feat: multi-point patient verification (MRN, Name, DOB) via URL parameters

fiveparaminte-main/routers/dashboard.py

@@ -112,26 +112,30 @@ def get_latest_readings(
     if device_id:
         query = query.filter(VitalReading.device_id == device_id)
 
-    patient_filters = []
+    patient_criteria = []
     if mrn:
         mrn_clean = mrn.strip()
-        patient_filters.append(Patient.mrn == mrn_clean)
+        patient_criteria.append(or_(Patient.mrn == mrn_clean, Patient.patient_id == mrn_clean))
-        patient_filters.append(Patient.patient_id == mrn_clean)
     if name:
         name_clean = name.strip()
-        patient_filters.append(Patient.name.ilike(f"%{name_clean}%"))
+        patient_criteria.append(Patient.name.ilike(f"%{name_clean}%"))
     if dob:
-        dob_clean = dob.strip()
+        dob_clean = dob.strip().replace("-", "").replace("/", "")
-        patient_filters.append(Patient.dob.ilike(f"%{dob_clean}%"))
+        patient_criteria.append(or_(
+            Patient.dob.ilike(f"%{dob.strip()}%"),
+            Patient.dob.ilike(f"%{dob_clean}%"),
+            Patient.dob.ilike(f"%{dob.strip()[:4]}%") if len(dob.strip()) >= 4 else False
+        ))
 
-    if patient_filters:
+    if patient_criteria:
-        matching_patients = db.query(Patient).filter(or_(*patient_filters)).all()
+        from sqlalchemy import and_
+        matching_patients = db.query(Patient).filter(and_(*patient_criteria)).all()
+        if not matching_patients:
+            return []
         matching_dev_ids = [p.device_id for p in matching_patients if p.device_id]
         matching_mrns = [p.mrn for p in matching_patients if p.mrn] + [p.patient_id for p in matching_patients if p.patient_id]
 
         conds = []
-        if mrn:
-            conds.append(VitalReading.patient_id == mrn.strip())
         if matching_mrns:
             conds.append(VitalReading.patient_id.in_(matching_mrns))
         if matching_dev_ids:
@@ -139,6 +143,8 @@ def get_latest_readings(
 
         if conds:
             query = query.filter(or_(*conds))
+        else:
+            return []
 
     readings = query.order_by(VitalReading.timestamp.desc()).limit(limit).all()
     return readings

fiveparaminte-main/static/dashboard.html

@@ -1425,13 +1425,14 @@
 
         <!-- Single Machine Detailed View Wrapper -->
         <div id="singleViewWrapper" style="display: none; flex-direction: column; flex: 1;">
-            <!-- Targeted Patient MRN Waiting State (shown when filtered patient hasn't connected yet) -->
+            <!-- Targeted Patient Demographics Waiting State (shown when filtered patient hasn't connected yet) -->
-            <div id="singleTargetWaitingState" style="display: none; flex-direction: column; align-items: center; justify-content: center; padding: 60px 20px; text-align: center; background: var(--bg-card); border: 1px dashed rgba(6, 182, 212, 0.4); border-radius: 16px; margin: 20px 0;">
+            <div id="singleTargetWaitingState" style="display: none; flex-direction: column; align-items: center; justify-content: center; padding: 50px 20px; text-align: center; background: var(--bg-card); border: 1px dashed rgba(6, 182, 212, 0.4); border-radius: 16px; margin: 20px 0;">
                 <div style="font-size: 40px; margin-bottom: 12px;">⏳</div>
                 <div style="font-size: 19px; font-weight: 700; color: var(--text-primary);">Waiting for Contec Monitor Data</div>
-                <div style="font-size: 15px; color: var(--spo2-color); font-weight: 600; margin-top: 6px;" id="targetWaitingMrnBadge">Patient MRN: ---</div>
+                <div style="font-size: 13px; color: var(--text-secondary); margin-top: 6px;">Verifying incoming monitor telemetry against required teleconsult patient:</div>
-                <div style="font-size: 13px; color: var(--text-secondary); max-width: 520px; margin-top: 10px; line-height: 1.5;">
+                <div style="margin-top: 12px; display: flex; gap: 8px; justify-content: center; flex-wrap: wrap;" id="targetWaitingMrnBadge">Patient Demographics: ---</div>
-                    Filtered to show exclusively this patient's teleconsult telemetry. Once the Contec CMS7000PLUS monitor connects or transmits data, live waveforms and vitals will stream automatically.
+                <div style="font-size: 13px; color: var(--text-secondary); max-width: 540px; margin-top: 14px; line-height: 1.5;">
+                    Live waveforms and telemetry stream automatically once the Contec CMS7000PLUS monitor connects and transmits telemetry matching all requested demographics (MRN, Name, DOB).
                 </div>
                 <div style="margin-top: 18px; display: inline-flex; align-items: center; gap: 8px; padding: 6px 14px; background: rgba(6, 182, 212, 0.1); border: 1px solid rgba(6, 182, 212, 0.25); border-radius: 20px; font-size: 12px; color: var(--spo2-color);">
                     <span style="width: 8px; height: 8px; border-radius: 50%; background: var(--spo2-color); display: inline-block;"></span> Listening for live connection...
@@ -1774,65 +1775,110 @@
 
