fluxq-engine 1.0.0

package/dist/core/classifiers/cholesterol.js.map

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package/dist/core/classifiers/diabetes.d.ts

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+import { DiabetesSymptoms, ComfortLevel, OnsetType, SeverityLevel } from '../types';
+export interface DiabetesClassification {
+    severity: SeverityLevel;
+    pattern: 'hypo' | 'hyper' | 'dka' | 'hhs' | 'mixed' | 'routine';
+    escalationReasons: string[];
+}
+export declare function classifyDiabetes(symptoms: DiabetesSymptoms, comfort: ComfortLevel, onset: OnsetType): DiabetesClassification;
+//# sourceMappingURL=diabetes.d.ts.map

package/dist/core/classifiers/diabetes.d.ts.map

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package/dist/core/classifiers/diabetes.js

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+"use strict";
+Object.defineProperty(exports, "__esModule", { value: true });
+exports.classifyDiabetes = classifyDiabetes;
+function classifyDiabetes(symptoms, comfort, onset) {
+    const reasons = [];
+    const hypoSymptoms = [
+        symptoms.shaking, symptoms.suddenSweating, symptoms.heartPounding,
+        symptoms.suddenHunger, symptoms.paleSkin, symptoms.mentalFog,
+        symptoms.tinglingLips, symptoms.suddenAnxiety,
+    ];
+    const hypoCount = hypoSymptoms.filter(Boolean).length;
+    const hyperSymptoms = [
+        symptoms.extremeThirst, symptoms.frequentUrination, symptoms.blurredVision,
+        symptoms.fruityBreath, symptoms.nausea, symptoms.deepFastBreathing,
+        symptoms.extremeTiredness, symptoms.stomachPain, symptoms.slowWoundHealing,
+    ];
+    const hyperCount = hyperSymptoms.filter(Boolean).length;
+    let severity = 'low';
+    let pattern = 'routine';
+    if (hypoCount === 0 && hyperCount === 0) {
+        severity = 'low';
+        pattern = 'routine';
+    }
+    else if (hypoCount > hyperCount || (hypoCount >= 2 && hypoCount === hyperCount)) {
+        pattern = 'hypo';
+        if (hypoCount >= 3 && comfort >= 3) {
+            severity = 'high';
+            reasons.push('Severe hypoglycaemia — imminent LOC risk');
+        }
+        else if (hypoCount >= 2 && comfort >= 2) {
+            severity = 'high';
+            reasons.push('Significant hypo symptoms with distress');
+        }
+        else if (hypoCount >= 2 && comfort === 1) {
+            severity = 'standard';
+        }
+        else if (hypoCount === 1 && comfort >= 2) {
+            severity = 'standard';
+        }
+        else {
+            severity = 'low';
+        }
+    }
+    else if (hyperCount > hypoCount || (hyperCount >= 2 && hyperCount === hypoCount)) {
+        if (symptoms.fruityBreath && (symptoms.nausea || symptoms.deepFastBreathing) && comfort >= 3) {
+            severity = 'high';
+            pattern = 'dka';
+            reasons.push('DKA pattern — fruity breath + nausea/deep breathing');
+        }
+        else if (hyperCount >= 4 && comfort >= 3) {
+            severity = 'high';
+            pattern = 'hhs';
+            reasons.push('HHS pattern — very high symptom load');
+        }
+        else if (hyperCount >= 3 && comfort >= 2) {
+            severity = 'high';
+            pattern = 'hyper';
+            reasons.push('Multiple hyper symptoms with significant discomfort');
+        }
+        else if (hyperCount >= 2 && comfort >= 1 && comfort <= 2) {
+            severity = 'standard';
+            pattern = 'hyper';
+        }
+        else {
+            severity = 'low';
+            pattern = 'hyper';
+        }
+    }
+    else if (hypoCount > 0 && hyperCount > 0) {
+        severity = 'standard';
+        pattern = 'mixed';
+        reasons.push('Mixed hypo/hyper signals — caution');
+    }
+    if (severity === 'standard' && onset === 'acute') {
