diff --git a/_layouts/default.html b/_layouts/default.html
index dc864fc..cb8ebb3 100644
--- a/_layouts/default.html
+++ b/_layouts/default.html
@@ -69,6 +69,15 @@
{% if page.custom_css %}
{% endif %}
+{% if page.url contains '/order-helper/' %}
+
+
+{% endif %}
{% if page.url contains '/order-helper/' %}
diff --git a/order-helper/app.js b/order-helper/app.js
index 2ca2150..b546324 100644
--- a/order-helper/app.js
+++ b/order-helper/app.js
@@ -1,716 +1,1114 @@
-
-
diff --git a/order-helper/data/rules.json b/order-helper/data/rules.json
index f1c8284..584776a 100644
--- a/order-helper/data/rules.json
+++ b/order-helper/data/rules.json
@@ -1,3 +1,4 @@
+<<<<<<< HEAD
{
"schema_version": "2.0",
"generated_at": "2025-09-15",
@@ -70,21 +71,87 @@
"Hip | Hip | None": ["73501"]
}
},
+=======
+
+{
+ "schema_version": "1.1",
+ "generated_at": "2025-08-19",
+ "modalities": {
+ "X-Ray": {
+ "regions": [
+ "Chest",
+ "Abdomen (KUB)",
+ "Pelvis",
+ "Skull",
+ "Cervical spine",
+ "Thoracic spine",
+ "Lumbar spine",
+ "Scoliosis series",
+ "Upper extremity",
+ "Lower extremity",
+ "Shoulder",
+ "Elbow",
+ "Wrist/Hand",
+ "Hip",
+ "Knee",
+ "Ankle/Foot",
+ "Skeleton survey"
+ ],
+ "contexts": [
+ "Acute",
+ "Trauma",
+ "Follow-up",
+ "Infection",
+ "Metastatic survey",
+ "Pre-operative",
+ "Post-operative"
+ ],
+ "conditions": [
+ "Fracture",
+ "Dislocation",
+ "Osteoarthritis",
+ "Evaluation for pneumonia",
+ "Effusion",
+ "Foreign body",
+ "Osteomyelitis",
+ "Metastasis",
+ "Scoliosis"
+ ],
+ "indication_templates": [
+ "X-Ray {region} — {context} for {condition}",
+ "X-Ray {region} — rule out {condition}"
+ ],
+ "notes": [
+ "Use two views (minimum) for trauma if possible.",
+ "Skeleton survey used for myeloma or metastatic disease patterns (consider bone scan if broader sensitivity is needed).",
+ "No contrast used for plain radiography."
+ ]
+}
+>>>>>>> 6490a75 (fix(order-helper): normalize rules.json (dash mojibake, array/comma/braces), validate JSON)
"CT": {
"regions": [
"Head/Brain",
"Sinuses",
+<<<<<<< HEAD
"Maxillofacial/Facial bones",
"Temporal bones/IAC",
"Neck",
"Chest",
"Low-dose Lung (Screening)",
+=======
+ "Maxillofacial/Facial Bones",
+ "Temporal Bones/IAC",
+ "Neck",
+ "Chest",
+ "Low‑Dose Lung CT (Screening)",
+>>>>>>> 6490a75 (fix(order-helper): normalize rules.json (dash mojibake, array/comma/braces), validate JSON)
"Abdomen",
"Pelvis",
"Abdomen/Pelvis",
"CT Urogram",
"CT Enterography",
+<<<<<<< HEAD
"Spine - Cervical",
"Spine - Thoracic",
"Spine - Lumbar",
@@ -601,4 +668,634 @@
]
}
+=======
+ "Spine – Cervical",
+ "Spine – Thoracic",
+ "Spine – Lumbar",
+ "Upper Extremity",
+ "Lower Extremity",
+ "Cardiac Coronary CTA",
+ "Angiography – Head/Neck CTA",
+ "Angiography – Chest CTA (PE)",
+ "Angiography – Aorta CTA",
+ "Angiography – Run‑off CTA (LE)"
+ ],
+ "contrast_options": [
+ { "value": "with_iv", "label": "With IV contrast" },
+ { "value": "without_iv", "label": "Without IV contrast" },
+ { "value": "oral", "label": "Add oral contrast (abd/pelvis)" },
+ { "value": "none", "label": "None / Not applicable" }
+ ],
+ "contexts": [
+ "Initial evaluation",
+ "Acute symptoms",
+ "Follow‑up",
+ "Pre‑operative planning",
+ "Post‑operative complication",
+ "Oncology staging",
+ "Oncology restaging / surveillance",
+ "Trauma",
+ "Screening",
+ "Infection / inflammation"
+ ],
+ "conditions": [
+ "Headache (sudden / thunderclap)",
+ "Head trauma",
