Software health reportschema 0.34.0 · metrics 2.10.0 · 2026-10-22 09:58 UTC

santedb / santedb-cdss

SanteDB Clinical Decision Support Engine

C#Apache-2.0★ 0 stars⑂ 0 forkssince Jun 2018View on GitHub ↗

santedb/santedb-cdss holds a health index of 50 out of 100, placing it in the Moderate band. It scores highest on Vitality (93/100) and lowest on Engineering Quality (27/100). It was last updated 4 days ago. A single contributor accounts for most of its recent work.

overall / 100

Moderate

Software health index

Metrics are grouped into weighted categories on one standardized 1–100 scale. Overall starts as their weighted mean, calibrated against the distribution of the public record so bands carry percentile meaning; when public evidence triggers the High-Risk Jurisdiction Policy, the rating is adjusted and receives an At Risk ceiling of 34.

Exceptional93-100The record's top tier (≈ top 5%); essentially all checked criteria met

Excellent80-92Strong across the board; minor gaps

Good65-79Healthy; gaps are limited and manageable

Moderate50-64Acceptable with notable gaps; review recommended

Weak35-49Material weaknesses across several areas

At Risk20-34Significant weaknesses; adoption warrants caution

Critical1-19Severe problems (abandoned, single-maintainer, no hygiene)

Score profile

Each axis is a category. The shape matters more than the average — a healthy subject fills the whole shape, while a spike-and-crater profile means strength in one dimension is masking risk in another.

The weighted overall 50 is calibrated to 50 on the published index scale (record calibration 2026-08-02).

Ownership

SanteSuite CommunityOrganization

14 followers60 public repossince Jun 2018

This repository is backed by an organization — shared, accountable stewardship that can outlive any single maintainer.

Package ecosystems

Registry	Package	Version	Downloads / mo	Versions	Last publish	Tags
NuGet	SanteDB.Cdss.Xml	3.0.2120.4	-	147	0 days ago	santedb

Metrics by category

Vitality

Is the project alive — is code being written and are releases shipping?

93Exceptional · 21% of overall

Development activity

96Exceptional

How it's scored

36/36	Push recency — last push 4 days ago
32.5/36	Commit cadence — 47/52 weeks with commits
18/18	Commit volume — 212 commits in the last year
10/10	OpenSSF Scorecard: Maintained — 30 commit(s) and 0 issue activity found in the last 90 days -- score normalized to 10

Inputs used

commits_last_year	212
human_commit_share	1
days_since_last_push	4
active_weeks_last_year	47

Release discipline

88Excellent

How it's scored

16.2/27	Ships releases — 95 version tags (no GitHub releases)
36/36	Release recency — latest release 4 days ago
27/27	Release cadence — a release every ~2.3 days
0/10	OpenSSF Scorecard: Signed-Releases — no data

Inputs used

releases_count	95
latest_release_tag	v3.0.2120
releases_from_tags	yes
days_since_latest_release	4
mean_days_between_releases	2.3

Excluded from scoring (no data or not applicable): OpenSSF Scorecard: Signed-Releases. Remaining weights renormalized.

Community & Adoption

Does the project have users, downloads, attention, and a welcoming setup for contributors?

43Weak · 17% of overall

Popularity & adoption

4Critical

How it's scored

0/60	Stars — 0 stars
0/25	Forks — 0 forks
4.3/15	Watchers — 7 watchers

Inputs used

forks	0
stars	0
watchers	7
growth_state	unverified
growth_factor_pct	100
growth_unverified_reason	no_history

Community health

70Good

How it's scored

22.5/22.5	README
22.5/22.5	License — recognized license (Apache-2.0)
18/18	CONTRIBUTING guide
0/13.5	Code of conduct
0/7.2	Issue template
0/6.3	PR template

Inputs used

has_readme	yes
has_license	yes
readme_badges	0
has_contributing	yes
has_issue_template	no
has_code_of_conduct	no
readme_badge_services	—
has_pull_request_template	no

Ecosystem adoption (downloads)

69Good

How it's scored

55.2/80	Total downloads — 203,601 downloads all-time across nuget
0/20	Registry dependents — not reported by this ecosystem

Inputs used

packages	SanteDB.Cdss.Xml
dependents	—
ecosystems	nuget
total_downloads	203,601
monthly_downloads	—
unverified_packages_excluded	—

Excluded from scoring (no data or not applicable): Registry dependents. Remaining weights renormalized.

