Files
HealthLog/src/lib/labs/__tests__/parse-reference-range.test.ts
T
Marc-André Bombeck fd2bd67ff3 feat(labs): keep the reference range a report prints beside a value
A lab runs its own method on its own device, so the window a physician
evaluates a value against is the one printed next to it on that report,
not a catalog band averaged over every lab. Reading a report pulled the
value and dropped that range: the extraction asked for it, the commit
handed it to the biomarker resolver, and the resolver only uses it when
it mints a NEW marker. For every analyte the user already had — the
normal case after a first panel — the printed range was read and then
thrown away.

Add `sourceReferenceLow` / `sourceReferenceHigh` / `sourceReferenceText`
to `LabResult` and carry the range from the report to the reading. The
text is stored whether or not numbers can be read out of it, because
"bis 5,0" and "negativ" state a window too; a range that could not be
parsed is kept verbatim, never replaced with invented bounds.

`resolveEffectiveReferenceRange` is the one place the precedence lives:
the source window wins for that single reading, and the catalog stays
the net for readings without one. A printed string with no derivable
bound does not displace the catalog. Every surface that judges a
reading routes through it — the API verdict, the doctor report, the
insights blocks and per-marker assessment, the coach snapshot, the MCP
read and the FHIR `referenceRange` — so a value cannot read in range on
one surface and out on another.

The API keeps `referenceLow` / `referenceHigh` as the window in force,
so a client that reads only those two renders the right range and the
right verdict with no change of its own; the catalog band, the source
window, its origin and a divergence flag ride alongside for clients
that want to show both.

Read side: the chart draws the source window as a second, visually
distinct band with the reading it came from named beneath it, the
reading rows name the printed range and the catalog band where the two
disagree, and the doctor-report PDF prints the report's own string with
a footnote naming the saved range. Entry side: one optional field on
the lab form, folded away until asked for, and the printed range is
editable on the scan review screen.

The range parser covers the notations German and English reports
actually print — two-sided, one-sided, comma or dot decimals, thousands
separators, trailing units — reads units without ever converting them,
and refuses to guess on anything ambiguous.
2026-08-07 21:40:41 +02:00

