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  • Welcome to your QMS
  • Quality Manual
  • Procedures
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  • Legit.Health Plus Version 1.1.0.0
    • Index of Technical Documentation or Product File
    • Summary of Technical Documentation (STED)
    • Description and specifications
    • R-TF-001-007 Declaration of conformity
    • GSPR
    • Clinical
    • Cybersecurity
    • Design and development
    • Design History File
      • Requirements
        • PRS
        • Deprecated Software Requirement Specification (SRS)
        • Software Requirement Specification (SRS)
          • SRS-001: Generate Automatic PASI (APASI) severity analysis report for single zone
          • SRS-002: Generate Automatic SCORAD (ASCORAD) severity analysis report for single zone
          • SRS-003: Generate Automatic Urticaria Activity Score (AUAS) report for single zone
          • SRS-004: Generate Automatic GPPGA (AGPPGA) report for single zone
          • SRS-005: Generate Automatic IHS4 (AIHS4) report for single zone
          • SRS-006: Generate ALADIN Score report for single zone
          • SRS-007: Generate Automatic VASI (AVASI) report for single zone
          • SRS-008: Generate Automatic AWOSI report for single zone
          • SRS-009: Generate Automatic NSIL report for single zone
          • SRS-010: Generate Automatic SALT (ASALT) report for single zone
          • SRS-011: Generate Automatic EASI (AEASI) report for single zone
          • SRS-012: Orchestrate severity analysis workflow
          • SRS-013 Generate an aggregated ICD probability distribution from an image
          • SRS-014 Generate per-image ICD analysis with explainability heat map
          • SRS-015 Generate an unified report of ICD class distributions
          • SRS-016: Include model sensitivity in report
          • SRS-017: Include model specificity in report
          • SRS-018: Include entropy score in report
          • SRS-019: Include the indicator of the presence of a condition in the report
          • SRS-020: Include the indicator of the image presenting a pigmented lesion in the report
          • SRS-021: Include the indicator of malignancy in the report
          • SRS-022: Include the indicator of needing an urgent referral in the report
          • SRS-023: Include the indicator of needing a high priority referral in the report
          • SRS-024 The product checks the image quality with the Dermatological Image Quality Assessment (DIQA) algorithm
          • SRS-025 The product checks the image's clinical domain
          • SRS-026 The product classifies the image's modality
          • SRS-027 The product provides a final image validity summary
          • SRS-028: Orchestrate diagnosis support workflow
          • SRS-029: Compute 7-Point Checklist (7PC) Score
          • SRS-030: Compute Dermatology Life Quality Index (DLQI) Score
          • SRS-031: Compute PURE-4 Score
          • SRS-032: Compute Urticaria Control Test (UCT) Score
          • SRS-033: Calculate Global Acne Grading System (GAGS) Score
          • SRS-034: Calculate RESVECH Score
          • SRS-035: Calculate SCOVID Score
          • SRS-036: Calculate Physician's Global Assessment (PGA) Score
          • SRS-037: Generate Global Automatic VASI (AVASI) Score for Full Body
          • SRS-038: Secure Communication Protocol Enforcement
          • SRS-039: Network Service Exposure
          • SRS-040: URL-Based API Versioning
          • SRS-041: Concurrent API Version Support
          • SRS-042: JSON Data Interchange Format
          • SRS-044: Deterministic Response Schemas
          • SRS-045: Performance and Latency
          • SRS-046: Standard HTTP Status Code Usage
          • SRS-047: Endpoint Access Control
          • SRS-048: API Documentation Endpoint
          • SRS-049: High Availability and Load Balancing Support
          • SRS-051: API Rate Limiting
          • SRS-052: Request Body Size Limitation
          • SRS-053: Provision of Clinical Parameter Endpoints
          • SRS-054: API Health Check Endpoint
          • SRS-055: User Action Auditing
          • SRS-056: Authentication Event Auditing
          • SRS-057: Security Event Auditing
          • SRS-058: Consolidated Audit Record Content
          • SRS-059: Write-Once Audit Storage
          • SRS-060: Tamper-Evident Audit Records
          • SRS-061: Audit Tampering Detection and Logging
          • SRS-062: Secure Audit Trail Access Interface
          • SRS-063: Accurate Time Synchronization
          • SRS-064: Audit Trail Data Retention Policy
          • SRS-065: Audit System Failure Handling
          • SRS-066: System Information Endpoint Implementation
          • SRS-067: User Authentication Endpoint Implementation
          • SRS-068: Diagnostic Support Endpoint Implementation
          • SRS-069: Manual Severity Assessment Endpoint Implementation
          • SRS-070: Single-Zone Automatic Severity Assessment Endpoint Implementation
          • SRS-071: Full-Body Automatic Severity Assessment Endpoint Implementation
          • SRS-072: Device Information Endpoint Implementation
          • SRS-073: Generate FHIR DiagnosticReport Base Structure
          • SRS-074: Assign FHIR DiagnosticReport Identifier
          • SRS-075: Record Analysis Duration in FHIR Report
          • SRS-076: Encapsulate Proprietary Data
          • SRS-077: Map Aggregated Diagnostic Conclusions to FHIR
          • SRS-078: Embed Performance and Clinical Indicators in FHIR Report
          • SRS-079: Map Per-Image Analysis to FHIR
          • SRS-080: Embed Explainability Mechanisms in FHIR Report
          • SRS-081: Map Severity Assessment Scores to FHIR
          • SRS-082: Embed Detected Lesion Data in FHIR Report
          • SRS-083 Display the legal information about this medical device
          • SRS-084 Role-Based Access Control (RBAC) with Least Privilege Principle to restrict users to essential functions.
          • SRS-085 Conduct periodic access reviews to verify permissions align with job functions.
          • SRS-086 Enforce strong password policies (min. 12 characters, complexity rules, expiration policies).
          • SRS-087 Use hashed and salted passwords
          • SRS-088 Lock accounts after five failed attempts
          • SRS-089 Implement progressive delays between failed login attempts.
          • SRS-090 Generated JWTs must have an expiration date.
          • SRS-091 AES-256 encryption for data at rest
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      • REL-001 Version 1.1.0.0
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  • Legit.Health Plus Version 1.1.0.1
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  • Legit.Health Plus Version 1.1.0.0
  • Design History File
  • Requirements
  • Software Requirement Specification (SRS)
  • SRS-005: Generate Automatic IHS4 (AIHS4) report for single zone