Sustainability & Governance

Will the project survive its people — bus factor, responsiveness, who backs it, and package upkeep?

43Weak · 23% of overall

Maintainer resilience (bus factor)

24At Risk

How it's scored

9/54	Bus factor — 1 contributor(s) cover half of all commits
0.6/22.5	Commit distribution — top contributor authored 98% of commits
4.1/13.5	Contributor breadth — 3 contributors
10/10	OpenSSF Scorecard: Contributors — project has 5 contributing companies or organizations

Inputs used

bus_factor	1
contributors_sampled	3
top_contributor_share	0.975

Issue & PR responsiveness

1Critical

How it's scored

0/42	Issue resolution — no issues or no data
0/30	PR acceptance — 0/3 decided PRs merged
0/13	Newcomer PR acceptance — no first-time contributor's PR decided in 30d
0/15	OpenSSF Scorecard: Code-Review — Found 0/30 approved changesets -- score normalized to 0

Inputs used

merged_prs	0
open_issues	0
closed_issues	0
prs_merged_7d	0
prs_decided_7d	0
prs_merged_30d	0
prs_decided_30d	0
issue_closed_ratio	—
closed_unmerged_prs	3
first_time_authors_30d	0
first_time_prs_merged_30d	0
first_time_prs_decided_30d	0

Excluded from scoring (no data or not applicable): Issue resolution, Newcomer PR acceptance. Remaining weights renormalized.

Ownership & stewardship

64Moderate

How it's scored

30/30	Ownership backing — organization-owned
0/20	Verified domain
8.5/25	Owner reach — 14 followers of santedb
25/25	Track record — 60 public repos, account ~8 yr old

Inputs used

followers	14
owner_type	Organization
is_verified	no
owner_login	santedb
public_repos	60
account_age_days	3,046

Package maintenance

100Exceptional

How it's scored

25/25	Published & resolvable — 1 package(s) on nuget
35/35	Publish recency — latest publish 0 days ago
20/20	Version history — 147 published versions
20/20	Not deprecated — active, not deprecated or yanked

Inputs used

packages	SanteDB.Cdss.Xml
ecosystems	nuget
any_deprecated	no
min_days_since_publish	0

Engineering Quality

Are baseline engineering and documentation practices in place?

27At Risk · 19% of overall

Engineering practices

1Critical

How it's scored

0/24	CI workflows
0/24	Tests present
0/16	Linter config
0/9.6	Pre-commit hooks
0/6.4	.editorconfig
0/20	OpenSSF Scorecard: CI-Tests — no data

Inputs used

has_ci	no
has_tests	no
has_editorconfig	no
has_linter_config	no
has_precommit_config	no

Excluded from scoring (no data or not applicable): OpenSSF Scorecard: CI-Tests. Remaining weights renormalized.

Documentation

65Good

How it's scored

30/30	README
0/25	Documentation directory
15/15	Documentation / homepage site — http://santesuite.org
10/10	Repository description
0/10	Topics
10/10	Wiki

Inputs used

topics	—
has_wiki	yes
homepage	http://santesuite.org
docs_site	http://santesuite.org
has_readme	yes
has_docs_dir	no
has_description	yes

Security

Are visible security and supply-chain practices strong, without unresolved high-risk jurisdiction exposure?

46Weak · 16% of overall

Security posture

41Weak

How it's scored

7.5/7.5	Binary-Artifacts — no binaries found in the repo
0/7.5	Branch-Protection — branch protection not enabled on development/release branches
0/2.5	CI-Tests — no data
0/2.5	CII-Best-Practices — no effort to earn an OpenSSF best practices badge detected
0/7.5	Code-Review — Found 0/30 approved changesets -- score normalized to 0
2.5/2.5	Contributors — project has 5 contributing companies or organizations
0/10	Dangerous-Workflow — no data
0/7.5	Dependency-Update-Tool — no update tool detected
0/5	Fuzzing — project is not fuzzed
2.5/2.5	License — license file detected
7.5/7.5	Maintained — 30 commit(s) and 0 issue activity found in the last 90 days -- score normalized to 10
0/5	Packaging — no data
0/5	Pinned-Dependencies — no data
0/5	SAST — no SAST tool detected
0/5	Security-Policy — security policy file not detected
0/7.5	Signed-Releases — no data
0/7.5	Token-Permissions — no data
7.5/7.5	Vulnerabilities — 0 existing vulnerabilities detected