         function getTargetPatientBadge() {
             const items = [];
-            if (targetMrn) items.push(`MRN: <strong>${targetMrn}</strong>`);
+            if (targetMrn) items.push(`<span class="patient-mrn-badge" style="padding: 4px 10px; font-size: 12px;">📋 MRN: <strong>${targetMrn}</strong></span>`);
-            if (targetName) items.push(`Name: <strong>${targetName}</strong>`);
+            if (targetName) items.push(`<span class="patient-name-badge" style="padding: 4px 10px; background: rgba(14, 165, 233, 0.15); border: 1px solid rgba(14, 165, 233, 0.3); border-radius: 6px; font-size: 12px; color: #38bdf8;">👤 Name: <strong>${targetName}</strong></span>`);
-            if (targetDob) items.push(`DOB: <strong>${targetDob}</strong>`);
+            if (targetDob) items.push(`<span class="patient-dob-badge" style="padding: 4px 10px; font-size: 12px;">🎂 DOB: <strong>${targetDob}</strong></span>`);
-            if (targetGender) items.push(`Gender: <strong>${targetGender}</strong>`);
+            if (targetGender) items.push(`<span class="patient-gender-badge" style="padding: 4px 10px; font-size: 12px;">⚧ Gender: <strong>${targetGender}</strong></span>`);
-            return items.length > 0 ? items.join(' &nbsp;•&nbsp; ') : 'Target Patient';
+            return items.length > 0 ? items.join('') : '<span>Target Patient</span>';
+        }
+
+        // Helper: Extract 4-digit year and digits for robust DOB matching
+        function normalizeDob(str) {
+            if (!str) return { raw: '', digits: '', year: null };
+            const clean = String(str).trim();
+            const yearMatch = clean.match(/\b(19\d\d|20[0-2]\d)\b/);
+            const digits = clean.replace(/\D/g, '');
+            return {
+                raw: clean.toLowerCase(),
+                digits: digits,
+                year: yearMatch ? yearMatch[1] : null
+            };
+        }
+
+        // Helper: Extract individual words for flexible name matching
+        function normalizeNameTokens(str) {
+            if (!str) return [];
+            return String(str)
+                .toLowerCase()
+                .replace(/[^a-z0-9\s]/g, '')
+                .trim()
+                .split(/\s+/)
+                .filter(w => w.length >= 2);
+        }
+
+        // Check verification for each requested parameter (MRN, Name, DOB, Gender)
+        function checkPatientVerification(dev) {
+            const res = {
+                mrnMatched: !targetMrn,
+                nameMatched: !targetName,
+                dobMatched: !targetDob,
+                genderMatched: !targetGender,
+                allMatched: false
+            };
+            if (!dev) return res;
+
+            const pMrn = String(dev?.mrn || dev?.patient_id || '').toLowerCase().trim();
+            const pName = String(dev?.patient_name || dev?.name || '').toLowerCase().trim();
+            const pDob = String(dev?.patient_dob || dev?.dob || '').toLowerCase().trim();
+            const pGender = String(dev?.patient_gender || dev?.gender || '').toLowerCase().trim();
+
+            // 1. MRN verification
+            if (targetMrn) {
+                const tm = targetMrn.toLowerCase().trim();
+                if (pMrn && (pMrn === tm || pMrn.includes(tm) || tm.includes(pMrn))) {
+                    res.mrnMatched = true;
+                } else {
+                    const numT = parseInt(tm, 10);
+                    const numMrn = parseInt(pMrn, 10);
+                    if (!isNaN(numT) && !isNaN(numMrn) && numT === numMrn && tm.length >= 3 && pMrn.length >= 3) {
+                        res.mrnMatched = true;
+                    }
+                }
+            }
+
+            // 2. Name verification (supports "Shahil", "Shahil Kumar", "Kumar Shahil")
+            if (targetName) {
+                const tn = targetName.toLowerCase().trim();
+                const targetTokens = normalizeNameTokens(targetName);
+                const patientTokens = normalizeNameTokens(pName);
+                if (pName && (pName.includes(tn) || tn.includes(pName))) {
+                    res.nameMatched = true;
+                } else if (targetTokens.length > 0 && targetTokens.some(t => patientTokens.includes(t))) {
+                    res.nameMatched = true;
+                }
+            }
+
+            // 3. DOB verification (supports 1960, 1960-06-22, 22/06/1960, 19600622)
+            if (targetDob) {
+                const td = targetDob.toLowerCase().trim();
+                const tNorm = normalizeDob(targetDob);
+                const pNorm = normalizeDob(pDob);
+                if (pDob && (pDob.includes(td) || td.includes(pDob))) {
+                    res.dobMatched = true;
+                } else if (tNorm.year && pNorm.year && tNorm.year === pNorm.year) {
+                    res.dobMatched = true;
+                } else if (tNorm.digits && pNorm.digits && (tNorm.digits.includes(pNorm.digits) || pNorm.digits.includes(tNorm.digits))) {
+                    res.dobMatched = true;
+                }
+            }
+
+            // 4. Gender verification
+            if (targetGender) {
+                const tg = targetGender.toLowerCase().trim();
+                if (pGender && (pGender.startsWith(tg[0]) || pGender.includes(tg))) {
+                    res.genderMatched = true;
+                }
+            }
+
+            res.allMatched = res.mrnMatched && res.nameMatched && res.dobMatched && res.genderMatched;
+            return res;
         }
 
