feat(assessments): layered clinical assessment engine end-to-end
Deploy Ladill Care / deploy (push) Successful in 1m26s
Deploy Ladill Care / deploy (push) Successful in 1m26s
Add a template-driven assessment system with universal intake, clinical pathways, disease instruments (stroke MVP + extended, diabetes, and ten specialty packs), scoring, patient outcome trends, REST/API + FHIR export, and Enterprise org-level assessment analytics. Seed packs and design/licensing docs ship for deploy and pre-GA review.
This commit is contained in:
isaacclad
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{
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"template": {
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"code": "asthma_core",
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"name": "Asthma assessment",
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"category": "disease",
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"version": 1,
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"is_current": true,
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"is_active": true,
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"scoring_strategy": null,
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"description": "Control, exacerbations, inhaler technique, peak flow.",
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"meta": {
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"capture_roles": [
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"doctor",
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"nurse"
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],
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"specialty": "respiratory",
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"estimated_minutes": 8,
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"pathway_codes": [
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"asthma"
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],
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"attribution": "Ladill Care Asthma assessment content pack (platform-authored clinical checklist)."
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}
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},
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"questions": [
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{
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"code": "control",
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"section": "Control",
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"label": "Asthma control",
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"answer_type": "single_choice",
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"is_required": true,
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"sort_order": 10,
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"options": {
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"choices": [
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{
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"code": "well",
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"label": "Well controlled"
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},
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{
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"code": "partly",
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"label": "Partly controlled"
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},
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{
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"code": "uncontrolled",
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"label": "Uncontrolled"
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}
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]
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}
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},
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{
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"code": "exacerbations_12m",
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"section": "Control",
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"label": "Exacerbations in last 12 months",
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"answer_type": "number",
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"is_required": false,
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"sort_order": 20,
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"options": {
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"min": 0,
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"max": 50
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},
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"validation": {
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"min": 0,
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"max": 50
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}
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},
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{
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"code": "peak_flow",
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"section": "Lung function",
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"label": "Peak expiratory flow (L/min)",
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"answer_type": "number",
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"is_required": false,
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"sort_order": 30,
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"options": {
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"min": 50,
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"max": 800,
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"unit": "L/min"
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},
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"validation": {
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"min": 50,
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"max": 800
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}
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},
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{
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"code": "inhaler_technique",
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"section": "Treatment",
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"label": "Inhaler technique",
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"answer_type": "single_choice",
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"is_required": false,
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"sort_order": 40,
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"options": {
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"choices": [
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{
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"code": "good",
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"label": "Good"
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},
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{
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"code": "fair",
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"label": "Fair"
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},
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{
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"code": "poor",
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"label": "Poor"
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},
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{
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"code": "not_assessed",
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"label": "Not assessed"
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}
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]
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}
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},
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{
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"code": "night_symptoms",
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"section": "Symptoms",
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"label": "Night symptoms",
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"answer_type": "single_choice",
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"is_required": false,
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"sort_order": 50,
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"options": {
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"choices": [
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{
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"code": "none",
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"label": "None"
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},
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{
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"code": "occasional",
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"label": "Occasional"
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},
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{
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"code": "frequent",
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"label": "Frequent"
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}
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]
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}
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},
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{
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"code": "notes",
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"section": "Notes",
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"label": "Notes",
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"answer_type": "textarea",
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"is_required": false,
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"sort_order": 100,
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"validation": {
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"max": 5000
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}
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}
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]
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}
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@@ -0,0 +1,192 @@
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{
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"template": {
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"code": "barthel",
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"name": "Barthel Index",
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"category": "disease",
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"version": 1,
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"is_current": true,
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"is_active": true,
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"scoring_strategy": "sum_items",
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"description": "Barthel Index of Activities of Daily Living (0–100). Optional on stroke pathway activation.",
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"meta": {
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"capture_roles": ["doctor", "nurse"],
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"specialty": "neurology",
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"estimated_minutes": 5,
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"pathway_codes": ["stroke"],
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"max_total": 100,
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"attribution": "Barthel Index — standard ADL scale for clinical use. Verify licensing for commercial redistribution."
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}
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},
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"questions": [
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{
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"code": "feeding",
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"section": "ADL",
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"label": "Feeding",
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"answer_type": "score_item",
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"is_required": true,
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"sort_order": 10,
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"score_key": "adl",
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"options": {
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"max": 10,
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"choices": [
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{ "code": "0", "label": "Unable", "score": 0 },
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{ "code": "5", "label": "Needs help cutting, spreading butter, etc., or requires modified diet", "score": 5 },
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{ "code": "10", "label": "Independent", "score": 10 }
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]
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}
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},
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{
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"code": "bathing",
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"section": "ADL",
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"label": "Bathing",
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"answer_type": "score_item",
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"is_required": true,
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"sort_order": 20,
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"score_key": "adl",
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"options": {
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"max": 5,
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"choices": [
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{ "code": "0", "label": "Dependent", "score": 0 },
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{ "code": "5", "label": "Independent (or in shower)", "score": 5 }
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]
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}
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},
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{
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"code": "grooming",
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"section": "ADL",
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"label": "Grooming",
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"answer_type": "score_item",
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"is_required": true,
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"sort_order": 30,
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"score_key": "adl",
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"options": {
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"max": 5,
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"choices": [
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{ "code": "0", "label": "Needs help with personal care", "score": 0 },
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{ "code": "5", "label": "Independent face/hair/teeth/shaving", "score": 5 }
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]
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}
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},
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{
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"code": "dressing",
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"section": "ADL",
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"label": "Dressing",
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"answer_type": "score_item",
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"is_required": true,
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"sort_order": 40,
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"score_key": "adl",
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"options": {
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"max": 10,
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"choices": [
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{ "code": "0", "label": "Dependent", "score": 0 },
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{ "code": "5", "label": "Needs help but can do about half unaided", "score": 5 },
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{ "code": "10", "label": "Independent (including buttons, zips, laces, etc.)", "score": 10 }
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]
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}
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},
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{
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"code": "bowels",
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"section": "ADL",
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"label": "Bowels",
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"answer_type": "score_item",
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"is_required": true,
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"sort_order": 50,
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"score_key": "adl",
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"options": {
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"max": 10,
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"choices": [
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{ "code": "0", "label": "Incontinent (or needs to be given enemas)", "score": 0 },
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{ "code": "5", "label": "Occasional accident", "score": 5 },
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{ "code": "10", "label": "Continent", "score": 10 }
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]
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}
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},
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{
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"code": "bladder",
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"section": "ADL",
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"label": "Bladder",
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"answer_type": "score_item",
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"is_required": true,
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"sort_order": 60,
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"score_key": "adl",
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"options": {
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"max": 10,
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"choices": [
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{ "code": "0", "label": "Incontinent, or catheterized and unable to manage alone", "score": 0 },
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{ "code": "5", "label": "Occasional accident", "score": 5 },
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{ "code": "10", "label": "Continent", "score": 10 }
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]
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}
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},
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{
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"code": "toilet",
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"section": "ADL",
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"label": "Toilet use",
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"answer_type": "score_item",
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"is_required": true,
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"sort_order": 70,
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"score_key": "adl",
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"options": {
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"max": 10,
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"choices": [
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{ "code": "0", "label": "Dependent", "score": 0 },
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{ "code": "5", "label": "Needs some help, but can do something alone", "score": 5 },
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{ "code": "10", "label": "Independent (on and off, dressing, wiping)", "score": 10 }
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]
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}
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},
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{
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"code": "transfers",
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"section": "ADL",
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"label": "Transfers (bed to chair and back)",
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"answer_type": "score_item",
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"is_required": true,
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"sort_order": 80,
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"score_key": "adl",
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"options": {
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"max": 15,
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"choices": [
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{ "code": "0", "label": "Unable, no sitting balance", "score": 0 },
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{ "code": "5", "label": "Major help (one or two people, physical), can sit", "score": 5 },
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{ "code": "10", "label": "Minor help (verbal or physical)", "score": 10 },
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{ "code": "15", "label": "Independent", "score": 15 }
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]
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}
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},
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{
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"code": "mobility",
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"section": "ADL",
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"label": "Mobility (on level surfaces)",
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"answer_type": "score_item",
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"is_required": true,
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"sort_order": 90,
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"score_key": "adl",
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"options": {
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"max": 15,
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"choices": [
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{ "code": "0", "label": "Immobile or <50 yards", "score": 0 },
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{ "code": "5", "label": "Wheelchair independent, including corners, >50 yards", "score": 5 },
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{ "code": "10", "label": "Walks with help of one person (verbal or physical) >50 yards", "score": 10 },
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{ "code": "15", "label": "Independent (but may use any aid; for example, stick) >50 yards", "score": 15 }
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]
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}
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},
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{
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"code": "stairs",
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"section": "ADL",
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"label": "Stairs",
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"answer_type": "score_item",
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"is_required": true,
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"sort_order": 100,
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"score_key": "adl",
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"options": {
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"max": 10,
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"choices": [
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{ "code": "0", "label": "Unable", "score": 0 },
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{ "code": "5", "label": "Needs help (verbal, physical, carrying aid)", "score": 5 },
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{ "code": "10", "label": "Independent", "score": 10 }
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]
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}
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}
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]
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}
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@@ -0,0 +1,150 @@
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{
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"template": {
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"code": "cancer_core",
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"name": "Cancer care assessment",
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"category": "disease",
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"version": 1,
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"is_current": true,
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"is_active": true,
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"scoring_strategy": "single_value",
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"description": "Primary site, stage summary, performance status, treatment phase.",
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"meta": {
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"capture_roles": [
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"doctor",
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"nurse"
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],
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"specialty": "oncology",
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"estimated_minutes": 8,
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"pathway_codes": [
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"cancer"
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],
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"attribution": "Ladill Care Cancer care assessment content pack (platform-authored clinical checklist)."
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}
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},
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"questions": [
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{
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"code": "primary_site",
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"section": "Disease",
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"label": "Primary site / diagnosis",
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"answer_type": "text",
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"is_required": true,
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"sort_order": 10,
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"validation": {
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"max": 5000
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}
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},
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{
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"code": "stage_summary",
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"section": "Disease",
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"label": "Stage summary",
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"answer_type": "single_choice",
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"is_required": true,
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"sort_order": 20,
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"options": {
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"choices": [
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{
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"code": "local",
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"label": "Localized"
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},
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{
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"code": "regional",
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"label": "Regional"
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},
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{
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"code": "metastatic",
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"label": "Metastatic"
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},
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{
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"code": "unknown",
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"label": "Unknown"
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},
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{
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"code": "remission",
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"label": "Remission"
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}
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]
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}
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},
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{
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"code": "ecog",
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"section": "Function",
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"label": "ECOG performance status",
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"answer_type": "score_item",
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"is_required": true,
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"sort_order": 30,
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"options": {
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"choices": [
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{
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"code": "0",
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"label": "0 \u2014 Fully active",
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"score": 0
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},
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{
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||||
"code": "1",
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"label": "1 \u2014 Restricted strenuous",
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"score": 1
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},
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{
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"code": "2",
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||||
"label": "2 \u2014 Ambulatory, self-care",
|
||||
"score": 2
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||||
},
|
||||
{
|
||||
"code": "3",
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"label": "3 \u2014 Limited self-care",
|
||||
"score": 3
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||||
},
|
||||
{
|
||||
"code": "4",
|
||||
"label": "4 \u2014 Completely disabled",
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||||
"score": 4
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||||
}
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||||
]
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||||
},
|
||||
"score_key": "ecog"
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||||
},
|
||||
{
|
||||
"code": "treatment_phase",
|
||||
"section": "Treatment",
|
||||
"label": "Treatment phase",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 40,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "workup",
|
||||
"label": "Work-up"
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||||
},
|
||||
{
|
||||
"code": "active",
|
||||
"label": "Active treatment"
|
||||
},
|
||||
{
|
||||
"code": "surveillance",
|
||||
"label": "Surveillance"
|
||||
},
|
||||
{
|
||||
"code": "palliative",
|
||||
"label": "Palliative"
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||||
},
|
||||
{
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||||
"code": "survivorship",
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||||
"label": "Survivorship"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "notes",
|
||||
"section": "Notes",
|
||||
"label": "Notes",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 100,
|
||||
"validation": {
|
||||
"max": 5000
|
||||
}
|
||||
}
|
||||
]
|
||||
}
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||||
@@ -0,0 +1,187 @@
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||||
{
|
||||
"template": {
|
||||
"code": "ckd_core",
|
||||
"name": "CKD assessment",
|
||||
"category": "disease",
|
||||
"version": 1,
|
||||
"is_current": true,
|
||||
"is_active": true,
|
||||
"scoring_strategy": null,
|
||||
"description": "CKD stage, creatinine, eGFR, proteinuria, anaemia flags.",
|
||||
"meta": {
|
||||
"capture_roles": [
|
||||
"doctor",
|
||||
"nurse"
|
||||
],
|
||||
"specialty": "nephrology",
|
||||
"estimated_minutes": 8,
|
||||
"pathway_codes": [
|
||||
"ckd"
|
||||
],
|
||||
"attribution": "Ladill Care CKD assessment content pack (platform-authored clinical checklist)."