+ "Stroke symptoms / TIA",
+ "Sinusitis",
+ "Neck mass",
+ "Pulmonary embolism suspected",
+ "Aortic dissection / aneurysm suspected",
+ "Lung nodule",
+ "Pneumonia complication",
+ "Abdominal pain RLQ (appendicitis)",
+ "Kidney stone / renal colic",
+ "Pancreatitis",
+ "Liver lesion characterization",
+ "Diverticulitis",
+ "Inflammatory bowel disease flare",
+ "Bowel obstruction",
+ "Post‑op abdomen",
+ "Hematuria",
+ "Cancer staging (specify primary)",
+ "Metastatic disease restaging",
+ "Spine trauma",
+ "Cervical radiculopathy",
+ "Spinal stenosis",
+ "Extremity fracture",
+ "Suspected osteomyelitis",
+ "Peripheral arterial disease (LE run‑off)"
+ ],
+ "indication_templates": [
+ "CT {region} – {context} for {condition}",
+ "CT {region} – rule out {condition}",
+ "CT {region} {contrast_text} – {context} ({condition})"
+ ],
+ "contrast_recommendations": [
+ { "match": ["kidney stone", "renal colic"], "suggest": "without_iv" },
+ { "match": ["appendicitis", "rlq"], "suggest": "with_iv" },
+ { "match": ["pe", "pulmonary embolism"], "suggest": "with_iv" },
+ { "match": ["aortic", "dissection", "aneurysm"], "suggest": "with_iv" },
+ { "match": ["liver lesion", "pancreatitis"], "suggest": "with_iv" },
+ { "match": ["bowel obstruction"], "suggest": "without_iv" },
+ { "match": ["trauma"], "suggest": "with_iv" },
+ { "match": ["low‑dose lung ct", "screening"], "suggest": "without_iv" }
+ ],
+ "notes": [
+ "CTA exams require IV contrast.",
+ "Oral contrast is site‑dependent for abdomen/pelvis—offered as an option.",
+ "This tool structures ordering; it is not medical advice."
+ ]
+ }
+ },
+ "records": [
+ {
+ "id": "PET-SB-MT-ONC",
+ "modality": "PET/CT",
+ "study_name": "FDG PET/CT — Skull Base to Mid-Thigh",
+ "cpt": ["78815"],
+ "icd10_common": ["C34.90", "C18.9", "C50.919", "C43.9", "C32.9", "C81.90", "C85.90"],
+ "contrast": "Radiotracer (± IV contrast on CT)",
+ "header_coverage": "Skull base → mid-thigh",
+ "contexts": ["staging", "restaging", "treatment response", "surveillance"],
+ "keywords": ["lymphoma", "nsclc", "lung cancer", "breast cancer", "colorectal", "colon cancer", "melanoma", "head and neck", "hnscc", "gastric", "pancreatic"],
+ "reasons": [
+ "FDG PET/CT for {context} of {condition}; evaluate disease extent, nodal involvement, and FDG-avid distant metastases."
+ ],
+ "prep": "Fast 4–6 h; avoid strenuous exercise 24 h; glucose <200 mg/dL.",
+ "supporting_docs": [
+ "Clinic note documenting diagnosis and clinical question.",
+ "Prior imaging/report.",
+ "Therapy timeline (chemo/radiation/surgery) and relevant labs."
+ ],
+ "flags": [
+ "Recent G-CSF can increase marrow uptake.",
+ "Hyperglycemia lowers tumor-to-background contrast."
+ ],
+ "prior_auth": { "requires_prior_auth": true, "step_imaging_required": true },
+ "tags": ["oncology-general"]
+ },
+ {
+ "id": "PET-WHOLEBODY",
+ "modality": "PET/CT",
+ "study_name": "FDG PET/CT — Whole Body (Vertex to Toes)",
+ "cpt": ["78816"],
+ "icd10_common": ["C43.9", "C49.9", "C90.00", "M31.7", "R50.9"],
+ "contrast": "Radiotracer (± IV contrast on CT)",
+ "header_coverage": "Vertex → toes",
+ "contexts": ["staging", "restaging", "surveillance"],
+ "keywords": ["melanoma", "myeloma", "sarcoma", "vasculitis", "fever of unknown origin", "fuo"],
+ "reasons": [
+ "FDG PET/CT whole body for {context} of {condition}; evaluate for extremity involvement and FDG-avid metastatic/inflammatory disease."