         // Helper function: Check if a device or patient matches the target demographics (MRN, Name, DOB, Gender)
         function matchesTargetPatient(dev, devId) {
             if (!hasTargetFilter) return true;
             if (!dev && !devId) return false;
-
+            return checkPatientVerification(dev).allMatched;
-            const pMrn = String(dev?.mrn || dev?.patient_id || '').toLowerCase().trim();
-            const pName = String(dev?.patient_name || dev?.name || '').toLowerCase().trim();
-            const pDob = String(dev?.patient_dob || dev?.dob || '').toLowerCase().trim();
-            const pGender = String(dev?.patient_gender || dev?.gender || '').toLowerCase().trim();
-            const pBed = String(dev?.bed_id || dev?.bedLabel || '').toLowerCase().trim();
-            const dId = String(devId || dev?.device_id || '').toLowerCase().trim();
-
-            // 1. If targetName is explicitly specified: must match patient name
-            if (targetName) {
-                const tn = targetName.toLowerCase().trim();
-                const nameMatch = pName && (pName.includes(tn) || tn.includes(pName));
-                if (!nameMatch) return false;
-            }
-
-            // 2. If targetDob is explicitly specified: must match patient DOB / birth year
-            if (targetDob) {
-                const td = targetDob.toLowerCase().trim();
-                const dobMatch = pDob && (pDob.includes(td) || td.includes(pDob));
-                if (!dobMatch) return false;
-            }
-
-            // 3. If targetGender is explicitly specified: must match gender
-            if (targetGender) {
-                const tg = targetGender.toLowerCase().trim();
-                const genderMatch = pGender && (pGender.startsWith(tg[0]) || pGender.includes(tg));
-                if (!genderMatch) return false;
-            }
-
-            // 4. If targetMrn is specified: strictly match patient MRN only
-            if (targetMrn) {
-                const tm = targetMrn.toLowerCase().trim();
-                let mrnMatch = false;
-
-                if (pMrn) {
-                    if (pMrn === tm) mrnMatch = true;
-                    // Also support numeric equivalence (e.g. "09091102" vs "9091102") with minimum length 3
-                    const numT = parseInt(tm, 10);
-                    const numMrn = parseInt(pMrn, 10);
-                    if (!isNaN(numT) && !isNaN(numMrn) && numT === numMrn && tm.length >= 3 && pMrn.length >= 3) {
-                        mrnMatch = true;
-                    }
-                }
-
-                if (!mrnMatch) return false;
-            }
-
-            return true;
         }
 
