+      case 'low':
+        return 'LOW';
+      case 'high':
+        return 'HIGH';
+      case 'normal':
+        return 'NORMAL';
+      case 'off scale low':
+        return 'OFF_SCALE_LOW';
+      case 'off scale high':
+        return 'OFF_SCALE_HIGH';
+      default:
+        return undefined;
+    }
+  }
+
+  return undefined;
+}
+
 export const assessValue =
   (meta: ObsMetaInfo) =>
   (value: string): OBSERVATION_INTERPRETATION => {

package/src/test-results/loadPatientTestData/loadPatientData.ts

@@ -7,13 +7,21 @@ import {
   type ObsMetaInfo,
 } from '@openmrs/esm-patient-common-lib';
 import {
+  addUserDataToCache,
+  assessValue,
+  extractMetaInformation,
+  extractObservationReferenceRanges,
+  extractObservationInterpretation,
   getEntryConceptClassUuid,
   getUserDataFromCache,
   loadObsEntries,
   loadPresentConcepts,
-  extractMetaInformation,
-  addUserDataToCache,
 } from './helpers';
+import {
+  selectReferenceRange,
+  formatReferenceRange,
+  type ReferenceRanges,
+} from '../grouped-timeline/reference-range-helpers';
 
 function parseSingleObsData(
   testConceptNameMap: Record<ConceptUuid, string>,
@@ -23,6 +31,11 @@ function parseSingleObsData(
   return (entry: ObsRecord) => {
     entry.conceptClass = getEntryConceptClassUuid(entry);
 
+    // Extract observation-level reference ranges from FHIR Observation referenceRange field
+    const observationRanges = extractObservationReferenceRanges(entry);
+    // Extract observation-level interpretation from FHIR Observation interpretation field
+    const observationInterpretation = extractObservationInterpretation(entry);
+
     if (entry.hasMember) {
       // is a panel
       entry.members = new Array(entry.hasMember.length);
@@ -31,17 +44,59 @@ function parseSingleObsData(
       });
     } else {
       // is a single test
-      entry.meta = metaInfomation[entry.conceptClass];
-    }
 
-    if (entry.valueQuantity) {
-      entry.value = entry.valueQuantity.value;
-      delete entry.valueQuantity;
-    }
+      // Extract value FIRST before computing interpretation
+      if (entry.valueQuantity) {
+        entry.value = String(entry.valueQuantity.value);
+        delete entry.valueQuantity;
+      } else if (entry.valueCodeableConcept) {
+        entry.value = entry.valueCodeableConcept.coding?.[0]?.display;
+        delete entry.valueCodeableConcept;
+      } else if (entry.valueString) {
+        entry.value = entry.valueString;
+        delete entry.valueString;
+      }
 
-    if (entry.valueCodeableConcept) {
-      entry.value = entry?.valueCodeableConcept.coding[0].display;
-      delete entry.valueCodeableConcept;
+      const conceptMeta = metaInfomation[entry.conceptClass];
+
+      // Node-level (concept-level) reference ranges
+      const nodeRanges: ReferenceRanges = {
+        hiAbsolute: conceptMeta.hiAbsolute,
+        hiCritical: conceptMeta.hiCritical,
+        hiNormal: conceptMeta.hiNormal,
+        lowAbsolute: conceptMeta.lowAbsolute,
+        lowCritical: conceptMeta.lowCritical,
+        lowNormal: conceptMeta.lowNormal,
+        units: conceptMeta.units,
+      };
+
+      // Merge observation-level and concept-level ranges (observation takes precedence)
+      const selectedRanges = selectReferenceRange(observationRanges, nodeRanges);
+
+      // Create merged meta with observation-level ranges taking precedence
+      const mergedMeta: ObsMetaInfo = {
+        ...conceptMeta,
+        // Update meta with merged ranges
+        hiAbsolute: selectedRanges?.hiAbsolute ?? conceptMeta.hiAbsolute,
+        hiCritical: selectedRanges?.hiCritical ?? conceptMeta.hiCritical,
+        hiNormal: selectedRanges?.hiNormal ?? conceptMeta.hiNormal,
+        lowAbsolute: selectedRanges?.lowAbsolute ?? conceptMeta.lowAbsolute,
+        lowCritical: selectedRanges?.lowCritical ?? conceptMeta.lowCritical,
+        lowNormal: selectedRanges?.lowNormal ?? conceptMeta.lowNormal,
+        units: selectedRanges?.units ?? conceptMeta.units,
+        // Update range string with merged ranges
+        range: selectedRanges ? formatReferenceRange(selectedRanges, selectedRanges.units) : conceptMeta.range,
+      };
+
+      // Always update assessValue to use merged ranges (computed after mergedMeta to avoid unsafe cast)
+      // This ensures assessValue is computed even when only concept-level ranges exist
+      mergedMeta.assessValue = assessValue(mergedMeta);
+
+      entry.meta = mergedMeta;
+
+      // Use observation-level interpretation if available, otherwise compute using merged ranges
+      entry.interpretation =
+        observationInterpretation ?? (mergedMeta.assessValue ? mergedMeta.assessValue(entry.value) : 'NORMAL');
     }
 
