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Clinical review Tier A — critical/high-risk local tools #85

Description

@sferurek

Tracks the first formal independent clinical-review batch defined in docs/CLINICAL_REVIEW_PROGRAM.md.

External-review package:

  • docs/TIER_A_EXTERNAL_REVIEW_PACK.md
  • docs/TIER_A_EXTERNAL_REVIEW_HANDOFF.md
  • original AI-assisted audit: docs/TIER_A_AI_CLINICAL_AUDIT_2026-09-19.md
  • adaptive-flow re-audit addendum: docs/TIER_A_ADAPTIVE_FLOW_REAUDIT_2026-09-19.md
  • structured per-tool template: .github/ISSUE_TEMPLATE/clinical-review.yml

Frozen clinical implementation baseline: a9d2bfcb569600a5e0c9be681b729cc2bf4ba661

The AI-assisted clinical-technical audit, remediation, dedicated boundary testing and adaptive-flow re-audit are complete. They do not count as independent clinical review.

Review each tool against the frozen clinical implementation SHA and authoritative sources. Documentation-only commits after that SHA do not alter the implementation under review. Do not include identifiable patient data.

  • PRISM IV
  • PELOD-2
  • PIM3
  • pSOFA
  • Phoenix Sepsis
  • Step-by-Step febrile infant
  • PECARN Febrile Infant
  • PECARN TBI <2 years
  • PECARN TBI >=2 years
  • CATCH
  • CHALICE
  • pRIFLE
  • Pediatric KDIGO
  • nSOFA
  • SNAPPE-II

For each completed review, record reviewer identity/role, date, commit/release, sources checked, ordinary and boundary fixtures, missing-data verification, ES/EN terminology review and one of the outcomes defined in the review program.

Any later logic-changing correction requires a dedicated PR and re-review of the affected implementation before that tool is marked independently reviewed.

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