ladill-care/database/data/assessments/braden.v1.json

{
  "template": {
    "code": "braden",
    "name": "Braden Scale (pressure injury risk)",
    "category": "screening",
    "version": 1,
    "is_current": true,
    "is_active": true,
    "scoring_strategy": "sum_items",
    "description": "Braden Scale for predicting pressure sore risk. Lower scores = higher risk (6–23).",
    "meta": {
      "capture_roles": ["nurse", "ed_nurse", "theatre_nurse", "labour_ward_nurse", "fertility_nurse", "dialysis_nurse", "midwife", "doctor", "general_physician"],
      "specialty": "nursing",
      "pack_family": "nursing",
      "estimated_minutes": 5,
      "max_total": 23,
      "severity_bands": [
        { "max": 9, "label": "Very high risk" },
        { "max": 12, "label": "High risk" },
        { "max": 14, "label": "Moderate risk" },
        { "max": 18, "label": "Mild risk" },
        { "max": 23, "label": "No apparent risk" }
      ],
      "attribution": "Braden Scale — verify licensing for commercial redistribution of branded materials."
    }
  },
  "questions": [
    {
      "code": "sensory",
      "section": "Risk factors",
      "label": "Sensory perception",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 10,
      "score_key": "braden",
      "options": {
        "max": 4,
        "choices": [
          { "code": "1", "label": "Completely limited", "score": 1 },
          { "code": "2", "label": "Very limited", "score": 2 },
          { "code": "3", "label": "Slightly limited", "score": 3 },
          { "code": "4", "label": "No impairment", "score": 4 }
        ]
      }
    },
    {
      "code": "moisture",
      "section": "Risk factors",
      "label": "Moisture",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 20,
      "score_key": "braden",
      "options": {
        "max": 4,
        "choices": [
          { "code": "1", "label": "Constantly moist", "score": 1 },
          { "code": "2", "label": "Very moist", "score": 2 },
          { "code": "3", "label": "Occasionally moist", "score": 3 },
          { "code": "4", "label": "Rarely moist", "score": 4 }
        ]
      }
    },
    {
      "code": "activity",
      "section": "Risk factors",
      "label": "Activity",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 30,
      "score_key": "braden",
      "options": {
        "max": 4,
        "choices": [
          { "code": "1", "label": "Bedfast", "score": 1 },
          { "code": "2", "label": "Chairfast", "score": 2 },
          { "code": "3", "label": "Walks occasionally", "score": 3 },
          { "code": "4", "label": "Walks frequently", "score": 4 }
        ]
      }
    },
    {
      "code": "mobility",
      "section": "Risk factors",
      "label": "Mobility",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 40,
      "score_key": "braden",
      "options": {
        "max": 4,
        "choices": [
          { "code": "1", "label": "Completely immobile", "score": 1 },
          { "code": "2", "label": "Very limited", "score": 2 },
          { "code": "3", "label": "Slightly limited", "score": 3 },
          { "code": "4", "label": "No limitation", "score": 4 }
        ]
      }
    },
    {
      "code": "nutrition",
      "section": "Risk factors",
      "label": "Nutrition",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 50,
      "score_key": "braden",
      "options": {
        "max": 4,
        "choices": [
          { "code": "1", "label": "Very poor", "score": 1 },
          { "code": "2", "label": "Probably inadequate", "score": 2 },
          { "code": "3", "label": "Adequate", "score": 3 },
          { "code": "4", "label": "Excellent", "score": 4 }
        ]
      }
    },
    {
      "code": "friction",
      "section": "Risk factors",
      "label": "Friction and shear",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 60,
      "score_key": "braden",
      "options": {
        "max": 3,
        "choices": [
          { "code": "1", "label": "Problem", "score": 1 },
          { "code": "2", "label": "Potential problem", "score": 2 },
          { "code": "3", "label": "No apparent problem", "score": 3 }
        ]
      }
    }
  ]
}