Fix: remove some and add some
This commit is contained in:
@@ -61,7 +61,7 @@ interface CostStats {
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approvalRate: number;
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}
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export default function CostRecommendation() {
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export function LegacyCostRecommendation() {
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const [searchTerm, setSearchTerm] = useState("");
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const [statusFilter, setStatusFilter] = useState("all");
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const [riskFilter, setRiskFilter] = useState("all");
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@@ -679,3 +679,484 @@ export default function CostRecommendation() {
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</div>
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);
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}
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interface ICDRecommendation {
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code: string;
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description: string;
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confidence: number;
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reasoning: string;
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}
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async function mockRecommendICD(diagnosis: string, procedure: string): Promise<ICDRecommendation[]> {
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const lowerDx = diagnosis.toLowerCase();
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const lowerProc = procedure.toLowerCase();
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const suggestions: ICDRecommendation[] = [];
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if (lowerDx.includes("hipertensi") || lowerDx.includes("hypertension")) {
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suggestions.push({
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code: "I10",
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description: "Essential (primary) hypertension",
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confidence: 92,
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reasoning: "Kata kunci 'hipertensi' terdeteksi pada diagnosis klinis.",
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});
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}
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if (lowerDx.includes("diabetes") || lowerDx.includes("dm")) {
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suggestions.push({
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code: "E11",
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description: "Type 2 diabetes mellitus",
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confidence: 88,
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reasoning: "Terdapat indikasi DM tipe 2 pada gambaran diagnosis.",
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});
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}
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if (lowerDx.includes("pneumonia") || lowerDx.includes("infeksi paru")) {
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suggestions.push({
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code: "J18.9",
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description: "Pneumonia, unspecified organism",
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confidence: 82,
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reasoning: "Gejala dan istilah yang mengarah ke pneumonia terdeteksi.",
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});
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}
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if (lowerDx.includes("gastritis") || lowerDx.includes("dispepsia")) {
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suggestions.push({
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code: "K29.1",
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description: "Acute gastritis",
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confidence: 80,
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reasoning: "Istilah gastritis muncul pada diagnosis.",
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});
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}
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if (lowerDx.includes("osteoarthritis") || lowerDx.includes("nyeri sendi")) {
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suggestions.push({
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code: "M15.9",
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description: "Polyosteoarthritis, unspecified",
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confidence: 76,
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reasoning: "Keluhan terkait osteoartritis/nyeri sendi teridentifikasi.",
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});
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}
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if (lowerProc.includes("insulin") && !suggestions.find((s) => s.code.startsWith("E1"))) {
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suggestions.push({
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code: "E10-E14",
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description: "Diabetes mellitus (range, sesuaikan subkategori)",
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confidence: 70,
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reasoning: "Penggunaan insulin mengarah pada kategori diabetes mellitus.",
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});
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}
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if (lowerProc.includes("antibiotik") && !suggestions.find((s) => s.code.startsWith("J"))) {
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suggestions.push({
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code: "J15-J18",
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description: "Bacterial/unspecified pneumonia (range)",
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confidence: 68,
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reasoning: "Terapi antibiotik berkolerasi dengan infeksi respiratori.",
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});
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}
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if (suggestions.length === 0) {
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suggestions.push(
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{
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code: "R69",
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description: "Illness, unspecified",
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confidence: 55,
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reasoning: "Tidak ada kata kunci spesifik terdeteksi. Perlu klarifikasi klinis.",
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},
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{
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code: "Z00.0",
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description: "General medical examination",
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confidence: 48,
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reasoning: "Pertimbangkan evaluasi umum jika kasus bersifat screening.",
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}
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);
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}
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suggestions.sort((a, b) => b.confidence - a.confidence);
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await new Promise((r) => setTimeout(r, 600));
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return suggestions.slice(0, 6);
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}
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export default function CostRecommendation() {
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const [diagnosis, setDiagnosis] = useState("");
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const [procedure, setProcedure] = useState("");
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const [isLoading, setIsLoading] = useState(false);
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const [error, setError] = useState<string | null>(null);
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const [results, setResults] = useState<ICDRecommendation[]>([]);
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const [visitType, setVisitType] = useState("Kontrol Rutin");
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const [lastVisitDate, setLastVisitDate] = useState("");
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const [currentVisitDate, setCurrentVisitDate] = useState(() => new Date().toISOString().slice(0, 10));
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type BpjsMapping = {
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icdCode: string;
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bpjsCode: string;
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description: string;
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estTariff: number;
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};
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const BPJS_CODE_MAPPINGS: BpjsMapping[] = [
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{ icdCode: "I10", bpjsCode: "BPJS-I10-01", description: "Hipertensi Esensial", estTariff: 850000 },
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{ icdCode: "E11", bpjsCode: "BPJS-E11-02", description: "Diabetes Mellitus Tipe 2", estTariff: 1200000 },
