Systemic — Score Marfan

family_history = True genetic_testing = False

# Example usage skeletal_features = 'pectus_excavatum_or_carinatum': True, 'joint_hypermobility': True, 'long_limbs': True, 'scoliosis': False, 'reduced_elbow_extension': False

ocular_features = 'ectopia_lentis': False, 'myopia': 4

# Cardiovascular system if cardiovascular_features['aortic_root_dilatation']: score += 1 if cardiovascular_features['aortic_dissection_or_rupture']: score += 2 if cardiovascular_features['mitral_valve_prolapse']: score += 1

def calculate_systemic_score(skeletal_features, ocular_features, cardiovascular_features, family_history, genetic_testing): score = 0