import React, { useState, useEffect, useRef, useMemo } from 'react'; import { Users, Heart, Activity, Stethoscope, ChevronLeft, Loader2, Footprints, ShieldAlert, FileText, Plus, CheckSquare, Square, Camera, Trash2, X, Scale, Ruler, Droplets, Printer, ArrowRight, User, Award, CalendarClock, CheckCircle2, Zap, Image as ImageIcon, FileHeart, Syringe, BarChart3, PieChart, Weight, Pill, FilePlus, QrCode, List, Search as SearchIcon, AlertTriangle, Edit, Smartphone, Lock, LogIn, LogOut, Volume2, PlayCircle, ArrowLeft, Phone, Utensils, CreditCard, Eye, Table2, Scissors, Sparkles, Smile, Video, ArrowDown, Building, Database, FileSpreadsheet, Cigarette, TrendingUp, Filter, MapPin, Search, Save, UserPlus, History } from 'lucide-react'; import { initializeApp } from 'firebase/app'; import { getFirestore, collection, doc, setDoc, addDoc, updateDoc, onSnapshot, query, where } from 'firebase/firestore'; import { getAuth, signInAnonymously, signInWithCustomToken, onAuthStateChanged } from 'firebase/auth'; // --- CONFIGURAÇÃO FIREBASE --- const firebaseConfig = JSON.parse(__firebase_config); const app = initializeApp(firebaseConfig); const auth = getAuth(app); const db = getFirestore(app); // ID fixo para persistência dos dados const appId = typeof __app_id !== 'undefined' ? __app_id : 'esf-patricia-v-master-2'; // --- CONSTANTES GLOBAIS (CORREÇÃO DO ERRO) --- const DOCTOR_NAME = "Dra. Patrícia Szlachta Senna"; const DOCTOR_CRM = "CRM MS 12795"; const CITY_NAME = "Camapuã - MS"; // Variável restaurada const PASSWORD_PROFESSIONAL = "esf123"; // Fixed variable name mismatch const PASS_ADMIN = "admin123"; // --- HELPERS --- const calculateAge = (birthDate) => { if (!birthDate) return 0; const today = new Date(); const birth = new Date(birthDate); let age = today.getFullYear() - birth.getFullYear(); const m = today.getMonth() - birth.getMonth(); if (m < 0 || (m === 0 && today.getDate() < birth.getDate())) age--; return age; }; const formatDate = (dateString) => { if (!dateString) return ''; const [y, m, d] = dateString.split('-'); return `${d}/${m}/${y}`; }; // Formatação e Validação const formatCPF = (v) => v.replace(/\D/g, '').replace(/(\d{3})(\d{3})(\d{3})(\d{2})/, '$1.$2.$3-$4').slice(0, 14); const formatCNS = (v) => v.replace(/\D/g, '').replace(/(\d{3})(\d{4})(\d{4})(\d{4})/, '$1 $2 $3 $4').slice(0, 18); const formatPA = (v) => { const n = v.replace(/\D/g, '').slice(0, 6); return n.length > 3 ? n.replace(/(\d{3})(\d+)/, '$1/$2') : n; }; const isValidCPF = (cpf) => cpf.replace(/\D/g, '').length === 11; // Cálculo CKD-EPI 2021 (Creatinina) const calculateCKDEPI = (creat, age, sex) => { if (!creat || !age || !sex) return null; const cr = parseFloat(creat); const k = sex === 'Feminino' ? 0.7 : 0.9; const alpha = sex === 'Feminino' ? -0.329 : -0.411; const genderFactor = sex === 'Feminino' ? 1.018 : 1; const minPart = Math.min(cr / k, 1) ** alpha; const maxPart = Math.max(cr / k, 1) ** -1.200; const agePart = 0.9938 ** age; const gfr = 142 * minPart * maxPart * agePart * genderFactor; return gfr.toFixed(1); }; // Cálculo Carga Tabágica const calculateTobaccoLoad = (packsPerDay, years) => { return (parseFloat(packsPerDay) * parseFloat(years)).toFixed(1); }; const checkVaccineStatus = (dateString, yearsValid) => { if (!dateString) return { status: 'missing', msg: 'Pendente' }; const last = new Date(dateString); const now = new Date(); const diffYears = (now - last) / (1000 * 60 * 60 * 24 * 365); if (diffYears < yearsValid) return { status: 'ok', msg: 'Em Dia' }; return { status: 'expired', msg: 'Vencida' }; }; const compressImage = (file) => { return new Promise((resolve) => { const reader = new FileReader(); reader.readAsDataURL(file); reader.onload = (e) => { const img = new Image(); img.src = e.target.result; img.onload = () => { const canvas = document.createElement('canvas'); const MAX_WIDTH = 800; const scale = MAX_WIDTH / img.width; canvas.width = MAX_WIDTH; canvas.height = img.height * scale; const ctx = canvas.getContext('2d'); ctx.drawImage(img, 0, 0, canvas.width, canvas.height); resolve(canvas.toDataURL('image/jpeg', 0.6)); }; }; }); }; // Helper para calcular a data de retorno sugerida const getSuggestedReturnDate = (examDate, returnString) => { if (!examDate || !returnString) return null; const date = new Date(examDate); let months = 12; if (returnString.includes('1 a 3')) months = 3; else if (returnString.includes('3 a 6')) months = 6; else if (returnString.includes('12')) months = 12; date.setMonth(date.getMonth() + months); return date.toLocaleDateString('pt-BR', { month: 'long', year: 'numeric' }); }; // Ícone personalizado const RepeatIcon = (props) => ( ); // --- COMPONENTES VISUAIS --- const SimpleChart = ({ title, data, dataKey, color, limit }) => { if (!data || data.length < 2) return null; const chartData = [...data].reverse().slice(0, 5).reverse(); const maxVal = Math.max(...chartData.map(d => parseFloat(d[dataKey]) || 0)) * 1.1; return (

