add doctor feedback

app/doctor/_components/analysis-fallback.tsx

@@ -0,0 +1,27 @@
+'use server';
+
+import React from 'react';
+
+import { Spinner } from '@kit/ui/makerkit/spinner';
+import { Trans } from '@kit/ui/makerkit/trans';
+import { Progress } from '@kit/ui/shadcn/progress';
+
+import { withI18n } from '~/lib/i18n/with-i18n';
+
+const AnalysisFallback = ({
+  progress,
+  progressTextKey,
+}: {
+  progress: number;
+  progressTextKey: string;
+}) => {
+  return (
+    <div className="flex flex-col items-center justify-center gap-4 py-10">
+      <Trans i18nKey={progressTextKey} />
+      <Spinner />
+      <Progress value={progress} />
+    </div>
+  );
+};
+
+export default withI18n(AnalysisFallback);

app/doctor/_components/analysis-feedback.tsx

@@ -16,6 +16,7 @@ import { zodResolver } from '@hookform/resolvers/zod';
 import { useQueryClient } from '@tanstack/react-query';
 import { useForm } from 'react-hook-form';
 
+import { Spinner } from '@kit/ui/makerkit/spinner';
 import { Trans } from '@kit/ui/makerkit/trans';
 import { Button } from '@kit/ui/shadcn/button';
 import {
@@ -32,12 +33,21 @@ const AnalysisFeedback = ({
   feedback,
   patient,
   order,
+  aiDoctorFeedback,
+  timestamp,
+  recommendations,
+  isRecommendationsEdited,
 }: {
   feedback?: DoctorFeedback;
   patient: Patient;
   order: Order;
+  aiDoctorFeedback?: string;
+  timestamp?: string;
+  recommendations: string[];
+  isRecommendationsEdited: boolean;
 }) => {
   const [isDraftSubmitting, setIsDraftSubmitting] = useState(false);
+  const [isSubmittingFeedback, setIsSubmittingFeedback] = useState(false);
   const [isConfirmOpen, setIsConfirmOpen] = useState(false);
   const { data: user } = useUser();
   const queryClient = useQueryClient();
@@ -46,7 +56,7 @@ const AnalysisFeedback = ({
     resolver: zodResolver(doctorAnalysisFeedbackFormSchema),
     reValidateMode: 'onChange',
     defaultValues: {
-      feedbackValue: feedback?.value ?? '',
+      feedbackValue: feedback?.value ?? aiDoctorFeedback ?? '',
       userId: patient.userId,
     },
   });
@@ -71,23 +81,30 @@ const AnalysisFeedback = ({
     data: DoctorAnalysisFeedbackForm,
     status: 'DRAFT' | 'COMPLETED',
   ) => {
+    setIsConfirmOpen(false);
+    setIsSubmittingFeedback(true);
+
     const result = await giveFeedbackAction({
       ...data,
       analysisOrderId: order.analysisOrderId,
       status,
+      patientId: patient.userId,
+      timestamp,
+      recommendations,
+      isRecommendationsEdited,
     });
 
     if (!result.success) {
       return toast.error(<Trans i18nKey="common:genericServerError" />);
     }
 
+    setIsSubmittingFeedback(false);
+
     queryClient.invalidateQueries({
       predicate: (query) => query.queryKey.includes('doctor-jobs'),
     });
 
-    toast.success(<Trans i18nKey={'doctor:updateFeedbackSuccess'} />);
+    return toast.success(<Trans i18nKey={'doctor:updateFeedbackSuccess'} />);
-
-    return setIsConfirmOpen(false);
   };
 
   const confirmComplete = form.handleSubmit(async (data) => {
@@ -96,10 +113,6 @@ const AnalysisFeedback = ({
 
   return (
     <>
-      <h3>
-        <Trans i18nKey="doctor:feedback" />
-      </h3>
-      <p>{feedback?.value ?? '-'}</p>
       {!isReadOnly && (
         <Form {...form}>
           <form className="space-y-4 lg:w-1/2">
@@ -109,7 +122,11 @@ const AnalysisFeedback = ({
               render={({ field }) => (
                 <FormItem>
                   <FormControl>
-                    <Textarea {...field} disabled={isReadOnly} />
+                    <Textarea
+                      className="min-h-[200px]"
+                      {...field}
+                      disabled={isDraftSubmitting || isSubmittingFeedback}
+                    />
                   </FormControl>
                   <FormMessage />
                 </FormItem>
@@ -136,7 +153,11 @@ const AnalysisFeedback = ({
                 }
                 className="xs:w-1/4 w-full"
               >
+                {isDraftSubmitting || form.formState.isSubmitting ? (
+                  <Spinner />
+                ) : (
                   <Trans i18nKey="common:save" />
+                )}
               </Button>
             </div>
           </form>

app/doctor/_components/analysis-view.tsx

@@ -1,5 +1,7 @@
 'use client';
 
+import { useMemo, useState } from 'react';
+
 import { useQueryClient } from '@tanstack/react-query';
 import { capitalize } from 'lodash';
 
@@ -23,20 +25,40 @@ import { bmiFromMetric } from '~/lib/utils';
 import AnalysisFeedback from './analysis-feedback';
 import DoctorAnalysisWrapper from './doctor-analysis-wrapper';
 import DoctorJobSelect from './doctor-job-select';
+import DoctorRecommendedAnalyses from './doctor-recommended-analyses';
 
 export default function AnalysisView({
   patient,
   order,
   analyses,
   feedback,
+  aiDoctorFeedback,
+  recommendations,
+  availableAnalyses,
+  timestamp,
 }: {
   patient: Patient;
   order: Order;
   analyses: AnalysisResponse[];
   feedback?: DoctorFeedback;
+  aiDoctorFeedback?: string;
+  recommendations?: string[];
+  availableAnalyses?: string[];
+  timestamp?: string;
 }) {
   const { data: user } = useUser();
   const queryClient = useQueryClient();
+  const [recommendedAnalyses, setRecommendedAnalyses] = useState<string[]>(
+    recommendations ?? [],
+  );
+  const isRecommendationsEdited = useMemo(() => {
+    if (recommendedAnalyses.length !== recommendations?.length) return true;
+    const sa = new Set(recommendedAnalyses),
+      sb = new Set(recommendations);
+    if (sa.size !== sb.size) return true;
+    for (const v of sa) if (!sb.has(v)) return true;
+    return false;
+  }, [recommendations, recommendedAnalyses]);
 
   const languageNames = useCurrentLocaleLanguageNames();
 