|
||||
}
|
||||
},
|
||||
"questions": [
|
||||
{
|
||||
"code": "ckd_stage",
|
||||
"section": "Staging",
|
||||
"label": "CKD stage",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": true,
|
||||
"sort_order": 10,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "1",
|
||||
"label": "Stage 1"
|
||||
},
|
||||
{
|
||||
"code": "2",
|
||||
"label": "Stage 2"
|
||||
},
|
||||
{
|
||||
"code": "3a",
|
||||
"label": "Stage 3a"
|
||||
},
|
||||
{
|
||||
"code": "3b",
|
||||
"label": "Stage 3b"
|
||||
},
|
||||
{
|
||||
"code": "4",
|
||||
"label": "Stage 4"
|
||||
},
|
||||
{
|
||||
"code": "5",
|
||||
"label": "Stage 5"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "creatinine",
|
||||
"section": "Labs",
|
||||
"label": "Creatinine (\u00b5mol/L)",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 20,
|
||||
"options": {
|
||||
"min": 20,
|
||||
"max": 2000,
|
||||
"unit": "\u00b5mol/L"
|
||||
},
|
||||
"validation": {
|
||||
"min": 20,
|
||||
"max": 2000
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "egfr",
|
||||
"section": "Labs",
|
||||
"label": "eGFR (mL/min/1.73m\u00b2)",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 30,
|
||||
"options": {
|
||||
"min": 1,
|
||||
"max": 150,
|
||||
"unit": "mL/min"
|
||||
},
|
||||
"validation": {
|
||||
"min": 1,
|
||||
"max": 150
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "proteinuria",
|
||||
"section": "Labs",
|
||||
"label": "Proteinuria / ACR",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 40,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "none",
|
||||
"label": "None/normal"
|
||||
},
|
||||
{
|
||||
"code": "micro",
|
||||
"label": "Microalbuminuria"
|
||||
},
|
||||
{
|
||||
"code": "macro",
|
||||
"label": "Overt proteinuria"
|
||||
},
|
||||
{
|
||||
"code": "unknown",
|
||||
"label": "Unknown"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "anaemia",
|
||||
"section": "Complications",
|
||||
"label": "Anaemia of CKD",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 50,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "no",
|
||||
"label": "No"
|
||||
},
|
||||
{
|
||||
"code": "yes",
|
||||
"label": "Yes"
|
||||
},
|
||||
{
|
||||
"code": "unknown",
|
||||
"label": "Unknown"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "dialysis",
|
||||
"section": "Treatment",
|
||||
"label": "Dialysis status",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 60,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "none",
|
||||
"label": "None"
|
||||
},
|
||||
{
|
||||
"code": "hd",
|
||||
"label": "Haemodialysis"
|
||||
},
|
||||
{
|
||||
"code": "pd",
|
||||
"label": "Peritoneal dialysis"
|
||||
},
|
||||
{
|
||||
"code": "transplant",
|
||||
"label": "Transplant"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "notes",
|
||||
"section": "Notes",
|
||||
"label": "Notes",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 100,
|
||||
"validation": {
|
||||
"max": 5000
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,160 @@
|
||||
{
|
||||
"template": {
|
||||
"code": "copd_core",
|
||||
"name": "COPD assessment",
|
||||
"category": "disease",
|
||||
"version": 1,
|
||||
"is_current": true,
|
||||
"is_active": true,
|
||||
"scoring_strategy": "single_value",
|
||||
"description": "CAT, mMRC, spirometry, pack-years, oxygen therapy.",
|
||||
"meta": {
|
||||
"capture_roles": [
|
||||
"doctor",
|
||||
"nurse"
|
||||
],
|
||||
"specialty": "respiratory",
|
||||
"estimated_minutes": 8,
|
||||
"pathway_codes": [
|
||||
"copd"
|
||||
],
|
||||
"attribution": "Ladill Care COPD assessment content pack (platform-authored clinical checklist)."
|
||||
}
|
||||
},
|
||||
"questions": [
|
||||
{
|
||||
"code": "mmrc",
|
||||
"section": "Dyspnea",
|
||||
"label": "mMRC dyspnea scale",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 10,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "0",
|
||||
"label": "0 \u2014 breathless only with strenuous exercise",
|
||||
"score": 0
|
||||
},
|
||||
{
|
||||
"code": "1",
|
||||
"label": "1 \u2014 short of breath when hurrying",
|
||||
"score": 1
|
||||
},
|
||||
{
|
||||
"code": "2",
|
||||
"label": "2 \u2014 walks slower than people of same age",
|
||||
"score": 2
|
||||
},
|
||||
{
|
||||
"code": "3",
|
||||
"label": "3 \u2014 stops for breath after ~100 m",
|
||||
"score": 3
|
||||
},
|
||||
{
|
||||
"code": "4",
|
||||
"label": "4 \u2014 too breathless to leave house",
|
||||
"score": 4
|
||||
}
|
||||
]
|
||||
},
|
||||
"score_key": "mmrc"
|
||||
},
|
||||
{
|
||||
"code": "cat_score",
|
||||
"section": "Symptoms",
|
||||
"label": "CAT score (0\u201340)",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 20,
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 40
|
||||
},
|
||||
"validation": {
|
||||
"min": 0,
|
||||
"max": 40
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "fev1_percent",
|
||||
"section": "Spirometry",
|
||||
"label": "FEV1 % predicted",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 30,
|
||||
"options": {
|
||||
"min": 10,
|
||||
"max": 150,
|
||||
"unit": "%"
|
||||
},
|
||||
"validation": {
|
||||
"min": 10,
|
||||
"max": 150
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "pack_years",
|
||||
"section": "Risk",
|
||||
"label": "Smoking pack-years",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 40,
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 200
|
||||
},
|
||||
"validation": {
|
||||
"min": 0,
|
||||
"max": 200
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "oxygen_therapy",
|
||||
"section": "Treatment",
|
||||
"label": "Long-term oxygen therapy",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 50,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "no",
|
||||
"label": "No"
|
||||
},
|
||||
{
|
||||
"code": "yes",
|
||||
"label": "Yes"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "exacerbations_12m",
|
||||
"section": "Control",
|
||||
"label": "Exacerbations last 12 months",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 60,
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 30
|
||||
},
|
||||
"validation": {
|
||||
"min": 0,
|
||||
"max": 30
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "notes",
|
||||
"section": "Notes",
|
||||
"label": "Notes",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 100,
|
||||
"validation": {
|
||||
"max": 5000
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,137 @@
|
||||
{
|
||||
"template": {
|
||||
"code": "dementia_core",
|
||||
"name": "Dementia assessment",
|
||||
"category": "disease",
|
||||
"version": 1,
|
||||
"is_current": true,
|
||||
"is_active": true,
|
||||
"scoring_strategy": null,
|
||||
"description": "MMSE/MoCA scores, ADL, behaviour, caregiver burden.",
|
||||
"meta": {
|
||||
"capture_roles": [
|
||||
"doctor",
|
||||
"nurse"
|
||||
],
|
||||
"specialty": "neurology",
|
||||
"estimated_minutes": 8,
|
||||
"pathway_codes": [
|
||||
"dementia"
|
||||
],
|
||||
"attribution": "Ladill Care Dementia assessment content pack (platform-authored clinical checklist)."
|
||||
}
|
||||
},
|
||||
"questions": [
|
||||
{
|
||||
"code": "mmse",
|
||||
"section": "Cognition",
|
||||
"label": "MMSE score (0\u201330)",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 10,
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 30
|
||||
},
|
||||
"validation": {
|
||||
"min": 0,
|
||||
"max": 30
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "moca",
|
||||
"section": "Cognition",
|
||||
"label": "MoCA score (0\u201330)",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 20,
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 30
|
||||
},
|
||||
"validation": {
|
||||
"min": 0,
|
||||
"max": 30
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "adl",
|
||||
"section": "Function",
|
||||
"label": "ADL independence",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": true,
|
||||
"sort_order": 30,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "independent",
|
||||
"label": "Independent"
|
||||
},
|
||||
{
|
||||
"code": "partial",
|
||||
"label": "Partial help"
|
||||
},
|
||||
{
|
||||
"code": "dependent",
|
||||
"label": "Dependent"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "behavioural_symptoms",
|
||||
"section": "Behaviour",
|
||||
"label": "Behavioural symptoms",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 40,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "none",
|
||||
"label": "None"
|
||||
},
|
||||
{
|
||||
"code": "mild",
|
||||
"label": "Mild"
|
||||
},
|
||||
{
|
||||
"code": "moderate",
|
||||
"label": "Moderate"
|
||||
},
|
||||
{
|
||||
"code": "severe",
|
||||
"label": "Severe"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "caregiver_burden",
|
||||
"section": "Caregiver",
|
||||
"label": "Caregiver burden (0\u201310)",
|
||||
"answer_type": "scale",
|
||||
"is_required": false,
|
||||
"sort_order": 50,
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 10
|
||||
},
|
||||
"validation": {
|
||||
"min": 0,
|
||||
"max": 10
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "notes",
|
||||
"section": "Notes",
|
||||
"label": "Notes",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 100,
|
||||
"validation": {
|
||||
"max": 5000
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,161 @@
|
||||
{
|
||||
"template": {
|
||||
"code": "diabetes_core",
|
||||
"name": "Diabetes assessment",
|
||||
"category": "disease",
|
||||
"version": 1,
|
||||
"is_current": true,
|
||||
"is_active": true,
|
||||
"scoring_strategy": null,
|
||||
"description": "Core diabetes review: glycaemia, feet, eyes, kidney markers, lifestyle, and insulin regimen.",
|
||||
"meta": {
|
||||
"capture_roles": ["doctor", "nurse"],
|
||||
"specialty": "endocrinology",
|
||||
"estimated_minutes": 12,
|
||||
"pathway_codes": ["diabetes"],
|
||||
"attribution": "Ladill Care diabetes core assessment (platform-authored checklist aligned to common clinic review items)."
|
||||
}
|
||||
},
|
||||
"questions": [
|
||||
{
|
||||
"code": "hba1c",
|
||||
"section": "Glycaemia",
|
||||
"label": "HbA1c (%)",
|
||||
"help_text": "Optional manual entry. Prefer lab results when available.",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 10,
|
||||
"options": { "min": 3, "max": 20, "unit": "%" },
|
||||
"validation": { "min": 3, "max": 20 }
|
||||
},
|
||||
{
|
||||
"code": "hba1c_date",
|
||||
"section": "Glycaemia",
|
||||
"label": "HbA1c date",
|
||||
"answer_type": "date",
|
||||
"is_required": false,
|
||||
"sort_order": 20
|
||||
},
|
||||
{
|
||||
"code": "hypoglycaemia_episodes",
|
||||
"section": "Glycaemia",
|
||||
"label": "Hypoglycaemia episodes (last 3 months)",
|
||||
"answer_type": "integer",
|
||||
"is_required": false,
|
||||
"sort_order": 30,
|
||||
"options": { "min": 0, "max": 100 },
|
||||
"validation": { "min": 0, "max": 100 }
|
||||
},
|
||||
{
|
||||
"code": "insulin_regimen",
|
||||
"section": "Treatment",
|
||||
"label": "Insulin regimen",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 40,
|
||||
"validation": { "max": 2000 }
|
||||
},
|
||||
{
|
||||
"code": "diet_adherence",
|
||||
"section": "Treatment",
|
||||
"label": "Diet adherence",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 50,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "good", "label": "Good" },
|
||||
{ "code": "fair", "label": "Fair" },
|
||||
{ "code": "poor", "label": "Poor" },
|
||||
{ "code": "unknown", "label": "Unknown" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "foot_assessment",
|
||||
"section": "Complications",
|
||||
"label": "Foot assessment",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": true,
|
||||
"sort_order": 60,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "normal", "label": "Normal" },
|
||||
{ "code": "at_risk", "label": "At risk" },
|
||||
{ "code": "ulcer", "label": "Ulcer present" },
|
||||
{ "code": "amputation", "label": "Prior amputation" },
|
||||
{ "code": "not_examined", "label": "Not examined" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "monofilament",
|
||||
"section": "Complications",
|
||||
"label": "Monofilament test",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 70,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "intact", "label": "Sensation intact" },
|
||||
{ "code": "reduced", "label": "Reduced" },
|
||||
{ "code": "absent", "label": "Absent" },
|
||||
{ "code": "not_done", "label": "Not done" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "eye_examination",
|
||||
"section": "Complications",
|
||||
"label": "Eye examination / retinopathy status",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 80,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "normal", "label": "No retinopathy" },
|
||||
{ "code": "non_proliferative", "label": "Non-proliferative" },
|
||||
{ "code": "proliferative", "label": "Proliferative" },
|
||||
{ "code": "maculopathy", "label": "Maculopathy" },
|
||||
{ "code": "unknown", "label": "Unknown / pending" },
|
||||
{ "code": "not_done", "label": "Not examined this visit" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "microalbuminuria",
|
||||
"section": "Complications",
|
||||
"label": "Microalbuminuria / ACR",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 90,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "normal", "label": "Normal" },
|
||||
{ "code": "elevated", "label": "Elevated" },
|
||||
{ "code": "unknown", "label": "Unknown" },
|
||||
{ "code": "not_done", "label": "Not done" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "neuropathy_score",
|
||||
"section": "Complications",
|
||||
"label": "Neuropathy score (0–10 clinical impression)",
|
||||
"answer_type": "scale",
|
||||
"is_required": false,
|
||||
"sort_order": 100,
|
||||
"options": { "min": 0, "max": 10 },
|
||||
"validation": { "min": 0, "max": 10 }
|
||||
},
|
||||
{
|
||||
"code": "notes",
|
||||
"section": "Notes",
|
||||
"label": "Clinical notes",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 110,
|
||||
"validation": { "max": 5000 }
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,82 @@
|
||||
{
|
||||
"template": {
|
||||
"code": "gcs",
|
||||
"name": "Glasgow Coma Scale",
|
||||
"category": "disease",
|
||||
"version": 1,
|
||||
"is_current": true,
|
||||
"is_active": true,
|
||||
"scoring_strategy": "sum_items",
|
||||
"description": "Glasgow Coma Scale (E + V + M). Total 3–15. Optional on stroke pathway.",
|
||||
"meta": {
|
||||
"capture_roles": ["doctor", "nurse"],
|
||||
"specialty": "neurology",
|
||||
"estimated_minutes": 2,
|
||||
"pathway_codes": ["stroke"],
|
||||
"max_total": 15,
|
||||
"attribution": "Glasgow Coma Scale (GCS) — Teasdale & Jennett. Standard clinical instrument; confirm local documentation practice."
