fluxq-engine 1.0.0

package/dist/core/clinicalMultiplier.js

@@ -0,0 +1,199 @@
+"use strict";
+Object.defineProperty(exports, "__esModule", { value: true });
+exports.computeDiabetesMultiplier = computeDiabetesMultiplier;
+exports.computeCholesterolMultiplier = computeCholesterolMultiplier;
+exports.computeBPMultiplier = computeBPMultiplier;
+exports.computeGeneralMultiplier = computeGeneralMultiplier;
+function computeDiabetesMultiplier(symptoms, onset, severity, age) {
+    const hypoCount = [
+        symptoms.shaking, symptoms.suddenSweating, symptoms.heartPounding,
+        symptoms.suddenHunger, symptoms.paleSkin, symptoms.mentalFog,
+        symptoms.tinglingLips, symptoms.suddenAnxiety,
+    ].filter(Boolean).length;
+    const hyperCount = [
+        symptoms.extremeThirst, symptoms.frequentUrination, symptoms.blurredVision,
+        symptoms.fruityBreath, symptoms.nausea, symptoms.deepFastBreathing,
+        symptoms.extremeTiredness, symptoms.stomachPain, symptoms.slowWoundHealing,
+    ].filter(Boolean).length;
+    let base;
+    if (hypoCount === 0 && hyperCount === 0) {
+        base = 1.0;
+    }
+    else if (hypoCount > hyperCount) {
+        base = 1.8;
+    }
+    else if (symptoms.fruityBreath && (symptoms.nausea || symptoms.deepFastBreathing)) {
+        base = 1.7;
+    }
+    else if (hyperCount >= 4) {
+        base = 1.9;
+    }
+    else if (hyperCount > hypoCount) {
+        base = 1.4;
+    }
+    else {
+        base = 1.3;
+    }
+    let adj = 0;
+    if (severity === 'critical')
+        adj += 0.5;
+    if (onset === 'acute')
+        adj += 0.3;
+    if (symptoms.onInsulin)
+        adj += 0.2;
+    if (symptoms.isPregnant)
+        adj += 0.2;
+    if (symptoms.hasKidneyDisease)
+        adj += 0.2;
+    if (symptoms.missedInsulinDose)
+        adj += 0.2;
+    if (symptoms.recentHypoEpisode)
+        adj += 0.1;
+    if (age !== undefined && age > 65)
+        adj += 0.1;
+    return Math.min(base + adj, 3.5);
+}
+function computeCholesterolMultiplier(symptoms, pattern) {
+    let base;
+    switch (pattern) {
+        case 'secondaryPrevActive':
+            base = 2.5;
+            break;
+        case 'secondaryPrevStable':
+            base = 2.2;
+            break;
+        case 'familial':
+            base = 2.0;
+            break;
+        case 'acuteCardiac':
+            base = 1.9;
+            break;
+        case 'highRisk':
+            base = 1.7;
+            break;
+        case 'moderateRisk':
+            base = 1.4;
+            break;
+        case 'statinSideEffect':
+            base = 1.3;
+            break;
+        default:
+            base = 1.0;
+            break;
+    }
+    let adj = 0;
+    if (symptoms.familyEarlyHeartAttack)
+        adj += 0.3;
+    if (symptoms.hasDiabetes && (symptoms.hasHighBP || symptoms.hasKidneyDisease ||
+        symptoms.smokerOrExSmoker || symptoms.significantlyOverweight))
+        adj += 0.2;
+    if (symptoms.hasKidneyDisease)
+        adj += 0.2;
+    if (symptoms.inflammatoryCondition)
+        adj += 0.2;
+    if (symptoms.triglycerides !== undefined && symptoms.triglycerides > 500)
+        adj += 0.1;
+    const riskFactors = [