     entry.name = testConceptNameMap[entry.conceptClass];

package/src/test-results/loadPatientTestData/usePatientResultsData.ts

@@ -1,4 +1,4 @@
-import React from 'react';
+import React, { useEffect, useState } from 'react';
 import { type PatientData } from '@openmrs/esm-patient-common-lib';
 import loadPatientData from './loadPatientData';
 
@@ -9,13 +9,13 @@ type LoadingState = {
 };
 
 const usePatientResultsData = (patientUuid: string): LoadingState => {
-  const [state, setState] = React.useState<LoadingState>({
+  const [state, setState] = useState<LoadingState>({
     sortedObs: {},
     loaded: false,
     error: undefined,
   });
 
-  React.useEffect(() => {
+  useEffect(() => {
     let unmounted = false;
     if (patientUuid) {
       const [data, reloadedDataPromise] = loadPatientData(patientUuid);

package/src/test-results/overview/common-datatable.component.tsx

@@ -77,7 +77,7 @@ const CommonDataTable: React.FC<CommonDataTableProps> = ({ title, data, descript
               {rows.map((row, i) => (
                 <TypedTableRow
                   key={row.id}
-                  interpretation={data[i]?.value?.interpretation as OBSERVATION_INTERPRETATION}
+                  interpretation={data[i]?.interpretation as OBSERVATION_INTERPRETATION}
                   {...getRowProps({ row })}
                 >
                   {row.cells.map((cell) => {

package/src/test-results/overview/useOverviewData.ts

@@ -23,24 +23,36 @@ export type OverviewPanelEntry = [string, string, Array<OverviewPanelData>, Date
 
 export function parseSingleEntry(entry: ObsRecord, type: string, panelName: string): Array<OverviewPanelData> {
   if (type === 'Test') {
+    // Use observation-level interpretation set during data loading
+    const interpretation = entry.interpretation || 'NORMAL';
     return [
       {
         id: entry.id,
         name: panelName,
         range: entry.meta?.range || '--',
-        interpretation: entry.meta.assessValue ? entry.meta.assessValue(entry.value) : '--',
-        value: entry.value,
+        interpretation,
+        value: {
+          value: entry.value,
+          interpretation,
+        },
       },
     ];
   } else {
-    return entry.members.map((gm) => ({
-      id: gm.id,
-      key: gm.id,
-      name: gm.name,
-      range: gm.meta?.range || '--',
-      interpretation: gm.meta.assessValue(gm.value),
-      value: gm.value,
-    }));
+    return entry.members.map((member) => {
+      // Use observation-level interpretation set during data loading
+      const interpretation = member.interpretation || 'NORMAL';
+      return {
+        id: member.id,
+        key: member.id,
+        name: member.name,
+        range: member.meta?.range || '--',
+        interpretation,
+        value: {
+          value: member.value,
+          interpretation,
+        },
+      };
+    });
   }
 }
 

package/src/test-results/results-viewer/results-viewer.extension.tsx

@@ -1,6 +1,7 @@
 import React, { useContext, useEffect, useRef, useState } from 'react';
 import classNames from 'classnames';
-import { type TFunction, useTranslation } from 'react-i18next';
+import { useTranslation } from 'react-i18next';
+import type { TFunction } from 'i18next';
 import { ContentSwitcher, Switch, Button } from '@carbon/react';
 import { EmptyState, ErrorState } from '@openmrs/esm-patient-common-lib';
 import { RenewIcon, useConfig, useLayoutType } from '@openmrs/esm-framework';
@@ -22,14 +23,14 @@ interface RefreshDataButtonProps {
 
 interface ResultsViewerProps {
   basePath: string;
-  patientUuid?: string;
+  patientUuid: string;
 }
 
 const RoutedResultsViewer: React.FC<ResultsViewerProps> = ({ basePath, patientUuid }) => {
   const { t } = useTranslation();
   const config = useConfig<ConfigObject>();
   const conceptUuids = config.resultsViewerConcepts.map((concept) => concept.conceptUuid) ?? [];
-  const { roots, isLoading, error } = useGetManyObstreeData(conceptUuids);
+  const { roots, isLoading, error } = useGetManyObstreeData(patientUuid, conceptUuids);
 
   if (error) {
     return <ErrorState error={error} headerTitle={t('dataLoadError', 'Data Load Error')} />;

