[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"skill:01M7CSWRS6FWRHNTHR3JS7DBCW":3,"skill-same:01M7CSWRS6FWRHNTHR3JS7DBCW":49},{"skillNo":4,"name":5,"nameZh":6,"description":7,"descriptionZh":6,"repositoryFullName":8,"ownerLogin":9,"ownerAvatarUrl":10,"ownerAccountNo":11,"ownerDisplayName":12,"repositoryNo":13,"starsCount":14,"licenseSpdxId":15,"licenseFileUrl":6,"sourceHtmlUrl":16,"categories":17,"keywords":18,"publishedAt":19,"linkOnly":20,"markdownContent":21,"markdownBody":22,"frontMatter":23,"refName":27,"commitSha":28,"skillDirectory":29,"forksCount":14,"repositoryHtmlUrl":30,"repositoryHomepageUrl":6,"ownerHtmlUrl":31,"ownerBlogUrl":32,"ownerDescription":33,"updatedAt":34,"install":35,"resources":48},"01M7CSWRS6FWRHNTHR3JS7DBCW","healthcare-eval-harness",null,"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.","Henrique1601\u002FSkiilsToIAs","Henrique1601","https:\u002F\u002Favatars.githubusercontent.com\u002Fu\u002F92006691?v=4","01M7CRXVT0GVXVK80JT1GR687S","Henrique Bezerra Dos Santos","01M7CRXVTN5Y8TMWJ1MDSKCQ1T",0,"MIT","https:\u002F\u002Fgithub.com\u002FHenrique1601\u002FSkiilsToIAs\u002Fblob\u002Fmain\u002Fbusiness-management\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.\nmetadata:\n  origin: Health1 Super Speciality Hospitals — contributed by Dr. Keyur Patel\nversion: \"1.0.0\"\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,"version":24,"metadata":25,"description":7},"1.0.0",{"origin":26},"Health1 Super Speciality Hospitals — contributed by Dr. Keyur Patel","main","a73152352c0612252131e5cf84e91312a6cf17dc","business-management\u002Fhealthcare-eval-harness","https:\u002F\u002Fgithub.com\u002FHenrique1601\u002FSkiilsToIAs","https:\u002F\u002Fgithub.com\u002FHenrique1601","https:\u002F\u002Fbezerraportifolio.netlify.app\u002F","Full Stack Developer | React, Next.js, TypeScript, Node.js & IA | Construindo produtos digitais e soluções SaaS","2026-11-15 02:56:04",{"source":8,"skillName":5,"commands":36,"prompt":46,"zipAvailable":47},[37,40,43],{"tool":38,"command":39},"npx","npx skills add Henrique1601\u002FSkiilsToIAs --skill healthcare-eval-harness",{"tool":41,"command":42},"bunx","bunx skills add Henrique1601\u002FSkiilsToIAs --skill healthcare-eval-harness",{"tool":44,"command":45},"pnpm","pnpm dlx skills add Henrique1601\u002FSkiilsToIAs --skill healthcare-eval-harness","安装技能，技能地址：https:\u002F\u002Fgithub.com\u002FHenrique1601\u002FSkiilsToIAs\u002Fblob\u002Fmain\u002Fbusiness-management\u002Fhealthcare-eval-harness\u002FSKILL.md",true,[],[50,57,64,72,79,86],{"skillNo":51,"name":52,"nameZh":6,"description":53,"descriptionZh":6,"repositoryFullName":8,"ownerLogin":9,"ownerAvatarUrl":10,"ownerAccountNo":11,"ownerDisplayName":12,"repositoryNo":13,"starsCount":14,"licenseSpdxId":15,"licenseFileUrl":6,"sourceHtmlUrl":54,"categories":55,"keywords":56,"publishedAt":19},"01M7E2ANBW9V6AVX5JXNCEAWF8","rag-architect-agent","Agente Arquiteto de RAG, Embeddings & Busca Vetorial. 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Provides comprehensive security checklist and patterns.","https:\u002F\u002Fgithub.com\u002FHenrique1601\u002FSkiilsToIAs\u002Fblob\u002Fmain\u002Futilities\u002Fsecurity-review\u002FSKILL.md",[],[],{"skillNo":87,"name":88,"nameZh":6,"description":89,"descriptionZh":6,"repositoryFullName":8,"ownerLogin":9,"ownerAvatarUrl":10,"ownerAccountNo":11,"ownerDisplayName":12,"repositoryNo":13,"starsCount":14,"licenseSpdxId":15,"licenseFileUrl":6,"sourceHtmlUrl":90,"categories":91,"keywords":92,"publishedAt":19},"01M7CWQXCE40XWT4FZ3VWZFGDP","security-bounty-hunter","Hunt for exploitable, bounty-worthy security issues in repositories. Focuses on remotely reachable vulnerabilities that qualify for real reports instead of noisy local-only findings.","https:\u002F\u002Fgithub.com\u002FHenrique1601\u002FSkiilsToIAs\u002Fblob\u002Fmain\u002Futilities\u002Fsecurity-bounty-hunter\u002FSKILL.md",[],[]]