Step 0 Pre-Check: Project Type Detection

Detected Project Type

Primary Type: Full-Stack Enterprise Healthcare EMR & Hospital Operations Ecosystem (MERN Stack: Node.js/Express 5.1.0 + MongoDB/Mongoose 9.11.3 + Jitsi WebRTC + Vanilla JS/HTML5 Portals) Sub-Category: Clinical Decision Support System (CDSS), Visual Ward/Bed Management, Multi-Tenant Medical Document & Imaging Store, Gamified Digital Therapeutics.

Evidence

• Backend Framework: Express 5.1.0 (VITALS/app.js, VITALS/package.json), Body-Parser 2.2.0.
• Database & ODM: MongoDB, Mongoose 9.11.3, connect-mongo 5.1.0 for session persistence.
• Security & RBAC: bcrypt 6.0.0, jsonwebtoken 9.0.3, express-validator 7.3.2, VITALS/services/securityService.js (lockout handling, failed login counters).
• Domain Modules: 14 REST route modules (VITALS/routes/patientRoutes.js, caseRoutes.js, clinicalRoutes.js, documentRoutes.js, planRoutes.js, decisionSupportRoutes.js, monitoringRoutes.js, alertsRoutes.js, analyticsRoutes.js, observabilityRoutes.js).
• Data Models: 49 domain models (User.js, Document.js, ImagingMetadata.js, ContraindicationRule.js, Appointment, Review).
• Testing: Native Node.js test runner (node --test), Supertest 7.3.1, mongodb-memory-server 11.3.0 across 13 test suites.
• Frontend: Multi-portal client web application (hospitalbed.html cinema grid, insurance.html dynamic cost estimator, SecureMeds.html.html e-pharmacy tracker, videoconsultation.html Jitsi WebRTC, xyzgame.html stroke motor rehab).

Documentation Track

• Full Stack Track: End-to-end data flow, database schemas, RBAC auth flows, HIPAA privacy architecture, medical imaging storage, real-time vital alerts, and clinical decision support rule engines.