Healthcare Eval Harness

This is a CI/CD safety gate for healthcare apps that blocks deployments on patient safety failures. It runs five test categories with different thresholds: CDSS accuracy, PHI exposure, and data integrity are critical gates requiring 100% pass rates with bail-on-first-failure, while clinical workflows and integration compliance need 95%+. Contributed by Dr. Keyur Patel from Health1 Super Speciality Hospitals, so it reflects real hospital deployment constraints. The examples show Jest commands but the threshold logic works with any test framework. The hard line on drug interaction tests and PHI leak checks is the right call. If you're shipping EMR/EHR software, this gives you a structured way to enforce non-negotiable safety requirements before anything touches production.

skills.sh installs: 5.4K
GitHub stars: 300.3K
last updated: Aug 21, 2026

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Install

$ npx -y skills add affaan-m/ecc --skill healthcare-eval-harness --agent claude-code

Installs into .claude/skills of the current project.

Files

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.

SKILL.md on GitHub