perf(charting): add Cmd+S instant sign hotkey, debounced localStorage draft auto-save, and rapid clinical macro chips

2026-09-07 10:59:58 -07:00
parent b8b03a2b3c
commit caf50a1b62
1 changed files with 185 additions and 7 deletions
@@ -1,6 +1,6 @@
 'use client';

-import React, { useState } from 'react';
+import React, { useState, useEffect, useCallback } from 'react';
 import {
  SoapNote,
  Patient,
@@ -88,6 +88,62 @@ export const SoapChartEditor: React.FC<SoapChartEditorProps> = ({
  const [vasScore, setVasScore] = useState<number>(initialSoapNote?.vasScore || 3);
  const [isSigned, setIsSigned] = useState<boolean>(initialSoapNote?.status === 'signed');
  const [signedTimestamp, setSignedTimestamp] = useState<string | undefined>(initialSoapNote?.signedAt);
+  const [lastAutoSaved, setLastAutoSaved] = useState<string | null>(null);
+
+  // Restore draft from local storage if note is un-signed
+  useEffect(() => {
+    if (!initialSoapNote && typeof window !== 'undefined') {
+      try {
+        const key = `mediusa_draft_soap_${patient.id}`;
+        const raw = localStorage.getItem(key);
+        if (raw) {
+          const draft = JSON.parse(raw);
+          if (draft.subjective) setSubjective(draft.subjective);
+          if (draft.objective) setObjective(draft.objective);
+          if (draft.assessment) setAssessment(draft.assessment);
+          if (draft.plan) setPlan(draft.plan);
+          if (draft.vasScore !== undefined) setVasScore(draft.vasScore);
+          if (draft.adjustments && Array.isArray(draft.adjustments)) setAdjustments(draft.adjustments);
+          setLastAutoSaved(new Date().toLocaleTimeString([], { hour: '2-digit', minute: '2-digit' }));
+        }
+      } catch {}
+    }
+  }, [patient.id, initialSoapNote]);
+
+  // Debounced auto-save draft to local storage
+  useEffect(() => {
+    if (isSigned) return;
+    const timer = setTimeout(() => {
+      if (typeof window !== 'undefined') {
+        try {
+          const key = `mediusa_draft_soap_${patient.id}`;
+          localStorage.setItem(
+            key,
+            JSON.stringify({
+              subjective,
+              objective,
+              assessment,
+              plan,
+              vasScore,
+              adjustments,
+              timestamp: Date.now(),
+            })
+          );
+          setLastAutoSaved(new Date().toLocaleTimeString([], { hour: '2-digit', minute: '2-digit' }));
+        } catch {}
+      }
+    }, 800);
+    return () => clearTimeout(timer);
+  }, [patient.id, isSigned, subjective, objective, assessment, plan, vasScore, adjustments]);
+
+  // Fast macro appender helper
+  const handleAppendMacro = (setter: React.Dispatch<React.SetStateAction<string>>, phrase: string) => {
+    clinicalAudio.playClick();
+    setter((prev) => {
+      const trimmed = prev.trim();
+      return trimmed ? `${trimmed} ${phrase}` : phrase;
+    });
+  };

  const handleApplyExtractedSoap = (data: {
    vasScore: number;
@@ -154,12 +210,18 @@ export const SoapChartEditor: React.FC<SoapChartEditorProps> = ({
    setPlan('1. Diversified adjustment delivered to indicated segments.\n2. Manual myofascial release 10 minutes.\n3. Continue active home rehabilitation.');
  };

-  const handleSignChart = () => {
+  const handleSignChart = useCallback(() => {
    clinicalAudio.playSuccess();
    const now = new Date().toISOString();
    setIsSigned(true);
    setSignedTimestamp(now);

