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Risk attribution — Daren Lakin

v1.0 · cal 2026-05-22

Component breakdown showing every feature that contributed to this patient's risk score.

Computed ≠ stored(E vs F)Open patient detail

Computed score

56

Group E · Imaging ordered

Stored A–J score

62

Group F · Cyst / lesion confirmed

Score buildup

Baseline 5 + +51 positive = 56

BaselineDemographicComorbidityImagingFollow-up

Demographic

Subtotal +3

  • Age 50–69

    Most sporadic PDAC presents after age 50.

    Evidence: Current age 65

    +3

Comorbidity

Subtotal +13

  • Has chronic condition(s)

    Chronic disease burden warrants ongoing surveillance.

    Evidence: 5 active conditions

    +13

Imaging

Subtotal +27

  • MRI of abdomen on record

    Imaging suggests the patient has been worked up for pancreatic concern.

    Evidence: MRI on 2018-03-21

    +10

  • Pancreatic cyst confirmed

    Pancreatic cysts (esp. IPMN) carry malignant potential and require surveillance.

    Evidence: Cyst of pancreas, tail (incidental)· Triggers PANDA group F

    +17

Follow-up

Subtotal +8

  • Missed surveillance

    No encounter in over a year increases the chance of unrecognized progression.

    Evidence: Last encounter 3291 days ago

    +8

The Risk Engine computed group (E) is derived purely from the feature contributions above. The stored A–J group (F) comes from the cascade classifier in scripts/classify-risk.ts. Divergence between the two indicates a classifier rule that the scoring weights haven't captured, or vice versa — useful for calibration.