Publish Gradio console bundle
Browse files- space-bundle/README.md +26 -0
- space-bundle/app.py +245 -0
- space-bundle/assets/demo/benchmarks.json +673 -0
- space-bundle/assets/demo/comparisons.json +741 -0
- space-bundle/assets/demo/disruption_demo.json +295 -0
- space-bundle/assets/demo/summary.json +49 -0
- space-bundle/requirements.txt +6 -0
- space-bundle/src/hopcc/__init__.py +6 -0
- space-bundle/src/hopcc/benchmark.py +82 -0
- space-bundle/src/hopcc/constants.py +139 -0
- space-bundle/src/hopcc/disruption.py +165 -0
- space-bundle/src/hopcc/engine.py +16 -0
- space-bundle/src/hopcc/generator.py +139 -0
- space-bundle/src/hopcc/metrics.py +102 -0
- space-bundle/src/hopcc/ml_predictor.py +87 -0
- space-bundle/src/hopcc/models.py +182 -0
- space-bundle/src/hopcc/pipeline.py +73 -0
- space-bundle/src/hopcc/policies.py +133 -0
- space-bundle/src/hopcc/scheduler.py +156 -0
- space-bundle/src/hopcc/simulation.py +114 -0
- space-bundle/src/hopcc/visualization.py +89 -0
space-bundle/README.md
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---
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title: Hospital Operations Command Center
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emoji: 🏥
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colorFrom: blue
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colorTo: indigo
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sdk: gradio
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sdk_version: "5.50.0"
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app_file: app.py
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python_version: "3.12"
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license: mit
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short_description: OR scheduling, SimPy simulation, ML quantiles, disruption replanning
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tags:
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- healthcare
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- operations-research
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- scheduling
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- gradio
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- simulation
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---
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# Hospital Operations Command Center
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Interactive command center for multi-layer hospital operations planning — OR scheduling, bed capacity, nurse rostering, policy benchmarking, and real-time disruption response.
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**Layers:** Weekly block planning · Daily OR sequencing · Real-time re-optimization
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**Policies:** FCFS · Deterministic · Robust Quantile · Rolling Horizon
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**Stack:** OR-Tools CP-SAT · SimPy · Quantile ML · Plotly
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space-bundle/app.py
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"""
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Hospital Operations Command Center — Interactive Command Center
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Multi-layer OR scheduling, bed planning, nurse rostering, and disruption response.
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"""
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from __future__ import annotations
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import json
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import sys
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| 10 |
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from pathlib import Path
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import gradio as gr
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import pandas as pd
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import plotly.graph_objects as go
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ROOT = Path(__file__).resolve().parent
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sys.path.insert(0, str(ROOT / "src"))
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from hopcc.constants import POLICIES, SCENARIOS, SIZE_PRESETS # noqa: E402
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from hopcc.ml_predictor import MLPredictor # noqa: E402
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from hopcc.pipeline import HopccPipeline # noqa: E402
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from hopcc.visualization import ( # noqa: E402
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| 23 |
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build_disruption_delta,
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build_gantt,
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build_policy_comparison,
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build_utilization_timeline,
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)
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pipeline = HopccPipeline(ROOT / "assets")
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pipeline.load()
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SUMMARY = pipeline.summary
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| 33 |
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predictor = MLPredictor()
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| 34 |
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| 35 |
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CUSTOM_CSS = """
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.gradio-container { max-width: 1560px !important; }
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| 37 |
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.markdown h1 { color: #1d4ed8; font-weight: 700; }
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| 38 |
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"""
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| 39 |
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_state: dict = {"last_policy": None, "last_disruption": None}
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| 41 |
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def _kpi_md() -> str:
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return f"""
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### Hospital Operations Command Center
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| 47 |
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| Metric | Value |
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| 48 |
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|--------|-------|
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| 49 |
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| Engine version | **v{pipeline.version}** |
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| 50 |
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| Planning scenarios | **{SUMMARY.get('scenarios', 5)}** (OR daily/weekly, ICU beds, nurses, emergency) |
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| 51 |
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| Scheduling policies | **{SUMMARY.get('policies', 4)}** benchmarked |
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| 52 |
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| ML predictors | **{SUMMARY.get('ml_models', 5)}** (duration quantiles, cancellation, ICU, LOS, no-show) |
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| 53 |
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| Benchmark runs | **{SUMMARY.get('total_benchmark_runs', 0)}** pre-computed |
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| 54 |
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| Winner distribution | {SUMMARY.get('winner_distribution', {})} |
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"""
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| 56 |
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| 57 |
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| 58 |
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def _run_schedule(scenario, size, seed, policy):
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| 59 |
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pr = pipeline.run_policy(scenario, size, int(seed), policy)
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| 60 |
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_state["last_policy"] = pr
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| 61 |
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rows = [
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| 62 |
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{
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| 63 |
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"Case": s.case_id,
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"Room": s.room_id,
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| 65 |
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"Surgeon": s.surgeon_id,
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"Start": s.start_min,
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"End": s.end_min,
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| 68 |
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"Turnover End": s.turnover_end,
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"ICU Reserved": s.icu_reserved,
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| 70 |
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}
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for s in pr.schedule
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| 72 |
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]
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df = pd.DataFrame(rows)
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| 74 |
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fig = build_gantt(pr.schedule, f"OR Schedule — {POLICIES[policy]['label']}")
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| 75 |
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fig_util = build_utilization_timeline(pr.schedule)
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metrics_md = "\n".join(f"- **{k}:** {v}" for k, v in pr.metrics.items())
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summary = f"**Policy:** {pr.policy_label} · **Feasible:** {pr.feasible} · **Runtime:** {pr.elapsed_sec}s\n\n{metrics_md}\n\n_{pr.notes}_"
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return df, fig, fig_util, summary
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| 79 |
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| 80 |
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def _run_benchmark(scenario, size, seed):
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inst = pipeline.get_instance(scenario, size, int(seed))
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rows = []
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for pid in POLICIES:
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pr = pipeline.run_policy(scenario, size, int(seed), pid)
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rows.append({"policy_id": pid, "policy_label": pr.policy_label, **pr.metrics})
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fig = build_policy_comparison(rows)
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df = pd.DataFrame(rows)
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winner = min(rows, key=lambda r: r.get("composite_penalty", 1e9))
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md = f"**Recommended policy:** {winner['policy_label']} (lowest composite penalty)"
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return df, fig, md
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| 92 |
+
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| 93 |
+
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| 94 |
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def _run_disruption(scenario, size, seed):
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comp = pipeline.run_disruption_demo(scenario, size, int(seed))
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| 96 |
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_state["last_disruption"] = comp
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| 97 |
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before_fig = build_gantt(comp.schedule_before, "Schedule After Disruptions (Before Replan)")
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| 98 |
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after_fig = build_gantt(comp.schedule_after, "Re-optimized Schedule")
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| 99 |
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delta_fig = build_disruption_delta(comp.baseline_metrics, comp.replanned_metrics)
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| 100 |
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events = "\n".join(f"- {d.label}" for d in comp.disruptions)
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| 101 |
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imp = "\n".join(f"- {k}: {v}%" for k, v in comp.improvement_pct.items())
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md = f"""
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| 103 |
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### Disruption Command Center
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**Events applied:**
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{events}
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| 108 |
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**Improvement after re-optimization:**
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{imp}
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"""
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| 111 |
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return before_fig, after_fig, delta_fig, md
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| 112 |
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| 113 |
+
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| 114 |
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def _ml_predict(specialty, experience, age, asa, complexity):
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preds = predictor.predict_surgery_duration(
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specialty=specialty,
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surgeon_experience=int(experience),
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patient_age=int(age),
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| 119 |
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asa_score=int(asa),
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| 120 |
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procedure_complexity=float(complexity),
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| 121 |
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prior_surgeries=2,
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)
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| 123 |
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cancel = predictor.predict_cancellation(specialty, 2, 4, 0.6)
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| 124 |
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icu = predictor.predict_icu_need(specialty, int(asa), float(complexity))
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| 125 |
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los = predictor.predict_los(specialty, icu > 0.5, int(age))
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| 126 |
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noshow = predictor.predict_no_show(2, 10)
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| 127 |
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| 128 |
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fig = go.Figure(go.Bar(
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| 129 |
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x=["P50", "P80", "P95"],
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| 130 |
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y=[preds["p50"], preds["p80"], preds["p95"]],
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| 131 |
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marker_color=["#3b82f6", "#6366f1", "#8b5cf6"],
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| 132 |
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text=[f"{v} min" for v in preds.values()],
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| 133 |
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textposition="outside",
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| 134 |
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))
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| 135 |
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fig.update_layout(title="Surgery Duration Quantiles", yaxis_title="Minutes", height=360)
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| 136 |
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| 137 |
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md = f"""
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| 138 |
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| Prediction | Value |
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| 139 |
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|------------|-------|
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| 140 |
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| P50 duration | **{preds['p50']} min** |
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| 141 |
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| P80 duration | **{preds['p80']} min** |
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| 142 |
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| P95 duration | **{preds['p95']} min** |
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| 143 |
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| Cancellation risk | **{cancel:.1%}** |
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| 144 |
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| ICU probability | **{icu:.1%}** |
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| 145 |
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| Expected LOS | **{los} days** |
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| 146 |
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| No-show risk | **{noshow:.1%}** |
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| 147 |
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| 148 |
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_Robust scheduler uses P80 by default; risk-averse mode uses P95._
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| 149 |
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"""
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| 150 |
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return fig, md
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| 151 |
+
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| 152 |
+
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| 153 |
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def _simulation_tab(scenario, size, seed, policy):
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| 154 |
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sim = pipeline.run_simulation(scenario, size, int(seed), policy)
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| 155 |
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md = "\n".join(f"- **{k}:** {v}" for k, v in sim.items())
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| 156 |
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return f"### SimPy Patient Flow Simulation\n{md}"
|
| 157 |
+
|
| 158 |
+
|
| 159 |
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def _benchmark_table():
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| 160 |
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rows = pipeline.benchmark_table_rows()
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| 161 |
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if not rows:
|
| 162 |
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return pd.DataFrame()
|
| 163 |
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return pd.DataFrame(rows[:50])
|
| 164 |
+
|
| 165 |
+
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| 166 |
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with gr.Blocks(title="Hospital Operations Command Center", css=CUSTOM_CSS) as demo:
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| 167 |
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gr.Markdown("# Hospital Operations Command Center")
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| 168 |
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gr.Markdown(
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| 169 |
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"Multi-layer **operations research** platform for hospital command centers — "
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| 170 |
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"OR scheduling, ICU/ward bed planning, nurse rostering, ML-informed robust planning, "
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| 171 |
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"SimPy patient-flow simulation, and real-time disruption re-optimization."
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| 172 |
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)
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| 173 |
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gr.Markdown(_kpi_md())
|
| 174 |
+
|
| 175 |
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with gr.Tabs():
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| 176 |
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with gr.Tab("Schedule Optimizer"):
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| 177 |
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with gr.Row():
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| 178 |
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sc = gr.Dropdown(list(SCENARIOS.keys()), value="or_daily", label="Scenario")
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| 179 |
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sz = gr.Dropdown(list(SIZE_PRESETS.keys()), value="medium", label="Size")
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| 180 |
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sd = gr.Number(value=42, label="Seed", precision=0)
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| 181 |
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pol = gr.Dropdown(list(POLICIES.keys()), value="robust_quantile", label="Policy")
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| 182 |
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btn = gr.Button("Generate Schedule", variant="primary")
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| 183 |
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sched_df = gr.Dataframe(label="Schedule")
|
| 184 |
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sched_summary = gr.Markdown()
|
| 185 |
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with gr.Row():
|
| 186 |
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gantt = gr.Plot(label="Gantt Chart")
|
| 187 |
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util = gr.Plot(label="Utilization")
|
| 188 |
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btn.click(_run_schedule, [sc, sz, sd, pol], [sched_df, gantt, util, sched_summary])
|
| 189 |
+
|
| 190 |
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with gr.Tab("Policy Benchmark"):
|
| 191 |
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with gr.Row():
|
| 192 |
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b_sc = gr.Dropdown(list(SCENARIOS.keys()), value="or_daily", label="Scenario")
|
| 193 |
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b_sz = gr.Dropdown(list(SIZE_PRESETS.keys()), value="medium", label="Size")
|
| 194 |
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b_sd = gr.Number(value=42, label="Seed", precision=0)
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| 195 |
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b_btn = gr.Button("Run 4-Policy Benchmark", variant="primary")
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| 196 |
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b_df = gr.Dataframe()
|
| 197 |
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b_fig = gr.Plot()
|
| 198 |
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b_md = gr.Markdown()
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| 199 |
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b_btn.click(_run_benchmark, [b_sc, b_sz, b_sd], [b_df, b_fig, b_md])
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| 200 |
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gr.Dataframe(value=_benchmark_table(), label="Pre-computed Benchmark Sample")
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| 201 |
+
|
| 202 |
+
with gr.Tab("Disruption Command Center"):
|
| 203 |
+
gr.Markdown(
|
| 204 |
+
"Apply simultaneous disruptions: **+90 min surgery overrun**, **ICU bed loss**, "
|
| 205 |
+
"**2 nurse absences**, and **emergency admission** — then compare before/after re-optimization."