Inputs used

source	openssf_scorecard
checks_evaluated	12
scorecard_version	v5.5.0
checks_inconclusive	6
scorecard_aggregate	4.1

Excluded from scoring (no data or not applicable): CI-Tests, Dangerous-Workflow, Packaging, Pinned-Dependencies, Signed-Releases, Token-Permissions. Remaining weights renormalized.

Dependency advisories

64Moderate

How it's scored

14/35	Direct dependencies free of known advisories — 1 affected: Newtonsoft.Json 11.0.2 (high 7.5)
0/25	Indirect dependencies free of known advisories — transitive set not separable from development and test dependencies in this scope
33.7/40	No advisories left outstanding — 1 advisory-carrying package(s) unaddressed past 90 days; oldest published 1,582 days ago

Inputs used

source	osv
advisories	1
affected_packages	1
assessed_packages	14
unassessed_packages	7
affected_by_severity	high 1
direct_affected_packages	1

Excluded from scoring (no data or not applicable): Indirect dependencies free of known advisories. Remaining weights renormalized. Matched 14 resolved dependencies against OSV. 7 could not be assessed — no resolved version, an unsupported ecosystem, or beyond the reported package list. This repository publishes no package the index resolves, so the repository dependency graph was assessed instead. That graph mixes development and test pins with shipped dependencies, so only the declared runtime dependencies are scored; transitive findings are reported as context and excluded from the score. Reachability is not analyzed.

AI Readiness

How well is the repo equipped to be developed and maintained with AI coding agents? Carries a deliberately small weight (4%): agent tooling is a real maintenance signal, but a repository with none can still reach 100/100.

30At Risk · 4% of overall

Agent context & guidance

1Critical

How it's scored

0/45	Agent instructions — no CLAUDE.md / AGENTS.md / editor rules
0/15	Machine-readable docs (llms.txt)
0.5/40	Legible commit history — 1 of 100 human commits state their intent (structured subject or explanatory body)

Inputs used

has_llms_txt	no
llms_txt_url	—
legible_history_share	0.01
agent_instruction_files	—
agent_instruction_max_bytes	—

Verify loop (build / test / typecheck)

26At Risk

How it's scored

12.6/18	One-command bootstrap — SanteDB.Cdss.Xml.Test/SanteDB.Cdss.Xml.Test.csproj, SanteDB.Cdss.Xml/SanteDB.Cdss.Xml.csproj (toolchain convention, no task runner)
0/22	Automated tests
0/11	Lint / format config
11/11	Static type checking — C# (statically typed)
0/10	Reproducible environment
0/10	Demonstrated agent practice — no agent-authored commits among the last 100
0/8	Automated maintenance — no automated dependency updates observed
0/10	OpenSSF Scorecard: Pinned-Dependencies — no data

Inputs used

has_nix	no
has_tests	no
lockfiles	—
has_dockerfile	no
typed_language	yes
bootstrap_files	—
has_devcontainer	no
has_linter_config	no
typecheck_configs	—
agent_commit_share	0
toolchain_manifests	SanteDB.Cdss.Xml.Test/SanteDB.Cdss.Xml.Test.csproj, SanteDB.Cdss.Xml/SanteDB.Cdss.Xml.csproj
dependency_bot_commit_share	0

Excluded from scoring (no data or not applicable): OpenSSF Scorecard: Pinned-Dependencies. Remaining weights renormalized.

