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CPE-002 · Insulin-resistance–associated pattern
IRP-001: Metabolic Screening Opportunity
Metabolic Screening Opportunity. Fires when acanthosis_nigricans_confirmed OR metabolic_syndrome_state is 'METS-CRITERIA-MET' OR first_degree_family_history_t2d OR history_of_gestational_diabetes OR pcos_documented OR atherogenic_dyslipidemia_supporting_pattern.
Condition
- acanthosis_nigricans_confirmed OR metabolic_syndrome_state == 'METS-CRITERIA-MET' OR first_degree_family_history_t2d OR history_of_gestational_diabetes OR pcos_documented OR atherogenic_dyslipidemia_supporting_pattern
Output
- METABOLIC_SCREENING_OPPORTUNITY_IDENTIFIED
States it sets
- ir associated pattern state = IRP-SCREENING-OPPORTUNITY
Diagnostic boundary
- Risk context identified; insulin resistance is not diagnosed.
Cases where this rule fires
Open a case to see this rule fire with real inputs, then change the values until it stops.
CPE002-FX-006
Metabolic Syndrome with Normal Glucose
Normal glucose, but waist 108 cm, TG 190, HDL 36 and BP 138/88.
CPE002-FX-007
Hyperinsulinemic Pattern with Normal Glycemic Tests
Normal glucose and HbA1c, fasting insulin 22 µIU/mL, TG 170, HDL 42.
CPE002-FX-008
Acanthosis with Insufficient Lab Data
Acanthosis nigricans on exam. No labs yet.
CPE002-FX-015
Severe Hypertriglyceridemia
Triglycerides of 640 mg/dL.
CPE002-FX-016
Very Severe Hypertriglyceridemia
Triglycerides of 1,240 mg/dL.
CPE002-FX-021
Metabolic Syndrome without Insulin Measurement
Waist 96 cm, TG 165, HDL 44 and no insulin measurement.
CPE002-EX-03
Family history, prior gestational diabetes and PCOS with normal glucose
Normal fasting glucose, but three high-risk modifiers.
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