package/src/test-results/tree-view/tree-view.component.tsx

@@ -19,9 +19,10 @@ interface TreeViewProps {
   error?: string;
 }
 
-const GroupedPanelsTables: React.FC<{ className: string; loadingPanelData: boolean }> = ({
+const GroupedPanelsTables: React.FC<{ patientUuid: string; className: string; loadingPanelData: boolean }> = ({
   className,
   loadingPanelData,
+  patientUuid,
 }) => {
   const { t } = useTranslation();
   const { checkboxes, someChecked, tableData } = useContext(FilterContext);
@@ -70,6 +71,7 @@ const GroupedPanelsTables: React.FC<{ className: string; loadingPanelData: boole
             })}
           >
             <IndividualResultsTable
+              patientUuid={patientUuid}
               isLoading={loadingPanelData}
               subRows={filteredSubRows}
               index={index}
@@ -88,7 +90,7 @@ const TreeView: React.FC<TreeViewProps> = ({ patientUuid, expanded, view }) => {
   const [showTreeOverlay, setShowTreeOverlay] = useState(false);
   const config = useConfig<ConfigObject>();
   const conceptUuids = config?.resultsViewerConcepts?.map((c) => c.conceptUuid) ?? [];
-  const { roots, error } = useGetManyObstreeData(conceptUuids);
+  const { roots, error } = useGetManyObstreeData(patientUuid, conceptUuids);
 
   const { timelineData, tableData, totalResultsCount, filteredResultsCount, resetTree, isLoading } =
     useContext(FilterContext);
@@ -113,7 +115,11 @@ const TreeView: React.FC<TreeViewProps> = ({ patientUuid, expanded, view }) => {
           {!isLoading && view === 'over-time' ? (
             <GroupedTimeline patientUuid={patientUuid} />
           ) : view === 'individual-test' ? (
-            <GroupedPanelsTables className={styles.groupPanelsTables} loadingPanelData={isLoading} />
+            <GroupedPanelsTables
+              className={styles.groupPanelsTables}
+              loadingPanelData={isLoading}
+              patientUuid={patientUuid}
+            />
           ) : (
             <DataTableSkeleton role="progressbar" />
           )}
@@ -160,7 +166,11 @@ const TreeView: React.FC<TreeViewProps> = ({ patientUuid, expanded, view }) => {
           <DataTableSkeleton />
         ) : view === 'individual-test' ? (
           <div className={styles.panelViewTimeline}>
-            <GroupedPanelsTables className={styles.groupPanelsTables} loadingPanelData={isLoading} />
+            <GroupedPanelsTables
+              patientUuid={patientUuid}
+              className={styles.groupPanelsTables}
+              loadingPanelData={isLoading}
+            />
           </div>
         ) : view === 'over-time' ? (
           <GroupedTimeline patientUuid={patientUuid} />

package/src/test-results/trendline/trendline-resource.tsx

@@ -3,6 +3,11 @@ import useSWR from 'swr';
 import { type FetchResponse, openmrsFetch, showSnackbar, restBaseUrl } from '@openmrs/esm-framework';
 import { assessValue } from '../loadPatientTestData/helpers';
 import { type TreeNode } from '../filter/filter-types';
+import {
+  selectReferenceRange,
+  formatReferenceRange,
+  type ReferenceRanges,
+} from '../grouped-timeline/reference-range-helpers';
 
 function computeTrendlineData(treeNode: TreeNode): Array<TreeNode> {
   const tests: Array<TreeNode> = [];
@@ -11,12 +16,50 @@ function computeTrendlineData(treeNode: TreeNode): Array<TreeNode> {
   }
   treeNode?.subSets.forEach((subNode) => {
     if ((subNode as TreeNode)?.obs) {
-      const TreeNode = subNode as TreeNode;
-      const assess = assessValue(TreeNode);
+      const subTreeNode = subNode as TreeNode;
+      // Node-level reference ranges for trendline (aggregate view)
+      const nodeRanges: ReferenceRanges = {
+        hiAbsolute: subTreeNode.hiAbsolute,
+        hiCritical: subTreeNode.hiCritical,
+        hiNormal: subTreeNode.hiNormal,
+        lowAbsolute: subTreeNode.lowAbsolute,
+        lowCritical: subTreeNode.lowCritical,
+        lowNormal: subTreeNode.lowNormal,
+        units: subTreeNode.units,
+      };
+
+      const range = formatReferenceRange(nodeRanges, subTreeNode.units);
+
+      const processedObs = subTreeNode.obs.map((ob) => {
+        // Note: Units are only at the concept/node level, not observation-level
+        const observationRanges: ReferenceRanges | undefined =
+          ob.lowNormal !== undefined || ob.hiNormal !== undefined
+            ? {
+                hiAbsolute: ob.hiAbsolute,
+                hiCritical: ob.hiCritical,
+                hiNormal: ob.hiNormal,
+                lowAbsolute: ob.lowAbsolute,
+                lowCritical: ob.lowCritical,
+                lowNormal: ob.lowNormal,
+              }
+            : undefined;
+
+        const selectedRanges = selectReferenceRange(observationRanges, nodeRanges);
+        const assess = selectedRanges ? assessValue(selectedRanges) : assessValue(nodeRanges);
+        const interpretation = ob.interpretation ?? assess(ob.value);
+
+        return {
+          ...ob,
+          interpretation,
+          lowNormal: ob.lowNormal,
+          hiNormal: ob.hiNormal,
+        };
+      });
+
       tests.push({
-        ...TreeNode,
-        range: TreeNode.hiNormal && TreeNode.lowNormal ? `${TreeNode.lowNormal} - ${TreeNode.hiNormal}` : '',
-        obs: TreeNode.obs.map((ob) => ({ ...ob, interpretation: assess(ob.value) })),
+        ...subTreeNode,
+        range,
+        obs: processedObs,
       });
     } else if (subNode?.subSets) {
       const subTreesTests = computeTrendlineData(subNode as TreeNode); // recursion