+        severity = 'high';
+        reasons.push('Acute onset escalation: standard → high');
+    }
+    else if (severity === 'low' && onset === 'acute') {
+        severity = 'standard';
+        reasons.push('Acute onset escalation: low → standard');
+    }
+    if (symptoms.missedInsulinDose && hypoCount >= 1) {
+        severity = escalate(severity);
+        reasons.push('Missed insulin dose + hypo symptoms → escalated');
+    }
+    if (symptoms.recentHypoEpisode && onset === 'today') {
+        if (severity === 'standard') {
+            severity = 'high';
+            reasons.push('Recent hypo episode + today onset → escalated to high');
+        }
+    }
+    if (symptoms.isPregnant) {
+        if (severity === 'low')
+            severity = 'standard';
+        else if (severity === 'standard')
+            severity = 'high';
+        reasons.push('Pregnant — escalated one level (max high)');
+    }
+    if (symptoms.bloodGlucose !== undefined) {
+        const bg = symptoms.bloodGlucose;
+        if (bg < 54) {
+            severity = 'high';
+            reasons.push(`Glucose ${bg} mg/dL < 54 — severe hypo, immediate risk`);
+        }
+        else if (bg >= 54 && bg <= 70) {
+            if (severity !== 'high' && severity !== 'critical') {
+                severity = 'high';
+                reasons.push(`Glucose ${bg} mg/dL (54-70) — danger zone`);
+            }
+        }
+        else if (bg >= 141 && bg <= 180) {
+            if (severity === 'low') {
+                severity = 'standard';
+                reasons.push(`Glucose ${bg} mg/dL (141-180) — mildly elevated`);
+            }
+        }
+        else if (bg >= 181 && bg <= 300) {
+            if (severity === 'low')
+                severity = 'standard';
+            if (hyperCount > 0 && severity === 'standard')
+                severity = 'high';
+            reasons.push(`Glucose ${bg} mg/dL (181-300) — elevated`);
+        }
+        else if (bg > 300) {
+            severity = 'high';
+            reasons.push(`Glucose ${bg} mg/dL > 300 — DKA/HHS territory`);
+        }
+    }
+    if (symptoms.hba1c !== undefined) {
+        const a1c = symptoms.hba1c;
+        if (a1c < 7.0 && hypoCount === 0 && hyperCount === 0 && severity === 'standard') {
+            severity = 'low';
+            reasons.push(`HbA1c ${a1c}% < 7.0 — well controlled, downgraded`);
+        }
+        else if (a1c >= 9.0 && a1c <= 10.0 && severity === 'low') {
+            severity = 'standard';
+            reasons.push(`HbA1c ${a1c}% (9-10) — poor control`);
+        }
+        else if (a1c > 10.0) {
+            severity = escalate(severity);
+            reasons.push(`HbA1c ${a1c}% > 10 — chronic poor control, escalated`);
+        }
+    }
+    return { severity, pattern, escalationReasons: reasons };
+}
+function escalate(severity) {
+    switch (severity) {
+        case 'low': return 'standard';
+        case 'standard': return 'high';
+        case 'high': return 'high';
+        case 'critical': return 'critical';
+    }
+}
+//# sourceMappingURL=diabetes.js.map

package/dist/core/classifiers/diabetes.js.map

@@ -0,0 +1 @@
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package/dist/core/classifiers/general.d.ts

@@ -0,0 +1,8 @@
+import { GeneralSymptoms, ComfortLevel, OnsetType, SeverityLevel } from '../types';
+export interface GeneralClassification {
+    severity: SeverityLevel;
+    points: number;
+    escalationReasons: string[];
+}
+export declare function classifyGeneral(symptoms: GeneralSymptoms, comfort: ComfortLevel, onset: OnsetType): GeneralClassification;
+//# sourceMappingURL=general.d.ts.map

package/dist/core/classifiers/general.d.ts.map

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package/dist/core/classifiers/general.js