+        symptoms.hasDiabetes, symptoms.hasHighBP, symptoms.smokerOrExSmoker,
+        symptoms.significantlyOverweight, symptoms.ageRisk,
+        symptoms.familyEarlyHeartAttack, symptoms.hasKidneyDisease,
+        symptoms.familialHypercholesterolaemia, symptoms.priorClotStrokeTIA,
+        symptoms.inflammatoryCondition,
+    ].filter(Boolean).length;
+    if (riskFactors > 5) {
+        adj += Math.min((riskFactors - 5) * 0.1, 0.3);
+    }
+    return Math.min(base + adj, 3.0);
+}
+function computeBPMultiplier(symptoms, pattern, age) {
+    let base;
+    switch (pattern) {
+        case 'hypertensiveUrgency':
+            base = 2.6;
+            break;
+        case 'stage2Comorbid':
+            base = 2.3;
+            break;
+        case 'stage2Uncomplicated':
+            base = 1.9;
+            break;
+        case 'stage1Comorbid':
+            base = 1.5;
+            break;
+        case 'stage1Uncomplicated':
+            base = 1.1;
+            break;
+        case 'elevated':
+            base = 0.9;
+            break;
+        case 'routine':
+            base = 0.7;
+            break;
+        default:
+            base = 1.5;
+            break;
+    }
+    let adj = 0;
+    if (symptoms.isPregnant)
+        adj += 0.4;
+    if (symptoms.priorStrokeTIA)
+        adj += 0.3;
+    if (symptoms.missedBPMedication && countBPSymptoms(symptoms) > 0)
+        adj += 0.3;
+    if (symptoms.hasHeartFailure)
+        adj += 0.2;
+    if (symptoms.hasKidneyDisease)
+        adj += 0.2;
+    if (symptoms.hasDiabetes && (symptoms.systolic === undefined || symptoms.systolic >= 140))
+        adj += 0.2;
+    if (symptoms.recentMedicationChange && countBPSymptoms(symptoms) > 0)
+        adj += 0.2;
+    if (age !== undefined && age > 65)
+        adj += 0.1;
+    return Math.min(base + adj, 3.0);
+}
+function countBPSymptoms(s) {
+    return [
+        s.severeHeadache, s.blurredVision, s.nauseaWithHeadache, s.chestPain,
+        s.shortnessOfBreathRest, s.heartbeatInEars, s.unstoppableNosebleed,
+        s.swollenAnkles, s.mildHeadache, s.flushed, s.dizziness, s.palpitations,
+    ].filter(Boolean).length;
+}
+function computeGeneralMultiplier(symptoms, pattern, onset) {
+    const pointsMatch = pattern.match(/points:(\d+)/);
+    const points = pointsMatch ? parseInt(pointsMatch[1], 10) : 0;
+    let base;
+    if (symptoms.bladderBowelLoss || symptoms.rashWithSwelling) {
+        base = 3.5;
+    }
+    else if (symptoms.primaryComplaint === 'mentalHealth' && symptoms.impactLevel >= 2) {
+        base = 1.4;
+    }
+    else if (points >= 10) {
+        base = 1.8;
+    }
+    else if (points >= 6) {
+        base = 1.3;
+    }
+    else if (points >= 2) {
+        base = 1.0;
+    }
+    else {
+        base = 0.8;
+    }
+    let adj = 0;
+    if (symptoms.immunocompromised)
+        adj += 0.4;
+    if (symptoms.isPregnant)
+        adj += 0.3;
+    if ((symptoms.isOver65) && (points >= 6))
+        adj += 0.2;
+    if (symptoms.worseningRapidly && onset === 'acute')
+        adj += 0.2;
+    if (symptoms.gotSeriousBefore)
+        adj += 0.2;
+    if (symptoms.caringForChild)
+        adj += 0.1;
+    return Math.min(base + adj, 2.5);
+}
+//# sourceMappingURL=clinicalMultiplier.js.map