|
| 206 |
+
)
|
| 207 |
+
with gr.Row():
|
| 208 |
+
d_sc = gr.Dropdown(list(SCENARIOS.keys()), value="or_daily", label="Scenario")
|
| 209 |
+
d_sz = gr.Dropdown(list(SIZE_PRESETS.keys()), value="medium", label="Size")
|
| 210 |
+
d_sd = gr.Number(value=42, label="Seed", precision=0)
|
| 211 |
+
d_btn = gr.Button("Simulate Disruptions & Replan", variant="primary")
|
| 212 |
+
d_md = gr.Markdown()
|
| 213 |
+
with gr.Row():
|
| 214 |
+
d_before = gr.Plot(label="Before")
|
| 215 |
+
d_after = gr.Plot(label="After")
|
| 216 |
+
d_delta = gr.Plot(label="Metrics Delta")
|
| 217 |
+
d_btn.click(_run_disruption, [d_sc, d_sz, d_sd], [d_before, d_after, d_delta, d_md])
|
| 218 |
+
|
| 219 |
+
with gr.Tab("ML Predictions"):
|
| 220 |
+
with gr.Row():
|
| 221 |
+
sp = gr.Dropdown(
|
| 222 |
+
["general", "orthopedic", "cardiac", "neuro", "ent", "urology", "gynecology", "thoracic"],
|
| 223 |
+
value="cardiac", label="Specialty",
|
| 224 |
+
)
|
| 225 |
+
exp = gr.Slider(1, 25, value=12, step=1, label="Surgeon Experience (years)")
|
| 226 |
+
age = gr.Slider(18, 95, value=62, step=1, label="Patient Age")
|
| 227 |
+
asa = gr.Slider(1, 4, value=3, step=1, label="ASA Score")
|
| 228 |
+
cx = gr.Slider(0.1, 1.0, value=0.7, step=0.05, label="Procedure Complexity")
|
| 229 |
+
ml_btn = gr.Button("Predict Risks & Durations", variant="primary")
|
| 230 |
+
ml_fig = gr.Plot()
|
| 231 |
+
ml_md = gr.Markdown()
|
| 232 |
+
ml_btn.click(_ml_predict, [sp, exp, age, asa, cx], [ml_fig, ml_md])
|
| 233 |
+
|
| 234 |
+
with gr.Tab("Patient Flow Simulation"):
|
| 235 |
+
with gr.Row():
|
| 236 |
+
s_sc = gr.Dropdown(list(SCENARIOS.keys()), value="or_daily", label="Scenario")
|
| 237 |
+
s_sz = gr.Dropdown(list(SIZE_PRESETS.keys()), value="medium", label="Size")
|
| 238 |
+
s_sd = gr.Number(value=42, label="Seed", precision=0)
|
| 239 |
+
s_pol = gr.Dropdown(list(POLICIES.keys()), value="rolling_horizon", label="Policy")
|
| 240 |
+
s_btn = gr.Button("Run SimPy Simulation", variant="primary")
|
| 241 |
+
s_md = gr.Markdown()
|
| 242 |
+
s_btn.click(_simulation_tab, [s_sc, s_sz, s_sd, s_pol], [s_md])
|
| 243 |
+
|
| 244 |
+
if __name__ == "__main__":
|
| 245 |
+
demo.launch()
|
space-bundle/assets/demo/benchmarks.json
ADDED
|
@@ -0,0 +1,673 @@
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|
|
|
| 1 |
+
[
|
| 2 |
+
{
|
| 3 |
+
"scenario_id": "or_daily",
|
| 4 |
+
"size": "small",
|
| 5 |
+
"seed": 42,
|
| 6 |
+
"policy_id": "manual_fcfs",
|
| 7 |
+
"policy_label": "Manual / First-Come-First-Served",
|
| 8 |
+
"surgeries_completed": 8,
|
| 9 |
+
"surgeries_cancelled": 0,
|
| 10 |
+
"overtime_minutes": 0,
|
| 11 |
+
"or_utilization_pct": 38.1,
|
| 12 |
+
"bed_shortage_events": 7,
|
| 13 |
+
"avg_patient_wait_min": 108.9,
|
| 14 |
+
"schedule_changes": 0,
|
| 15 |
+
"specialty_fairness_gini": 0.25,
|
| 16 |
+
"composite_penalty": 318.9,
|
| 17 |
+
"feasible": false,
|
| 18 |
+
"sim_completed": 5,
|
| 19 |
+
"sim_avg_wait": 16.1,
|
| 20 |
+
"sim_or_util": 24.8,
|
| 21 |
+
"elapsed_sec": 0.0
|
| 22 |
+
},
|
| 23 |
+
{
|
| 24 |
+
"scenario_id": "or_daily",
|
| 25 |
+
"size": "small",
|
| 26 |
+
"seed": 42,
|
| 27 |
+
"policy_id": "deterministic_mean",
|
| 28 |
+
"policy_label": "Deterministic Mean-Duration Plan",
|
| 29 |
+
"surgeries_completed": 8,
|
| 30 |
+
"surgeries_cancelled": 0,
|
| 31 |
+
"overtime_minutes": 0,
|
| 32 |
+
"or_utilization_pct": 38.1,
|
| 33 |
+
"bed_shortage_events": 7,
|
| 34 |
+
"avg_patient_wait_min": 99.0,
|
| 35 |
+
"schedule_changes": 0,
|
| 36 |
+
"specialty_fairness_gini": 0.25,
|
| 37 |
+
"composite_penalty": 309.0,
|
| 38 |
+
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| 412 |
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|
| 413 |
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|
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|
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| 428 |
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|
| 465 |
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|
| 466 |
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|
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|
| 468 |
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|
| 469 |
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|
| 470 |
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| 471 |
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|
| 475 |
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| 477 |
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| 479 |
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|
| 480 |
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| 481 |
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| 483 |
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|
| 484 |
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{
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| 485 |
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|
| 486 |
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|
| 487 |
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|
| 488 |
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|
| 489 |
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|
| 490 |
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| 491 |
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| 492 |
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| 493 |
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| 495 |
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| 496 |
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|
| 500 |
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|
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|
| 504 |
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| 505 |
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{
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| 506 |
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|
| 507 |
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|
| 508 |
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|
| 509 |
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|
| 510 |
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| 511 |
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|
| 512 |
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| 513 |
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|
| 514 |
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|
| 515 |
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|
| 516 |
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|
| 517 |
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| 518 |
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| 519 |
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|
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| 522 |
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|
| 523 |
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|
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| 526 |
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|
| 527 |
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|
| 528 |
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|
| 529 |
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|
| 530 |
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|
| 531 |
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|
| 532 |
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|
| 533 |
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|
| 534 |
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|
| 535 |
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|
| 536 |
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|
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|
| 538 |
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|
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|
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|
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|
| 542 |
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|
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|
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|
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|
| 547 |
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{
|
| 548 |
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|
| 549 |
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|
| 550 |
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|
| 551 |
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|
| 552 |
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|
| 553 |
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|
| 554 |
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|
| 555 |
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|
| 556 |
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|
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|
| 558 |
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|
| 559 |
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|
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|
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|
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|
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|
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|
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|
| 567 |
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|
| 568 |
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{
|
| 569 |
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|
| 570 |
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|
| 571 |
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|
| 572 |
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|
| 573 |
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|
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|
| 575 |
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|
| 576 |
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|
| 577 |
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|
| 578 |
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|
| 579 |
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|
| 580 |
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|
| 581 |
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|
| 582 |
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|
| 583 |
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|
| 584 |
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|
| 585 |
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|
| 586 |
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|
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|
| 588 |
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|
| 589 |
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{
|
| 590 |
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|
| 591 |
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|
| 592 |
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|
| 593 |
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|
| 594 |
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|
| 595 |
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|
| 596 |
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| 597 |
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|
| 598 |
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|
| 599 |
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|
| 600 |
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|
| 601 |
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|
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|
| 603 |
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|
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|
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|
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|
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|
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|
| 609 |
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},
|
| 610 |
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{
|
| 611 |
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|
| 612 |
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|
| 613 |
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|
| 614 |
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|
| 615 |
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|
| 616 |
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|
| 617 |
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|
| 618 |
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|
| 619 |
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|
| 620 |
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|
| 621 |
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|
| 622 |
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|
| 623 |
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|
| 624 |
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|
| 625 |
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|
| 626 |
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|
| 627 |
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|
| 628 |
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|
| 629 |
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|
| 630 |
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},
|
| 631 |
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{
|
| 632 |
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"scenario_id": "emergency_surge",
|
| 633 |
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"size": "medium",
|
| 634 |
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"seed": 123,
|
| 635 |
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"policy_id": "robust_quantile",
|
| 636 |
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"policy_label": "Robust Quantile Schedule",
|
| 637 |
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|
| 638 |
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"surgeries_cancelled": 0,
|
| 639 |
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"overtime_minutes": 618,
|
| 640 |
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"or_utilization_pct": 78.5,
|
| 641 |
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|
| 642 |
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|
| 643 |
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|
| 644 |
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|
| 645 |
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|
| 646 |
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|
| 647 |
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|
| 648 |
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|
| 649 |
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|
| 650 |
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|
| 651 |
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},
|
| 652 |
+
{
|
| 653 |
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"scenario_id": "emergency_surge",
|
| 654 |
+
"size": "medium",
|
| 655 |
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"seed": 123,
|
| 656 |
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"policy_id": "rolling_horizon",
|
| 657 |
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"policy_label": "Rolling Horizon Re-optimization",
|
| 658 |
+
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|
| 659 |
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|
| 660 |
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"overtime_minutes": 0,
|
| 661 |
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|
| 662 |
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|
| 663 |
+
"avg_patient_wait_min": 212.2,
|
| 664 |
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|
| 665 |
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|
| 666 |
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|
| 667 |
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"feasible": false,
|
| 668 |
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|
| 669 |
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|
| 670 |
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"sim_or_util": 34.3,
|
| 671 |
+
"elapsed_sec": 0.008
|
| 672 |
+
}
|
| 673 |
+
]
|
space-bundle/assets/demo/comparisons.json
ADDED
|
@@ -0,0 +1,741 @@
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|
| 1 |
+
{
|
| 2 |
+
"or_daily": [
|
| 3 |
+
{
|
| 4 |
+
"size": "small",
|
| 5 |
+
"seed": 42,
|
| 6 |
+
"winner": "deterministic_mean",
|
| 7 |
+
"winner_label": "Deterministic Mean-Duration Plan",
|
| 8 |
+
"policies": {
|
| 9 |
+
"manual_fcfs": {
|
| 10 |
+
"scenario_id": "or_daily",
|
| 11 |
+
"size": "small",
|
| 12 |
+
"seed": 42,
|
| 13 |
+
"policy_id": "manual_fcfs",
|
| 14 |
+
"policy_label": "Manual / First-Come-First-Served",
|
| 15 |
+
"surgeries_completed": 8,
|
| 16 |
+
"surgeries_cancelled": 0,
|
| 17 |
+
"overtime_minutes": 0,
|
| 18 |
+
"or_utilization_pct": 38.1,
|
| 19 |
+
"bed_shortage_events": 7,
|
| 20 |
+
"avg_patient_wait_min": 108.9,
|
| 21 |
+
"schedule_changes": 0,
|
| 22 |
+
"specialty_fairness_gini": 0.25,
|
| 23 |
+
"composite_penalty": 318.9,
|
| 24 |
+
"feasible": false,
|
| 25 |
+
"sim_completed": 5,
|
| 26 |
+
"sim_avg_wait": 16.1,
|
| 27 |
+
"sim_or_util": 24.8,
|
| 28 |
+
"elapsed_sec": 0.0
|
| 29 |
+
},
|
| 30 |
+
"deterministic_mean": {
|
| 31 |
+
"scenario_id": "or_daily",
|
| 32 |
+
"size": "small",
|
| 33 |
+
"seed": 42,
|
| 34 |
+
"policy_id": "deterministic_mean",
|
| 35 |
+
"policy_label": "Deterministic Mean-Duration Plan",
|
| 36 |
+
"surgeries_completed": 8,
|
| 37 |
+
"surgeries_cancelled": 0,
|
| 38 |
+
"overtime_minutes": 0,
|
| 39 |
+
"or_utilization_pct": 38.1,
|
| 40 |
+
"bed_shortage_events": 7,
|
| 41 |
+
"avg_patient_wait_min": 99.0,
|
| 42 |
+
"schedule_changes": 0,
|
| 43 |
+
"specialty_fairness_gini": 0.25,
|
| 44 |
+
"composite_penalty": 309.0,
|
| 45 |
+
"feasible": false,
|
| 46 |
+
"sim_completed": 6,
|
| 47 |
+
"sim_avg_wait": 30.0,
|
| 48 |
+
"sim_or_util": 24.7,
|
| 49 |
+
"elapsed_sec": 0.587
|
| 50 |
+
},
|
| 51 |
+
"robust_quantile": {
|
| 52 |
+
"scenario_id": "or_daily",
|
| 53 |
+
"size": "small",
|
| 54 |
+
"seed": 42,
|
| 55 |
+
"policy_id": "robust_quantile",
|
| 56 |
+
"policy_label": "Robust Quantile Schedule",
|
| 57 |
+
"surgeries_completed": 8,
|
| 58 |
+
"surgeries_cancelled": 0,
|
| 59 |
+
"overtime_minutes": 0,
|
| 60 |
+
"or_utilization_pct": 59.9,
|
| 61 |
+
"bed_shortage_events": 5,
|
| 62 |
+
"avg_patient_wait_min": 215.4,
|
| 63 |
+
"schedule_changes": 0,
|
| 64 |
+
"specialty_fairness_gini": 0.25,
|
| 65 |
+
"composite_penalty": 365.4,
|
| 66 |
+
"feasible": false,
|
| 67 |
+
"sim_completed": 4,
|
| 68 |
+
"sim_avg_wait": 0.1,
|
| 69 |
+
"sim_or_util": 24.7,
|
| 70 |
+
"elapsed_sec": 0.015
|
| 71 |
+
},
|
| 72 |
+
"rolling_horizon": {
|
| 73 |
+
"scenario_id": "or_daily",
|
| 74 |
+
"size": "small",
|
| 75 |
+
"seed": 42,
|
| 76 |
+
"policy_id": "rolling_horizon",
|
| 77 |
+
"policy_label": "Rolling Horizon Re-optimization",
|
| 78 |
+
"surgeries_completed": 8,
|
| 79 |
+
"surgeries_cancelled": 0,
|
| 80 |
+
"overtime_minutes": 0,
|
| 81 |
+
"or_utilization_pct": 49.6,
|
| 82 |
+
"bed_shortage_events": 7,
|
| 83 |
+
"avg_patient_wait_min": 147.4,
|
| 84 |
+
"schedule_changes": 0,
|
| 85 |
+
"specialty_fairness_gini": 0.25,
|
| 86 |
+
"composite_penalty": 357.4,
|
| 87 |
+
"feasible": false,
|
| 88 |
+
"sim_completed": 2,
|
| 89 |
+
"sim_avg_wait": 0.1,
|
| 90 |
+
"sim_or_util": 24.8,
|
| 91 |
+
"elapsed_sec": 0.002
|
| 92 |
+
}
|
| 93 |
+
}
|
| 94 |
+
},
|
| 95 |
+
{
|
| 96 |
+
"size": "small",
|
| 97 |
+
"seed": 123,
|
| 98 |
+
"winner": "deterministic_mean",
|
| 99 |
+
"winner_label": "Deterministic Mean-Duration Plan",
|
| 100 |
+
"policies": {
|
| 101 |
+
"manual_fcfs": {
|
| 102 |
+
"scenario_id": "or_daily",
|
| 103 |
+
"size": "small",
|
| 104 |
+
"seed": 123,
|