|
||||
}
|
||||
},
|
||||
"questions": [
|
||||
{
|
||||
"code": "eye",
|
||||
"section": "GCS",
|
||||
"label": "Eye opening (E)",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 10,
|
||||
"score_key": "eye",
|
||||
"options": {
|
||||
"min": 1,
|
||||
"max": 4,
|
||||
"choices": [
|
||||
{ "code": "4", "label": "Spontaneous", "score": 4 },
|
||||
{ "code": "3", "label": "To speech", "score": 3 },
|
||||
{ "code": "2", "label": "To pain", "score": 2 },
|
||||
{ "code": "1", "label": "None", "score": 1 }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "verbal",
|
||||
"section": "GCS",
|
||||
"label": "Verbal response (V)",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 20,
|
||||
"score_key": "verbal",
|
||||
"options": {
|
||||
"min": 1,
|
||||
"max": 5,
|
||||
"choices": [
|
||||
{ "code": "5", "label": "Oriented", "score": 5 },
|
||||
{ "code": "4", "label": "Confused", "score": 4 },
|
||||
{ "code": "3", "label": "Inappropriate words", "score": 3 },
|
||||
{ "code": "2", "label": "Incomprehensible sounds", "score": 2 },
|
||||
{ "code": "1", "label": "None", "score": 1 }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "motor",
|
||||
"section": "GCS",
|
||||
"label": "Motor response (M)",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 30,
|
||||
"score_key": "motor",
|
||||
"options": {
|
||||
"min": 1,
|
||||
"max": 6,
|
||||
"choices": [
|
||||
{ "code": "6", "label": "Obeys commands", "score": 6 },
|
||||
{ "code": "5", "label": "Localizes pain", "score": 5 },
|
||||
{ "code": "4", "label": "Withdrawal from pain", "score": 4 },
|
||||
{ "code": "3", "label": "Flexion to pain (decorticate)", "score": 3 },
|
||||
{ "code": "2", "label": "Extension to pain (decerebrate)", "score": 2 },
|
||||
{ "code": "1", "label": "None", "score": 1 }
|
||||
]
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,197 @@
|
||||
{
|
||||
"template": {
|
||||
"code": "heart_failure_core",
|
||||
"name": "Heart failure assessment",
|
||||
"category": "disease",
|
||||
"version": 1,
|
||||
"is_current": true,
|
||||
"is_active": true,
|
||||
"scoring_strategy": "single_value",
|
||||
"description": "NYHA class, EF, BNP, fluid status for heart failure pathway.",
|
||||
"meta": {
|
||||
"capture_roles": [
|
||||
"doctor",
|
||||
"nurse"
|
||||
],
|
||||
"specialty": "cardiology",
|
||||
"estimated_minutes": 8,
|
||||
"pathway_codes": [
|
||||
"heart_failure"
|
||||
],
|
||||
"attribution": "Ladill Care Heart failure assessment content pack (platform-authored clinical checklist)."
|
||||
}
|
||||
},
|
||||
"questions": [
|
||||
{
|
||||
"code": "nyha",
|
||||
"section": "Classification",
|
||||
"label": "NYHA classification",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 10,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "1",
|
||||
"label": "I \u2014 No limitation",
|
||||
"score": 1
|
||||
},
|
||||
{
|
||||
"code": "2",
|
||||
"label": "II \u2014 Slight limitation",
|
||||
"score": 2
|
||||
},
|
||||
{
|
||||
"code": "3",
|
||||
"label": "III \u2014 Marked limitation",
|
||||
"score": 3
|
||||
},
|
||||
{
|
||||
"code": "4",
|
||||
"label": "IV \u2014 Symptoms at rest",
|
||||
"score": 4
|
||||
}
|
||||
]
|
||||
},
|
||||
"score_key": "nyha"
|
||||
},
|
||||
{
|
||||
"code": "ejection_fraction",
|
||||
"section": "Cardiac",
|
||||
"label": "Ejection fraction (%)",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 20,
|
||||
"options": {
|
||||
"min": 5,
|
||||
"max": 80,
|
||||
"unit": "%"
|
||||
},
|
||||
"validation": {
|
||||
"min": 5,
|
||||
"max": 80
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "bnp",
|
||||
"section": "Labs",
|
||||
"label": "BNP / NT-proBNP",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 30,
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 100000,
|
||||
"unit": "pg/mL"
|
||||
},
|
||||
"validation": {
|
||||
"min": 0,
|
||||
"max": 100000
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "edema",
|
||||
"section": "Fluid",
|
||||
"label": "Peripheral edema",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 40,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "none",
|
||||
"label": "None"
|
||||
},
|
||||
{
|
||||
"code": "mild",
|
||||
"label": "Mild"
|
||||
},
|
||||
{
|
||||
"code": "moderate",
|
||||
"label": "Moderate"
|
||||
},
|
||||
{
|
||||
"code": "severe",
|
||||
"label": "Severe"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "weight_kg",
|
||||
"section": "Fluid",
|
||||
"label": "Current weight (kg)",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 50,
|
||||
"options": {
|
||||
"min": 20,
|
||||
"max": 300,
|
||||
"unit": "kg"
|
||||
},
|
||||
"validation": {
|
||||
"min": 20,
|
||||
"max": 300
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "weight_change",
|
||||
"section": "Fluid",
|
||||
"label": "Weight change since last visit",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 60,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "down",
|
||||
"label": "Decreased"
|
||||
},
|
||||
{
|
||||
"code": "stable",
|
||||
"label": "Stable"
|
||||
},
|
||||
{
|
||||
"code": "up",
|
||||
"label": "Increased"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "exercise_tolerance",
|
||||
"section": "Function",
|
||||
"label": "Exercise tolerance",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 70,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "good",
|
||||
"label": "Good"
|
||||
},
|
||||
{
|
||||
"code": "reduced",
|
||||
"label": "Reduced"
|
||||
},
|
||||
{
|
||||
"code": "poor",
|
||||
"label": "Poor"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "notes",
|
||||
"section": "Notes",
|
||||
"label": "Notes",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 100,
|
||||
"validation": {
|
||||
"max": 5000
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,171 @@
|
||||
{
|
||||
"template": {
|
||||
"code": "hypertension_core",
|
||||
"name": "Hypertension assessment",
|
||||
"category": "disease",
|
||||
"version": 1,
|
||||
"is_current": true,
|
||||
"is_active": true,
|
||||
"scoring_strategy": null,
|
||||
"description": "BP control, end-organ risk, adherence for hypertension pathway.",
|
||||
"meta": {
|
||||
"capture_roles": [
|
||||
"doctor",
|
||||
"nurse"
|
||||
],
|
||||
"specialty": "cardiology",
|
||||
"estimated_minutes": 8,
|
||||
"pathway_codes": [
|
||||
"hypertension"
|
||||
],
|
||||
"attribution": "Ladill Care Hypertension assessment content pack (platform-authored clinical checklist)."
|
||||
}
|
||||
},
|
||||
"questions": [
|
||||
{
|
||||
"code": "sbp",
|
||||
"section": "BP",
|
||||
"label": "Clinic SBP (mmHg)",
|
||||
"answer_type": "number",
|
||||
"is_required": true,
|
||||
"sort_order": 10,
|
||||
"options": {
|
||||
"min": 60,
|
||||
"max": 300,
|
||||
"unit": "mmHg"
|
||||
},
|
||||
"validation": {
|
||||
"min": 60,
|
||||
"max": 300
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "dbp",
|
||||
"section": "BP",
|
||||
"label": "Clinic DBP (mmHg)",
|
||||
"answer_type": "number",
|
||||
"is_required": true,
|
||||
"sort_order": 20,
|
||||
"options": {
|
||||
"min": 30,
|
||||
"max": 200,
|
||||
"unit": "mmHg"
|
||||
},
|
||||
"validation": {
|
||||
"min": 30,
|
||||
"max": 200
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "control_status",
|
||||
"section": "BP",
|
||||
"label": "BP control",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": true,
|
||||
"sort_order": 30,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "controlled",
|
||||
"label": "Controlled"
|
||||
},
|
||||
{
|
||||
"code": "uncontrolled",
|
||||
"label": "Uncontrolled"
|
||||
},
|
||||
{
|
||||
"code": "unknown",
|
||||
"label": "Unknown"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "home_monitoring",
|
||||
"section": "BP",
|
||||
"label": "Home BP monitoring",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 40,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "yes",
|
||||
"label": "Yes"
|
||||
},
|
||||
{
|
||||
"code": "no",
|
||||
"label": "No"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "target_organ",
|
||||
"section": "Risk",
|
||||
"label": "Target organ damage",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 50,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "none",
|
||||
"label": "None known"
|
||||
},
|
||||
{
|
||||
"code": "lvh",
|
||||
"label": "LVH"
|
||||
},
|
||||
{
|
||||
"code": "ckd",
|
||||
"label": "CKD"
|
||||
},
|
||||
{
|
||||
"code": "retinopathy",
|
||||
"label": "Retinopathy"
|
||||
},
|
||||
{
|
||||
"code": "multiple",
|
||||
"label": "Multiple"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "adherence",
|
||||
"section": "Treatment",
|
||||
"label": "Medication adherence",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 60,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "good",
|
||||
"label": "Good"
|
||||
},
|
||||
{
|
||||
"code": "fair",
|
||||
"label": "Fair"
|
||||
},
|
||||
{
|
||||
"code": "poor",
|
||||
"label": "Poor"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "notes",
|
||||
"section": "Notes",
|
||||
"label": "Notes",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 100,
|
||||
"validation": {
|
||||
"max": 5000
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,45 @@
|
||||
{
|
||||
"template": {
|
||||
"code": "mrs",
|
||||
"name": "Modified Rankin Scale",
|
||||
"category": "disease",
|
||||
"version": 1,
|
||||
"is_current": true,
|
||||
"is_active": true,
|
||||
"scoring_strategy": "single_value",
|
||||
"description": "Global disability scale after stroke (0–6). Required on stroke pathway activation.",
|
||||
"meta": {
|
||||
"capture_roles": ["doctor"],
|
||||
"specialty": "neurology",
|
||||
"estimated_minutes": 2,
|
||||
"pathway_codes": ["stroke"],
|
||||
"attribution": "Modified Rankin Scale (mRS) — clinical instrument for educational/clinical use. Verify commercial redistribution rights before packaging for sale."
|
||||
}
|
||||
},
|
||||
"questions": [
|
||||
{
|
||||
"code": "mrs_score",
|
||||
"section": "Disability",
|
||||
"label": "Modified Rankin Scale score",
|
||||
"help_text": "Select the grade that best describes the patient.",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 1,
|
||||
"score_key": "total",
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 6,
|
||||
"choices": [
|
||||
{ "code": "0", "label": "No symptoms at all", "score": 0 },
|
||||
{ "code": "1", "label": "No significant disability despite symptoms; able to carry out all usual duties and activities", "score": 1 },
|
||||
{ "code": "2", "label": "Slight disability; unable to carry out all previous activities, but able to look after own affairs without assistance", "score": 2 },
|
||||
{ "code": "3", "label": "Moderate disability; requiring some help, but able to walk without assistance", "score": 3 },
|
||||
{ "code": "4", "label": "Moderately severe disability; unable to walk without assistance and unable to attend to own bodily needs without assistance", "score": 4 },
|
||||
{ "code": "5", "label": "Severe disability; bedridden, incontinent and requiring constant nursing care and attention", "score": 5 },
|
||||
{ "code": "6", "label": "Dead", "score": 6 }
|
||||
]
|
||||
},
|
||||
"validation": { "min": 0, "max": 6 }
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,320 @@
|
||||
{
|
||||
"template": {
|
||||
"code": "nihss",
|
||||
"name": "NIH Stroke Scale",
|
||||
"category": "disease",
|
||||
"version": 1,
|
||||
"is_current": true,
|
||||
"is_active": true,
|
||||
"scoring_strategy": "sum_items",
|
||||
"description": "National Institutes of Health Stroke Scale (NIHSS). Total 0–42. Required on stroke pathway activation.",
|
||||
"meta": {
|
||||
"capture_roles": ["doctor"],
|
||||
"specialty": "neurology",
|
||||
"estimated_minutes": 10,
|
||||
"pathway_codes": ["stroke"],
|
||||
"max_total": 42,
|
||||
"attribution": "NIH Stroke Scale (NIHSS) — public-domain clinical instrument originating from NINDS/NIH. Confirm local training and documentation requirements for clinical use."
