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Blocks deployments on safety failures. Use when a healthcare deployment must be gated on patient-safety tests for CDSS accuracy, PHI exposure, and workflow integrity.","Cyrilthetecchieee\u002Fcyril-code-","Cyrilthetecchieee","https:\u002F\u002Favatars.githubusercontent.com\u002Fu\u002F219787998?v=4","01M7AF0MMMKRAA0H61XMJPV92H","Julian Cyril D ","01M7AF0MQ10AVG6QJQ1C2BC0F5",2,"MIT","https:\u002F\u002Fgithub.com\u002FCyrilthetecchieee\u002Fcyril-code-\u002Fblob\u002Fmain\u002Fsrc\u002Fcyril_code\u002Fassets\u002F.skills_repo\u002Fskills\u002Fhealthcare-eval-harness\u002FSKILL.md",[],[],"2026-11-15 14:19:17",false,"---\nname: healthcare-eval-harness\ndescription: Patient safety evaluation harness for healthcare application deployments. Automated test suites for CDSS accuracy, PHI exposure, clinical workflow integrity, and integration compliance. Blocks deployments on safety failures. Use when a healthcare deployment must be gated on patient-safety tests for CDSS accuracy, PHI exposure, and workflow integrity.\nmetadata:\n  version: \"1.0.0\"\n  origin: Health1 Super Speciality Hospitals — contributed by Dr. Keyur Patel\n---\n\n# Healthcare Eval Harness — Patient Safety Verification\n\nAutomated verification system for healthcare application deployments. A single CRITICAL failure blocks deployment. Patient safety is non-negotiable.\n\n> **Note:** Examples use Jest as the reference test runner. Adapt commands for your framework (Vitest, pytest, PHPUnit, etc.) — the test categories and pass thresholds are framework-agnostic.\n\n## When to Use\n\n- Before any deployment of EMR\u002FEHR applications\n- After modifying CDSS logic (drug interactions, dose validation, scoring)\n- After changing database schemas that touch patient data\n- After modifying authentication or access control\n- During CI\u002FCD pipeline configuration for healthcare apps\n- After resolving merge conflicts in clinical modules\n\n## How It Works\n\nThe eval harness runs five test categories in order. The first three (CDSS Accuracy, PHI Exposure, Data Integrity) are CRITICAL gates requiring 100% pass rate — a single failure blocks deployment. The remaining two (Clinical Workflow, Integration) are HIGH gates requiring 95%+ pass rate.\n\nEach category maps to a Jest test path pattern. The CI pipeline runs CRITICAL gates with `--bail` (stop on first failure) and enforces coverage thresholds with `--coverage --coverageThreshold`.\n\n### Eval Categories\n\n**1. CDSS Accuracy (CRITICAL — 100% required)**\n\nTests all clinical decision support logic: drug interaction pairs (both directions), dose validation rules, clinical scoring vs published specs, no false negatives, no silent failures.\n\n```bash\nnpx jest --testPathPattern='tests\u002Fcdss' --bail --ci --coverage\n```\n\n**2. PHI Exposure (CRITICAL — 100% required)**\n\nTests for protected health information leaks: API error responses, console output, URL parameters, browser storage, cross-facility isolation, unauthenticated access, service role key absence.\n\n```bash\nnpx jest --testPathPattern='tests\u002Fsecurity\u002Fphi' --bail --ci\n```\n\n**3. Data Integrity (CRITICAL — 100% required)**\n\nTests clinical data safety: locked encounters, audit trail entries, cascade delete protection, concurrent edit handling, no orphaned records.\n\n```bash\nnpx jest --testPathPattern='tests\u002Fdata-integrity' --bail --ci\n```\n\n**4. Clinical Workflow (HIGH — 95%+ required)**\n\nTests end-to-end flows: encounter lifecycle, template rendering, medication sets, drug\u002Fdiagnosis search, prescription PDF, red flag alerts.