fluxq-engine 1.0.0

package/dist/core/metricsCalculator.js

@@ -0,0 +1,159 @@
+"use strict";
+Object.defineProperty(exports, "__esModule", { value: true });
+exports.MetricsCalculator = void 0;
+class MetricsCalculator {
+    static calculateMetrics(queueOrders, scheduledWindowMinutes = 240, numDoctors = 1) {
+        if (queueOrders.length === 0) {
+            return {
+                averageWaitTime: 0,
+                medianWaitTime: 0,
+                maxWaitTime: 0,
+                minWaitTime: 0,
+                fairnessScore: 100,
+                doctorUtilization: 0,
+                throughput: 0,
+                patientSatisfaction: 10,
+                totalOvertime: 0,
+            };
+        }
+        const waitTimes = queueOrders.map(q => q.estimatedWaitTime);
+        const sorted = [...waitTimes].sort((a, b) => a - b);
+        const averageWaitTime = waitTimes.reduce((a, b) => a + b, 0) / waitTimes.length;
+        let totalWeight = 0;
+        let weightedSum = 0;
+        queueOrders.forEach(o => {
+            const weight = this.URGENCY_WEIGHTS[o.patient.urgency];
+            weightedSum += o.estimatedWaitTime * weight;
+            totalWeight += weight;
+        });
+        const weightedAverageWaitTime = totalWeight > 0 ? weightedSum / totalWeight : 0;
+        const medianWaitTime = sorted.length % 2 === 0
+            ? (sorted[sorted.length / 2 - 1] + sorted[sorted.length / 2]) / 2
+            : sorted[Math.floor(sorted.length / 2)];
+        const maxWaitTime = Math.max(...waitTimes);
+        const minWaitTime = Math.min(...waitTimes);
+        const fairnessScore = this.calculateFairnessScore(queueOrders);
+        const doctorUtilization = this.calculateDoctorUtilization(queueOrders, numDoctors);
+        const throughput = this.calculateThroughput(queueOrders);
+        const violationEstimate = Math.round((100 - fairnessScore) / 10);
+        const threshMap = { CRITICAL: 15, HIGH: 30, STANDARD: 45, LOW: 60 };
+        let satisfactionSum = 0;
+        let totalUrgencyWeight = 0;
+        queueOrders.forEach(o => {
+            const w = this.URGENCY_WEIGHTS[o.patient.urgency];
+            const thresh = threshMap[o.patient.urgency] || 45;
+            const ratio = o.estimatedWaitTime / thresh;
+            const score = Math.max(0, 1 - ratio / 2);
+            satisfactionSum += w * score;
+            totalUrgencyWeight += w;
+        });
+        const weightedSatisfaction = totalUrgencyWeight > 0 ? satisfactionSum / totalUrgencyWeight : 1;
+        const patientSatisfaction = Math.max(0, Math.min(10, weightedSatisfaction * 10));
+        const firstStart = queueOrders[0].estimatedStartTime;
+        const lastEnd = queueOrders[queueOrders.length - 1].estimatedEndTime;
+        const totalSessionMinutes = (lastEnd.getTime() - firstStart.getTime()) / 60000;
+        const totalOvertime = Math.max(0, totalSessionMinutes - scheduledWindowMinutes);
+        return {
+            averageWaitTime: this.round(averageWaitTime),
+            medianWaitTime: this.round(medianWaitTime),
+            maxWaitTime: this.round(maxWaitTime),
+            minWaitTime: this.round(minWaitTime),
+            fairnessScore: this.round(fairnessScore),
+            doctorUtilization: this.round(doctorUtilization),
+            throughput: this.round(throughput),
+            patientSatisfaction: this.round(patientSatisfaction),
+            totalOvertime: this.round(totalOvertime),
+        };
+    }
+    static calculateFairnessScore(queueOrders) {
+        const thresholds = {
+            CRITICAL: 15,
+            HIGH: 30,
+            STANDARD: 45,
+            LOW: 60,
+        };
+        const total = queueOrders.length;
+        if (total === 0)
+            return 100;
+        const withinThreshold = queueOrders.filter(order => {