package/dist/core/clinicalMultiplier.js.map

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package/dist/core/demo.d.ts

@@ -0,0 +1,3 @@
+declare function runDemo(): Promise<import("./types").OptimizationResult>;
+export { runDemo };
+//# sourceMappingURL=demo.d.ts.map

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

@@ -0,0 +1 @@
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package/dist/core/demo.js

@@ -0,0 +1,128 @@
+"use strict";
+Object.defineProperty(exports, "__esModule", { value: true });
+exports.runDemo = runDemo;
+const index_1 = require("../index");
+function createMockPatients() {
+    const now = new Date();
+    return [
+        {
+            id: 'P001', age: 72, gender: 'M',
+            chiefComplaint: 'Chest pain, shortness of breath',
+            conditionType: 'Cardiology', urgency: 'CRITICAL',
+            arrivalTime: new Date(now.getTime() - 30 * 60000),
+            isReturning: true, hasComplexHistory: true,
+            isMultiSymptom: true, isTeleconsultFollowUp: false,
+            preferredDoctorId: 'D001', waitTime: 30,
+        },
+        {
+            id: 'P002', age: 34, gender: 'F',
+            chiefComplaint: 'Persistent migraine',
+            conditionType: 'Neurology', urgency: 'HIGH',
+            arrivalTime: new Date(now.getTime() - 25 * 60000),
+            isReturning: false, hasComplexHistory: false,
+            isMultiSymptom: false, isTeleconsultFollowUp: false,
+            preferredDoctorId: 'D002', waitTime: 25,
+        },
+        {
+            id: 'P003', age: 65, gender: 'F',
+            chiefComplaint: 'Diabetes follow-up, blurred vision',
+            conditionType: 'Endocrinology', urgency: 'HIGH',
+            arrivalTime: new Date(now.getTime() - 20 * 60000),
+            isReturning: true, hasComplexHistory: true,
+            isMultiSymptom: true, isTeleconsultFollowUp: true,
+            waitTime: 20,
+        },
+        {
+            id: 'P004', age: 28, gender: 'M',
+            chiefComplaint: 'Sore throat, mild cough',
+            conditionType: 'General', urgency: 'STANDARD',
+            arrivalTime: new Date(now.getTime() - 18 * 60000),
+            isReturning: false, hasComplexHistory: false,
+            isMultiSymptom: true, isTeleconsultFollowUp: false,
+            waitTime: 18,
+        },
+        {
+            id: 'P005', age: 45, gender: 'F',
+            chiefComplaint: 'Prescription refill — hypertension',
+            conditionType: 'General', urgency: 'LOW',
+            arrivalTime: new Date(now.getTime() - 15 * 60000),
+            isReturning: true, hasComplexHistory: false,
+            isMultiSymptom: false, isTeleconsultFollowUp: true,
+            waitTime: 15,
+        },
+        {
+            id: 'P006', age: 55, gender: 'M',
+            chiefComplaint: 'Acute abdominal pain',
+            conditionType: 'Gastroenterology', urgency: 'CRITICAL',
+            arrivalTime: new Date(now.getTime() - 12 * 60000),
+            isReturning: false, hasComplexHistory: false,
+            isMultiSymptom: false, isTeleconsultFollowUp: false,
+            waitTime: 12,
+        },
+        {
+            id: 'P007', age: 38, gender: 'Other',
+            chiefComplaint: 'Anxiety, insomnia',
+            conditionType: 'Psychiatry', urgency: 'STANDARD',
+            arrivalTime: new Date(now.getTime() - 10 * 60000),
+            isReturning: true, hasComplexHistory: true,
+            isMultiSymptom: true, isTeleconsultFollowUp: false,
+            preferredDoctorId: 'D003', waitTime: 10,
+        },
+        {
+            id: 'P008', age: 22, gender: 'F',
+            chiefComplaint: 'Skin rash',
+            conditionType: 'Dermatology', urgency: 'LOW',
+            arrivalTime: new Date(now.getTime() - 5 * 60000),
+            isReturning: false, hasComplexHistory: false,
+            isMultiSymptom: false, isTeleconsultFollowUp: false,
+            waitTime: 5,
+        },
+        {
+            id: 'P009', age: 80, gender: 'M',
+            chiefComplaint: 'Fall injury, hip pain, dizziness',
+            conditionType: 'Orthopedics', urgency: 'HIGH',
+            arrivalTime: new Date(now.getTime() - 8 * 60000),
+            isReturning: false, hasComplexHistory: true,
+            isMultiSymptom: true, isTeleconsultFollowUp: false,
+            waitTime: 8,
+        },
+        {
+            id: 'P010', age: 50, gender: 'F',
+            chiefComplaint: 'Routine blood-work review',
+            conditionType: 'General', urgency: 'LOW',
+            arrivalTime: now,
+            isReturning: true, hasComplexHistory: false,
+            isMultiSymptom: false, isTeleconsultFollowUp: true,
+            waitTime: 0,
+        },
+    ];
+}
+function createMockDoctors() {
+    return [
+        { id: 'D001', name: 'Dr. Patel', specialty: 'Cardiology', isAvailable: true, currentWorkload: 60, maxDailyPatients: 20, patientsServed: 8 },
+        { id: 'D002', name: 'Dr. Chen', specialty: 'Neurology', isAvailable: true, currentWorkload: 40, maxDailyPatients: 18, patientsServed: 5 },
+        { id: 'D003', name: 'Dr. Rivera', specialty: 'General/Psych', isAvailable: true, currentWorkload: 30, maxDailyPatients: 22, patientsServed: 4 },
+    ];
+}
+async function runDemo() {
+    console.log('╔════════════════════════════════════════════════════════════╗');
+    console.log('║         🏥 TeleMedQ — QUEUE OPTIMIZATION DEMO            ║');
+    console.log('╚════════════════════════════════════════════════════════════╝\n');
+    const patients = createMockPatients();
+    const doctors = createMockDoctors();
+    console.log('📋 INPUT PATIENTS:');
+    patients.forEach(p => {
+        console.log(`  ${p.id}: ${p.urgency.padEnd(8)} | Age ${p.age} | ${p.chiefComplaint} | Wait: ${p.waitTime} min`);
+    });
+    console.log('');
+    const simulator = new index_1.QueueSimulator({}, new Date());
+    const result = simulator.simulate(patients, doctors);
+    console.log(simulator.formatResults(result, doctors));
+    return result;
+}
+if (require.main === module) {
+    runDemo()
+        .then(() => console.log('\n✅ TeleMedQ demo completed successfully!'))
+        .catch(err => { console.error('❌ Error:', err); process.exit(1); });
+}
+//# sourceMappingURL=demo.js.map