Code legibility for models

100Exceptional

How it's scored

45/45	Type-checkable code — C# (statically typed)
55/55	Manageable file sizes — 0/114 source files over 60KB

Inputs used

primary_language	C#
largest_source_bytes	55,717
source_files_sampled	114
oversized_source_files	0

Key facts

0GitHub stars

3contributors

212commits, last 12 months

4days since last push

95releases

1bus factor

0open issues

NuGetpackage ecosystems

More detail

OpenSSF Scorecard 4.1 / 10

4.1aggregate

Independent, tool-agnostic security assessment from the open-source OpenSSF Scorecard. Each check rewards a security practice, not a specific vendor's tool. Checks Scorecard could not determine are marked n/a and excluded from the security score (never counted as zero).Scorecard v5.5.0 · 2026-10-22 09:58 UTC

10	Binary-Artifacts	no binaries found in the repo
0	Branch-Protection	branch protection not enabled on development/release branches
n/a	CI-Tests	no pull request found
0	CII-Best-Practices	no effort to earn an OpenSSF best practices badge detected
0	Code-Review	Found 0/30 approved changesets -- score normalized to 0
10	Contributors	project has 5 contributing companies or organizations
n/a	Dangerous-Workflow	no workflows found
0	Dependency-Update-Tool	no update tool detected
0	Fuzzing	project is not fuzzed
10	License	license file detected
10	Maintained	30 commit(s) and 0 issue activity found in the last 90 days -- score normalized to 10
n/a	Packaging	packaging workflow not detected
n/a	Pinned-Dependencies	no dependencies found
0	SAST	no SAST tool detected
0	Security-Policy	security policy file not detected
n/a	Signed-Releases	no releases found
n/a	Token-Permissions	No tokens found
10	Vulnerabilities	0 existing vulnerabilities detected

Direct dependencies 24

Registry	Package	Version constraint	Manifest
NuGet	SanteDB.Core.Api	`$(VersionNumber)`	SanteDB.Cdss.Xml.Test/SanteDB.Cdss.Xml.Test.csproj
NuGet	SanteDB.Core.Applets	`$(VersionNumber)`	SanteDB.Cdss.Xml.Test/SanteDB.Cdss.Xml.Test.csproj
NuGet	SanteDB.Core.Model	`$(VersionNumber)`	SanteDB.Cdss.Xml.Test/SanteDB.Cdss.Xml.Test.csproj
NuGet	SanteDB.Core.TestFramework	`$(VersionNumber)`	SanteDB.Cdss.Xml.Test/SanteDB.Cdss.Xml.Test.csproj
NuGet	SanteDB.Core.TestFramework.Sqlite	`$(VersionNumber)`	SanteDB.Cdss.Xml.Test/SanteDB.Cdss.Xml.Test.csproj
NuGet	SanteDB.Persistence.Data	`$(VersionNumber)`	SanteDB.Cdss.Xml.Test/SanteDB.Cdss.Xml.Test.csproj
NuGet	DynamicExpresso.Core	`2.17.2`	SanteDB.Cdss.Xml.Test/SanteDB.Cdss.Xml.Test.csproj
NuGet	Newtonsoft.Json	`13.0.3`	SanteDB.Cdss.Xml.Test/SanteDB.Cdss.Xml.Test.csproj
NuGet	NUnit	`3.13.3`	SanteDB.Cdss.Xml.Test/SanteDB.Cdss.Xml.Test.csproj
NuGet	Microsoft.Data.Sqlite.Core	`9.0.0`	SanteDB.Cdss.Xml.Test/SanteDB.Cdss.Xml.Test.csproj
NuGet	NUnit3TestAdapter	`4.4.2`	SanteDB.Cdss.Xml.Test/SanteDB.Cdss.Xml.Test.csproj
NuGet	Microsoft.CSharp	`4.7.0`	SanteDB.Cdss.Xml.Test/SanteDB.Cdss.Xml.Test.csproj
NuGet	SQLitePCLRaw.provider.dynamic_cdecl	`2.1.10`	SanteDB.Cdss.Xml.Test/SanteDB.Cdss.Xml.Test.csproj
NuGet	SQLiteSpellfix.lib.e_sqlite3mc	`2.2.1`	SanteDB.Cdss.Xml.Test/SanteDB.Cdss.Xml.Test.csproj
NuGet	Antlr4.Runtime.Standard	`4.13.1`	SanteDB.Cdss.Xml/SanteDB.Cdss.Xml.csproj
NuGet	Antlr4BuildTasks	`12.10.0`	SanteDB.Cdss.Xml/SanteDB.Cdss.Xml.csproj
NuGet	DynamicExpresso.Core	`2.17.2`	SanteDB.Cdss.Xml/SanteDB.Cdss.Xml.csproj
NuGet	Microsoft.CSharp	`4.7.0`	SanteDB.Cdss.Xml/SanteDB.Cdss.Xml.csproj
NuGet	SanteDB.Core.Api	`$(VersionNumber)`	SanteDB.Cdss.Xml/SanteDB.Cdss.Xml.csproj
NuGet	SanteDB.Core.Applets	`$(VersionNumber)`	SanteDB.Cdss.Xml/SanteDB.Cdss.Xml.csproj
NuGet	SanteDB.Core.Model	`$(VersionNumber)`	SanteDB.Cdss.Xml/SanteDB.Cdss.Xml.csproj
NuGet	SanteDB.Rest.Common	`$(VersionNumber)`	SanteDB.Cdss.Xml/SanteDB.Cdss.Xml.csproj
NuGet	Newtonsoft.Json	`13.0.3`	SanteDB.Cdss.Xml/SanteDB.Cdss.Xml.csproj
NuGet	SharpCompress	`0.50.0`	SanteDB.Cdss.Xml/SanteDB.Cdss.Xml.csproj