         // Backward-compatible alias
@@ -2121,8 +2167,13 @@
                 }
 
                 // 2. Load latest readings to backfill vitals for each device
-                const backfillUrl = hasTargetFilter && targetMrn 
+                const backfillParams = new URLSearchParams();
-                    ? `${API_BASE}/latest-readings?limit=50&mrn=${encodeURIComponent(targetMrn)}`
+                backfillParams.set('limit', '50');
+                if (targetMrn) backfillParams.set('mrn', targetMrn);
+                if (targetName) backfillParams.set('name', targetName);
+                if (targetDob) backfillParams.set('dob', targetDob);
+                const backfillUrl = hasTargetFilter 
+                    ? `${API_BASE}/latest-readings?${backfillParams.toString()}`
                     : `${API_BASE}/latest-readings?limit=100`;
                 const readResp = await fetch(backfillUrl);
                 if (readResp.ok) {
@@ -2560,7 +2611,7 @@
                     if (waitingState) {
                         waitingState.style.display = 'flex';
                         const badge = document.getElementById('targetWaitingMrnBadge');
-                        if (badge) badge.innerHTML = `Target Patient: ${getTargetPatientBadge()}`;
+                        if (badge) badge.innerHTML = getTargetPatientBadge();
                     }
                     if (patientBanner) patientBanner.style.display = 'none';
                     if (vitalsGrid) vitalsGrid.style.display = 'none';
@@ -2584,10 +2635,11 @@
 
             const bannerEl = document.getElementById('singlePatientBanner');
             if (bannerEl) {
-                document.getElementById('bannerPatientName').textContent = pName;
+                const verifiedTag = '<span style="display:inline-flex;align-items:center;gap:3px;padding:2px 6px;background:rgba(16,185,129,0.15);border:1px solid rgba(16,185,129,0.35);border-radius:4px;color:#10b981;font-size:10px;font-weight:700;margin-left:6px;">✓ Verified</span>';
-                document.getElementById('bannerMrn').textContent = `MRN: ${pMrn}`;
+                document.getElementById('bannerPatientName').innerHTML = `${pName} ${targetName ? verifiedTag : ''}`;
-                document.getElementById('bannerGender').textContent = `Gender: ${pGender}`;
+                document.getElementById('bannerMrn').innerHTML = `MRN: ${pMrn} ${targetMrn ? verifiedTag : ''}`;
-                document.getElementById('bannerDob').textContent = `DOB: ${pDob}`;
+                document.getElementById('bannerGender').innerHTML = `Gender: ${pGender} ${targetGender ? verifiedTag : ''}`;
+                document.getElementById('bannerDob').innerHTML = `DOB: ${pDob} ${targetDob ? verifiedTag : ''}`;
                 document.getElementById('bannerBed').textContent = `Location: ${pBed}`;
             }
 

routers/dashboard.py

@@ -112,26 +112,30 @@ def get_latest_readings(
     if device_id:
         query = query.filter(VitalReading.device_id == device_id)
 
