NHS North Central London ICB LTC LCS v6 (9 Multimorbid LTCs) Live Quantinuum Nexus Helios-1E-lite (6,144 Shots · 3 Jobs) PySCF 2.15 CYP3A4 (1TQN) FTQC vs ACE (1O86) Control · AlphaGenome 2 Haiqu HUBO (−88.3% Depth) vs Exact HiGHS MILP (<25 ms) · 4q QLTCMLM NHS DCB0129 & DCB0160 · 0 Physical QPU Shots · 8 SHA-256 Receipts

Proactive Multimorbid Care · Four-Era Logical-Qubit Roadmap · Biophysical Simulation & Safety Governance

Quantum-LTC

A four-era clinical quantum computing and biophysical simulation roadmap (N_logical ∈ [0, 1,000+]) grounded in the NHS North Central London ICB Long Term Conditions Specification (v6) across nine unified conditions (CVD, AF, Hypertension Outcome #23, T2D, T1D, CKD, NAFLD/MASLD, COPD, and Adult/CYP Asthma) — strictly decoupling Era I–II sparse PCN scheduling (solved in milliseconds by classical McCormick HiGHS MILP) and closed-shell Zn²⁺ ACE chemistry (PDB 1O86, |RCCSD(T)−FCI| ≤ 0.015 mHa) from Era III–IV open-shell hepatic CYP3A4 Compound I polypharmacy catalysis (PDB 1TQN, +47.7 mHa = +30.0 kcal/mol single-reference breakdown, 75–141 DF-QPE logical qubits) and open-system Lindbladian memory walls (1.875 TiB exact Krylov vs MCWF/MPDOs).

Arun Nadarasa Innovation Fellow, Mid and South Essex NHS Foundation Trust · International Social Prescribing Pharmacy Association (ISPPA), London, UK
Track 01 · Compiled Samskrift Publication
15-Page Verified Monograph

Read the full 15-page Samskrift monograph inline with 42 verified references, ab-initio PySCF 2.15 1TQN vs 1O86 demarcation, live AlphaGenome 2 primary-cell grounding, and MCWF/MPDO crossover curves.

Track 02 · Clinical QML & Logical-Qubit Sandbox
4q QLTCMLM & 4-Era Explorer

Run exact Modal-trained QLTCMLM-VQC weights (4.44×10⁻¹⁶ Float64 parity) across 8 NCL LTC features and slide N_logical ∈ [0, 180] to inspect strict binary TiB Krylov/FCI vs DF-QPE scaling.

Track 03 · Safety, Cryptography & Ontology
Jev 1.14, DCB0129/0160 & KG

Explore the 61-node / 126-triple EMBL-EBI OLS4 DOID + AlphaGenome 2 Knowledge Graph, NIST FIPS 204 ML-DSA-65 FHIR R4 bundles, 10 Kashefi Atlas contracts, and 6 open statutory hazards.