+ ],
+ "prep": "Standard FDG fasting; keep patient warm to limit brown fat uptake.",
+ "supporting_docs": ["Referring note with suspicion/diagnosis.", "Biopsy/pathology if available.", "Prior imaging for correlation."],
+ "flags": ["Include extremities for melanoma/myeloma.", "Consider inflammatory patterns in vasculitis/FOU."],
+ "prior_auth": { "requires_prior_auth": true },
+ "tags": ["whole-body"]
+ },
+ {
+ "id": "PET-BRAIN-FDG",
+ "modality": "PET",
+ "study_name": "FDG Brain PET",
+ "cpt": ["78608"],
+ "icd10_common": ["F03.90", "G30.9", "G31.09", "G40.909"],
+ "contrast": "Radiotracer only",
+ "header_coverage": "Brain",
+ "contexts": ["dementia", "epilepsy"],
+ "keywords": ["alzheim", "frontotemporal", "ftd", "epilepsy", "seizure", "temporal lobe"],
+ "reasons": [
+ "FDG brain PET to evaluate cerebral metabolic patterns in {condition}; correlate with clinical and prior imaging."
+ ],
+ "prep": "Quiet, dim environment pre-injection; NPO; epilepsy timing per protocol.",
+ "supporting_docs": ["Neurology note with symptoms & question.", "Prior MRI/EEG."],
+ "flags": ["FDG patterns vary by dementia subtype.", "Medication/timing affects epilepsy localization."],
+ "prior_auth": { "requires_prior_auth": true, "specialist_referral_required": true },
+ "tags": ["neuro"]
+ },
+ {
+ "id": "PET-CARDIAC-FDG-VIABILITY",
+ "modality": "PET",
+ "study_name": "PET Cardiac FDG — Viability",
+ "cpt": ["78459", "78491", "78492"],
+ "icd10_common": ["I25.10", "I42.9"],
+ "contrast": "Radiotracer only",
+ "header_coverage": "Heart",
+ "contexts": ["viability"],
+ "keywords": ["viability", "ischemic cardiomyopathy", "hibernating myocardium"],
+ "reasons": [
+ "FDG PET to assess myocardial viability in ischemic cardiomyopathy; correlate with perfusion and echocardiography."
+ ],
+ "prep": "Glucose loading/insulin protocol per SOP; coordinate with perfusion.",
+ "supporting_docs": ["Cardiology note on revascularization decision.", "Echo/perfusion/coronary imaging reports."],
+ "flags": ["Glycemic control critical for image quality."],
+ "prior_auth": { "requires_prior_auth": true, "specialist_referral_required": true },
+ "tags": ["cardiac"]
+ },
+ {
+ "id": "PET-INFECTION-SB-MT",
+ "modality": "PET/CT",
+ "study_name": "FDG PET/CT — Infection/Inflammation (Skull Base to Mid-Thigh)",
+ "cpt": ["78815"],
+ "icd10_common": ["M86.9", "T84.59XA", "I33.0", "R50.9"],
+ "contrast": "Radiotracer (± IV contrast on CT)",
+ "header_coverage": "Skull base → mid-thigh",
+ "contexts": ["suspected infection"],
+ "keywords": ["osteomyelitis", "prosthetic joint", "infection", "endocarditis", "fuo"],
+ "reasons": [
+ "FDG PET/CT to evaluate suspected infection/inflammation related to {condition}; assess extent and possible sites of involvement."
+ ],
+ "prep": "Standard FDG fasting; review recent antibiotics.",
+ "supporting_docs": ["Clinical notes with symptoms/duration.", "WBC, CRP/ESR, cultures.", "Prior imaging for comparison."],
+ "flags": ["Prosthesis may show inflammatory uptake; interpret with context."],
+ "prior_auth": { "requires_prior_auth": true },
+ "tags": ["infection"]
+ },
+ {
+ "id": "PET-PSMA",
+ "modality": "PET/CT",
+ "study_name": "PSMA PET/CT — Prostate Cancer",
+ "cpt": ["78815", "78816"],
+ "icd10_common": ["C61", "R97.21"],
+ "contrast": "Radiotracer (PSMA) ± IV contrast CT",
+ "header_coverage": "Skull base → mid-thigh or whole body",
+ "contexts": ["staging", "biochemical recurrence"],
+ "keywords": ["prostate", "psa"],
+ "reasons": [
+ "PSMA PET/CT for {context} in prostate cancer; localize recurrence/metastases to guide therapy."