-    patient_filters = []
+    patient_criteria = []
     if mrn:
         mrn_clean = mrn.strip()
-        patient_filters.append(Patient.mrn == mrn_clean)
+        patient_criteria.append(or_(Patient.mrn == mrn_clean, Patient.patient_id == mrn_clean))
-        patient_filters.append(Patient.patient_id == mrn_clean)
     if name:
         name_clean = name.strip()
-        patient_filters.append(Patient.name.ilike(f"%{name_clean}%"))
+        patient_criteria.append(Patient.name.ilike(f"%{name_clean}%"))
     if dob:
-        dob_clean = dob.strip()
+        dob_clean = dob.strip().replace("-", "").replace("/", "")
-        patient_filters.append(Patient.dob.ilike(f"%{dob_clean}%"))
+        patient_criteria.append(or_(
+            Patient.dob.ilike(f"%{dob.strip()}%"),
+            Patient.dob.ilike(f"%{dob_clean}%"),
+            Patient.dob.ilike(f"%{dob.strip()[:4]}%") if len(dob.strip()) >= 4 else False
+        ))
 
-    if patient_filters:
+    if patient_criteria:
-        matching_patients = db.query(Patient).filter(or_(*patient_filters)).all()
+        from sqlalchemy import and_
+        matching_patients = db.query(Patient).filter(and_(*patient_criteria)).all()
+        if not matching_patients:
+            return []
         matching_dev_ids = [p.device_id for p in matching_patients if p.device_id]
         matching_mrns = [p.mrn for p in matching_patients if p.mrn] + [p.patient_id for p in matching_patients if p.patient_id]
 
         conds = []
-        if mrn:
-            conds.append(VitalReading.patient_id == mrn.strip())
         if matching_mrns:
             conds.append(VitalReading.patient_id.in_(matching_mrns))
         if matching_dev_ids:
@@ -139,6 +143,8 @@ def get_latest_readings(
 
         if conds:
             query = query.filter(or_(*conds))
+        else:
+            return []
 
     readings = query.order_by(VitalReading.timestamp.desc()).limit(limit).all()
     return readings

static/dashboard.html

@@ -1425,13 +1425,14 @@
 
         <!-- Single Machine Detailed View Wrapper -->
         <div id="singleViewWrapper" style="display: none; flex-direction: column; flex: 1;">
-            <!-- Targeted Patient MRN Waiting State (shown when filtered patient hasn't connected yet) -->
+            <!-- Targeted Patient Demographics Waiting State (shown when filtered patient hasn't connected yet) -->
-            <div id="singleTargetWaitingState" style="display: none; flex-direction: column; align-items: center; justify-content: center; padding: 60px 20px; text-align: center; background: var(--bg-card); border: 1px dashed rgba(6, 182, 212, 0.4); border-radius: 16px; margin: 20px 0;">
+            <div id="singleTargetWaitingState" style="display: none; flex-direction: column; align-items: center; justify-content: center; padding: 50px 20px; text-align: center; background: var(--bg-card); border: 1px dashed rgba(6, 182, 212, 0.4); border-radius: 16px; margin: 20px 0;">
                 <div style="font-size: 40px; margin-bottom: 12px;">⏳</div>
                 <div style="font-size: 19px; font-weight: 700; color: var(--text-primary);">Waiting for Contec Monitor Data</div>
-                <div style="font-size: 15px; color: var(--spo2-color); font-weight: 600; margin-top: 6px;" id="targetWaitingMrnBadge">Patient MRN: ---</div>
+                <div style="font-size: 13px; color: var(--text-secondary); margin-top: 6px;">Verifying incoming monitor telemetry against required teleconsult patient:</div>
-                <div style="font-size: 13px; color: var(--text-secondary); max-width: 520px; margin-top: 10px; line-height: 1.5;">
+                <div style="margin-top: 12px; display: flex; gap: 8px; justify-content: center; flex-wrap: wrap;" id="targetWaitingMrnBadge">Patient Demographics: ---</div>
-                    Filtered to show exclusively this patient's teleconsult telemetry. Once the Contec CMS7000PLUS monitor connects or transmits data, live waveforms and vitals will stream automatically.
+                <div style="font-size: 13px; color: var(--text-secondary); max-width: 540px; margin-top: 14px; line-height: 1.5;">
+                    Live waveforms and telemetry stream automatically once the Contec CMS7000PLUS monitor connects and transmits telemetry matching all requested demographics (MRN, Name, DOB).
                 </div>
                 <div style="margin-top: 18px; display: inline-flex; align-items: center; gap: 8px; padding: 6px 14px; background: rgba(6, 182, 212, 0.1); border: 1px solid rgba(6, 182, 212, 0.25); border-radius: 20px; font-size: 12px; color: var(--spo2-color);">
                     <span style="width: 8px; height: 8px; border-radius: 50%; background: var(--spo2-color); display: inline-block;"></span> Listening for live connection...
@@ -1774,65 +1775,110 @@
 
