zen/test-data/graphs/clinical-pathway-selection.json

{
  "tests": [
    {
      "input": {
        "patient": {
          "id": "P1234567",
          "primaryDiagnosis": "heart_failure",
          "severityScore": 3,
          "age": 72,
          "bmi": 24,
          "comorbidities": [
            "diabetes",
            "hypertension",
            "kidney_disease"
          ],
          "currentMedications": [
            {
              "name": "Lisinopril",
              "dosage": "10mg",
              "frequency": "daily"
            },
            {
              "name": "Metformin",
              "dosage": "500mg",
              "frequency": "twice daily"
            },
            {
              "name": "Furosemide",
              "dosage": "40mg",
              "frequency": "daily"
            }
          ],
          "vitalSigns": {
            "bloodPressure": {
              "systolic": 142,
              "diastolic": 85
            },
            "heartRate": 88,
            "oxygenSaturation": 94,
            "temperature": 37.1
          },
          "labResults": {
            "bnp": 450,
            "creatinine": 1.4,
            "potassium": 4.2,
            "hba1c": 7.8
          }
        }
      },
      "output": {
        "followupFrequency": "daily",
        "recommendedMonitoring": [
          "comprehensive_vitals",
          "medication_adherence",
          "lifestyle_factors",
          "specialist_consultation"
        ],
        "selectedPathway": "intensive"
      }
    }
  ],
  "nodes": [
    {
      "type": "inputNode",
      "content": {
        "schema": ""
      },
      "id": "input",
      "name": "request",
      "position": {
        "x": 110,
        "y": 136.5
      }
    },
    {
      "type": "decisionTableNode",
      "content": {
        "hitPolicy": "first",
        "rules": [
          {
            "_id": "r1",
            "i1": "'heart_failure'",
            "i2": "> 2",
            "o1": "'cardiac'",
            "o2": "8"
          },
          {
            "_id": "r2",
            "i1": "'heart_failure'",
            "i2": "",
            "o1": "'cardiac'",
            "o2": "5"
          },
          {
            "_id": "r3",
            "i1": "'pneumonia'",
            "i2": "> 1",
            "o1": "'respiratory'",
            "o2": "7"
          },
          {
            "_id": "r4",
            "i1": "'pneumonia'",
            "i2": "",
            "o1": "'respiratory'",
            "o2": "4"
          },
          {
            "_id": "r5",
            "i1": "'diabetes'",
            "i2": "> 8.5",
            "o1": "'endocrine'",
            "o2": "6"
          },
          {
            "_id": "r6",
            "i1": "'diabetes'",
            "i2": "",
            "o1": "'endocrine'",
            "o2": "3"
          },
          {
            "_id": "r7",
            "i1": "'stroke'",
            "i2": "> 1",
            "o1": "'neurological'",
            "o2": "9"
          },
          {
            "_id": "r8",
            "i1": "'stroke'",
            "i2": "",
            "o1": "'neurological'",
            "o2": "6"
          },
          {
            "_id": "r9",
            "i1": "",
            "i2": "",
            "o1": "'general'",
            "o2": "2"
          }
        ],
        "inputs": [
          {
            "id": "i1",
            "name": "Primary Diagnosis",
            "field": "patient.primaryDiagnosis"
          },
          {
            "id": "i2",
            "name": "Severity Score",
            "field": "patient.severityScore"
          }
        ],
        "outputs": [
          {
            "id": "o1",
            "name": "Clinical Domain",
            "field": "evaluation.clinicalDomain"
          },
          {
            "id": "o2",
            "name": "Base Risk Score",
            "field": "evaluation.baseRiskScore"
          }
        ],
        "passThrough": true,
        "inputField": null,
        "outputPath": null,
        "executionMode": "single",
        "passThorough": false
      },
      "id": "diagnoseTable",
      "name": "diagnosisEvaluation",
      "position": {
        "x": 430,
        "y": 136.5
      }
    },
    {
      "type": "expressionNode",
      "content": {
        "expressions": [
          {
            "id": "e1",
            "key": "comorbidityCount",
            "value": "len(patient.comorbidities ?? [])"
          },
          {
            "id": "e2",
            "key": "hasHighRiskComorbidity",
            "value": "contains(patient.comorbidities ?? [], 'kidney_disease') or contains(patient.comorbidities ?? [], 'copd') or contains(patient.comorbidities ?? [], 'immunocompromised')"
          },
          {
            "id": "e3",
            "key": "comorbidityRiskScore",
            "value": "$.comorbidityCount * 2 + ($.hasHighRiskComorbidity ? 3 : 0)"
          },
          {
            "id": "e4",
            "key": "totalRiskScore",
            "value": "evaluation.baseRiskScore + $.comorbidityRiskScore"
          }
        ],
        "passThrough": true,
        "inputField": null,
        "outputPath": null,
        "executionMode": "single"
      },
      "id": "comorbidityCheck",
      "name": "comorbidityEvaluation",
      "position": {
        "x": 750,
        "y": 136.5
      }
    },
    {
      "type": "decisionTableNode",
      "content": {
        "hitPolicy": "first",