package/dist/core/demo.js.map

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package/dist/core/fairnessEngine.d.ts

@@ -0,0 +1,13 @@
+import { Patient, QueueOrder, QueueOptimizationConfig, FairnessReport, FairnessViolation, AgingBoost, StarvationRisk } from './types';
+export declare class FairnessEngine {
+    private config;
+    constructor(config?: Partial<QueueOptimizationConfig>);
+    computeAgingBoosts(patients: Patient[]): AgingBoost[];
+    getMandatoryNextSlotPatients(patients: Patient[]): Patient[];
+    checkRules(queue: QueueOrder[]): FairnessViolation[];
+    getStarvationRisks(queue: QueueOrder[]): StarvationRisk[];
+    generateReport(queue: QueueOrder[], patients: Patient[]): FairnessReport;
+    enforceInterleaving(sortedPatients: Patient[]): Patient[];
+    private getMaxAcceptableWait;
+}
+//# sourceMappingURL=fairnessEngine.d.ts.map

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

@@ -0,0 +1 @@
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package/dist/core/fairnessEngine.js

@@ -0,0 +1,156 @@
+"use strict";
+Object.defineProperty(exports, "__esModule", { value: true });
+exports.FairnessEngine = void 0;
+const types_1 = require("./types");
+class FairnessEngine {
+    constructor(config = {}) {
+        this.config = { ...types_1.DEFAULT_CONFIG, ...config };
+    }
+    computeAgingBoosts(patients) {
+        const boosts = [];
+        for (const p of patients) {
+            const wait = p.waitTime || 0;
+            if (p.urgency === 'CRITICAL' || p.urgency === 'HIGH')
+                continue;
+            let boost = 0;
+            for (const t of this.config.agingThresholds) {
+                if (wait >= t.minutes)
+                    boost = t.boost;
+            }
+            if (boost > 0) {
+                boosts.push({
+                    patientId: p.id,
+                    waitMinutes: wait,
+                    boostApplied: boost,
+                    newPriority: -1,
+                });
+            }
+        }
+        return boosts;
+    }
+    getMandatoryNextSlotPatients(patients) {
+        return patients.filter(p => (p.urgency === 'STANDARD' || p.urgency === 'LOW') &&
+            (p.waitTime || 0) >= this.config.mandatorySlotAfter);
+    }
+    checkRules(queue) {
+        const violations = [];
+        const waitTimes = queue.map(o => o.estimatedWaitTime);
+        const avgWait = waitTimes.length > 0
+            ? waitTimes.reduce((a, b) => a + b, 0) / waitTimes.length
+            : 0;
+        for (const order of queue) {
+            if (order.patient.urgency === 'STANDARD' && order.estimatedWaitTime > 3 * avgWait && avgWait > 0) {
+                violations.push({
+                    patientId: order.patient.id,
+                    rule: 'F1',
+                    reason: `STANDARD patient waited ${order.estimatedWaitTime.toFixed(1)} min (> 3× avg ${avgWait.toFixed(1)} min)`,
+                    waitTime: order.estimatedWaitTime,
+                });
+            }
+        }
+        for (const order of queue) {
+            if (order.patient.urgency === 'LOW' && order.estimatedWaitTime > this.config.maxWaitTimeForLowPriority) {
+                violations.push({
+                    patientId: order.patient.id,
+                    rule: 'F2',
+                    reason: `LOW patient waited ${order.estimatedWaitTime.toFixed(1)} min (> ${this.config.maxWaitTimeForLowPriority} min limit)`,
+                    waitTime: order.estimatedWaitTime,
+                });
+            }
+        }
+        let highCount = 0;
+        for (const order of queue) {
+            const u = order.patient.urgency;
+            if (u === 'CRITICAL' || u === 'HIGH') {
+                highCount++;
+                if (highCount > this.config.interleaveAfter) {
+                    violations.push({
+                        patientId: order.patient.id,
+                        rule: 'F3',
+                        reason: `${highCount} consecutive CRITICAL/HIGH served without interleaving a STANDARD patient`,
+                        waitTime: order.estimatedWaitTime,
+                    });
+                }
+            }
+            else {
+                highCount = 0;
+            }
+        }
+        for (const order of queue) {
+            const limit = this.getMaxAcceptableWait(order.patient.urgency, order.patient);