{title} (Evolução)

{chartData.map((d, i) => { const val = parseFloat(d[dataKey]) || 0; const height = (val / maxVal) * 100; return (
{val}
{new Date(d.timestamp).toLocaleDateString().slice(0,5)}
); })}
); }; const NailCutProSVG = () => (

Corte Reto

Corte Redondo

); const ShoeSVG = () => (
Largo

Bico Largo

Aperta

Bico Fino

); const ProFootMap = ({ side, markers, onAddMarker, onRemoveMarker, readOnly = false }) => { const svgRef = useRef(null); const isRight = side === 'pd'; const handleClick = (e) => { if (readOnly) return; const svg = svgRef.current; if (!svg) return; const pt = svg.createSVGPoint(); pt.x = e.clientX; pt.y = e.clientY; const cursorpt = pt.matrixTransform(svg.getScreenCTM().inverse()); onAddMarker({ x: cursorpt.x, y: cursorpt.y, side }); }; const footColor = "#fff7ed"; const outlineColor = "#94a3b8"; return (
{isRight ? 'Pé Direito' : 'Pé Esquerdo'} {markers && markers.map((m, i) => ( { e.stopPropagation(); if(!readOnly) onRemoveMarker(i, side); }} /> ))}
); }; // --- COMPONENTE: ESPAÇO DO PACIENTE --- const PatientArea = ({ onBack, patients, allExams }) => { const [section, setSection] = useState('home'); const [videoModal, setVideoModal] = useState({ open: false, title: '' }); const [loginData, setLoginData] = useState({ cpf: '', sus: '' }); const [currentPatient, setCurrentPatient] = useState(null); const [patientLastExam, setPatientLastExam] = useState(null); const [loginError, setLoginError] = useState(''); // --- LINKS --- const LINK_FISIO = "https://www.youtube.com/results?search_query=exercicios+pe+diabetico+alongamento"; const LINK_NUTRI = "https://www.youtube.com/results?search_query=dicas+nutricionais+diabetes"; const LINK_MEDICA = "https://www.youtube.com/results?search_query=cuidados+diabetes+dra+patricia"; const LINK_ENF_LARA = "https://www.youtube.com/results?search_query=cuidados+diabetes+enf+lara"; const handlePatientLogin = (e) => { e.preventDefault(); const found = patients.find(p => p.cpf === loginData.cpf && p.chartId === loginData.sus); if (found) { setCurrentPatient(found); const exams = allExams.filter(e => e.patientId === found.id).sort((a,b) => b.timestamp - a.timestamp); setPatientLastExam(exams.length > 0 ? exams[0] : null); setSection('prontuario'); setLoginError(''); } else { setLoginError('Ops, identificamos que ainda não possui cadastro nesse sistema. Nos contate para poder ter acesso.'); } }; const playVideo = (title) => { setVideoModal({ open: true, title }); }; const videosFisio = [ { title: "Exercício Sentado", icon: Activity }, { title: "Alongamento Panturrilha", icon: Footprints }, { title: "O sapato certo", icon: Footprints }, { title: "Massagem nos Pés", icon: Smile }, { title: "Cãibras: Como aliviar", icon: Zap } ]; const videosNutri = [ { title: "Quais frutas pode?", icon: Utensils }, { title: "Montar o Prato", icon: PieChart }, { title: "Água ou Suco?", icon: Droplets }, { title: "Qual Pão Comer?", icon: Utensils }, { title: "Lanches Saudáveis", icon: Smile }, { title: "Receitas Low Carb", icon: Utensils }, { title: "Doces e Diabetes", icon: AlertTriangle } ]; const videosMedica = [ { title: "Entender Exames", icon: FileText }, { title: "Hipoglicemia: O que fazer", icon: AlertTriangle }, { title: "Diabetes e Visão", icon: Eye }, { title: "Quando ir ao PS?", icon: ShieldAlert }, { title: "Sinais de Infarto", icon: Heart }, { title: "Pé Diabético: Sinais", icon: Footprints } ]; const videosEnf = [ { title: "Aplicar Insulina", icon: Syringe }, { title: "Rodízio de Aplicação", icon: RepeatIcon }, { title: "Medir Certo (HGT)", icon: Droplets }, { title: "Descarte de Agulhas", icon: Trash2 }, { title: "Curativo Simples", icon: Scissors } ]; return (
setSection('home')}>Saúde e Diabetes
{section === 'home' && (

Toque para entrar:

setSection('fisio')} className="bg-orange-100 border-2 border-orange-400 p-4 rounded-2xl cursor-pointer flex flex-col items-center justify-center text-center h-56 shadow-sm active:scale-95 transition-transform">Movimente-seCuidados
Fisioterapeuta
setSection('nutri')} className="bg-green-100 border-2 border-green-500 p-4 rounded-2xl cursor-pointer flex flex-col items-center justify-center text-center h-56 shadow-sm active:scale-95 transition-transform">Alimente-se BemCuidados
Nutricionista
setSection('medica')} className="bg-blue-100 border-2 border-blue-600 p-4 rounded-2xl cursor-pointer flex flex-col items-center justify-center text-center h-56 shadow-sm active:scale-95 transition-transform">
Cuidados com
Dra. Patrícia
setSection('enfermeira')} className="bg-pink-100 border-2 border-pink-500 p-4 rounded-2xl cursor-pointer flex flex-col items-center justify-center text-center h-56 shadow-sm active:scale-95 transition-transform">
Cuidados com
Enf. Lara
WhatsApp da Unidade
)} {section === 'login' && (

Acessar Prontuário

Use o seu CPF e o número do Cartão do SUS como senha.

setLoginData({...loginData, cpf: formatCPF(e.target.value)})} required /> setLoginData({...loginData, sus: formatCNS(e.target.value)})} required /> {loginError &&

{loginError}

}
)} {section === 'prontuario' && currentPatient && (

{currentPatient.name}

{calculateAge(currentPatient.birthDate)} anos

{patientLastExam && ( <>{patientLastExam.peso} kg{patientLastExam.altura} cmIMC {patientLastExam.imc} )}
{patientLastExam && (
HbA1c: {patientLastExam.hba1c}% ({parseFloat(patientLastExam.hba1c) < 7 ? 'DENTRO DO ALVO' : 'FORA DO ALVO'})
)}
setSection('my-orientations')} className="bg-emerald-100 border-2 border-emerald-300 p-5 rounded-2xl mb-6 flex items-center justify-between cursor-pointer active:scale-95 transition-transform shadow-sm">