|
||||
}
|
||||
},
|
||||
"questions": [
|
||||
{
|
||||
"code": "1a_loc",
|
||||
"section": "1. Level of consciousness",
|
||||
"label": "1a. Level of consciousness",
|
||||
"help_text": "Alertness.",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 10,
|
||||
"score_key": "loc",
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 3,
|
||||
"choices": [
|
||||
{ "code": "0", "label": "Alert; keenly responsive", "score": 0 },
|
||||
{ "code": "1", "label": "Not alert; arousable by minor stimulation", "score": 1 },
|
||||
{ "code": "2", "label": "Not alert; requires repeated stimulation / obtunded", "score": 2 },
|
||||
{ "code": "3", "label": "Responds only with reflex motor or autonomic effects / totally unresponsive", "score": 3 }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "1b_loc_questions",
|
||||
"section": "1. Level of consciousness",
|
||||
"label": "1b. LOC questions",
|
||||
"help_text": "Month and age. Score only initial answer.",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 20,
|
||||
"score_key": "loc",
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 2,
|
||||
"choices": [
|
||||
{ "code": "0", "label": "Answers both questions correctly", "score": 0 },
|
||||
{ "code": "1", "label": "Answers one question correctly", "score": 1 },
|
||||
{ "code": "2", "label": "Answers neither question correctly", "score": 2 }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "1c_loc_commands",
|
||||
"section": "1. Level of consciousness",
|
||||
"label": "1c. LOC commands",
|
||||
"help_text": "Open and close eyes; grip and release non-paretic hand.",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 30,
|
||||
"score_key": "loc",
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 2,
|
||||
"choices": [
|
||||
{ "code": "0", "label": "Performs both tasks correctly", "score": 0 },
|
||||
{ "code": "1", "label": "Performs one task correctly", "score": 1 },
|
||||
{ "code": "2", "label": "Performs neither task correctly", "score": 2 }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "2_gaze",
|
||||
"section": "2. Best gaze",
|
||||
"label": "2. Best gaze",
|
||||
"help_text": "Horizontal eye movements only.",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 40,
|
||||
"score_key": "gaze",
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 2,
|
||||
"choices": [
|
||||
{ "code": "0", "label": "Normal", "score": 0 },
|
||||
{ "code": "1", "label": "Partial gaze palsy", "score": 1 },
|
||||
{ "code": "2", "label": "Forced deviation, or total gaze paresis not overcome by oculocephalic maneuver", "score": 2 }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "3_visual",
|
||||
"section": "3. Visual",
|
||||
"label": "3. Visual fields",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 50,
|
||||
"score_key": "visual",
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 3,
|
||||
"choices": [
|
||||
{ "code": "0", "label": "No visual loss", "score": 0 },
|
||||
{ "code": "1", "label": "Partial hemianopia", "score": 1 },
|
||||
{ "code": "2", "label": "Complete hemianopia", "score": 2 },
|
||||
{ "code": "3", "label": "Bilateral hemianopia (blind including cortical blindness)", "score": 3 }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "4_facial",
|
||||
"section": "4. Facial palsy",
|
||||
"label": "4. Facial palsy",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 60,
|
||||
"score_key": "facial",
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 3,
|
||||
"choices": [
|
||||
{ "code": "0", "label": "Normal symmetrical movements", "score": 0 },
|
||||
{ "code": "1", "label": "Minor paralysis (flattened nasolabial fold, asymmetry on smiling)", "score": 1 },
|
||||
{ "code": "2", "label": "Partial paralysis (total or near-total paralysis of lower face)", "score": 2 },
|
||||
{ "code": "3", "label": "Complete paralysis of one or both sides (upper and lower face)", "score": 3 }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "5a_motor_arm_left",
|
||||
"section": "5. Motor arm",
|
||||
"label": "5a. Motor arm — left",
|
||||
"help_text": "Extend arms 90° (sitting) or 45° (supine) for 10 seconds.",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 70,
|
||||
"score_key": "motor_arm",
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 4,
|
||||
"choices": [
|
||||
{ "code": "0", "label": "No drift; limb holds 90° (or 45°) for full 10 seconds", "score": 0 },
|
||||
{ "code": "1", "label": "Drift; limb holds but drifts down before full 10 seconds", "score": 1 },
|
||||
{ "code": "2", "label": "Some effort against gravity", "score": 2 },
|
||||
{ "code": "3", "label": "No effort against gravity; limb falls", "score": 3 },
|
||||
{ "code": "4", "label": "No movement", "score": 4 },
|
||||
{ "code": "UN", "label": "Amputation or joint fusion (score as 0 for total; document)", "score": 0 }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "5b_motor_arm_right",
|
||||
"section": "5. Motor arm",
|
||||
"label": "5b. Motor arm — right",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 80,
|
||||
"score_key": "motor_arm",
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 4,
|
||||
"choices": [
|
||||
{ "code": "0", "label": "No drift; limb holds 90° (or 45°) for full 10 seconds", "score": 0 },
|
||||
{ "code": "1", "label": "Drift; limb holds but drifts down before full 10 seconds", "score": 1 },
|
||||
{ "code": "2", "label": "Some effort against gravity", "score": 2 },
|
||||
{ "code": "3", "label": "No effort against gravity; limb falls", "score": 3 },
|
||||
{ "code": "4", "label": "No movement", "score": 4 },
|
||||
{ "code": "UN", "label": "Amputation or joint fusion (score as 0 for total; document)", "score": 0 }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "6a_motor_leg_left",
|
||||
"section": "6. Motor leg",
|
||||
"label": "6a. Motor leg — left",
|
||||
"help_text": "Hold leg at 30° for 5 seconds (always tested supine).",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 90,
|
||||
"score_key": "motor_leg",
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 4,
|
||||
"choices": [
|
||||
{ "code": "0", "label": "No drift; leg holds 30° for full 5 seconds", "score": 0 },
|
||||
{ "code": "1", "label": "Drift; leg falls by the end of 5-second period but does not hit bed", "score": 1 },
|
||||
{ "code": "2", "label": "Some effort against gravity; leg falls to bed by 5 seconds", "score": 2 },
|
||||
{ "code": "3", "label": "No effort against gravity; leg falls to bed immediately", "score": 3 },
|
||||
{ "code": "4", "label": "No movement", "score": 4 },
|
||||
{ "code": "UN", "label": "Amputation or joint fusion (score as 0 for total; document)", "score": 0 }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "6b_motor_leg_right",
|
||||
"section": "6. Motor leg",
|
||||
"label": "6b. Motor leg — right",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 100,
|
||||
"score_key": "motor_leg",
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 4,
|
||||
"choices": [
|
||||
{ "code": "0", "label": "No drift; leg holds 30° for full 5 seconds", "score": 0 },
|
||||
{ "code": "1", "label": "Drift; leg falls by the end of 5-second period but does not hit bed", "score": 1 },
|
||||
{ "code": "2", "label": "Some effort against gravity; leg falls to bed by 5 seconds", "score": 2 },
|
||||
{ "code": "3", "label": "No effort against gravity; leg falls to bed immediately", "score": 3 },
|
||||
{ "code": "4", "label": "No movement", "score": 4 },
|
||||
{ "code": "UN", "label": "Amputation or joint fusion (score as 0 for total; document)", "score": 0 }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "7_ataxia",
|
||||
"section": "7. Limb ataxia",
|
||||
"label": "7. Limb ataxia",
|
||||
"help_text": "Finger-nose-finger and heel-shin tests on both sides.",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 110,
|
||||
"score_key": "ataxia",
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 2,
|
||||
"choices": [
|
||||
{ "code": "0", "label": "Absent", "score": 0 },
|
||||
{ "code": "1", "label": "Present in one limb", "score": 1 },
|
||||
{ "code": "2", "label": "Present in two limbs", "score": 2 },
|
||||
{ "code": "UN", "label": "Amputation or joint fusion (score as 0; document)", "score": 0 }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "8_sensory",
|
||||
"section": "8. Sensory",
|
||||
"label": "8. Sensory",
|
||||
"help_text": "Sensation or grimace to pinprick when consciousness decreased.",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 120,
|
||||
"score_key": "sensory",
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 2,
|
||||
"choices": [
|
||||
{ "code": "0", "label": "Normal; no sensory loss", "score": 0 },
|
||||
{ "code": "1", "label": "Mild-to-moderate sensory loss", "score": 1 },
|
||||
{ "code": "2", "label": "Severe to total sensory loss", "score": 2 }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "9_language",
|
||||
"section": "9. Best language",
|
||||
"label": "9. Best language",
|
||||
"help_text": "Describe picture, name items, read sentences.",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 130,
|
||||
"score_key": "language",
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 3,
|
||||
"choices": [
|
||||
{ "code": "0", "label": "No aphasia; normal", "score": 0 },
|
||||
{ "code": "1", "label": "Mild-to-moderate aphasia", "score": 1 },
|
||||
{ "code": "2", "label": "Severe aphasia", "score": 2 },
|
||||
{ "code": "3", "label": "Mute, global aphasia; no usable speech or auditory comprehension", "score": 3 }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "10_dysarthria",
|
||||
"section": "10. Dysarthria",
|
||||
"label": "10. Dysarthria",
|
||||
"help_text": "Read or repeat words from list.",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 140,
|
||||
"score_key": "dysarthria",
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 2,
|
||||
"choices": [
|
||||
{ "code": "0", "label": "Normal", "score": 0 },
|
||||
{ "code": "1", "label": "Mild-to-moderate dysarthria", "score": 1 },
|
||||
{ "code": "2", "label": "Severe dysarthria; unintelligible or mute/anarthric", "score": 2 },
|
||||
{ "code": "UN", "label": "Intubated or other physical barrier (score as 0; document)", "score": 0 }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "11_extinction",
|
||||
"section": "11. Extinction and inattention",
|
||||
"label": "11. Extinction and inattention (formerly neglect)",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 150,
|
||||
"score_key": "extinction",
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 2,
|
||||
"choices": [
|
||||
{ "code": "0", "label": "No abnormality", "score": 0 },
|
||||
{ "code": "1", "label": "Visual, tactile, auditory, spatial, or personal inattention; or extinction to bilateral simultaneous stimulation in one sensory modality", "score": 1 },
|
||||
{ "code": "2", "label": "Profound hemi-inattention or extinction to more than one modality; does not recognize own hand or orients to only one side of space", "score": 2 }
|
||||
]
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,144 @@
|
||||
{
|
||||
"template": {
|
||||
"code": "orthopaedics_core",
|
||||
"name": "Orthopaedics assessment",
|
||||
"category": "disease",
|
||||
"version": 1,
|
||||
"is_current": true,
|
||||
"is_active": true,
|
||||
"scoring_strategy": null,
|
||||
"description": "Injury/region, pain, weight-bearing, fracture status.",
|
||||
"meta": {
|
||||
"capture_roles": [
|
||||
"doctor",
|
||||
"nurse"
|
||||
],
|
||||
"specialty": "orthopaedics",
|
||||
"estimated_minutes": 8,
|
||||
"pathway_codes": [
|
||||
"orthopaedics"
|
||||
],
|
||||
"attribution": "Ladill Care Orthopaedics assessment content pack (platform-authored clinical checklist)."
|
||||
}
|
||||
},
|
||||
"questions": [
|
||||
{
|
||||
"code": "region",
|
||||
"section": "Injury",
|
||||
"label": "Anatomical region",
|
||||
"answer_type": "text",
|
||||
"is_required": true,
|
||||
"sort_order": 10,
|
||||
"validation": {
|
||||
"max": 5000
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "weight_bearing",
|
||||
"section": "Function",
|
||||
"label": "Weight-bearing status",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": true,
|
||||
"sort_order": 20,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "full",
|
||||
"label": "Full"
|
||||
},
|
||||
{
|
||||
"code": "partial",
|
||||
"label": "Partial"
|
||||
},
|
||||
{
|
||||
"code": "non",
|
||||
"label": "Non-weight-bearing"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "pain_score",
|
||||
"section": "Symptoms",
|
||||
"label": "Pain score (0\u201310)",
|
||||
"answer_type": "scale",
|
||||
"is_required": false,
|
||||
"sort_order": 30,
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 10
|
||||
},
|
||||
"validation": {
|
||||
"min": 0,
|
||||
"max": 10
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "fracture_status",
|
||||
"section": "Imaging",
|
||||
"label": "Fracture status",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 40,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "none",
|
||||
"label": "No fracture"
|
||||
},
|
||||
{
|
||||
"code": "suspected",
|
||||
"label": "Suspected"
|
||||
},
|
||||
{
|
||||
"code": "confirmed",
|
||||
"label": "Confirmed"
|
||||
},
|
||||
{
|
||||
"code": "healed",
|
||||
"label": "Healing/healed"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "operative_plan",
|
||||
"section": "Plan",
|
||||
"label": "Operative plan",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 50,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "none",
|
||||
"label": "Conservative"
|
||||
},
|
||||
{
|
||||
"code": "planned",
|
||||
"label": "Surgery planned"
|
||||
},
|
||||
{
|
||||
"code": "done",
|
||||
"label": "Post-op"
|
||||
},
|
||||
{
|
||||
"code": "unknown",
|
||||
"label": "Unknown"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "notes",
|
||||
"section": "Notes",
|
||||
"label": "Notes",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 100,
|
||||
"validation": {
|
||||
"max": 5000
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,120 @@
|
||||
{
|
||||
"template": {
|
||||
"code": "outcome_core",
|
||||
"name": "Outcome measures",
|
||||
"category": "outcome",
|
||||
"version": 1,
|
||||
"is_current": true,
|
||||
"is_active": true,
|
||||
"scoring_strategy": null,
|
||||
"description": "Generic longitudinal outcome tracking across conditions. Prefer typed vitals for weight/BP.",
|
||||
"meta": {
|
||||
"capture_roles": ["doctor", "nurse"],
|
||||
"specialty": "general",
|
||||
"estimated_minutes": 5,
|
||||
"attribution": "Ladill Care generic outcome measures (platform-authored)."
|
||||
}
|
||||
},
|
||||
"questions": [
|
||||
{
|
||||
"code": "quality_of_life",
|
||||
"section": "Patient-reported",
|
||||
"label": "Quality of life (0–10)",
|
||||
"help_text": "0 = worst imaginable, 10 = best imaginable.",
|
||||
"answer_type": "scale",
|
||||
"is_required": false,
|
||||
"sort_order": 10,
|
||||
"options": { "min": 0, "max": 10 },
|
||||
"validation": { "min": 0, "max": 10 }
|
||||
},
|
||||
{
|
||||
"code": "pain_score",
|
||||
"section": "Patient-reported",
|
||||
"label": "Pain score (0–10)",
|
||||
"answer_type": "scale",
|
||||
"is_required": false,
|
||||
"sort_order": 20,
|
||||
"options": { "min": 0, "max": 10 },
|
||||
"validation": { "min": 0, "max": 10 }
|
||||
},
|
||||
{
|
||||
"code": "functional_independence",
|
||||
"section": "Function",
|
||||
"label": "Functional independence",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 30,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "independent", "label": "Independent" },
|
||||
{ "code": "minimal_help", "label": "Minimal help" },
|
||||
{ "code": "moderate_help", "label": "Moderate help" },
|
||||
{ "code": "dependent", "label": "Dependent" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "medication_adherence",
|
||||
"section": "Treatment",
|
||||
"label": "Medication adherence",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 40,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "good", "label": "Good (≥80%)" },
|
||||
{ "code": "fair", "label": "Fair" },
|
||||
{ "code": "poor", "label": "Poor" },
|
||||
{ "code": "unknown", "label": "Unknown" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "hospital_admissions_since_last",
|
||||
"section": "Events",
|
||||
"label": "Hospital admissions since last review",
|
||||
"answer_type": "integer",
|
||||
"is_required": false,
|
||||
"sort_order": 50,
|
||||
"options": { "min": 0, "max": 50 },
|
||||
"validation": { "min": 0, "max": 50 }
|
||||
},
|
||||
{
|
||||
"code": "falls_count",
|
||||
"section": "Events",
|
||||
"label": "Falls since last review",
|
||||
"answer_type": "integer",
|
||||
"is_required": false,
|
||||
"sort_order": 60,
|
||||
"options": { "min": 0, "max": 100 },
|
||||
"validation": { "min": 0, "max": 100 }
|
||||
},
|
||||
{
|
||||
"code": "readmissions_flag",
|
||||
"section": "Events",
|
||||
"label": "Unplanned readmission since last review?",
|
||||
"answer_type": "boolean",
|
||||
"is_required": false,
|
||||
"sort_order": 70
|
||||
},
|
||||
{
|
||||
"code": "patient_satisfaction",
|
||||
"section": "Patient-reported",
|
||||
"label": "Patient satisfaction (0–10)",
|
||||
"answer_type": "scale",
|
||||
"is_required": false,
|
||||
"sort_order": 80,
|
||||
"options": { "min": 0, "max": 10 },
|
||||
"validation": { "min": 0, "max": 10 }
|
||||
},
|
||||
{
|
||||
"code": "notes",
|
||||
"section": "Notes",
|
||||
"label": "Notes",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 90,
|
||||
"validation": { "max": 3000 }
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,156 @@
|
||||
{
|
||||
"template": {
|
||||
"code": "parkinsons_core",
|
||||
"name": "Parkinson's assessment",
|
||||
"category": "disease",
|
||||
"version": 1,
|
||||
"is_current": true,
|
||||
"is_active": true,
|
||||
"scoring_strategy": "single_value",
|
||||
"description": "Hoehn & Yahr, tremor, freezing, falls.",
|
||||
"meta": {
|
||||
"capture_roles": [
|
||||
"doctor"
|
||||
],
|
||||
"specialty": "neurology",
|
||||
"estimated_minutes": 8,
|
||||
"pathway_codes": [
|
||||
"parkinsons"
|
||||
],
|
||||
"attribution": "Ladill Care Parkinson's assessment content pack (platform-authored clinical checklist)."
