| name | hypertension |
| description | Hypertension management - blood pressure monitoring, target organ damage assessment, cardiovascular risk evaluation, and medication tracking |
Hypertension Management Skill
Comprehensive blood pressure monitoring and management to help control blood pressure and reduce cardiovascular risk.
Core Flow
User Input -> Identify Operation Type -> Extract Parameter Info -> Check Completeness -> [Need Supplement] Ask User
|
[Information Complete]
|
Generate JSON -> Save Data -> Output Confirmation
Step 1: Parse User Input
Operation Type Recognition
| Input Keywords | Operation Type | Description |
|---|
| record, bp, blood pressure | bp_record | Log blood pressure |
| trend | trend_analysis | View blood pressure trend |
| average | average_calculation | Calculate average BP |
| history | history_view | View history records |
| status | status_view | View achievement status |
| risk | risk_assessment | Cardiovascular risk assessment |
| target | target_view | View BP targets |
| heart | heart_assessment | Heart assessment record |
| kidney | kidney_assessment | Kidney assessment record |
| retina | retina_assessment | Retina assessment record |
| medication | medication_management | Medication management |
Blood Pressure Value Parsing
Recognize format: XXX/YY or XXX YY
- Systolic: First value
- Diastolic: Second value
Measurement Time Keywords
| Input Keywords | Time Value |
|---|
| morning | morning |
| evening | evening |
| noon | noon |
| night | night |
Measurement Position Keywords
| Input Keywords | Position Value |
|---|
| sitting | sitting |
| standing | standing |
| lying | lying |
Measurement Arm Keywords
| Input Keywords | Arm Value |
|---|
| left | left |
| right | right |
Target Organ Assessment Keywords
Heart Assessment
| Input Keywords | Exam Type |
|---|
| echo | echocardiogram |
| ecg | ecg |
| lvh | left_ventricular_hypertrophy |
Kidney Assessment
| Input Keywords | Indicator |
|---|
| uacr | uacr |
| egfr | egfr |
| creatinine | creatinine |
Retina Assessment
| Input Keywords | Grade |
|---|
| grade-0 | grade_0 |
| grade-1 | grade_1 |
| grade-2 | grade_2 |
| grade-3 | grade_3 |
| grade-4 | grade_4 |
Step 2: Check Information Completeness
BP Record Required:
- Systolic (mmHg)
- Diastolic (mmHg)
Target Organ Assessment Required:
- Assessment type
- Assessment result
Cardiovascular Risk Assessment Needs:
- Age
- Gender
- Systolic BP
- Smoking status
- Diabetes status
- Total cholesterol
- HDL cholesterol
- Antihypertensive treatment status
Step 3: Interactive Prompts (If Needed)
Scenario A: Incomplete BP Values
Please provide complete BP reading, format: systolic/diastolic
Example: 135/85
Scenario B: Additional Information Inquiry
Please supplement the following information (optional):
- Heart rate (pulse XX)
- Measurement time (morning/evening)
- Measurement position (sitting/standing/lying)
- Measurement arm (left/right)
Scenario C: Missing Target Organ Assessment Parameters
Please provide assessment results:
- Echocardiogram: normal/abnormal/lvh
- ECG: normal/abnormal
- Urine microalbumin (UACR): value (mg/g)
- eGFR: value (ml/min/1.73m²)
- Retina grade: grade_0-4
Step 4: Generate JSON
Blood Pressure Record
{
"id": "bp_20250102080000001",
"date": "2025-01-02",
"time": "08:00",
"systolic": 135,
"diastolic": 85,
"pulse": 78,
"position": "sitting",
"measurement_device": "home_monitor",
"arm": "left",
"classification": "High-normal",
"in_target": false
}
Target Organ Damage Assessment
{
"left_ventricular_hypertrophy": {
"status": "none",
"last_assessment": "2025-01-15",
"method": "echocardiogram"
},
"microalbuminuria": {
"status": "negative",
"uacr": 15,
"reference": "<30",
"date": "2025-06-10"
},
"retinopathy": {
"grade": "grade_0",
"last_exam": "2025-03-20"
},
"arterial_stiffness": {
"pwv": 7.5,
"reference":
Cardiovascular Risk Assessment
{
"assessment_date": "2025-06-20",
"ascvd_risk_score": 12.5,
"risk_level": "High",
"risk_factors": [
"Hypertension",
"Age >55",
"Elevated total cholesterol"
],
"recommendations": [
"Strict BP control",
"Statin therapy",
"Lifestyle intervention"
]
}
Complete schema definition: see schema.json.