@@ -154,7 +176,28 @@ export default function AnalysisView({
         })}
       </div>
       {order.isPackage && (
-        <AnalysisFeedback order={order} patient={patient} feedback={feedback} />
+        <>
+          <h3>
+            <Trans i18nKey="doctor:feedback" />
+          </h3>
+          <p>{feedback?.value ?? '-'}</p>
+          <div className="flex flex-col gap-4 lg:flex-row">
+            <AnalysisFeedback
+              order={order}
+              patient={patient}
+              feedback={feedback}
+              aiDoctorFeedback={aiDoctorFeedback}
+              timestamp={timestamp}
+              recommendations={recommendedAnalyses}
+              isRecommendationsEdited={isRecommendationsEdited}
+            />
+            <DoctorRecommendedAnalyses
+              recommendedAnalyses={recommendedAnalyses}
+              availableAnalyses={availableAnalyses}
+              setRecommendedAnalyses={setRecommendedAnalyses}
+            />
+          </div>
+        </>
       )}
     </>
   );

app/doctor/_components/doctor-recommended-analyses.tsx

@@ -0,0 +1,53 @@
+'use client';
+
+import React, { Dispatch, SetStateAction } from 'react';
+
+import { Trans } from '@kit/ui/makerkit/trans';
+import { Button } from '@kit/ui/shadcn/button';
+
+const DoctorRecommendedAnalyses = ({
+  recommendedAnalyses,
+  availableAnalyses,
+  setRecommendedAnalyses,
+}: {
+  recommendedAnalyses?: string[];
+  availableAnalyses?: string[];
+  setRecommendedAnalyses: Dispatch<SetStateAction<string[]>>;
+}) => {
+  if (availableAnalyses?.length === 0) {
+    return null;
+  }
+
+  return (
+    <div>
+      <h5>
+        <Trans i18nKey="doctor:recommendedAnalyses" />
+      </h5>
+      <div className="mt-4 flex gap-2">
+        {availableAnalyses?.map((analysis, index) => {
+          return (
+            <Button
+              size="sm"
+              key={`${index}-analysis-feedback-list`}
+              variant={
+                recommendedAnalyses?.includes(analysis) ? 'default' : 'outline'
+              }
+              type="button"
+              onClick={() =>
+                setRecommendedAnalyses((prev: string[]) =>
+                  prev.includes(analysis)
+                    ? prev.filter((x) => x !== analysis)
+                    : [...prev, analysis],
+                )
+              }
+            >
+              {analysis}
+            </Button>
+          );
+        })}
+      </div>
+    </div>
+  );
+};
+
+export default DoctorRecommendedAnalyses;

app/doctor/_components/new-analysis-recommendations-loader.tsx

@@ -0,0 +1,90 @@
+'use server';
+
+import React from 'react';
+
+import { AnalysisResponses } from '@/app/home/(user)/_components/ai/types';
+import { OrderAnalysisCard } from '@/app/home/(user)/_components/order-analyses-cards';
+import { loadLifeStyle } from '@/app/home/(user)/_lib/server/load-life-style';
+import { loadRecommendations } from '@/app/home/(user)/_lib/server/load-recommendations';
+import { AccountWithParams } from '@/packages/features/accounts/src/types/accounts';
+import { AnalysisResultDetails } from '@/packages/features/doctor/src/lib/server/schema/doctor-analysis-detail-view.schema';
+
+import { withI18n } from '~/lib/i18n/with-i18n';
+
+import {
+  loadDoctorFeedback,
+  prepareFeedback,
+} from '../_lib/server/load-doctor-feedback';
+import AnalysisView from './analysis-view';
+
+async function NewAnalysisRecommendationsLoader({
+  analysisResultDetails,
+  account,
+  analysisResponses,
+  currentAIResponseTimestamp,
+  analyses,
+  patient,
+}: {
+  currentAIResponseTimestamp: string;
+  account: AccountWithParams | null;
+  analysisResponses: AnalysisResponses;
+  analysisResultDetails: AnalysisResultDetails;
+  analyses: OrderAnalysisCard[];
+  patient: AccountWithParams | null;
+}) {
+  if (!analysisResultDetails.order.isPackage) {
+    return (
+      <AnalysisView
+        patient={analysisResultDetails.patient}
+        order={analysisResultDetails.order}
+        analyses={analysisResultDetails.analysisResponse}
+        feedback={analysisResultDetails.doctorFeedback}
+      />
+    );
+  }
+
+  const [lifeStyle, recommendations, aiFeedback] = await Promise.all([
+    loadLifeStyle({
+      account: patient,
+      analysisResponses,
+      isDoctorView: true,
+      aiResponseTimestamp: currentAIResponseTimestamp,
+    }),
+    loadRecommendations({
+      account: patient,
+      analysisResponses,
+      aiResponseTimestamp: currentAIResponseTimestamp,
+      isDoctorView: true,
+      analyses,
+    }),
+    loadDoctorFeedback(
+      analysisResultDetails.patient,
+      analysisResultDetails.analysisResponse,
+      currentAIResponseTimestamp,
+    ),
+  ]);
+
+  const feedback = prepareFeedback({
+    aiResponse: aiFeedback,
+    recommendations,
+    lifeStyleSummary: lifeStyle.response.summary,
+    patientName: analysisResultDetails.patient.firstName,
+    doctorName: `${account?.name} ${account?.last_name}`,
+    aiResponseTimestamp: currentAIResponseTimestamp,
+  });
+
+  return (
+    <AnalysisView
+      patient={analysisResultDetails.patient}
+      order={analysisResultDetails.order}
+      analyses={analysisResultDetails.analysisResponse}
+      feedback={analysisResultDetails.doctorFeedback}
+      aiDoctorFeedback={feedback}
+      availableAnalyses={analyses.map((analysis) => analysis.title)}
+      recommendations={recommendations}
+      timestamp={currentAIResponseTimestamp}
+    />
+  );
+}
+
+export default withI18n(NewAnalysisRecommendationsLoader);

