clinical-decision-support

1# Clinical Decision-Support Research and Evaluation
2 
3## Hard Safety Boundary
4 
5This skill produces **research, evaluation, documentation, and governance artifacts only**.
6 
7Never use it to:
8 
9- diagnose or classify a person;
10- recommend, select, sequence, start, stop, or modify treatment;
11- calculate or communicate a patient-specific dose;
12- triage, prioritize, alarm, alert, or determine urgency;
13- make or automate a patient-specific clinical decision;
14- support bedside, point-of-care, or live clinical operation;
15- replace professional judgment or a validated, authorized clinical system;
16- claim FDA authorization, regulatory conformity, HIPAA compliance, or legal compliance.
17 
18If a request could affect care for a person, stop the workflow and route the matter to a licensed healthcare professional using locally validated and appropriately authorized systems. Do not redirect to another skill for patient-specific care.
19 
20## In Scope
21 
22- Intended-use and limitation statements for research artifacts
23- Aggregate cohort table shells with disclosure controls
24- Statistical analysis plans and survival-analysis plan review
25- Aggregate model or biomarker performance evaluation
26- Transparent GRADE evidence-profile checklists
27- Evidence-source and decision-logic traceability
28- De-identification process checklists
29- Fairness, subgroup, calibration, uncertainty, external-validation, monitoring, change-control, audit, and human-factors documentation
30…