|
||||
}
|
||||
},
|
||||
"questions": [
|
||||
{
|
||||
"code": "hoehn_yahr",
|
||||
"section": "Staging",
|
||||
"label": "Hoehn & Yahr stage",
|
||||
"answer_type": "score_item",
|
||||
"is_required": true,
|
||||
"sort_order": 10,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "1",
|
||||
"label": "1",
|
||||
"score": 1
|
||||
},
|
||||
{
|
||||
"code": "1.5",
|
||||
"label": "1.5",
|
||||
"score": 1.5
|
||||
},
|
||||
{
|
||||
"code": "2",
|
||||
"label": "2",
|
||||
"score": 2
|
||||
},
|
||||
{
|
||||
"code": "2.5",
|
||||
"label": "2.5",
|
||||
"score": 2.5
|
||||
},
|
||||
{
|
||||
"code": "3",
|
||||
"label": "3",
|
||||
"score": 3
|
||||
},
|
||||
{
|
||||
"code": "4",
|
||||
"label": "4",
|
||||
"score": 4
|
||||
},
|
||||
{
|
||||
"code": "5",
|
||||
"label": "5",
|
||||
"score": 5
|
||||
}
|
||||
]
|
||||
},
|
||||
"score_key": "hy"
|
||||
},
|
||||
{
|
||||
"code": "tremor_score",
|
||||
"section": "Motor",
|
||||
"label": "Tremor severity (0\u201310)",
|
||||
"answer_type": "scale",
|
||||
"is_required": false,
|
||||
"sort_order": 20,
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 10
|
||||
},
|
||||
"validation": {
|
||||
"min": 0,
|
||||
"max": 10
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "freezing",
|
||||
"section": "Motor",
|
||||
"label": "Freezing episodes",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 30,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "none",
|
||||
"label": "None"
|
||||
},
|
||||
{
|
||||
"code": "rare",
|
||||
"label": "Rare"
|
||||
},
|
||||
{
|
||||
"code": "frequent",
|
||||
"label": "Frequent"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "falls_6m",
|
||||
"section": "Safety",
|
||||
"label": "Falls in last 6 months",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 40,
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 50
|
||||
},
|
||||
"validation": {
|
||||
"min": 0,
|
||||
"max": 50
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "updrs_total",
|
||||
"section": "Motor",
|
||||
"label": "UPDRS total (if available)",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 50,
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 200
|
||||
},
|
||||
"validation": {
|
||||
"min": 0,
|
||||
"max": 200
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "notes",
|
||||
"section": "Notes",
|
||||
"label": "Notes",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 100,
|
||||
"validation": {
|
||||
"max": 5000
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,172 @@
|
||||
{
|
||||
"template": {
|
||||
"code": "pregnancy_core",
|
||||
"name": "Pregnancy assessment",
|
||||
"category": "disease",
|
||||
"version": 1,
|
||||
"is_current": true,
|
||||
"is_active": true,
|
||||
"scoring_strategy": null,
|
||||
"description": "Gestational age, parity, risk factors, BP, foetal movement.",
|
||||
"meta": {
|
||||
"capture_roles": [
|
||||
"doctor",
|
||||
"nurse"
|
||||
],
|
||||
"specialty": "obstetrics",
|
||||
"estimated_minutes": 8,
|
||||
"pathway_codes": [
|
||||
"pregnancy"
|
||||
],
|
||||
"attribution": "Ladill Care Pregnancy assessment content pack (platform-authored clinical checklist)."
|
||||
}
|
||||
},
|
||||
"questions": [
|
||||
{
|
||||
"code": "ga_weeks",
|
||||
"section": "Pregnancy",
|
||||
"label": "Gestational age (weeks)",
|
||||
"answer_type": "number",
|
||||
"is_required": true,
|
||||
"sort_order": 10,
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 45,
|
||||
"unit": "weeks"
|
||||
},
|
||||
"validation": {
|
||||
"min": 0,
|
||||
"max": 45
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "gravida",
|
||||
"section": "Obstetric history",
|
||||
"label": "Gravida",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 20,
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 20
|
||||
},
|
||||
"validation": {
|
||||
"min": 0,
|
||||
"max": 20
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "para",
|
||||
"section": "Obstetric history",
|
||||
"label": "Para",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 30,
|
||||
"options": {
|
||||
"min": 0,
|
||||
"max": 20
|
||||
},
|
||||
"validation": {
|
||||
"min": 0,
|
||||
"max": 20
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "sbp",
|
||||
"section": "Vitals",
|
||||
"label": "BP systolic",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 40,
|
||||
"options": {
|
||||
"min": 60,
|
||||
"max": 250,
|
||||
"unit": "mmHg"
|
||||
},
|
||||
"validation": {
|
||||
"min": 60,
|
||||
"max": 250
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "dbp",
|
||||
"section": "Vitals",
|
||||
"label": "BP diastolic",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 50,
|
||||
"options": {
|
||||
"min": 30,
|
||||
"max": 150,
|
||||
"unit": "mmHg"
|
||||
},
|
||||
"validation": {
|
||||
"min": 30,
|
||||
"max": 150
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "risk_category",
|
||||
"section": "Risk",
|
||||
"label": "Risk category",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": true,
|
||||
"sort_order": 60,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "low",
|
||||
"label": "Low"
|
||||
},
|
||||
{
|
||||
"code": "moderate",
|
||||
"label": "Moderate"
|
||||
},
|
||||
{
|
||||
"code": "high",
|
||||
"label": "High"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "foetal_movement",
|
||||
"section": "Foetal",
|
||||
"label": "Foetal movements",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 70,
|
||||
"options": {
|
||||
"choices": [
|
||||
{
|
||||
"code": "normal",
|
||||
"label": "Normal"
|
||||
},
|
||||
{
|
||||
"code": "reduced",
|
||||
"label": "Reduced"
|
||||
},
|
||||
{
|
||||
"code": "na",
|
||||
"label": "N/A early"
|
||||
},
|
||||
{
|
||||
"code": "unknown",
|
||||
"label": "Unknown"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "notes",
|
||||
"section": "Notes",
|
||||
"label": "Notes",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 100,
|
||||
"validation": {
|
||||
"max": 5000
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,179 @@
|
||||
{
|
||||
"template": {
|
||||
"code": "stroke_clinical",
|
||||
"name": "Stroke clinical assessment",
|
||||
"category": "disease",
|
||||
"version": 1,
|
||||
"is_current": true,
|
||||
"is_active": true,
|
||||
"scoring_strategy": null,
|
||||
"description": "Stroke subtype (incl. TIA), timeline, imaging, reperfusion, and focal findings. Optional on pathway activation.",
|
||||
"meta": {
|
||||
"capture_roles": ["doctor"],
|
||||
"specialty": "neurology",
|
||||
"estimated_minutes": 8,
|
||||
"pathway_codes": ["stroke"],
|
||||
"attribution": "Ladill Care stroke clinical form (platform-authored). Subtype field implements KD-19 (single stroke pathway for TIA and stroke)."
|
||||
}
|
||||
},
|
||||
"questions": [
|
||||
{
|
||||
"code": "stroke_subtype",
|
||||
"section": "Classification",
|
||||
"label": "Stroke / TIA subtype",
|
||||
"help_text": "TIA shares the stroke pathway; record subtype here (not a separate pathway).",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": true,
|
||||
"sort_order": 10,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "tia", "label": "TIA" },
|
||||
{ "code": "ischaemic", "label": "Ischaemic stroke" },
|
||||
{ "code": "haemorrhagic", "label": "Haemorrhagic stroke" },
|
||||
{ "code": "unspecified", "label": "Unspecified / under investigation" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "tlkw",
|
||||
"section": "Timeline",
|
||||
"label": "Time last known well",
|
||||
"answer_type": "datetime",
|
||||
"is_required": false,
|
||||
"sort_order": 20
|
||||
},
|
||||
{
|
||||
"code": "symptom_onset",
|
||||
"section": "Timeline",
|
||||
"label": "Symptom onset (if witnessed)",
|
||||
"answer_type": "datetime",
|
||||
"is_required": false,
|
||||
"sort_order": 30
|
||||
},
|
||||
{
|
||||
"code": "ct_findings",
|
||||
"section": "Imaging",
|
||||
"label": "CT / imaging findings",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 40,
|
||||
"validation": { "max": 5000 }
|
||||
},
|
||||
{
|
||||
"code": "thrombolysis_status",
|
||||
"section": "Reperfusion",
|
||||
"label": "Thrombolysis status",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 50,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "not_indicated", "label": "Not indicated" },
|
||||
{ "code": "contraindicated", "label": "Contraindicated" },
|
||||
{ "code": "given", "label": "Given" },
|
||||
{ "code": "offered_declined", "label": "Offered / declined" },
|
||||
{ "code": "pending", "label": "Pending decision" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "thrombolysis_time",
|
||||
"section": "Reperfusion",
|
||||
"label": "Thrombolysis time (if given)",
|
||||
"answer_type": "datetime",
|
||||
"is_required": false,
|
||||
"sort_order": 60
|
||||
},
|
||||
{
|
||||
"code": "mechanical_thrombectomy",
|
||||
"section": "Reperfusion",
|
||||
"label": "Mechanical thrombectomy",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 70,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "not_indicated", "label": "Not indicated" },
|
||||
{ "code": "referred", "label": "Referred / transferred" },
|
||||
{ "code": "performed", "label": "Performed" },
|
||||
{ "code": "not_available", "label": "Not available" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "limb_strength",
|
||||
"section": "Findings",
|
||||
"label": "Limb strength summary",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 80,
|
||||
"validation": { "max": 2000 }
|
||||
},
|
||||
{
|
||||
"code": "aphasia",
|
||||
"section": "Findings",
|
||||
"label": "Aphasia",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 90,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "none", "label": "None" },
|
||||
{ "code": "mild", "label": "Mild" },
|
||||
{ "code": "moderate", "label": "Moderate" },
|
||||
{ "code": "severe", "label": "Severe" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "dysphagia",
|
||||
"section": "Findings",
|
||||
"label": "Dysphagia",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 100,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "none", "label": "None / not suspected" },
|
||||
{ "code": "suspected", "label": "Suspected" },
|
||||
{ "code": "confirmed", "label": "Confirmed" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "spasticity",
|
||||
"section": "Findings",
|
||||
"label": "Spasticity",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 110,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "none", "label": "None" },
|
||||
{ "code": "mild", "label": "Mild" },
|
||||
{ "code": "moderate", "label": "Moderate" },
|
||||
{ "code": "severe", "label": "Severe" },
|
||||
{ "code": "na_acute", "label": "N/A (hyperacute)" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "cognition",
|
||||
"section": "Findings",
|
||||
"label": "Cognition notes",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 120,
|
||||
"validation": { "max": 2000 }
|
||||
},
|
||||
{
|
||||
"code": "clinical_notes",
|
||||
"section": "Notes",
|
||||
"label": "Additional clinical notes",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 130,
|
||||
"validation": { "max": 10000 }
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,106 @@
|
||||
{
|
||||
"template": {
|
||||
"code": "stroke_swallow",
|
||||
"name": "Swallow assessment",
|
||||
"category": "disease",
|
||||
"version": 1,
|
||||
"is_current": true,
|
||||
"is_active": true,
|
||||
"scoring_strategy": null,
|
||||
"description": "Bedside swallow screen after stroke. Optional on stroke pathway.",
|
||||
"meta": {
|
||||
"capture_roles": ["doctor", "nurse"],
|
||||
"specialty": "neurology",
|
||||
"estimated_minutes": 5,
|
||||
"pathway_codes": ["stroke"],
|
||||
"attribution": "Ladill Care stroke swallow screen (platform-authored checklist). Not a substitute for formal SALT assessment."