\n\n```bash\ntmp_json=$(mktemp)\nnpx jest --testPathPattern='tests\u002Fclinical' --ci --json --outputFile=\"$tmp_json\" || true\ntotal=$(jq '.numTotalTests \u002F\u002F 0' \"$tmp_json\")\npassed=$(jq '.numPassedTests \u002F\u002F 0' \"$tmp_json\")\nif [ \"$total\" -eq 0 ]; then\n  echo \"No clinical tests found\" >&2\n  exit 1\nfi\nrate=$(echo \"scale=2; $passed * 100 \u002F $total\" | bc)\necho \"Clinical pass rate: ${rate}% ($passed\u002F$total)\"\n```\n\n**5. Integration Compliance (HIGH — 95%+ required)**\n\nTests external systems: HL7 message parsing (v2.x), FHIR validation, lab result mapping, malformed message handling.\n\n```bash\ntmp_json=$(mktemp)\nnpx jest --testPathPattern='tests\u002Fintegration' --ci --json --outputFile=\"$tmp_json\" || true\ntotal=$(jq '.numTotalTests \u002F\u002F 0' \"$tmp_json\")\npassed=$(jq '.numPassedTests \u002F\u002F 0' \"$tmp_json\")\nif [ \"$total\" -eq 0 ]; then\n  echo \"No integration tests found\" >&2\n  exit 1\nfi\nrate=$(echo \"scale=2; $passed * 100 \u002F $total\" | bc)\necho \"Integration pass rate: ${rate}% ($passed\u002F$total)\"\n```\n\n### Pass\u002FFail Matrix\n\n| Category | Threshold | On Failure |\n|----------|-----------|------------|\n| CDSS Accuracy | 100% | **BLOCK deployment** |\n| PHI Exposure | 100% | **BLOCK deployment** |\n| Data Integrity | 100% | **BLOCK deployment** |\n| Clinical Workflow | 95%+ | WARN, allow with review |\n| Integration | 95%+ | WARN, allow with review |\n\n### CI\u002FCD Integration\n\n```yaml\nname: Healthcare Safety Gate\non: [push, pull_request]\n\njobs:\n  safety-gate:\n    runs-on: ubuntu-latest\n    steps:\n      - uses: actions\u002Fcheckout@v4\n      - uses: actions\u002Fsetup-node@v4\n        with:\n          node-version: '20'\n      - run: npm ci\n\n      # CRITICAL gates — 100% required, bail on first failure\n      - name: CDSS Accuracy\n        run: npx jest --testPathPattern='tests\u002Fcdss' --bail --ci --coverage --coverageThreshold='{\"global\":{\"branches\":80,\"functions\":80,\"lines\":80}}'\n\n      - name: PHI Exposure Check\n        run: npx jest --testPathPattern='tests\u002Fsecurity\u002Fphi' --bail --ci\n\n      - name: Data Integrity\n        run: npx jest --testPathPattern='tests\u002Fdata-integrity' --bail --ci\n\n      # HIGH gates — 95%+ required, custom threshold check\n      # HIGH gates — 95%+ required\n      - name: Clinical Workflows\n        run: |\n          TMP_JSON=$(mktemp)\n          npx jest --testPathPattern='tests\u002Fclinical' --ci --json --outputFile=\"$TMP_JSON\" || true\n          TOTAL=$(jq '.numTotalTests \u002F\u002F 0' \"$TMP_JSON\")\n          PASSED=$(jq '.numPassedTests \u002F\u002F 0' \"$TMP_JSON\")\n          if [ \"$TOTAL\" -eq 0 ]; then\n            echo \"::error::No clinical tests found\"; exit 1\n          fi\n          RATE=$(echo \"scale=2; $PASSED * 100 \u002F $TOTAL\" | bc)\n          echo \"Pass rate: ${RATE}% ($PASSED\u002F$TOTAL)\"\n          if (( $(echo \"$RATE \u003C 95\" | bc -l) )); then\n            echo \"::warning::Clinical pass rate ${RATE}% below 95%\"\n          fi\n\n      - name: Integration Compliance\n        run: |\n          TMP_JSON=$(mktemp)\n          npx jest --testPathPattern='tests\u002Fintegration' --ci --json --outputFile=\"$TMP_JSON\" || true\n          TOTAL=$(jq '.numTotalTests \u002F\u002F 0' \"$TMP_JSON\")\n          PASSED=$(jq '.numPassedTests \u002F\u002F 0' \"$TMP_JSON\")\n          if [ \"$TOTAL\" -eq 0 ]; then\n            echo \"::error::No integration tests found\"; exit 1\n          fi\n          RATE=$(echo \"scale=2; $PASSED * 100 \u002F $TOTAL\" | bc)\n          echo \"Pass rate: ${RATE}% ($PASSED\u002F$TOTAL)\"\n          if (( $(echo \"$RATE \u003C 95\" | bc -l) )); then\n            echo \"::warning::Integration pass rate ${RATE}% below 95%\"\n          fi\n```\n\n### Anti-Patterns\n\n- Skipping CDSS tests \"because they passed last time\"\n- Setting CRITICAL thresholds below 100%\n- Using `--no-bail` on CRITICAL test suites\n- Mocking the CDSS engine in integration tests (must test real logic)\n- Allowing deployments when safety gate is red\n- Running tests without `--coverage` on CDSS suites\n\n## Examples\n\n### Example 1: Run All Critical Gates Locally\n\n```bash\nnpx jest --testPathPattern='tests\u002Fcdss' --bail --ci --coverage && \\\nnpx jest --testPathPattern='tests\u002Fsecurity\u002Fphi' --bail --ci && \\\nnpx jest --testPathPattern='tests\u002Fdata-integrity' --bail --ci\n```\n\n### Example 2: Check HIGH Gate Pass Rate\n\n```bash\ntmp_json=$(mktemp)\nnpx jest --testPathPattern='tests\u002Fclinical' --ci --json --outputFile=\"$tmp_json\" || true\njq '{\n  passed: (.numPassedTests \u002F\u002F 0),\n  total: (.numTotalTests \u002F\u002F 0),\n  rate: (if (.numTotalTests \u002F\u002F 0) == 0 then 0 else ((.numPassedTests \u002F\u002F 0) \u002F (.numTotalTests \u002F\u002F 1) * 100) end)\n}' \"$tmp_json\"\n# Expected: { \"passed\": 21, \"total\": 22, \"rate\": 95.45 }\n```\n\n### Example 3: Eval Report\n\n```\n## Healthcare Eval: 2026-03-27 [commit abc1234]\n\n### Patient Safety: PASS\n\n| Category | Tests | Pass | Fail | Status |\n|----------|-------|------|------|--------|\n| CDSS Accuracy | 39 | 39 | 0 | PASS |\n| PHI Exposure | 8 | 8 | 0 | PASS |\n| Data Integrity | 12 | 12 | 0 | PASS |\n| Clinical Workflow | 22 | 21 | 1 | 95.5% PASS |\n| Integration | 6 | 6 | 0 | PASS |\n\n### Coverage: 84% (target: 80%+)\n### Verdict: SAFE TO DEPLOY\n```\n","# Healthcare Eval Harness — Patient Safety Verification\n\nAutomated verification system for healthcare application deployments. A single CRITICAL failure blocks deployment. Patient safety is non-negotiable.\n\n> **Note:** Examples use Jest as the reference test runner. Adapt commands for your framework (Vitest, pytest, PHPUnit, etc.) — the test categories and pass thresholds are framework-agnostic.\n\n## When to Use\n\n- Before any deployment of EMR\u002FEHR applications\n- After modifying CDSS logic (drug interactions, dose validation, scoring)\n- After changing database schemas that touch patient data\n- After modifying authentication or access control\n- During CI\u002FCD pipeline configuration for healthcare apps\n- After resolving merge conflicts in clinical modules\n\n## How It Works\n\nThe eval harness runs five test categories in order. The first three (CDSS Accuracy, PHI Exposure, Data Integrity) are CRITICAL gates requiring 100% pass rate — a single failure blocks deployment. The remaining two (Clinical Workflow, Integration) are HIGH gates requiring 95%+ pass rate.\n\nEach category maps to a Jest test path pattern. The CI pipeline runs CRITICAL gates with `--bail` (stop on first failure) and enforces coverage thresholds with `--coverage --coverageThreshold`.\n\n### Eval Categories\n\n**1. CDSS Accuracy (CRITICAL — 100% required)**\n\nTests all clinical decision support logic: drug interaction pairs (both directions), dose validation rules, clinical scoring vs published specs, no false negatives, no silent failures.\n\n```bash\nnpx jest --testPathPattern='tests\u002Fcdss' --bail --ci --coverage\n```\n\n**2. PHI Exposure (CRITICAL — 100% required)**\n\nTests for protected health information leaks: API error responses, console output, URL parameters, browser storage, cross-facility isolation, unauthenticated access, service role key absence.\n\n```bash\nnpx jest --testPathPattern='tests\u002Fsecurity\u002Fphi' --bail --ci\n```\n\n**3. Data Integrity (CRITICAL — 100% required)**\n\nTests clinical data safety: locked encounters, audit trail entries, cascade delete protection, concurrent edit handling, no orphaned records.