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{ icdCode: "J18.9", bpjsCode: "BPJS-J18-03", description: "Pneumonia", estTariff: 2500000 },
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{ icdCode: "K29.1", bpjsCode: "BPJS-K29-04", description: "Gastritis Akut", estTariff: 650000 },
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{ icdCode: "M15.9", bpjsCode: "BPJS-M15-09", description: "Osteoartritis", estTariff: 900000 },
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];
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const findBpjsMappingForICD = (code: string): BpjsMapping | null => {
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if (!code) return null;
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const normalized = code === "E10-E14" ? "E11" : code;
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const exact = BPJS_CODE_MAPPINGS.find((m) => m.icdCode === normalized);
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if (exact) return exact;
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return BPJS_CODE_MAPPINGS.find((m) => normalized.startsWith(m.icdCode)) || null;
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};
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const bpjsRecommendations = results
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.map((r) => ({ icdCode: r.code, mapping: findBpjsMappingForICD(r.code) }))
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.filter((x) => x.mapping !== null) as { icdCode: string; mapping: BpjsMapping }[];
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const getDaysBetween = (a: string, b: string) => {
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try {
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const da = new Date(a + "T00:00:00");
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const db = new Date(b + "T00:00:00");
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const diff = Math.floor((db.getTime() - da.getTime()) / (1000 * 60 * 60 * 24));
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return isNaN(diff) ? null : Math.max(diff, 0);
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} catch {
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return null;
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}
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};
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const checkReasonConsistency = (type: string, dx: string, proc: string) => {
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const t = type.toLowerCase();
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const text = `${dx} ${proc}`.toLowerCase();
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const followUpKeywords = ["kontrol", "follow up", "lanjutan", "kontrol ulang", "monitoring"];
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const acuteKeywords = ["akut", "baru", "nyeri hebat", "mendadak", "demam tinggi", "perburukan"];
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const foundFollow = followUpKeywords.some((k) => text.includes(k));
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const foundAcute = acuteKeywords.some((k) => text.includes(k));
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const reasons: string[] = [];
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let inconsistent = false;
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if (t.includes("kontrol") && foundAcute) {
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inconsistent = true;
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reasons.push("Terdapat indikasi kondisi akut pada keterangan, namun tipe kunjungan adalah kontrol.");
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}
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if (t.includes("keluhan baru") && foundFollow) {
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inconsistent = true;
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reasons.push("Terdapat indikasi tindak lanjut/kontrol pada keterangan, namun dipilih 'Keluhan Baru'.");
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}
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return { inconsistent, reasons };
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};
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const ICD_INTERVAL_RULES: Record<string, { minDays: number; note: string }> = {
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"I10": { minDays: 14, note: "Kontrol hipertensi" },
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"E11": { minDays: 30, note: "Kontrol DM tipe 2" },
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"J18.9": { minDays: 14, note: "Pneumonia" },
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"K29.1": { minDays: 14, note: "Gastritis akut" },
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"M15.9": { minDays: 30, note: "Osteoartritis" },
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};
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const getIntervalRuleForCode = (code: string) => {
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if (ICD_INTERVAL_RULES[code as keyof typeof ICD_INTERVAL_RULES]) return ICD_INTERVAL_RULES[code as keyof typeof ICD_INTERVAL_RULES];
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if (code.startsWith("E10") || code.startsWith("E11") || code.startsWith("E12") || code.startsWith("E13") || code.startsWith("E14") || code === "E10-E14") {
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return ICD_INTERVAL_RULES.E11;
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}
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return undefined;
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};
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const daysSinceLast = lastVisitDate && currentVisitDate ? getDaysBetween(lastVisitDate, currentVisitDate) : null;
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const consistency = checkReasonConsistency(visitType, diagnosis, procedure);
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const showInconsistentControlWarning = visitType.toLowerCase().includes("kontrol") && daysSinceLast !== null && daysSinceLast < 30 && consistency.inconsistent;
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const overclaimItems = results
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.map((r) => ({ rec: r, rule: getIntervalRuleForCode(r.code) }))
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.filter((x) => x.rule && daysSinceLast !== null && (daysSinceLast as number) < (x.rule as { minDays: number }).minDays);
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const formatCurrency = (amount: number) => {
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return new Intl.NumberFormat("id-ID", {
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style: "currency",
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currency: "IDR",
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minimumFractionDigits: 0,
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}).format(amount);
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};
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const handleGenerate = async () => {
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setIsLoading(true);
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setError(null);
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try {
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const recs = await mockRecommendICD(diagnosis, procedure);
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setResults(recs);
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} catch (e) {
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setError("Gagal membuat rekomendasi. Coba lagi.");
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} finally {
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setIsLoading(false);
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}
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};
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const exportJSON = () => {
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const blob = new Blob([JSON.stringify(results, null, 2)], { type: "application/json" });
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const url = URL.createObjectURL(blob);
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const a = document.createElement("a");
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a.href = url;
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a.download = "icd_recommendations.json";
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a.click();
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URL.revokeObjectURL(url);
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};
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const copyCode = async (code: string) => {
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try {
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await navigator.clipboard.writeText(code);
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} catch {}
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};
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return (
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<div className="p-6">
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<div className="max-w-5xl mx-auto">
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<div className="mb-8">
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<h1 className="text-2xl font-bold text-gray-900">Asisten Rekomendasi ICD untuk Dokter</h1>
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<p className="text-gray-600 mt-1">
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Masukkan ringkasan diagnosa dan prosedur. Sistem akan mengusulkan kode ICD yang relevan beserta tingkat keyakinan.
