anthropics / anthropics/knowledge-work-plugins

feat(health): Implement comprehensive healthcare organization plugin with conductor methodology

Abierto
#56 3 comentarios 0 reacciones 0 asignados Ver en GitHub
Lenguaje dominante
Python
Estrellas
24k
Forks
2.9k
Merge medio
1 d 16 h
PR fusionados (30 d)
149

Descripción

## Summary

Implement comprehensive health plugin for healthcare organization workflows using conductor-based development methodology. This plugin provides 34 specialized skills and 19 commands covering clinical, administrative, financial, and research domains with full regulatory compliance.

## Motivation

Healthcare organizations require specialized Claude Code support for:
- Complex regulatory compliance (AU/NZ NSQHS, HIPAA, GDPR)
- Clinical safety-critical workflows
- Multi-jurisdictional requirements
- Evidence-based decision making
- Patient privacy and PHI protection

## Scope

### Implementation Tracks (14 total)

**Phase 1: Foundation**
- health-core: Plugin structure and standards ✓

**Phase 2: Core Workflows**
- health-coding: Clinical coding and classification ✓
- health-governance: Policies, procedures, guidelines ✓

**Phase 3: Extended Workflows**
- health-procurement: Device procurement, business cases ✓
- health-quality: QI, accreditation, PDSA cycles ✓
- health-financial: Payer contracts, charge capture ✓
- health-evidence: Systematic reviews, PRISMA workflows ✓
- health-data-analysis: Epidemiological reports ✓
- health-public-health: Notifiable diseases, surveillance ✓

**Phase 4: Research & Academic**
- health-ethics: Research/clinical ethics, REC/IRB ✓
- health-economics: HTA, cost-effectiveness, PBAC ✓
- health-manuscripts: Journal preparation, reporting guidelines ✓
- health-doc-coauthoring: Collaborative document development ✓
- health-grants: NHMRC, MRFF, HRC applications ✓
- health-medicolegal: Reports, child protection, affidavits ✓

**Infrastructure**
- skill-quality: Health skill templates and validation ✓

### Deliverables

| Component | Count | Description |
|-----------|-------|-------------|
| Skills | 34 | Healthcare domain expertise |
| Commands | 19 | Workflow initiation and guidance |
| Tracks | 14 | Development project management |
| Lines of Documentation | 12,000+ | Comprehensive guidance |

### Key Features

1. **Regulatory Compliance**
- AU/NZ-default (NSQHS, HQSC, PBAC, NHMRC)
- US/EU-lite portability (HIPAA, Joint Commission, GDPR)
- Jurisdiction matrices for all domains

2. **Clinical Safety**
- Confidence Indicators for risk assessment
- PHI/PII guardrails in all skills
- Standard and Lite operating modes

3. **Evidence Rigor**
- 14-section health skill standards
- Hybrid Evidence Management (strict citations + narrative)
- FHIR/SNOMED-CT alignment

4. **Quality Assurance**
- Automated track validation
- Health skill validation script
- Pre-commit hooks

## Implementation Details

### Skill Architecture
All skills follow standardized 14-section template:
- Purpose and scope
- Confidence Indicators table
- Security & Privacy (PHI/PII guardrails)
- Regulatory Context (jurisdiction matrix)
- Operating Modes (Standard/Lite)
- Detailed Guidance
- Common Mistakes (anti-patterns)
- Tool Requirements
- Success Indicators
- Cross-References

### Example Skills
- `systematic-review`: PRISMA 2020 compliance, GRADE grading
- `research-ethics`: NHMRC/HRC REC workflows, informed consent
- `hta-submission`: PBAC/MSAC/PHARMAC submission frameworks
- `notifiable-diseases`: AU/NZ notification requirements
- `child-protection`: Mandatory reporting triggers

### Commands
Interactive workflow commands including:
- `/start-review`: Systematic review protocol development
- `/ethics-review`: Research/clinical ethics routing
- `/report-notifiable`: Disease notification compliance
- `/prepare-manuscript`: Journal submission checklists
- `/grant-application`: NHMRC/MRFF structured applications

## Testing

- [x] All 14 tracks pass validation (`validate_tracks.py`)
- [x] Health skills pass quality checks (`validate_health_skills.py`)
- [x] Pre-commit hooks configured
- [x] GitHub Actions workflow for CI

## Future Work

Potential enhancements:
- Additional jurisdiction deep-dives (UK NICE, Canada CADTH)
- Integration with EHR connectors (Epic, Cerner)
- Mobile-responsive command interfaces
- Multi-language support for international deployment

## Documentation

- [conductor/index.md](conductor/index.md) - Project overview
- [conductor/tracks.md](conductor/tracks.md) - Track registry
- [conductor/tracks/health-plugin/](conductor/tracks/health-plugin/) - Standards and guidelines
- [health/README.md](health/README.md) - Plugin documentation

## Related

- Implements conductor development methodology
- Aligns with bio-research skills for evidence synthesis
- Complements legal plugin for contract review workflows
- Related to #18 (automated validation scripts)

## Checklist

- [x] All tracks complete
- [x] All skills follow health skill standards
- [x] AU/NZ jurisdiction defaults implemented
- [x] US/EU-lite portability included
- [x] Validation scripts passing
- [x] Documentation complete
- [x] Pre-commit hooks configured
- [x] GitHub Actions CI workflow

Guía de contribución

No hay ninguna guía de contribución indexada para este repositorio

Evaluación

Este issue todavía no se ha evaluado.

Recibe los nuevos issues en tu correo

Un resumen breve de issues de GitHub para principiantes.