Metabolic & Chronic Risk Stratification Wing
Not a diagnostic tool. Does not output lab values. Requires local clinical protocol mapping.
The Challenge
Chronic care pathways often produce repeated routine labs and broad panels without individualized risk stratification, creating cost and fatigue for patients.
What It Reduces / Defers
Repeated Broad Panels
Metabolic panels without new indication are deferred
Unfocused Screening
Low-risk follow-ups receive targeted testing
Redundant Patterns
"Check everything" ordering is minimized
Input Sources
Vitals
Demographics
History
Symptoms
Prior Results
Decision Framework
Stable course + low-risk changes → defer repeat broad panels
Recommend the smallest targeted next test based on risk and change
New red flags → evaluation
Output Schema
- • Risk band
- • "Minimal next test" recommendation category (targeted, not comprehensive)
- • Confidence
- • Safety notes
- • Not a diagnostic tool
- • Does not output lab values
- • Requires local clinical protocol mapping
- • All outputs subject to clinician review
Abstain Conditions
Missing history/context for risk framing
Conflicting or incomplete prior results
Model Sources
| Domain | Task | Model / Source | Link |
|---|---|---|---|
| Tabular risk | Risk fusion | LightGBM | Source → |
| Tabular risk | Risk fusion alt | XGBoost | Source → |
| Calibration | Tools | scikit-learn | Source → |
Deployment Configuration
Generates printable "minimal panel rationale" notes. Integrates well with clinic intake forms.
Important Limitations
- ✗Not a diagnostic tool
- ✗Does not output lab values
- ✗Requires local clinical protocol mapping for "minimal panel categories"
Example Outputs
"Low risk, stable course. Defer repeat broad panel; monitor symptoms and vitals."
"Moderate risk change. Recommend targeted testing rather than full panel."
Clinical Workflow Integration
How This Service Fits the Engine
The Metabolic & Chronic Risk Stratification Wing operates as a risk framing module within the Live Corp engine. It processes patient history, vitals, and symptom changes to recommend the smallest targeted test panel, reducing unnecessary broad metabolic panels in chronic care pathways.
Risk framing for chronic pathways
MINIMAL PANEL