         function getTargetPatientBadge() {
             const items = [];
-            if (targetMrn) items.push(`MRN: <strong>${targetMrn}</strong>`);
+            if (targetMrn) items.push(`<span class="patient-mrn-badge" style="padding: 4px 10px; font-size: 12px;">📋 MRN: <strong>${targetMrn}</strong></span>`);
-            if (targetName) items.push(`Name: <strong>${targetName}</strong>`);
+            if (targetName) items.push(`<span class="patient-name-badge" style="padding: 4px 10px; background: rgba(14, 165, 233, 0.15); border: 1px solid rgba(14, 165, 233, 0.3); border-radius: 6px; font-size: 12px; color: #38bdf8;">👤 Name: <strong>${targetName}</strong></span>`);
-            if (targetDob) items.push(`DOB: <strong>${targetDob}</strong>`);
+            if (targetDob) items.push(`<span class="patient-dob-badge" style="padding: 4px 10px; font-size: 12px;">🎂 DOB: <strong>${targetDob}</strong></span>`);
-            if (targetGender) items.push(`Gender: <strong>${targetGender}</strong>`);
+            if (targetGender) items.push(`<span class="patient-gender-badge" style="padding: 4px 10px; font-size: 12px;">⚧ Gender: <strong>${targetGender}</strong></span>`);
-            return items.length > 0 ? items.join(' &nbsp;•&nbsp; ') : 'Target Patient';
+            return items.length > 0 ? items.join('') : '<span>Target Patient</span>';
+        }
+
+        // Helper: Extract 4-digit year and digits for robust DOB matching
+        function normalizeDob(str) {
+            if (!str) return { raw: '', digits: '', year: null };
+            const clean = String(str).trim();
+            const yearMatch = clean.match(/\b(19\d\d|20[0-2]\d)\b/);
+            const digits = clean.replace(/\D/g, '');
+            return {
+                raw: clean.toLowerCase(),
+                digits: digits,
+                year: yearMatch ? yearMatch[1] : null
+            };
+        }
+
+        // Helper: Extract individual words for flexible name matching
+        function normalizeNameTokens(str) {
+            if (!str) return [];
+            return String(str)
+                .toLowerCase()
+                .replace(/[^a-z0-9\s]/g, '')
+                .trim()
+                .split(/\s+/)
+                .filter(w => w.length >= 2);
+        }
+
+        // Check verification for each requested parameter (MRN, Name, DOB, Gender)
+        function checkPatientVerification(dev) {
+            const res = {
+                mrnMatched: !targetMrn,
+                nameMatched: !targetName,
+                dobMatched: !targetDob,
+                genderMatched: !targetGender,
+                allMatched: false
+            };
+            if (!dev) return res;
+
+            const pMrn = String(dev?.mrn || dev?.patient_id || '').toLowerCase().trim();
+            const pName = String(dev?.patient_name || dev?.name || '').toLowerCase().trim();
+            const pDob = String(dev?.patient_dob || dev?.dob || '').toLowerCase().trim();
+            const pGender = String(dev?.patient_gender || dev?.gender || '').toLowerCase().trim();
+
+            // 1. MRN verification
+            if (targetMrn) {
+                const tm = targetMrn.toLowerCase().trim();
+                if (pMrn && (pMrn === tm || pMrn.includes(tm) || tm.includes(pMrn))) {
+                    res.mrnMatched = true;
+                } else {
+                    const numT = parseInt(tm, 10);
+                    const numMrn = parseInt(pMrn, 10);
+                    if (!isNaN(numT) && !isNaN(numMrn) && numT === numMrn && tm.length >= 3 && pMrn.length >= 3) {
+                        res.mrnMatched = true;
+                    }
+                }
+            }
+
+            // 2. Name verification (supports "Shahil", "Shahil Kumar", "Kumar Shahil")
+            if (targetName) {
+                const tn = targetName.toLowerCase().trim();
+                const targetTokens = normalizeNameTokens(targetName);
+                const patientTokens = normalizeNameTokens(pName);
+                if (pName && (pName.includes(tn) || tn.includes(pName))) {
+                    res.nameMatched = true;
+                } else if (targetTokens.length > 0 && targetTokens.some(t => patientTokens.includes(t))) {
+                    res.nameMatched = true;
+                }
+            }
+
+            // 3. DOB verification (supports 1960, 1960-06-22, 22/06/1960, 19600622)
+            if (targetDob) {
+                const td = targetDob.toLowerCase().trim();
+                const tNorm = normalizeDob(targetDob);
+                const pNorm = normalizeDob(pDob);
+                if (pDob && (pDob.includes(td) || td.includes(pDob))) {
+                    res.dobMatched = true;
+                } else if (tNorm.year && pNorm.year && tNorm.year === pNorm.year) {
+                    res.dobMatched = true;
+                } else if (tNorm.digits && pNorm.digits && (tNorm.digits.includes(pNorm.digits) || pNorm.digits.includes(tNorm.digits))) {
+                    res.dobMatched = true;
+                }
+            }
+
+            // 4. Gender verification
+            if (targetGender) {
+                const tg = targetGender.toLowerCase().trim();
+                if (pGender && (pGender.startsWith(tg[0]) || pGender.includes(tg))) {
+                    res.genderMatched = true;
+                }
+            }
+
+            res.allMatched = res.mrnMatched && res.nameMatched && res.dobMatched && res.genderMatched;
+            return res;
         }
 