@@ -0,0 +1,84 @@
+"use strict";
+Object.defineProperty(exports, "__esModule", { value: true });
+exports.classifyGeneral = classifyGeneral;
+function classifyGeneral(symptoms, comfort, onset) {
+    const reasons = [];
+    if (symptoms.bladderBowelLoss) {
+        reasons.push('Loss of bladder/bowel control → cauda equina emergency');
+        return { severity: 'critical', points: 99, escalationReasons: reasons };
+    }
+    if (symptoms.rashWithSwelling) {
+        reasons.push('Rash + facial/throat swelling → anaphylaxis');
+        return { severity: 'critical', points: 99, escalationReasons: reasons };
+    }
+    if (symptoms.selfHarmThoughts) {
+        reasons.push('Self-harm thoughts → mental health emergency');
+        return { severity: 'critical', points: 99, escalationReasons: reasons };
+    }
+    if (symptoms.confusedNotSelf && comfort >= 3) {
+        reasons.push('Confused/not self + comfort ≥ 3 → altered mental status');
+        return { severity: 'critical', points: 99, escalationReasons: reasons };
+    }
+    let points = 0;
+    points += comfort;
+    points += symptoms.impactLevel;
+    if (symptoms.highFever)
+        points += 2;
+    if (symptoms.worseningRapidly)
+        points += 2;
+    if (symptoms.vomitingOver5Times)
+        points += 2;
+    if (symptoms.nothingStaysDown)
+        points += 2;
+    if (symptoms.worstPainEver)
+        points += 2;
+    if (symptoms.gotSeriousBefore)
+        points += 1;
+    if (onset === 'acute')
+        points += 1;
+    if (symptoms.isOver65)
+        points += 1;
+    if (symptoms.immunocompromised)
+        points += 2;
+    if (symptoms.isPregnant)
+        points += 1;
+    if (symptoms.confusedNotSelf)
+        points += 2;
+    const complaintPoints = {
+        fever: 2,
+        cough: 1,
+        stomach: 1,
+        pain: 2,
+        skin: 1,
+        mentalHealth: 1,
+        urinary: 1,
+        eyeEarDental: 1,
+        prescription: 0,
+        other: 1,
+    };
+    points += complaintPoints[symptoms.primaryComplaint] || 0;
+    let severity;
+    if (points >= 10) {
+        severity = 'high';
+    }
+    else if (points >= 6) {
+        severity = 'standard';
+    }
+    else {
+        severity = 'low';
+    }
+    if (symptoms.primaryComplaint === 'mentalHealth' && comfort >= 3 && severity === 'low') {
+        severity = 'standard';
+        reasons.push('Mental health + comfort ≥ 3 → minimum standard');
+    }
+    if ((symptoms.isOver65 || symptoms.immunocompromised) && severity === 'low') {
+        severity = 'standard';
+        reasons.push('Elderly/immunocompromised + low → escalated to standard');
+    }
+    if (symptoms.highFever && symptoms.isOver65 && severity === 'low') {
+        severity = 'standard';
+        reasons.push('Fever + elderly → at least standard');
+    }
+    return { severity, points, escalationReasons: reasons };
+}
+//# sourceMappingURL=general.js.map

package/dist/core/classifiers/general.js.map

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package/dist/core/classifiers/index.d.ts

