Patient safety evaluation harness with automated test suites for CDSS accuracy, PHI exposure, clinical workflow integrity, and integration compliance that block unsafe deployments. USE WHEN deploying EMR/EHR apps or after changing CDSS logic, patient-data schemas, or access control.
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Patient safety evaluation harness with automated test suites for CDSS accuracy, PHI exposure, clinical workflow integrity, and integration compliance that block unsafe deployments. USE WHEN deploying EMR/EHR apps or after changing CDSS logic, patient-data schemas, or access control.
origin
Health1 Super Speciality Hospitals — contributed by Dr. Keyur Patel
Automated verification system for healthcare application deployments. A single CRITICAL failure blocks deployment. Patient safety is non-negotiable.
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.
When to Use
Before any deployment of EMR/EHR applications
After modifying CDSS logic (drug interactions, dose validation, scoring)
After changing database schemas that touch patient data
After modifying authentication or access control
During CI/CD pipeline configuration for healthcare apps
After resolving merge conflicts in clinical modules
How It Works
The 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.
Each 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.
Eval Categories
1. CDSS Accuracy (CRITICAL — 100% required)
Tests all clinical decision support logic: drug interaction pairs (both directions), dose validation rules, clinical scoring vs published specs, no false negatives, no silent failures.
npx jest --testPathPattern='tests/cdss' --bail --ci --coverage
2. PHI Exposure (CRITICAL — 100% required)
Tests for protected health information leaks: API error responses, console output, URL parameters, browser storage, cross-facility isolation, unauthenticated access, service role key absence.
npx jest --testPathPattern='tests/security/phi' --bail --ci
3. Data Integrity (CRITICAL — 100% required)
Tests clinical data safety: locked encounters, audit trail entries, cascade delete protection, concurrent edit handling, no orphaned records.
npx jest --testPathPattern='tests/data-integrity' --bail --ci
4. Clinical Workflow (HIGH — 95%+ required)
Tests end-to-end flows: encounter lifecycle, template rendering, medication sets, drug/diagnosis search, prescription PDF, red flag alerts.