+    if (typeof window !== 'undefined') {
+      try {
+        localStorage.removeItem(`mediusa_draft_soap_${patient.id}`);
+      } catch {}
+    }
+
    const savedNote: SoapNote = {
      id: initialSoapNote?.id || `soap-${Date.now()}`,
      tenantId: patient.tenantId,
@@ -183,7 +245,35 @@ export const SoapChartEditor: React.FC<SoapChartEditorProps> = ({
    };

    onSaveSoapNote(savedNote);
+  }, [
+    initialSoapNote,
+    patient,
+    provider,
+    discipline,
+    vasScore,
+    subjective,
+    objective,
+    assessment,
+    plan,
+    adjustments,
+    selectedIcd10,
+    selectedCpt,
+    onSaveSoapNote,
+  ]);
+
+  // Global Cmd+S / Ctrl+S hotkey to instant-sign
+  useEffect(() => {
+    const handleKeyDown = (e: KeyboardEvent) => {
+      if ((e.metaKey || e.ctrlKey) && e.key.toLowerCase() === 's') {
+        e.preventDefault();
+        if (!isSigned) {
+          handleSignChart();
+        }
+      }
    };
+    window.addEventListener('keydown', handleKeyDown);
+    return () => window.removeEventListener('keydown', handleKeyDown);
+  }, [isSigned, handleSignChart]);

  const handleCreateSuperbillClick = () => {
    clinicalAudio.playSuccess();
@@ -244,9 +334,16 @@ export const SoapChartEditor: React.FC<SoapChartEditorProps> = ({
                  <ShieldCheck className="w-3.5 h-3.5" /> Signed &amp; Locked
                </span>
              ) : (
+                <div className="flex items-center gap-2">
                  <span className="text-xs px-2.5 py-0.5 rounded-full bg-amber-50 text-amber-700 border border-amber-200 font-semibold">
                    In Progress (Draft)
                  </span>
+                  {lastAutoSaved && (
+                    <span className="text-[10px] text-slate-500 font-mono hidden sm:inline">
+                      ✓ Auto-saved {lastAutoSaved}
+                    </span>
+                  )}
+                </div>
              )}
            </div>

@@ -338,6 +435,7 @@ export const SoapChartEditor: React.FC<SoapChartEditorProps> = ({
            type="button"
            onClick={handleSignChart}
            disabled={isSigned}
+            title={isSigned ? 'Chart Digitally Sealed' : 'Sign & Complete Note (Cmd+S / Ctrl+S)'}
            className={`px-4 py-2 rounded-lg text-xs font-bold flex items-center gap-1.5 transition shadow-xs ${
              isSigned
                ? 'bg-emerald-50 text-emerald-700 border border-emerald-200 cursor-default'
@@ -345,7 +443,7 @@ export const SoapChartEditor: React.FC<SoapChartEditorProps> = ({
            }`}
          >
            <CheckCircle className="w-4 h-4" />
-            {isSigned ? 'Signed & Locked' : 'Sign & Complete Note'}
+            {isSigned ? 'Signed & Locked' : 'Sign & Complete (⌘S)'}
          </button>