@@ -0,0 +1,5 @@
+import { IntakeForm, ClassificationResult } from '../types';
+import { checkRedFlags, severityToUrgency, baseSeverityScore } from './redFlags';
+export declare function classifyPatient(intake: IntakeForm, age?: number): ClassificationResult;
+export { checkRedFlags, severityToUrgency, baseSeverityScore };
+//# sourceMappingURL=index.d.ts.map

package/dist/core/classifiers/index.d.ts.map

@@ -0,0 +1 @@
+{"version":3,"file":"index.d.ts","sourceRoot":"","sources":["../../../src/core/classifiers/index.ts"],"names":[],"mappings":"AAIA,OAAO,EACL,UAAU,EACV,oBAAoB,EAGrB,MAAM,UAAU,CAAC;AAClB,OAAO,EAAE,aAAa,EAAE,iBAAiB,EAAE,iBAAiB,EAAE,MAAM,YAAY,CAAC;AAuBjF,wBAAgB,eAAe,CAAC,MAAM,EAAE,UAAU,EAAE,GAAG,CAAC,EAAE,MAAM,GAAG,oBAAoB,CAkFtF;AAmCD,OAAO,EAAE,aAAa,EAAE,iBAAiB,EAAE,iBAAiB,EAAE,CAAC"}

package/dist/core/classifiers/index.js

@@ -0,0 +1,113 @@
+"use strict";
+Object.defineProperty(exports, "__esModule", { value: true });
+exports.baseSeverityScore = exports.severityToUrgency = exports.checkRedFlags = void 0;
+exports.classifyPatient = classifyPatient;
+const redFlags_1 = require("./redFlags");
+Object.defineProperty(exports, "checkRedFlags", { enumerable: true, get: function () { return redFlags_1.checkRedFlags; } });
+Object.defineProperty(exports, "severityToUrgency", { enumerable: true, get: function () { return redFlags_1.severityToUrgency; } });
+Object.defineProperty(exports, "baseSeverityScore", { enumerable: true, get: function () { return redFlags_1.baseSeverityScore; } });
+const diabetes_1 = require("./diabetes");
+const cholesterol_1 = require("./cholesterol");
+const bloodPressure_1 = require("./bloodPressure");
+const general_1 = require("./general");
+const clinicalMultiplier_1 = require("../clinicalMultiplier");
+const queueConfig_1 = require("../queueConfig");
+function classifyPatient(intake, age) {
+    const { queueType, comfort, onset, emergencySignals } = intake;
+    const redFlag = (0, redFlags_1.checkRedFlags)(emergencySignals, comfort);
+    if (redFlag.triggered && redFlag.level === 'critical') {
+        return buildCrisisResult(queueType, redFlag.reasons);
+    }
+    let severity;
+    let symptomPattern = 'unknown';
+    let escalationReasons = [];
+    switch (queueType) {
+        case 'diabetes': {
+            if (!intake.diabetesSymptoms)
+                throw new Error('Diabetes symptoms required for diabetes queue');
+            const result = (0, diabetes_1.classifyDiabetes)(intake.diabetesSymptoms, comfort, onset);
+            severity = result.severity;
+            symptomPattern = result.pattern;
+            escalationReasons = result.escalationReasons;
+            break;
+        }
+        case 'cholesterol': {
+            if (!intake.cholesterolSymptoms)
+                throw new Error('Cholesterol symptoms required for cholesterol queue');
+            const result = (0, cholesterol_1.classifyCholesterol)(intake.cholesterolSymptoms, comfort, onset);
+            severity = result.severity;
+            symptomPattern = result.pattern;
+            escalationReasons = result.escalationReasons;
+            break;
+        }
+        case 'bloodPressure': {
+            if (!intake.bloodPressureSymptoms)
+                throw new Error('BP symptoms required for blood pressure queue');
+            const result = (0, bloodPressure_1.classifyBloodPressure)(intake.bloodPressureSymptoms, comfort, onset, emergencySignals);
+            severity = result.severity;
+            symptomPattern = result.pattern;
+            escalationReasons = result.escalationReasons;
+            break;
+        }
+        case 'general': {
+            if (!intake.generalSymptoms)
+                throw new Error('General symptoms required for general queue');
+            const result = (0, general_1.classifyGeneral)(intake.generalSymptoms, comfort, onset);
+            severity = result.severity;
+            symptomPattern = `points:${result.points}`;
+            escalationReasons = result.escalationReasons;
+            break;
+        }
+    }
+    if (redFlag.triggered && redFlag.level === 'high') {
+        if (severity === 'low' || severity === 'standard') {
+            severity = 'high';
+            escalationReasons.push(...redFlag.reasons);
+        }
+    }
+    if (severity === 'critical') {
+        return buildCrisisResult(queueType, escalationReasons);
+    }
+    const multiplier = computeMultiplier(queueType, intake, symptomPattern, severity, age);
+    const base = (0, redFlags_1.baseSeverityScore)(severity);
+    const clinicalScore = base * multiplier;
+    const threshold = (0, queueConfig_1.getStarvationThreshold)(queueType, severity, symptomPattern);
+    const duration = (0, queueConfig_1.getDurationPrediction)(queueType, severity, symptomPattern);
+    return {
+        severity,
+        clinicalMultiplier: multiplier,
+        symptomPattern,
+        baseSeverityScore: base,
+        finalScore: clinicalScore,
+        starvationThreshold: threshold,
+        estimatedDuration: duration,
+        escalationReasons,
+        queueType,
+    };
+}
+function buildCrisisResult(queueType, reasons) {
+    return {
+        severity: 'critical',
+        clinicalMultiplier: 1,
+        symptomPattern: 'crisis',
+        baseSeverityScore: 9999,
+        finalScore: 9999,
+        starvationThreshold: 0,
+        estimatedDuration: 30,
+        escalationReasons: reasons,
+        queueType,
+    };
+}
+function computeMultiplier(queueType, intake, pattern, severity, age) {
+    switch (queueType) {
+        case 'diabetes':
+            return (0, clinicalMultiplier_1.computeDiabetesMultiplier)(intake.diabetesSymptoms, intake.onset, severity, age);
+        case 'cholesterol':
+            return (0, clinicalMultiplier_1.computeCholesterolMultiplier)(intake.cholesterolSymptoms, pattern);
+        case 'bloodPressure':
+            return (0, clinicalMultiplier_1.computeBPMultiplier)(intake.bloodPressureSymptoms, pattern, age);
+        case 'general':
+            return (0, clinicalMultiplier_1.computeGeneralMultiplier)(intake.generalSymptoms, pattern, intake.onset);
+    }
+}
+//# sourceMappingURL=index.js.map

