syntax = "proto3";
package pulse.cdm.bind;
option java_package = "com.kitware.pulse.cdm.bind";
option csharp_namespace = "pulse.cdm.bind";
option optimize_for = SPEED;

import "pulse/cdm/bind/Properties.proto";
import "pulse/cdm/bind/PatientNutrition.proto";
import "pulse/cdm/bind/Conditions.proto";

message AnyPatientConditionData
{
  oneof Condition
  {
  
    AcuteRespiratoryDistressSyndromeData      AcuteRespiratoryDistressSyndrome      = 1;
    ChronicAnemiaData                         ChronicAnemia                         = 2;
    ChronicObstructivePulmonaryDiseaseData    ChronicObstructivePulmonaryDisease    = 3;
    ChronicPericardialEffusionData            ChronicPericardialEffusion            = 4;
    ChronicRenalStenosisData                  ChronicRenalStenosis                  = 5;
    ChronicVentricularSystolicDysfunctionData ChronicVentricularSystolicDysfunction = 6;
    ConsumeMealData                           ConsumeMeal                           = 7;
    ImpairedAlveolarExchangeData              ImpairedAlveolarExchange              = 8;
    LobarPneumoniaData                        LobarPneumonia                        = 9;
    PulmonaryFibrosisData                     PulmonaryFibrosis                     = 10;
    PulmonaryShuntData                        PulmonaryShunt                        = 11;
    SepsisData                                Sepsis                                = 12;
  }
}

message PatientConditionData
{
  ConditionData                               Condition                             = 1;
}

/** @brief A type of respiratory failure characterized by rapid onset of widespread inflammation in the lungs. */
message AcuteRespiratoryDistressSyndromeData
{
  PatientConditionData                        PatientCondition                      = 1;
  Scalar0To1Data                              Severity                              = 2;/**<< @brief Scale of affect, 0 being none, 1 being the highest possible. */
  Scalar0To1Data                              LeftLungAffected                      = 3;/**<< @brief Fraction of the Left Lung Affected*/
  Scalar0To1Data                              RightLungAffected                     = 4;/**<< @brief Fraction of the Right Lung Affected */
}

/** @brief Condition characterized by reduced red blood cells, which leads to reduced oxygen carrying capacity. Implemented by reducing the amount of hemoglobin in the blood. */
message ChronicAnemiaData
{
  PatientConditionData                        PatientCondition                      = 1;
  Scalar0To1Data                              ReductionFactor                       = 2;/**<< @brief The fraction to reduce the amount of hemoglobin by. */
}

/** @brief Impairment of the ventricular contraction, reducing the ability of the heart to pump blood. */
message ChronicVentricularSystolicDysfunctionData
{
  PatientConditionData                        PatientCondition                      = 1;
}

/** @brief Chronic Obstructive Pulmonary Disease (COPD) is an obstructive lung disease characterized by chronically reduced airflow into the lungs. Unlike asthma, the reduction in airflow does not generally improve with medication. When tissue damage occurs primarily in the airways, the condition is called chronic bronchitis. When tissue destruction is focused in the alveoli, the condition is called emphysema. COPD is a manifestation of both conditions, although one condition may dominate. */
message ChronicObstructivePulmonaryDiseaseData
{
  PatientConditionData                        PatientCondition                      = 1;
  Scalar0To1Data                              BronchitisSeverity                    = 2;/**<<@brief Scale of affect, 0 being none, 1 being the highest possible. */
  Scalar0To1Data                              EmphysemaSeverity                     = 3;/**<<@brief Scale of affect, 0 being none, 1 being the highest possible. */
}

/** @brief Pericardial effusion ("fluid around the heart") is an abnormal accumulation of fluid in the pericardial cavity. Because of the limited amount of space in the pericardial cavity, fluid accumulation leads to an increased intrapericardial pressure which can negatively affect heart function. A pericardial effusion with enough pressure to adversely affect heart function is called cardiac tamponade. Pericardial effusion usually results from a disturbed equilibrium between the production andre-absorption of pericardial fluid, or from a structural abnormality that allows fluid to enter the pericardial cavity. Normal levels of pericardial fluid are from 15 to 50 mL. */
message ChronicPericardialEffusionData
{
  PatientConditionData                        PatientCondition                      = 1;
  ScalarVolumeData                            AccumulatedVolume                     = 2;/**<< @brief The amount of fluid in the pericardial cavity. */
}

/** @brief Narrowing of the renal artery. */
message ChronicRenalStenosisData
{
  PatientConditionData                        PatientCondition                      = 1;
  Scalar0To1Data                              LeftKidneySeverity                    = 2;/**<<@brief Scale of affect, 0 being none, 1 being the highest possible. */
  Scalar0To1Data                              RightKidneySeverity                   = 3;/**<<@brief Scale of affect, 0 being none, 1 being the highest possible. */
}

/** @brief Consume nutrients into the body along with a time elapsed since this meal. */
message ConsumeMealData
{
  PatientConditionData                        PatientCondition                      = 1;
  oneof Option
  {
    MealData                                  Meal                                  = 2;/**<< @brief A meal object with properties to initialize the system with. */
    string                                    MealFile                              = 3;/**<< @brief File containing a meal objet with properties to initialize the system with. */
  }
}

/** @brief Generic way to specify the effectiveness of alveolar exchange. */
message ImpairedAlveolarExchangeData
{
  PatientConditionData                        PatientCondition                      = 1;
  oneof Value
  {
    ScalarAreaData                            ImpairedSurfaceArea                 = 2;/**<< @brief Surface Area of the impaired alveoli. */
    Scalar0To1Data                            ImpairedFraction                    = 3;/**<< @brief Surface Area Fraction of the impaired alveoli. */
    Scalar0To1Data                            Severity                            = 4;/**<< @brief Scale of affect, 0 being none, 1 being the highest possible. */
  }
}

/** @brief Lobar pneumonia is a form of pneumonia that affects one or more lobes of the lungs. As fluid fills portions of the lung it becomes more difficult to breath and the gas diffusion surface area in the alveoli is reduced. */
message LobarPneumoniaData
{
  PatientConditionData                        PatientCondition                      = 1;
  Scalar0To1Data                              Severity                              = 2;/**<< @brief Scale of affect, 0 being none, 1 being the highest possible. */
  Scalar0To1Data                              LeftLungAffected                      = 3;/**<< @brief Fraction of the Left Lung Affected*/
  Scalar0To1Data                              RightLungAffected                     = 4;/**<< @brief Fraction of the Right Lung Affected */
}

/** @brief Pulmonary Fibrosis is a restrictive lung disease that results in increase in the connective tissue of the lung. This reduces the lung compliance making it difficult to expand the lung during inspiration. */
message PulmonaryFibrosisData
{
  PatientConditionData                        PatientCondition                      = 1;
  Scalar0To1Data                              Severity                              = 2;/**<< @brief Scale of affect, 0 being none, 1 being the highest possible. */
}

/** @brief Pulmonary shunt is when the alveoli of the lungs are perfused with blood as normal, but ventilation (the supply of air) fails to supply the perfused region */
message PulmonaryShuntData
{
  PatientConditionData                        PatientCondition                      = 1;
  Scalar0To1Data                              Severity                              = 2;/**<<@brief Scale of affect, 0 being none, 1 being the highest possible.*/
}

/** @brief A potentially life-threatening condition caused by the body's response to an infection. */
message SepsisData
{
  PatientConditionData                        PatientCondition                      = 1;
  Scalar0To1Data                              Severity                              = 2;/**<< @brief Scale of affect, 0 being none, 1 being the highest possible. */
}