MDS-Aligned Clinical Documentation & Compliance for Nursing Homes

import { Mixpeek } from 'mixpeek';

const client = new Mixpeek({ apiKey: process.env.MIXPEEK_API_KEY });

// Connect to clinical documentation
await client.buckets.connect({
  collection_id: 'nursing-home-clinical-docs',
  bucket_uri: 's3://facility-ehr-documents/',
  filters: {
    file_types: ['pdf', 'jpg', 'png', 'docx']
  }
});

// Index clinical documents with extractors
await client.index.embed({
  collection_id: 'nursing-home-clinical-docs',
  extractors: [
    'document-parser',        // Extract text from PDFs/scans
    'entity-extraction',      // Medications, diagnoses, symptoms
    'medical-classification', // MDS section classification
    'image-embedding'         // Wound photos, skin assessments
  ],
  metadata: {
    facility_id: 'facility-123',
    mds_version: '3.0'
  }
});

// Search for fall incidents (MDS Section J)
const fallIncidents = await client.retrieve({
  collection_id: 'nursing-home-clinical-docs',
  query: 'fall with injury resident mobility decline',
  filters: {
    mds_section: 'J_Health_Conditions',
    incident_type: 'fall_with_injury',
    date_range: { start: '2024-01-01', end: '2024-12-31' }
  }
});

console.log(`Found ${fallIncidents.results.length} fall incidents`);

// Analyze wound photo
const woundAnalysis = await client.retrieve({
  collection_id: 'nursing-home-clinical-docs',
  query: { object_id: 'wound-photo-123.jpg' },
  extractors: ['medical-classification', 'image-embedding']
});

// Extract wound details from metadata
const woundData = {
  ulcer_stage: woundAnalysis.extracted.wound_stage,  // Stage 1-4
  location: woundAnalysis.extracted.body_location,
  size_cm2: woundAnalysis.extracted.area_measurement,
  healing_status: woundAnalysis.extracted.progression
};

// Generate audit package for a resident
const auditDocs = await client.retrieve({
  collection_id: 'nursing-home-clinical-docs',
  filters: {
    resident_id: 'resident-456',
    date_range: { start: '2024-Q1', end: '2024-Q4' },
    document_types: ['assessment', 'incident', 'wound_photo', 'care_plan']
  },
  sort: 'date_asc'
});

// Check compliance gaps
const missingDocs = auditDocs.results.filter(
  doc => !doc.metadata.signature || !doc.metadata.timestamp
);

console.log(`Audit ready: ${missingDocs.length === 0}`);