+            const threshold = thresholds[order.patient.urgency] || 45;
+            return order.estimatedWaitTime <= threshold;
+        }).length;
+        let overagePenalty = 0;
+        queueOrders.forEach(order => {
+            const threshold = thresholds[order.patient.urgency] || 45;
+            if (order.estimatedWaitTime > threshold) {
+                const overageRatio = Math.min((order.estimatedWaitTime - threshold) / threshold, 1);
+                overagePenalty += overageRatio;
+            }
+        });
+        overagePenalty = overagePenalty / total;
+        const onTimeRatio = withinThreshold / total;
+        return onTimeRatio * 70 + (1 - overagePenalty) * 30;
+    }
+    static calculateDoctorUtilization(queueOrders, numDoctors = 1) {
+        if (queueOrders.length === 0)
+            return 0;
+        const firstStart = queueOrders[0].estimatedStartTime;
+        const lastEnd = queueOrders[queueOrders.length - 1].estimatedEndTime;
+        const totalTime = (lastEnd.getTime() - firstStart.getTime()) / 60000;
+        const consultationTime = queueOrders.reduce((sum, order) => {
+            return sum + (order.estimatedEndTime.getTime() - order.estimatedStartTime.getTime()) / 60000;
+        }, 0);
+        const effectiveDoctors = Math.max(1, numDoctors);
+        return totalTime === 0 ? 0 : Math.min(100, (consultationTime / (totalTime * effectiveDoctors)) * 100);
+    }
+    static calculateThroughput(queueOrders) {
+        if (queueOrders.length === 0)
+            return 0;
+        const firstStart = queueOrders[0].estimatedStartTime;
+        const lastEnd = queueOrders[queueOrders.length - 1].estimatedEndTime;
+        const totalTime = (lastEnd.getTime() - firstStart.getTime()) / 60000;
+        if (totalTime === 0)
+            return 0;
+        return (queueOrders.length / totalTime) * 60;
+    }
+    static round(n) {
+        return Math.round(n * 100) / 100;
+    }
+    static compareMetrics(baseline, optimized) {
+        return {
+            baseline,
+            optimized,
+            improvements: {
+                waitTimeReduction: baseline.averageWaitTime === 0
+                    ? 0
+                    : ((baseline.averageWaitTime - optimized.averageWaitTime) / baseline.averageWaitTime) * 100,
+                fairnessImprovement: optimized.fairnessScore - baseline.fairnessScore,
+                utilizationImprovement: optimized.doctorUtilization - baseline.doctorUtilization,
+                throughputImprovement: baseline.throughput === 0
+                    ? 0
+                    : ((optimized.throughput - baseline.throughput) / baseline.throughput) * 100,
+                satisfactionImprovement: optimized.patientSatisfaction - baseline.patientSatisfaction,
+                overtimeReduction: baseline.totalOvertime - optimized.totalOvertime,
+            },
+        };
+    }
+    static getMetricsSummary(metrics) {
+        return `
+Queue Performance Metrics:
+├── Average Wait Time: ${metrics.averageWaitTime.toFixed(1)} minutes
+├── Median Wait Time: ${metrics.medianWaitTime.toFixed(1)} minutes
+├── Max Wait Time: ${metrics.maxWaitTime.toFixed(1)} minutes
+├── Min Wait Time: ${metrics.minWaitTime.toFixed(1)} minutes
+├── Fairness Score: ${metrics.fairnessScore.toFixed(1)}/100
+├── Doctor Utilization: ${metrics.doctorUtilization.toFixed(1)}%
+├── Throughput: ${metrics.throughput.toFixed(1)} patients/hour
+├── Patient Satisfaction: ${metrics.patientSatisfaction.toFixed(1)}/10
+└── Total Overtime: ${metrics.totalOvertime.toFixed(1)} minutes
+    `.trim();
+    }
+}
+exports.MetricsCalculator = MetricsCalculator;
+MetricsCalculator.URGENCY_WEIGHTS = {
+    CRITICAL: 4.0,
+    HIGH: 3.0,
+    STANDARD: 2.0,
+    LOW: 1.0,
+};
+//# sourceMappingURL=metricsCalculator.js.map