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</p>
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</div>
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<div className="bg-white p-6 rounded-lg shadow-sm border mb-6">
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<div className="grid grid-cols-1 gap-4">
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<div>
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<label className="block text-sm font-medium text-gray-700 mb-1 flex items-center">
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<FileText className="h-4 w-4 mr-2 text-blue-600" /> Diagnosa Klinis
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</label>
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<textarea
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value={diagnosis}
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onChange={(e) => setDiagnosis(e.target.value)}
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rows={4}
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placeholder="Contoh: Pasien dengan hipertensi esensial, keluhan pusing dan tekanan darah 150/95 mmHg."
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className="w-full rounded-md border border-gray-300 focus:outline-none focus:ring-2 focus:ring-green-500 focus:border-transparent p-3"
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/>
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</div>
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<div className="grid grid-cols-1 md:grid-cols-3 gap-4">
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<div>
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<label className="block text-sm font-medium text-gray-700 mb-1">Tipe Kunjungan</label>
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<select
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value={visitType}
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onChange={(e) => setVisitType(e.target.value)}
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className="w-full rounded-md border border-gray-300 focus:outline-none focus:ring-2 focus:ring-green-500 focus:border-transparent p-3"
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>
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<option>Kontrol Rutin</option>
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<option>Keluhan Baru</option>
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<option>Tindak Lanjut Prosedur</option>
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</select>
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</div>
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<div>
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<label className="block text-sm font-medium text-gray-700 mb-1">Tanggal Kunjungan Terakhir</label>
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<input
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type="date"
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value={lastVisitDate}
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onChange={(e) => setLastVisitDate(e.target.value)}
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className="w-full rounded-md border border-gray-300 focus:outline-none focus:ring-2 focus:ring-green-500 focus:border-transparent p-3"
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/>
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</div>
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<div>
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<label className="block text-sm font-medium text-gray-700 mb-1">Tanggal Kunjungan Saat Ini</label>
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<input
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type="date"
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value={currentVisitDate}
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onChange={(e) => setCurrentVisitDate(e.target.value)}
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className="w-full rounded-md border border-gray-300 focus:outline-none focus:ring-2 focus:ring-green-500 focus:border-transparent p-3"
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/>
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</div>
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</div>
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<div>
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<label className="block text-sm font-medium text-gray-700 mb-1 flex items-center">
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<Stethoscope className="h-4 w-4 mr-2 text-green-600" /> Prosedur/Tatalaksana Utama
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</label>
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<input
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type="text"
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value={procedure}
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onChange={(e) => setProcedure(e.target.value)}
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placeholder="Contoh: Terapi antibiotik IV, insulin basal, fisioterapi, dsb."
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className="w-full rounded-md border border-gray-300 focus:outline-none focus:ring-2 focus:ring-green-500 focus:border-transparent p-3"
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/>
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</div>
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<div className="flex items-center space-x-3">
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<button
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onClick={handleGenerate}
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disabled={isLoading || (!diagnosis && !procedure)}
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className="btn-primary flex items-center space-x-2 disabled:opacity-60"
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>
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<Search className="h-4 w-4" />
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<span>{isLoading ? "Menghasilkan..." : "Buat Rekomendasi"}</span>
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</button>
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<button
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onClick={exportJSON}
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disabled={results.length === 0}
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className="btn-secondary flex items-center space-x-2 disabled:opacity-60"
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>
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<Download className="h-4 w-4" />
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<span>Export JSON</span>
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</button>
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</div>
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{error && (
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<div className="text-sm text-red-600">{error}</div>
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)}
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{/* Global warnings */}
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{showInconsistentControlWarning && (
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<div className="mt-2 rounded-md border border-yellow-300 bg-yellow-50 p-3 text-sm text-yellow-800">
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Kunjungan kontrol < 30 hari dan alasan terdeteksi tidak konsisten dengan tipe kunjungan.