package/dist/core/classifiers/index.js.map

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package/dist/core/classifiers/redFlags.d.ts

@@ -0,0 +1,10 @@
+import { EmergencySignals, ComfortLevel, SeverityLevel } from '../types';
+export interface RedFlagResult {
+    triggered: boolean;
+    level: 'critical' | 'high' | 'none';
+    reasons: string[];
+}
+export declare function checkRedFlags(signals: EmergencySignals, comfort: ComfortLevel): RedFlagResult;
+export declare function severityToUrgency(severity: SeverityLevel): 'CRITICAL' | 'HIGH' | 'STANDARD' | 'LOW';
+export declare function baseSeverityScore(severity: SeverityLevel): number;
+//# sourceMappingURL=redFlags.d.ts.map

package/dist/core/classifiers/redFlags.d.ts.map

@@ -0,0 +1 @@
+{"version":3,"file":"redFlags.d.ts","sourceRoot":"","sources":["../../../src/core/classifiers/redFlags.ts"],"names":[],"mappings":"AAAA,OAAO,EACL,gBAAgB,EAChB,YAAY,EACZ,aAAa,EACd,MAAM,UAAU,CAAC;AAElB,MAAM,WAAW,aAAa;IAC5B,SAAS,EAAE,OAAO,CAAC;IACnB,KAAK,EAAE,UAAU,GAAG,MAAM,GAAG,MAAM,CAAC;IACpC,OAAO,EAAE,MAAM,EAAE,CAAC;CACnB;AAMD,wBAAgB,aAAa,CAC3B,OAAO,EAAE,gBAAgB,EACzB,OAAO,EAAE,YAAY,GACpB,aAAa,CA+Cf;AAKD,wBAAgB,iBAAiB,CAAC,QAAQ,EAAE,aAAa,GAAG,UAAU,GAAG,MAAM,GAAG,UAAU,GAAG,KAAK,CAOnG;AAGD,wBAAgB,iBAAiB,CAAC,QAAQ,EAAE,aAAa,GAAG,MAAM,CAOjE"}