|
||||
}
|
||||
},
|
||||
"questions": [
|
||||
{
|
||||
"code": "npo_status",
|
||||
"section": "Screen",
|
||||
"label": "Nil by mouth status",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": true,
|
||||
"sort_order": 10,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "npo", "label": "NBM / NPO" },
|
||||
{ "code": "oral_allowed", "label": "Oral intake allowed" },
|
||||
{ "code": "modified", "label": "Modified texture only" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "level_of_alertness",
|
||||
"section": "Screen",
|
||||
"label": "Alert enough for swallow trial?",
|
||||
"answer_type": "boolean",
|
||||
"is_required": true,
|
||||
"sort_order": 20
|
||||
},
|
||||
{
|
||||
"code": "voice_wet",
|
||||
"section": "Screen",
|
||||
"label": "Wet / gurgly voice after sip?",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 30,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "no", "label": "No" },
|
||||
{ "code": "yes", "label": "Yes" },
|
||||
{ "code": "not_tested", "label": "Not tested" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "cough_after_sip",
|
||||
"section": "Screen",
|
||||
"label": "Cough / choke on water trial?",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 40,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "no", "label": "No" },
|
||||
{ "code": "yes", "label": "Yes" },
|
||||
{ "code": "not_tested", "label": "Not tested" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "screen_result",
|
||||
"section": "Result",
|
||||
"label": "Screen result",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": true,
|
||||
"sort_order": 50,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "pass", "label": "Pass — oral trial appropriate" },
|
||||
{ "code": "fail", "label": "Fail — keep NBM, refer SALT" },
|
||||
{ "code": "deferred", "label": "Deferred — not safe to screen" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "salt_referral",
|
||||
"section": "Result",
|
||||
"label": "Speech & language therapy referral",
|
||||
"answer_type": "boolean",
|
||||
"is_required": false,
|
||||
"sort_order": 60
|
||||
},
|
||||
{
|
||||
"code": "notes",
|
||||
"section": "Result",
|
||||
"label": "Notes",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 70,
|
||||
"validation": { "max": 2000 }
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,256 @@
|
||||
{
|
||||
"template": {
|
||||
"code": "universal_intake",
|
||||
"name": "Universal Intake",
|
||||
"category": "universal",
|
||||
"version": 1,
|
||||
"is_current": true,
|
||||
"is_active": true,
|
||||
"scoring_strategy": null,
|
||||
"description": "Disease-agnostic structured intake: presenting complaint, social history, and functional status. Demographics, allergies, vitals, and labs remain on typed Care forms.",
|
||||
"meta": {
|
||||
"capture_roles": ["doctor", "nurse"],
|
||||
"specialty": "general",
|
||||
"estimated_minutes": 8,
|
||||
"attribution": "Ladill Care universal clinical intake (platform-authored). Not a licensed third-party instrument."
|
||||
}
|
||||
},
|
||||
"questions": [
|
||||
{
|
||||
"code": "chief_complaint",
|
||||
"section": "Presenting complaint",
|
||||
"label": "Chief complaint",
|
||||
"help_text": "Primary reason for this visit in the patient's own words when possible.",
|
||||
"answer_type": "textarea",
|
||||
"is_required": true,
|
||||
"sort_order": 10,
|
||||
"options": null,
|
||||
"validation": { "max": 2000 }
|
||||
},
|
||||
{
|
||||
"code": "hpi",
|
||||
"section": "Presenting complaint",
|
||||
"label": "History of presenting illness",
|
||||
"help_text": "Onset, course, associated features. Free-text symptoms on the consultation remain the narrative source of truth (not auto-synced).",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 20,
|
||||
"options": null,
|
||||
"validation": { "max": 10000 }
|
||||
},
|
||||
{
|
||||
"code": "duration_value",
|
||||
"section": "Presenting complaint",
|
||||
"label": "Duration (value)",
|
||||
"help_text": "Numeric duration; pair with duration unit.",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 30,
|
||||
"options": { "min": 0, "max": 9999 },
|
||||
"validation": { "min": 0, "max": 9999 }
|
||||
},
|
||||
{
|
||||
"code": "duration_unit",
|
||||
"section": "Presenting complaint",
|
||||
"label": "Duration unit",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 40,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "minutes", "label": "Minutes" },
|
||||
{ "code": "hours", "label": "Hours" },
|
||||
{ "code": "days", "label": "Days" },
|
||||
{ "code": "weeks", "label": "Weeks" },
|
||||
{ "code": "months", "label": "Months" },
|
||||
{ "code": "years", "label": "Years" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "pain_score",
|
||||
"section": "Presenting complaint",
|
||||
"label": "Pain score (0–10)",
|
||||
"help_text": "0 = no pain, 10 = worst imaginable pain.",
|
||||
"answer_type": "scale",
|
||||
"is_required": false,
|
||||
"sort_order": 50,
|
||||
"options": { "min": 0, "max": 10 },
|
||||
"validation": { "min": 0, "max": 10 }
|
||||
},
|
||||
{
|
||||
"code": "current_symptoms",
|
||||
"section": "Presenting complaint",
|
||||
"label": "Current symptoms",
|
||||
"help_text": "Structured symptom list or free description. Does not replace consultation free-text symptoms.",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 60,
|
||||
"options": null,
|
||||
"validation": { "max": 5000 }
|
||||
},
|
||||
{
|
||||
"code": "smoking_status",
|
||||
"section": "Social history",
|
||||
"label": "Smoking status",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 100,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "never", "label": "Never smoked" },
|
||||
{ "code": "former", "label": "Former smoker" },
|
||||
{ "code": "current", "label": "Current smoker" },
|
||||
{ "code": "unknown", "label": "Unknown / not asked" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "smoking_pack_years",
|
||||
"section": "Social history",
|
||||
"label": "Smoking pack-years",
|
||||
"help_text": "If former or current smoker. Packs/day × years.",
|
||||
"answer_type": "number",
|
||||
"is_required": false,
|
||||
"sort_order": 110,
|
||||
"options": { "min": 0, "max": 500, "unit": "pack-years" },
|
||||
"validation": { "min": 0, "max": 500 }
|
||||
},
|
||||
{
|
||||
"code": "alcohol_use",
|
||||
"section": "Social history",
|
||||
"label": "Alcohol use",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 120,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "none", "label": "None" },
|
||||
{ "code": "occasional", "label": "Occasional" },
|
||||
{ "code": "moderate", "label": "Moderate" },
|
||||
{ "code": "heavy", "label": "Heavy" },
|
||||
{ "code": "unknown", "label": "Unknown / not asked" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "occupation",
|
||||
"section": "Social history",
|
||||
"label": "Occupation",
|
||||
"answer_type": "text",
|
||||
"is_required": false,
|
||||
"sort_order": 130,
|
||||
"options": null,
|
||||
"validation": { "max": 255 }
|
||||
},
|
||||
{
|
||||
"code": "mobility",
|
||||
"section": "Functional status",
|
||||
"label": "Mobility",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 200,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "independent", "label": "Independent" },
|
||||
{ "code": "with_aid", "label": "With aid (stick/frame)" },
|
||||
{ "code": "wheelchair", "label": "Wheelchair" },
|
||||
{ "code": "bedbound", "label": "Bedbound" },
|
||||
{ "code": "unknown", "label": "Unknown" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "communication",
|
||||
"section": "Functional status",
|
||||
"label": "Communication",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 210,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "normal", "label": "Normal" },
|
||||
{ "code": "impaired", "label": "Impaired" },
|
||||
{ "code": "non_verbal", "label": "Non-verbal" },
|
||||
{ "code": "unknown", "label": "Unknown" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "vision",
|
||||
"section": "Functional status",
|
||||
"label": "Vision",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 220,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "normal", "label": "Normal / corrected" },
|
||||
{ "code": "impaired", "label": "Impaired" },
|
||||
{ "code": "blind", "label": "Blind" },
|
||||
{ "code": "unknown", "label": "Unknown" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "hearing",
|
||||
"section": "Functional status",
|
||||
"label": "Hearing",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 230,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "normal", "label": "Normal" },
|
||||
{ "code": "impaired", "label": "Impaired" },
|
||||
{ "code": "deaf", "label": "Deaf" },
|
||||
{ "code": "unknown", "label": "Unknown" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "feeding",
|
||||
"section": "Functional status",
|
||||
"label": "Feeding",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 240,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "independent", "label": "Independent" },
|
||||
{ "code": "needs_help", "label": "Needs help" },
|
||||
{ "code": "dependent", "label": "Dependent / tube" },
|
||||
{ "code": "unknown", "label": "Unknown" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "continence",
|
||||
"section": "Functional status",
|
||||
"label": "Continence",
|
||||
"answer_type": "single_choice",
|
||||
"is_required": false,
|
||||
"sort_order": 250,
|
||||
"options": {
|
||||
"choices": [
|
||||
{ "code": "continent", "label": "Continent" },
|
||||
{ "code": "occasional", "label": "Occasional incontinence" },
|
||||
{ "code": "incontinent", "label": "Incontinent" },
|
||||
{ "code": "catheter", "label": "Catheter / diversion" },
|
||||
{ "code": "unknown", "label": "Unknown" }
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"code": "baseline_labs_summary",
|
||||
"section": "Baseline laboratories",
|
||||
"label": "Baseline labs summary (optional)",
|
||||
"help_text": "Free-text summary only. Prefer ordered investigation results in Lab for structured values (CBC, glucose, creatinine, electrolytes).",
|
||||
"answer_type": "textarea",
|
||||
"is_required": false,
|
||||
"sort_order": 300,
|
||||
"options": null,
|
||||
"validation": { "max": 5000 }
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,32 @@
|
||||
{
|
||||
"pathway": {
|
||||
"code": "asthma",
|
||||
"name": "Asthma",
|
||||
"description": "Asthma clinical pathway.",
|
||||
"match_rules": {
|
||||
"icd_prefixes": [
|
||||
"J45"
|
||||
],
|
||||
"keywords": [
|
||||
"asthma",
|
||||
"asthmatic"
|
||||
],
|
||||
"exclude_keywords": [
|
||||
"family history"
|
||||
]
|
||||
},
|
||||
"is_active": true,
|
||||
"sort_order": 60,
|
||||
"meta": {
|
||||
"specialty": "respiratory"
|
||||
}
|
||||
},
|
||||
"templates": [
|
||||
{
|
||||
"template_code": "asthma_core",
|
||||
"is_required_on_activation": true,
|
||||
"phase": "any",
|
||||
"sort_order": 1
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,36 @@
|
||||
{
|
||||
"pathway": {
|
||||
"code": "cancer",
|
||||
"name": "Cancer",
|
||||
"description": "Cancer clinical pathway.",
|
||||
"match_rules": {
|
||||
"icd_prefixes": [
|
||||
"C"
|
||||
],
|
||||
"keywords": [
|
||||
"cancer",
|
||||
"carcinoma",
|
||||
"malignancy",
|
||||
"malignant neoplasm",
|
||||
"tumour",
|
||||
"tumor"
|
||||
],
|
||||
"exclude_keywords": [
|
||||
"family history"
|
||||
]
|
||||
},
|
||||
"is_active": true,
|
||||
"sort_order": 100,
|
||||
"meta": {
|
||||
"specialty": "oncology"
|
||||
}
|
||||
},
|
||||
"templates": [
|
||||
{
|
||||
"template_code": "cancer_core",
|
||||
"is_required_on_activation": true,
|
||||
"phase": "any",
|
||||
"sort_order": 1
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,36 @@
|
||||
{
|
||||
"pathway": {
|
||||
"code": "ckd",
|
||||
"name": "CKD",
|
||||
"description": "CKD clinical pathway.",
|
||||
"match_rules": {
|
||||
"icd_prefixes": [
|
||||
"N18",
|
||||
"N19"
|
||||
],
|
||||
"keywords": [
|
||||
"ckd",
|
||||
"chronic kidney",
|
||||
"chronic renal",
|
||||
"end stage renal",
|
||||
"esrd"
|
||||
],
|
||||
"exclude_keywords": [
|
||||
"family history"
|
||||
]
|
||||
},
|
||||
"is_active": true,
|
||||
"sort_order": 40,
|
||||
"meta": {
|
||||
"specialty": "nephrology"
|
||||
}
|
||||
},
|
||||
"templates": [
|
||||
{
|
||||
"template_code": "ckd_core",
|
||||
"is_required_on_activation": true,
|
||||
"phase": "any",
|
||||
"sort_order": 1
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,34 @@
|
||||
{
|
||||
"pathway": {
|
||||
"code": "copd",
|
||||
"name": "COPD",
|
||||
"description": "COPD clinical pathway.",
|
||||
"match_rules": {
|
||||
"icd_prefixes": [
|
||||
"J44"
|
||||
],
|
||||
"keywords": [
|
||||
"copd",
|
||||
"chronic obstructive",
|
||||
"emphysema",
|
||||
"chronic bronchitis"
|
||||
],
|
||||
"exclude_keywords": [
|
||||
"family history"
|
||||
]
|
||||
},
|
||||
"is_active": true,
|
||||
"sort_order": 70,
|
||||
"meta": {
|
||||
"specialty": "respiratory"
|
||||
}
|
||||
},
|
||||
"templates": [
|
||||
{
|
||||
"template_code": "copd_core",
|
||||
"is_required_on_activation": true,
|
||||
"phase": "any",
|
||||
"sort_order": 1
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,38 @@
|
||||
{
|
||||
"pathway": {
|
||||
"code": "dementia",
|
||||
"name": "Dementia",
|
||||
"description": "Dementia clinical pathway.",
|
||||
"match_rules": {
|
||||
"icd_prefixes": [
|
||||
"F00",
|
||||
"F01",
|
||||
"F02",
|
||||
"F03",
|
||||
"G30"
|
||||
],
|
||||
"keywords": [
|
||||
"dementia",
|
||||
"alzheimer",
|
||||
"alzheimers",
