prostate-health

name	prostate-health
description	Prostate health management including PSA monitoring, IPSS scoring, DRE records, and cancer screening

Prostate Health Management Skill

Prostate health tracking and management, including PSA monitoring, IPSS symptom scoring, prostate examination planning, and risk assessment.

Core Flow

User Input → Identify Operation Type → Parse Information → Check Completeness → Generate JSON → Save Data
                                     |
                              [Ask when information insufficient]

Step 1: Parse User Input

Operation Type Recognition

Input Keywords	Operation
psa, PSA	PSA test record
ipss, IPSS	IPSS symptom score
dre	DRE record
ultrasound	Prostate ultrasound record
status	View status
screening	Screening plan
risk	Risk assessment

PSA Value Recognition

Input Format	Extract
PSA 2.5	total_psa: 2.5
总PSA 2.5	total_psa: 2.5
psa 4.2 free 0.9	total: 4.2, free: 0.9

IPSS Symptom Recognition

Symptom	Keywords	Score Range
Incomplete emptying	not empty	0-5
Frequency	frequent	0-5
Nocturia	night	0-5

DRE Result Recognition

Keywords	Result
normal	normal
enlarged	enlarged
firm	firm
nodule	nodule present
soft	soft

Step 2: Check Information Completeness

PSA Test (psa)

• Required: Total PSA value
• Optional: Free PSA value, test date

IPSS Score (ipss)

• Required: None (interactive scoring)

DRE Exam (dre)

• Required: Exam result description
• Recommended: Size, texture, nodule status

Step 3: Interactive Prompts (If Needed)

Question Scenarios

Scenario A: PSA Missing Specific Value

Please provide PSA test result, for example:
• Total PSA: 2.5 ng/mL
• Free PSA: 0.8 ng/mL (optional)

Scenario B: IPSS Interactive Scoring

Please answer the following 7 questions, each 0-5 points:

1. Incomplete emptying: Often feel incomplete bladder emptying?
   0-None 1-Less than 1/5 2-Less than 1/2 3-About 1/2 4-More than 1/2 5-Almost always

[Ask each question sequentially...]

Step 4: Generate JSON

PSA Data Structure

{
  "record_type": "psa_test",
  "date": "2025-06-15",
  "total_psa": 2.5,
  "free_psa": 0.8,
  "ratio": 0.32,
  "unit": "ng/mL",
  "reference": "<4.0",
  "trend": "stable",
  "risk_level": "low",
  "interpretation": "Normal"
}

IPSS Data Structure

{
  "record_type": "ipss_score",
  "date": "2025-06-20",
  "incomplete_emptying": 1,
  "frequency": 2,
  "intermittency": 1,
  "urgency": 2,
  "weak_stream": 1,
  "straining": 0,
  "nocturia": 2,
  "total_score": 9,
  "severity": "moderate",
  "quality_of_life_score": 2
}

DRE Data Structure

{
  "record_type": "dre_exam",
  "date": "2025-06-15",
  "findings": "normal",
  "size": "normal",
  "texture": "soft",
  "nodule": false,
  "tenderness": false,
  "mobility": "normal",
  "notes": ""
}

Complete schema definition: see schema.json.

Step 5: Save Data

1. Generate record ID: prostate_YYYYMMDD_XXX
2. Save to data/前列腺记录/YYYY-MM/YYYY-MM-DD_PSA检测.json
3. Update data/prostate-tracker.json

PSA Risk Assessment Standards

Total PSA (ng/mL)	Risk Level	Recommendation
< 2.5 (under 50) or < 4.0 (over 50)	Low	Continue routine screening
2.5-4.0 (under 50) or 4.0-10.0	Moderate	Recommend repeat in 3 months
> 10.0	High	Recommend immediate urology visit

Free/Total PSA Ratio

Ratio	Interpretation
> 0.25	Suggests benign
0.10-0.25	Gray zone, comprehensive assessment needed
< 0.10	Need to be alert for malignancy

IPSS Symptom Severity

Total Score	Severity	Management Recommendation
0-7	Mild	Observe and follow up
8-19	Moderate	Consider medication
20-35	Severe	Recommend urology evaluation

Prostate Volume Classification

Volume	Classification
< 20 mL	Small
20-30 mL	Normal
30-50 mL	Mildly enlarged (BPH Grade I)
50-80 mL	Moderately enlarged (BPH Grade II)
> 80 mL	Severely enlarged (BPH Grade III)

Execution Instructions

1. Identify operation type
2. Parse input parameters, extract all available information
3. Check required fields, ask user if missing
4. Judge results based on assessment standards
5. Generate JSON compliant with schema.json
6. Save to appropriate file path
7. Confirm save to user and display summary and recommendations

Example Interactions

Example 1: Record PSA Test (Normal)

User: PSA检测 2.5
AI: ✅ PSA检测已记录

    PSA Information:
    Total PSA: 2.5 ng/mL ✓ (reference: <4.0)
    Risk level: Low ✅

    Recommendation: Continue routine screening, next test in 1 year

    Saved to: data/前列腺记录/2025-06/2025-06-15_PSA检测.json

Example 2: IPSS Score

User: IPSS症状评分
AI: 请回答以下7个问题，每个问题0-5分：

    [Interactive questioning...]

    ✅ IPSS评分已完成

    Total score: 9/35 points
    Severity: Moderate ⚠️

    Recommendation: Observe and follow up, avoid drinking before bed, reduce caffeine and alcohol

    Saved to: data/前列腺记录/2025-06/2025-06-20_IPSS评分.json

Example 3: View Screening Plan

User: 前列腺筛查计划
AI: 📋 Prostate Cancer Screening Plan

    Screening Recommendations:
    ✅ PSA test: Annually
    ✅ DRE (Digital Rectal Exam): Annually

    Next test: 2026-06-15 (362 days away)

    Test Preparation:
    • 24-48 hours after ejaculation
    • 48 hours after prostate massage
    • No acute urinary tract infection

    Data saved

Important Notice

• This system is for prostate health tracking only, cannot replace professional medical advice
• Elevated PSA does not equal prostate cancer
• Regular screening is very important for early detection of prostate cancer
• Those with family history need closer monitoring

Seek Immediate Medical Care For

• PSA significantly elevated (>10 ng/mL)
• DRE finds prostate nodule
• Severe difficulty urination or urinary retention
• Blood in urine (hematuria)
• Bone pain (suspected metastasis)