app/doctor/_components/prepare-ai-parameters.tsx

@@ -0,0 +1,55 @@
+'use server';
+
+import React, { Suspense } from 'react';
+
+import { loadAnalyses } from '@/app/home/(user)/_lib/server/load-analyses';
+import {
+  loadCurrentUserAccount,
+  loadUserAccount,
+} from '@/app/home/(user)/_lib/server/load-user-account';
+import { AnalysisResultDetails } from '@/packages/features/doctor/src/lib/server/schema/doctor-analysis-detail-view.schema';
+import { createUserAnalysesApi } from '@/packages/features/user-analyses/src/server/api';
+import { getSupabaseServerClient } from '@/packages/supabase/src/clients/server-client';
+
+import { withI18n } from '~/lib/i18n/with-i18n';
+import { getLatestResponseTime } from '~/lib/utils';
+
+import AnalysisFallback from './analysis-fallback';
+import NewAnalysisRecommendationsLoader from './new-analysis-recommendations-loader';
+
+async function PrepareAIParameters({
+  analysisResultDetails,
+}: {
+  analysisResultDetails: AnalysisResultDetails;
+}) {
+  const { analyses } = await loadAnalyses();
+  const { account: doctorAccount } = await loadCurrentUserAccount();
+  const patientAccount = await loadUserAccount(
+    analysisResultDetails.patient.userId,
+  );
+  const client = getSupabaseServerClient();
+  const userAnalysesApi = createUserAnalysesApi(client);
+  const analysisResponses = await userAnalysesApi.getAllUserAnalysisResponses(
+    patientAccount.id,
+  );
+  const currentAIResponseTimestamp = getLatestResponseTime(analysisResponses);
+
+  return (
+    <Suspense
+      fallback={
+        <AnalysisFallback progress={66} progressTextKey="doctor:loadFeedback" />
+      }
+    >
+      <NewAnalysisRecommendationsLoader
+        account={doctorAccount}
+        currentAIResponseTimestamp={currentAIResponseTimestamp}
+        analysisResponses={analysisResponses}
+        analysisResultDetails={analysisResultDetails}
+        analyses={analyses}
+        patient={patientAccount}
+      />
+    </Suspense>
+  );
+}
+
+export default withI18n(PrepareAIParameters);

app/doctor/_lib/server/load-doctor-feedback.ts

@@ -0,0 +1,98 @@
+import { cache } from 'react';
+
+import { PROMPT_NAME } from '@/app/home/(user)/_components/ai/types';
+import { generateDoctorFeedback } from '@/app/home/(user)/_lib/server/ai-actions';
+import {
+  AnalysisResponse,
+  Patient,
+} from '@/packages/features/doctor/src/lib/server/schema/doctor-analysis-detail-view.schema';
+import { getLogger } from '@/packages/shared/src/logger';
+import { getSupabaseServerClient } from '@/packages/supabase/src/clients/server-client';
+
+export const loadDoctorFeedback = cache(doctorFeedbackLoader);
+
+const PLACEHOLDER = {
+  ANALYSES: 'SOOVITATUD_ANALYYSID_PLACEHOLDER',
+  LIFE_STYLE_SUMMARY: 'ELUSTIILI_KOKKUVOTTE_PLACEHOLDER',
+  PATIENT_NAME: 'PATSIENDI_NIMI_PLACEHOLDER',
+  DOCTOR_NAME: 'ARSTI_NIMI_PLACEHOLDER',
+  ANALYSES_DATE: 'ANALYYSI_KUUPAEV_PLACEHOLDER',
+};
+
+export const prepareFeedback = ({
+  aiResponse,
+  recommendations,
+  lifeStyleSummary,
+  patientName,
+  doctorName,
+  aiResponseTimestamp,
+}: {
+  aiResponse: string;
+  recommendations?: string[];
+  lifeStyleSummary: string | null;
+  patientName: string;
+  doctorName: string;
+  aiResponseTimestamp: string;
+}) => {
+  const recommendationsList = recommendations
+    ? recommendations.map((analysis) => `${analysis}`).join('\n')
+    : '';
+  const feedback = aiResponse
+    .replace(PLACEHOLDER.ANALYSES, recommendationsList)
+    .replace(PLACEHOLDER.LIFE_STYLE_SUMMARY, lifeStyleSummary ?? '')
+    .replace(PLACEHOLDER.PATIENT_NAME, patientName)
+    .replace(PLACEHOLDER.DOCTOR_NAME, doctorName)
+    .replace(
+      PLACEHOLDER.ANALYSES_DATE,
+      new Date(aiResponseTimestamp).toLocaleString(),
+    );
+
+  return feedback;
+};
+
+async function doctorFeedbackLoader(
+  patient: Patient | null,
+  analysisResponses: AnalysisResponse[],
+  aiResponseTimestamp: string,
+): Promise<string> {
+  const logger = await getLogger();
+  if (!patient?.personalCode) {
+    return '';
+  }
+  const supabaseClient = getSupabaseServerClient();
+
+  logger.info(
+    {
+      aiResponseTimestamp,
+      patientId: patient.userId,
+    },
+    'Attempting to receive existing doctor feedback',
+  );
+
+  const { data, error } = await supabaseClient
+    .schema('medreport')
+    .from('ai_responses')
+    .select('*')
+    .eq('account_id', patient.userId)
+    .eq('prompt_name', PROMPT_NAME.FEEDBACK)
+    .eq('latest_data_change', aiResponseTimestamp)
+    .limit(1)
+    .maybeSingle();
+
+  logger.info({ data: !!data }, 'Existing doctor feedback');
+
+  if (error) {
+    console.error('Error fetching AI response from DB: ', error);
+    return '';
+  }
+
+  if (data?.response) {
+    return data.response as string;
+  } else {
+    return await generateDoctorFeedback({
+      patient,
+      analysisResponses,
+      aiResponseTimestamp,
+    });
+  }
+}

app/doctor/analysis/[id]/page.tsx

@@ -1,15 +1,17 @@
-import { cache } from 'react';
+import { Suspense, cache } from 'react';
 
 import { getAnalysisResultsForDoctor } from '@kit/doctor/services/doctor-analysis.service';
 import { PageBody, PageHeader } from '@kit/ui/page';
 
+import { withI18n } from '~/lib/i18n/with-i18n';
 import {
   DoctorPageViewAction,
   createDoctorPageViewLog,
 } from '~/lib/services/audit/doctorPageView.service';
 
