Clinical Decision Support Composer

README excerpt

# 🩺 Bridgineering

**A clinical decision support (CDS) rule-authoring tool that tailors to your own data and patient population.**

Most CDS rules are written once, in the abstract, and only discover their edge
cases after they're live and firing on real patients. Bridgineering moves that
reckoning *before* go-live: a clinician writes a rule in plain English, and the
tool **grills** it with sharp corner cases — grounded in *your* patient panel —
so the rule ships already stress-tested against the population it will run on.

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## How it works

1. **Write** a rule in plain English
   *(e.g. "When a patient mentions rectal bleeding, remind the clinician to refer to GI.")*
2. **Interpret** — the rule is decomposed into a structured trigger:
   `listen_for` / `ehr_condition` / `action`.
3. **Grill** — the rule is pressure-tested along **three angles**, in priority order:
   - 🔴 **Safety** — could firing (or *not* firing) miss or mishandle a dangerous patient? (anticoagulation, active malignancy, IBD, a risk factor the data can't even see)
   - 🔵 **Operational** — will it fire when the action is already handled, creating alert fatigue? (already referred, colonoscopy already scheduled)
   - 🟢 **Prevalence** — does it mostly fire on low-yield patients? (young, low-risk, benign cause)
4. **Refine** — accept / modify / skip each corner case; the rule tightens as you go.
5. **Activate** — ship a clean rule, a tightened rule, or (deliberately) one with an
   acknowledged, unresolved s