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{consistency.reasons.length > 0 && (
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<ul className="list-disc pl-5 mt-1">
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{consistency.reasons.map((r, i) => (
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<li key={i}>{r}</li>
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))}
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</ul>
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)}
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</div>
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)}
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</div>
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</div>
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<div className="bg-white rounded-lg shadow-sm border overflow-hidden">
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<div className="px-6 py-4 border-b border-gray-200 flex items-center justify-between">
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<h3 className="text-lg font-medium text-gray-900">Rekomendasi Kode ICD</h3>
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<div className="text-xs text-gray-500">AI Based</div>
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</div>
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{/* Overclaim/interval banner */}
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{overclaimItems.length > 0 && (
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<div className="mx-6 my-4 rounded-md border border-red-300 bg-red-50 p-3 text-sm text-red-800">
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Peringatan interval: Ditemukan potensi klaim dini pada {overclaimItems.length} kode.
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{daysSinceLast !== null && (
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<div className="mt-1 text-xs text-red-700">Jarak kunjungan: {daysSinceLast} hari.</div>
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)}
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</div>
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)}
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{isLoading ? (
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<div className="p-10 text-center text-gray-600">Sedang menganalisis...</div>
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) : results.length > 0 ? (
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<div className="overflow-x-auto">
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<table className="min-w-full divide-y divide-gray-200">
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<thead className="bg-gray-50">
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<tr>
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<th className="px-6 py-3 text-left text-xs font-medium text-gray-500 uppercase tracking-wider">Kode ICD</th>
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<th className="px-6 py-3 text-left text-xs font-medium text-gray-500 uppercase tracking-wider">Deskripsi</th>
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<th className="px-6 py-3 text-left text-xs font-medium text-gray-500 uppercase tracking-wider">Confidence</th>
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<th className="px-6 py-3 text-left text-xs font-medium text-gray-500 uppercase tracking-wider">Alasan</th>
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<th className="px-6 py-3 text-left text-xs font-medium text-gray-500 uppercase tracking-wider">Aksi</th>
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</tr>
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</thead>
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<tbody className="bg-white divide-y divide-gray-200">
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{results.map((r) => (
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<tr key={r.code} className="hover:bg-gray-50">
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<td className="px-6 py-4 whitespace-nowrap">
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<div className="flex items-center text-sm font-medium text-gray-900">
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<Code className="h-4 w-4 mr-2 text-blue-600" /> {r.code}
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</div>
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{/* Per-item overclaim label */}
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{(() => {
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const rule = getIntervalRuleForCode(r.code);
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const isOverclaim = rule && daysSinceLast !== null && (daysSinceLast as number) < (rule as { minDays: number }).minDays;
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if (!isOverclaim) return null;
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return (
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<div className="mt-1 inline-flex items-center px-2 py-0.5 rounded text-xs font-medium bg-red-100 text-red-800">