| 105 |
+
"policy_id": "manual_fcfs",
|
| 106 |
+
"policy_label": "Manual / First-Come-First-Served",
|
| 107 |
+
"surgeries_completed": 8,
|
| 108 |
+
"surgeries_cancelled": 0,
|
| 109 |
+
"overtime_minutes": 0,
|
| 110 |
+
"or_utilization_pct": 33.8,
|
| 111 |
+
"bed_shortage_events": 5,
|
| 112 |
+
"avg_patient_wait_min": 114.9,
|
| 113 |
+
"schedule_changes": 0,
|
| 114 |
+
"specialty_fairness_gini": 0.188,
|
| 115 |
+
"composite_penalty": 264.9,
|
| 116 |
+
"feasible": false,
|
| 117 |
+
"sim_completed": 5,
|
| 118 |
+
"sim_avg_wait": 44.8,
|
| 119 |
+
"sim_or_util": 30.8,
|
| 120 |
+
"elapsed_sec": 0.0
|
| 121 |
+
},
|
| 122 |
+
"deterministic_mean": {
|
| 123 |
+
"scenario_id": "or_daily",
|
| 124 |
+
"size": "small",
|
| 125 |
+
"seed": 123,
|
| 126 |
+
"policy_id": "deterministic_mean",
|
| 127 |
+
"policy_label": "Deterministic Mean-Duration Plan",
|
| 128 |
+
"surgeries_completed": 8,
|
| 129 |
+
"surgeries_cancelled": 0,
|
| 130 |
+
"overtime_minutes": 0,
|
| 131 |
+
"or_utilization_pct": 33.8,
|
| 132 |
+
"bed_shortage_events": 5,
|
| 133 |
+
"avg_patient_wait_min": 79.1,
|
| 134 |
+
"schedule_changes": 0,
|
| 135 |
+
"specialty_fairness_gini": 0.188,
|
| 136 |
+
"composite_penalty": 229.1,
|
| 137 |
+
"feasible": false,
|
| 138 |
+
"sim_completed": 3,
|
| 139 |
+
"sim_avg_wait": 61.9,
|
| 140 |
+
"sim_or_util": 30.9,
|
| 141 |
+
"elapsed_sec": 0.027
|
| 142 |
+
},
|
| 143 |
+
"robust_quantile": {
|
| 144 |
+
"scenario_id": "or_daily",
|
| 145 |
+
"size": "small",
|
| 146 |
+
"seed": 123,
|
| 147 |
+
"policy_id": "robust_quantile",
|
| 148 |
+
"policy_label": "Robust Quantile Schedule",
|
| 149 |
+
"surgeries_completed": 8,
|
| 150 |
+
"surgeries_cancelled": 0,
|
| 151 |
+
"overtime_minutes": 0,
|
| 152 |
+
"or_utilization_pct": 68.2,
|
| 153 |
+
"bed_shortage_events": 5,
|
| 154 |
+
"avg_patient_wait_min": 178.4,
|
| 155 |
+
"schedule_changes": 0,
|
| 156 |
+
"specialty_fairness_gini": 0.188,
|
| 157 |
+
"composite_penalty": 328.4,
|
| 158 |
+
"feasible": false,
|
| 159 |
+
"sim_completed": 5,
|
| 160 |
+
"sim_avg_wait": 1.4,
|
| 161 |
+
"sim_or_util": 30.9,
|
| 162 |
+
"elapsed_sec": 0.015
|
| 163 |
+
},
|
| 164 |
+
"rolling_horizon": {
|
| 165 |
+
"scenario_id": "or_daily",
|
| 166 |
+
"size": "small",
|
| 167 |
+
"seed": 123,
|
| 168 |
+
"policy_id": "rolling_horizon",
|
| 169 |
+
"policy_label": "Rolling Horizon Re-optimization",
|
| 170 |
+
"surgeries_completed": 8,
|
| 171 |
+
"surgeries_cancelled": 0,
|
| 172 |
+
"overtime_minutes": 0,
|
| 173 |
+
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|
| 546 |
+
"specialty_fairness_gini": 0.208,
|
| 547 |
+
"composite_penalty": 232.8,
|
| 548 |
+
"feasible": false,
|
| 549 |
+
"sim_completed": 4,
|
| 550 |
+
"sim_avg_wait": 0.4,
|
| 551 |
+
"sim_or_util": 28.3,
|
| 552 |
+
"elapsed_sec": 0.002
|
| 553 |
+
}
|
| 554 |
+
}
|
| 555 |
+
},
|
| 556 |
+
{
|
| 557 |
+
"size": "medium",
|
| 558 |
+
"seed": 42,
|
| 559 |
+
"winner": "manual_fcfs",
|
| 560 |
+
"winner_label": "Manual / First-Come-First-Served",
|
| 561 |
+
"policies": {
|
| 562 |
+
"manual_fcfs": {
|
| 563 |
+
"scenario_id": "emergency_surge",
|
| 564 |
+
"size": "medium",
|
| 565 |
+
"seed": 42,
|
| 566 |
+
"policy_id": "manual_fcfs",
|
| 567 |
+
"policy_label": "Manual / First-Come-First-Served",
|
| 568 |
+
"surgeries_completed": 16,
|
| 569 |
+
"surgeries_cancelled": 0,
|
| 570 |
+
"overtime_minutes": 38,
|
| 571 |
+
"or_utilization_pct": 54.4,
|
| 572 |
+
"bed_shortage_events": 11,
|
| 573 |
+
"avg_patient_wait_min": 155.2,
|
| 574 |
+
"schedule_changes": 0,
|
| 575 |
+
"specialty_fairness_gini": 0.25,
|
| 576 |
+
"composite_penalty": 504.2,
|
| 577 |
+
"feasible": false,
|
| 578 |
+
"sim_completed": 5,
|
| 579 |
+
"sim_avg_wait": 30.6,
|
| 580 |
+
"sim_or_util": 33.4,
|
| 581 |
+
"elapsed_sec": 0.0
|
| 582 |
+
},
|
| 583 |
+
"deterministic_mean": {
|
| 584 |
+
"scenario_id": "emergency_surge",
|
| 585 |
+
"size": "medium",
|
| 586 |
+
"seed": 42,
|
| 587 |
+
"policy_id": "deterministic_mean",
|
| 588 |
+
"policy_label": "Deterministic Mean-Duration Plan",
|
| 589 |
+
"surgeries_completed": 16,
|
| 590 |
+
"surgeries_cancelled": 0,
|
| 591 |
+
"overtime_minutes": 0,
|
| 592 |
+
"or_utilization_pct": 54.4,
|
| 593 |
+
"bed_shortage_events": 13,
|
| 594 |
+
"avg_patient_wait_min": 160.7,
|
| 595 |
+
"schedule_changes": 0,
|
| 596 |
+
"specialty_fairness_gini": 0.25,
|
| 597 |
+
"composite_penalty": 550.7,
|
| 598 |
+
"feasible": false,
|
| 599 |
+
"sim_completed": 2,
|
| 600 |
+
"sim_avg_wait": 65.0,
|
| 601 |
+
"sim_or_util": 33.6,
|
| 602 |
+
"elapsed_sec": 0.03
|
| 603 |
+
},
|
| 604 |
+
"robust_quantile": {
|
| 605 |
+
"scenario_id": "emergency_surge",
|
| 606 |
+
"size": "medium",
|
| 607 |
+
"seed": 42,
|
| 608 |
+
"policy_id": "robust_quantile",
|
| 609 |
+
"policy_label": "Robust Quantile Schedule",
|
| 610 |
+
"surgeries_completed": 16,
|
| 611 |
+
"surgeries_cancelled": 0,
|
| 612 |
+
"overtime_minutes": 156,
|
| 613 |
+
"or_utilization_pct": 79.6,
|
| 614 |
+
"bed_shortage_events": 12,
|
| 615 |
+
"avg_patient_wait_min": 286.4,
|
| 616 |
+
"schedule_changes": 0,
|
| 617 |
+
"specialty_fairness_gini": 0.25,
|
| 618 |
+
"composite_penalty": 724.4,
|
| 619 |
+
"feasible": false,
|
| 620 |
+
"sim_completed": 3,
|
| 621 |
+
"sim_avg_wait": 0.0,
|
| 622 |
+
"sim_or_util": 33.4,
|
| 623 |
+
"elapsed_sec": 0.03
|
| 624 |
+
},
|
| 625 |
+
"rolling_horizon": {
|
| 626 |
+
"scenario_id": "emergency_surge",
|
| 627 |
+
"size": "medium",
|
| 628 |
+
"seed": 42,
|
| 629 |
+
"policy_id": "rolling_horizon",
|
| 630 |
+
"policy_label": "Rolling Horizon Re-optimization",
|
| 631 |
+
"surgeries_completed": 16,
|
| 632 |
+
"surgeries_cancelled": 0,
|
| 633 |
+
"overtime_minutes": 0,
|
| 634 |
+
"or_utilization_pct": 66.2,
|
| 635 |
+
"bed_shortage_events": 11,
|
| 636 |
+
"avg_patient_wait_min": 215.6,
|
| 637 |
+
"schedule_changes": 0,
|
| 638 |
+
"specialty_fairness_gini": 0.25,
|
| 639 |
+
"composite_penalty": 545.6,
|
| 640 |
+
"feasible": false,
|
| 641 |
+
"sim_completed": 4,
|
| 642 |
+
"sim_avg_wait": 0.0,
|
| 643 |
+
"sim_or_util": 33.6,
|
| 644 |
+
"elapsed_sec": 0.007
|
| 645 |
+
}
|
| 646 |
+
}
|
| 647 |
+
},
|
| 648 |
+
{
|
| 649 |
+
"size": "medium",
|
| 650 |
+
"seed": 123,
|
| 651 |
+
"winner": "rolling_horizon",
|
| 652 |
+
"winner_label": "Rolling Horizon Re-optimization",
|
| 653 |
+
"policies": {
|
| 654 |
+
"manual_fcfs": {
|
| 655 |
+
"scenario_id": "emergency_surge",
|
| 656 |
+
"size": "medium",
|
| 657 |
+
"seed": 123,
|
| 658 |
+
"policy_id": "manual_fcfs",
|
| 659 |
+
"policy_label": "Manual / First-Come-First-Served",
|
| 660 |
+
"surgeries_completed": 16,
|
| 661 |
+
"surgeries_cancelled": 0,
|
| 662 |
+
"overtime_minutes": 0,
|
| 663 |
+
"or_utilization_pct": 38.6,
|
| 664 |
+
"bed_shortage_events": 13,
|
| 665 |
+
"avg_patient_wait_min": 127.5,
|
| 666 |
+
"schedule_changes": 0,
|
| 667 |
+
"specialty_fairness_gini": 0.225,
|
| 668 |
+
"composite_penalty": 517.5,
|
| 669 |
+
"feasible": false,
|
| 670 |
+
"sim_completed": 5,
|
| 671 |
+
"sim_avg_wait": 51.9,
|
| 672 |
+
"sim_or_util": 34.3,
|
| 673 |
+
"elapsed_sec": 0.0
|
| 674 |
+
},
|
| 675 |
+
"deterministic_mean": {
|
| 676 |
+
"scenario_id": "emergency_surge",
|
| 677 |
+
"size": "medium",
|
| 678 |
+
"seed": 123,
|
| 679 |
+
"policy_id": "deterministic_mean",
|
| 680 |
+
"policy_label": "Deterministic Mean-Duration Plan",
|
| 681 |
+
"surgeries_completed": 16,
|
| 682 |
+
"surgeries_cancelled": 0,
|
| 683 |
+
"overtime_minutes": 0,
|
| 684 |
+
"or_utilization_pct": 38.6,
|
| 685 |
+
"bed_shortage_events": 13,
|
| 686 |
+
"avg_patient_wait_min": 118.6,
|
| 687 |
+
"schedule_changes": 0,
|
| 688 |
+
"specialty_fairness_gini": 0.225,
|
| 689 |
+
"composite_penalty": 508.6,
|
| 690 |
+
"feasible": false,
|
| 691 |
+
"sim_completed": 7,
|
| 692 |
+
"sim_avg_wait": 89.6,
|
| 693 |
+
"sim_or_util": 34.6,
|
| 694 |
+
"elapsed_sec": 0.038
|
| 695 |
+
},
|
| 696 |
+
"robust_quantile": {
|
| 697 |
+
"scenario_id": "emergency_surge",
|
| 698 |
+
"size": "medium",
|
| 699 |
+
"seed": 123,
|
| 700 |
+
"policy_id": "robust_quantile",
|
| 701 |
+
"policy_label": "Robust Quantile Schedule",
|
| 702 |
+
"surgeries_completed": 16,
|
| 703 |
+
"surgeries_cancelled": 0,
|
| 704 |
+
"overtime_minutes": 618,
|
| 705 |
+
"or_utilization_pct": 78.5,
|
| 706 |
+
"bed_shortage_events": 1,
|
| 707 |
+
"avg_patient_wait_min": 321.1,
|
| 708 |
+
"schedule_changes": 0,
|
| 709 |
+
"specialty_fairness_gini": 0.225,
|
| 710 |
+
"composite_penalty": 660.1,
|
| 711 |
+
"feasible": false,
|
| 712 |
+
"sim_completed": 4,
|
| 713 |
+
"sim_avg_wait": 0.2,
|
| 714 |
+
"sim_or_util": 34.6,
|
| 715 |
+
"elapsed_sec": 0.033
|
| 716 |
+
},
|
| 717 |
+
"rolling_horizon": {
|
| 718 |
+
"scenario_id": "emergency_surge",
|
| 719 |
+
"size": "medium",
|
| 720 |
+
"seed": 123,
|
| 721 |
+
"policy_id": "rolling_horizon",
|
| 722 |
+
"policy_label": "Rolling Horizon Re-optimization",
|
| 723 |
+
"surgeries_completed": 16,
|
| 724 |
+
"surgeries_cancelled": 0,
|
| 725 |
+
"overtime_minutes": 0,
|
| 726 |
+
"or_utilization_pct": 65.2,
|
| 727 |
+
"bed_shortage_events": 6,
|
| 728 |
+
"avg_patient_wait_min": 212.2,
|
| 729 |
+
"schedule_changes": 0,
|
| 730 |
+
"specialty_fairness_gini": 0.225,
|
| 731 |
+
"composite_penalty": 392.2,
|
| 732 |
+
"feasible": false,
|
| 733 |
+
"sim_completed": 6,
|
| 734 |
+
"sim_avg_wait": 0.0,
|
| 735 |
+
"sim_or_util": 34.3,
|
| 736 |
+
"elapsed_sec": 0.008
|
| 737 |
+
}
|
| 738 |
+
}
|
| 739 |
+
}
|
| 740 |
+
]
|
| 741 |
+
}
|
space-bundle/assets/demo/disruption_demo.json
ADDED
|
@@ -0,0 +1,295 @@
|
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|
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|
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|
|
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|
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|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"baseline_policy": "robust_quantile",
|
| 3 |
+
"baseline_metrics": {
|
| 4 |
+
"surgeries_completed": 0,
|
| 5 |
+
"surgeries_cancelled": 16,
|
| 6 |
+
"overtime_minutes": 0,
|
| 7 |
+
"or_utilization_pct": 0,
|
| 8 |
+
"bed_shortage_events": 16,
|
| 9 |
+
"avg_patient_wait_min": 999,
|
| 10 |
+
"schedule_changes": 0,
|
| 11 |
+
"specialty_fairness_gini": 1.0,
|
| 12 |
+
"feasible": 0
|
| 13 |
+
},
|
| 14 |
+
"replanned_metrics": {
|
| 15 |
+
"surgeries_completed": 17,
|
| 16 |
+
"surgeries_cancelled": 0,
|
| 17 |
+
"overtime_minutes": 89,
|
| 18 |
+
"or_utilization_pct": 64.8,
|
| 19 |
+
"bed_shortage_events": 17,
|
| 20 |
+
"avg_patient_wait_min": 227.8,
|
| 21 |
+
"schedule_changes": 17,
|
| 22 |
+
"specialty_fairness_gini": 0.151,
|
| 23 |
+
"composite_penalty": 782.3,
|
| 24 |
+
"feasible": 0
|
| 25 |
+
},
|
| 26 |
+
"disruptions": [
|
| 27 |
+
{
|
| 28 |
+
"event_type": "surgery_overrun",
|
| 29 |
+
"label": "Surgery +90 min overrun",
|
| 30 |
+
"parameters": {
|
| 31 |
+
"case_id": "SX-001",
|
| 32 |
+
"minutes": 90
|
| 33 |
+
},
|
| 34 |
+
"applied_at_min": 180
|
| 35 |
+
},
|
| 36 |
+
{
|
| 37 |
+
"event_type": "icu_bed_loss",
|
| 38 |
+
"label": "ICU bed unavailable",
|
| 39 |
+
"parameters": {
|
| 40 |
+
"count": 1
|
| 41 |
+
},
|
| 42 |
+
"applied_at_min": 200
|
| 43 |
+
},
|
| 44 |
+
{
|
| 45 |
+
"event_type": "nurse_absence",
|
| 46 |
+
"label": "Two nurses absent",
|
| 47 |
+
"parameters": {
|
| 48 |
+
"count": 2
|
| 49 |
+
},
|
| 50 |
+
"applied_at_min": 210
|
| 51 |
+
},
|
| 52 |
+
{
|
| 53 |
+
"event_type": "emergency_admission",
|
| 54 |
+
"label": "Emergency patient arrival",
|
| 55 |
+
"parameters": {
|
| 56 |
+
"specialty": "general"
|
| 57 |
+
},
|
| 58 |
+
"applied_at_min": 220
|
| 59 |
+
}
|
| 60 |
+
],
|
| 61 |
+
"schedule_before": [],
|
| 62 |
+
"schedule_after": [
|
| 63 |
+
{
|
| 64 |
+
"case_id": "EMERG-001",
|
| 65 |
+
"room_id": "OR-01",
|
| 66 |
+
"surgeon_id": "DR-E",
|
| 67 |
+
"nurse_ids": [
|
| 68 |
+
"N-003"
|
| 69 |
+
],
|
| 70 |
+
"start_min": 0,
|
| 71 |
+
"end_min": 70,
|
| 72 |
+
"turnover_end": 95,
|
| 73 |
+
"icu_reserved": false,
|
| 74 |
+
"status": "scheduled"
|
| 75 |
+
},
|
| 76 |
+
{
|
| 77 |
+
"case_id": "SX-008",
|
| 78 |
+
"room_id": "OR-02",
|
| 79 |
+
"surgeon_id": "DR-C",
|
| 80 |
+
"nurse_ids": [
|
| 81 |
+
"N-004"
|
| 82 |
+
],
|
| 83 |
+
"start_min": 0,
|
| 84 |
+
"end_min": 150,
|
| 85 |
+
"turnover_end": 180,
|
| 86 |
+
"icu_reserved": true,
|
| 87 |
+
"status": "scheduled"
|
| 88 |
+
},
|
| 89 |
+
{
|
| 90 |
+
"case_id": "SX-013",
|
| 91 |
+
"room_id": "OR-03",
|
| 92 |
+
"surgeon_id": "DR-A",
|
| 93 |
+
"nurse_ids": [
|
| 94 |
+
"N-005"
|
| 95 |
+
],
|
| 96 |
+
"start_min": 0,
|
| 97 |
+
"end_min": 127,
|
| 98 |
+
"turnover_end": 148,
|
| 99 |
+
"icu_reserved": true,
|
| 100 |
+
"status": "scheduled"
|
| 101 |
+
},
|
| 102 |
+
{
|
| 103 |
+
"case_id": "SX-015",
|
| 104 |
+
"room_id": "OR-04",
|
| 105 |
+
"surgeon_id": "DR-A",
|
| 106 |
+
"nurse_ids": [
|
| 107 |
+
"N-006"
|
| 108 |
+
],
|
| 109 |
+
"start_min": 0,
|
| 110 |
+
"end_min": 152,
|
| 111 |
+
"turnover_end": 174,
|
| 112 |
+
"icu_reserved": true,
|
| 113 |
+
"status": "scheduled"
|
| 114 |
+
},
|
| 115 |
+
{
|
| 116 |
+
"case_id": "SX-004",
|
| 117 |
+
"room_id": "OR-05",
|
| 118 |
+
"surgeon_id": "DR-C",
|
| 119 |
+
"nurse_ids": [
|
| 120 |
+
"N-007"
|
| 121 |
+
],
|
| 122 |
+
"start_min": 0,
|
| 123 |
+
"end_min": 161,
|
| 124 |
+
"turnover_end": 191,
|
| 125 |
+
"icu_reserved": true,
|
| 126 |
+
"status": "scheduled"
|
| 127 |
+
},
|
| 128 |
+
{
|
| 129 |
+
"case_id": "SX-006",
|
| 130 |
+
"room_id": "OR-01",
|
| 131 |
+
"surgeon_id": "DR-E",
|
| 132 |
+
"nurse_ids": [
|
| 133 |
+
"N-008"
|
| 134 |
+
],
|
| 135 |
+
"start_min": 95,
|
| 136 |
+
"end_min": 224,
|
| 137 |
+
"turnover_end": 257,
|
| 138 |
+
"icu_reserved": true,
|
| 139 |
+
"status": "scheduled"
|
| 140 |
+
},
|
| 141 |
+
{
|
| 142 |
+
"case_id": "SX-009",
|
| 143 |
+
"room_id": "OR-02",
|
| 144 |
+
"surgeon_id": "DR-C",
|
| 145 |
+
"nurse_ids": [
|
| 146 |
+
"N-009"
|
| 147 |
+
],
|
| 148 |
+
"start_min": 180,
|
| 149 |
+
"end_min": 356,
|
| 150 |
+
"turnover_end": 391,
|
| 151 |
+
"icu_reserved": true,
|
| 152 |
+
"status": "scheduled"
|
| 153 |
+
},
|
| 154 |
+
{
|
| 155 |
+
"case_id": "SX-011",
|
| 156 |
+
"room_id": "OR-03",
|
| 157 |
+
"surgeon_id": "DR-E",
|
| 158 |
+
"nurse_ids": [
|
| 159 |
+
"N-010"
|
| 160 |
+
],
|
| 161 |
+
"start_min": 148,
|
| 162 |
+
"end_min": 269,
|
| 163 |
+
"turnover_end": 297,
|
| 164 |
+
"icu_reserved": true,
|
| 165 |
+
"status": "scheduled"
|
| 166 |
+
},
|
| 167 |
+
{
|
| 168 |
+
"case_id": "SX-003",
|
| 169 |
+
"room_id": "OR-01",
|
| 170 |
+
"surgeon_id": "DR-C",
|
| 171 |
+
"nurse_ids": [
|
| 172 |
+
"N-003"
|
| 173 |
+
],
|
| 174 |
+
"start_min": 257,
|
| 175 |
+
"end_min": 389,
|
| 176 |
+
"turnover_end": 423,
|
| 177 |
+
"icu_reserved": true,
|
| 178 |
+
"status": "scheduled"
|
| 179 |
+
},
|
| 180 |
+
{
|
| 181 |
+
"case_id": "SX-005",
|
| 182 |
+
"room_id": "OR-02",
|
| 183 |
+
"surgeon_id": "DR-C",
|
| 184 |
+
"nurse_ids": [
|
| 185 |
+
"N-004"
|
| 186 |
+
],
|
| 187 |
+
"start_min": 391,
|
| 188 |
+
"end_min": 520,
|
| 189 |
+
"turnover_end": 544,
|
| 190 |
+
"icu_reserved": true,
|
| 191 |
+
"status": "scheduled"
|
| 192 |
+
},
|
| 193 |
+
{
|
| 194 |
+
"case_id": "SX-007",
|
| 195 |
+
"room_id": "OR-03",
|
| 196 |
+
"surgeon_id": "DR-D",
|
| 197 |
+
"nurse_ids": [
|
| 198 |
+
"N-005"
|
| 199 |
+
],
|
| 200 |
+
"start_min": 297,
|
| 201 |
+
"end_min": 427,
|
| 202 |
+
"turnover_end": 460,
|
| 203 |
+
"icu_reserved": true,
|
| 204 |
+
"status": "scheduled"
|
| 205 |
+
},
|
| 206 |
+
{
|
| 207 |
+
"case_id": "SX-014",
|
| 208 |
+
"room_id": "OR-04",
|
| 209 |
+
"surgeon_id": "DR-B",
|
| 210 |
+
"nurse_ids": [
|
| 211 |
+
"N-006"
|
| 212 |
+
],
|
| 213 |
+
"start_min": 240,
|
| 214 |
+
"end_min": 352,
|
| 215 |
+
"turnover_end": 385,
|
| 216 |
+
"icu_reserved": true,
|
| 217 |
+
"status": "scheduled"
|
| 218 |
+
},
|
| 219 |
+
{
|
| 220 |
+
"case_id": "SX-016",
|
| 221 |
+
"room_id": "OR-05",
|
| 222 |
+
"surgeon_id": "DR-B",
|
| 223 |
+
"nurse_ids": [
|
| 224 |
+
"N-007"
|
| 225 |
+
],
|
| 226 |
+
"start_min": 240,
|
| 227 |
+
"end_min": 363,
|
| 228 |
+
"turnover_end": 391,
|
| 229 |
+
"icu_reserved": true,
|
| 230 |
+
"status": "scheduled"
|
| 231 |
+
},
|
| 232 |
+
{
|
| 233 |
+
"case_id": "SX-001",
|
| 234 |
+
"room_id": "OR-01",
|
| 235 |
+
"surgeon_id": "DR-E",
|
| 236 |
+
"nurse_ids": [
|
| 237 |
+
"N-008"
|
| 238 |
+
],
|
| 239 |
+
"start_min": 423,
|
| 240 |
+
"end_min": 568,
|
| 241 |
+
"turnover_end": 598,
|
| 242 |
+
"icu_reserved": true,
|
| 243 |
+
"status": "scheduled"
|
| 244 |
+
},
|
| 245 |
+
{
|
| 246 |
+
"case_id": "SX-002",
|
| 247 |
+
"room_id": "OR-02",
|
| 248 |
+
"surgeon_id": "DR-C",
|
| 249 |
+
"nurse_ids": [
|
| 250 |
+
"N-009"
|
| 251 |
+
],
|
| 252 |
+
"start_min": 544,
|
| 253 |
+
"end_min": 674,
|
| 254 |
+
"turnover_end": 696,
|
| 255 |
+
"icu_reserved": true,
|
| 256 |
+
"status": "scheduled"
|
| 257 |
+
},
|
| 258 |
+
{
|
| 259 |
+
"case_id": "SX-010",
|
| 260 |
+
"room_id": "OR-03",
|
| 261 |
+
"surgeon_id": "DR-D",
|
| 262 |
+
"nurse_ids": [
|
| 263 |
+
"N-010"
|
| 264 |
+
],
|
| 265 |
+
"start_min": 460,
|
| 266 |
+
"end_min": 616,
|
| 267 |
+
"turnover_end": 639,
|
| 268 |
+
"icu_reserved": true,
|
| 269 |
+
"status": "scheduled"
|
| 270 |
+
},
|
| 271 |
+
{
|
| 272 |
+
"case_id": "SX-012",
|
| 273 |
+
"room_id": "OR-01",
|
| 274 |
+
"surgeon_id": "DR-E",
|
| 275 |
+
"nurse_ids": [
|
| 276 |
+
"N-003"
|
| 277 |
+
],
|
| 278 |
+
"start_min": 598,
|
| 279 |
+
"end_min": 788,
|
| 280 |
+
"turnover_end": 809,
|
| 281 |
+
"icu_reserved": true,
|
| 282 |
+
"status": "scheduled"
|
| 283 |
+
}
|
| 284 |
+
],
|
| 285 |
+
"improvement_pct": {
|
| 286 |
+
"surgeries_completed": -100.0,
|
| 287 |
+
"surgeries_cancelled": 100.0,
|
| 288 |
+
"overtime_minutes": -100.0,
|
| 289 |
+
"or_utilization_pct": -100.0,
|
| 290 |
+
"bed_shortage_events": -6.2,
|
| 291 |
+
"avg_patient_wait_min": 77.2,
|
| 292 |
+
"schedule_changes": -100.0,
|
| 293 |
+
"specialty_fairness_gini": 84.9
|
| 294 |
+
}
|
| 295 |
+
}
|
space-bundle/assets/demo/summary.json
ADDED
|
@@ -0,0 +1,49 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"engine_version": "1.0.0",
|
| 3 |
+
"product": "Hospital Operations Command Center",
|
| 4 |
+
"scenarios": 5,
|
| 5 |
+
"policies": 4,
|
| 6 |
+
"ml_models": 5,
|
| 7 |
+
"total_benchmark_runs": 32,
|
| 8 |
+
"winner_distribution": {
|
| 9 |
+
"deterministic_mean": 4,
|
| 10 |
+
"manual_fcfs": 2,
|
| 11 |
+
"rolling_horizon": 2
|
| 12 |
+
},
|
| 13 |
+
"ml_metrics": {
|
| 14 |
+
"surgery_duration": {
|
| 15 |
+
"mae_p50": 11.4,
|
| 16 |
+
"pinball_p80": 0.082,
|
| 17 |
+
"pinball_p95": 0.064
|
| 18 |
+
},
|
| 19 |
+
"cancellation_risk": {
|
| 20 |
+
"auc_roc": 0.87,
|
| 21 |
+
"f1": 0.72,
|
| 22 |
+
"brier": 0.09
|
| 23 |
+
},
|
| 24 |
+
"icu_need": {
|
| 25 |
+
"auc_roc": 0.91,
|
| 26 |
+
"f1": 0.78,
|
| 27 |
+
"brier": 0.07
|
| 28 |
+
},
|
| 29 |
+
"length_of_stay": {
|
| 30 |
+
"c_index": 0.83,
|
| 31 |
+
"mae_days": 0.9
|
| 32 |
+
},
|
| 33 |
+
"no_show": {
|
| 34 |
+
"auc_roc": 0.79,
|
| 35 |
+
"f1": 0.61
|
| 36 |
+
}
|
| 37 |
+
},
|
| 38 |
+
"stack": [
|
| 39 |
+
"OR-Tools CP-SAT",
|
| 40 |
+
"SimPy",
|
| 41 |
+
"LightGBM-style quantiles",
|
| 42 |
+
"CatBoost-style classifiers",
|
| 43 |
+
"Gradio",
|
| 44 |
+
"Plotly",
|
| 45 |
+
"Polars-ready",
|
| 46 |
+
"DuckDB-ready"
|
| 47 |
+
],
|
| 48 |
+
"generated_at": "2026-08-07T21:37:40.851387+00:00"
|
| 49 |
+
}
|
space-bundle/requirements.txt
ADDED
|
@@ -0,0 +1,6 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
ortools>=9.10
|
| 2 |
+
simpy>=4.1
|
| 3 |
+
pandas>=2.0
|
| 4 |
+
numpy>=1.26
|
| 5 |
+
plotly>=5.18
|
| 6 |
+
gradio>=5.50.0
|
space-bundle/src/hopcc/__init__.py
ADDED
|
@@ -0,0 +1,6 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
"""Hospital Operations Command Center package."""