package/dist/core/classifiers/redFlags.js

@@ -0,0 +1,59 @@
+"use strict";
+Object.defineProperty(exports, "__esModule", { value: true });
+exports.checkRedFlags = checkRedFlags;
+exports.severityToUrgency = severityToUrgency;
+exports.baseSeverityScore = baseSeverityScore;
+function checkRedFlags(signals, comfort) {
+    const reasons = [];
+    if (signals.chestPain && signals.breathingDifficulty) {
+        reasons.push('Chest pain + breathing difficulty → possible MI');
+        return { triggered: true, level: 'critical', reasons };
+    }
+    if (signals.severeHeadache && (signals.confusion || signals.visionLoss || signals.limbWeakness)) {
+        reasons.push('Severe headache + neurological signs → possible stroke');
+        return { triggered: true, level: 'critical', reasons };
+    }
+    if (signals.confusion && comfort >= 3) {
+        reasons.push('Confusion + comfort ≥ 3 → altered mental status');
+        return { triggered: true, level: 'critical', reasons };
+    }
+    if (signals.visionLoss) {
+        reasons.push('Sudden vision loss → possible stroke/retinal emergency');
+        return { triggered: true, level: 'critical', reasons };
+    }
+    if (signals.limbWeakness) {
+        reasons.push('One-sided limb/face weakness → possible stroke');
+        return { triggered: true, level: 'critical', reasons };
+    }
+    const highReasons = [];
+    if (signals.fainting) {
+        highReasons.push('Fainting → vasovagal/cardiac syncope risk');
+    }
+    if (signals.chestPain) {
+        highReasons.push('Chest pain → cardiac evaluation needed');
+    }
+    if (signals.breathingDifficulty) {
+        highReasons.push('Breathing difficulty at rest → respiratory compromise');
+    }
+    if (highReasons.length > 0) {
+        return { triggered: true, level: 'high', reasons: highReasons };
+    }
+    return { triggered: false, level: 'none', reasons: [] };
+}
+function severityToUrgency(severity) {
+    switch (severity) {
+        case 'critical': return 'CRITICAL';
+        case 'high': return 'HIGH';
+        case 'standard': return 'STANDARD';
+        case 'low': return 'LOW';
+    }
+}
+function baseSeverityScore(severity) {
+    switch (severity) {
+        case 'critical': return 9999;
+        case 'high': return 150;
+        case 'standard': return 75;
+        case 'low': return 25;
+    }
+}
+//# sourceMappingURL=redFlags.js.map

package/dist/core/classifiers/redFlags.js.map

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package/dist/core/clinicalMultiplier.d.ts

@@ -0,0 +1,6 @@
+import { DiabetesSymptoms, CholesterolSymptoms, BloodPressureSymptoms, GeneralSymptoms, OnsetType } from './types';
+export declare function computeDiabetesMultiplier(symptoms: DiabetesSymptoms, onset: OnsetType, severity: string, age?: number): number;
+export declare function computeCholesterolMultiplier(symptoms: CholesterolSymptoms, pattern: string): number;
+export declare function computeBPMultiplier(symptoms: BloodPressureSymptoms, pattern: string, age?: number): number;
+export declare function computeGeneralMultiplier(symptoms: GeneralSymptoms, pattern: string, onset: OnsetType): number;
+//# sourceMappingURL=clinicalMultiplier.d.ts.map

package/dist/core/clinicalMultiplier.d.ts.map

@@ -0,0 +1 @@
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