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Interval < {String((rule as { minDays: number }).minDays)} hari ({String((rule as { note: string }).note)})
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</div>
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);
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})()}
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</td>
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<td className="px-6 py-4">
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<div className="text-sm text-gray-900">{r.description}</div>
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</td>
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<td className="px-6 py-4 w-48">
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<div className="text-sm text-gray-700 mb-1">{r.confidence}%</div>
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<div className="w-full bg-gray-100 rounded-full h-2">
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<div
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className="bg-green-500 h-2 rounded-full"
|
||||
style={{ width: `${Math.max(0, Math.min(100, r.confidence))}%` }}
|
||||
/>
|
||||
</div>
|
||||
</td>
|
||||
<td className="px-6 py-4">
|
||||
<div className="text-sm text-gray-600">{r.reasoning}</div>
|
||||
</td>
|
||||
<td className="px-6 py-4 whitespace-nowrap text-sm">
|
||||
<button
|
||||
onClick={() => copyCode(r.code)}
|
||||
className="text-blue-600 hover:text-blue-900"
|
||||
>
|
||||
Salin Kode
|
||||
</button>
|
||||
</td>
|
||||
</tr>
|
||||
))}
|
||||
</tbody>
|
||||
</table>
|
||||
</div>
|
||||
) : (
|
||||
<div className="text-center py-12">
|
||||
<AlertCircle className="mx-auto h-12 w-12 text-gray-400" />
|
||||
<h3 className="mt-2 text-sm font-medium text-gray-900">Belum ada rekomendasi</h3>
|
||||
<p className="mt-1 text-sm text-gray-500">Isi diagnosa/prosedur lalu klik "Buat Rekomendasi".</p>
|
||||
</div>
|
||||
)}
|
||||
</div>
|
||||
|
||||
{/* BPJS mapping and cost section */}
|
||||
<div className="bg-white rounded-lg shadow-sm border overflow-hidden mt-6">
|
||||
<div className="px-6 py-4 border-b border-gray-200 flex items-center justify-between">
|
||||
<h3 className="text-lg font-medium text-gray-900">Rekomendasi Kode BPJS & Estimasi Biaya</h3>
|
||||
<div className="text-xs text-gray-500">Mapping dari ICD</div>
|
||||
</div>
|
||||
{isLoading ? (
|
||||
<div className="p-10 text-center text-gray-600">Menyiapkan mapping BPJS...</div>
|
||||
) : results.length > 0 ? (
|
||||
bpjsRecommendations.length > 0 ? (
|
||||
<div className="overflow-x-auto">
|
||||
<table className="min-w-full divide-y divide-gray-200">
|
||||
<thead className="bg-gray-50">
|
||||
<tr>
|
||||
<th className="px-6 py-3 text-left text-xs font-medium text-gray-500 uppercase tracking-wider">Kode ICD</th>
|
||||
<th className="px-6 py-3 text-left text-xs font-medium text-gray-500 uppercase tracking-wider">Kode BPJS</th>
|
||||
<th className="px-6 py-3 text-left text-xs font-medium text-gray-500 uppercase tracking-wider">Deskripsi</th>
|
||||
<th className="px-6 py-3 text-left text-xs font-medium text-gray-500 uppercase tracking-wider">Estimasi Tarif</th>
|
||||
</tr>
|
||||
</thead>
|
||||
<tbody className="bg-white divide-y divide-gray-200">
|
||||
{bpjsRecommendations.map(({ icdCode, mapping }) => (
|
||||
<tr key={`${icdCode}-${mapping.bpjsCode}`} className="hover:bg-gray-50">
|
||||
<td className="px-6 py-4 whitespace-nowrap">
|
||||
<div className="flex items-center text-sm font-medium text-gray-900">
|
||||
<Code className="h-4 w-4 mr-2 text-blue-600" /> {icdCode}
|
||||
</div>
|
||||
</td>
|
||||
<td className="px-6 py-4 whitespace-nowrap">
|
||||
<div className="text-sm text-gray-900">{mapping.bpjsCode}</div>
|
||||
</td>
|
||||
<td className="px-6 py-4 text-sm text-gray-900">{mapping.description}</td>
|
||||
<td className="px-6 py-4 whitespace-nowrap text-sm text-gray-900">
|
||||
<div className="flex items-center">
|
||||
<DollarSign className="h-4 w-4 mr-1 text-green-600" />
|
||||
{formatCurrency(mapping.estTariff)}
|
||||
</div>
|
||||
</td>
|
||||
</tr>
|
||||
))}
|
||||
</tbody>
|
||||
</table>
|
||||
</div>
|
||||
) : (
|
||||
<div className="text-center py-12">
|
||||
<AlertCircle className="mx-auto h-12 w-12 text-gray-400" />
|
||||
<h3 className="mt-2 text-sm font-medium text-gray-900">Belum ada mapping BPJS untuk rekomendasi ICD saat ini</h3>
|
||||
<p className="mt-1 text-sm text-gray-500">Coba perbarui diagnosa/prosedur untuk melihat rekomendasi BPJS.</p>
|
||||
</div>
|
||||
)
|
||||
) : (
|
||||
<div className="text-center py-12">
|
||||
<AlertCircle className="mx-auto h-12 w-12 text-gray-400" />
|
||||
<h3 className="mt-2 text-sm font-medium text-gray-900">Belum ada rekomendasi</h3>
|
||||
<p className="mt-1 text-sm text-gray-500">Buat rekomendasi ICD terlebih dahulu.</p>
|
||||
</div>
|
||||
)}
|
||||
</div>
|
||||
</div>
|
||||
</div>
|
||||
);
|
||||
}
|
||||
|
||||
Reference in New Issue
Block a user