Step 5: Save Data
- Read
data/hypertension-tracker.json
- Update corresponding sections based on operation type
- Update statistics
- Write back to file
Execution Instructions
1. Identify operation type (record/trend/average/history/status/risk/target/heart/kidney/retina/medication)
2. Extract parameter information
3. Check required field completeness
4. If missing, ask user to supplement
5. Generate JSON compliant with schema.json
6. Save to data/hypertension-tracker.json
7. Output confirmation and medical recommendations
Example Interactions
Example 1: Record Blood Pressure
User: record 135/85 pulse 78
AI: Blood pressure measurement recorded
Time: 2025-01-02 08:00
Systolic: 135 mmHg
Diastolic: 85 mmHg
Pulse: 78 bpm
Classification: High-normal
Target: <130/80 mmHg
Status: Not on target (elevated systolic)
Recommendation: Reduce sodium intake, exercise regularly, monitor regularly
Example 2: View Blood Pressure Trend
User: trend
AI: Blood pressure trend analysis (past 7 days)
━━━━━━━━━━━━━━━━━━━━━━━━━━
Average BP: 132/83 mmHg
Morning average: 135/85 mmHg
Evening average: 128/80 mmHg
Circadian rhythm: Dipper (normal)
Achievement rate: 71.4%
Trend: BP control stable, morning BP slightly elevated
Recommendation: Continue monitoring, pay attention to morning BP control
Example 3: Cardiovascular Risk Assessment
User: risk
AI: Cardiovascular Risk Assessment
━━━━━━━━━━━━━━━━━━━━━━━━━━
10-year ASCVD risk: 12.5%
Risk level: High
Major risk factors:
- Hypertension (currently poorly controlled)
- Age >55
- Elevated total cholesterol
Recommendations:
1. Strict BP control to target
2. Consider statin therapy
3. Low-salt diet, regular exercise
4. Quit smoking, limit alcohol
Recommendation: Seek medical attention soon, consult doctor for treatment adjustment
Example 4: View Achievement Status
User: status
AI: Blood Pressure Achievement Report
━━━━━━━━━━━━━━━━━━━━━━━━━━
BP Target: <130/80 mmHg
Past 7 days:
- Average BP: 132/83 mmHg
- Days on target: 5/7 (71.4%)
- Achievement rate: 71.4%
Past 30 days:
- Average BP: 128/81 mmHg
- Days on target: 22/30 (73.3%)
- Achievement rate: 73.3%
Control Evaluation: BP control approaching target, keep working
For more examples, see examples.md.
Medical Safety Boundaries
Cannot Do:
- Provide specific medication dosage adjustment recommendations
- Directly prescribe or recommend specific medications
- Replace doctor's diagnosis and treatment decisions
- Predict disease prognosis or complication occurrence
Can Do:
- Provide blood pressure monitoring records and trend analysis
- Provide target organ damage assessment records
- Provide cardiovascular risk calculation (for reference only)
- Provide lifestyle recommendations and medical visit reminders
Emergency Medical Indications:
- Systolic >=180 mmHg AND diastolic >=120 mmHg
- Accompanied by chest pain, difficulty breathing, speech difficulty
- Headache, confusion, vision changes
- Facial or limb numbness/weakness