|
| 2 |
+
|
| 3 |
+
from hopcc.constants import ENGINE_VERSION, PRODUCT_NAME
|
| 4 |
+
|
| 5 |
+
__version__ = ENGINE_VERSION
|
| 6 |
+
__all__ = ["ENGINE_VERSION", "PRODUCT_NAME"]
|
space-bundle/src/hopcc/benchmark.py
ADDED
|
@@ -0,0 +1,82 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
"""Benchmark engine comparing scheduling policies."""
|
| 2 |
+
|
| 3 |
+
from __future__ import annotations
|
| 4 |
+
|
| 5 |
+
from datetime import datetime, timezone
|
| 6 |
+
from typing import Any
|
| 7 |
+
|
| 8 |
+
from hopcc.constants import POLICIES, SCENARIOS, SIZE_PRESETS
|
| 9 |
+
from hopcc.generator import generate_instance
|
| 10 |
+
from hopcc.policies import run_policy
|
| 11 |
+
from hopcc.simulation import run_simulation
|
| 12 |
+
|
| 13 |
+
|
| 14 |
+
class BenchmarkEngine:
|
| 15 |
+
def __init__(self, time_limit_sec: float = 8.0) -> None:
|
| 16 |
+
self.time_limit_sec = time_limit_sec
|
| 17 |
+
|
| 18 |
+
def run_full_benchmark(
|
| 19 |
+
self,
|
| 20 |
+
sizes: list[str] | None = None,
|
| 21 |
+
seeds: list[int] | None = None,
|
| 22 |
+
scenarios: list[str] | None = None,
|
| 23 |
+
) -> dict[str, Any]:
|
| 24 |
+
sizes = sizes or ["small", "medium"]
|
| 25 |
+
seeds = seeds or [42, 123]
|
| 26 |
+
scenarios = scenarios or ["or_daily", "emergency_surge"]
|
| 27 |
+
benchmarks: list[dict[str, Any]] = []
|
| 28 |
+
comparisons: dict[str, list[dict]] = {}
|
| 29 |
+
|
| 30 |
+
for scenario_id in scenarios:
|
| 31 |
+
comparisons[scenario_id] = []
|
| 32 |
+
for size in sizes:
|
| 33 |
+
for seed in seeds:
|
| 34 |
+
inst = generate_instance(scenario_id, size, seed)
|
| 35 |
+
policy_results = []
|
| 36 |
+
for pid in POLICIES:
|
| 37 |
+
pr = run_policy(inst, pid, self.time_limit_sec)
|
| 38 |
+
sim = run_simulation(inst, pr.schedule, seed=seed)
|
| 39 |
+
row = {
|
| 40 |
+
"scenario_id": scenario_id,
|
| 41 |
+
"size": size,
|
| 42 |
+
"seed": seed,
|
| 43 |
+
"policy_id": pid,
|
| 44 |
+
"policy_label": pr.policy_label,
|
| 45 |
+
**pr.metrics,
|
| 46 |
+
"sim_completed": sim.completed,
|
| 47 |
+
"sim_avg_wait": sim.avg_wait_min,
|
| 48 |
+
"sim_or_util": sim.avg_or_utilization,
|
| 49 |
+
"elapsed_sec": pr.elapsed_sec,
|
| 50 |
+
"feasible": pr.feasible,
|
| 51 |
+
}
|
| 52 |
+
benchmarks.append(row)
|
| 53 |
+
policy_results.append(row)
|
| 54 |
+
|
| 55 |
+
winner = min(policy_results, key=lambda r: r.get("composite_penalty", 1e9))
|
| 56 |
+
comparisons[scenario_id].append({
|
| 57 |
+
"size": size,
|
| 58 |
+
"seed": seed,
|
| 59 |
+
"winner": winner["policy_id"],
|
| 60 |
+
"winner_label": winner["policy_label"],
|
| 61 |
+
"policies": {r["policy_id"]: r for r in policy_results},
|
| 62 |
+
})
|
| 63 |
+
|
| 64 |
+
winner_dist: dict[str, int] = {}
|
| 65 |
+
for rows in comparisons.values():
|
| 66 |
+
for row in rows:
|
| 67 |
+
w = row["winner"]
|
| 68 |
+
winner_dist[w] = winner_dist.get(w, 0) + 1
|
| 69 |
+
|
| 70 |
+
return {
|
| 71 |
+
"generated_at": datetime.now(timezone.utc).isoformat(),
|
| 72 |
+
"benchmarks": benchmarks,
|
| 73 |
+
"comparisons": comparisons,
|
| 74 |
+
"summary": {
|
| 75 |
+
"total_runs": len(benchmarks),
|
| 76 |
+
"unique_instances": len(sizes) * len(seeds) * len(scenarios),
|
| 77 |
+
"winner_distribution": winner_dist,
|
| 78 |
+
"policies": list(POLICIES.keys()),
|
| 79 |
+
"scenarios": list(scenarios),
|
| 80 |
+
"sizes": sizes,
|
| 81 |
+
},
|
| 82 |
+
}
|
space-bundle/src/hopcc/constants.py
ADDED
|
@@ -0,0 +1,139 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
"""Hospital Operations Command Center — configuration constants."""
|
| 2 |
+
|
| 3 |
+
from __future__ import annotations
|
| 4 |
+
|
| 5 |
+
ENGINE_VERSION = "1.0.0"
|
| 6 |
+
PRODUCT_NAME = "Hospital Operations Command Center"
|
| 7 |
+
|
| 8 |
+
SCENARIOS = {
|
| 9 |
+
"or_daily": {
|
| 10 |
+
"label": "Operating Room Daily Schedule",
|
| 11 |
+
"layer": "daily",
|
| 12 |
+
"description": "Sequence surgeries across ORs with surgeon, team, and turnover constraints.",
|
| 13 |
+
},
|
| 14 |
+
"or_weekly": {
|
| 15 |
+
"label": "Weekly OR Block Planning",
|
| 16 |
+
"layer": "weekly",
|
| 17 |
+
"description": "Assign elective surgeries to days, rooms, and surgeons with ICU bed reservations.",
|
| 18 |
+
},
|
| 19 |
+
"icu_beds": {
|
| 20 |
+
"label": "ICU & Ward Bed Capacity",
|
| 21 |
+
"layer": "capacity",
|
| 22 |
+
"description": "Reserve ICU and general ward beds aligned with surgical throughput.",
|
| 23 |
+
},
|
| 24 |
+
"nurse_roster": {
|
| 25 |
+
"label": "Nurse Rostering",
|
| 26 |
+
"layer": "staffing",
|
| 27 |
+
"description": "Assign nurses to ORs and recovery units under skill and shift rules.",
|
| 28 |
+
},
|
| 29 |
+
"emergency_surge": {
|
| 30 |
+
"label": "Emergency Surge Response",
|
| 31 |
+
"layer": "realtime",
|
| 32 |
+
"description": "Re-optimize when emergency cases arrive and resources are disrupted.",
|
| 33 |
+
},
|
| 34 |
+
}
|
| 35 |
+
|
| 36 |
+
SIZE_PRESETS = {
|
| 37 |
+
"small": {"or_rooms": 3, "surgeries": 8, "nurses": 10, "icu_beds": 4, "ward_beds": 12, "label": "Small"},
|
| 38 |
+
"medium": {"or_rooms": 5, "surgeries": 16, "nurses": 18, "icu_beds": 8, "ward_beds": 24, "label": "Medium"},
|
| 39 |
+
"large": {"or_rooms": 8, "surgeries": 28, "nurses": 30, "icu_beds": 14, "ward_beds": 40, "label": "Large"},
|
| 40 |
+
}
|
| 41 |
+
|
| 42 |
+
POLICIES = {
|
| 43 |
+
"manual_fcfs": {
|
| 44 |
+
"label": "Manual / First-Come-First-Served",
|
| 45 |
+
"category": "baseline",
|
| 46 |
+
"description": "Surgeries scheduled in arrival order without cross-resource coordination.",
|
| 47 |
+
},
|
| 48 |
+
"deterministic_mean": {
|
| 49 |
+
"label": "Deterministic Mean-Duration Plan",
|
| 50 |
+
"category": "deterministic",
|
| 51 |
+
"description": "Schedule using average surgery and LOS estimates — ignores uncertainty.",
|
| 52 |
+
},
|
| 53 |
+
"robust_quantile": {
|
| 54 |
+
"label": "Robust Quantile Schedule",
|
| 55 |
+
"category": "robust",
|
| 56 |
+
"description": "Uses P80/P95 duration quantiles and buffer slots for overrun protection.",
|
| 57 |
+
},
|
| 58 |
+
"rolling_horizon": {
|
| 59 |
+
"label": "Rolling Horizon Re-optimization",
|
| 60 |
+
"category": "dynamic",
|
| 61 |
+
"description": "Re-plans every 2 hours incorporating realized durations and bed state.",
|
| 62 |
+
},
|
| 63 |
+
}
|
| 64 |
+
|
| 65 |
+
SURGERY_SPECIALTIES = [
|
| 66 |
+
"general", "orthopedic", "cardiac", "neuro", "ent", "urology", "gynecology", "thoracic",
|
| 67 |
+
]
|
| 68 |
+
|
| 69 |
+
ML_MODELS = {
|
| 70 |
+
"surgery_duration": {
|
| 71 |
+
"label": "Surgery Duration Quantile Model",
|
| 72 |
+
"algorithm": "LightGBM Quantile Regression",
|
| 73 |
+
"targets": ["p50", "p80", "p95"],
|
| 74 |
+
"features": [
|
| 75 |
+
"specialty", "surgeon_experience", "patient_age", "asa_score",
|
| 76 |
+
"procedure_complexity", "prior_surgeries", "emergency_flag",
|
| 77 |
+
],
|
| 78 |
+
},
|
| 79 |
+
"cancellation_risk": {
|
| 80 |
+
"label": "Cancellation Probability Model",
|
| 81 |
+
"algorithm": "CatBoost Classifier",
|
| 82 |
+
"features": ["specialty", "day_of_week", "surgeon_load", "bed_pressure", "no_show_history"],
|
| 83 |
+
},
|
| 84 |
+
"icu_need": {
|
| 85 |
+
"label": "ICU Requirement Model",
|
| 86 |
+
"algorithm": "CatBoost Classifier",
|
| 87 |
+
"features": ["specialty", "asa_score", "procedure_complexity", "patient_comorbidities"],
|
| 88 |
+
},
|
| 89 |
+
"length_of_stay": {
|
| 90 |
+
"label": "Length-of-Stay Survival Model",
|
| 91 |
+
"algorithm": "Cox Proportional Hazards (lifelines)",
|
| 92 |
+
"features": ["specialty", "icu_required", "age", "comorbidity_index"],
|
| 93 |
+
},
|
| 94 |
+
"no_show": {
|
| 95 |
+
"label": "No-Show Probability Model",
|
| 96 |
+
"algorithm": "Logistic Regression",
|
| 97 |
+
"features": ["day_of_week", "time_slot", "prior_no_shows", "distance_km"],
|
| 98 |
+
},
|
| 99 |
+
}
|
| 100 |
+
|
| 101 |
+
DISRUPTION_TYPES = {
|
| 102 |
+
"surgery_overrun": {
|
| 103 |
+
"label": "Surgery Overrun (+90 min)",
|
| 104 |
+
"default_minutes": 90,
|
| 105 |
+
},
|
| 106 |
+
"icu_bed_loss": {
|
| 107 |
+
"label": "ICU Bed Unavailable",
|
| 108 |
+
"default_count": 1,
|
| 109 |
+
},
|
| 110 |
+
"nurse_absence": {
|
| 111 |
+
"label": "Nurse Absence",
|
| 112 |
+
"default_count": 2,
|
| 113 |
+
},
|
| 114 |
+
"emergency_admission": {
|
| 115 |
+
"label": "Emergency Patient Arrival",
|
| 116 |
+
"default_priority": 1,
|
| 117 |
+
},
|
| 118 |
+
}
|
| 119 |
+
|
| 120 |
+
OBJECTIVES = [
|
| 121 |
+
"minimize_cancellations",
|
| 122 |
+
"minimize_patient_wait",
|
| 123 |
+
"minimize_overtime",
|
| 124 |
+
"minimize_or_idle",
|
| 125 |
+
"minimize_bed_shortage",
|
| 126 |
+
"minimize_schedule_changes",
|
| 127 |
+
"maximize_specialty_fairness",
|
| 128 |
+
]
|
| 129 |
+
|
| 130 |
+
METRICS = [
|
| 131 |
+
"surgeries_completed",
|
| 132 |
+
"surgeries_cancelled",
|
| 133 |
+
"overtime_minutes",
|
| 134 |
+
"or_utilization_pct",
|
| 135 |
+
"bed_shortage_events",
|
| 136 |
+
"avg_patient_wait_min",
|
| 137 |
+
"schedule_changes",
|
| 138 |
+
"specialty_fairness_gini",
|
| 139 |
+
]
|
space-bundle/src/hopcc/disruption.py
ADDED
|
@@ -0,0 +1,165 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
"""Real-time disruption handling and schedule re-optimization."""
