public void Classification_GivenPatientAndData_ReturnsCorrectClassification(double ratio, GenderIdentity genderIdentity, WaistToHeightRatio expectedWaistToHeightRatio) { _patient.Gender = Gender.Build(genderIdentity); var bodyComposition = BodyCompositionBuilder.Initialize() .SetHeight(LengthConversion.CentimetersToInches(1)) .SetWaist(LengthConversion.CentimetersToInches(ratio)) .BuildWithoutModelValidation(); var classification = new WaistToHeightRatioClassification( new BodyCompositionClassificationParameters(bodyComposition, _patient)).Classification; Assert.Equal(expectedWaistToHeightRatio, classification); }
public static void Main(string[] args) { var patient = PatientBuilder .Initialize() .SetDateOfBirth(1952, 3, 31) .SetGender(GenderIdentity.NonBinaryXy) .SetMedicalRecordNumber("1234") .SetName("Joe", "Bob") .SetRace(Race.BlackOrAfricanAmerican) .Build(); Console.WriteLine($"Meet our patient: {patient}{NewLine}"); var vitals = VitalSignsBuilder.Initialize() .SetBloodPressure(168, 99, false) .SetOxygenSaturation(96) .SetPulseRate(105) .SetTemperature(101.2) .Build(); Console.WriteLine($"{patient.Name.First}'s vitals: {vitals}{NewLine}"); var bp = BloodPressure.Build(100, 66); Console.WriteLine($"If {patient.Name.First} used to have good blood pressure, it was {bp}.{NewLine}"); var bodyComposition = BodyCompositionBuilder .Initialize() .SetHeight(70.9) .SetHips(40) .SetWaist(34) .SetWeight(193) .Build(); Console.WriteLine($"Simple body composition measures: {bodyComposition}{NewLine}"); var bodyCompositionExpanded = BodyCompositionExpandedBuilder .Initialize() .SetBodyFatPercentage(16.5) .SetHeight(bodyComposition.Height.Inches) .SetHips(bodyComposition.Hips.Inches) .SetVisceralFat(70) .SetWaist(bodyComposition.Waist.Inches) .SetWeight(bodyComposition.Weight.Pounds) .Build(); Console.WriteLine($"Expanded body composition measures: {bodyCompositionExpanded}{NewLine}"); var quantitativeLabChoesterol = Quantitative.Serum.CholesterolTotal(300); Console.WriteLine($"Quantitative Lab: {quantitativeLabChoesterol}.{NewLine}"); var quantitativeLabHdlC = Quantitative.Serum.HighDensityLipoprotein(35); Console.WriteLine($"Quantitative Lab: {quantitativeLabHdlC}.{NewLine}"); var quantitativeLabLdlC = Quantitative.Serum.LowDensityLipoprotein(173); Console.WriteLine($"Quantitative Lab: {quantitativeLabLdlC}.{NewLine}"); var qualitativeLab = Qualitative.HepatitisCAntibody(QualitativeLabResult.Negative); Console.WriteLine($"Qualitative Lab: {qualitativeLab.Type}, Result: {qualitativeLab.Result}{NewLine}"); var cardioRegimen = CardiovascularRegimen.Build(3, 98.5, ExerciseIntensity.Moderate); Console.WriteLine($"Cardio regimen: {cardioRegimen}{NewLine}"); var stretchRegimen = StretchingRegimen.Build(1, 10, ExerciseIntensity.Low); Console.WriteLine($"Stretching regimen: {stretchRegimen}{NewLine}"); var resistanceRegimen = ResistanceRegimenBuilder .Initialize() .SetAverageSessionDuration(120) .SetIntensity(ExerciseIntensity.Moderate) .SetSecondsRestDurationPerSet(90) .SetSessionsPerWeek(6) .ConfirmUpperBodyTrained() .ConfirmPullingMovementsPerformed() .ConfirmPushingMovementsPerformed() .ConfirmRepetitionsToNearFailure() .Build(); Console.WriteLine($"Resistance regimen: {resistanceRegimen}{NewLine}"); var audiogramDataLeft = AudiogramDatasetBuilder .Initialize() .Set125HertzDataPoint(10) .Set250HertzDataPoint(20) .Set500HertzDataPoint(30) .Set1000HertzDataPoint(10) .Set2000HertzDataPoint(25) .Set3000HertzDataPoint(45) .Set4000HertzDataPoint(40) .Set6000HertzDataPoint(50) .Set8000HertzDataPoint(70) .Build(); var