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HealthLog/src/lib/analytics/score/lipids.ts
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import type { Derived } from "@/lib/insights/derived/types";
import type { LipidReading, LipidsPillarInput, PillarValue } from "./types";
import {
coverage,
failedPillar,
insufficientPillar,
mean,
okPillar,
scoreReferenceBand,
uniqueSources,
withinWindow,
} from "./shared";
export const LIPIDS_WINDOW_DAYS = 365;
export const LIPIDS_MIN_PANELS = 1;
function panelKey(row: LipidReading): string {
return `${row.at.toISOString().slice(0, 10)}|${row.panel ?? ""}`;
}
export function computeLipidsPillar(
input: LipidsPillarInput,
): Derived<PillarValue> {
if (input.readFailed) {
return failedPillar({
id: "LIPIDS",
asOf: input.asOf,
windowDays: LIPIDS_WINDOW_DAYS,
});
}
const fresh = input.rows
.filter(
(row) =>
(row.referenceLow != null || row.referenceHigh != null) &&
withinWindow(row.at, input.asOf, LIPIDS_WINDOW_DAYS),
)
.sort((a, b) => b.at.getTime() - a.at.getTime());
const latestKey = fresh[0] ? panelKey(fresh[0]) : null;
const panel = latestKey
? fresh.filter((row) => panelKey(row) === latestKey)
: [];
if (panel.length === 0) {
return insufficientPillar({
id: "LIPIDS",
source: input.source,
asOf: input.asOf,
windowDays: LIPIDS_WINDOW_DAYS,
requiredInputs: LIPIDS_MIN_PANELS,
presentInputs: 0,
historyDays: 0,
missing: ["lipid panel with lab reference ranges"],
reason:
input.rows.length > 0 ? "incomplete_or_stale_panel" : "not_tracked",
});
}
const markerScores = panel.map((row) =>
scoreReferenceBand(row.value, row.referenceLow, row.referenceHigh),
);
const latestAt = panel.reduce(
(latest, row) => (row.at > latest ? row.at : latest),
panel[0].at,
);
const observedLabel = panel
.map((row) => `${row.marker} ${row.value} ${row.unit}`)
.join("; ");
const referenceLabel = panel
.map((row) => {
const bounds =
row.referenceLow != null && row.referenceHigh != null
? `${row.referenceLow}–${row.referenceHigh}`
: row.referenceHigh != null
? `≤ ${row.referenceHigh}`
: `≥ ${row.referenceLow}`;
return `${row.marker} ${bounds} ${row.unit}`;
})
.join("; ");
return okPillar({
id: "LIPIDS",
source: input.source,
asOf: input.asOf,
windowDays: LIPIDS_WINDOW_DAYS,
coverage: coverage({
requiredInputs: LIPIDS_MIN_PANELS,
presentInputs: LIPIDS_MIN_PANELS,
historyDays: 1,
}),
value: {
score: mean(markerScores),
observed: {
value: panel.length,
unit: panel.length === 1 ? "result" : "results",
label: observedLabel,
asOf: latestAt.toISOString(),
sources: uniqueSources(panel.map((row) => row.source)),
},
reference: {
kind: "clinical-threshold",
low: null,
high: null,
label: referenceLabel,
source: "reporting laboratory reference ranges",
},
noiseFloor: 0,
deltaEligible: false,
deltaIdentity: `panel:${latestKey}`,
},
});
}