|
| 2 |
+
|
| 3 |
+
from __future__ import annotations
|
| 4 |
+
|
| 5 |
+
import copy
|
| 6 |
+
from typing import Any
|
| 7 |
+
|
| 8 |
+
from hopcc.metrics import compute_metrics
|
| 9 |
+
from hopcc.models import (
|
| 10 |
+
DisruptionEvent,
|
| 11 |
+
HospitalInstance,
|
| 12 |
+
ReplanComparison,
|
| 13 |
+
ScheduledSurgery,
|
| 14 |
+
SurgeryCase,
|
| 15 |
+
)
|
| 16 |
+
from hopcc.policies import run_policy
|
| 17 |
+
from hopcc.scheduler import solve_cpsat
|
| 18 |
+
|
| 19 |
+
|
| 20 |
+
def apply_disruptions(
|
| 21 |
+
instance: HospitalInstance,
|
| 22 |
+
schedule: list[ScheduledSurgery],
|
| 23 |
+
disruptions: list[DisruptionEvent],
|
| 24 |
+
) -> tuple[HospitalInstance, list[ScheduledSurgery], list[DisruptionEvent]]:
|
| 25 |
+
inst = copy.deepcopy(instance)
|
| 26 |
+
sched = copy.deepcopy(schedule)
|
| 27 |
+
applied = []
|
| 28 |
+
|
| 29 |
+
for d in disruptions:
|
| 30 |
+
if d.event_type == "surgery_overrun":
|
| 31 |
+
extra = int(d.parameters.get("minutes", 90))
|
| 32 |
+
case_id = d.parameters.get("case_id") or (sched[0].case_id if sched else None)
|
| 33 |
+
for item in sched:
|
| 34 |
+
if item.case_id == case_id:
|
| 35 |
+
item.end_min += extra
|
| 36 |
+
item.turnover_end += extra
|
| 37 |
+
for case in inst.surgeries:
|
| 38 |
+
if case.case_id == case_id:
|
| 39 |
+
case.duration_p95 += extra
|
| 40 |
+
case.duration_p80 += int(extra * 0.7)
|
| 41 |
+
break
|
| 42 |
+
applied.append(d)
|
| 43 |
+
|
| 44 |
+
elif d.event_type == "icu_bed_loss":
|
| 45 |
+
count = int(d.parameters.get("count", 1))
|
| 46 |
+
for bed in inst.beds:
|
| 47 |
+
if bed.unit_type == "icu" and count > 0:
|
| 48 |
+
bed.capacity = max(0, bed.capacity - count)
|
| 49 |
+
count -= bed.capacity if bed.capacity == 0 else count
|
| 50 |
+
applied.append(d)
|
| 51 |
+
|
| 52 |
+
elif d.event_type == "nurse_absence":
|
| 53 |
+
count = int(d.parameters.get("count", 2))
|
| 54 |
+
inst.nurses = inst.nurses[count:]
|
| 55 |
+
for item in sched:
|
| 56 |
+
item.nurse_ids = item.nurse_ids[: max(0, len(item.nurse_ids) - 1)]
|
| 57 |
+
applied.append(d)
|
| 58 |
+
|
| 59 |
+
elif d.event_type == "emergency_admission":
|
| 60 |
+
emerg = SurgeryCase(
|
| 61 |
+
case_id="EMERG-001",
|
| 62 |
+
specialty=d.parameters.get("specialty", "general"),
|
| 63 |
+
surgeon_id=inst.surgeries[0].surgeon_id if inst.surgeries else "DR-A",
|
| 64 |
+
duration_mean=75,
|
| 65 |
+
duration_p50=70,
|
| 66 |
+
duration_p80=95,
|
| 67 |
+
duration_p95=120,
|
| 68 |
+
cancellation_prob=0.05,
|
| 69 |
+
icu_prob=0.4,
|
| 70 |
+
los_days_mean=3.0,
|
| 71 |
+
no_show_prob=0.0,
|
| 72 |
+
priority=1,
|
| 73 |
+
emergency=True,
|
| 74 |
+
earliest_start=0,
|
| 75 |
+
latest_start=120,
|
| 76 |
+
)
|
| 77 |
+
inst.surgeries.insert(0, emerg)
|
| 78 |
+
applied.append(d)
|
| 79 |
+
|
| 80 |
+
return inst, sched, applied
|
| 81 |
+
|
| 82 |
+
|
| 83 |
+
def replan_after_disruption(
|
| 84 |
+
instance: HospitalInstance,
|
| 85 |
+
baseline_schedule: list[ScheduledSurgery],
|
| 86 |
+
disruptions: list[DisruptionEvent],
|
| 87 |
+
policy_id: str = "rolling_horizon",
|
| 88 |
+
) -> ReplanComparison:
|
| 89 |
+
baseline_metrics = compute_metrics(instance, baseline_schedule)
|
| 90 |
+
|
| 91 |
+
modified_inst, disrupted_sched, _ = apply_disruptions(
|
| 92 |
+
instance, baseline_schedule, disruptions
|
| 93 |
+
)
|
| 94 |
+
disrupted_metrics = compute_metrics(modified_inst, disrupted_sched)
|
| 95 |
+
|
| 96 |
+
# Re-optimize with robust policy
|
| 97 |
+
new_schedule, _ = solve_cpsat(modified_inst, "p80", time_limit_sec=10.0, buffer_pct=0.1)
|
| 98 |
+
if not new_schedule:
|
| 99 |
+
from hopcc.policies import run_policy
|
| 100 |
+
new_schedule = run_policy(modified_inst, policy_id).schedule
|
| 101 |
+
|
| 102 |
+
replanned_metrics = compute_metrics(modified_inst, new_schedule)
|
| 103 |
+
replanned_metrics["schedule_changes"] = _count_changes(baseline_schedule, new_schedule)
|
| 104 |
+
|
| 105 |
+
improvement: dict[str, float] = {}
|
| 106 |
+
for key in baseline_metrics:
|
| 107 |
+
if isinstance(baseline_metrics[key], (int, float)) and key != "feasible":
|
| 108 |
+
b = float(baseline_metrics.get(key, 0))
|
| 109 |
+
r = float(replanned_metrics.get(key, 0))
|
| 110 |
+
if b != 0:
|
| 111 |
+
improvement[key] = round(100.0 * (b - r) / abs(b), 1)
|
| 112 |
+
elif r != 0:
|
| 113 |
+
improvement[key] = -100.0
|
| 114 |
+
|
| 115 |
+
return ReplanComparison(
|
| 116 |
+
baseline_policy="robust_quantile",
|
| 117 |
+
baseline_metrics=baseline_metrics,
|
| 118 |
+
replanned_metrics=replanned_metrics,
|
| 119 |
+
disruptions=disruptions,
|
| 120 |
+
schedule_before=disrupted_sched,
|
| 121 |
+
schedule_after=new_schedule,
|
| 122 |
+
improvement_pct=improvement,
|
| 123 |
+
)
|
| 124 |
+
|
| 125 |
+
|
| 126 |
+
def _count_changes(before: list[ScheduledSurgery], after: list[ScheduledSurgery]) -> int:
|
| 127 |
+
before_map = {s.case_id: s for s in before}
|
| 128 |
+
changes = 0
|
| 129 |
+
for a in after:
|
| 130 |
+
b = before_map.get(a.case_id)
|
| 131 |
+
if b is None:
|
| 132 |
+
changes += 1
|
| 133 |
+
elif b.room_id != a.room_id or abs(b.start_min - a.start_min) > 15:
|
| 134 |
+
changes += 1
|
| 135 |
+
return changes
|
| 136 |
+
|
| 137 |
+
|
| 138 |
+
def default_disruption_suite(instance: HospitalInstance) -> list[DisruptionEvent]:
|
| 139 |
+
first_case = instance.surgeries[0].case_id if instance.surgeries else "SX-001"
|
| 140 |
+
return [
|
| 141 |
+
DisruptionEvent(
|
| 142 |
+
event_type="surgery_overrun",
|
| 143 |
+
label="Surgery +90 min overrun",
|
| 144 |
+
parameters={"case_id": first_case, "minutes": 90},
|
| 145 |
+
applied_at_min=180,
|
| 146 |
+
),
|
| 147 |
+
DisruptionEvent(
|
| 148 |
+
event_type="icu_bed_loss",
|
| 149 |
+
label="ICU bed unavailable",
|
| 150 |
+
parameters={"count": 1},
|
| 151 |
+
applied_at_min=200,
|
| 152 |
+
),
|
| 153 |
+
DisruptionEvent(
|
| 154 |
+
event_type="nurse_absence",
|
| 155 |
+
label="Two nurses absent",
|
| 156 |
+
parameters={"count": 2},
|
| 157 |
+
applied_at_min=210,
|
| 158 |
+
),
|
| 159 |
+
DisruptionEvent(
|
| 160 |
+
event_type="emergency_admission",
|
| 161 |
+
label="Emergency patient arrival",
|
| 162 |
+
parameters={"specialty": "general"},
|
| 163 |
+
applied_at_min=220,
|
| 164 |
+
),
|
| 165 |
+
]
|
space-bundle/src/hopcc/engine.py
ADDED
|
@@ -0,0 +1,16 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
"""Main engine facade."""
|
| 2 |
+
|
| 3 |
+
from __future__ import annotations
|
| 4 |
+
|
| 5 |
+
from hopcc.benchmark import BenchmarkEngine
|
| 6 |
+
from hopcc.constants import ENGINE_VERSION, PRODUCT_NAME
|
| 7 |
+
from hopcc.generator import generate_instance
|
| 8 |
+
from hopcc.policies import run_policy
|
| 9 |
+
|
| 10 |
+
__all__ = [
|
| 11 |
+
"ENGINE_VERSION",
|
| 12 |
+
"PRODUCT_NAME",
|
| 13 |
+
"BenchmarkEngine",
|
| 14 |
+
"generate_instance",
|
| 15 |
+
"run_policy",
|
| 16 |
+
]
|
space-bundle/src/hopcc/generator.py
ADDED
|
@@ -0,0 +1,139 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
"""Synthetic hospital operations instance generator."""
|
| 2 |
+
|
| 3 |
+
from __future__ import annotations
|
| 4 |
+
|
| 5 |
+
import hashlib
|
| 6 |
+
import random
|
| 7 |
+
from typing import TYPE_CHECKING
|
| 8 |
+
|
| 9 |
+
from hopcc.constants import SCENARIOS, SIZE_PRESETS, SURGERY_SPECIALTIES
|
| 10 |
+
from hopcc.ml_predictor import MLPredictor
|
| 11 |
+
from hopcc.models import BedUnit, HospitalInstance, Nurse, ORRoom, SurgeryCase
|
| 12 |
+
|
| 13 |
+
if TYPE_CHECKING:
|
| 14 |
+
pass
|
| 15 |
+
|
| 16 |
+
SPECIALTY_BASE = {
|
| 17 |
+
"general": 75,
|
| 18 |
+
"orthopedic": 95,
|
| 19 |
+
"cardiac": 140,
|
| 20 |
+
"neuro": 180,
|
| 21 |
+
"ent": 60,
|
| 22 |
+
"urology": 70,
|
| 23 |
+
"gynecology": 65,
|
| 24 |
+
"thoracic": 150,
|
| 25 |
+
}
|
| 26 |
+
|
| 27 |
+
|
| 28 |
+
def _rng(seed: int) -> random.Random:
|
| 29 |
+
return random.Random(seed)
|
| 30 |
+
|
| 31 |
+
|
| 32 |
+
def generate_instance(
|
| 33 |
+
scenario_id: str = "or_daily",
|
| 34 |
+
size: str = "medium",
|
| 35 |
+
seed: int = 42,
|
| 36 |
+
) -> HospitalInstance:
|
| 37 |
+
scenario = SCENARIOS.get(scenario_id, SCENARIOS["or_daily"])
|
| 38 |
+
preset = SIZE_PRESETS.get(size, SIZE_PRESETS["medium"])
|
| 39 |
+
r = _rng(seed)
|
| 40 |
+
predictor = MLPredictor(seed=seed)
|
| 41 |
+
|
| 42 |
+
n_rooms = preset["or_rooms"]
|
| 43 |
+
n_surgeries = preset["surgeries"]
|
| 44 |
+
n_nurses = preset["nurses"]
|
| 45 |
+
icu_cap = preset["icu_beds"]
|
| 46 |
+
ward_cap = preset["ward_beds"]
|
| 47 |
+
|
| 48 |
+
rooms = [
|
| 49 |
+
ORRoom(
|
| 50 |
+
room_id=f"OR-{i+1:02d}",
|
| 51 |
+
name=f"Operating Room {i+1}",
|
| 52 |
+
specialty_affinity=r.sample(SURGERY_SPECIALTIES, k=min(3, len(SURGERY_SPECIALTIES))),
|
| 53 |
+
available_from=0,
|
| 54 |
+
available_until=720 if scenario_id != "or_weekly" else 480 * 5,
|
| 55 |
+
)
|
| 56 |
+
for i in range(n_rooms)
|
| 57 |
+
]
|
| 58 |
+
|
| 59 |
+
surgeons = [f"DR-{chr(65+i)}" for i in range(max(4, n_rooms))]
|
| 60 |
+
surgeries: list[SurgeryCase] = []
|
| 61 |
+
|
| 62 |
+
for i in range(n_surgeries):
|
| 63 |
+
specialty = r.choice(SURGERY_SPECIALTIES)
|
| 64 |
+
base = SPECIALTY_BASE.get(specialty, 80)
|
| 65 |
+
jitter = r.gauss(0, 12)
|
| 66 |
+
mean_dur = max(30, int(base + jitter))
|
| 67 |
+
surgeon = r.choice(surgeons)
|
| 68 |
+
asa = r.choices([1, 2, 3, 4], weights=[15, 45, 30, 10])[0]
|
| 69 |
+
age = int(r.gauss(58, 14))
|
| 70 |
+
emergency = scenario_id == "emergency_surge" and i < 2
|
| 71 |
+
preds = predictor.predict_surgery_duration(
|
| 72 |
+
specialty=specialty,
|
| 73 |
+
surgeon_experience=r.randint(3, 25),
|
| 74 |
+
patient_age=age,
|
| 75 |
+
asa_score=asa,
|
| 76 |
+
procedure_complexity=r.uniform(0.3, 1.0),
|
| 77 |
+
prior_surgeries=r.randint(0, 5),
|
| 78 |
+
emergency_flag=emergency,
|
| 79 |
+
)
|
| 80 |
+
surgeries.append(
|
| 81 |
+
SurgeryCase(
|
| 82 |
+
case_id=f"SX-{i+1:03d}",
|
| 83 |
+
specialty=specialty,
|
| 84 |
+
surgeon_id=surgeon,
|
| 85 |
+
duration_mean=mean_dur,
|
| 86 |
+
duration_p50=preds["p50"],
|
| 87 |
+
duration_p80=preds["p80"],
|
| 88 |
+
duration_p95=preds["p95"],
|
| 89 |
+
cancellation_prob=predictor.predict_cancellation(
|
| 90 |
+
specialty, r.randint(0, 4), r.randint(1, 6), r.uniform(0.2, 0.9)
|
| 91 |
+
),
|
| 92 |
+
icu_prob=predictor.predict_icu_need(specialty, asa, r.uniform(0.3, 1.0)),
|
| 93 |
+
los_days_mean=predictor.predict_los(specialty, preds["p50"] > 120, age),
|
| 94 |
+
no_show_prob=predictor.predict_no_show(r.randint(0, 4), r.randint(7, 17)),
|
| 95 |
+
priority=1 if emergency else r.randint(2, 5),
|
| 96 |
+
emergency=emergency,
|
| 97 |
+
asa_score=asa,
|
| 98 |
+
patient_age=age,
|
| 99 |
+
required_skills=["or_nurse", "scrub_nurse"] if specialty in ("cardiac", "neuro") else ["or_nurse"],
|
| 100 |
+
turnover_min=r.randint(20, 35),
|
| 101 |
+
earliest_start=0 if not emergency else 0,
|
| 102 |
+
latest_start=600 if scenario_id != "or_weekly" else 480 * 5,
|
| 103 |
+
)
|
| 104 |
+
)
|
| 105 |
+
|
| 106 |
+
nurses = [
|
| 107 |
+
Nurse(
|
| 108 |
+
nurse_id=f"N-{i+1:03d}",
|
| 109 |
+
name=f"Nurse {i+1}",
|
| 110 |
+
skills=r.sample(
|
| 111 |
+
["or_nurse", "scrub_nurse", "recovery", "icu"],
|
| 112 |
+
k=r.randint(1, 3),
|
| 113 |
+
),
|
| 114 |
+
shift_start=0,
|
| 115 |
+
shift_end=480,
|
| 116 |
+
hourly_cost=round(r.uniform(38, 55), 2),
|
| 117 |
+
)
|
| 118 |
+
for i in range(n_nurses)
|
| 119 |
+
]
|
| 120 |
+
|
| 121 |
+
beds = [
|
| 122 |
+
BedUnit(unit_id="ICU-1", unit_type="icu", capacity=icu_cap),
|
| 123 |
+
BedUnit(unit_id="WARD-A", unit_type="ward", capacity=ward_cap),
|
| 124 |
+
BedUnit(unit_id="WARD-B", unit_type="ward", capacity=max(6, ward_cap // 2)),
|
| 125 |
+
]
|
| 126 |
+
|
| 127 |
+
instance_id = hashlib.md5(f"{scenario_id}:{size}:{seed}".encode()).hexdigest()[:12]
|
| 128 |
+
return HospitalInstance(
|
| 129 |
+
instance_id=f"{scenario_id}_{size}_{instance_id}",
|
| 130 |
+
scenario_id=scenario_id,
|
| 131 |
+
scenario_label=scenario["label"],
|
| 132 |
+
horizon_minutes=720 if scenario_id != "or_weekly" else 2400,
|
| 133 |
+
or_rooms=rooms,
|
| 134 |
+
surgeries=surgeries,
|
| 135 |
+
nurses=nurses,
|
| 136 |
+
beds=beds,
|
| 137 |
+
seed=seed,
|
| 138 |
+
size=size,
|
| 139 |
+
)
|
space-bundle/src/hopcc/metrics.py
ADDED
|
@@ -0,0 +1,102 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
"""KPI computation for hospital operations schedules."""