audiogramDataRight = AudiogramDatasetBuilder .Initialize() .Set125HertzDataPoint(10) .Set250HertzDataPoint(20) .Set500HertzDataPoint(30) .Set1000HertzDataPoint(10) .Set2000HertzDataPoint(25) .Set3000HertzDataPoint(45) .Set4000HertzDataPoint(40) .Set6000HertzDataPoint(50) .Set8000HertzDataPoint(90) .Build(); var audiogram = Audiogram.Build(audiogramDataLeft, audiogramDataRight); Console.WriteLine($"Audiogram{NewLine}{audiogram}{NewLine}"); var carotidLeft = CarotidUltrasoundResultBuilder .Initialize() .SetIntimaMediaThickeness(0.693) .Build(); var carotidRight = CarotidUltrasoundResultBuilder .Initialize() .SetIntimaMediaThickeness(0.732) .SetImtGrade(CarotidIntimaMediaThicknessGrade.Mild) .SetPercentStenosisGrade(CarotidPercentStenosisGrade.Nominal) .SetPlaqueCharacter(CarotidPlaqueCharacter.EarlyBuildup) .Build(); var carotidUs = CarotidUltrasound.Build(carotidLeft, carotidRight); Console.WriteLine($"Carotid US{NewLine}{carotidUs}{NewLine}"); var centralBp = CentralBloodPressureBuilder .Initialize() .SetAugmentedIndex(25) .SetAugmentedPressure(4) .SetCentralSystolicPressure(113) .SetPulsePressure(16) .SetPulseWaveVelocity(7.9) .SetReferenceAge(43) .Build(); Console.WriteLine($"Central BP: {centralBp}{NewLine}"); var functionalMovementScreen = FunctionalMovementScreenBuilder .Initialize() .SetActiveStraightLegRaise(2, 3) .SetDeepSquat(3) .SetHurdleStep(2, 2) .SetInlineLunge(3, 3) .SetRotaryStability(2, 2, true) .SetShoulderMobility(2, false, 2, false) .SetTrunkStabilityPuhsup(2, false) .Build(); Console.WriteLine($"Functional Movement Screen{NewLine}{functionalMovementScreen}{NewLine}"); var gripStrength = GripStrength.Build(123, 135); Console.WriteLine($"Grip strength {gripStrength}{NewLine}"); var ishiharaSix = IshiharaSixPlateScreenBuilder .Initialize() .SetPlate1(IshiharaAnswerResult.NormalVision) .SetPlate2(IshiharaAnswerResult.ColorVisionDefict) .SetPlate3(IshiharaAnswerResult.NormalVision) .SetPlate4(IshiharaAnswerResult.NormalVision) .SetPlate5(IshiharaAnswerResult.NormalVision) .SetPlate6(IshiharaAnswerResult.ColorVisionDefict) .Build(); Console.WriteLine("Ishihara Six Plate Screener"); Console.WriteLine($"{ishiharaSix}{NewLine}"); var ocularPressure = OccularPressure.Build(15, 13); Console.WriteLine($"Ocular pressure: {ocularPressure}{NewLine}"); var peripheralVision = PeripheralVision.Build(85, 85); Console.WriteLine($"Peripheral vision: {peripheralVision}{NewLine}"); var pushups = Pushups.Build(35); Console.WriteLine($"Pushups: {pushups}{NewLine}"); var sitAndReach = SitAndReach.Build(13); Console.WriteLine($"Sit & Reach: {sitAndReach}{NewLine}"); var situps = Situps.Build(55); Console.WriteLine($"Situps: {situps}{NewLine}"); var spirometry = SpirometryBuilder .Initialize() .SetForcedVitalCapacity(6.3) .SetForcedExpiratoryVolume1Second(5.5) .SetForcedExpiratoryFlow25To75(6.3) .SetForcedExpiratoryTime(7.5) .SetPeakExpiratoryFlow(9.3) .Build(); Console.WriteLine($"Spirometry: {spirometry}{NewLine}"); var treadmillStressTest = TreadmillExerciseStressTestBuilder .Initialize() .SetMaximumBloodPressure(205, 95) .SetMaximumHeartRate(183) .SetProtocol() .SetResult(TmstResult.Normal) .SetSupineBloodPressure(133, 82) .SetSupineHeartRate(66) .SetTime(11, 33) .Build(); Console.WriteLine($"Treadmill: {treadmillStressTest}{NewLine}"); var visualAcuity = VisualAcuity.Build(20, 20, 20); Console.WriteLine($"Visual acuity: {visualAcuity}{NewLine}"); var