99.61%
Live Nexus Helios-1E-lite MDT Coherence (±0.14% vs 50.20% Siloed; Job 5da15d5a)
−88.34%
Haiqu 3-Body Multimorbid HUBO Depth Cut (223 → 26; 41.21% Raw GS vs 23.0 ms MILP)
18 / 18
Pre-Winter High/Complex PCN Recall (OpenJij + Kempe 0.80% Gap vs 4.33 ms HiGHS MILP)
+47.7 mHa
CYP3A4 1TQN Open-Shell RCCSD(T) Breakdown (29.8× Chem Acc vs ≤0.015 mHa Closed-Shell ACE 1O86)
75–141 L
Ancilla-Complete Cholesky DF-QPE Logical Qubits (CYP3A4 26–58o vs 10²² TiB Classical FCI Wall)
4.32 / 5
TypeSafe Jev 1.14 NHS Utility on Pre-Winter Equity (0.00 Auto-Deploy; 6 OPEN Hazards)
Epistemic Demarcation & Statutory NHS DCB0129 / DCB0160 Clinical Safety Disclosure: Zero physical QPU hardware shots (0), zero patient-identifiable EHRs (phi_present = False), and zero wet-lab biological specimens (0) are claimed. Trapped-ion results derive from 3 live Quantinuum Nexus Helios-1E-lite cloud emulator jobs (6,144 shots in project Quantum-LTC, QSystemErrorModel="alpha", 0.00 HQC). McCormick linearization in classical HiGHS MILP solves sparse Era I–II PCN scheduling and 8-drug HUBO tasks exactly in 4.33–32.79 ms, classical Cubic Poly-LogReg / RBF-SVM outperform 4-qubit QLTCMLM-VQC by 11–13 pp, and paired ab-initio PySCF 2.15 benchmarks on identical H_CAS prove closed-shell 3d¹⁰ Zn²⁺ in ACE (PDB 1O86) is single-reference (|RCCSD(T)−FCI| ≤ 0.0154 mHa, 104× inside chemical accuracy). Fault-tolerant quantum advantage is reserved strictly for Era III–IV open-shell hepatic CYP3A4 Compound I polypharmacy catalysis (PDB 1TQN: ⟨S²⟩_UHF = 1.710 vs 0.750, +47.7 mHa = +30.0 kcal/mol spin-gap failure, >1 TiB FCI wall at M ≥ 22, 75–141 DF-QPE logical qubits) and volume-law open-system Lindbladians. All 6 clinical hazards (H-LTC-01..06) remain strictly OPEN across manufacturer (DCB0129) and deploying NCL ICB / PCN (DCB0160) risk logs.

01 · Compiled Samskrift Cloud Monograph (15 Pages · 42 Verified References · 0 Margin Overflows)

Interactive Monograph Reader: Quantum-LTC Four-Era Clinical Roadmap (15 pp.)

Read the complete typeset 15-page Samskrift monograph inline below (4,273,787 bytes · SHA-256 41b8c30476580a55…), jump directly to any section bookmark (including Section 4.3 PySCF 2.15 & AlphaGenome 2 on p.8–9), or open the live Samskrift Cloud view.

🌐 Open on Samskrift Cloud ↗
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02 · Serverless Quantum Machine Learning (Modal + Hugging Face) & Four-Era Logical-Qubit Scaling

Live 4-Qubit Frobenius QLTCMLM & Four-Era Roadmap Simulators

Trained on Modal Cloud (N = 2,400 synthetic NCL LTC profiles with cubic k = 3 cardiorenal/airway interactions), verified on Quantinuum Nexus Helios-1E-lite (Job 0a1fb43e, Bhattacharyya fidelity 0.9977), and published on Hugging Face Hub. Adjust any clinical slider below for exact 16-dimensional Float64 statevector inference (4.44×10⁻¹⁶ parity with Python), then slide N_logical to inspect Era I–IV fault-tolerant crossover.

Synthetic NCL Multimorbid Patient Profile

8 Normalized Axes ∈ [0, 1]
Circuit: 4 Qubits · 3 Frobenius Layers · 72 Quantum + 128 Readout Params (200 Total) 🤗 Open HF Model Hub ↗

Real-Time 4-Qubit Statevector Readout

Computing…
Task B · Personalised Year-of-Care Bundle (75.53 ± 0.48% 5-Seed Acc)
Task A · NCL Risk Re-Stratification
—
4-Organ Allosteric Parity
—
Interactive Logical-Qubit Scaling Explorer (Table 1 & Section 2)

Available Logical Qubits (N_logical): 46

Era III · Active FTQC Simulation Crossover
Organ / Active-Space Scale
20 Organ Spins (46L)
Dilated Lindbladian channel
Classical Memory (Strict Binary)
480.000 TiB
MCWF: 16.00 MiB/traj · MPDO χ=64
Physical Qubit Footprint
~19,602 phys
Rotated surface code d=11 + T-factory
Translational Regime Verdict
Projected FTQC Crossover
Beats >1.875 TiB Krylov & volume-law MPDO