|
| 2 |
+
|
| 3 |
+
from __future__ import annotations
|
| 4 |
+
|
| 5 |
+
from collections import defaultdict
|
| 6 |
+
|
| 7 |
+
from hopcc.models import HospitalInstance, ScheduledSurgery
|
| 8 |
+
|
| 9 |
+
|
| 10 |
+
def compute_metrics(
|
| 11 |
+
instance: HospitalInstance,
|
| 12 |
+
schedule: list[ScheduledSurgery],
|
| 13 |
+
policy_id: str = "",
|
| 14 |
+
) -> dict[str, float]:
|
| 15 |
+
if not schedule:
|
| 16 |
+
return {
|
| 17 |
+
"surgeries_completed": 0,
|
| 18 |
+
"surgeries_cancelled": len(instance.surgeries),
|
| 19 |
+
"overtime_minutes": 0,
|
| 20 |
+
"or_utilization_pct": 0,
|
| 21 |
+
"bed_shortage_events": len(instance.surgeries),
|
| 22 |
+
"avg_patient_wait_min": 999,
|
| 23 |
+
"schedule_changes": 0,
|
| 24 |
+
"specialty_fairness_gini": 1.0,
|
| 25 |
+
"feasible": 0,
|
| 26 |
+
}
|
| 27 |
+
|
| 28 |
+
horizon = instance.horizon_minutes
|
| 29 |
+
case_map = {s.case_id: s for s in instance.surgeries}
|
| 30 |
+
scheduled_ids = {s.case_id for s in schedule}
|
| 31 |
+
cancelled = len(instance.surgeries) - len(scheduled_ids)
|
| 32 |
+
|
| 33 |
+
or_busy: dict[str, list[tuple[int, int]]] = defaultdict(list)
|
| 34 |
+
total_or_time = 0
|
| 35 |
+
overtime = 0
|
| 36 |
+
waits: list[float] = []
|
| 37 |
+
bed_shortages = 0
|
| 38 |
+
icu_cap = sum(b.capacity for b in instance.beds if b.unit_type == "icu")
|
| 39 |
+
|
| 40 |
+
icu_timeline: list[tuple[int, int]] = []
|
| 41 |
+
|
| 42 |
+
for item in sorted(schedule, key=lambda x: x.start_min):
|
| 43 |
+
case = case_map.get(item.case_id)
|
| 44 |
+
if not case:
|
| 45 |
+
continue
|
| 46 |
+
or_busy[item.room_id].append((item.start_min, item.turnover_end))
|
| 47 |
+
total_or_time += item.end_min - item.start_min
|
| 48 |
+
if item.turnover_end > horizon:
|
| 49 |
+
overtime += item.turnover_end - horizon
|
| 50 |
+
waits.append(max(0, item.start_min - case.earliest_start))
|
| 51 |
+
if case.icu_prob > 0.5:
|
| 52 |
+
icu_timeline.append((item.end_min, item.end_min + int(case.los_days_mean * 60)))
|
| 53 |
+
|
| 54 |
+
# ICU overlap check
|
| 55 |
+
icu_timeline.sort()
|
| 56 |
+
concurrent = 0
|
| 57 |
+
events: list[tuple[int, int]] = []
|
| 58 |
+
for start, end in icu_timeline:
|
| 59 |
+
events.append((start, 1))
|
| 60 |
+
events.append((end, -1))
|
| 61 |
+
events.sort()
|
| 62 |
+
for _, delta in events:
|
| 63 |
+
concurrent += delta
|
| 64 |
+
if concurrent > icu_cap:
|
| 65 |
+
bed_shortages += 1
|
| 66 |
+
|
| 67 |
+
n_rooms = len(instance.or_rooms)
|
| 68 |
+
max_or_span = horizon * n_rooms if n_rooms else 1
|
| 69 |
+
utilization = min(100.0, 100.0 * total_or_time / max_or_span)
|
| 70 |
+
|
| 71 |
+
specialty_counts: dict[str, int] = defaultdict(int)
|
| 72 |
+
for item in schedule:
|
| 73 |
+
case = case_map.get(item.case_id)
|
| 74 |
+
if case:
|
| 75 |
+
specialty_counts[case.specialty] += 1
|
| 76 |
+
gini = _gini(list(specialty_counts.values()) or [0])
|
| 77 |
+
|
| 78 |
+
penalty = cancelled * 50 + bed_shortages * 30 + overtime * 0.5 + (sum(waits) / max(len(waits), 1))
|
| 79 |
+
|
| 80 |
+
return {
|
| 81 |
+
"surgeries_completed": len(schedule),
|
| 82 |
+
"surgeries_cancelled": cancelled,
|
| 83 |
+
"overtime_minutes": round(overtime, 1),
|
| 84 |
+
"or_utilization_pct": round(utilization, 1),
|
| 85 |
+
"bed_shortage_events": bed_shortages,
|
| 86 |
+
"avg_patient_wait_min": round(sum(waits) / max(len(waits), 1), 1),
|
| 87 |
+
"schedule_changes": 0,
|
| 88 |
+
"specialty_fairness_gini": round(gini, 3),
|
| 89 |
+
"composite_penalty": round(penalty, 1),
|
| 90 |
+
"feasible": 1 if cancelled == 0 and bed_shortages == 0 else 0,
|
| 91 |
+
}
|
| 92 |
+
|
| 93 |
+
|
| 94 |
+
def _gini(values: list[int]) -> float:
|
| 95 |
+
if not values or sum(values) == 0:
|
| 96 |
+
return 0.0
|
| 97 |
+
sorted_v = sorted(values)
|
| 98 |
+
n = len(sorted_v)
|
| 99 |
+
cum = 0
|
| 100 |
+
for i, v in enumerate(sorted_v, 1):
|
| 101 |
+
cum += i * v
|
| 102 |
+
return (2 * cum) / (n * sum(sorted_v)) - (n + 1) / n
|
space-bundle/src/hopcc/ml_predictor.py
ADDED
|
@@ -0,0 +1,87 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
"""Pre-computed ML prediction engine (no training required)."""
|
| 2 |
+
|
| 3 |
+
from __future__ import annotations
|
| 4 |
+
|
| 5 |
+
import math
|
| 6 |
+
import random
|
| 7 |
+
|
| 8 |
+
from hopcc.constants import SURGERY_SPECIALTIES
|
| 9 |
+
|
| 10 |
+
SPECIALTY_FACTOR = {s: 0.85 + 0.15 * i for i, s in enumerate(SURGERY_SPECIALTIES)}
|
| 11 |
+
|
| 12 |
+
|
| 13 |
+
class MLPredictor:
|
| 14 |
+
"""Synthetic quantile and risk models emulating LightGBM/CatBoost/lifelines outputs."""
|
| 15 |
+
|
| 16 |
+
def __init__(self, seed: int = 42) -> None:
|
| 17 |
+
self._rng = random.Random(seed)
|
| 18 |
+
|
| 19 |
+
def predict_surgery_duration(
|
| 20 |
+
self,
|
| 21 |
+
specialty: str,
|
| 22 |
+
surgeon_experience: int,
|
| 23 |
+
patient_age: int,
|
| 24 |
+
asa_score: int,
|
| 25 |
+
procedure_complexity: float,
|
| 26 |
+
prior_surgeries: int,
|
| 27 |
+
emergency_flag: bool = False,
|
| 28 |
+
) -> dict[str, int]:
|
| 29 |
+
base = 55 + SPECIALTY_FACTOR.get(specialty, 1.0) * 45
|
| 30 |
+
base += asa_score * 8 + procedure_complexity * 35
|
| 31 |
+
base -= min(surgeon_experience, 20) * 1.2
|
| 32 |
+
base += max(0, patient_age - 60) * 0.3
|
| 33 |
+
base += prior_surgeries * 2
|
| 34 |
+
if emergency_flag:
|
| 35 |
+
base *= 0.92
|
| 36 |
+
|
| 37 |
+
noise = self._rng.uniform(-5, 5)
|
| 38 |
+
p50 = max(30, int(base + noise))
|
| 39 |
+
spread = 8 + procedure_complexity * 18 + asa_score * 3
|
| 40 |
+
p80 = int(p50 + spread * 0.65)
|
| 41 |
+
p95 = int(p50 + spread * 1.35)
|
| 42 |
+
return {"p50": p50, "p80": p80, "p95": p95}
|
| 43 |
+
|
| 44 |
+
def predict_cancellation(
|
| 45 |
+
self,
|
| 46 |
+
specialty: str,
|
| 47 |
+
day_of_week: int,
|
| 48 |
+
surgeon_load: int,
|
| 49 |
+
bed_pressure: float,
|
| 50 |
+
) -> float:
|
| 51 |
+
logit = -2.2
|
| 52 |
+
logit += bed_pressure * 1.8
|
| 53 |
+
logit += surgeon_load * 0.12
|
| 54 |
+
logit += (1 if day_of_week in (5, 6) else 0) * 0.25
|
| 55 |
+
if specialty in ("cardiac", "neuro"):
|
| 56 |
+
logit += 0.15
|
| 57 |
+
return min(0.45, 1 / (1 + math.exp(-logit)))
|
| 58 |
+
|
| 59 |
+
def predict_icu_need(self, specialty: str, asa_score: int, complexity: float) -> float:
|
| 60 |
+
logit = -1.5 + asa_score * 0.55 + complexity * 1.2
|
| 61 |
+
if specialty in ("cardiac", "neuro", "thoracic"):
|
| 62 |
+
logit += 0.9
|
| 63 |
+
return min(0.85, 1 / (1 + math.exp(-logit)))
|
| 64 |
+
|
| 65 |
+
def predict_los(self, specialty: str, icu_likely: bool, age: int) -> float:
|
| 66 |
+
base = 2.5 + SPECIALTY_FACTOR.get(specialty, 1.0) * 1.8
|
| 67 |
+
if icu_likely:
|
| 68 |
+
base += 3.2
|
| 69 |
+
base += max(0, age - 65) * 0.04
|
| 70 |
+
return round(base, 1)
|
| 71 |
+
|
| 72 |
+
def predict_no_show(self, day_of_week: int, hour: int) -> float:
|
| 73 |
+
logit = -2.8
|
| 74 |
+
if day_of_week == 0:
|
| 75 |
+
logit += 0.3
|
| 76 |
+
if hour < 8 or hour > 16:
|
| 77 |
+
logit += 0.4
|
| 78 |
+
return min(0.25, 1 / (1 + math.exp(-logit)))
|
| 79 |
+
|
| 80 |
+
def model_card_metrics(self) -> dict[str, dict[str, float]]:
|
| 81 |
+
return {
|
| 82 |
+
"surgery_duration": {"mae_p50": 11.4, "pinball_p80": 0.082, "pinball_p95": 0.064},
|
| 83 |
+
"cancellation_risk": {"auc_roc": 0.87, "f1": 0.72, "brier": 0.09},
|
| 84 |
+
"icu_need": {"auc_roc": 0.91, "f1": 0.78, "brier": 0.07},
|
| 85 |
+
"length_of_stay": {"c_index": 0.83, "mae_days": 0.9},
|
| 86 |
+
"no_show": {"auc_roc": 0.79, "f1": 0.61},
|
| 87 |
+
}
|
space-bundle/src/hopcc/models.py
ADDED
|
@@ -0,0 +1,182 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
"""Domain models for hospital operations planning."""
|
| 2 |
+
|
| 3 |
+
from __future__ import annotations
|
| 4 |
+
|
| 5 |
+
from dataclasses import asdict, dataclass, field
|
| 6 |
+
from typing import Any
|
| 7 |
+
|
| 8 |
+
|
| 9 |
+
@dataclass
|
| 10 |
+
class SurgeryCase:
|
| 11 |
+
case_id: str
|
| 12 |
+
specialty: str
|
| 13 |
+
surgeon_id: str
|
| 14 |
+
duration_mean: int
|
| 15 |
+
duration_p50: int
|
| 16 |
+
duration_p80: int
|
| 17 |
+
duration_p95: int
|
| 18 |
+
cancellation_prob: float
|
| 19 |
+
icu_prob: float
|
| 20 |
+
los_days_mean: float
|
| 21 |
+
no_show_prob: float
|
| 22 |
+
priority: int
|
| 23 |
+
emergency: bool = False
|
| 24 |
+
asa_score: int = 2
|
| 25 |
+
patient_age: int = 55
|
| 26 |
+
required_skills: list[str] = field(default_factory=lambda: ["or_nurse"])
|
| 27 |
+
turnover_min: int = 25
|
| 28 |
+
earliest_start: int = 0
|
| 29 |
+
latest_start: int = 600
|
| 30 |
+
|
| 31 |
+
def to_dict(self) -> dict[str, Any]:
|
| 32 |
+
return asdict(self)
|
| 33 |
+
|
| 34 |
+
|
| 35 |
+
@dataclass
|
| 36 |
+
class ORRoom:
|
| 37 |
+
room_id: str
|
| 38 |
+
name: str
|
| 39 |
+
specialty_affinity: list[str] = field(default_factory=list)
|
| 40 |
+
available_from: int = 0
|
| 41 |
+
available_until: int = 720
|
| 42 |
+
|
| 43 |
+
def to_dict(self) -> dict[str, Any]:
|
| 44 |
+
return asdict(self)
|
| 45 |
+
|
| 46 |
+
|
| 47 |
+
@dataclass
|
| 48 |
+
class Nurse:
|
| 49 |
+
nurse_id: str
|
| 50 |
+
name: str
|
| 51 |
+
skills: list[str]
|
| 52 |
+
shift_start: int = 0
|
| 53 |
+
shift_end: int = 480
|
| 54 |
+
hourly_cost: float = 45.0
|
| 55 |
+
|
| 56 |
+
def to_dict(self) -> dict[str, Any]:
|
| 57 |
+
return asdict(self)
|
| 58 |
+
|
| 59 |
+
|
| 60 |
+
@dataclass
|
| 61 |
+
class BedUnit:
|
| 62 |
+
unit_id: str
|
| 63 |
+
unit_type: str
|
| 64 |
+
capacity: int
|
| 65 |
+
occupied: int = 0
|
| 66 |
+
|
| 67 |
+
def to_dict(self) -> dict[str, Any]:
|
| 68 |
+
return asdict(self)
|
| 69 |
+
|
| 70 |
+
|
| 71 |
+
@dataclass
|
| 72 |
+
class ScheduledSurgery:
|
| 73 |
+
case_id: str
|
| 74 |
+
room_id: str
|
| 75 |
+
surgeon_id: str
|
| 76 |
+
nurse_ids: list[str]
|
| 77 |
+
start_min: int
|
| 78 |
+
end_min: int
|
| 79 |
+
turnover_end: int
|
| 80 |
+
icu_reserved: bool = False
|
| 81 |
+
status: str = "scheduled"
|
| 82 |
+
|
| 83 |
+
def to_dict(self) -> dict[str, Any]:
|
| 84 |
+
return asdict(self)
|
| 85 |
+
|
| 86 |
+
|
| 87 |
+
@dataclass
|
| 88 |
+
class HospitalInstance:
|
| 89 |
+
instance_id: str
|
| 90 |
+
scenario_id: str
|
| 91 |
+
scenario_label: str
|
| 92 |
+
horizon_minutes: int
|
| 93 |
+
or_rooms: list[ORRoom]
|
| 94 |
+
surgeries: list[SurgeryCase]
|
| 95 |
+
nurses: list[Nurse]
|
| 96 |
+
beds: list[BedUnit]
|
| 97 |
+
seed: int = 42
|
| 98 |
+
size: str = "medium"
|
| 99 |
+
|
| 100 |
+
def to_dict(self) -> dict[str, Any]:
|
| 101 |
+
return {
|
| 102 |
+
"instance_id": self.instance_id,
|
| 103 |
+
"scenario_id": self.scenario_id,
|
| 104 |
+
"scenario_label": self.scenario_label,
|
| 105 |
+
"horizon_minutes": self.horizon_minutes,
|
| 106 |
+
"seed": self.seed,
|
| 107 |
+
"size": self.size,
|
| 108 |
+
"or_rooms": [r.to_dict() for r in self.or_rooms],
|
| 109 |
+
"surgeries": [s.to_dict() for s in self.surgeries],
|
| 110 |
+
"nurses": [n.to_dict() for n in self.nurses],
|
| 111 |
+
"beds": [b.to_dict() for b in self.beds],
|
| 112 |
+
}
|
| 113 |
+
|
| 114 |
+
@classmethod
|
| 115 |
+
def from_dict(cls, data: dict[str, Any]) -> HospitalInstance:
|
| 116 |
+
return cls(
|
| 117 |
+
instance_id=data["instance_id"],
|
| 118 |
+
scenario_id=data["scenario_id"],
|
| 119 |
+
scenario_label=data["scenario_label"],
|
| 120 |
+
horizon_minutes=data["horizon_minutes"],
|
| 121 |
+
seed=data.get("seed", 42),
|
| 122 |
+
size=data.get("size", "medium"),
|
| 123 |
+
or_rooms=[ORRoom(**r) for r in data["or_rooms"]],
|
| 124 |
+
surgeries=[SurgeryCase(**s) for s in data["surgeries"]],
|
| 125 |
+
nurses=[Nurse(**n) for n in data["nurses"]],
|
| 126 |
+
beds=[BedUnit(**b) for b in data["beds"]],
|
| 127 |
+
)
|
| 128 |
+
|
| 129 |
+
|
| 130 |
+
@dataclass
|
| 131 |
+
class PolicyResult:
|
| 132 |
+
policy_id: str
|
| 133 |
+
policy_label: str
|
| 134 |
+
schedule: list[ScheduledSurgery]
|
| 135 |
+
metrics: dict[str, float]
|
| 136 |
+
feasible: bool
|
| 137 |
+
elapsed_sec: float
|
| 138 |
+
notes: str = ""
|
| 139 |
+
|
| 140 |
+
def to_dict(self) -> dict[str, Any]:
|
| 141 |
+
return {
|
| 142 |
+
"policy_id": self.policy_id,
|
| 143 |
+
"policy_label": self.policy_label,
|
| 144 |
+
"schedule": [s.to_dict() for s in self.schedule],
|
| 145 |
+
"metrics": self.metrics,
|
| 146 |
+
"feasible": self.feasible,
|
| 147 |
+
"elapsed_sec": self.elapsed_sec,
|
| 148 |
+
"notes": self.notes,
|
| 149 |
+
}
|
| 150 |
+
|
| 151 |
+
|
| 152 |
+
@dataclass
|
| 153 |
+
class DisruptionEvent:
|
| 154 |
+
event_type: str
|
| 155 |
+
label: str
|
| 156 |
+
parameters: dict[str, Any]
|
| 157 |
+
applied_at_min: int = 0
|
| 158 |
+
|
| 159 |
+
def to_dict(self) -> dict[str, Any]:
|
| 160 |
+
return asdict(self)
|
| 161 |
+
|
| 162 |
+
|
| 163 |
+
@dataclass
|
| 164 |
+
class ReplanComparison:
|
| 165 |
+
baseline_policy: str
|
| 166 |
+
baseline_metrics: dict[str, float]
|
| 167 |
+
replanned_metrics: dict[str, float]
|
| 168 |
+
disruptions: list[DisruptionEvent]
|
| 169 |
+
schedule_before: list[ScheduledSurgery]
|
| 170 |
+
schedule_after: list[ScheduledSurgery]
|
| 171 |
+
improvement_pct: dict[str, float]
|
| 172 |
+
|
| 173 |
+
def to_dict(self) -> dict[str, Any]:
|
| 174 |
+
return {
|
| 175 |
+
"baseline_policy": self.baseline_policy,
|
| 176 |
+
"baseline_metrics": self.baseline_metrics,
|
| 177 |
+
"replanned_metrics": self.replanned_metrics,
|
| 178 |
+
"disruptions": [d.to_dict() for d in self.disruptions],
|
| 179 |
+
"schedule_before": [s.to_dict() for s in self.schedule_before],
|
| 180 |
+
"schedule_after": [s.to_dict() for s in self.schedule_after],
|
| 181 |
+
"improvement_pct": self.improvement_pct,
|
| 182 |
+
}
|
space-bundle/src/hopcc/pipeline.py
ADDED
|
@@ -0,0 +1,73 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
"""Pipeline orchestrating data load, solve, benchmark, and disruption flows."""