+ ],
+ "prep": "Hydration; void frequently; follow tracer-specific guidance.",
+ "supporting_docs": ["PSA level and trend.", "Prior therapy and pathology."],
+ "flags": [],
+ "prior_auth": { "requires_prior_auth": true, "specialist_referral_required": true },
+ "tags": ["prostate"]
+ },
+ {
+ "id": "PET-DOTATATE",
+ "modality": "PET/CT",
+ "study_name": "DOTATATE PET/CT — Neuroendocrine Tumor",
+ "cpt": ["78815", "78816"],
+ "icd10_common": ["C7A.8", "C7B.8", "D3A.8"],
+ "contrast": "Radiotracer (Ga-68/Lu-177) ± IV contrast CT",
+ "header_coverage": "Skull base → mid-thigh or whole body",
+ "contexts": ["staging", "restaging", "surveillance"],
+ "keywords": ["NET", "neuroendocrine tumor", "carcinoid"],
+ "reasons": [
+ "DOTATATE PET/CT to stage/restage neuroendocrine tumor and evaluate metastases/recurrence."
+ ],
+ "prep": "Hydration; withhold long-acting somatostatin analogs per protocol.",
+ "supporting_docs": ["Pathology and tumor grade if known.", "Prior imaging for comparison."],
+ "flags": [],
+ "prior_auth": { "requires_prior_auth": true, "specialist_referral_required": true },
+ "tags": ["NET"]
+ },
+ {
+ "id": "CT-HEAD-WO",
+ "modality": "CT",
+ "study_name": "CT Head without Contrast",
+ "cpt": ["70450"],
+ "icd10_common": ["I63.9", "S06.9X9A", "R51.9", "R42"],
+ "contrast": "Without",
+ "header_coverage": "Head",
+ "reasons": ["Acute stroke/TIA evaluation.", "Head trauma.", "Severe headache/new neuro deficit."],
+ "prep": "Remove metal; pregnancy screen PRN.",
+ "prior_auth": { "requires_prior_auth": false },
+ "tags": ["neuro", "emergency"]
+ },
+ {
+ "id": "CTA-HEAD-NECK",
+ "modality": "CT",
+ "study_name": "CTA Head & Neck (Stroke/Aneurysm)",
+ "cpt": ["70496", "70498"],
+ "icd10_common": ["I65.23", "I67.1", "I63.9", "G45.9"],
+ "contrast": "With (arterial bolus)",
+ "header_coverage": "Head & Neck arteries",
+ "reasons": ["Large-vessel occlusion/aneurysm/stenosis evaluation."],
+ "prep": "Creatinine per policy; 18–20G IV.",
+ "prior_auth": { "requires_prior_auth": true },
+ "tags": ["neuro", "vascular"]
+ },
+ {
+ "id": "CT-PE-CTPA",
+ "modality": "CT",
+ "study_name": "CT Pulmonary Angiography (PE Protocol)",
+ "cpt": ["71275"],
+ "icd10_common": ["I26.99", "R06.02", "R07.9", "R79.1"],
+ "contrast": "With (arterial bolus)",
+ "header_coverage": "Chest (PE protocol)",
+ "reasons": ["Suspected pulmonary embolism with elevated clinical probability or D-dimer."],
+ "prep": "Check creatinine; allergy premedication if needed.",
+ "prior_auth": { "requires_prior_auth": true },
+ "tags": ["chest", "vascular"]
+ },
+ {
+ "id": "CT-ABD-PEL-W",
+ "modality": "CT",
+ "study_name": "CT Abdomen/Pelvis with Contrast",
+ "cpt": ["74177"],
+ "icd10_common": ["R10.9", "K56.60", "C18.9", "K57.30", "N20.0"],
+ "contrast": "With",
+ "header_coverage": "Abdomen & Pelvis",
+ "reasons": ["Acute abdomen pain/obstruction.", "Cancer staging.", "Suspected appendicitis/diverticulitis."],
+ "prep": "NPO 3–4 h; oral contrast per protocol.",
+ "prior_auth": { "requires_prior_auth": true },
+ "tags": ["abdomen", "oncology"]
+ },
+ {
+ "id": "CT-UROGRAM",
+ "modality": "CT",
+ "study_name": "CT Urogram (A/P w & w/o)",
+ "cpt": ["74178"],
+ "icd10_common": ["R31.9", "R31.0", "N28.89", "C67.9"],
+ "contrast": "With & Without",
+ "header_coverage": "Kidneys, ureters, bladder",
+ "reasons": ["Hematuria evaluation (risk-stratified).", "Suspected upper tract urothelial carcinoma."],