         // Helper function: Check if a device or patient matches the target demographics (MRN, Name, DOB, Gender)
         function matchesTargetPatient(dev, devId) {
             if (!hasTargetFilter) return true;
             if (!dev && !devId) return false;
-
+            return checkPatientVerification(dev).allMatched;
-            const pMrn = String(dev?.mrn || dev?.patient_id || '').toLowerCase().trim();
-            const pName = String(dev?.patient_name || dev?.name || '').toLowerCase().trim();
-            const pDob = String(dev?.patient_dob || dev?.dob || '').toLowerCase().trim();
-            const pGender = String(dev?.patient_gender || dev?.gender || '').toLowerCase().trim();
-            const pBed = String(dev?.bed_id || dev?.bedLabel || '').toLowerCase().trim();
-            const dId = String(devId || dev?.device_id || '').toLowerCase().trim();
-
-            // 1. If targetName is explicitly specified: must match patient name
-            if (targetName) {
-                const tn = targetName.toLowerCase().trim();
-                const nameMatch = pName && (pName.includes(tn) || tn.includes(pName));
-                if (!nameMatch) return false;
-            }
-
-            // 2. If targetDob is explicitly specified: must match patient DOB / birth year
-            if (targetDob) {
-                const td = targetDob.toLowerCase().trim();
-                const dobMatch = pDob && (pDob.includes(td) || td.includes(pDob));
-                if (!dobMatch) return false;
-            }
-
-            // 3. If targetGender is explicitly specified: must match gender
-            if (targetGender) {
-                const tg = targetGender.toLowerCase().trim();
-                const genderMatch = pGender && (pGender.startsWith(tg[0]) || pGender.includes(tg));
-                if (!genderMatch) return false;
-            }
-
-            // 4. If targetMrn is specified: strictly match patient MRN only
-            if (targetMrn) {
-                const tm = targetMrn.toLowerCase().trim();
-                let mrnMatch = false;
-
-                if (pMrn) {
-                    if (pMrn === tm) mrnMatch = true;
-                    // Also support numeric equivalence (e.g. "09091102" vs "9091102") with minimum length 3
-                    const numT = parseInt(tm, 10);
-                    const numMrn = parseInt(pMrn, 10);
-                    if (!isNaN(numT) && !isNaN(numMrn) && numT === numMrn && tm.length >= 3 && pMrn.length >= 3) {
-                        mrnMatch = true;
-                    }
-                }
-
-                if (!mrnMatch) return false;
-            }
-
-            return true;
         }
 
