medical-entity-extractor

# Medical Entity Extractor Extract structured medical information from unstructured patient messages. ## What This Skill Does 1. **Symptom Extraction**: Identifies symptoms, severity, duration, and progression 2. **Medication Extraction**: Finds medication names, dosages, frequencies, and side effects 3. **Lab Value Extraction**: Parses lab results, vital signs, and measurements 4. **Diagnosis Extraction**: Identifies mentioned diagnoses and conditions 5. **Temporal Extraction**: Captures when symptoms started, how long they've lasted 6. **Action Items**: Identifies requested actions (appointments, refills, questions) ## Input Format ```json [ { "id": "msg-123", "priority_score": 78, "priority_bucket": "P1", "subject": "Medication side effects", "from": "patient@example.com", "date": "2026-02-27T10:30:00Z", "body": "I've been feeling dizzy since starting the new blood pressure medication (Lisinopril 10mg) three days ago. My BP this morning was 145/92." } ] ``` ## Output Format ```json [ { "id": "msg-123", "entities": { "symptoms": [ { "name": "dizziness", "severity": "moderate", "duration": "3 days", "onset": "since starting new medication" } ], "medications": [ { "name": "Lisinopril", "dosage": "10mg", "frequency": null, "context": "new medication" } ], "lab_values": [ { "type": "blood_pressure", "value": "145/92", "unit": "mmHg", "timestamp": "this morning" } ], "diagnoses": [ { "name": "hypertension", "context": "implied by blood pressure medication" } ], "action_items": [ { "type": "medication_review", "reason": "possible side effect (dizziness)" } ] }, "summary": "Patient reports dizziness after starting Lisinopril 10mg 3 days ago. BP elevated at 145/92. Possible medication side effect requiring review." } ] ``` ## Entity Types ### Symptoms - Name, severity (mild/moderate/severe), duration, onset, progression (improving/stable/worsening) ### Medications - Name, dosage, frequency, route, context (new/existing/stopped) ### Lab Values - Type (BP, glucose, cholesterol, etc.), value, unit, timestamp, normal range ### Diagnoses - Name, context (confirmed/suspected/ruled out) ### Vital Signs - Temperature, heart rate, respiratory rate, oxygen saturation, blood pressure ### Action Items - Type (appointment, refill, question, callback), urgency, reason ## Medical Terminology Handling The skill recognizes: - Common abbreviations (BP, HR, RR, O2 sat, etc.) - Brand and generic medication names - Lay terms for medical conditions ("sugar" → diabetes, "heart attack" → MI) - Temporal expressions ("since yesterday", "for the past week") ## Integration This skill can be invoked via the OpenClaw CLI: ```bash openclaw skill run medical-entity-extractor --input '[{"id":"msg-1","priority_score":78,...}]' --json ``` Or programmatically: ```typescript const result = await execFileAsync('openclaw', [ 'skill', 'run', 'medical-entity-extractor', '--input', JSON.stringify(scoredMessages), '--json' ]); ``` **Recommended Model**: Claude Sonnet 4.5 (`openclaw models set anthropic/claude-sonnet-4-5`) ## Privacy & Security - All processing happens locally via OpenClaw - No data is sent to external services (except Claude API for LLM processing) - Extracted entities remain in your local environment