Minhas Orientações

Veja o que o médico recomendou

Diagnóstico

Diabetes Mellitus {currentPatient.diabetesType}

{currentPatient.comorbidities && currentPatient.comorbidities.length > 0 && (

Comorbidades Associadas:

{currentPatient.comorbidities.map((c, i) => ( {c} ))}
)}

Medicamentos Atuais

    {currentPatient.medications?.length > 0 ? ( currentPatient.medications.map((m, i) => (

  • {m}

    Uso contínuo

    • )) ) : (
  • Nenhum medicamento registrado.
    • )}
)} {section === 'my-orientations' && (
{patientLastExam ? ( <>

Seu Risco Atual: {patientLastExam.riscoIWGDF}

Retorno sugerido em: {patientLastExam.retorno}

{getSuggestedReturnDate(patientLastExam.timestamp, patientLastExam.retorno) && (

Programar para: {getSuggestedReturnDate(patientLastExam.timestamp, patientLastExam.retorno)}

)}

Recomendação Médica

{patientLastExam.conduta}

) : (

Bem-vindo(a)

Ainda não há consultas registradas, mas siga as dicas abaixo!

)}

10 Mandamentos do Pé Diabético

  • 1. Examine os pés diariamente com um espelho.
  • 2. Mantenha os pés limpos e secos entre os dedos.
  • 3. Hidrate a pele (exceto entre os dedos).
  • 4. Corte as unhas retas. Não remova cutículas.
  • 5. Nunca ande descalço.
  • 6. Use calçados confortáveis e fechados.
  • 7. Verifique o interior do sapato antes de calçar.
  • 8. Não use água quente nos pés.
  • 9. Não use calicidas ou lixas metálicas.
  • 10. Em caso de ferida, procure sua unidade de saúde imediatamente.

Aponte a câmera
para os códigos abaixo

Fisioterapia

Nutrição

Dra. Patrícia

Enf. Lara

)} {section === 'general-orientations' && (

10 Mandamentos do Pé Diabético

  • 1. Examine os pés diariamente com um espelho.
  • 2. Mantenha os pés limpos e secos entre os dedos.
  • 3. Hidrate a pele (exceto entre os dedos).
  • 4. Corte as unhas retas. Não remova cutículas.
  • 5. Nunca ande descalço.
  • 6. Use calçados confortáveis e fechados.
  • 7. Verifique o interior do sapato antes de calçar.
  • 8. Não use água quente nos pés.
  • 9. Não use calicidas ou lixas metálicas.
  • 10. Em caso de ferida, procure sua unidade de saúde imediatamente.
)} {['fisio', 'nutri', 'medica', 'enfermeira'].includes(section) && (

{section === 'fisio' ? 'Movimente-se' : section === 'nutri' ? 'Alimente-se Bem' : section === 'medica' ? 'Cuidados Médicos' : 'Cuidados Enfermagem'}

{section === 'fisio' ? 'Fisioterapeuta' : section === 'nutri' ? 'Nutricionista' : section === 'medica' ? 'Dra. Patrícia' : 'Enf. Lara'}

{(section === 'fisio' ? videosFisio : section === 'nutri' ? videosNutri : section === 'medica' ? videosMedica : videosEnf).map((v, i) => (
playVideo(v.title)}>
{v.title}
))}
)}
{videoModal.open && (