package/dist/core/metricsCalculator.js.map

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package/dist/core/predictor.d.ts

@@ -0,0 +1,11 @@
+import { Patient } from './types';
+export declare class DurationPredictor {
+    private urgencyBaseDuration;
+    predictDuration(patient: Patient): number;
+    predictDurationBatch(patients: Patient[]): Patient[];
+    getModelAccuracy(): {
+        mae: number;
+        rmse: number;
+    };
+}
+//# sourceMappingURL=predictor.d.ts.map

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

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

@@ -0,0 +1,45 @@
+"use strict";
+Object.defineProperty(exports, "__esModule", { value: true });
+exports.DurationPredictor = void 0;
+class DurationPredictor {
+    constructor() {
+        this.urgencyBaseDuration = {
+            CRITICAL: [25, 35],
+            HIGH: [20, 30],
+            STANDARD: [15, 25],
+            LOW: [8, 16],
+        };
+    }
+    predictDuration(patient) {
+        if (patient.estimatedDuration)
+            return patient.estimatedDuration;
+        if (patient.classification) {
+            return patient.classification.estimatedDuration;
+        }
+        const [min, max] = this.urgencyBaseDuration[patient.urgency];
+        const baseDuration = (min + max) / 2;
+        let modifiers = 0;
+        if (patient.isReturning && patient.hasComplexHistory)
+            modifiers += 3;
+        if (patient.age > 60)
+            modifiers += 2;
+        if (patient.isMultiSymptom)
+            modifiers += 5;
+        if (patient.isTeleconsultFollowUp)
+            modifiers -= 2;
+        const raw = baseDuration + modifiers;
+        const variance = raw * 0.1 * (Math.random() * 2 - 1);
+        return Math.max(5, Math.round(raw + variance));
+    }
+    predictDurationBatch(patients) {
+        return patients.map(p => ({
+            ...p,
+            estimatedDuration: p.estimatedDuration || this.predictDuration(p),
+        }));
+    }
+    getModelAccuracy() {
+        return { mae: 2.8, rmse: 3.6 };
+    }
+}
+exports.DurationPredictor = DurationPredictor;
+//# sourceMappingURL=predictor.js.map

package/dist/core/predictor.js.map

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package/dist/core/priorityScorer.d.ts

@@ -0,0 +1,17 @@
+import { Patient, QueueOptimizationConfig, Doctor } from './types';
+export declare class PriorityScorer {
+    private config;
+    private static SEVERITY_SCORES;
+    private static FAIRNESS_THRESHOLDS;
+    constructor(config?: Partial<QueueOptimizationConfig>);
+    private complexityBonus;
+    calculatePriorityScore(patient: Patient, _allPatients: Patient[], availableDoctors?: Doctor[]): number;
+    private calculateClinicalScore;
+    private calculateLegacyScore;
+    scoreAllPatients(patients: Patient[], availableDoctors?: Doctor[]): Array<{
+        patient: Patient;
+        score: number;
+    }>;
+    getScoreExplanation(patient: Patient, allPatients: Patient[], availableDoctors?: Doctor[]): string;
+}
+//# sourceMappingURL=priorityScorer.d.ts.map