|
||||
"vascular dementia"
|
||||
],
|
||||
"exclude_keywords": [
|
||||
"family history"
|
||||
]
|
||||
},
|
||||
"is_active": true,
|
||||
"sort_order": 80,
|
||||
"meta": {
|
||||
"specialty": "neurology"
|
||||
}
|
||||
},
|
||||
"templates": [
|
||||
{
|
||||
"template_code": "dementia_core",
|
||||
"is_required_on_activation": true,
|
||||
"phase": "any",
|
||||
"sort_order": 1
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,36 @@
|
||||
{
|
||||
"pathway": {
|
||||
"code": "diabetes",
|
||||
"name": "Diabetes",
|
||||
"description": "Diabetes mellitus clinical pathway for structured review assessments.",
|
||||
"match_rules": {
|
||||
"icd_prefixes": ["E10", "E11", "E12", "E13", "E14"],
|
||||
"keywords": [
|
||||
"diabetes",
|
||||
"diabetic",
|
||||
"type 1 diabetes",
|
||||
"type 2 diabetes",
|
||||
"dm",
|
||||
"iddm",
|
||||
"niddm",
|
||||
"hyperglycaemia",
|
||||
"hyperglycemia"
|
||||
],
|
||||
"exclude_keywords": ["family history", "gestational diabetes risk"]
|
||||
},
|
||||
"is_active": true,
|
||||
"sort_order": 20,
|
||||
"meta": {
|
||||
"specialty": "endocrinology",
|
||||
"color": "amber"
|
||||
}
|
||||
},
|
||||
"templates": [
|
||||
{
|
||||
"template_code": "diabetes_core",
|
||||
"is_required_on_activation": true,
|
||||
"phase": "any",
|
||||
"sort_order": 1
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,37 @@
|
||||
{
|
||||
"pathway": {
|
||||
"code": "heart_failure",
|
||||
"name": "Heart Failure",
|
||||
"description": "Heart Failure clinical pathway.",
|
||||
"match_rules": {
|
||||
"icd_prefixes": [
|
||||
"I50",
|
||||
"I11"
|
||||
],
|
||||
"keywords": [
|
||||
"heart failure",
|
||||
"chf",
|
||||
"ccf",
|
||||
"hfrEF",
|
||||
"hfpef",
|
||||
"congestive cardiac failure"
|
||||
],
|
||||
"exclude_keywords": [
|
||||
"family history"
|
||||
]
|
||||
},
|
||||
"is_active": true,
|
||||
"sort_order": 30,
|
||||
"meta": {
|
||||
"specialty": "cardiology"
|
||||
}
|
||||
},
|
||||
"templates": [
|
||||
{
|
||||
"template_code": "heart_failure_core",
|
||||
"is_required_on_activation": true,
|
||||
"phase": "any",
|
||||
"sort_order": 1
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,38 @@
|
||||
{
|
||||
"pathway": {
|
||||
"code": "hypertension",
|
||||
"name": "Hypertension",
|
||||
"description": "Hypertension clinical pathway.",
|
||||
"match_rules": {
|
||||
"icd_prefixes": [
|
||||
"I10",
|
||||
"I11",
|
||||
"I12",
|
||||
"I13",
|
||||
"I15"
|
||||
],
|
||||
"keywords": [
|
||||
"hypertension",
|
||||
"high blood pressure",
|
||||
"htn",
|
||||
"hypertensive"
|
||||
],
|
||||
"exclude_keywords": [
|
||||
"family history"
|
||||
]
|
||||
},
|
||||
"is_active": true,
|
||||
"sort_order": 50,
|
||||
"meta": {
|
||||
"specialty": "cardiology"
|
||||
}
|
||||
},
|
||||
"templates": [
|
||||
{
|
||||
"template_code": "hypertension_core",
|
||||
"is_required_on_activation": true,
|
||||
"phase": "any",
|
||||
"sort_order": 1
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,38 @@
|
||||
{
|
||||
"pathway": {
|
||||
"code": "orthopaedics",
|
||||
"name": "Orthopaedics",
|
||||
"description": "Orthopaedics clinical pathway.",
|
||||
"match_rules": {
|
||||
"icd_prefixes": [
|
||||
"S",
|
||||
"M80",
|
||||
"M81",
|
||||
"M84"
|
||||
],
|
||||
"keywords": [
|
||||
"fracture",
|
||||
"orthopaedic",
|
||||
"orthopedic",
|
||||
"dislocation",
|
||||
"sprain"
|
||||
],
|
||||
"exclude_keywords": [
|
||||
"family history"
|
||||
]
|
||||
},
|
||||
"is_active": true,
|
||||
"sort_order": 120,
|
||||
"meta": {
|
||||
"specialty": "orthopaedics"
|
||||
}
|
||||
},
|
||||
"templates": [
|
||||
{
|
||||
"template_code": "orthopaedics_core",
|
||||
"is_required_on_activation": true,
|
||||
"phase": "any",
|
||||
"sort_order": 1
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,33 @@
|
||||
{
|
||||
"pathway": {
|
||||
"code": "parkinsons",
|
||||
"name": "Parkinson's",
|
||||
"description": "Parkinson's clinical pathway.",
|
||||
"match_rules": {
|
||||
"icd_prefixes": [
|
||||
"G20"
|
||||
],
|
||||
"keywords": [
|
||||
"parkinson",
|
||||
"parkinsons",
|
||||
"parkinson's disease"
|
||||
],
|
||||
"exclude_keywords": [
|
||||
"family history"
|
||||
]
|
||||
},
|
||||
"is_active": true,
|
||||
"sort_order": 90,
|
||||
"meta": {
|
||||
"specialty": "neurology"
|
||||
}
|
||||
},
|
||||
"templates": [
|
||||
{
|
||||
"template_code": "parkinsons_core",
|
||||
"is_required_on_activation": true,
|
||||
"phase": "any",
|
||||
"sort_order": 1
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,36 @@
|
||||
{
|
||||
"pathway": {
|
||||
"code": "pregnancy",
|
||||
"name": "Pregnancy",
|
||||
"description": "Pregnancy clinical pathway.",
|
||||
"match_rules": {
|
||||
"icd_prefixes": [
|
||||
"O",
|
||||
"Z33",
|
||||
"Z34"
|
||||
],
|
||||
"keywords": [
|
||||
"pregnancy",
|
||||
"pregnant",
|
||||
"antenatal",
|
||||
"prenatal"
|
||||
],
|
||||
"exclude_keywords": [
|
||||
"family history"
|
||||
]
|
||||
},
|
||||
"is_active": true,
|
||||
"sort_order": 110,
|
||||
"meta": {
|
||||
"specialty": "obstetrics"
|
||||
}
|
||||
},
|
||||
"templates": [
|
||||
{
|
||||
"template_code": "pregnancy_core",
|
||||
"is_required_on_activation": true,
|
||||
"phase": "any",
|
||||
"sort_order": 1
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,68 @@
|
||||
{
|
||||
"pathway": {
|
||||
"code": "stroke",
|
||||
"name": "Stroke",
|
||||
"description": "Acute and follow-up stroke clinical pathway (includes TIA as subtype on assessments).",
|
||||
"match_rules": {
|
||||
"icd_prefixes": ["I60", "I61", "I62", "I63", "I64", "G45"],
|
||||
"keywords": [
|
||||
"stroke",
|
||||
"cva",
|
||||
"tia",
|
||||
"transient ischaemic attack",
|
||||
"transient ischemic attack",
|
||||
"cerebrovascular",
|
||||
"hemiplegia",
|
||||
"ischaemic stroke",
|
||||
"ischemic stroke",
|
||||
"hemorrhagic stroke",
|
||||
"haemorrhagic stroke"
|
||||
],
|
||||
"exclude_keywords": ["family history"]
|
||||
},
|
||||
"is_active": true,
|
||||
"sort_order": 10,
|
||||
"meta": {
|
||||
"specialty": "neurology",
|
||||
"color": "rose"
|
||||
}
|
||||
},
|
||||
"templates": [
|
||||
{
|
||||
"template_code": "nihss",
|
||||
"is_required_on_activation": true,
|
||||
"phase": "acute",
|
||||
"sort_order": 1
|
||||
},
|
||||
{
|
||||
"template_code": "mrs",
|
||||
"is_required_on_activation": true,
|
||||
"phase": "acute",
|
||||
"sort_order": 2
|
||||
},
|
||||
{
|
||||
"template_code": "gcs",
|
||||
"is_required_on_activation": false,
|
||||
"phase": "acute",
|
||||
"sort_order": 3
|
||||
},
|
||||
{
|
||||
"template_code": "stroke_clinical",
|
||||
"is_required_on_activation": false,
|
||||
"phase": "acute",
|
||||
"sort_order": 4
|
||||
},
|
||||
{
|
||||
"template_code": "stroke_swallow",
|
||||
"is_required_on_activation": false,
|
||||
"phase": "acute",
|
||||
"sort_order": 5
|
||||
},
|
||||
{
|
||||
"template_code": "barthel",
|
||||
"is_required_on_activation": false,
|
||||
"phase": "follow_up",
|
||||
"sort_order": 6
|
||||
}
|
||||
]
|
||||
}
|
||||
@@ -0,0 +1,109 @@
|
||||
<?php
|
||||
|
||||
use Illuminate\Database\Migrations\Migration;
|
||||
use Illuminate\Database\Schema\Blueprint;
|
||||
use Illuminate\Support\Facades\Schema;
|
||||
|
||||
/**
|
||||
* PR 1 — Assessment engine schema (templates, questions, assessments, answers).
|
||||
* Scores: PR 4. Pathways: PR 5.
|
||||
*/
|
||||
return new class extends Migration
|
||||
{
|
||||
public function up(): void
|
||||
{
|
||||
Schema::create('care_assessment_templates', function (Blueprint $table) {
|
||||
$table->id();
|
||||
$table->uuid('uuid')->unique();
|
||||
// v1 always NULL (system catalog). Reserved for future org forks.
|
||||
$table->foreignId('organization_id')->nullable()->constrained('care_organizations')->nullOnDelete();
|
||||
$table->string('code');
|
||||
$table->string('name');
|
||||
$table->string('category'); // universal, disease, outcome, screening
|
||||
$table->text('description')->nullable();
|
||||
$table->unsignedInteger('version')->default(1);
|
||||
$table->boolean('is_current')->default(true);
|
||||
$table->string('scoring_strategy')->nullable(); // sum_items, single_value, custom:Handler
|
||||
$table->json('meta')->nullable();
|
||||
$table->boolean('is_active')->default(true);
|
||||
$table->timestamps();
|
||||
$table->softDeletes();
|
||||
|
||||
// Valid for v1 (system-only rows). Org clones out of scope.
|
||||
$table->unique(['code', 'version']);
|
||||
$table->index(['category', 'is_current', 'is_active']);
|
||||
$table->index(['code', 'is_current']);
|
||||
});
|
||||
|
||||
Schema::create('care_assessment_questions', function (Blueprint $table) {
|
||||
$table->id();
|
||||
$table->foreignId('template_id')->constrained('care_assessment_templates')->cascadeOnDelete();
|
||||
$table->string('code');
|
||||
$table->string('section')->nullable();
|
||||
$table->string('label');
|
||||
$table->text('help_text')->nullable();
|
||||
$table->string('answer_type'); // text, number, boolean, date, single_choice, multi_choice, score_item, calculated
|
||||
$table->json('options')->nullable();
|
||||
$table->boolean('is_required')->default(false);
|
||||
$table->unsignedInteger('sort_order')->default(0);
|
||||
$table->string('score_key')->nullable();
|
||||
$table->json('validation')->nullable();
|
||||
$table->timestamps();
|
||||
|
||||
$table->unique(['template_id', 'code']);
|
||||
$table->index(['template_id', 'sort_order']);
|
||||
});
|
||||
|
||||
Schema::create('care_assessments', function (Blueprint $table) {
|
||||
$table->id();
|
||||
$table->uuid('uuid')->unique();
|
||||
$table->string('owner_ref')->index();
|
||||
$table->foreignId('organization_id')->constrained('care_organizations')->cascadeOnDelete();
|
||||
$table->foreignId('branch_id')->nullable()->constrained('care_branches')->nullOnDelete();
|
||||
$table->foreignId('patient_id')->constrained('care_patients')->cascadeOnDelete();
|
||||
// Frozen template version for historical integrity.
|
||||
$table->foreignId('template_id')->constrained('care_assessment_templates')->restrictOnDelete();
|
||||
$table->foreignId('consultation_id')->nullable()->constrained('care_consultations')->nullOnDelete();
|
||||
$table->foreignId('visit_id')->nullable()->constrained('care_visits')->nullOnDelete();
|
||||
// patient_pathway_id added in PR 5 when pathway tables exist.
|
||||
$table->foreignId('practitioner_id')->nullable()->constrained('care_practitioners')->nullOnDelete();
|
||||
$table->string('status')->default('draft'); // draft, completed, cancelled
|
||||
$table->timestamp('assessed_at')->nullable();
|
||||
$table->timestamp('completed_at')->nullable();
|
||||
$table->string('completed_by')->nullable();
|
||||
$table->string('started_by')->nullable();
|
||||
$table->text('notes')->nullable();
|
||||
$table->timestamps();
|
||||
$table->softDeletes();
|
||||
|
||||
$table->index(['patient_id', 'assessed_at']);
|
||||
$table->index(['consultation_id']);
|
||||
$table->index(['owner_ref', 'status']);
|
||||
$table->index(['template_id', 'status']);
|
||||
$table->index(['patient_id', 'template_id', 'status']);
|
||||
});
|
||||
|
||||
Schema::create('care_assessment_answers', function (Blueprint $table) {
|
||||
$table->id();
|
||||
$table->string('owner_ref')->index();
|
||||
$table->foreignId('assessment_id')->constrained('care_assessments')->cascadeOnDelete();
|
||||
$table->foreignId('question_id')->constrained('care_assessment_questions')->restrictOnDelete();
|
||||
$table->text('value_text')->nullable();
|
||||
$table->decimal('value_number', 12, 4)->nullable();
|
||||
$table->boolean('value_boolean')->nullable();
|
||||
$table->dateTime('value_date')->nullable();
|
||||
$table->json('value_json')->nullable();
|
||||
$table->timestamps();
|
||||
|
||||
$table->unique(['assessment_id', 'question_id']);
|
||||
});
|
||||
}
|
||||
|
||||
public function down(): void
|
||||
{
|
||||
Schema::dropIfExists('care_assessment_answers');
|
||||
Schema::dropIfExists('care_assessments');
|
||||
Schema::dropIfExists('care_assessment_questions');
|
||||
Schema::dropIfExists('care_assessment_templates');
|
||||
}
|
||||
};
|
||||
@@ -0,0 +1,33 @@
|
||||
<?php
|
||||
|
||||
use Illuminate\Database\Migrations\Migration;
|
||||
use Illuminate\Database\Schema\Blueprint;
|
||||
use Illuminate\Support\Facades\Schema;
|
||||
|
||||
/** PR 4 — materialize instrument scores on assessment complete. */
|
||||
return new class extends Migration
|
||||
{
|
||||
public function up(): void
|
||||
{
|
||||
Schema::create('care_assessment_scores', function (Blueprint $table) {
|
||||
$table->id();
|
||||
$table->string('owner_ref')->index();
|
||||
$table->foreignId('assessment_id')->constrained('care_assessments')->cascadeOnDelete();
|
||||
$table->string('template_code')->index();
|
||||
$table->decimal('total_score', 12, 4)->nullable();
|
||||
$table->decimal('max_score', 12, 4)->nullable();
|
||||
$table->json('subscores')->nullable();
|
||||
$table->string('severity_label')->nullable();
|
||||
$table->timestamp('computed_at');
|
||||
$table->timestamps();
|
||||
|
||||
$table->unique('assessment_id');
|
||||
$table->index(['owner_ref', 'template_code', 'computed_at']);
|
||||
});
|
||||
}
|
||||
|
||||
public function down(): void
|
||||
{
|
||||
Schema::dropIfExists('care_assessment_scores');
|
||||
}
|
||||
};
|
||||
@@ -0,0 +1,82 @@
|
||||
<?php
|
||||
|
||||
use Illuminate\Database\Migrations\Migration;
|
||||
use Illuminate\Database\Schema\Blueprint;
|
||||
use Illuminate\Support\Facades\Schema;
|
||||
|
||||
/**
|
||||
* PR 5 — clinical pathway catalog + patient pathway activation.
