feat(assessments): layered clinical assessment engine end-to-end

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.
2026-07-16 22:58:09 +00:00
parent 8896088425
commit 2ce4bc8993
94 changed files with 13430 additions and 56 deletions
@@ -0,0 +1,187 @@
+{
+  "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
+      }
+    }
+  ]
+}