+ "prep": "Hydration; renal labs per policy.",
+ "prior_auth": { "requires_prior_auth": true, "specialist_referral_required": true },
+ "tags": ["gu"]
+ },
+ {
+ "id": "MRI-BRAIN-WWO",
+ "modality": "MRI",
+ "study_name": "MRI Brain w & w/o Contrast",
+ "cpt": ["70553"],
+ "icd10_common": ["G35", "R56.9", "G45.9", "C71.9", "F03.90"],
+ "contrast": "With & Without",
+ "header_coverage": "Brain",
+ "reasons": ["Tumor, MS, seizures, subacute stroke, dementia workup."],
+ "prep": "Metal screen; GFR if CKD.",
+ "prior_auth": { "requires_prior_auth": true },
+ "tags": ["neuro"]
+ },
+ {
+ "id": "MRI-IAC",
+ "modality": "MRI",
+ "study_name": "MRI IAC / Temporal Bone",
+ "cpt": ["70553"],
+ "icd10_common": ["H91.90", "H93.19", "D33.3", "H81.399"],
+ "contrast": "With & Without",
+ "header_coverage": "IACs/CPA",
+ "reasons": ["Asymmetric SNHL, vestibular schwannoma, complex vertigo."],
+ "prep": "Standard MRI screening; GFR as needed.",
+ "prior_auth": { "requires_prior_auth": true, "specialist_referral_required": true },
+ "tags": ["neuro", "ent"]
+ },
+ {
+ "id": "MRI-TMJ",
+ "modality": "MRI",
+ "study_name": "MRI Temporomandibular Joints",
+ "cpt": ["70336"],
+ "icd10_common": ["M26.609", "R68.84"],
+ "contrast": "Without (± With if tumor/infection)",
+ "header_coverage": "Bilateral TMJs with open/closed mouth",
+ "reasons": ["TMJ dysfunction, locking, pain refractory to conservative care."],
+ "prep": "Remove dental metal; bite blocks per protocol.",
+ "prior_auth": { "requires_prior_auth": true, "specialist_referral_required": true, "step_imaging_required": true },
+ "tags": ["msk", "ent", "dental"]
+ },
+ {
+ "id": "MRI-BRACHIAL-PLEXUS",
+ "modality": "MRI",
+ "study_name": "MRI Brachial Plexus w & w/o",
+ "cpt": ["73223"],
+ "icd10_common": ["G54.0", "S14.3XXA", "C47.3"],
+ "contrast": "With & Without",
+ "header_coverage": "Roots to cords",
+ "reasons": ["Traction injury, tumor, radiation plexopathy."],
+ "prep": "Consider sedation if needed.",
+ "prior_auth": { "requires_prior_auth": true, "specialist_referral_required": true },
+ "tags": ["neuro", "msk"]
+ },
+ {
+ "id": "MR-NEUROGRAPHY-LE",
+ "modality": "MRI",
+ "study_name": "MR Neurography — Lower Extremity",
+ "cpt": ["73720"],
+ "icd10_common": ["G57.00", "G57.10", "G57.90"],
+ "contrast": "Without (± With for mass/inflammation)",
+ "header_coverage": "Target nerve course",
+ "reasons": ["Entrapment/neuropathy after failed conservative therapy; traumatic nerve injury."],
+ "prep": "Standard MRI screening.",
+ "prior_auth": { "requires_prior_auth": true, "specialist_referral_required": true, "step_imaging_required": true },
+ "tags": ["neuro", "msk"]
+ },
+ {
+ "id": "MRI-LSPINE-WWO",
+ "modality": "MRI",
+ "study_name": "MRI Lumbar Spine w & w/o",
+ "cpt": ["72158"],
+ "icd10_common": ["M54.16", "M48.061", "G95.9", "M51.36"],
+ "contrast": "With & Without",
+ "header_coverage": "Lumbar spine",
+ "reasons": ["Radiculopathy/stenosis with neuro deficits or failed 4–6 wks conservative therapy; infection; tumor."],
+ "prep": "Metal screen; GFR if CKD.",
+ "prior_auth": { "requires_prior_auth": true, "step_imaging_required": true },
+ "tags": ["spine"]
+ },
+ {
+ "id": "MRI-PROSTATE-PI-RADS",
+ "modality": "MRI",
+ "study_name": "MRI Prostate (PI-RADS) w & w/o",
+ "cpt": ["72197"],
+ "icd10_common": ["R97.20", "C61"],
+ "contrast": "With & Without",
+ "header_coverage": "Prostate & seminal vesicles",
