healthcare-eval-harness

# 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. 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...