-import AnalysisView from '../../_components/analysis-view';
+import AnalysisFallback from '../../_components/analysis-fallback';
 import { DoctorGuard } from '../../_components/doctor-guard';
+import PrepareAiParameters from '../../_components/prepare-ai-parameters';
 
 async function AnalysisPage({
   params,
@@ -37,16 +39,20 @@ async function AnalysisPage({
     <>
       <PageHeader />
       <PageBody className="px-12">
-        <AnalysisView
+        <Suspense
-          patient={analysisResultDetails.patient}
+          fallback={
-          order={analysisResultDetails.order}
+            <AnalysisFallback
-          analyses={analysisResultDetails.analysisResponse}
+              progress={33}
-          feedback={analysisResultDetails.doctorFeedback}
+              progressTextKey="doctor:loadParameters"
             />
+          }
+        >
+          <PrepareAiParameters analysisResultDetails={analysisResultDetails} />
+        </Suspense>
       </PageBody>
     </>
   );
 }
 
-export default DoctorGuard(AnalysisPage);
+export default DoctorGuard(withI18n(AnalysisPage));
 const loadResult = cache(getAnalysisResultsForDoctor);

app/home/(user)/(dashboard)/life-style/page.tsx

@@ -1,8 +1,8 @@
 import React from 'react';
 
-import { Circle } from 'lucide-react';
+import { createUserAnalysesApi } from '@/packages/features/user-analyses/src/server/api';
+import { getSupabaseServerClient } from '@/packages/supabase/src/clients/server-client';
 
-import { cn } from '@kit/ui/lib/utils';
 import { PageBody } from '@kit/ui/makerkit/page';
 import { Trans } from '@kit/ui/makerkit/trans';
 import { Skeleton } from '@kit/ui/shadcn/skeleton';
@@ -13,6 +13,7 @@ import {
   PageViewAction,
   createPageViewLog,
 } from '~/lib/services/audit/pageView.service';
+import { getLatestResponseTime } from '~/lib/utils';
 
 import { HomeLayoutPageHeader } from '../../_components/home-page-header';
 import { loadLifeStyle } from '../../_lib/server/load-life-style';
@@ -31,14 +32,22 @@ async function LifeStylePage() {
   if (!account) {
     return null;
   }
-  const data = await loadLifeStyle(account);
+  const client = getSupabaseServerClient();
+  const userAnalysesApi = createUserAnalysesApi(client);
+  const analysisResponses = await userAnalysesApi.getAllUserAnalysisResponses();
+  const currentAIResponseTimestamp = getLatestResponseTime(analysisResponses);
+  const { response } = await loadLifeStyle({
+    account,
+    analysisResponses,
+    aiResponseTimestamp: currentAIResponseTimestamp,
+  });
 
   await createPageViewLog({
     accountId: account.id,
     action: PageViewAction.VIEW_LIFE_STYLE,
   });
 
-  if (!data.lifestyle) {
+  if (!response.lifestyle) {
     return <Skeleton className="mt-10 h-10 w-full" />;
   }
 
@@ -51,16 +60,10 @@ async function LifeStylePage() {
 
       <PageBody>
         <div className="mt-8">
-          {data.lifestyle.map(({ title, description, score }, index) => (
+          {response.lifestyle.map(({ title, description }, index) => (
             <React.Fragment key={`${index}-${title}`}>
               <div className="flex items-center gap-2">
                 <h3>{title}</h3>
-                <Circle
-                  className={cn('text-success fill-success size-6', {
-                    'text-warning fill-warning': score === 1,
-                    'text-destructive fill-destructive': score === 2,
-                  })}
-                />
               </div>
               <p className="font-regular py-4">{description}</p>
             </React.Fragment>

app/home/(user)/_components/ai/ai-blocks.tsx

@@ -41,7 +41,10 @@ const AIBlocks = async ({
   return (
     <Suspense fallback={<RecommendationsSkeleton />}>
       <LifeStyleCard account={account} analysisResponses={analysisResponses} />
-      <Recommendations account={account} />
+      <Recommendations
+        account={account}
+        analysisResponses={analysisResponses}
+      />
     </Suspense>
   );
 };

app/home/(user)/_components/ai/life-style-card.tsx

@@ -12,6 +12,8 @@ import { Trans } from '@kit/ui/makerkit/trans';
 import { Button } from '@kit/ui/shadcn/button';
 import { Card, CardHeader } from '@kit/ui/shadcn/card';
 
+import { getLatestResponseTime } from '~/lib/utils';
+
 import { loadLifeStyle } from '../../_lib/server/load-life-style';
 import { AnalysisResponses } from './types';
 
@@ -22,21 +24,31 @@ const LifeStyleCard = async ({
   account: AccountWithParams;
   analysisResponses?: AnalysisResponses;
 }) => {
-  const data = await loadLifeStyle(account, analysisResponses);
+  const aiResponseTimestamp = getLatestResponseTime(analysisResponses);
+  const { response, dateCreated } = await loadLifeStyle({
+    account,
+    analysisResponses,
+    aiResponseTimestamp,
+  });
 
   return (
     <Card variant="gradient-success" className="flex flex-col justify-between">
       <CardHeader className="flex-row justify-between">
-        <h5>
+        <div>
+          <span className="text-xs">
+            {new Date(dateCreated).toLocaleString()}
+          </span>
+          <h5 className="flex flex-col">
             <Trans i18nKey="dashboard:heroCard.lifeStyle.title" />
           </h5>
+        </div>
         <Link href={pathsConfig.app.lifeStyle}>
           <Button size="icon" variant="outline" className="px-2 text-black">
             <ChevronRight className="size-4 stroke-2" />
           </Button>
         </Link>
       </CardHeader>
-      <span className="text-primary p-4 text-sm">{data.summary}</span>
+      <span className="text-primary p-4 text-sm">{response.summary}</span>
     </Card>
   );
 };

app/home/(user)/_components/ai/recommendations.tsx

@@ -4,18 +4,29 @@ import React from 'react';
 
 import { AccountWithParams } from '@/packages/features/accounts/src/types/accounts';
 