+ "reasons": ["Elevated PSA/biochemical recurrence; staging prior to therapy."],
+ "prep": "NPO 3–4 h; rectal prep per site.",
+ "prior_auth": { "requires_prior_auth": true, "specialist_referral_required": true },
+ "tags": ["gu", "oncology"]
+ },
+ {
+ "id": "US-ABD-COMP",
+ "modality": "Ultrasound",
+ "study_name": "Abdominal Ultrasound — Complete",
+ "cpt": ["76700"],
+ "icd10_common": ["R10.11", "K80.20", "K76.0", "K74.60"],
+ "contrast": "None",
+ "header_coverage": "Abdomen",
+ "reasons": ["RUQ pain/gallstones; liver disease; abnormal LFTs."],
+ "prep": "NPO 6–8 h.",
+ "prior_auth": { "requires_prior_auth": false },
+ "tags": ["abdomen"]
+ },
+ {
+ "id": "US-PELVIC-TV",
+ "modality": "Ultrasound",
+ "study_name": "Pelvic Ultrasound (Transabdominal + Transvaginal)",
+ "cpt": ["76856", "76830"],
+ "icd10_common": ["N93.9", "N83.209", "D25.9", "R10.2", "Z32.01"],
+ "contrast": "None",
+ "header_coverage": "Pelvis",
+ "reasons": ["AUB, pelvic pain, ovarian cyst, fibroids, early pregnancy viability."],
+ "prep": "Full bladder for TA; empty for TV; document LMP.",
+ "prior_auth": { "requires_prior_auth": false },
+ "tags": ["gyn"]
+ },
+ {
+ "id": "US-CAROTID",
+ "modality": "Ultrasound",
+ "study_name": "Carotid Duplex (Bilateral)",
+ "cpt": ["93880"],
+ "icd10_common": ["I65.23", "G45.9", "R09.89"],
+ "contrast": "None",
+ "header_coverage": "Carotid arteries",
+ "reasons": ["TIA/stroke symptoms, carotid bruit/stenosis follow-up."],
+ "prep": "None.",
+ "prior_auth": { "requires_prior_auth": false },
+ "tags": ["vascular"]
+ },
+ {
+ "id": "US-LE-VENOUS",
+ "modality": "Ultrasound",
+ "study_name": "Lower Extremity Venous Duplex (DVT) — Bilateral",
+ "cpt": ["93970"],
+ "icd10_common": ["I82.4Z3", "M79.89", "R22.40"],
+ "contrast": "None",
+ "header_coverage": "LE veins",
+ "reasons": ["Leg swelling/pain; rule out DVT."],
+ "prep": "None.",
+ "prior_auth": { "requires_prior_auth": false },
+ "tags": ["vascular"]
+ },
+ {
+ "id": "XR-CHEST-2V",
+ "modality": "X-Ray",
+ "study_name": "Chest X-ray (2 Views)",
+ "cpt": ["71046"],
+ "icd10_common": ["R05.9", "R06.02", "R07.9", "J18.9"],
+ "contrast": "None",
+ "header_coverage": "Chest",
+ "reasons": ["Cough/SOB/chest pain; pneumonia; trauma baseline."],
+ "prep": "None.",
+ "prior_auth": { "requires_prior_auth": false },
+ "tags": ["chest"]
+ },
+ {
+ "id": "XR-KUB",
+ "modality": "X-Ray",
+ "study_name": "Abdomen X-ray (KUB)",
+ "cpt": ["74018"],
+ "icd10_common": ["R10.9", "K59.00", "R14.0", "N20.0", "K56.60"],
+ "contrast": "None",
+ "header_coverage": "Abdomen",
+ "reasons": ["Obstruction/constipation/stone follow-up."],
+ "prep": "None.",
+ "prior_auth": { "requires_prior_auth": false },
+ "tags": ["abdomen"]
+ },
+ {
+ "id": "NM-HIDA",
+ "modality": "Nuclear Medicine",
+ "study_name": "HIDA (± Ejection Fraction)",
+ "cpt": ["78226", "78227"],
+ "icd10_common": ["K81.0", "K82.8", "R10.11"],
+ "contrast": "Radiotracer",
+ "header_coverage": "Hepatobiliary",
+ "reasons": ["Acute cholecystitis; biliary dyskinesia (with EF)."],
+ "prep": "NPO 4–6 h; withhold opiates 4–6 h.",
+ "prior_auth": { "requires_prior_auth": true },
+ "tags": ["hepatobiliary"]
+ },
+ {
+ "id": "NM-BONE-WB",
+ "modality": "Nuclear Medicine",
+ "study_name": "Bone Scan — Whole Body",
+ "cpt": ["78306", "78320"],
+ "icd10_common": ["C79.51", "M84.48XA", "M86.9"],
+ "contrast": "Radiotracer",
+ "header_coverage": "Whole skeleton",
+ "reasons": ["Bone metastases evaluation; occult fractures; osteomyelitis."],