predictedMaxHrStd = PredictMaximumHeartRate.Standard(patient.Age); Console.WriteLine($"Joes predicted max HR (standard formula): {predictedMaxHrStd} bpm{NewLine}"); var predictedMaxHrRevisited = PredictMaximumHeartRate.Revisited(patient.Age); Console.WriteLine($"Joes predicted max HR (revisted formula): {predictedMaxHrRevisited} bpm{NewLine}"); var vo2Max = CalculateVo2Max.FromTreadmillStressTest(treadmillStressTest, patient); Console.WriteLine($"Joes VO2Max as calculated from his treadmill stress test: {vo2Max}{NewLine}"); var metsTreadmill = CalculateMetabolicEquivalents.FromTreadmillStressTest(treadmillStressTest, patient); Console.WriteLine($"Joes METS as calculated from his treadmill stress test: {metsTreadmill}{NewLine}"); var metsVo2Max = CalculateMetabolicEquivalents.FromVo2Max(vo2Max); Console.WriteLine($"Joes METS as calcualted from his VO2Max: {metsVo2Max}{NewLine}"); var cardioIniterp = new CardiovascularRegimenClassification(cardioRegimen); Console.WriteLine($"Cardio Regimen: {cardioIniterp}{NewLine}"); var resistanceInterp = new ResistanceRegimenClassification(resistanceRegimen); Console.WriteLine($"Resistance Regimen: {resistanceInterp}{NewLine}"); var stretchingInterp = new StretchingRegimenClassification(stretchRegimen); Console.WriteLine($"Stretching Regimen: {stretchingInterp}{NewLine}"); var audiogramInterpretation = new AudiogramClassification(audiogram); Console.WriteLine($"Audiogram Classification: {audiogramInterpretation}{NewLine}"); var bpInterpretation = new BloodPressureClassification(vitals.BloodPressure); Console.WriteLine($"BP Classification: {bpInterpretation}{NewLine}"); var bodyCompInterp = new BodyCompositionClassification( new BodyCompositionClassificationParameters(bodyCompositionExpanded, patient)); Console.WriteLine($"Body comp: {bodyCompInterp}{NewLine}"); var bodyCompExpandedInterp = new BodyCompositionExpandedClassification( new BodyCompositionExpandedClassificationParameters(bodyCompositionExpanded, patient)); Console.WriteLine($"Body comp expanded: {bodyCompExpandedInterp}{NewLine}"); var bmiInterp = new BodyMassIndexClassification(new BodyCompositionClassificationParameters(bodyComposition, patient)); Console.WriteLine($"BMI: {bmiInterp}{NewLine}"); var carotidUsInterp = new CarotidUltrasoundClassification(carotidUs); Console.WriteLine($"Carotid US: {carotidUsInterp}{NewLine}"); var centralBpInterp = new CentralBloodPressureClassification(new CentralBloodPressureParameters(centralBp, patient)); Console.WriteLine($"Central BP: {centralBpInterp}{NewLine}"); var fitScoreInterp = new FitTreadmillScoreClassification( new TreadmillExerciseStressTestClassificationParameters(treadmillStressTest, patient)); Console.WriteLine($"FIT Score: {fitScoreInterp}{NewLine}"); var fmsInterpretation = new FunctionalMovementScreenClassification(functionalMovementScreen); Console.WriteLine($"FMS{NewLine}{fmsInterpretation}{NewLine}"); var gripInterp = new GripStrengthClassification(new GripStrengthClassificationParameters(gripStrength, patient)); Console.WriteLine($"Grip strength: {gripInterp}{NewLine}"); var hipToWaistInterp = new HipToWaistClassification( new BodyCompositionClassificationParameters(bodyCompositionExpanded, patient)); Console.WriteLine($"Hip to Waist: {hipToWaistInterp}{NewLine}"); var ishiharaSixInterp = new IshiharaSixPlateClassification(ishiharaSix); Console.WriteLine($"Ishihara 6 Plate: {ishiharaSixInterp}{NewLine}"); var ocularPressureInterp = new