03 · Coherent Year-of-Care Synthesis, Mid-Circuit Recall & Monoidal Category Theory

3D House-of-Care Bloch Sphere & DisCoPy Frobenius MDT Functor

Fragmenting a multimorbid NCL patient into isolated single-disease clinics acts as an uncoordinated mid-circuit projective collapse (project_z(q2) post-SWAP), degrading coherent synthesis from P(00) = 0.9961 ± 0.0014 (2,040/2,048 shots, 0.049 bits) to P(00) = 0.5020 ± 0.0110 (1,028/2,048 shots, 1.028 bits) on live Quantinuum Nexus Helios-1E-lite (Job 5da15d5a).

3D Year-of-Care Bloch Simulator

Drag sphere to orbit
S² Pathway State · |0⟩ Unified MDT (+Z) ↔ |1⟩ Siloed Drift (−Z)
Tap an NCL House-of-Care clinical gate above or drag sliders below to inspect pathway coherence.
28°
40°
P(|0⟩ · Unified PCSP Co-Production) 94.1%
P(|1⟩ · Siloed Care Fragmentation) 5.9%

5-Layer DisCoPy House-of-Care Functor

η_MDT : Stage 1 Check-and-Test |Φ+⟩ Cardiorenal Respiratory ACEi + SGLT2i · Ry DPI MART · Rz σ PHARM SMR · Rz† STAGE 3 PCSP · Ry† ε_MDT Lock → |00⟩ (99.61% Nexus Helios-1E vs 50.20% Siloed)

Frobenius Zig-Zag Error: 0.00×10⁰

04 · Multi-Scale Experimental Benchmarks

Interactive ECharts & 300-DPI Monograph Figures

Rendered directly from the 8 SHA-256-sealed JSON/JSON-LD receipts across Quantinuum Nexus Helios-1E-lite, Haiqu SDK, OpenJij, SciPy HiGHS MILP, HQS struqture-py/qoqo, QProtSim (1N9V), PySCF 2.15 (PDB 1TQN vs 1O86), live AlphaGenome 2 (v2.dna_client), Modal Cloud, and TypeSafe Jev 1.14. Hover any bar/curve for exact telemetry, or click 🔍 300-DPI Print Fig on any card.