+import { getLatestResponseTime } from '~/lib/utils';
+
 import { loadAnalyses } from '../../_lib/server/load-analyses';
 import { loadRecommendations } from '../../_lib/server/load-recommendations';
 import OrderAnalysesCards from '../order-analyses-cards';
+import { AnalysisResponses } from './types';
 
 export default async function Recommendations({
   account,
+  analysisResponses,
 }: {
   account: AccountWithParams;
+  analysisResponses?: AnalysisResponses;
 }) {
   const { analyses, countryCode } = await loadAnalyses();
 
-  const analysisRecommendations = await loadRecommendations(account);
+  const currentAIResponseTimestamp = getLatestResponseTime(analysisResponses);
+  const analysisRecommendations = await loadRecommendations({
+    account,
+    analyses,
+    analysisResponses,
+    aiResponseTimestamp: currentAIResponseTimestamp,
+  });
   const orderAnalyses = analyses.filter((analysis) =>
     analysisRecommendations.includes(analysis.title),
   );

app/home/(user)/_components/ai/types.ts

@@ -12,6 +12,7 @@ export interface ILifeStyleResponse {
 export enum PROMPT_NAME {
   LIFE_STYLE = 'Life Style',
   ANALYSIS_RECOMMENDATIONS = 'Analysis Recommendations',
+  FEEDBACK = 'Doctor Feedback',
 }
 
 export type AnalysisResponses =

app/home/(user)/_components/home-mobile-navigation.tsx

@@ -82,8 +82,8 @@ export function HomeMobileNavigation(props: {
     const hasDoctorRole =
       personalAccountData?.application_role === ApplicationRoleEnum.Doctor;
 
-    return hasDoctorRole && hasTotpFactor;
+    return hasDoctorRole;
-  }, [user, personalAccountData, hasTotpFactor]);
+  }, [personalAccountData]);
 
   const cartQuantityTotal =
     props.cart?.items?.reduce((acc, item) => acc + item.quantity, 0) ?? 0;

app/home/(user)/_lib/server/ai-actions.ts

@@ -1,6 +1,11 @@
 'use server';
 
 import { AccountWithParams } from '@/packages/features/accounts/src/types/accounts';
+import {
+  AnalysisResponse,
+  Patient,
+} from '@/packages/features/doctor/src/lib/server/schema/doctor-analysis-detail-view.schema';
+import { getLogger } from '@/packages/shared/src/logger';
 import { getSupabaseServerClient } from '@/packages/supabase/src/clients/server-client';
 import OpenAI from 'openai';
 
@@ -13,26 +18,16 @@ import {
 } from '../../_components/ai/types';
 import { OrderAnalysisCard } from '../../_components/order-analyses-cards';
 
-async function getLatestResponseTime(items?: AnalysisResponses) {
-  if (!items?.length) return null;
-
-  let latest = null;
-  for (const it of items) {
-    const d = new Date(it.response_time);
-    const t = d.getTime();
-    if (!Number.isNaN(t) && (latest === null || t > latest.getTime())) {
-      latest = d;
-    }
-  }
-  return latest;
-}
-
 export async function updateLifeStyle({
   account,
   analysisResponses,
+  isDoctorView = false,
+  aiResponseTimestamp,
 }: {
   account: AccountWithParams;
   analysisResponses?: AnalysisResponses;
+  isDoctorView?: boolean;
+  aiResponseTimestamp: string;
 }): Promise<ILifeStyleResponse> {
   const LIFE_STYLE_PROMPT_ID = process.env.PROMPT_ID_LIFE_STYLE;
   if (!LIFE_STYLE_PROMPT_ID || !account?.personal_code) {
@@ -65,11 +60,6 @@ export async function updateLifeStyle({
       ?.find((ar) => ar.analysis_name_lab === 'Vitamiin D (25-OH)')
       ?.response_value.toString() || 'unknown';
 
-  const latestResponseTime = await getLatestResponseTime(analysisResponses);
-  const latestISO = latestResponseTime
-    ? new Date(latestResponseTime).toISOString()
-    : new Date('2025').toISOString();
-
   try {
     const response = await openAIClient.responses.create({
       store: false,
@@ -106,8 +96,9 @@ export async function updateLifeStyle({
           vitamind,
           is_smoker: isSmoker.toString(),
         }),
-        latest_data_change: latestISO,
+        latest_data_change: aiResponseTimestamp,
         response: response.output_text,
+        is_visible_to_customer: !isDoctorView,
       });
 
     const json = JSON.parse(response.output_text);
@@ -126,10 +117,12 @@ export async function updateRecommendations({
   analyses,
   analysisResponses,
   account,
+  aiResponseTimestamp,
 }: {
   analyses: OrderAnalysisCard[];
   analysisResponses?: AnalysisResponses;
   account: AccountWithParams;
+  aiResponseTimestamp: string;
 }) {
   const RECOMMENDATIONS_PROMPT_IT =
     process.env.PROMPT_ID_ANALYSIS_RECOMMENDATIONS;
@@ -164,10 +157,6 @@ export async function updateRecommendations({
     description,
     title,
   }));
-  const latestResponseTime = await getLatestResponseTime(analysisResponses);
-  const latestISO = latestResponseTime
-    ? new Date(latestResponseTime).toISOString()
-    : new Date('2025').toISOString();
 
   try {
     const response = await openAIClient.responses.create({
@@ -198,8 +187,9 @@ export async function updateRecommendations({
           age,
           weight,
         }),
-        latest_data_change: latestISO,
+        latest_data_change: aiResponseTimestamp,
         response: response.output_text,
+        is_visible_to_customer: false,
       });
 
