Clinical competence OS
Nirikshak 0.3.0, physio 0.2.0, seed Ramesh Kale — 47, auto-rickshaw driver, Nagpur. This is the playable ward on that contract — not Docker, Redis, or JWT.
reflection
Clinical twin. Vernacular patient, deterministic physiology.
examiner
Fail-closed grader. Replayable evidence, never an opaque LLM score.
flow
Live competency graph with decay. CRS is a vector, not a badge.
teacher
Tutor aimed at Dhaara gaps. Does not invent doses without a cite.
sight
Floor observation. Preceptor-scored steps, not a fake badge-cam.
appointment
Match CRS vectors to hospital demand. No hiring decision.
resolution
Next action from the weakest competencies.
dimension
Audit pack. Evidence-anchored credential, not a blockchain stunt.
protection
Safety intelligence. Reads the ledger. Never prices a person.
harness
Faculty writes a case. Dry-run against the engine. Draft-tier.
Engine validation. Not live learners.
Inferior STEMI — district ED
Chatit jad, ghaam yetoy. 40 minutes of retrosternal heaviness. Blames lunch gas. Family attendant at bedside.
Pre-eclampsia — ASHA referral
32 weeks. Headache, swelling, visual sparks. ASHA referred from village PHC.
Paediatric asthma — caregiver history
Night cough, tight chest, after a dusty school function. Mother is the proxy.
Anaphylaxis — OPD, post-injection ceftriaxone
Just received IM ceftriaxone in OPD. Itching, tightness, voice changing. Companion present.
Early-onset neonatal sepsis — private nursing home
Poor feeding, tachypnea, warm to touch. Discharged at 24h from nursing home.
Postpartum hemorrhage — rural PHC
Still passing clots, dizzy. Husband brought her on motorcycle — 40 min from village.