healthcare-eval-harness

npx skills add mturac/everything-openai-codex --skill healthcare-eval-harness --agent codex

Same command for any agent — swap --agent for claude-code, cursor, copilot.

# 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 cove

npx jest --testPathPattern='tests/cdss' --bail --ci --coverage
npx jest --testPathPattern='tests/security/phi' --bail --ci
npx jest --testPathPattern='tests/data-integrity' --bail --ci
npx jest --testPathPattern='tests/clinical' --ci --json --outputFile="$tmp_json" || true
if [ "$total" -eq 0 ]; then
echo "No clinical tests found" >&2
exit 1
fi
echo "Clinical pass rate: ${rate}% ($passed/$total)"
npx jest --testPathPattern='tests/integration' --ci --json --outputFile="$tmp_json" || true