          <button
@@ -422,6 +520,26 @@ export const SoapChartEditor: React.FC<SoapChartEditorProps> = ({
              onChange={(e) => setSubjective(e.target.value)}
              className="w-full bg-slate-50 border border-slate-200 rounded-lg p-3 text-xs text-slate-800 focus:bg-white focus:outline-none focus:border-sky-500 resize-none"
            />
+            {!isSigned && (
+              <div className="flex flex-wrap items-center gap-1.5 mt-2">
+                <span className="text-[10px] uppercase font-bold text-slate-400">Quick:</span>
+                {[
+                  'Morning stiffness <15min',
+                  'Pain rated 4/10 with sitting',
+                  '50% relief post-adj',
+                  'No radiating numbness',
+                ].map((chip) => (
+                  <button
+                    key={chip}
+                    type="button"
+                    onClick={() => handleAppendMacro(setSubjective, chip)}
+                    className="text-[10px] px-2 py-0.5 bg-slate-100 hover:bg-sky-50 text-slate-600 hover:text-sky-800 border border-slate-200 rounded-md transition"
+                  >
+                    + {chip}
+                  </button>
+                ))}
+              </div>
+            )}
          </div>
          <div className="text-[11px] text-slate-400 mt-2">
            Auto-populated from Intake and Ambient Scribe.
@@ -449,6 +567,26 @@ export const SoapChartEditor: React.FC<SoapChartEditorProps> = ({
              onChange={(e) => setObjective(e.target.value)}
              className="w-full bg-slate-50 border border-slate-200 rounded-lg p-3 text-xs text-slate-800 focus:bg-white focus:outline-none focus:border-sky-500 resize-none"
            />
+            {!isSigned && (
+              <div className="flex flex-wrap items-center gap-1.5 mt-2">
+                <span className="text-[10px] uppercase font-bold text-slate-400">Quick:</span>
+                {[
+                  'Cervical active ROM restricted',
+                  'Lumbar paraspinal hypertonicity',
+                  'Negative Kemp test bilaterally',
+                  'Negative Straight Leg Raise',
+                ].map((chip) => (
+                  <button
+                    key={chip}
+                    type="button"
+                    onClick={() => handleAppendMacro(setObjective, chip)}
+                    className="text-[10px] px-2 py-0.5 bg-slate-100 hover:bg-sky-50 text-slate-600 hover:text-sky-800 border border-slate-200 rounded-md transition"
+                  >
+                    + {chip}
+                  </button>
+                ))}
+              </div>
+            )}
          </div>
          <div className="text-[11px] text-slate-400 mt-2">
            Vertebrae selected in Spine Map sync automatically.
@@ -473,6 +611,26 @@ export const SoapChartEditor: React.FC<SoapChartEditorProps> = ({
              onChange={(e) => setAssessment(e.target.value)}
              className="w-full bg-slate-50 border border-slate-200 rounded-lg p-3 text-xs text-slate-800 focus:bg-white focus:outline-none focus:border-sky-500 resize-none"
            />
+            {!isSigned && (
+              <div className="flex flex-wrap items-center gap-1.5 mt-2">
+                <span className="text-[10px] uppercase font-bold text-slate-400">Quick:</span>
+                {[
+                  'Meeting care plan milestones',
+                  'Subluxation complex stable',
+                  'Antalgic lean resolved',
+                  'Spinal biomechanics progressing',
+                ].map((chip) => (
+                  <button
+                    key={chip}
+                    type="button"
+                    onClick={() => handleAppendMacro(setAssessment, chip)}
+                    className="text-[10px] px-2 py-0.5 bg-slate-100 hover:bg-sky-50 text-slate-600 hover:text-sky-800 border border-slate-200 rounded-md transition"
+                  >
+                    + {chip}
+                  </button>
+                ))}
+              </div>
+            )}
          </div>
          <div className="text-[11px] text-slate-400 mt-2">
            Mapped to ICD-10 diagnostic codes below.
@@ -497,6 +655,26 @@ export const SoapChartEditor: React.FC<SoapChartEditorProps> = ({
              onChange={(e) => setPlan(e.target.value)}
              className="w-full bg-slate-50 border border-slate-200 rounded-lg p-3 text-xs text-slate-800 focus:bg-white focus:outline-none focus:border-sky-500 resize-none"
            />
+            {!isSigned && (
+              <div className="flex flex-wrap items-center gap-1.5 mt-2">
+                <span className="text-[10px] uppercase font-bold text-slate-400">Quick:</span>
+                {[
+                  'Diversified adjustments delivered',
+                  'Home postural stabilization exercises',
+                  'Cryotherapy 15min post-treatment',
+                  'Return in 3 days for visit 4/12',
+                ].map((chip) => (
+                  <button
+                    key={chip}
+                    type="button"
+                    onClick={() => handleAppendMacro(setPlan, chip)}
+                    className="text-[10px] px-2 py-0.5 bg-slate-100 hover:bg-sky-50 text-slate-600 hover:text-sky-800 border border-slate-200 rounded-md transition"
+                  >
+                    + {chip}
+                  </button>
+                ))}
+              </div>
+            )}
          </div>
          <div className="text-[11px] text-slate-400 mt-2">
            Populates CPT procedure line items on Superbill.