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 +1,106 @@
+{
+  "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 }
+    }
+  ]
+}