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": "universal_intake",
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"name": "Universal Intake",
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"category": "universal",
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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": null,
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"description": "Disease-agnostic structured intake: presenting complaint, social history, and functional status. Demographics, allergies, vitals, and labs remain on typed Care forms.",
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"meta": {
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"capture_roles": ["doctor", "nurse"],
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"specialty": "general",
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"estimated_minutes": 8,
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"attribution": "Ladill Care universal clinical intake (platform-authored). Not a licensed third-party instrument."
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}
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},
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"questions": [
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{
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"code": "chief_complaint",
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"section": "Presenting complaint",
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"label": "Chief complaint",
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"help_text": "Primary reason for this visit in the patient's own words when possible.",
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"answer_type": "textarea",
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"is_required": true,
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"sort_order": 10,
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"options": null,
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"validation": { "max": 2000 }
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},
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{
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"code": "hpi",
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"section": "Presenting complaint",
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"label": "History of presenting illness",
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"help_text": "Onset, course, associated features. Free-text symptoms on the consultation remain the narrative source of truth (not auto-synced).",
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"answer_type": "textarea",
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"is_required": false,
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"sort_order": 20,
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"options": null,
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"validation": { "max": 10000 }
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},
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{
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"code": "duration_value",
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"section": "Presenting complaint",
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"label": "Duration (value)",
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"help_text": "Numeric duration; pair with duration unit.",
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"answer_type": "number",
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"is_required": false,
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"sort_order": 30,
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"options": { "min": 0, "max": 9999 },
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"validation": { "min": 0, "max": 9999 }
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},
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{
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"code": "duration_unit",
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"section": "Presenting complaint",
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"label": "Duration unit",
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"answer_type": "single_choice",
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"is_required": false,
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"sort_order": 40,
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"options": {
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"choices": [
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{ "code": "minutes", "label": "Minutes" },
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{ "code": "hours", "label": "Hours" },
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{ "code": "days", "label": "Days" },
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{ "code": "weeks", "label": "Weeks" },
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{ "code": "months", "label": "Months" },
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{ "code": "years", "label": "Years" }
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]
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}
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},
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{
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"code": "pain_score",
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"section": "Presenting complaint",
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"label": "Pain score (0–10)",
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"help_text": "0 = no pain, 10 = worst imaginable pain.",
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"answer_type": "scale",
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"is_required": false,
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"sort_order": 50,
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"options": { "min": 0, "max": 10 },
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"validation": { "min": 0, "max": 10 }
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},
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{
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"code": "current_symptoms",
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"section": "Presenting complaint",
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"label": "Current symptoms",
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"help_text": "Structured symptom list or free description. Does not replace consultation free-text symptoms.",
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"answer_type": "textarea",
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"is_required": false,
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"sort_order": 60,
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"options": null,
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"validation": { "max": 5000 }
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},
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{
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"code": "smoking_status",
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"section": "Social history",
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"label": "Smoking status",
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"answer_type": "single_choice",
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"is_required": false,
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"sort_order": 100,
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"options": {
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"choices": [
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{ "code": "never", "label": "Never smoked" },
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{ "code": "former", "label": "Former smoker" },
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{ "code": "current", "label": "Current smoker" },
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{ "code": "unknown", "label": "Unknown / not asked" }
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]
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}
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},
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{
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"code": "smoking_pack_years",
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"section": "Social history",
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"label": "Smoking pack-years",
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"help_text": "If former or current smoker. Packs/day × years.",
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"answer_type": "number",
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"is_required": false,
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"sort_order": 110,
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"options": { "min": 0, "max": 500, "unit": "pack-years" },
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"validation": { "min": 0, "max": 500 }
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},
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{
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"code": "alcohol_use",
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"section": "Social history",
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"label": "Alcohol use",
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"answer_type": "single_choice",
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"is_required": false,
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"sort_order": 120,
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"options": {
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"choices": [
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{ "code": "none", "label": "None" },
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{ "code": "occasional", "label": "Occasional" },
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{ "code": "moderate", "label": "Moderate" },
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{ "code": "heavy", "label": "Heavy" },
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{ "code": "unknown", "label": "Unknown / not asked" }
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]
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}
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},
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{
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"code": "occupation",
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"section": "Social history",
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"label": "Occupation",
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"answer_type": "text",
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"is_required": false,
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"sort_order": 130,
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"options": null,
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"validation": { "max": 255 }
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},
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{
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"code": "mobility",
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"section": "Functional status",
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"label": "Mobility",
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"answer_type": "single_choice",
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"is_required": false,
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"sort_order": 200,
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"options": {
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"choices": [
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{ "code": "independent", "label": "Independent" },
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{ "code": "with_aid", "label": "With aid (stick/frame)" },
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{ "code": "wheelchair", "label": "Wheelchair" },
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{ "code": "bedbound", "label": "Bedbound" },
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{ "code": "unknown", "label": "Unknown" }
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]
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}
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},
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{
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"code": "communication",
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"section": "Functional status",
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"label": "Communication",
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"answer_type": "single_choice",
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"is_required": false,
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"sort_order": 210,
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"options": {
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"choices": [
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{ "code": "normal", "label": "Normal" },
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{ "code": "impaired", "label": "Impaired" },
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{ "code": "non_verbal", "label": "Non-verbal" },
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{ "code": "unknown", "label": "Unknown" }
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]
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}
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},
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{
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"code": "vision",
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"section": "Functional status",
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"label": "Vision",
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"answer_type": "single_choice",
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"is_required": false,
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"sort_order": 220,
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"options": {
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"choices": [
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{ "code": "normal", "label": "Normal / corrected" },
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{ "code": "impaired", "label": "Impaired" },
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{ "code": "blind", "label": "Blind" },
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{ "code": "unknown", "label": "Unknown" }
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]
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}
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},
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{
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"code": "hearing",
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"section": "Functional status",
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"label": "Hearing",
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"answer_type": "single_choice",
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"is_required": false,
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"sort_order": 230,
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"options": {
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"choices": [
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{ "code": "normal", "label": "Normal" },
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{ "code": "impaired", "label": "Impaired" },
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{ "code": "deaf", "label": "Deaf" },
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{ "code": "unknown", "label": "Unknown" }
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]
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}
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},
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{
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"code": "feeding",
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"section": "Functional status",
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"label": "Feeding",
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"answer_type": "single_choice",
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"is_required": false,
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"sort_order": 240,
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"options": {
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"choices": [
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{ "code": "independent", "label": "Independent" },
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{ "code": "needs_help", "label": "Needs help" },
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{ "code": "dependent", "label": "Dependent / tube" },
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{ "code": "unknown", "label": "Unknown" }
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]
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}
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},
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{
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"code": "continence",
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"section": "Functional status",
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"label": "Continence",
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"answer_type": "single_choice",
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"is_required": false,
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"sort_order": 250,
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"options": {
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"choices": [
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{ "code": "continent", "label": "Continent" },
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{ "code": "occasional", "label": "Occasional incontinence" },
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{ "code": "incontinent", "label": "Incontinent" },
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{ "code": "catheter", "label": "Catheter / diversion" },
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{ "code": "unknown", "label": "Unknown" }
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]
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}
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},
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{
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"code": "baseline_labs_summary",
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"section": "Baseline laboratories",
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"label": "Baseline labs summary (optional)",
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"help_text": "Free-text summary only. Prefer ordered investigation results in Lab for structured values (CBC, glucose, creatinine, electrolytes).",
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"answer_type": "textarea",
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"is_required": false,
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"sort_order": 300,
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"options": null,
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"validation": { "max": 5000 }
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}
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]
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}
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