{videoModal.title}

)}
); }; const App = () => { const [user, setUser] = useState(null); const [appSection, setAppSection] = useState('welcome'); const [passwordInput, setPasswordInput] = useState(''); const [loginError, setLoginError] = useState(''); const [view, setView] = useState('list'); const [printMode, setPrintMode] = useState('clinical'); const [patients, setPatients] = useState([]); const [selectedPatient, setSelectedPatient] = useState(null); const [patientExams, setPatientExams] = useState([]); const [allExams, setAllExams] = useState([]); const [activeExam, setActiveExam] = useState(null); const [searchQuery, setSearchQuery] = useState(''); const [isSaving, setIsSaving] = useState(false); const [activeMarkerType, setActiveMarkerType] = useState('ulcera'); const [selectedMetric, setSelectedMetric] = useState(null); const [patientForm, setPatientForm] = useState({ name: '', cpf: '', birthDate: '', chartId: '', diabetesType: 'Tipo 2', comorbidities: [], medications: [] }); const [medInput, setMedInput] = useState(''); const [otherComorb, setOtherComorb] = useState(''); const initialFootState = { sensibilidade: 'presente', diapasao: 'presente', pulsoPedioso: 'presente', pulsoTibial: 'presente', deformidades: [], pele: [], sintomas: [], markers: [], photo: null, temUlcera: false, ulceraGrau: '1', sinaisInfeccao: false }; const initialExamState = { peso: '', altura: '', imc: '', hba1c: '', hba1cDate: '', ldl: '', ldlDate: '', idade: '', pa: '', hgt: '', ha: false, tabagismo: false, albuminuria: false, loa: false, historicoUlcera: false, historicoAmputacao: false, calcadoAdequado: true, unhaCortadaAdequada: true, higieneOk: true, vacinaInfluenza: '', vacinaPneumo: '', pd: { ...initialFootState }, pe: { ...initialFootState }, riscoIWGDF: '0', retorno: '12 meses', conduta: '', riscoCV: 'Baixo' }; const [examForm, setExamForm] = useState(initialExamState); // --- Auth & Sync --- useEffect(() => { const init = async () => { try { if (typeof __initial_auth_token !== 'undefined' && __initial_auth_token) await signInWithCustomToken(auth, __initial_auth_token); else await signInAnonymously(auth); } catch (err) { console.error(err); } }; init(); onAuthStateChanged(auth, setUser); }, []); useEffect(() => { if (!user) return; const unsubP = onSnapshot(collection(db, 'artifacts', appId, 'public', 'data', 'patients'), (snap) => { setPatients(snap.docs.map(d => ({ id: d.id, ...d.data() })).sort((a,b) => (b.createdAt || 0) - (a.createdAt || 0))); }, (error) => console.error(error)); const unsubE = onSnapshot(collection(db, 'artifacts', appId, 'public', 'data', 'exams'), (snap) => { setAllExams(snap.docs.map(d => ({ id: d.id, ...d.data() }))); }, (error) => console.error(error)); return () => { unsubP(); unsubE(); }; }, [user]); useEffect(() => { if (!user || !selectedPatient) return; const patExams = allExams.filter(e => e.patientId === selectedPatient.id).sort((a,b) => b.timestamp - a.timestamp); setPatientExams(patExams); }, [user, selectedPatient, allExams]); const handleLogin = (e) => { e.preventDefault(); if (passwordInput === PASSWORD_PROFESSIONAL) { setAppSection('professional_dashboard'); setLoginError(''); setPasswordInput(''); } else { setLoginError('Senha incorreta.'); } }; const calculated = useMemo(() => { const age = selectedPatient ? calculateAge(selectedPatient.birthDate) : 0; let imc = '--.