All dependencies 21

Full resolved dependency set from the GitHub dependency graph: 19 direct and 2 indirect (transitive) packages. The transitive closure is complete when the repository commits a lockfile.

Registry	Package	Version	Relation
NuGet	Antlr4.Runtime.Standard	`4.13.1`	direct
NuGet	Antlr4BuildTasks	`12.10.0`	direct
NuGet	DynamicExpresso.Core	`2.17.2`	direct
NuGet	Microsoft.CSharp	`4.7.0`	direct
NuGet	Microsoft.Data.Sqlite.Core	`9.0.0`	direct
NuGet	Newtonsoft.Json	`11.0.2`	direct
NuGet	Newtonsoft.Json	`13.0.3`	direct
NuGet	NUnit	`3.13.3`	direct
NuGet	NUnit3TestAdapter	`4.4.2`	direct
NuGet	SanteDB.Core.Api	`—`	direct
NuGet	SanteDB.Core.Applets	`—`	direct
NuGet	SanteDB.Core.Model	`—`	direct
NuGet	SanteDB.Core.TestFramework	`—`	direct
NuGet	SanteDB.Core.TestFramework.Sqlite	`—`	direct
NuGet	SanteDB.Persistence.Data	`—`	direct
NuGet	SanteDB.Rest.Common	`—`	direct
NuGet	SharpCompress	`0.50.0`	direct
NuGet	SQLitePCLRaw.provider.dynamic_cdecl	`2.1.10`	direct
NuGet	SQLiteSpellfix.lib.e_sqlite3mc	`2.2.1`	direct
NuGet	Antlr	`3.5.0.2`	indirect
NuGet	ExpressionEvaluator	`2.0.4.0`	indirect

Dependency advisories 1

This repository publishes no package the index resolves, so its own dependency graph was assessed — 14 packages, which also include development and test pins that never ship: 1 carry known advisories, of which 1 are direct. 7 could not be assessed — no resolved version, an unsupported ecosystem, or beyond the reported package list.

Package	Version	Relation	Severity	Advisories	Fixed in
Newtonsoft.Json	`11.0.2`	direct	high	1	`13.0.1`

An advisory means the version recorded in the dependency graph falls inside an advisory’s affected range. Reachability is not analysed, and the graph includes development and test pins — a finding may concern tooling rather than shipped software.

Raw JSON report machine-readable

Feedback

Spotted something off in this report, or have thoughts to share? Wrong measurements, missed tooling, ideas, questions — anything is welcome. Every message is read and gets a response.

Scores are signals, not warranties. They reflect publicly visible practices on GitHub — not a code audit, and not a security guarantee.

Missing data is excluded and weights renormalized, never scored as zero. Methodology is versioned and open: metrics v2.10.0, schema v0.34.0 — full methodology · metrics wiki.

How one result sits in the wider record: aggregate statistics — NuGet.

Software health index

Score profile

Ownership

Package ecosystems

Metrics by category

Key facts

More detail

Feedback

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