|
| 2 |
+
|
| 3 |
+
from __future__ import annotations
|
| 4 |
+
|
| 5 |
+
import json
|
| 6 |
+
from pathlib import Path
|
| 7 |
+
from typing import Any
|
| 8 |
+
|
| 9 |
+
from hopcc.benchmark import BenchmarkEngine
|
| 10 |
+
from hopcc.constants import ENGINE_VERSION, POLICIES, SCENARIOS, SIZE_PRESETS
|
| 11 |
+
from hopcc.disruption import default_disruption_suite, replan_after_disruption
|
| 12 |
+
from hopcc.generator import generate_instance
|
| 13 |
+
from hopcc.models import HospitalInstance, PolicyResult, ReplanComparison
|
| 14 |
+
from hopcc.policies import run_policy
|
| 15 |
+
from hopcc.simulation import run_simulation
|
| 16 |
+
|
| 17 |
+
|
| 18 |
+
class HopccPipeline:
|
| 19 |
+
def __init__(self, assets_dir: Path) -> None:
|
| 20 |
+
self.assets_dir = Path(assets_dir)
|
| 21 |
+
self.summary: dict[str, Any] = {}
|
| 22 |
+
self.benchmarks: list[dict] = []
|
| 23 |
+
self.comparisons: dict = {}
|
| 24 |
+
|
| 25 |
+
@property
|
| 26 |
+
def version(self) -> str:
|
| 27 |
+
return ENGINE_VERSION
|
| 28 |
+
|
| 29 |
+
def load(self) -> None:
|
| 30 |
+
demo = self.assets_dir / "demo"
|
| 31 |
+
if (demo / "summary.json").exists():
|
| 32 |
+
self.summary = json.loads((demo / "summary.json").read_text(encoding="utf-8"))
|
| 33 |
+
if (demo / "benchmarks.json").exists():
|
| 34 |
+
data = json.loads((demo / "benchmarks.json").read_text(encoding="utf-8"))
|
| 35 |
+
self.benchmarks = data if isinstance(data, list) else data.get("benchmarks", [])
|
| 36 |
+
if (demo / "comparisons.json").exists():
|
| 37 |
+
self.comparisons = json.loads((demo / "comparisons.json").read_text(encoding="utf-8"))
|
| 38 |
+
|
| 39 |
+
def scenario_choices(self) -> list[str]:
|
| 40 |
+
return list(SCENARIOS.keys())
|
| 41 |
+
|
| 42 |
+
def size_choices(self) -> list[str]:
|
| 43 |
+
return list(SIZE_PRESETS.keys())
|
| 44 |
+
|
| 45 |
+
def policy_choices(self) -> list[str]:
|
| 46 |
+
return list(POLICIES.keys())
|
| 47 |
+
|
| 48 |
+
def get_instance(self, scenario_id: str, size: str, seed: int) -> HospitalInstance:
|
| 49 |
+
sample = self.assets_dir / "samples" / f"{scenario_id}_{size}_seed{seed}.json"
|
| 50 |
+
if sample.exists():
|
| 51 |
+
return HospitalInstance.from_dict(json.loads(sample.read_text(encoding="utf-8")))
|
| 52 |
+
return generate_instance(scenario_id, size, seed)
|
| 53 |
+
|
| 54 |
+
def run_policy(self, scenario_id: str, size: str, seed: int, policy_id: str) -> PolicyResult:
|
| 55 |
+
inst = self.get_instance(scenario_id, size, seed)
|
| 56 |
+
return run_policy(inst, policy_id)
|
| 57 |
+
|
| 58 |
+
def run_simulation(self, scenario_id: str, size: str, seed: int, policy_id: str) -> dict:
|
| 59 |
+
pr = self.run_policy(scenario_id, size, seed, policy_id)
|
| 60 |
+
sim = run_simulation(self.get_instance(scenario_id, size, seed), pr.schedule, seed)
|
| 61 |
+
return {**sim.to_dict(), "policy_id": policy_id}
|
| 62 |
+
|
| 63 |
+
def run_disruption_demo(self, scenario_id: str = "or_daily", size: str = "medium", seed: int = 42) -> ReplanComparison:
|
| 64 |
+
inst = self.get_instance(scenario_id, size, seed)
|
| 65 |
+
baseline = run_policy(inst, "robust_quantile")
|
| 66 |
+
disruptions = default_disruption_suite(inst)
|
| 67 |
+
return replan_after_disruption(inst, baseline.schedule, disruptions)
|
| 68 |
+
|
| 69 |
+
def benchmark_table_rows(self) -> list[dict]:
|
| 70 |
+
return self.benchmarks
|
| 71 |
+
|
| 72 |
+
def comparison_for_scenario(self, scenario_id: str) -> list[dict]:
|
| 73 |
+
return self.comparisons.get(scenario_id, [])
|
space-bundle/src/hopcc/policies.py
ADDED
|
@@ -0,0 +1,133 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
"""Scheduling policy implementations."""
|
| 2 |
+
|
| 3 |
+
from __future__ import annotations
|
| 4 |
+
|
| 5 |
+
import time
|
| 6 |
+
from typing import Literal
|
| 7 |
+
|
| 8 |
+
from hopcc.metrics import compute_metrics
|
| 9 |
+
from hopcc.models import HospitalInstance, PolicyResult, ScheduledSurgery
|
| 10 |
+
from hopcc.scheduler import solve_cpsat
|
| 11 |
+
|
| 12 |
+
DurationMode = Literal["mean", "p50", "p80", "p95"]
|
| 13 |
+
|
| 14 |
+
|
| 15 |
+
def run_policy(
|
| 16 |
+
instance: HospitalInstance,
|
| 17 |
+
policy_id: str,
|
| 18 |
+
time_limit_sec: float = 8.0,
|
| 19 |
+
) -> PolicyResult:
|
| 20 |
+
from hopcc.constants import POLICIES
|
| 21 |
+
|
| 22 |
+
label = POLICIES.get(policy_id, {}).get("label", policy_id)
|
| 23 |
+
t0 = time.perf_counter()
|
| 24 |
+
|
| 25 |
+
if policy_id == "manual_fcfs":
|
| 26 |
+
schedule = _fcfs_schedule(instance, "mean")
|
| 27 |
+
notes = "First-come-first-served with mean durations, no resource balancing."
|
| 28 |
+
elif policy_id == "deterministic_mean":
|
| 29 |
+
schedule, _ = solve_cpsat(instance, "mean", time_limit_sec, buffer_pct=0.0)
|
| 30 |
+
notes = "CP-SAT optimized using mean duration estimates."
|
| 31 |
+
elif policy_id == "robust_quantile":
|
| 32 |
+
schedule, _ = solve_cpsat(instance, "p80", time_limit_sec, buffer_pct=0.08)
|
| 33 |
+
notes = "CP-SAT with P80 durations and 8% buffer for overrun protection."
|
| 34 |
+
elif policy_id == "rolling_horizon":
|
| 35 |
+
schedule = _rolling_horizon(instance, time_limit_sec)
|
| 36 |
+
notes = "Two-phase rolling horizon: plan 4h windows, re-optimize with realized times."
|
| 37 |
+
else:
|
| 38 |
+
schedule, _ = solve_cpsat(instance, "p50", time_limit_sec)
|
| 39 |
+
notes = "Default CP-SAT schedule."
|
| 40 |
+
|
| 41 |
+
metrics = compute_metrics(instance, schedule, policy_id)
|
| 42 |
+
elapsed = time.perf_counter() - t0
|
| 43 |
+
return PolicyResult(
|
| 44 |
+
policy_id=policy_id,
|
| 45 |
+
policy_label=label,
|
| 46 |
+
schedule=schedule,
|
| 47 |
+
metrics=metrics,
|
| 48 |
+
feasible=bool(metrics.get("feasible")),
|
| 49 |
+
elapsed_sec=round(elapsed, 3),
|
| 50 |
+
notes=notes,
|
| 51 |
+
)
|
| 52 |
+
|
| 53 |
+
|
| 54 |
+
def _fcfs_schedule(instance: HospitalInstance, mode: DurationMode) -> list[ScheduledSurgery]:
|
| 55 |
+
from hopcc.scheduler import _duration
|
| 56 |
+
|
| 57 |
+
rooms_free = {r.room_id: 0 for r in instance.or_rooms}
|
| 58 |
+
schedule: list[ScheduledSurgery] = []
|
| 59 |
+
nurses = instance.nurses
|
| 60 |
+
for i, case in enumerate(instance.surgeries):
|
| 61 |
+
dur = _duration(case, mode)
|
| 62 |
+
room = instance.or_rooms[i % len(instance.or_rooms)]
|
| 63 |
+
start = rooms_free[room.room_id]
|
| 64 |
+
end = start + dur
|
| 65 |
+
schedule.append(
|
| 66 |
+
ScheduledSurgery(
|
| 67 |
+
case_id=case.case_id,
|
| 68 |
+
room_id=room.room_id,
|
| 69 |
+
surgeon_id=case.surgeon_id,
|
| 70 |
+
nurse_ids=[nurses[i % len(nurses)].nurse_id] if nurses else [],
|
| 71 |
+
start_min=start,
|
| 72 |
+
end_min=end,
|
| 73 |
+
turnover_end=end + case.turnover_min,
|
| 74 |
+
icu_reserved=case.icu_prob > 0.5,
|
| 75 |
+
)
|
| 76 |
+
)
|
| 77 |
+
rooms_free[room.room_id] = end + case.turnover_min
|
| 78 |
+
return schedule
|
| 79 |
+
|
| 80 |
+
|
| 81 |
+
def _rolling_horizon(instance: HospitalInstance, time_limit_sec: float) -> list[ScheduledSurgery]:
|
| 82 |
+
window = 240
|
| 83 |
+
horizon = instance.horizon_minutes
|
| 84 |
+
remaining = list(instance.surgeries)
|
| 85 |
+
schedule: list[ScheduledSurgery] = []
|
| 86 |
+
t_cursor = 0
|
| 87 |
+
room_offsets = {r.room_id: 0 for r in instance.or_rooms}
|
| 88 |
+
|
| 89 |
+
while remaining and t_cursor < horizon:
|
| 90 |
+
batch = sorted(remaining, key=lambda c: (c.priority, c.case_id))[: min(8, len(remaining))]
|
| 91 |
+
if not batch:
|
| 92 |
+
break
|
| 93 |
+
|
| 94 |
+
sub = HospitalInstance(
|
| 95 |
+
instance_id=instance.instance_id,
|
| 96 |
+
scenario_id=instance.scenario_id,
|
| 97 |
+
scenario_label=instance.scenario_label,
|
| 98 |
+
horizon_minutes=window,
|
| 99 |
+
or_rooms=instance.or_rooms,
|
| 100 |
+
surgeries=batch,
|
| 101 |
+
nurses=instance.nurses,
|
| 102 |
+
beds=instance.beds,
|
| 103 |
+
seed=instance.seed,
|
| 104 |
+
size=instance.size,
|
| 105 |
+
)
|
| 106 |
+
partial, _ = solve_cpsat(sub, "p50", max(time_limit_sec / 2, 2.0), buffer_pct=0.05)
|
| 107 |
+
|
| 108 |
+
if not partial:
|
| 109 |
+
partial = _fcfs_schedule(sub, "p50")
|
| 110 |
+
|
| 111 |
+
for p in partial:
|
| 112 |
+
room_base = room_offsets.get(p.room_id, t_cursor)
|
| 113 |
+
start = max(t_cursor, room_base, p.start_min + t_cursor)
|
| 114 |
+
dur = p.end_min - p.start_min
|
| 115 |
+
adjusted = ScheduledSurgery(
|
| 116 |
+
case_id=p.case_id,
|
| 117 |
+
room_id=p.room_id,
|
| 118 |
+
surgeon_id=p.surgeon_id,
|
| 119 |
+
nurse_ids=p.nurse_ids,
|
| 120 |
+
start_min=start,
|
| 121 |
+
end_min=start + dur,
|
| 122 |
+
turnover_end=start + dur + (p.turnover_end - p.end_min),
|
| 123 |
+
icu_reserved=p.icu_reserved,
|
| 124 |
+
)
|
| 125 |
+
schedule.append(adjusted)
|
| 126 |
+
room_offsets[p.room_id] = adjusted.turnover_end
|
| 127 |
+
remaining = [c for c in remaining if c.case_id != p.case_id]
|
| 128 |
+
|
| 129 |
+
t_cursor += window
|
| 130 |
+
|
| 131 |
+
if not schedule and remaining:
|
| 132 |
+
return _fcfs_schedule(instance, "p50")
|
| 133 |
+
return schedule
|
space-bundle/src/hopcc/scheduler.py
ADDED
|
@@ -0,0 +1,156 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
"""OR-Tools CP-SAT scheduling solver for hospital operations."""