-'; if (examForm.peso && examForm.altura) { const h = parseFloat(examForm.altura) / 100; const w = parseFloat(examForm.peso); if (h > 0) imc = (w / (h * h)).toFixed(1); } let rcv = 'Baixo'; const ldl = parseFloat(examForm.ldl) || 0; if (examForm.loa || examForm.albuminuria) rcv = 'Muito Alto'; else if (examForm.tabagismo || examForm.ha || ldl > 130 || age > 65) rcv = 'Alto'; else if (ldl > 100 || age > 50) rcv = 'Médio'; let riwgdf = '0'; let ret = '12 meses'; const lops = examForm.pd.sensibilidade === 'ausente' || examForm.pe.sensibilidade === 'ausente' || examForm.pd.diapasao === 'ausente' || examForm.pe.diapasao === 'ausente'; const pad = examForm.pd.pulsoPedioso === 'ausente' || examForm.pe.pulsoPedioso === 'ausente' || examForm.pd.pulsoTibial === 'ausente' || examForm.pe.pulsoTibial === 'ausente'; const def = examForm.pd.deformidades.length > 0 || examForm.pe.deformidades.length > 0; const hist = examForm.historicoUlcera || examForm.historicoAmputacao; if (hist) { riwgdf = '3'; ret = '1 a 3 meses'; } else if ((lops && pad) || (lops && def) || (pad && def)) { riwgdf = '2'; ret = '3 a 6 meses'; } else if (lops || pad || def) { riwgdf = '1'; ret = '6 a 12 meses'; } const fluStatus = checkVaccineStatus(examForm.vacinaInfluenza, 1); const pneumoStatus = checkVaccineStatus(examForm.vacinaPneumo, 5); return { age, imc, rcv, riwgdf, ret, fluStatus, pneumoStatus }; }, [examForm, selectedPatient]); const analytics = useMemo(() => { const patientMap = {}; patients.forEach(p => patientMap[p.id] = p); const latestMap = {}; allExams.forEach(ex => { if (!latestMap[ex.patientId] || ex.timestamp > latestMap[ex.patientId].timestamp) { latestMap[ex.patientId] = ex; } }); const getName = (id) => patientMap[id]?.name || 'Desconhecido'; const activeExams = Object.values(latestMap); const listHbA1cBad = activeExams.filter(e => parseFloat(e.hba1c) > 7).map(e => ({ name: getName(e.patientId), val: `${e.hba1c}%` })); const listHighRiskFoot = activeExams.filter(e => ['2', '3'].includes(e.riscoIWGDF)).map(e => ({ name: getName(e.patientId), val: `Risco ${e.riscoIWGDF}` })); const listObese = activeExams.filter(e => parseFloat(e.imc) >= 30).map(e => ({ name: getName(e.patientId), val: `IMC ${e.imc}` })); const listFluMissing = activeExams.filter(e => checkVaccineStatus(e.vacinaInfluenza, 1).status !== 'ok').map(e => ({ name: getName(e.patientId), val: 'Vencida/ND' })); const listPneumoMissing = activeExams.filter(e => checkVaccineStatus(e.vacinaPneumo, 5).status !== 'ok').map(e => ({ name: getName(e.patientId), val: 'Vencida/ND' })); return { total: patients.length, listAllPatients: patients.map(p => ({name: p.name, val: 'Ativo'})), listHbA1cBad, listHighRiskFoot, listObese, listFluMissing, listPneumoMissing }; }, [patients, allExams]); const latestExam = patientExams.length > 0 ? patientExams[0] : null; const latestFlu = latestExam ? checkVaccineStatus(latestExam.vacinaInfluenza, 1) : {status:'missing', msg:'--'}; const latestPneumo = latestExam ? checkVaccineStatus(latestExam.vacinaPneumo, 5) : {status:'missing', msg:'--'}; const handlePhotoUpload = async (side, file) => { if (!file) return; const compressed = await compressImage(file); setExamForm(prev => ({ ...prev, [side]: { ...prev[side], photo: compressed } })); }; const addMarker = (side, x, y, type) => { setExamForm(prev => { const newMarkers = [...prev[side].markers, { x, y, type }]; const hasUlcer = newMarkers.some(m => m.type === 'ulcera'); return { ...prev, [side]: { ...prev[side], markers: newMarkers, temUlcera: hasUlcer } }; }); }; const removeMarker = (side, index) => { setExamForm(prev => { const newMarkers = [...prev[side].markers]; newMarkers.splice(index, 1); const hasUlcer = newMarkers.some(m => m.type === 'ulcera'); return { ...prev, [side]: { ...prev[side], markers: newMarkers, temUlcera: hasUlcer } }; }); }; const toggleArrayItem = (side, field, value) => { setExamForm(prev => { const list = prev[side][field] || []; const newList = list.includes(value) ? list.filter(i => i !== value) : [...list, value]; return { ...prev, [side]: { ...prev[side], [field]: newList } }; }); }; const toggleComorbidity = (comorb) => { setPatientForm(prev => { const list = prev.comorbidities || []; const newList = list.includes(comorb) ? list.filter(c => c !