+ "prep": "Hydration; frequent voiding.",
+ "prior_auth": { "requires_prior_auth": true },
+ "tags": ["msk", "oncology"]
+ },
+ {
+ "id": "IR-PARACENTESIS",
+ "modality": "IR",
+ "study_name": "US-Guided Paracentesis",
+ "cpt": ["49083"],
+ "icd10_common": ["R18.8", "K70.31", "K74.60"],
+ "contrast": "None",
+ "header_coverage": "Peritoneal cavity",
+ "reasons": ["Diagnostic or therapeutic removal of ascites."],
+ "prep": "Consent; INR/platelets; anticoagulant plan.",
+ "prior_auth": { "requires_prior_auth": false },
+ "tags": ["procedure"]
+ },
+ {
+ "id": "IR-LUNG-BIOPSY",
+ "modality": "IR",
+ "study_name": "CT-Guided Lung Biopsy",
+ "cpt": ["32408"],
+ "icd10_common": ["R91.1", "C34.90"],
+ "contrast": "None",
+ "header_coverage": "Target lung lesion",
+ "reasons": ["Tissue diagnosis of pulmonary nodule/mass."],
+ "prep": "Consent; INR/platelets; post-procedure CXR per policy.",
+ "prior_auth": { "requires_prior_auth": true, "specialist_referral_required": true },
+ "tags": ["procedure", "oncology"]
+ }
+ ]
+}
+
+[
+ {
+ "modality": "PET/CT",
+ "region": "Skull base to mid-thigh",
+ "contexts": ["staging", "restaging", "treatment response", "surveillance"],
+ "keywords": ["lymphoma", "nsclc", "lung cancer", "breast cancer", "colorectal", "colon cancer", "melanoma", "head and neck", "hnscc", "gastric", "pancreatic"],
+ "header": "PET/CT Skull Base to Mid-Thigh",
+ "reasons": [
+ "FDG PET/CT for {context} of {condition}; evaluate extent of disease, nodal involvement, and FDG-avid distant metastases."
+ ],
+ "prep_notes": [
+ "Fast 4–6 hours; avoid strenuous exercise for 24 hours.",
+ "Check blood glucose per facility protocol; avoid recent high-dose steroids if possible."
+ ],
+ "supporting_docs": [
+ "Recent clinic note documenting diagnosis and clinical question.",
+ "Prior imaging/report if available.",
+ "Therapy timeline (chemo/radiation/surgery) and relevant labs."
+ ],
+ "flags": [
+ "Recent G-CSF can increase marrow uptake.",
+ "Hyperglycemia may reduce FDG tumor-to-background contrast."
+ ],
+ "tags": ["oncology-general"]
+ },
+ {
+ "modality": "PET/CT",
+ "region": "Whole body",
+ "contexts": ["staging", "restaging", "surveillance"],
+ "keywords": ["melanoma", "myeloma", "sarcoma", "vasculitis", "fever of unknown origin", "fuo"],
+ "header": "PET/CT Whole Body",
+ "reasons": [
+ "FDG PET/CT whole body for {context} of {condition}; evaluate for extra-axial/extremity involvement and FDG-avid metastatic or inflammatory disease."
+ ],
+ "prep_notes": [
+ "Standard FDG fasting instructions.",
+ "Ensure patient warmth to limit brown fat uptake when possible."
+ ],
+ "supporting_docs": [
+ "Referring note with suspicion/diagnosis.",
+ "Any biopsy/pathology available.",
+ "Prior imaging for correlation."
+ ],
+ "flags": [
+ "Consider coverage of extremities for melanoma/myeloma.",
+ "Consider inflammatory patterns in vasculitis/FOU."
+ ],
+ "tags": ["whole-body"]
+ },
+ {
+ "modality": "PET",
+ "region": "Brain",
+ "contexts": ["dementia", "epilepsy"],
+ "keywords": ["alzheim", "dementia", "frontotemporal", "ftd", "epilepsy", "seizure", "temporal lobe"],
+ "header": "PET Brain FDG",
+ "reasons": [
+ "FDG brain PET to evaluate cerebral metabolic patterns in {condition}; correlate with clinical and prior imaging."
+ ],
+ "prep_notes": [
+ "Quiet, dim environment pre-injection.",
+ "For epilepsy protocols, follow ictal/interictal timing per local procedure."
