@pipeworx/mcp-meps 0.1.3 → 0.2.0

package/src/conditions.ts

@@ -1,108 +0,0 @@
-/**
- * Turning what a caller says into a CCSR condition category.
- *
- * MEPS codes conditions as CCSR categories — END010, MBD002 — and nobody asks
- * a question in those terms. An agent asks "what do people take for high
- * cholesterol". Without this the pack answers zero rows to almost every real
- * question, which reads as "we have no data" rather than "you used the wrong
- * vocabulary".
- *
- * Two layers: these hand-written synonyms for the way people actually speak,
- * then a trigram match against the official CCSR labels for everything else.
- */
-
-/** Everyday phrasing -> CCSR categories. Several codes where the plain word
- *  genuinely spans them: "diabetes" is END002 and END003, and returning only
- *  one of them would quietly halve the answer. */
-export const CONDITION_SYNONYMS: Record<string, string[]> = {
-  // EVERY code below was checked against the HCUP CCSR reference file, because
-  // a first pass written from memory got roughly a dozen of them wrong in a way
-  // no test would catch: "epilepsy" pointed at cerebral palsy, "psoriasis" at
-  // pressure ulcer, "hypothyroidism" at diabetes. Each would have returned a
-  // confident, plausible, wrong list of drugs. If you add a synonym, look the
-  // code up — do not recall it.
-  'high cholesterol': ['END010'],
-  cholesterol: ['END010'],
-  hyperlipidemia: ['END010'],
-  'lipid disorder': ['END010'],
-  // END004/005/006 are diabetes categories too, but MEPS does not use them:
-  // in the 2024 file every diabetes person sits in END002 or END003. Including
-  // the unused codes would only widen the query, but naming them here would
-  // imply a coverage that is not in the data.
-  diabetes: ['END002', 'END003'],
-  'type 2 diabetes': ['END002', 'END003'],
-  'blood sugar': ['END002', 'END003'],
-  obesity: ['END009'],
-  'weight loss': ['END009'],
-  thyroid: ['END001'],
-  hypothyroidism: ['END001'],
-  'high blood pressure': ['CIR007'],
-  hypertension: ['CIR007'],
-  'heart failure': ['CIR019'],
-  'atrial fibrillation': ['CIR017'],
-  afib: ['CIR017'],
-  arrhythmia: ['CIR017'],
-  'coronary artery disease': ['CIR011'],
-  'pulmonary embolism': ['CIR013'],
-  depression: ['MBD002'],
-  depressive: ['MBD002'],
-  anxiety: ['MBD005'],
-  ocd: ['MBD006'],
-  ptsd: ['MBD007'],
-  bipolar: ['MBD003'],
-  schizophrenia: ['MBD001'],
-  psychosis: ['MBD001'],
-  'opioid use disorder': ['MBD018'],
-  'alcohol use disorder': ['MBD017'],
-  smoking: ['MBD024'],
-  'tobacco use': ['MBD024'],
-  insomnia: ['NVS016'],
-  'sleep disorder': ['NVS016'],
-  epilepsy: ['NVS009'],
-  seizures: ['NVS009'],
-  migraine: ['NVS010'],
-  headache: ['NVS010'],
-  'nerve pain': ['NVS019'],
-  asthma: ['RSP009'],
-  copd: ['RSP008'],
-  emphysema: ['RSP008'],
-  'acid reflux': ['DIG004'],
-  gerd: ['DIG004'],
-  heartburn: ['DIG004'],
-  arthritis: ['MUS006', 'MUS003'],
-  osteoarthritis: ['MUS006'],
-  'rheumatoid arthritis': ['MUS003'],
-  osteoporosis: ['MUS013'],
-  'back pain': ['MUS038'],
-  'low back pain': ['MUS038'],
-  'chronic pain': ['MUS010', 'MUS038', 'NVS019'],
-  'kidney disease': ['GEN003'],
-  ckd: ['GEN003'],
-  hiv: ['INF006'],
-  glaucoma: ['EYE003'],
-  // Deliberately absent: ADHD (CCSR splits it across neurodevelopmental and
-  // impulse-control in a way the data does not settle), eczema and psoriasis
-  // (no dedicated category — the nearest is "other specified inflammatory
-  // condition of skin"), and allergies (the only "allergic" category is an
-  // INJURY code for allergic reactions). Those fall through to the label
-  // search, which reports which category it matched so a caller can see what
-  // they actually got.
-};
-
-const CCSR_RE = /^[A-Z]{3}\d{3}$/;
-
-/** An exact CCSR code if the caller gave one, else the synonym hit, else null
- *  meaning "fall through to a label search". */
-export function resolveConditionCodes(raw: string): string[] | null {
-  const t = raw.trim();
-  if (!t) return null;
-  if (CCSR_RE.test(t.toUpperCase())) return [t.toUpperCase()];
-  const lower = t.toLowerCase().replace(/\s+/g, ' ');
-  if (CONDITION_SYNONYMS[lower]) return CONDITION_SYNONYMS[lower];
-  // Longest containing synonym, so "type 2 diabetes mellitus" still resolves
-  // and does not lose to the shorter "diabetes".
-  const hit = Object.keys(CONDITION_SYNONYMS)
-    .filter((k) => lower.includes(k))
-    .sort((a, b) => b.length - a.length)[0];
-  return hit ? CONDITION_SYNONYMS[hit] : null;
-}