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.
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isaacclad
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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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