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.

database/data/assessments/outcome_core.v1.json

@@ -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 }
+    }
+  ]
+}