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 +1,171 @@
+{
+  "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
+      }
+    }
+  ]
+}