package/src/types.ts

@@ -67,6 +67,14 @@ export interface FHIRObservationResource {
   hasMember?: Array<{
     reference: string;
   }>;
+  interpretation?: Array<{
+    coding: Array<{
+      code: string;
+      display: string;
+      system?: string;
+    }>;
+    text?: string;
+  }>;
 }
 
 export interface Concept {
@@ -107,7 +115,7 @@ export interface ConceptMeta {
   range: string;
 }
 
-export interface ObsRecord extends FHIRObservationResource {
+export interface ObsRecord extends Omit<FHIRObservationResource, 'interpretation'> {
   conceptUuid: string;
   relatedObs: Array<ObsRecord>;
   meta: ConceptMeta;
@@ -142,6 +150,15 @@ export type Observation = {
   obsDatetime: string;
   value: string;
   interpretation: OBSERVATION_INTERPRETATION;
+  // Observation-level reference ranges (criteria-based)
+  // Note: Units are only at the concept/node level (TestResult.units), not observation-level
+  hiAbsolute?: number;
+  hiCritical?: number;
+  hiNormal?: number;
+  lowAbsolute?: number;
+  lowCritical?: number;
+  lowNormal?: number;
+  range?: string; // Formatted range string for display
 };
 
 export type TestResult = {
@@ -168,6 +185,8 @@ export type MappedObservation = {
   units: string;
   lowCritical: number;
   hiNormal: number;
+  hiAbsolute?: number;
+  hiCritical?: number;
   flatName: string;
   hasData: boolean;
   range: string;
@@ -183,12 +202,3 @@ export interface GroupedObservation {
   flatName: string;
   entries: MappedObservation[];
 }
-
-export interface TestOrderBasketItem extends OrderBasketItem {
-  testType: {
-    label: string;
-    conceptUuid: string;
-  };
-  orderReason?: string;
-  specimenSource?: string;
-}

package/translations/en.json

@@ -25,10 +25,12 @@
   "directlyAddToBasket": "Add to basket",
   "discard": "Discard",
   "editLabResults": "Edit laboratory tests",
+  "editOrderableForOrderType": "Edit {{orderTypeDisplay}}",
   "editTestResults": "Edit test results",
   "endDate": "End date",
   "error": "Error",
   "errorFetchingTestTypes": "Error fetching results for \"{{searchTerm}}\"",
+  "errorSavingLabOrder": "Error saving lab order",
   "expandAll": "Expand all",
   "female": "Female",
   "gender": "Gender",

package/translations/fr.json

@@ -13,7 +13,7 @@
   "clearFilters": "Effacer les filtres",
   "clearSearchResults": "Effacer les résultats",
   "closeSearchBar": "Fermer la recherche",
-  "collapseAll": "Collapse all",
+  "collapseAll": "Tout réduire",
   "confirmationText": "Voulez-vous modifier les résultats du test {{test}} pour le patient suivant ?",
   "data": "donnée",
   "dataLoadError": "Erreur lors du chargement des données",
@@ -29,7 +29,7 @@
   "endDate": "Date de fin",
   "error": "Erreur",
   "errorFetchingTestTypes": "Erreur lors de la récupération des résultats pour « {{searchTerm}} »",
-  "expandAll": "Expand all",
+  "expandAll": "Tout étendre",
   "female": "Féminin",
   "gender": "Sexe",
   "goToDrugOrderForm": "Prescrire",

package/dist/1935.js.map

@@ -1 +0,0 @@
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