feat: Add 'isCritical' field to MedicalDocumentAnalysis and Report models for enhanced lab value analysis

Author: adamrefaey

backend/src/document-processor/services/aws-bedrock.service.spec.ts

@@ -74,6 +74,7 @@ vi.mock('@aws-sdk/client-bedrock-runtime', () => {
                         unit: 'g/dL',
                         normalRange: '13.5-17.5',
                         status: 'normal',
+                        isCritical: false,
                         conclusion:
                           'Normal hemoglobin levels indicate adequate oxygen-carrying capacity.',
                         suggestions: 'Continue regular health maintenance.',
@@ -136,6 +137,7 @@ describe('AwsBedrockService', () => {
         unit: 'g/dL',
         normalRange: '13.5-17.5',
         status: 'normal',
+        isCritical: false,
         conclusion: 'Normal hemoglobin levels indicate adequate oxygen-carrying capacity.',
         suggestions: 'Continue regular health maintenance.',
       },
@@ -310,7 +312,19 @@ describe('AwsBedrockService', () => {
       const validResponse: MedicalDocumentAnalysis = {
         title: 'Test Report',
         category: 'general',
-        labValues: [],
+        labValues: [
+          // Adding an empty lab value with required properties
+          {
+            name: 'Sample Test',
+            value: '0',
+            unit: 'units',
+            normalRange: '0-1',
+            status: 'normal',
+            isCritical: false,
+            conclusion: 'Normal test result',
+            suggestions: 'No action needed',
+          },
+        ],
         diagnoses: [],
         metadata: {
           isMedicalReport: true,

backend/src/document-processor/services/aws-bedrock.service.ts

@@ -20,6 +20,7 @@ export interface MedicalDocumentAnalysis {
     unit: string;
     normalRange: string;
     status: 'normal' | 'high' | 'low';
+    isCritical: boolean;
     conclusion: string;
     suggestions: string;
   }>;
@@ -59,7 +60,7 @@ Format the response as a JSON object with the following structure:
 {
   "title": string,
   "category": string,
-  "labValues": [{"name": string, "value": string, "unit": string, "normalRange": string, "status": "normal" | "high" | "low", "conclusion": string, "suggestions": string}],
+  "labValues": [{"name": string, "value": string, "unit": string, "normalRange": string, "status": "normal" | "high" | "low", "isCritical": boolean, "conclusion": string, "suggestions": string}],
   "diagnoses": [{"condition": string, "details": string, "recommendations": string}],
   "metadata": {
     "isMedicalReport": boolean,
@@ -84,8 +85,9 @@ When extracting lab values:
 1. Look for tables with numeric values and reference ranges
 2. Include any values even if you're not sure of the meaning
 3. For each lab value, use "status" field with values "normal", "high", or "low" based on whether the value falls within, above, or below the normal range
-4. Include a "conclusion" field that provides a brief interpretation of what this value indicates about the patient's health
-5. Include a "suggestions" field that provides brief recommendations based on this value
+4. Set "isCritical" to true when the value indicates an urgent medical situation. Set it to false for values that are normal or only slightly abnormal.
+5. Include a "conclusion" field that provides a brief interpretation of what this value indicates about the patient's health
+6. Include a "suggestions" field that provides brief recommendations based on this value
 
 EXTREMELY IMPORTANT FORMATTING INSTRUCTIONS:
 1. ABSOLUTELY DO NOT START YOUR RESPONSE WITH ANY TEXT. Begin immediately with the JSON object.
@@ -138,6 +140,7 @@ CORRECT FORMAT (DO THIS):
       "unit": "g/dL", 
       "normalRange": "13.5-17.5", 
       "status": "normal",
+      "isCritical": false,
       "conclusion": "Normal hemoglobin levels indicate adequate oxygen-carrying capacity.",
       "suggestions": "Continue regular health maintenance."
     }

backend/src/reports/models/report.model.ts

@@ -31,6 +31,7 @@ export class Report {
     unit: string;
     normalRange: string;
     status: 'normal' | 'high' | 'low';
+    isCritical: boolean;
     conclusion: string;
     suggestions: string;
   }>;