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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

107 lines
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{
"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 }
}
]
}