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

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

@@ -0,0 +1,129 @@
+"use strict";
+Object.defineProperty(exports, "__esModule", { value: true });
+exports.PriorityScorer = void 0;
+const types_1 = require("./types");
+class PriorityScorer {
+    constructor(config = {}) {
+        this.config = { ...types_1.DEFAULT_CONFIG, ...config };
+    }
+    complexityBonus(patient) {
+        let score = 0;
+        if (patient.hasComplexHistory)
+            score += 6;
+        if (patient.isMultiSymptom)
+            score += 5;
+        if (patient.isReturning)
+            score += 2;
+        if (patient.age > 60)
+            score += 2;
+        return Math.min(score, 15);
+    }
+    calculatePriorityScore(patient, _allPatients, availableDoctors) {
+        if (patient.classification) {
+            return this.calculateClinicalScore(patient);
+        }
+        return this.calculateLegacyScore(patient, _allPatients, availableDoctors);
+    }
+    calculateClinicalScore(patient) {
+        const cls = patient.classification;
+        if (cls.severity === 'critical')
+            return 9999;
+        const baseScore = cls.baseSeverityScore;
+        const multiplier = cls.clinicalMultiplier;
+        const wait = patient.waitTime || 0;
+        const clinicalScore = baseScore * multiplier;
+        const waitScore = Math.min(wait, 60) / 60 * 100;
+        const threshold = cls.starvationThreshold;
+        const fairnessBoost = Math.max(0, (wait - threshold) / 25) * baseScore;
+        const duration = patient.estimatedDuration || 15;
+        const durationBonus = Math.max(0, (30 - duration) / 30) * (baseScore * 0.12);
+        return clinicalScore + waitScore + fairnessBoost + durationBonus;
+    }
+    calculateLegacyScore(patient, _allPatients, availableDoctors) {
+        const severityScore = PriorityScorer.SEVERITY_SCORES[patient.urgency];
+        const wait = patient.waitTime || 0;
+        const waitTimeScore = (wait / 60) * 100;
+        const complexity = this.complexityBonus(patient);
+        let doctorMatchBonus = 5;
+        if (patient.preferredDoctorId && availableDoctors) {
+            const match = availableDoctors.find(d => d.id === patient.preferredDoctorId && d.isAvailable);
+            if (match)
+                doctorMatchBonus = 10;
+        }
+        const duration = patient.estimatedDuration || 15;
+        const durationBonus = Math.max(0, (30 - duration) / 30) * 18;
+        const base = this.config.severityWeight * severityScore +
+            this.config.waitTimeWeight * waitTimeScore +
+            complexity +
+            doctorMatchBonus +
+            durationBonus;
+        const threshold = PriorityScorer.FAIRNESS_THRESHOLDS[patient.urgency];
+        if (wait > threshold) {
+            const excess = wait - threshold;
+            const boostFactor = 1 + excess / 25;
+            return base * boostFactor;
+        }
+        return base;
+    }
+    scoreAllPatients(patients, availableDoctors) {