Four-Era Logical-Qubit Roadmap, Strict Binary Krylov vs MCWF and MPDO Scaling, and OpenJij vs HiGHS MILP Gaps
Fig. 1 — Binary Liouvillian Memory Wall vs. MCWF & MPDO Baselines: Exact m=30 Krylov hits 1.875 TiB at n_spin = 16 and 480.0 TiB at n_spin = 20; MCWF uses 1–16 MiB per trajectory (trading RAM for O(1/ε²) shots) while MPDOs stay ≤5 MiB at bounded χ=64 until volume-law entanglement.
Live Quantinuum Nexus Helios-1E-lite MDT Coherence, 8-Rung MCMR Ladder, Haiqu HUBO Compression, and OpenJij PCN Recall
Fig. 2 — Live Nexus Helios-1E-lite 8-Rung MCMR Ladder & HUBO/QUBO Controls: Self-calibrating SPAM regression reaches R² = 0.9979 (Job 464be33a); Haiqu compresses 3-body HUBO depth 223 → 26 (−88.3%) (41.21% raw GS vs 36.82% uncompressed); OpenJij raw SA achieves 160/160 feasibility.
Decoupled 4-Regime HQS Cardiorenal-Pulmonary Lindbladian, QProtSim 1N9V Angiotensin II, and Crystal PDB 1O86 ACE-Lisinopril
Fig. 3 — Decoupled 4-Regime HQS Lindbladian, QProtSim (1N9V) & Crystal PDB 1O86: Coexisting stress + counter-damping (Regime C) cuts BP/Renal/IL-6 burden by 48.6% / 50.6% / 48.5% and accelerates Liouvillian gap ΔL 3.1× (0.6935 vs 0.2226 at g_ij=0); Zn²⁺–O1 2.141 Å.
5-Seed Modal QLTCMLM Multi-Task Benchmark across 8 Models and 2x2 Matched-Depth Barren-Plateau Controls
Fig. 5 — 5-Seed Modal QLTCMLM Ablations & 2×2 Barren-Plateau Controls: Trained QLTCMLM-VQC (53.23% Risk / 75.53% Bundle) gains +12.43 pp / +17.80 pp over untrained Reservoir and matches GBDT on Risk, while trailing classical RBF-SVM (64.17%) and Cubic Poly-LogReg (66.20% / 87.43%).
Ab-Initio PySCF 2.15 Metalloenzyme FTQC Demarcation (CYP3A4 PDB 1TQN vs ACE PDB 1O86) and Live AlphaGenome 2 Primary-Cell Grounding
Fig. 4 — Ab-Initio PySCF 2.15 Metalloenzyme FTQC Demarcation (1TQN vs 1O86) & Live AlphaGenome 2 (v2.dna_client): Closed-shell ACE Zn²⁺ (1O86) stays single-reference (|RCCSD(T)−FCI| ≤ 0.015 mHa), whereas open-shell hepatic CYP3A4 Compound I (1TQN) breaks RCCSD(T) by 9.9–167.0 mHa (+47.7 mHa at 11o) and crosses the 1 TiB FCI wall at M ≥ 22 vs 75–141 DF-QPE logical qubits; live AlphaGenome 2 scores CYP3A4*22, ACE, SLC5A2, and MUC5B (AT2 +1.274 vs hepatocyte −0.281).
TypeSafe Jev 1.14 Multi-Method Health AI Audit across CUJ-1..4 and NCL 5-Borough Respiratory Surge Blur
Fig. 6 — Live TypeSafe Jev 1.14 Multi-Method Health AI Audit & 5-Borough Surge Blur: Evaluates CUJ-1..4 under arXiv:2611.05127 (CUJ-1 NHS Utility 4.32 / 5.0, 0.00 autonomous live deployment probability across all 4 journeys under NHS DCB0129 & DCB0160) alongside NCL 5-borough surge Gini smoothing (0.8750 → 0.4613).

05 · Ontology & Semantic Provenance Graph (EMBL-EBI OLS4 DOID · AlphaGenome 2 · W3C JSON-LD · SHA-256 Sealed)

Interactive Knowledge Graph Explorer (QLTC-KG v1.2)

⬇ JSON-LD ↗ Standalone App

Unifies 61 ontology-grounded nodes and 126 directed semantic triples across 8 layers (1 connected component): all 9 NHS NCL Long Term Conditions resolved live via EMBL-EBI OLS4 Human Disease Ontology (DOID), House-of-Care stages, Net-Zero MART & cardiorenal regimens, UniProt/PDB & AlphaGenome 2 loci (CYP3A4 1TQN, ACE 1O86, MUC5B, 1N9V), 10 Kashefi Atlas v0.4 primitives, Logical Eras I–IV, 7 platform receipt modules, and all 6 open NHS DCB0129 & DCB0160 hazards.

61 / 61 Nodes · 126 Triples
Shortest-Path Tracer: →
300-DPI Multi-Layer Quantum-LTC Knowledge Graph (61 Nodes, 126 Triples)
Scroll to zoom · Drag background to pan · Drag any node · Click node to inspect provenance

06 · Formal Complexity Contracts & Statutory Clinical Safety Governance

Kashefi Primitives Atlas v0.4 & NHS DCB0129 / DCB0160 Audit

Audited against all 42 cards of Prof. Elham Kashefi's Quantum Algorithmic Primitives Atlas v0.4 alongside Montgomery-Taylor et al. (arXiv:2611.05127) in live TypeSafe Jev 1.14 across both manufacturer (NHS DCB0129) and deploying NCL ICB / PCN (NHS DCB0160) safety boundaries.