== comorb) : [...list, comorb]; return { ...prev, comorbidities: newList }; }); }; const addMedication = () => { if (!medInput) return; setPatientForm(prev => ({ ...prev, medications: [...(prev.medications || []), medInput] })); setMedInput(''); }; const removeMedication = (index) => { setPatientForm(prev => { const newList = [...(prev.medications || [])]; newList.splice(index, 1); return { ...prev, medications: newList }; }); }; const savePatient = async (e) => { e.preventDefault(); if (!patientForm.name) return; setIsSaving(true); let finalComorbs = [...(patientForm.comorbidities || [])]; if (otherComorb.trim()) finalComorbs.push(otherComorb.trim()); let finalMedications = [...(patientForm.medications || [])]; if (medInput.trim()) finalMedications.push(medInput.trim()); const dataToSave = { ...patientForm, comorbidities: finalComorbs, medications: finalMedications }; if (view === 'edit-patient' && selectedPatient) { await updateDoc(doc(db, 'artifacts', appId, 'public', 'data', 'patients', selectedPatient.id), dataToSave); setSelectedPatient({ ...selectedPatient, ...dataToSave }); setView('detail'); } else { const finalPatient = { ...dataToSave, createdAt: Date.now() }; const docRef = await addDoc(collection(db, 'artifacts', appId, 'public', 'data', 'patients'), finalPatient); setSelectedPatient({ id: docRef.id, ...finalPatient }); setView('detail'); } setPatientForm({ name: '', cpf: '', birthDate: '', chartId: '', diabetesType: 'Tipo 2', comorbidities: [], medications: [] }); setOtherComorb(''); setMedInput(''); setIsSaving(false); }; const saveExam = async () => { setIsSaving(true); const { imc, rcv, riwgdf, ret } = calculated; const finalExam = { ...examForm, imc, riscoCV: rcv, riscoIWGDF: riwgdf, retorno: ret, patientId: selectedPatient.id, timestamp: Date.now(), doctorName: DOCTOR_NAME, doctorCrm: DOCTOR_CRM }; await addDoc(collection(db, 'artifacts', appId, 'public', 'data', 'exams'), finalExam); setView('detail'); setExamForm({ ...initialExamState, conduta: '', peso: '', hba1c: '', ldl: '' }); setIsSaving(false); }; const startNewExam = () => { const hasHAS = selectedPatient?.comorbidities?.includes('HAS'); const hasTabagismo = selectedPatient?.comorbidities?.includes('Tabagismo'); const highRiskComorbs = ['IAM prévio', 'AVC', 'DAOP', 'IC', 'DRC']; const hasLOA = selectedPatient?.comorbidities?.some(c => highRiskComorbs.includes(c)); setExamForm({ ...initialExamState, ha: hasHAS || false, tabagismo: hasTabagismo || false, loa: hasLOA || false }); setView('new-exam'); }; const startEditPatient = () => { setPatientForm({ name: selectedPatient.name, cpf: selectedPatient.cpf || '', birthDate: selectedPatient.birthDate, chartId: selectedPatient.chartId, diabetesType: selectedPatient.diabetesType, comorbidities: selectedPatient.comorbidities || [], medications: selectedPatient.medications || [] }); setView('edit-patient'); }; const conductOptions = [ { text: "Prescrevo creme hidratante (Ureia 10% / Nivea / Cerave) - aplicar diariamente, exceto entre os dedos.", icon: "🧴", label: "Hidratante" }, { text: "Encaminho para confecção de palmilha/órtese para alívio de pressão plantar.", icon: "👟", label: "Órtese" }, { text: "Encaminho à enfermagem para desbridamento de calosidades.", icon: "🩹", label: "Desbridamento" }, { text: "Encaminho ao cirurgião vascular para avaliação de pulsos.", icon: "🦶", label: "Vascular" }, { text: "Reforço orientações de corte reto das unhas e uso de calçados adequados.", icon: "✂️", label: "Unhas" } ]; if (!user) return
; if (appSection === 'welcome') { return (

Caderno de Saúde do Diabético

{DOCTOR_NAME} • {DOCTOR_CRM}
); } if (appSection === 'login') { return (

Área Restrita

Digite sua senha de acesso

{loginError &&

{loginError}

}

Dica: A senha é esf123

); } if (appSection === 'patient_area') { return setAppSection('welcome')} patients={patients} allExams={allExams} />; } return (