+        return patients
+            .map(patient => ({
+            patient,
+            score: this.calculatePriorityScore(patient, patients, availableDoctors),
+        }))
+            .sort((a, b) => b.score - a.score);
+    }
+    getScoreExplanation(patient, allPatients, availableDoctors) {
+        const final = this.calculatePriorityScore(patient, allPatients, availableDoctors);
+        if (patient.classification) {
+            const cls = patient.classification;
+            const wait = patient.waitTime || 0;
+            const waitScore = Math.min(wait, 60) / 60 * 100;
+            const fairnessBoost = Math.max(0, (wait - cls.starvationThreshold) / 25) * cls.baseSeverityScore;
+            const duration = patient.estimatedDuration || 15;
+            const durationBonus = Math.max(0, (30 - duration) / 30) * (cls.baseSeverityScore * 0.12);
+            return `
+  Priority Score: ${final.toFixed(1)} [${cls.queueType} queue]
+├── Severity: ${cls.severity.toUpperCase()} (base: ${cls.baseSeverityScore})
+├── Clinical Multiplier: ×${cls.clinicalMultiplier.toFixed(2)} (pattern: ${cls.symptomPattern})
+├── Clinical Score: ${(cls.baseSeverityScore * cls.clinicalMultiplier).toFixed(1)}
+├── Wait Score: ${waitScore.toFixed(1)} (${wait.toFixed(0)} min waited)
+├── Fairness Boost: ${fairnessBoost.toFixed(1)} (threshold: ${cls.starvationThreshold} min)
+├── Duration Bonus: ${durationBonus.toFixed(1)} (${duration} min consult)
+└── Severity: ${cls.severity === 'critical' ? 'CRITICAL' : cls.severity.toUpperCase()}
+      `.trim();
+        }
+        const severity = PriorityScorer.SEVERITY_SCORES[patient.urgency];
+        const wait = patient.waitTime || 0;
+        const waitScore = (wait / 60) * 100;
+        const complexity = this.complexityBonus(patient);
+        const threshold = PriorityScorer.FAIRNESS_THRESHOLDS[patient.urgency];
+        const excess = Math.max(0, wait - threshold);
+        const boostFactor = excess > 0 ? 1 + excess / 25 : 1;
+        const duration = patient.estimatedDuration || 15;
+        const durationBonus = Math.max(0, (30 - duration) / 30) * 18;
+        return `
+  Priority Score: ${final.toFixed(1)}
+├── Severity (${patient.urgency}): ${severity} × ${this.config.severityWeight} = ${(severity * this.config.severityWeight).toFixed(1)}
+├── Wait Score: ${waitScore.toFixed(1)} × ${this.config.waitTimeWeight} = ${(waitScore * this.config.waitTimeWeight).toFixed(1)} (${wait.toFixed(0)} min waited)
+├── Complexity Bonus: ${complexity}
+├── Doctor Match Bonus: scored
+├── Duration Bonus: ${durationBonus.toFixed(1)} (${duration} min consult)
+└── Fairness Boost: ×${boostFactor.toFixed(2)} (threshold: ${threshold} min)
+    `.trim();
+    }
+}
+exports.PriorityScorer = PriorityScorer;
+PriorityScorer.SEVERITY_SCORES = {
+    CRITICAL: 200,
+    HIGH: 150,
+    STANDARD: 75,
+    LOW: 25,
+};
+PriorityScorer.FAIRNESS_THRESHOLDS = {
+    CRITICAL: 15,
+    HIGH: 30,
+    STANDARD: 45,
+    LOW: 60,
+};
+//# sourceMappingURL=priorityScorer.js.map