        "rules": [
          {
            "_id": "r1",
            "i1": "> 80",
            "i2": "< 20",
            "o1": "3",
            "o2": "'high'"
          },
          {
            "_id": "r2",
            "i1": "> 70",
            "i2": "< 25",
            "o1": "2",
            "o2": "'moderate'"
          },
          {
            "_id": "r3",
            "i1": "",
            "i2": "",
            "o1": "0",
            "o2": "'standard'"
          }
        ],
        "inputs": [
          {
            "id": "i1",
            "name": "Age",
            "field": "patient.age"
          },
          {
            "id": "i2",
            "name": "BMI",
            "field": "patient.bmi"
          }
        ],
        "outputs": [
          {
            "id": "o1",
            "name": "Additional Risk Score",
            "field": "evaluation.additionalRiskScore"
          },
          {
            "id": "o2",
            "name": "Patient Risk Category",
            "field": "evaluation.patientRiskCategory"
          }
        ],
        "passThrough": true,
        "inputField": null,
        "outputPath": null,
        "executionMode": "single"
      },
      "id": "patientFactorsTable",
      "name": "patientFactorsEvaluation",
      "position": {
        "x": 1070,
        "y": 136.5
      }
    },
    {
      "type": "switchNode",
      "content": {
        "hitPolicy": "first",
        "statements": [
          {
            "id": "intensive",
            "condition": "totalRiskScore + evaluation.additionalRiskScore >= 12",
            "isDefault": false
          },
          {
            "id": "enhanced",
            "condition": "totalRiskScore + evaluation.additionalRiskScore >= 8",
            "isDefault": false
          },
          {
            "id": "standard",
            "condition": "",
            "isDefault": true
          }
        ]
      },
      "id": "finalPathwaySwitch",
      "name": "pathwaySelection",
      "position": {
        "x": 1390,
        "y": 136.5
      }
    },
    {
      "type": "expressionNode",
      "content": {
        "expressions": [
          {
            "id": "e1",
            "key": "selectedPathway",
            "value": "'standard'"
          },
          {
            "id": "e2",
            "key": "followupFrequency",
            "value": "'weekly'"
          },
          {
            "id": "e3",
            "key": "recommendedMonitoring",
            "value": "['basic_vitals', 'medication_adherence']"
          }
        ],
        "passThrough": false,
        "inputField": null,
        "outputPath": null,
        "executionMode": "single"
      },
      "id": "standardPathway",
      "name": "standardPathway",
      "position": {
        "x": 1710,
        "y": 385
      }
    },
    {
      "type": "expressionNode",
      "content": {
        "expressions": [
          {
            "id": "e1",
            "key": "selectedPathway",
            "value": "'enhanced'"
          },
          {
            "id": "e2",
            "key": "followupFrequency",
            "value": "'twice_weekly'"
          },
          {
            "id": "e3",
            "key": "recommendedMonitoring",
            "value": "['extended_vitals', 'medication_adherence', 'lifestyle_factors']"
          }
        ],
        "passThrough": false,
        "inputField": null,
        "outputPath": null,
        "executionMode": "single"
      },
      "id": "enhancedPathway",
      "name": "enhancedPathway",
      "position": {
        "x": 1710,
        "y": 280
      }
    },
    {
      "type": "expressionNode",
      "content": {
        "expressions": [
          {
            "id": "e1",
            "key": "selectedPathway",
            "value": "'intensive'"
          },
          {
            "id": "e2",
            "key": "followupFrequency",
            "value": "'daily'"
          },
          {
            "id": "e3",
            "key": "recommendedMonitoring",
            "value": "['comprehensive_vitals', 'medication_adherence', 'lifestyle_factors', 'specialist_consultation']"
          }
        ],
        "passThrough": false,
        "inputField": null,
        "outputPath": null,
        "executionMode": "single"
      },
      "id": "intensivePathway",
      "name": "intensivePathway",
      "position": {
        "x": 1710,
        "y": 170
      }
    }
  ],
  "edges": [
    {
      "id": "edge1",
      "sourceId": "input",
      "targetId": "diagnoseTable",
      "type": "edge"
    },
    {
      "id": "edge2",
      "sourceId": "diagnoseTable",
      "targetId": "comorbidityCheck",
      "type": "edge"
    },
    {
      "id": "edge3",
      "sourceId": "comorbidityCheck",
      "targetId": "patientFactorsTable",
      "type": "edge"
    },
    {
      "id": "edge4",
      "sourceId": "patientFactorsTable",
      "targetId": "finalPathwaySwitch",
      "type": "edge"
    },
    {
      "id": "edge5",
      "sourceId": "finalPathwaySwitch",
      "targetId": "standardPathway",
      "sourceHandle": "standard",
      "type": "edge"
    },
    {
      "id": "edge6",
      "sourceId": "finalPathwaySwitch",
      "targetId": "enhancedPathway",
      "sourceHandle": "enhanced",
      "type": "edge"
    },
    {
      "id": "edge7",
      "sourceId": "finalPathwaySwitch",
      "targetId": "intensivePathway",
      "sourceHandle": "intensive",
      "type": "edge"
    }
  ]
}