     const json = JSON.parse(response.output_text);
@@ -210,3 +200,125 @@ export async function updateRecommendations({
     return [];
   }
 }
+
+export async function generateDoctorFeedback({
+  patient,
+  analysisResponses,
+  aiResponseTimestamp,
+}: {
+  patient: Patient;
+  analysisResponses: AnalysisResponse[];
+  aiResponseTimestamp: string;
+}): Promise<string> {
+  const DOCTOR_FEEDBACK_PROMPT_ID = process.env.PROMPT_ID_DOCTOR_FEEDBACK;
+
+  if (!DOCTOR_FEEDBACK_PROMPT_ID) {
+    console.error('No secrets for doctor feedback');
+    return '';
+  }
+
+  const openAIClient = new OpenAI();
+  const supabaseClient = getSupabaseServerClient();
+
+  const formattedAnalysisResponses = analysisResponses?.map(
+    ({
+      analysis_name,
+      response_value,
+      norm_upper,
+      norm_lower,
+      norm_status,
+    }) => ({
+      name: analysis_name,
+      value: response_value,
+      normUpper: norm_upper,
+      normLower: norm_lower,
+      normStatus: norm_status,
+    }),
+  );
+
+  try {
+    const response = await openAIClient.responses.create({
+      store: false,
+      prompt: {
+        id: DOCTOR_FEEDBACK_PROMPT_ID,
+        variables: {
+          analysesresults: JSON.stringify(formattedAnalysisResponses),
+        },
+      },
+    });
+
+    await supabaseClient
+      .schema('medreport')
+      .from('ai_responses')
+      .insert({
+        account_id: patient.userId,
+        prompt_name: PROMPT_NAME.FEEDBACK,
+        prompt_id: DOCTOR_FEEDBACK_PROMPT_ID,
+        input: JSON.stringify({
+          analysesresults: formattedAnalysisResponses,
+        }),
+        latest_data_change: aiResponseTimestamp,
+        response: response.output_text,
+      });
+
+    return response.output_text;
+  } catch (error) {
+    console.error('Error getting doctor feedback: ', error);
+    return '';
+  }
+}
+
+export async function confirmPatientAIResponses(
+  patientId: string,
+  aiResponseTimestamp: string,
+  recommendations: string[],
+  isRecommendationsEdited: boolean,
+) {
+  const logger = await getLogger();
+  const supabaseClient = getSupabaseServerClient();
+
+  const { error } = await supabaseClient
+    .schema('medreport')
+    .from('ai_responses')
+    .update({
+      is_visible_to_customer: true,
+    })
+    .eq('latest_data_change', aiResponseTimestamp)
+    .eq('account_id', patientId)
+    .eq('prompt_name', PROMPT_NAME.LIFE_STYLE);
+
+  if (error) {
+    logger.error(
+      { error, patientId, aiResponseTimestamp },
+      'Failed updating life style',
+    );
+  }
+
+  const { error: _error } = await supabaseClient
+    .schema('medreport')
+    .from('ai_responses')
+    .update({
+      is_visible_to_customer: true,
+      ...(isRecommendationsEdited && {
+        response: JSON.stringify({
+          why: 'This was edited by doctor',
+          recommended: recommendations,
+        }),
+      }),
+    })
+    .eq('latest_data_change', aiResponseTimestamp)
+    .eq('account_id', patientId)
+    .eq('prompt_name', PROMPT_NAME.ANALYSIS_RECOMMENDATIONS);
+
+  if (_error) {
+    logger.error(
+      {
+        error,
+        aiResponseTimestamp,
+        patientId,
+        isRecommendationsEdited,
+      },
+      'Failed updating analysis recommendations',
+    );
+  }
+}

app/home/(user)/_lib/server/load-life-style.ts

@@ -1,6 +1,7 @@
 import { cache } from 'react';
 
 import { AccountWithParams } from '@/packages/features/accounts/src/types/accounts';
+import { getLogger } from '@/packages/shared/src/logger';
 import { getSupabaseServerClient } from '@/packages/supabase/src/clients/server-client';
 
 import {
@@ -11,28 +12,52 @@ import {
 import { updateLifeStyle } from './ai-actions';
 
 const failedResponse = {
+  response: {
     lifestyle: [],
     summary: null,
+  },
+  dateCreated: new Date().toISOString(),
 };
 
-async function lifeStyleLoader(
+async function lifeStyleLoader({
-  account: AccountWithParams,
+  account,
-  analysisResponses?: AnalysisResponses,
+  analysisResponses,
-): Promise<ILifeStyleResponse> {
+  isDoctorView = false,
+  aiResponseTimestamp,
+}: {
+  account: AccountWithParams | null;
+  analysisResponses?: AnalysisResponses;
+  isDoctorView?: boolean;
+  aiResponseTimestamp: string;
+}): Promise<{ response: ILifeStyleResponse; dateCreated: string }> {
+  const logger = await getLogger();
   if (!account?.personal_code) {
     return failedResponse;
   }
 
   const supabaseClient = getSupabaseServerClient();
-  const { data, error } = await supabaseClient
+  const query = supabaseClient
     .schema('medreport')
     .from('ai_responses')
-    .select('response')
+    .select('response, latest_data_change')
     .eq('account_id', account.id)
-    .eq('prompt_name', PROMPT_NAME.LIFE_STYLE)
+    .eq('prompt_name', PROMPT_NAME.LIFE_STYLE);
-    .order('latest_data_change', { ascending: false, nullsFirst: false })
+
-    .limit(1)
+  if (isDoctorView) {
-    .maybeSingle();
+    logger.info(
+      { aiResponseTimestamp, accountId: account.id },
+      'Attempting to receive life style row',
+    );
+    query.eq('latest_data_change', aiResponseTimestamp);
+  } else {
+    query
+      .eq('is_visible_to_customer', true)
+      .order('latest_data_change', { ascending: false, nullsFirst: false });
+  }
+
+  const { data, error } = await query.limit(1).maybeSingle();
+
+  logger.info({ data: !!data }, 'Existing life style row');
 
   if (error) {
     console.error('Error fetching AI response from DB: ', error);
@@ -40,9 +65,19 @@ async function lifeStyleLoader(
   }
 
   if (data?.response) {
-    return JSON.parse(data.response as string);
+    return {
+      response: JSON.parse(data.response as string),
+      dateCreated: data.latest_data_change,
+    };
   } else {
-    return await updateLifeStyle({ account, analysisResponses });
+    const newLifeStyle = await updateLifeStyle({
+      account,
+      analysisResponses,
+      isDoctorView,
+      aiResponseTimestamp,
+    });
+
+    return { response: newLifeStyle, dateCreated: aiResponseTimestamp };
   }
 }
 export const loadLifeStyle = cache(lifeStyleLoader);

app/home/(user)/_lib/server/load-recommendations.ts

@@ -1,29 +1,57 @@
 import { cache } from 'react';
 
 import { AccountWithParams } from '@/packages/features/accounts/src/types/accounts';
+import { getLogger } from '@/packages/shared/src/logger';
 import { getSupabaseServerClient } from '@/packages/supabase/src/clients/server-client';
 