+ ],
+ "supporting_docs": [
+ "Neurology note describing symptoms and clinical question.",
+ "Prior MRI/EEG as applicable."
+ ],
+ "flags": [
+ "FDG patterns vary by dementia subtype.",
+ "Medication/timing can affect epilepsy localization."
+ ],
+ "tags": ["neuro"]
+ },
+ {
+ "modality": "PET",
+ "region": "Cardiac",
+ "contexts": ["viability"],
+ "keywords": ["viability", "ischemic cardiomyopathy", "hibernating myocardium"],
+ "header": "PET Cardiac FDG Viability",
+ "reasons": [
+ "FDG PET to assess myocardial viability in ischemic cardiomyopathy; correlate with perfusion and echocardiographic findings."
+ ],
+ "prep_notes": [
+ "Cardiac viability glucose loading/insulin protocol per local SOP.",
+ "Coordinate with perfusion imaging if performed."
+ ],
+ "supporting_docs": [
+ "Cardiology note with revascularization question.",
+ "Prior echo/perfusion/coronary imaging reports."
+ ],
+ "flags": [
+ "Glycemic control critical for image quality.",
+ "Confirm compatibility with current therapies."
+ ],
+ "tags": ["cardiac"]
+ },
+ {
+ "modality": "PET/CT",
+ "region": "Skull base to mid-thigh",
+ "contexts": ["suspected infection"],
+ "keywords": ["osteomyelitis", "prosthetic joint", "infection", "endocarditis", "fever of unknown origin", "fuo"],
+ "header": "PET/CT Skull Base to Mid-Thigh",
+ "reasons": [
+ "FDG PET/CT to evaluate suspected infection/inflammation related to {condition}; assess extent of disease and potential sites of involvement."
+ ],
+ "prep_notes": [
+ "Standard FDG fasting; review recent antibiotic therapy that may impact findings."
+ ],
+ "supporting_docs": [
+ "Clinical notes with symptoms/duration.",
+ "Relevant labs (WBC, CRP/ESR), culture results if available.",
+ "Prior imaging for comparison."
+ ],
+ "flags": [
+ "Device/prosthesis can show inflammatory uptake; interpret in clinical context.",
+ "Consider tailored coverage if peripheral involvement suspected."
+ ],
+ "tags": ["infection"]
+ }
+]
+>>>>>>> 6490a75 (fix(order-helper): normalize rules.json (dash mojibake, array/comma/braces), validate JSON)
diff --git a/order-helper/index.html b/order-helper/index.html
index d3a7867..ef7a073 100644
--- a/order-helper/index.html
+++ b/order-helper/index.html
@@ -2,24 +2,32 @@
layout: default
title: OraDigit Order Helper
permalink: /order-helper/
-description: Evidence-based PET/CT, CT, MRI, US, X-Ray — structured order helper with validation and PDF export. No PHI. Educational use only.
-oh_loader: true
+description: Evidence-based PET/CT, CT, and MRI order helper with validation and export. No PHI. Educational use only.
---
-
-
-
+
+
+
@@ -30,200 +38,293 @@
if (!s) return;
try {
const url = document.querySelector('meta[name="oh-rules-path"]')?.content;
- if (!url) { s.textContent = 'Missing oh-rules-path meta.'; s.className = 'oh-status error'; return; }
+ if (!url) { s.textContent = 'Missing oh-rules-path meta.'; s.className = 'status error'; return; }
s.textContent = 'Boot check… fetching rules…';
const r = await fetch(url, { cache: 'no-store' });
- if (r.ok) { s.textContent = 'Boot check OK. Loading app…'; s.className = 'oh-status success'; }
- else { s.textContent = `Rules fetch failed (${r.status}). Check path/case: ` + url; s.className = 'oh-status error'; }
+ if (r.ok) { s.textContent = 'Boot check OK. Loading app…'; s.className = 'status success'; }
+ else { s.textContent = `Rules fetch failed (${r.status}). Check path/case: ` + url; s.className = 'status error'; }
} catch (e) {
s.textContent = 'Rules fetch error: ' + e.message;
- s.className = 'oh-status error';
+ s.className = 'status error';
}
});
-
- Structure payer-ready imaging orders. Select modality and context; we’ll generate a professional
- clinical indication, show prep/flags, and export a PDF. All client-side. No PHI.
+
+ Structure clear, payer-ready imaging orders. Select modality and context; we’ll generate
+ a professional clinical indication and surface prep/flags. All client-side. No PHI.
OraDigit Order Helper
-