\n\n```bash\nnpx jest --testPathPattern='tests\u002Fdata-integrity' --bail --ci\n```\n\n**4. Clinical Workflow (HIGH — 95%+ required)**\n\nTests end-to-end flows: encounter lifecycle, template rendering, medication sets, drug\u002Fdiagnosis search, prescription PDF, red flag alerts.\n\n```bash\ntmp_json=$(mktemp)\nnpx jest --testPathPattern='tests\u002Fclinical' --ci --json --outputFile=\"$tmp_json\" || true\ntotal=$(jq '.numTotalTests \u002F\u002F 0' \"$tmp_json\")\npassed=$(jq '.numPassedTests \u002F\u002F 0' \"$tmp_json\")\nif [ \"$total\" -eq 0 ]; then\n  echo \"No clinical tests found\" >&2\n  exit 1\nfi\nrate=$(echo \"scale=2; $passed * 100 \u002F $total\" | bc)\necho \"Clinical pass rate: ${rate}% ($passed\u002F$total)\"\n```\n\n**5. Integration Compliance (HIGH — 95%+ required)**\n\nTests external systems: HL7 message parsing (v2.x), FHIR validation, lab result mapping, malformed message handling.\n\n```bash\ntmp_json=$(mktemp)\nnpx jest --testPathPattern='tests\u002Fintegration' --ci --json --outputFile=\"$tmp_json\" || true\ntotal=$(jq '.numTotalTests \u002F\u002F 0' \"$tmp_json\")\npassed=$(jq '.numPassedTests \u002F\u002F 0' \"$tmp_json\")\nif [ \"$total\" -eq 0 ]; then\n  echo \"No integration tests found\" >&2\n  exit 1\nfi\nrate=$(echo \"scale=2; $passed * 100 \u002F $total\" | bc)\necho \"Integration pass rate: ${rate}% ($passed\u002F$total)\"\n```\n\n### Pass\u002FFail Matrix\n\n| Category | Threshold | On Failure |\n|----------|-----------|------------|\n| CDSS Accuracy | 100% | **BLOCK deployment** |\n| PHI Exposure | 100% | **BLOCK deployment** |\n| Data Integrity | 100% | **BLOCK deployment** |\n| Clinical Workflow | 95%+ | WARN, allow with review |\n| Integration | 95%+ | WARN, allow with review |\n\n### CI\u002FCD Integration\n\n```yaml\nname: Healthcare Safety Gate\non: [push, pull_request]\n\njobs:\n  safety-gate:\n    runs-on: ubuntu-latest\n    steps:\n      - uses: actions\u002Fcheckout@v4\n      - uses: actions\u002Fsetup-node@v4\n        with:\n          node-version: '20'\n      - run: npm ci\n\n      # CRITICAL gates — 100% required, bail on first failure\n      - name: CDSS Accuracy\n        run: npx jest --testPathPattern='tests\u002Fcdss' --bail --ci --coverage --coverageThreshold='{\"global\":{\"branches\":80,\"functions\":80,\"lines\":80}}'\n\n      - name: PHI Exposure Check\n        run: npx jest --testPathPattern='tests\u002Fsecurity\u002Fphi' --bail --ci\n\n      - name: Data Integrity\n        run: npx jest --testPathPattern='tests\u002Fdata-integrity' --bail --ci\n\n      # HIGH gates — 95%+ required, custom threshold check\n      # HIGH gates — 95%+ required\n      - name: Clinical Workflows\n        run: |\n          TMP_JSON=$(mktemp)\n          npx jest --testPathPattern='tests\u002Fclinical' --ci --json --outputFile=\"$TMP_JSON\" || true\n          TOTAL=$(jq '.numTotalTests \u002F\u002F 0' \"$TMP_JSON\")\n          PASSED=$(jq '.numPassedTests \u002F\u002F 0' \"$TMP_JSON\")\n          if [ \"$TOTAL\" -eq 0 ]; then\n            echo \"::error::No clinical tests found\"; exit 1\n          fi\n          RATE=$(echo \"scale=2; $PASSED * 100 \u002F $TOTAL\" | bc)\n          echo \"Pass rate: ${RATE}% ($PASSED\u002F$TOTAL)\"\n          if (( $(echo \"$RATE \u003C 95\" | bc -l) )); then\n            echo \"::warning::Clinical pass rate ${RATE}% below 95%\"\n          fi\n\n      - name: Integration Compliance\n        run: |\n          TMP_JSON=$(mktemp)\n          npx jest --testPathPattern='tests\u002Fintegration' --ci --json --outputFile=\"$TMP_JSON\" || true\n          TOTAL=$(jq '.numTotalTests \u002F\u002F 0' \"$TMP_JSON\")\n          PASSED=$(jq '.numPassedTests \u002F\u002F 0' \"$TMP_JSON\")\n          if [ \"$TOTAL\" -eq 0 ]; then\n            echo \"::error::No integration