         // Backward-compatible alias
@@ -2121,8 +2167,13 @@
                 }
 
                 // 2. Load latest readings to backfill vitals for each device
-                const backfillUrl = hasTargetFilter && targetMrn 
+                const backfillParams = new URLSearchParams();
-                    ? `${API_BASE}/latest-readings?limit=50&mrn=${encodeURIComponent(targetMrn)}`
+                backfillParams.set('limit', '50');
+                if (targetMrn) backfillParams.set('mrn', targetMrn);
+                if (targetName) backfillParams.set('name', targetName);
+                if (targetDob) backfillParams.set('dob', targetDob);
+                const backfillUrl = hasTargetFilter 
+                    ? `${API_BASE}/latest-readings?${backfillParams.toString()}`
                     : `${API_BASE}/latest-readings?limit=100`;
                 const readResp = await fetch(backfillUrl);
                 if (readResp.ok) {
@@ -2560,7 +2611,7 @@
                     if (waitingState) {
                         waitingState.style.display = 'flex';
                         const badge = document.getElementById('targetWaitingMrnBadge');
-                        if (badge) badge.innerHTML = `Target Patient: ${getTargetPatientBadge()}`;
+                        if (badge) badge.innerHTML = getTargetPatientBadge();
                     }
                     if (patientBanner) patientBanner.style.display = 'none';
                     if (vitalsGrid) vitalsGrid.style.display = 'none';
@@ -2584,10 +2635,11 @@
 
             const bannerEl = document.getElementById('singlePatientBanner');
             if (bannerEl) {
-                document.getElementById('bannerPatientName').textContent = pName;
+                const verifiedTag = '<span style="display:inline-flex;align-items:center;gap:3px;padding:2px 6px;background:rgba(16,185,129,0.15);border:1px solid rgba(16,185,129,0.35);border-radius:4px;color:#10b981;font-size:10px;font-weight:700;margin-left:6px;">✓ Verified</span>';
-                document.getElementById('bannerMrn').textContent = `MRN: ${pMrn}`;
+                document.getElementById('bannerPatientName').innerHTML = `${pName} ${targetName ? verifiedTag : ''}`;
-                document.getElementById('bannerGender').textContent = `Gender: ${pGender}`;
+                document.getElementById('bannerMrn').innerHTML = `MRN: ${pMrn} ${targetMrn ? verifiedTag : ''}`;
-                document.getElementById('bannerDob').textContent = `DOB: ${pDob}`;
+                document.getElementById('bannerGender').innerHTML = `Gender: ${pGender} ${targetGender ? verifiedTag : ''}`;
+                document.getElementById('bannerDob').innerHTML = `DOB: ${pDob} ${targetDob ? verifiedTag : ''}`;
                 document.getElementById('bannerBed').textContent = `Location: ${pBed}`;
             }