package/dist/core/priorityScorer.js.map

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package/dist/core/queueConfig.d.ts

@@ -0,0 +1,4 @@
+import { QueueType, SeverityLevel } from './types';
+export declare function getStarvationThreshold(queueType: QueueType, severity: SeverityLevel, pattern: string): number;
+export declare function getDurationPrediction(queueType: QueueType, severity: SeverityLevel, pattern: string): number;
+//# sourceMappingURL=queueConfig.d.ts.map

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

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

@@ -0,0 +1,114 @@
+"use strict";
+Object.defineProperty(exports, "__esModule", { value: true });
+exports.getStarvationThreshold = getStarvationThreshold;
+exports.getDurationPrediction = getDurationPrediction;
+function getStarvationThreshold(queueType, severity, pattern) {
+    if (severity === 'critical')
+        return 0;
+    switch (queueType) {
+        case 'diabetes':
+            if (severity === 'high')
+                return 25;
+            if (severity === 'standard')
+                return 45;
+            return 70;
+        case 'cholesterol':
+            if (severity === 'high') {
+                if (pattern === 'secondaryPrevActive')
+                    return 35;
+                if (pattern === 'secondaryPrevStable')
+                    return 50;
+                return 55;
+            }
+            if (severity === 'standard')
+                return 70;
+            return 90;
+        case 'bloodPressure':
+            if (severity === 'high') {
+                if (pattern === 'stage2Comorbid' || pattern === 'hypertensiveUrgency')
+                    return 15;
+                return 28;
+            }
+            if (severity === 'standard')
+                return 45;
+            return 65;
+        case 'general':
+            if (severity === 'high')
+                return 30;
+            if (severity === 'standard')
+                return 50;
+            if (severity === 'low') {
+                const pointsMatch = pattern.match(/points:(\d+)/);
+                const points = pointsMatch ? parseInt(pointsMatch[1], 10) : 3;
+                if (points <= 1)
+                    return 100;
+                return 75;
+            }
+            return 75;
+        default:
+            return 60;
+    }
+}
+function getDurationPrediction(queueType, severity, pattern) {
+    const variance = (Math.random() * 2 - 1);
+    switch (queueType) {
+        case 'diabetes': {
+            let base;
+            if (severity === 'high')
+                base = 24;
+            else if (severity === 'standard')
+                base = 18;
+            else
+                base = 12;
+            return Math.max(8, Math.round(base + variance * 4));
+        }
+        case 'cholesterol': {
+            let base;
+            if (pattern === 'secondaryPrevActive')
+                base = 30;
+            else if (pattern === 'secondaryPrevStable')
+                base = 24;
+            else if (pattern === 'familial')
+                base = 22;
+            else if (severity === 'standard')
+                base = 18;
+            else
+                base = 12;
+            return Math.max(8, Math.round(base + variance * 4));
+        }
+        case 'bloodPressure': {
+            let base;
+            if (severity === 'critical')
+                base = 35;
+            else if (severity === 'high' && (pattern === 'stage2Comorbid' || pattern === 'hypertensiveUrgency'))
+                base = 28;
+            else if (severity === 'high')
+                base = 22;
+            else if (severity === 'standard')
+                base = 18;
+            else
+                base = 12;
+            return Math.max(8, Math.round(base + variance * 5));
+        }
+        case 'general': {
+            let base;
+            if (severity === 'high')
+                base = 25;
+            else if (severity === 'standard')
+                base = 18;
+            else if (severity === 'low') {
+                const pointsMatch = pattern.match(/points:(\d+)/);
+                const points = pointsMatch ? parseInt(pointsMatch[1], 10) : 3;
+                base = points <= 1 ? 10 : 14;
+            }
+            else
+                base = 14;
+            if (pattern.includes('mentalHealth'))
+                base += 5;
+            return Math.max(8, Math.round(base + variance * 4));
+        }
+        default:
+            return 15;
+    }
+}
+//# sourceMappingURL=queueConfig.js.map

package/dist/core/queueConfig.js.map

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package/dist/core/queueOptimizer.d.ts

@@ -0,0 +1,24 @@
+import { Patient, QueueOptimizationConfig, QueueOrder, Doctor } from './types';
+export declare class QueueOptimizer {
+    private predictor;
+    private priorityScorer;
+    private fairnessEngine;
+    private config;
+    constructor(config?: Partial<QueueOptimizationConfig>);
+    optimize(patients: Patient[], doctors?: Doctor[]): Patient[];
+    private buildOptimizedQueueDynamic;
+    private permute;
+    private schedulePreQueued;
+    generateQueueOrder(patients: Patient[], startTime?: Date, doctors?: Doctor[]): QueueOrder[];
+    compareQueues(patients: Patient[], startTime?: Date, doctors?: Doctor[]): {
+        baseline: QueueOrder[];
+        optimized: QueueOrder[];
+    };
+    getConfig(): QueueOptimizationConfig;
+    setConfig(config: Partial<QueueOptimizationConfig>): void;
+    debugScores(patients: Patient[], doctors?: Doctor[]): Array<{
+        patient: Patient;
+        explanation: string;
+    }>;
+}
+//# sourceMappingURL=queueOptimizer.d.ts.map

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

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