10 / 10 Contracts Shown (42 Cards Audited)
Atlas Card Primitive & Defining Reference Quantum-LTC Clinical / Biophysical Module Roadmap Logical Era Dequantisation & Classical Simulability Caveat

Open Statutory NHS DCB0129 (Manufacture) & DCB0160 (Deployment) Hazard Register (6 OPEN)

H-LTC-01 · OPEN · DCB0129 & DCB0160

PCN Call-and-Recall Digital & Linguistic Equity Exclusion

Incomplete local EMIS/SystmOne SNOMED CT 315594003 (Interpreter needed) or IMD Quintile 1 coding could under-weight vulnerable NCL cohorts; mandatory PCN CSO equity register audit before schedule release.

H-LTC-02 · OPEN · High Pharmacovigilance Severity

Multimorbid Triple-Whammy AKI & DPI MART Technique Risk

Unsupervised ACEi/ARB + SGLT2i initiation or dry-powder MART inhaler switch without baseline eGFR/K⁺ or peak inspiratory flow check; mandatory human Clinical Pharmacist SMR & respiratory nurse sign-off.

H-LTC-03 · OPEN · Acute Paediatric Safety

CYP Asthma 48-Hour Post-Attack Deterioration

Acute paediatric post-exacerbation deterioration cannot await batch QUBO/VQC runs; deterministic EHR red-flag alerts route directly to a 2-working-day Tier 2/3 CYP asthma clinician review.

H-LTC-04 · OPEN · Epistemic Demarcation

Over-Interpreting Phenomenological Organ Lindbladians as Clinical Twins

Macroscopic organ Lindbladian models serve strictly as open-system solver benchmarks rather than validated physiological twins; prospective CPRD Aurum / NHS cohort calibration is required before clinical use.

H-LTC-05 · OPEN · Local PCN DCB0160 Governance

3-Yearly UCLPartners Case-Finding & Register Drift

Hospital discharge coding lag or UCLP prevalence-search drift across the 9 LTC registers can miss high-risk patients; quarterly PCN SNOMED/QOF denominator reconciliation is mandated under DCB0160.

H-LTC-06 · OPEN · Neighbourhood Capacity

Unfunded Stage 3 PCSP Social Prescribing Spillover onto VCSEs

Proactive Stage 3 PCSP co-production can overload grassroots community charities unless paired with explicit VCSE slot caps and NCL Borough Partnership commissioning grants.

07 · Cryptographic & Computational Provenance

SHA-256-Sealed JSON Receipts & Ontology Graph

Every number in the 15-page monograph, interactive ECharts plots, and 61-node knowledge graph is read directly from the 8 SHA-256-sealed provenance receipts below. Click 🔍 Inspect JSON to audit any receipt inline.

Receipt File Platforms & Tools Verified Key Verified Metrics Classical / Safety Floor Audit

08 · Open Science Ecosystem & Citation

Cloud Deployments & Academic Citation

Acknowledgments, Ontology & AlphaGenome Non-Commercial Terms Attribution: This work was supported in part by complimentary access to Google Antigravity and Gemini 4 Argon to accelerate scientific workflows. Disease ontology terms are resolved via the EMBL-EBI Ontology Lookup Service (OLS4) Human Disease Ontology (DOID, CC0 1.0); crystallographic structures PDB 1TQN (Yano et al., 2004), PDB 1O86 (Natesh et al., 2003), and PDB 1N9V (Spyroulias et al., 2003) are retrieved from the RCSB Protein Data Bank; rsID variant metadata is resolved via NCBI dbSNP; and AlphaGenome 2 (v2.dna_client) / AlphaGenome Atlas Variant Impact (AVI) predictions are non-commercial research-use-only outputs subject to the AlphaGenome Non-Commercial Terms (not validated for clinical diagnosis or prescribing).