+            if (order.estimatedWaitTime > limit * 2) {
+                const alreadyFlagged = violations.some(v => v.patientId === order.patient.id);
+                if (!alreadyFlagged) {
+                    violations.push({
+                        patientId: order.patient.id,
+                        rule: 'F4',
+                        reason: `Patient waited ${order.estimatedWaitTime.toFixed(1)} min (> 2× acceptable ${limit} min)`,
+                        waitTime: order.estimatedWaitTime,
+                    });
+                }
+            }
+        }
+        return violations;
+    }
+    getStarvationRisks(queue) {
+        const risks = [];
+        for (const order of queue) {
+            const threshold = this.getMaxAcceptableWait(order.patient.urgency, order.patient);
+            const pct = (order.estimatedWaitTime / threshold) * 100;
+            if (pct >= 70 && order.estimatedWaitTime < threshold) {
+                risks.push({
+                    patientId: order.patient.id,
+                    urgency: order.patient.urgency,
+                    currentWait: order.estimatedWaitTime,
+                    threshold,
+                    percentToThreshold: Math.round(pct),
+                });
+            }
+        }
+        return risks.sort((a, b) => b.percentToThreshold - a.percentToThreshold);
+    }
+    generateReport(queue, patients) {
+        const agingBoosts = this.computeAgingBoosts(patients);
+        const violations = this.checkRules(queue);
+        const starvationRisks = this.getStarvationRisks(queue);
+        const penalty = violations.length * (100 / Math.max(queue.length, 1));
+        const fairnessScore = Math.max(0, Math.round(100 - penalty));
+        return { agingBoosts, violations, fairnessScore, starvationRisks };
+    }
+    enforceInterleaving(sortedPatients) {
+        const result = [];
+        const highPool = sortedPatients.filter(p => p.urgency === 'CRITICAL' || p.urgency === 'HIGH');
+        const stdPool = sortedPatients.filter(p => p.urgency === 'STANDARD' || p.urgency === 'LOW');
+        let hi = 0;
+        let si = 0;
+        let consecutiveHigh = 0;
+        while (hi < highPool.length || si < stdPool.length) {
+            if (consecutiveHigh >= this.config.interleaveAfter && si < stdPool.length) {
+                result.push(stdPool[si++]);
+                consecutiveHigh = 0;
+            }
+            else if (hi < highPool.length) {
+                result.push(highPool[hi++]);
+                consecutiveHigh++;
+            }
+            else if (si < stdPool.length) {
+                result.push(stdPool[si++]);
+                consecutiveHigh = 0;
+            }
+        }
+        return result;
+    }
+    getMaxAcceptableWait(urgency, patient) {
+        if (patient?.classification) {
+            return patient.classification.starvationThreshold;
+        }
+        switch (urgency) {
+            case 'CRITICAL': return 15;
+            case 'HIGH': return 30;
+            case 'STANDARD': return 45;
+            case 'LOW': return 60;
+        }
+    }
+}
+exports.FairnessEngine = FairnessEngine;
+//# sourceMappingURL=fairnessEngine.js.map

package/dist/core/fairnessEngine.js.map

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

@@ -0,0 +1,23 @@
+import { QueueOrder, Metrics } from './types';
+export declare class MetricsCalculator {
+    private static URGENCY_WEIGHTS;
+    static calculateMetrics(queueOrders: QueueOrder[], scheduledWindowMinutes?: number, numDoctors?: number): Metrics;
+    private static calculateFairnessScore;
+    private static calculateDoctorUtilization;
+    private static calculateThroughput;
+    private static round;
+    static compareMetrics(baseline: Metrics, optimized: Metrics): {
+        baseline: Metrics;
+        optimized: Metrics;
+        improvements: {
+            waitTimeReduction: number;
+            fairnessImprovement: number;
+            utilizationImprovement: number;
+            throughputImprovement: number;
+            satisfactionImprovement: number;
+            overtimeReduction: number;
+        };
+    };
+    static getMetricsSummary(metrics: Metrics): string;
+}
+//# sourceMappingURL=metricsCalculator.d.ts.map

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

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