tests found\"; exit 1\n          fi\n          RATE=$(echo \"scale=2; $PASSED * 100 \u002F $TOTAL\" | bc)\n          echo \"Pass rate: ${RATE}% ($PASSED\u002F$TOTAL)\"\n          if (( $(echo \"$RATE \u003C 95\" | bc -l) )); then\n            echo \"::warning::Integration pass rate ${RATE}% below 95%\"\n          fi\n```\n\n### Anti-Patterns\n\n- Skipping CDSS tests \"because they passed last time\"\n- Setting CRITICAL thresholds below 100%\n- Using `--no-bail` on CRITICAL test suites\n- Mocking the CDSS engine in integration tests (must test real logic)\n- Allowing deployments when safety gate is red\n- Running tests without `--coverage` on CDSS suites\n\n## Examples\n\n### Example 1: Run All Critical Gates Locally\n\n```bash\nnpx jest --testPathPattern='tests\u002Fcdss' --bail --ci --coverage && \\\nnpx jest --testPathPattern='tests\u002Fsecurity\u002Fphi' --bail --ci && \\\nnpx jest --testPathPattern='tests\u002Fdata-integrity' --bail --ci\n```\n\n### Example 2: Check HIGH Gate Pass Rate\n\n```bash\ntmp_json=$(mktemp)\nnpx jest --testPathPattern='tests\u002Fclinical' --ci --json --outputFile=\"$tmp_json\" || true\njq '{\n  passed: (.numPassedTests \u002F\u002F 0),\n  total: (.numTotalTests \u002F\u002F 0),\n  rate: (if (.numTotalTests \u002F\u002F 0) == 0 then 0 else ((.numPassedTests \u002F\u002F 0) \u002F (.numTotalTests \u002F\u002F 1) * 100) end)\n}' \"$tmp_json\"\n# Expected: { \"passed\": 21, \"total\": 22, \"rate\": 95.45 }\n```\n\n### Example 3: Eval Report\n\n```\n## Healthcare Eval: 2026-03-27 [commit abc1234]\n\n### Patient Safety: PASS\n\n| Category | Tests | Pass | Fail | Status |\n|----------|-------|------|------|--------|\n| CDSS Accuracy | 39 | 39 | 0 | PASS |\n| PHI Exposure | 8 | 8 | 0 | PASS |\n| Data Integrity | 12 | 12 | 0 | PASS |\n| Clinical Workflow | 22 | 21 | 1 | 95.5% PASS |\n| Integration | 6 | 6 | 0 | PASS |\n\n### Coverage: 84% (target: 80%+)\n### Verdict: SAFE TO DEPLOY\n```\n",{"name":5,"metadata":24,"description":7},{"origin":25,"version":26},"Health1 Super Speciality Hospitals — contributed by Dr. Keyur Patel","1.0.0","main","57e7aa6b6e03bce1a7d7862ba9c2ec312f7f19b5","src\u002Fcyril_code\u002Fassets\u002F.skills_repo\u002Fskills\u002Fhealthcare-eval-harness",0,"https:\u002F\u002Fgithub.com\u002FCyrilthetecchieee\u002Fcyril-code-","https:\u002F\u002Fgithub.com\u002FCyrilthetecchieee","https:\u002F\u002Fwithcyril.me\u002F","Hi, I’m Julian Cyril D, a Computer Science and Business Systems student at PSNACET.\r\nI’m passionate about full-stack development, UI\u002FUX design, and building sma","2026-11-04 23:28:50",{"source":8,"skillName":5,"commands":37,"prompt":47,"zipAvailable":48},[38,41,44],{"tool":39,"command":40},"npx","npx skills add Cyrilthetecchieee\u002Fcyril-code- --skill healthcare-eval-harness",{"tool":42,"command":43},"bunx","bunx skills add Cyrilthetecchieee\u002Fcyril-code- --skill healthcare-eval-harness",{"tool":45,"command":46},"pnpm","pnpm dlx skills add Cyrilthetecchieee\u002Fcyril-code- --skill healthcare-eval-harness","安装技能，技能地址：https:\u002F\u002Fgithub.com\u002FCyrilthetecchieee\u002Fcyril-code-\u002Fblob\u002Fmain\u002Fsrc\u002Fcyril_code\u002Fassets\u002F.skills_repo\u002Fskills\u002Fhealthcare-eval-harness\u002FSKILL.md",true,[],[51,60,67,75,82,89],{"skillNo":52,"name":53,"nameZh":6,"description":54,"descriptionZh":6,"repositoryFullName":8,"ownerLogin":9,"ownerAvatarUrl":10,"ownerAccountNo":11,"ownerDisplayName":12,"repositoryNo":13,"starsCount":14,"licenseSpdxId":55,"licenseFileUrl":56,"sourceHtmlUrl":57,"categories":58,"keywords":59,"publishedAt":19},"01M7AQV6CYX8RMC78420V9WZ62","webapp-testing","Toolkit for interacting with and testing local web applications using Playwright. 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