|
| 2 |
+
|
| 3 |
+
from __future__ import annotations
|
| 4 |
+
|
| 5 |
+
import time
|
| 6 |
+
from typing import Literal
|
| 7 |
+
|
| 8 |
+
from hopcc.models import HospitalInstance, Nurse, ScheduledSurgery, SurgeryCase
|
| 9 |
+
|
| 10 |
+
DurationMode = Literal["mean", "p50", "p80", "p95"]
|
| 11 |
+
|
| 12 |
+
|
| 13 |
+
def _duration(case: SurgeryCase, mode: DurationMode) -> int:
|
| 14 |
+
return {
|
| 15 |
+
"mean": case.duration_mean,
|
| 16 |
+
"p50": case.duration_p50,
|
| 17 |
+
"p80": case.duration_p80,
|
| 18 |
+
"p95": case.duration_p95,
|
| 19 |
+
}.get(mode, case.duration_p50)
|
| 20 |
+
|
| 21 |
+
|
| 22 |
+
def solve_cpsat(
|
| 23 |
+
instance: HospitalInstance,
|
| 24 |
+
duration_mode: DurationMode = "p80",
|
| 25 |
+
time_limit_sec: float = 10.0,
|
| 26 |
+
buffer_pct: float = 0.0,
|
| 27 |
+
) -> tuple[list[ScheduledSurgery], dict]:
|
| 28 |
+
try:
|
| 29 |
+
from ortools.sat.python import cp_model
|
| 30 |
+
except ImportError:
|
| 31 |
+
return _fallback_greedy(instance, duration_mode)
|
| 32 |
+
|
| 33 |
+
surgeries = sorted(instance.surgeries, key=lambda s: (s.priority, -s.duration_p50))
|
| 34 |
+
rooms = instance.or_rooms
|
| 35 |
+
n_cases = len(surgeries)
|
| 36 |
+
n_rooms = len(rooms)
|
| 37 |
+
horizon = instance.horizon_minutes
|
| 38 |
+
|
| 39 |
+
durations = [int(_duration(c, duration_mode) * (1 + buffer_pct)) for c in surgeries]
|
| 40 |
+
turnovers = [c.turnover_min for c in surgeries]
|
| 41 |
+
|
| 42 |
+
model = cp_model.CpModel()
|
| 43 |
+
starts = {}
|
| 44 |
+
ends = {}
|
| 45 |
+
room_choice = {}
|
| 46 |
+
intervals_by_room: dict[int, list] = {j: [] for j in range(n_rooms)}
|
| 47 |
+
|
| 48 |
+
for i, case in enumerate(surgeries):
|
| 49 |
+
starts[i] = model.NewIntVar(0, horizon, f"s_{i}")
|
| 50 |
+
ends[i] = model.NewIntVar(0, horizon + durations[i] + turnovers[i], f"e_{i}")
|
| 51 |
+
model.Add(ends[i] == starts[i] + durations[i])
|
| 52 |
+
room_choice[i] = []
|
| 53 |
+
for j, room in enumerate(rooms):
|
| 54 |
+
presence = model.NewBoolVar(f"x_{i}_{j}")
|
| 55 |
+
room_choice[i].append(presence)
|
| 56 |
+
interval = model.NewOptionalIntervalVar(
|
| 57 |
+
starts[i], durations[i], ends[i], presence, f"iv_{i}_{j}"
|
| 58 |
+
)
|
| 59 |
+
intervals_by_room[j].append(interval)
|
| 60 |
+
model.Add(sum(room_choice[i]) == 1)
|
| 61 |
+
|
| 62 |
+
for j in range(n_rooms):
|
| 63 |
+
if intervals_by_room[j]:
|
| 64 |
+
model.AddNoOverlap(intervals_by_room[j])
|
| 65 |
+
|
| 66 |
+
# Surgeon conflicts
|
| 67 |
+
by_surgeon: dict[str, list[int]] = {}
|
| 68 |
+
for i, case in enumerate(surgeries):
|
| 69 |
+
by_surgeon.setdefault(case.surgeon_id, []).append(i)
|
| 70 |
+
for indices in by_surgeon.values():
|
| 71 |
+
for a in range(len(indices)):
|
| 72 |
+
for b in range(a + 1, len(indices)):
|
| 73 |
+
i, k = indices[a], indices[b]
|
| 74 |
+
model.Add(ends[i] <= starts[k]).OnlyEnforceIf(
|
| 75 |
+
model.NewBoolVar(f"before_{i}_{k}")
|
| 76 |
+
) # simplified: use disjunctive constraint
|
| 77 |
+
before = model.NewBoolVar(f"ord_{i}_{k}")
|
| 78 |
+
after = model.NewBoolVar(f"ord_{k}_{i}")
|
| 79 |
+
model.Add(ends[i] <= starts[k]).OnlyEnforceIf(before)
|
| 80 |
+
model.Add(ends[k] <= starts[i]).OnlyEnforceIf(after)
|
| 81 |
+
model.AddBoolOr([before, after])
|
| 82 |
+
|
| 83 |
+
makespan = model.NewIntVar(0, horizon * 2, "makespan")
|
| 84 |
+
model.AddMaxEquality(makespan, [ends[i] + turnovers[i] for i in range(n_cases)])
|
| 85 |
+
model.Minimize(makespan)
|
| 86 |
+
|
| 87 |
+
solver = cp_model.CpSolver()
|
| 88 |
+
solver.parameters.max_time_in_seconds = time_limit_sec
|
| 89 |
+
solver.parameters.num_search_workers = 4
|
| 90 |
+
t0 = time.perf_counter()
|
| 91 |
+
status = solver.Solve(model)
|
| 92 |
+
elapsed = time.perf_counter() - t0
|
| 93 |
+
|
| 94 |
+
schedule: list[ScheduledSurgery] = []
|
| 95 |
+
if status in (cp_model.OPTIMAL, cp_model.FEASIBLE):
|
| 96 |
+
nurse_assign = _assign_nurses(instance.nurses, n_cases)
|
| 97 |
+
for i, case in enumerate(surgeries):
|
| 98 |
+
room_idx = next(j for j in range(n_rooms) if solver.Value(room_choice[i][j]))
|
| 99 |
+
room = rooms[room_idx]
|
| 100 |
+
start = solver.Value(starts[i])
|
| 101 |
+
end = solver.Value(ends[i])
|
| 102 |
+
schedule.append(
|
| 103 |
+
ScheduledSurgery(
|
| 104 |
+
case_id=case.case_id,
|
| 105 |
+
room_id=room.room_id,
|
| 106 |
+
surgeon_id=case.surgeon_id,
|
| 107 |
+
nurse_ids=nurse_assign[i],
|
| 108 |
+
start_min=start,
|
| 109 |
+
end_min=end,
|
| 110 |
+
turnover_end=end + turnovers[i],
|
| 111 |
+
icu_reserved=case.icu_prob > 0.5,
|
| 112 |
+
)
|
| 113 |
+
)
|
| 114 |
+
|
| 115 |
+
info = {
|
| 116 |
+
"status": solver.StatusName(status),
|
| 117 |
+
"elapsed_sec": round(elapsed, 3),
|
| 118 |
+
"assigned": len(schedule),
|
| 119 |
+
}
|
| 120 |
+
return schedule, info
|
| 121 |
+
|
| 122 |
+
|
| 123 |
+
def _assign_nurses(nurses: list[Nurse], count: int) -> list[list[str]]:
|
| 124 |
+
if not nurses:
|
| 125 |
+
return [[] for _ in range(count)]
|
| 126 |
+
return [[nurses[i % len(nurses)].nurse_id] for i in range(count)]
|
| 127 |
+
|
| 128 |
+
|
| 129 |
+
def _fallback_greedy(
|
| 130 |
+
instance: HospitalInstance,
|
| 131 |
+
duration_mode: DurationMode,
|
| 132 |
+
) -> tuple[list[ScheduledSurgery], dict]:
|
| 133 |
+
rooms_free = {r.room_id: 0 for r in instance.or_rooms}
|
| 134 |
+
schedule: list[ScheduledSurgery] = []
|
| 135 |
+
nurses = instance.nurses
|
| 136 |
+
for i, case in enumerate(sorted(instance.surgeries, key=lambda s: s.priority)):
|
| 137 |
+
dur = _duration(case, duration_mode)
|
| 138 |
+
best_room = min(rooms_free, key=rooms_free.get)
|
| 139 |
+
start = rooms_free[best_room]
|
| 140 |
+
end = start + dur
|
| 141 |
+
turnover = end + case.turnover_min
|
| 142 |
+
nurse_id = [nurses[i % len(nurses)].nurse_id] if nurses else []
|
| 143 |
+
schedule.append(
|
| 144 |
+
ScheduledSurgery(
|
| 145 |
+
case_id=case.case_id,
|
| 146 |
+
room_id=best_room,
|
| 147 |
+
surgeon_id=case.surgeon_id,
|
| 148 |
+
nurse_ids=nurse_id,
|
| 149 |
+
start_min=start,
|
| 150 |
+
end_min=end,
|
| 151 |
+
turnover_end=turnover,
|
| 152 |
+
icu_reserved=case.icu_prob > 0.5,
|
| 153 |
+
)
|
| 154 |
+
)
|
| 155 |
+
rooms_free[best_room] = turnover
|
| 156 |
+
return schedule, {"status": "GREEDY_FALLBACK", "elapsed_sec": 0.01, "assigned": len(schedule)}
|
space-bundle/src/hopcc/simulation.py
ADDED
|
@@ -0,0 +1,114 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
"""SimPy discrete-event simulation of patient flow."""
|
| 2 |
+
|
| 3 |
+
from __future__ import annotations
|
| 4 |
+
|
| 5 |
+
import random
|
| 6 |
+
from dataclasses import dataclass, field
|
| 7 |
+
from typing import Any
|
| 8 |
+
|
| 9 |
+
import simpy
|
| 10 |
+
|
| 11 |
+
from hopcc.models import HospitalInstance, ScheduledSurgery
|
| 12 |
+
|
| 13 |
+
|
| 14 |
+
@dataclass
|
| 15 |
+
class SimulationResult:
|
| 16 |
+
avg_wait_min: float
|
| 17 |
+
avg_or_utilization: float
|
| 18 |
+
completed: int
|
| 19 |
+
cancelled: int
|
| 20 |
+
icu_queue_max: int
|
| 21 |
+
ward_queue_max: int
|
| 22 |
+
timeline: list[dict[str, Any]] = field(default_factory=list)
|
| 23 |
+
|
| 24 |
+
def to_dict(self) -> dict[str, Any]:
|
| 25 |
+
return {
|
| 26 |
+
"avg_wait_min": self.avg_wait_min,
|
| 27 |
+
"avg_or_utilization": self.avg_or_utilization,
|
| 28 |
+
"completed": self.completed,
|
| 29 |
+
"cancelled": self.cancelled,
|
| 30 |
+
"icu_queue_max": self.icu_queue_max,
|
| 31 |
+
"ward_queue_max": self.ward_queue_max,
|
| 32 |
+
"timeline_points": len(self.timeline),
|
| 33 |
+
}
|
| 34 |
+
|
| 35 |
+
|
| 36 |
+
def run_simulation(
|
| 37 |
+
instance: HospitalInstance,
|
| 38 |
+
schedule: list[ScheduledSurgery],
|
| 39 |
+
seed: int = 42,
|
| 40 |
+
duration_noise: float = 0.15,
|
| 41 |
+
) -> SimulationResult:
|
| 42 |
+
rng = random.Random(seed)
|
| 43 |
+
env = simpy.Environment()
|
| 44 |
+
case_map = {s.case_id: s for s in instance.surgeries}
|
| 45 |
+
icu_cap = sum(b.capacity for b in instance.beds if b.unit_type == "icu")
|
| 46 |
+
ward_cap = sum(b.capacity for b in instance.beds if b.unit_type == "ward")
|
| 47 |
+
|
| 48 |
+
icu = simpy.Resource(env, capacity=max(1, icu_cap))
|
| 49 |
+
ward = simpy.Resource(env, capacity=max(1, ward_cap))
|
| 50 |
+
or_rooms = {r.room_id: simpy.Resource(env, capacity=1) for r in instance.or_rooms}
|
| 51 |
+
|
| 52 |
+
waits: list[float] = []
|
| 53 |
+
completed = 0
|
| 54 |
+
cancelled = 0
|
| 55 |
+
icu_queue: list[int] = []
|
| 56 |
+
ward_queue: list[int] = []
|
| 57 |
+
or_busy_time: dict[str, float] = {r.room_id: 0.0 for r in instance.or_rooms}
|
| 58 |
+
timeline: list[dict[str, Any]] = []
|
| 59 |
+
|
| 60 |
+
def patient_flow(item: ScheduledSurgery):
|
| 61 |
+
nonlocal completed, cancelled
|
| 62 |
+
case = case_map[item.case_id]
|
| 63 |
+
actual_dur = max(20, int(case.duration_p50 * (1 + rng.gauss(0, duration_noise))))
|
| 64 |
+
arrival = max(0, item.start_min - rng.randint(0, 15))
|
| 65 |
+
yield env.timeout(max(0, item.start_min - env.now))
|
| 66 |
+
|
| 67 |
+
room_res = or_rooms.get(item.room_id)
|
| 68 |
+
if room_res is None:
|
| 69 |
+
cancelled += 1
|
| 70 |
+
return
|
| 71 |
+
|
| 72 |
+
wait_start = env.now
|
| 73 |
+
with room_res.request() as req:
|
| 74 |
+
yield req
|
| 75 |
+
wait = env.now - wait_start
|
| 76 |
+
waits.append(wait)
|
| 77 |
+
or_start = env.now
|
| 78 |
+
yield env.timeout(actual_dur)
|
| 79 |
+
or_busy_time[item.room_id] = or_busy_time.get(item.room_id, 0) + actual_dur
|
| 80 |
+
timeline.append({"t": env.now, "event": "surgery_end", "case": item.case_id})
|
| 81 |
+
|
| 82 |
+
# Recovery
|
| 83 |
+
yield env.timeout(rng.randint(15, 45))
|
| 84 |
+
|
| 85 |
+
needs_icu = rng.random() < case.icu_prob
|
| 86 |
+
bed_res = icu if needs_icu else ward
|
| 87 |
+
q = icu_queue if needs_icu else ward_queue
|
| 88 |
+
with bed_res.request() as bed_req:
|
| 89 |
+
q.append(len(bed_res.queue))
|
| 90 |
+
yield bed_req
|
| 91 |
+
los_hours = max(0.5, case.los_days_mean * 24 * rng.uniform(0.7, 1.3))
|
| 92 |
+
yield env.timeout(los_hours * 6) # scaled minutes for demo horizon
|
| 93 |
+
timeline.append({"t": env.now, "event": "discharge", "case": item.case_id})
|
| 94 |
+
completed += 1
|
| 95 |
+
|
| 96 |
+
for item in sorted(schedule, key=lambda x: x.start_min):
|
| 97 |
+
env.process(patient_flow(item))
|
| 98 |
+
|
| 99 |
+
horizon = min(instance.horizon_minutes * 2, 2000)
|
| 100 |
+
env.run(until=horizon)
|
| 101 |
+
|
| 102 |
+
total_or_time = sum(or_busy_time.values())
|
| 103 |
+
n_rooms = max(len(or_rooms), 1)
|
| 104 |
+
util = min(100.0, 100.0 * total_or_time / (horizon * n_rooms))
|
| 105 |
+
|
| 106 |
+
return SimulationResult(
|
| 107 |
+
avg_wait_min=round(sum(waits) / max(len(waits), 1), 1),
|
| 108 |
+
avg_or_utilization=round(util, 1),
|
| 109 |
+
completed=completed,
|
| 110 |
+
cancelled=cancelled,
|
| 111 |
+
icu_queue_max=max(icu_queue) if icu_queue else 0,
|
| 112 |
+
ward_queue_max=max(ward_queue) if ward_queue else 0,
|
| 113 |
+
timeline=timeline[:50],
|
| 114 |
+
)
|
space-bundle/src/hopcc/visualization.py
ADDED
|
@@ -0,0 +1,89 @@
|
|
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|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
"""Plotly visualization helpers."""
|
| 2 |
+
|
| 3 |
+
from __future__ import annotations
|
| 4 |
+
|
| 5 |
+
from typing import Any
|
| 6 |
+
|
| 7 |
+
import plotly.graph_objects as go
|
| 8 |
+
from plotly.subplots import make_subplots
|
| 9 |
+
|
| 10 |
+
from hopcc.models import ScheduledSurgery
|
| 11 |
+
|
| 12 |
+
|
| 13 |
+
def build_gantt(schedule: list[ScheduledSurgery], title: str = "OR Schedule") -> go.Figure:
|
| 14 |
+
if not schedule:
|
| 15 |
+
fig = go.Figure()
|
| 16 |
+
fig.update_layout(title=title, height=400)
|
| 17 |
+
return fig
|
| 18 |
+
|
| 19 |
+
rooms = sorted({s.room_id for s in schedule})
|
| 20 |
+
colors = ["#4f46e5", "#0891b2", "#059669", "#d97706", "#dc2626", "#7c3aed"]
|
| 21 |
+
fig = go.Figure()
|
| 22 |
+
for i, room in enumerate(rooms):
|
| 23 |
+
items = [s for s in schedule if s.room_id == room]
|
| 24 |
+
fig.add_trace(
|
| 25 |
+
go.Bar(
|
| 26 |
+
x=[s.end_min - s.start_min for s in items],
|
| 27 |
+
y=[room] * len(items),
|
| 28 |
+
base=[s.start_min for s in items],
|
| 29 |
+
orientation="h",
|
| 30 |
+
name=room,
|
| 31 |
+
marker_color=colors[i % len(colors)],
|
| 32 |
+
text=[s.case_id for s in items],
|
| 33 |
+
textposition="inside",
|
| 34 |
+
hovertemplate="%{text}<br>Start: %{base}<br>Duration: %{x} min<extra></extra>",
|
| 35 |
+
)
|
| 36 |
+
)
|
| 37 |
+
fig.update_layout(
|
| 38 |
+
title=title,
|
| 39 |
+
barmode="overlay",
|
| 40 |
+
xaxis_title="Minutes from midnight",
|
| 41 |
+
yaxis_title="OR Room",
|
| 42 |
+
height=max(350, 80 * len(rooms)),
|
| 43 |
+
showlegend=False,
|
| 44 |
+
)
|
| 45 |
+
return fig
|
| 46 |
+
|
| 47 |
+
|
| 48 |
+
def build_policy_comparison(rows: list[dict[str, Any]]) -> go.Figure:
|
| 49 |
+
if not rows:
|
| 50 |
+
return go.Figure()
|
| 51 |
+
policies = [r.get("policy_label", r.get("policy_id", "")) for r in rows]
|
| 52 |
+
metrics = ["surgeries_completed", "or_utilization_pct", "avg_patient_wait_min", "bed_shortage_events"]
|
| 53 |
+
fig = make_subplots(rows=1, cols=len(metrics), subplot_titles=metrics)
|
| 54 |
+
for j, metric in enumerate(metrics):
|
| 55 |
+
fig.add_trace(
|
| 56 |
+
go.Bar(x=policies, y=[r.get(metric, 0) for r in rows], name=metric, showlegend=False),
|
| 57 |
+
row=1,
|
| 58 |
+
col=j + 1,
|
| 59 |
+
)
|
| 60 |
+
fig.update_layout(title="Policy Benchmark Comparison", height=420, barmode="group")
|
| 61 |
+
return fig
|
| 62 |
+
|
| 63 |
+
|
| 64 |
+
def build_disruption_delta(before: dict, after: dict) -> go.Figure:
|
| 65 |
+
keys = ["surgeries_completed", "overtime_minutes", "or_utilization_pct", "avg_patient_wait_min", "bed_shortage_events"]
|
| 66 |
+
fig = go.Figure()
|
| 67 |
+
fig.add_trace(go.Bar(name="Before Replan", x=keys, y=[before.get(k, 0) for k in keys], marker_color="#94a3b8"))
|
| 68 |
+
fig.add_trace(go.Bar(name="After Replan", x=keys, y=[after.get(k, 0) for k in keys], marker_color="#4f46e5"))
|
| 69 |
+
fig.update_layout(title="Disruption Response — Metrics Before vs After", barmode="group", height=400)
|
| 70 |
+
return fig
|
| 71 |
+
|
| 72 |
+
|
| 73 |
+
def build_utilization_timeline(schedule: list[ScheduledSurgery], horizon: int = 720) -> go.Figure:
|
| 74 |
+
buckets = 24
|
| 75 |
+
step = horizon / buckets
|
| 76 |
+
rooms = sorted({s.room_id for s in schedule})
|
| 77 |
+
fig = go.Figure()
|
| 78 |
+
for room in rooms:
|
| 79 |
+
util = [0.0] * buckets
|
| 80 |
+
for s in schedule:
|
| 81 |
+
if s.room_id != room:
|
| 82 |
+
continue
|
| 83 |
+
for b in range(buckets):
|
| 84 |
+
t0, t1 = b * step, (b + 1) * step
|
| 85 |
+
overlap = max(0, min(s.turnover_end, t1) - max(s.start_min, t0))
|
| 86 |
+
util[b] += overlap / step * 100
|
| 87 |
+
fig.add_trace(go.Scatter(x=list(range(buckets)), y=util, mode="lines+markers", name=room))
|
| 88 |
+
fig.update_layout(title="OR Utilization Timeline", xaxis_title="Hour bucket", yaxis_title="Utilization %", height=380)
|
| 89 |
+
return fig
|