SRS-005: Generate Automatic IHS4 (AIHS4) report for single zone

Identifier​

SRS-005

Software System​

  • Processor
  • Report Builder
  • Orchestrator

Category​

  • Functional

Description​

Upon a user-initiated request to perform a severity analysis on an ingested image, the system shall execute the Automatic International Hidradenitis Suppurativa Severity Score System (AIHS4) assessment. The system shall perform the following integrated actions:

  1. Calculate clinical signs: Invoke the AIHS4 model to detect and count the total number of nodules, abscesses and tunnels in the image.
  2. Compute IHS4 score and its corresponding interpretation using the calculated clinical scores.
  3. Generate visual evidence: Create an annotated image by overlaying bounding boxes on the original input image. These boxes shall highlight each individual lesion detected. The annotations shall be visually differentiated by lesion type (e.g., using different colors or labels for nodules, abscesses, and draining tunnels).
  4. Assemble and present report: Generate and display a structured clinical report that consolidates the analysis results. The report shall contain the following clearly labelled data points:
    • The final IHS4 score and its corresponding clinical interpretation band (e.g., "Mild," "Moderate," "Severe").
    • The counts for each lesion type: nodules, abscesses, and draining tunnels.
    • The annotated visual evidence image generated in step 2.

Derived from PRS​

  • PRS-2ZB: Measure severity by combining image analysis and user-reported symptoms in scoring systems

Risks related to the SRS​

Risks that are caused by the requirement​

Risks to which the requirement is the solution (mitigation or control)​

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SRS-006: Generate ALADIN Score report for single zone
  • Identifier
  • Software System
  • Category
  • Description
  • Derived from PRS
  • Risks related to the SRS
    • Risks that are caused by the requirement
    • Risks to which the requirement is the solution (mitigation or control)
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