healthcare-eval-harness

SKILL.md

Healthcare Eval Harness — Patient Safety Verification

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.