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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

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{
"template": {
"code": "gcs",
"name": "Glasgow Coma Scale",
"category": "disease",
"version": 1,
"is_current": true,
"is_active": true,
"scoring_strategy": "sum_items",
"description": "Glasgow Coma Scale (E + V + M). Total 315. Optional on stroke pathway.",
"meta": {
"capture_roles": ["doctor", "nurse"],
"specialty": "neurology",
"estimated_minutes": 2,
"pathway_codes": ["stroke"],
"max_total": 15,
"attribution": "Glasgow Coma Scale (GCS) — Teasdale & Jennett. Standard clinical instrument; confirm local documentation practice."
}
},
"questions": [
{
"code": "eye",
"section": "GCS",
"label": "Eye opening (E)",
"answer_type": "score_item",
"is_required": true,
"sort_order": 10,
"score_key": "eye",
"options": {
"min": 1,
"max": 4,
"choices": [
{ "code": "4", "label": "Spontaneous", "score": 4 },
{ "code": "3", "label": "To speech", "score": 3 },
{ "code": "2", "label": "To pain", "score": 2 },
{ "code": "1", "label": "None", "score": 1 }
]
}
},
{
"code": "verbal",
"section": "GCS",
"label": "Verbal response (V)",
"answer_type": "score_item",
"is_required": true,
"sort_order": 20,
"score_key": "verbal",
"options": {
"min": 1,
"max": 5,
"choices": [
{ "code": "5", "label": "Oriented", "score": 5 },
{ "code": "4", "label": "Confused", "score": 4 },
{ "code": "3", "label": "Inappropriate words", "score": 3 },
{ "code": "2", "label": "Incomprehensible sounds", "score": 2 },
{ "code": "1", "label": "None", "score": 1 }
]
}
},
{
"code": "motor",
"section": "GCS",
"label": "Motor response (M)",
"answer_type": "score_item",
"is_required": true,
"sort_order": 30,
"score_key": "motor",
"options": {
"min": 1,
"max": 6,
"choices": [
{ "code": "6", "label": "Obeys commands", "score": 6 },
{ "code": "5", "label": "Localizes pain", "score": 5 },
{ "code": "4", "label": "Withdrawal from pain", "score": 4 },
{ "code": "3", "label": "Flexion to pain (decorticate)", "score": 3 },
{ "code": "2", "label": "Extension to pain (decerebrate)", "score": 2 },
{ "code": "1", "label": "None", "score": 1 }
]
}
}
]
}