-import { PROMPT_NAME } from '../../_components/ai/types';
+import { AnalysisResponses, PROMPT_NAME } from '../../_components/ai/types';
+import { OrderAnalysisCard } from '../../_components/order-analyses-cards';
+import { updateRecommendations } from './ai-actions';
 
 export const loadRecommendations = cache(recommendationsLoader);
 
-async function recommendationsLoader(
+async function recommendationsLoader({
-  account: AccountWithParams | null,
+  account,
-): Promise<string[]> {
+  isDoctorView = false,
+  analyses,
+  analysisResponses,
+  aiResponseTimestamp,
+}: {
+  account: AccountWithParams | null;
+  isDoctorView?: boolean;
+  analyses: OrderAnalysisCard[];
+  analysisResponses?: AnalysisResponses;
+  aiResponseTimestamp: string;
+}): Promise<string[]> {
+  const logger = await getLogger();
   if (!account?.personal_code) {
     return [];
   }
   const supabaseClient = getSupabaseServerClient();
 
-  const { data, error } = await supabaseClient
+  const query = supabaseClient
     .schema('medreport')
     .from('ai_responses')
     .select('*')
     .eq('account_id', account.id)
-    .eq('prompt_name', PROMPT_NAME.ANALYSIS_RECOMMENDATIONS)
+    .eq('prompt_name', PROMPT_NAME.ANALYSIS_RECOMMENDATIONS);
-    .order('latest_data_change', { ascending: false, nullsFirst: false })
+
-    .limit(1)
+  logger.info(
-    .maybeSingle();
+    { accountId: account.id, isDoctorView, aiResponseTimestamp },
+    'Attempting to receive existing recommendations',
+  );
+
+  if (isDoctorView) {
+    query.eq('latest_data_change', aiResponseTimestamp);
+  } else {
+    query
+      .eq('is_visible_to_customer', true)
+      .order('latest_data_change', { ascending: false, nullsFirst: false });
+  }
+
+  const { data, error } = await query.limit(1).maybeSingle();
+
+  logger.info({ data: data }, 'Existing recommendations');
 
   if (error) {
     console.error('Error fetching AI response from DB: ', error);
@@ -33,6 +61,14 @@ async function recommendationsLoader(
   if (data?.response) {
     return JSON.parse(data.response as string).recommended;
   } else {
+    if (isDoctorView) {
+      return await updateRecommendations({
+        account,
+        analyses,
+        analysisResponses,
+        aiResponseTimestamp,
+      });
+    }
     return [];
   }
 }

lib/utils.ts

@@ -1,3 +1,4 @@
+import { AnalysisResponses } from '@/app/home/(user)/_components/ai/types';
 import { type ClassValue, clsx } from 'clsx';
 import Isikukood, { Gender } from 'isikukood';
 import { twMerge } from 'tailwind-merge';
@@ -148,3 +149,17 @@ export const findProductTypeIdByHandle = (
 ) => {
   return productTypes.find(({ metadata }) => metadata?.handle === handle)?.id;
 };
+
+export function getLatestResponseTime(items?: AnalysisResponses) {
+  if (!items?.length) return new Date().toISOString();
+
+  let latest = null;
+  for (const it of items) {
+    const d = new Date(it.response_time);
+    const t = d.getTime();
+    if (!Number.isNaN(t) && (latest === null || t > latest.getTime())) {
+      latest = d;
+    }
+  }
+  return latest ? new Date(latest).toISOString() : new Date().toISOString();
+}

packages/features/doctor/src/lib/server/actions/doctor-server-actions.ts

@@ -2,6 +2,8 @@
 
 import { revalidatePath } from 'next/cache';
 
+import { confirmPatientAIResponses } from '@/app/home/(user)/_lib/server/ai-actions';
+
 import { enhanceAction } from '@kit/next/actions';
 import { getLogger } from '@kit/shared/logger';
 
@@ -104,11 +106,19 @@ export const giveFeedbackAction = doctorAction(
       userId,
       analysisOrderId,
       status,
+      patientId,
+      timestamp,
+      recommendations,
+      isRecommendationsEdited,
     }: {
       feedbackValue: string;
       userId: DoctorAnalysisFeedbackTable['user_id'];
       analysisOrderId: DoctorAnalysisFeedbackTable['analysis_order_id'];
       status: DoctorAnalysisFeedbackTable['status'];
+      patientId: string;
+      timestamp?: string;
+      recommendations: string[];
+      isRecommendationsEdited: boolean;
     }) => {
       const logger = await getLogger();
       const isCompleted = status === 'COMPLETED';
@@ -122,6 +132,19 @@ export const giveFeedbackAction = doctorAction(
         await submitFeedback(analysisOrderId, userId, feedbackValue, status);
         logger.info({ analysisOrderId }, `Successfully submitted feedback`);
 
+        if (timestamp) {
+          logger.info(
+            { timestamp, patientId },
+            'Attempting to update patient ai responses',
+          );
+          await confirmPatientAIResponses(
+            patientId,
+            timestamp,
+            recommendations,
+            isRecommendationsEdited,
+          );
+        }
+
         revalidateDoctorAnalysis();
 
         if (isCompleted) {

packages/features/doctor/src/lib/server/schema/doctor-analysis-detail-view.schema.ts

@@ -41,7 +41,8 @@ export const PatientSchema = z.object({
   email: z.string().nullable(),
   height: z.number().optional().nullable(),
   weight: z.number().optional().nullable(),
-  preferred_locale: z.string().nullable(),
+  preferred_locale: z.enum(['en', 'et', 'ru']).nullable(),
+  isSmoker: z.boolean().optional(),
 });
 export type Patient = z.infer<typeof PatientSchema>;
 

packages/features/doctor/src/lib/server/schema/doctor-analysis.schema.ts

@@ -26,6 +26,10 @@ export const doctorAnalysisFeedbackSchema = z.object({
   userId: z.string().uuid(),
   analysisOrderId: z.number(),
   status: FeedbackStatus,
+  patientId: z.string(),
+  timestamp: z.string().optional(),
+  recommendations: z.array(z.string()),
+  isRecommendationsEdited: z.boolean(),
 });
 
