% --- Data quantities --- enum Patient; % Patients for which samples have been taken set of int: Horizon = -5..2; % (Relative) sampling times % --- Data input --- float: DLMO_threshold = 13.043; array[Patient] of opt float: dlmo; array[Patient, Horizon] of opt float: sample; % consistency in terms of STDEV array[Patient] of opt float: consistency; test has_dlmo(Patient: pt) = occurs(dlmo[pt]); % --- Derived data --- % For each patient: after which sample could we stop and have found dlmo? (round must then include `critical_test[PT]` and its successor to catch it). array[Patient] of var Horizon: critical_sample = [ if has_dlmo(pt) then min([i | i in -5..1 where sample[pt, i] <= DLMO_threshold /\ sample[pt, i+1] >= DLMO_threshold]) else min(Horizon) endif | pt in Patient]; % --- Decisions --- % First round: var Horizon: first_sample; % When to start sampling on the first round var 2..length(Horizon): num_samples; % How many samples to take on the first round % (Assumption: If the levels were to high in all samples during the first round, then we sample `num_samples` ending with the `first_sample`. % If the levels were to low in all samples during the first round, then we sample `num_samples` from `first_sample + num_samples`.) % --- Decision Consequences --- % For each patient: will their DLMO be detected on the first round? array[Patient] of var bool: first_detected = [ has_dlmo(pt) /\ (critical_sample[pt] >= first_sample /\ critical_sample[pt] + 1 <= first_sample + (num_samples - 1)) | pt in Patient ]; % --- Constraint --- % The DLMO should be detected on the second round (if not detected on the first round) constraint forall (pt in Patient where has_dlmo(pt)) ( first_detected[pt] % Before first round \/ (critical_sample[pt] >= first_sample - (num_samples - 1) /\ critical_sample[pt] + 1 <= first_sample) % After first round \/ (critical_sample[pt] >= first_sample + (num_samples - 1) /\ critical_sample[pt] + 1 <= first_sample + (num_samples - 1) + (num_samples - 1)) ); % --- Objective --- % solve minimize total_tests; % Pareto Front objectives var int: total_tests ::output = % Number of tests on first round (length([pt | pt in Patient where has_dlmo(pt)]) * num_samples) % Number of test on second round + (count(pt in Patient) (not first_detected[pt]) * num_samples); var int: total_not_detected ::output = length([pt | pt in Patient where has_dlmo(pt)]) - count(first_detected); % --- Output --- output ["First Round:\n"] ++ [format(2, i) ++ " " | i in Horizon] ++ ["\n |"] ++ [if i in fix(first_sample)..fix(first_sample + (num_samples-1) - 1) then "====|" else "----|" endif | i in -5..1] ++ ["\n\nFirst try (%): \(count(first_detected) / length([pt | pt in Patient where has_dlmo(pt)]) * 100)\n"] ++ ["\n\nSecond Round:\n"] ++ [format(2, i) ++ " " | i in Horizon] ++ ["\n |"] ++ [if i in fix(first_sample-(num_samples-1))..fix(first_sample-1) \/ i in fix(first_sample + (num_samples - 1))..fix(first_sample + (num_samples - 1) + (num_samples - 1) - 1) then "====|" else "----|" endif | i in -5..1] ++ ["\n\nTotal number of tests = \(total_tests);"] ++ ["\n\n\nfirst_sample = \(first_sample);\n"] ++ ["num_samples = \(num_samples);\n"]