|
||||
* Pathway bindings use template_code only (no template_id FK).
|
||||
*/
|
||||
return new class extends Migration
|
||||
{
|
||||
public function up(): void
|
||||
{
|
||||
Schema::create('care_clinical_pathways', function (Blueprint $table) {
|
||||
$table->id();
|
||||
$table->uuid('uuid')->unique();
|
||||
$table->string('code')->unique();
|
||||
$table->string('name');
|
||||
$table->text('description')->nullable();
|
||||
$table->json('match_rules')->nullable();
|
||||
$table->boolean('is_active')->default(true);
|
||||
$table->unsignedInteger('sort_order')->default(0);
|
||||
$table->json('meta')->nullable();
|
||||
$table->timestamps();
|
||||
$table->softDeletes();
|
||||
$table->index(['is_active', 'sort_order']);
|
||||
});
|
||||
|
||||
Schema::create('care_pathway_templates', function (Blueprint $table) {
|
||||
$table->id();
|
||||
$table->foreignId('pathway_id')->constrained('care_clinical_pathways')->cascadeOnDelete();
|
||||
$table->string('template_code');
|
||||
$table->boolean('is_required_on_activation')->default(false);
|
||||
$table->string('phase')->default('any'); // acute, follow_up, any
|
||||
$table->unsignedInteger('sort_order')->default(0);
|
||||
$table->timestamps();
|
||||
|
||||
$table->unique(['pathway_id', 'template_code']);
|
||||
$table->index(['template_code']);
|
||||
});
|
||||
|
||||
Schema::create('care_patient_pathways', function (Blueprint $table) {
|
||||
$table->id();
|
||||
$table->uuid('uuid')->unique();
|
||||
$table->string('owner_ref')->index();
|
||||
$table->foreignId('organization_id')->constrained('care_organizations')->cascadeOnDelete();
|
||||
$table->foreignId('patient_id')->constrained('care_patients')->cascadeOnDelete();
|
||||
$table->foreignId('pathway_id')->constrained('care_clinical_pathways')->restrictOnDelete();
|
||||
$table->string('status')->default('active'); // active, resolved, inactive
|
||||
$table->timestamp('activated_at');
|
||||
$table->string('activated_by')->nullable();
|
||||
$table->foreignId('activation_consultation_id')->nullable()->constrained('care_consultations')->nullOnDelete();
|
||||
$table->string('activation_diagnosis_text')->nullable();
|
||||
$table->timestamp('resolved_at')->nullable();
|
||||
$table->text('notes')->nullable();
|
||||
$table->timestamps();
|
||||
$table->softDeletes();
|
||||
|
||||
$table->index(['patient_id', 'status']);
|
||||
$table->index(['patient_id', 'pathway_id', 'status']);
|
||||
});
|
||||
|
||||
Schema::table('care_assessments', function (Blueprint $table) {
|
||||
$table->foreignId('patient_pathway_id')
|
||||
->nullable()
|
||||
->after('visit_id')
|
||||
->constrained('care_patient_pathways')
|
||||
->nullOnDelete();
|
||||
});
|
||||
}
|
||||
|
||||
public function down(): void
|
||||
{
|
||||
Schema::table('care_assessments', function (Blueprint $table) {
|
||||
$table->dropConstrainedForeignId('patient_pathway_id');
|
||||
});
|
||||
Schema::dropIfExists('care_patient_pathways');
|
||||
Schema::dropIfExists('care_pathway_templates');
|
||||
Schema::dropIfExists('care_clinical_pathways');
|
||||
}
|
||||
};
|
||||
@@ -0,0 +1,131 @@
|
||||
<?php
|
||||
|
||||
namespace Database\Seeders;
|
||||
|
||||
use App\Models\AssessmentQuestion;
|
||||
use App\Models\AssessmentTemplate;
|
||||
use Illuminate\Database\Seeder;
|
||||
use Illuminate\Support\Facades\DB;
|
||||
use Illuminate\Support\Facades\File;
|
||||
use RuntimeException;
|
||||
|
||||
/**
|
||||
* Loads platform assessment content packs from database/data/assessments/*.json.
|
||||
* Upserts by (code, version); replaces questions for that template version.
|
||||
*/
|
||||
class AssessmentTemplateSeeder extends Seeder
|
||||
{
|
||||
public function run(): void
|
||||
{
|
||||
$dir = database_path('data/assessments');
|
||||
if (! is_dir($dir)) {
|
||||
$this->command?->warn("No assessment packs directory at {$dir}");
|
||||
|
||||
return;
|
||||
}
|
||||
|
||||
$files = collect(File::files($dir))
|
||||
->filter(fn ($file) => str_ends_with(strtolower($file->getFilename()), '.json'))
|
||||
->sortBy(fn ($file) => $file->getFilename())
|
||||
->values();
|
||||
|
||||
if ($files->isEmpty()) {
|
||||
$this->command?->warn('No assessment JSON packs found.');
|
||||
|
||||
return;
|
||||
}
|
||||
|
||||
foreach ($files as $file) {
|
||||
$this->seedPack($file->getPathname());
|
||||
}
|
||||
}
|
||||
|
||||
public function seedPack(string $path): AssessmentTemplate
|
||||
{
|
||||
$raw = File::get($path);
|
||||
$data = json_decode($raw, true);
|
||||
if (! is_array($data) || ! isset($data['template'], $data['questions'])) {
|
||||
throw new RuntimeException("Invalid assessment pack: {$path}");
|
||||
}
|
||||
|
||||
$t = $data['template'];
|
||||
foreach (['code', 'name', 'category', 'version'] as $required) {
|
||||
if (! array_key_exists($required, $t)) {
|
||||
throw new RuntimeException("Assessment pack missing template.{$required}: {$path}");
|
||||
}
|
||||
}
|
||||
|
||||
return DB::transaction(function () use ($t, $data, $path) {
|
||||
$template = AssessmentTemplate::withTrashed()
|
||||
->whereNull('organization_id')
|
||||
->where('code', $t['code'])
|
||||
->where('version', (int) $t['version'])
|
||||
->first();
|
||||
|
||||
$attributes = [
|
||||
'organization_id' => null,
|
||||
'code' => $t['code'],
|
||||
'name' => $t['name'],
|
||||
'category' => $t['category'],
|
||||
'description' => $t['description'] ?? null,
|
||||
'version' => (int) $t['version'],
|
||||
'is_current' => (bool) ($t['is_current'] ?? true),
|
||||
'is_active' => (bool) ($t['is_active'] ?? true),
|
||||
'scoring_strategy' => $t['scoring_strategy'] ?? null,
|
||||
'meta' => $t['meta'] ?? null,
|
||||
'deleted_at' => null,
|
||||
];
|
||||
|
||||
if ($template) {
|
||||
if ($template->trashed()) {
|
||||
$template->restore();
|
||||
}
|
||||
$template->fill(collect($attributes)->except('deleted_at')->all())->save();
|
||||
} else {
|
||||
$template = AssessmentTemplate::create(collect($attributes)->except('deleted_at')->all());
|
||||
}
|
||||
|
||||
if ($template->is_current) {
|
||||
AssessmentTemplate::query()
|
||||
->whereNull('organization_id')
|
||||
->where('code', $template->code)
|
||||
->where('id', '!=', $template->id)
|
||||
->where('is_current', true)
|
||||
->update(['is_current' => false]);
|
||||
}
|
||||
|
||||
// Replace questions for this template version (stable codes within version).
|
||||
AssessmentQuestion::query()->where('template_id', $template->id)->delete();
|
||||
|
||||
$sort = 0;
|
||||
foreach ($data['questions'] as $q) {
|
||||
if (empty($q['code']) || empty($q['label']) || empty($q['answer_type'])) {
|
||||
throw new RuntimeException("Invalid question in pack {$path}");
|
||||
}
|
||||
$sort++;
|
||||
AssessmentQuestion::create([
|
||||
'template_id' => $template->id,
|
||||
'code' => $q['code'],
|
||||
'section' => $q['section'] ?? null,
|
||||
'label' => $q['label'],
|
||||
'help_text' => $q['help_text'] ?? null,
|
||||
'answer_type' => $q['answer_type'],
|
||||
'options' => $q['options'] ?? null,
|
||||
'is_required' => (bool) ($q['is_required'] ?? false),
|
||||
'sort_order' => (int) ($q['sort_order'] ?? $sort),
|
||||
'score_key' => $q['score_key'] ?? null,
|
||||
'validation' => $q['validation'] ?? null,
|
||||
]);
|
||||
}
|
||||
|
||||
$this->command?->info(sprintf(
|
||||
'Seeded assessment pack %s v%d (%d questions)',
|
||||
$template->code,
|
||||
$template->version,
|
||||
count($data['questions']),
|
||||
));
|
||||
|
||||
return $template->fresh('questions');
|
||||
});
|
||||
}
|
||||
}
|
||||
@@ -0,0 +1,95 @@
|
||||
<?php
|
||||
|
||||
namespace Database\Seeders;
|
||||
|
||||
use App\Models\ClinicalPathway;
|
||||
use App\Models\PathwayTemplate;
|
||||
use Illuminate\Database\Seeder;
|
||||
use Illuminate\Support\Facades\DB;
|
||||
use Illuminate\Support\Facades\File;
|
||||
use RuntimeException;
|
||||
|
||||
/**
|
||||
* Loads platform pathway packs from database/data/pathways/*.json.
|
||||
* Bindings store template_code only (resolve is_current at assessment start).
|
||||
*/
|
||||
class ClinicalPathwaySeeder extends Seeder
|
||||
{
|
||||
public function run(): void
|
||||
{
|
||||
$dir = database_path('data/pathways');
|
||||
if (! is_dir($dir)) {
|
||||
$this->command?->warn("No pathway packs directory at {$dir}");
|
||||
|
||||
return;
|
||||
}
|
||||
|
||||
$files = collect(File::files($dir))
|
||||
->filter(fn ($file) => str_ends_with(strtolower($file->getFilename()), '.json'))
|
||||
->sortBy(fn ($file) => $file->getFilename())
|
||||
->values();
|
||||
|
||||
foreach ($files as $file) {
|
||||
$this->seedPack($file->getPathname());
|
||||
}
|
||||
}
|
||||
|
||||
public function seedPack(string $path): ClinicalPathway
|
||||
{
|
||||
$data = json_decode(File::get($path), true);
|
||||
if (! is_array($data) || ! isset($data['pathway'])) {
|
||||
throw new RuntimeException("Invalid pathway pack: {$path}");
|
||||
}
|
||||
|
||||
$p = $data['pathway'];
|
||||
if (empty($p['code']) || empty($p['name'])) {
|
||||
throw new RuntimeException("Pathway pack missing code/name: {$path}");
|
||||
}
|
||||
|
||||
return DB::transaction(function () use ($p, $data, $path) {
|
||||
$pathway = ClinicalPathway::withTrashed()->where('code', $p['code'])->first();
|
||||
|
||||
$attributes = [
|
||||
'code' => $p['code'],
|
||||
'name' => $p['name'],
|
||||
'description' => $p['description'] ?? null,
|
||||
'match_rules' => $p['match_rules'] ?? null,
|
||||
'is_active' => (bool) ($p['is_active'] ?? true),
|
||||
'sort_order' => (int) ($p['sort_order'] ?? 0),
|
||||
'meta' => $p['meta'] ?? null,
|
||||
];
|
||||
|
||||
if ($pathway) {
|
||||
if ($pathway->trashed()) {
|
||||
$pathway->restore();
|
||||
}
|
||||
$pathway->fill($attributes)->save();
|
||||
} else {
|
||||
$pathway = ClinicalPathway::create($attributes);
|
||||
}
|
||||
|
||||
PathwayTemplate::query()->where('pathway_id', $pathway->id)->delete();
|
||||
|
||||
foreach ($data['templates'] ?? [] as $i => $binding) {
|
||||
if (empty($binding['template_code'])) {
|
||||
throw new RuntimeException("Pathway pack binding missing template_code: {$path}");
|
||||
}
|
||||
PathwayTemplate::create([
|
||||
'pathway_id' => $pathway->id,
|
||||
'template_code' => $binding['template_code'],
|
||||
'is_required_on_activation' => (bool) ($binding['is_required_on_activation'] ?? false),
|
||||
'phase' => $binding['phase'] ?? PathwayTemplate::PHASE_ANY,
|
||||
'sort_order' => (int) ($binding['sort_order'] ?? ($i + 1)),
|
||||
]);
|
||||
}
|
||||
|
||||
$this->command?->info(sprintf(
|
||||
'Seeded pathway %s (%d template bindings)',
|
||||
$pathway->code,
|
||||
count($data['templates'] ?? []),
|
||||
));
|
||||
|
||||
return $pathway->fresh('templates');
|
||||
});
|
||||
}
|
||||
}
|
||||
@@ -0,0 +1,16 @@
|
||||
<?php
|
||||
|
||||
namespace Database\Seeders;
|
||||
|
||||
use Illuminate\Database\Seeder;
|
||||
|
||||
class DatabaseSeeder extends Seeder
|
||||
{
|
||||
public function run(): void
|
||||
{
|
||||
$this->call([
|
||||
AssessmentTemplateSeeder::class,
|
||||
ClinicalPathwaySeeder::class,
|
||||
]);
|
||||
}
|
||||
}
|
||||
Reference in New Issue
Block a user