 export type DoctorAnalysisFeedback = z.infer<

packages/features/doctor/src/lib/server/services/doctor-analysis.service.ts

@@ -424,7 +424,7 @@ export async function getAnalysisResultsForDoctor(
       .from('accounts')
       .select(
         `primary_owner_user_id, id, name, last_name, personal_code, phone, email, preferred_locale,
-      accountParams:account_params(height,weight)`,
+      accountParams:account_params(height,weight,is_smoker)`,
       )
       .eq('is_personal_account', true)
       .eq('primary_owner_user_id', userId)
@@ -529,6 +529,7 @@ export async function getAnalysisResultsForDoctor(
       email,
       height: accountParams?.height,
       weight: accountParams?.weight,
+      isSmoker: accountParams?.is_smoker || false,
     },
   };
 }

packages/features/user-analyses/src/server/api.ts

@@ -434,7 +434,9 @@ class UserAnalysesApi {
     return data;
   }
 
-  async getAllUserAnalysisResponses(): Promise<
+  async getAllUserAnalysisResponses(
+    userId?: string,
+  ): Promise<
     Database['medreport']['Functions']['get_latest_analysis_response_elements_for_current_user']['Returns']
   > {
     const {
@@ -448,7 +450,7 @@ class UserAnalysesApi {
     const { data, error } = await this.client
       .schema('medreport')
       .rpc('get_latest_analysis_response_elements_for_current_user', {
-        p_user_id: user.id,
+        p_user_id: userId ?? user.id,
       });
 
     if (error) {

packages/shared/src/config/personal-account-navigation.config.tsx

@@ -1,5 +1,5 @@
 import {
-  Bike,
+  Apple,
   FileLineChart,
   HeartPulse,
   LineChart,
@@ -57,7 +57,7 @@ const routes = [
       {
         label: 'common:routes.lifeStyle',
         path: pathsConfig.app.lifeStyle,
-        Icon: <Bike className={iconClasses} />,
+        Icon: <Apple className={iconClasses} />,
         end: true,
       },
     ],

packages/supabase/src/database.types.ts

@@ -623,6 +623,7 @@ export type Database = {
           created_at: string
           id: string
           input: Json
+          is_visible_to_customer: boolean
           latest_data_change: string
           prompt_id: string
           prompt_name: string
@@ -633,6 +634,7 @@ export type Database = {
           created_at?: string
           id?: string
           input: Json
+          is_visible_to_customer?: boolean
           latest_data_change: string
           prompt_id: string
           prompt_name: string
@@ -643,6 +645,7 @@ export type Database = {
           created_at?: string
           id?: string
           input?: Json
+          is_visible_to_customer?: boolean
           latest_data_change?: string
           prompt_id?: string
           prompt_name?: string

public/locales/et/common.json

@@ -142,6 +142,7 @@
   "doctor": "Arst",
   "save": "Salvesta",
   "saveAsDraft": "Salvesta mustandina",
+  "generateText": "Genereeri tekst",
   "confirm": "Kinnita",
   "previous": "Eelmine",
   "next": "Järgmine",

public/locales/et/doctor.json

@@ -47,5 +47,8 @@
   "updateFeedbackSuccess": "Kokkuvõte uuendatud",
   "updateFeedbackLoading": "Kokkuvõtet uuendatakse...",
   "updateFeedbackError": "Kokkuvõtte uuendamine ebaõnnestus",
-  "feedbackLengthError": "Kokkuvõte peab olema vähemalt 10 tähemärki pikk"
+  "feedbackLengthError": "Kokkuvõte peab olema vähemalt 10 tähemärki pikk",
+  "loadParameters": "Valmistame patsiendi andmed ette. Palun oodake hetk...",
+  "loadFeedback": "Valmistame patsiendi tagasiside teksti. Palun oodake hetk...",
+  "recommendedAnalyses": "Soovita neid Medreporti üksik analüüse"
 }

supabase/migrations/20251024164100_improve_ai_responses.sql

@@ -0,0 +1,66 @@
+ALTER TABLE medreport.ai_responses
+  ADD COLUMN IF NOT EXISTS is_visible_to_customer boolean NOT NULL DEFAULT false;
+
+drop policy if exists "ai_responses_select" on medreport.ai_responses;
+drop policy if exists "ai_responses_insert" on medreport.ai_responses;
+
+create policy "ai_responses_select"
+on medreport.ai_responses
+for select
+to authenticated
+using (account_id = auth.uid() OR medreport.is_doctor());
+
+create policy "ai_responses_insert"
+on medreport.ai_responses
+for insert
+to authenticated
+with check (account_id = auth.uid() OR medreport.is_doctor());
+
+drop function if exists medreport.get_latest_analysis_response_elements_for_current_user(uuid);
+
+create or replace function medreport.get_latest_analysis_response_elements_for_current_user(p_user_id uuid)
+returns table (
+  analysis_name        medreport.analysis_response_elements.analysis_name%type,
+  response_time        medreport.analysis_response_elements.response_time%type,
+  norm_upper           medreport.analysis_response_elements.norm_upper%type,
+  norm_lower           medreport.analysis_response_elements.norm_lower%type,
+  norm_status          medreport.analysis_response_elements.norm_status%type,
+  response_value       medreport.analysis_response_elements.response_value%type,
+  analysis_name_lab    medreport.analysis_elements.analysis_name_lab%type
+)
+language sql
+as $$
+    WITH ranked AS (
+    SELECT
+        are.analysis_name,
+        are.response_time,
+        are.norm_upper,
+        are.norm_lower,
+        are.norm_status,
+        are.response_value,
+        ae.analysis_name_lab,
+        ROW_NUMBER() OVER (
+            PARTITION BY are.analysis_name
+            ORDER BY are.response_time DESC, are.id DESC
+        ) AS rn
+    FROM medreport.analysis_responses ar
+    JOIN medreport.analysis_response_elements are
+        ON are.analysis_response_id = ar.id
+    JOIN medreport.analysis_elements ae
+        ON are.analysis_element_original_id = ae.analysis_id_original
+    WHERE ar.user_id = p_user_id
+        AND ar.order_status IN ('COMPLETED', 'ON_HOLD')
+    )
+    SELECT analysis_name, response_time, norm_upper, norm_lower, norm_status, response_value, analysis_name_lab
+    FROM ranked
+    WHERE rn = 1
+    ORDER BY analysis_name;
+$$;
+
+grant execute on function medreport.get_latest_analysis_response_elements_for_current_user(uuid) to authenticated, service_role;
+
+create policy "ai_responses_update_only_doctor"
+on medreport.ai_responses
+for update
+to authenticated
+using (medreport.is_doctor());