anthropics / anthropics/knowledge-work-plugins

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

Đang mở
#56 3 bình luận 0 reaction 0 người được giao Xem trên GitHub
Ngôn ngữ chính
Python
Star
24k
Fork
2.9k
Merge trung bình
1 ngày 16 giờ
Pull request đã merge (30 ngày)
149

Mô tả

## 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

Hướng dẫn đóng góp

Chưa lập chỉ mục được hướng dẫn đóng góp cho kho mã nguồn này

Đánh giá

Issue này chưa được đánh giá.

Nhận issue mới trong hộp thư của bạn

Bản tóm tắt ngắn những issue GitHub phù hợp với người mới.