OccularPressureClassification(ocularPressure); Console.WriteLine($"Ocular Pressure: {ocularPressureInterp}{NewLine}"); var percentBodyFatInterp = new PercentBodyFatClassification( new BodyCompositionExpandedClassificationParameters(bodyCompositionExpanded, patient)); Console.WriteLine($"Percent BF: {percentBodyFatInterp}{NewLine}"); var peripheralVisionInterp = new PeripheralVisionClassification(peripheralVision); Console.WriteLine($"Peripheral Vision: {peripheralVisionInterp}{NewLine}"); var pushupsInterp = new PushupsClassification(new PushupsClassificationParameters(pushups, patient)); Console.WriteLine($"Pushups: {pushupsInterp}{NewLine}"); var qualitativeLabInterp = new QualitativeLabClassification(qualitativeLab); Console.WriteLine($"Qualitative Lab: {qualitativeLabInterp}{NewLine}"); var quantLabInterpTotalChol = new QuantitativeLabClassification( new QuantitativeLabClassificationParameters(quantitativeLabChoesterol, patient)); Console.WriteLine($"Quantitative Lab: {quantLabInterpTotalChol}{NewLine}"); var quantLabInterpHdlC = new QuantitativeLabClassification( new QuantitativeLabClassificationParameters(quantitativeLabHdlC, patient)); Console.WriteLine($"Quantitative Lab: {quantLabInterpHdlC}{NewLine}"); var quantLabInterpLdlC = new QuantitativeLabClassification( new QuantitativeLabClassificationParameters(quantitativeLabLdlC, patient)); Console.WriteLine($"Quantitative Lab: {quantLabInterpLdlC}{NewLine}"); var sitAndReachInterp = new SitAndReachClassification(new SitAndReachClassificationParameters(sitAndReach, patient)); Console.WriteLine($"Sit & Reach: {sitAndReachInterp}{NewLine}"); var situpsInterp = new SitupsClassification(new SitupsClassificationParameters(situps, patient)); Console.WriteLine($"Situps: {situpsInterp}{NewLine}"); var spirometryInterp = new SpirometryClassification( new SpirometryClassificationParameters(spirometry, patient, bodyComposition)); Console.WriteLine($"Spirometry: {spirometryInterp}{NewLine}"); var visceralFatInterp = new VisceralFatClassification(bodyCompositionExpanded); Console.WriteLine($"Visceral fat: {visceralFatInterp}{NewLine}"); var visualAcuityInterp = new VisualAcuityClassification(visualAcuity); Console.WriteLine($"Visual Acuity: {visualAcuityInterp}{NewLine}"); var vo2MaxInterp = new Vo2MaxClassification(new Vo2MaxClassificationParameters(treadmillStressTest, patient)); Console.WriteLine($"VO2 Max: {vo2MaxInterp}{NewLine}"); var waistToHeightInterp = new WaistToHeightRatioClassification( new BodyCompositionClassificationParameters(bodyComposition, patient)); Console.WriteLine($"Waist to Height: {waistToHeightInterp}{NewLine}"); var pooledCohortParams = PooledCohortEquationParametersBuilder.Initialize() .SetBloodPressure(vitals.BloodPressure) .SetHdlCholesterol(quantitativeLabHdlC.Result) .SetTotalCholesterol(quantitativeLabChoesterol.Result) .SetPatient(patient) .ConfirmDiabetic() .ConfirmOnAntiHypertensiveMedication() .ConfirmSmoker() .Build(); var pooledCohortsEquation = new PooledCohortsEquation(pooledCohortParams); Console.WriteLine($"ASCVD 10yr-Risk%: {pooledCohortsEquation.Ascvd10YearRiskPercentage}{NewLine}"); Console.WriteLine($"ASCVD Lifetime Risk%: {pooledCohortsEquation.AscvdLifetimeRiskPercentage}{NewLine}"); var ascvd10YrInterp = new AscvdClassification(AscvdParameters.Build(patient, vitals.BloodPressure, quantitativeLabChoesterol, quantitativeLabLdlC, quantitativeLabHdlC)); Console.WriteLine($"ASCVD 10-Year Risk Classification{NewLine}{ascvd10YrInterp.Classification}{NewLine}"); }