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import { describe, expect, it } from "vitest";
import { parseReferenceRange } from "@/lib/labs/parse-reference-range";
/**
* Real-shaped strings, taken from the notation German and English lab reports
* actually print. The parser's contract is asymmetric on purpose: deriving a
* bound is best-effort, KEEPING the printed string is mandatory. Every case
* below therefore asserts the verbatim text survives, and only the cases that
* can be read without guessing assert bounds.
*/
describe("parseReferenceRange — two-sided windows", () => {
it.each([
["3.5-5.0", 3.5, 5],
["3,5-5,0", 3.5, 5],
["3.5 - 5.0", 3.5, 5],
["3,5 – 5,0", 3.5, 5],
["3,5 — 5,0", 3.5, 5],
["3,5 bis 5,0", 3.5, 5],
["3.5 to 5.0", 3.5, 5],
["3,5 ... 5,0", 3.5, 5],
["3,5 .. 5,0", 3.5, 5],
["von 3,5 bis 5,0", 3.5, 5],
["[3,5 - 5,0]", 3.5, 5],
["(3.5-5.0)", 3.5, 5],
])("reads %s as %s..%s", (raw, low, high) => {
const parsed = parseReferenceRange(raw);
expect(parsed).toEqual({ low, high, text: raw.trim() });
});
it("reads a negative lower bound (base excess prints one)", () => {
expect(parseReferenceRange("-2,0 bis +3,0")).toEqual({
low: -2,
high: 3,
text: "-2,0 bis +3,0",
});
});
it("reads a German thousands separator as one number, not a decimal", () => {
// Platelets print as "150.000 - 400.000 /µl" on a German report. Reading
// the dot as a decimal point would yield a 150–400 window and silently
// flag every normal count as wildly high.
expect(parseReferenceRange("150.000 - 400.000")).toEqual({
low: 150000,
high: 400000,
text: "150.000 - 400.000",
});
});
it("reads an English thousands separator", () => {
expect(parseReferenceRange("150,000 - 400,000")).toEqual({
low: 150000,
high: 400000,
text: "150,000 - 400,000",
});
});
it("refuses a transposed window rather than swapping it", () => {
// Swapping would be a guess about which digit the lab meant to print.
expect(parseReferenceRange("5,0 - 3,5")).toEqual({
low: null,
high: null,
text: "5,0 - 3,5",
});
});
});
describe("parseReferenceRange — one-sided windows", () => {
it.each([
["< 5", 5],
["<5,0", 5],
["≤ 5", 5],
["<= 5", 5],
["bis 5,0", 5],
["bis zu 5,0", 5],
["max. 5,0", 5],
["max 5", 5],
["kleiner 5", 5],
["unter 5", 5],
["up to 5.0", 5],
])("reads %s as an upper bound of %s", (raw, high) => {
expect(parseReferenceRange(raw)).toEqual({
low: null,
high,
text: raw.trim(),
});
});
it.each([
["> 3.5", 3.5],
[">3,5", 3.5],
["≥ 3,5", 3.5],
[">= 3.5", 3.5],
["ab 3,5", 3.5],
["min. 3,5", 3.5],
["mind. 3,5", 3.5],
["mindestens 3,5", 3.5],
["größer 3,5", 3.5],
["groesser 3,5", 3.5],
["über 3,5", 3.5],
])("reads %s as a lower bound of %s", (raw, low) => {
expect(parseReferenceRange(raw)).toEqual({
low,
high: null,
text: raw.trim(),
});
});
});
describe("parseReferenceRange — units", () => {
it("reads a window that carries the reading's own unit", () => {
expect(parseReferenceRange("3,5 - 5,0 mmol/l", "mmol/L")).toEqual({
low: 3.5,
high: 5,
text: "3,5 - 5,0 mmol/l",
});
});
it("reads a trailing unit when the caller states none", () => {
expect(parseReferenceRange("0,5 - 1,2 mg/dl")).toEqual({
low: 0.5,
high: 1.2,
text: "0,5 - 1,2 mg/dl",
});
});
it("refuses bounds when the printed unit contradicts the reading's unit", () => {
// Converting mmol/L into mg/dL is interpretation and needs an analyte-
// specific factor. Keeping the string and no bounds is the honest answer.
const parsed = parseReferenceRange("3,5 - 5,0 mmol/l", "mg/dL");
expect(parsed).toEqual({
low: null,
high: null,
text: "3,5 - 5,0 mmol/l",
});
});
it("matches units case- and space-insensitively", () => {
expect(parseReferenceRange("< 5 MG/DL", "mg/dl")).toEqual({
low: null,
high: 5,
text: "< 5 MG/DL",
});
});
it("tolerates a percent window against a percent reading", () => {
expect(parseReferenceRange("4,0 - 6,0 %", "%")).toEqual({
low: 4,
high: 6,
text: "4,0 - 6,0 %",
});
});
});
describe("parseReferenceRange — text the parser must not invent bounds for", () => {
it.each([
"negativ",
"negative",
"nicht nachweisbar",
"siehe Befund",
"n.n.",
"unauffällig",
"altersabhängig",
"methodenabhängig",
])("keeps %s verbatim with no bounds", (raw) => {
expect(parseReferenceRange(raw)).toEqual({
low: null,
high: null,
text: raw,
});
});
it("keeps a bare number verbatim without treating it as a bound", () => {
// "5,0" alone states neither a ceiling nor a floor; picking one would be
// the parser deciding what the report meant.
expect(parseReferenceRange("5,0")).toEqual({
low: null,
high: null,
text: "5,0",
});
});
it("keeps a three-number string verbatim", () => {
expect(parseReferenceRange("3,5 - 5,0 - 7,0")).toEqual({
low: null,
high: null,
text: "3,5 - 5,0 - 7,0",
});
});
it("caps an over-long string rather than storing a whole paragraph", () => {
const parsed = parseReferenceRange("x".repeat(500));
expect(parsed?.text).toHaveLength(120);
expect(parsed?.low).toBeNull();
expect(parsed?.high).toBeNull();
});
it("collapses internal whitespace so the stored string stays one line", () => {
expect(parseReferenceRange(" 3,5\n\t- 5,0 ")).toEqual({
low: 3.5,
high: 5,
text: "3,5 - 5,0",
});
});
});
describe("parseReferenceRange — absence", () => {
it.each([null, undefined, "", " "])("returns null for %s", (raw) => {
expect(parseReferenceRange(raw)).toBeNull();
});
it("refuses a non-finite bound", () => {
expect(parseReferenceRange("1e999 - 2e999")).toEqual({
low: null,
high: null,
text: "1e999 - 2e999",
});
});
});