| name | szmc-interesting-cases |
| description | Generate condensed patient case summaries for SZMC ward case conferences ("מקרים מעניינים" / ישיבת מקרים / morning report). Input: raw clinical data (AZMA screenshots, labs, imaging, discharge letters, free text). Output: a clean 1-page case file following a fixed template — who the patient is, functional baseline, why they came, what was found, what we did, active problems, current status. Triggers: "מקרים מעניינים", "ישיבת מקרים", "case conference", "condense this case", "present this case", "summarize this patient", or AZMA bundle + presentation request. Default language English; Hebrew on request. Auto-chains with azma-ui skill when screenshots present. Distinct from geriatric-case-presentation (NEJM journal-club PPTX) and szmc-clinical-notes (Chameleon admission/discharge paste).
|
SZMC Interesting Cases — Case Condensation Skill
Purpose
Pure data-in, condensed-summary-out template. User gives raw patient data; skill produces a 1-page case file the presenter reads from during ward case conferences.
Not a checklist. Not a prescribing audit. A template.
When to use
- "תכין לי מקרה מעניין" / "הכן מקרה לישיבת מקרים"
- "Condense this case" / "Summarize this patient"
- "Present this case" / "Case file for X"
- User uploads AZMA screenshots / discharge letter / labs + asks for a presentation summary
Input types accepted
- AZMA EMR screenshots (auto-chain
azma-ui skill for interpretation)
- Chameleon admission/discharge letters (PDF or text)
- Lab result bundles
- Imaging reports
- Culture results
- Free-text clinical context
- Any combination
Language
Default: English. Ward conferences at SZMC are presented in English.
Hebrew when requested: "בעברית", "תרגם", "Hebrew version", "in Hebrew".
When Hebrew:
- Full RTL markdown with Hebrew section headers
- Drug names stay in English (avoids ambiguity)
- Lab values + units stay LTR
- Consult team names in Hebrew (גסטרו, אונקולוגיה, עו"ס)
OUTPUT TEMPLATE — THIS IS THE SKILL
Fixed 6-section structure
# [Last name] [First name], [Age][M/F] — Case Summary
**For ישיבת מקרים מעניינים — [Department]**
**Admission:** DD/MM/YYYY | **LOS:** X days | **Ward:** [X]
**Allergies:** [list]
---
## 1. Who
One paragraph — age, sex, marital/living situation, functional baseline BEFORE admission, cognitive status, mobility aid, caregiver situation, major occupation/context if relevant.
## 2. Background
Relevant comorbidities only — NOT a dump of every ICD code. Group by organ system if >4 conditions. Recent relevant workup/treatments (last 6 months).
## 3. Why they came
- **Chief complaint:** [one-line]
- **Timeline:** symptom onset → ED → ward
- **ED vitals & key findings:** BP / HR / Sat / T / GCS + anything that changed the triage
- **ED workup:** labs, imaging, what was ruled in/out
## 4. What we found
| Category | Key findings |
|---|---|
| Vitals trend | [if notable] |
| Key labs | [abnormal only, with trends: `Ca: 12.3 → 9.8`] |
| Imaging | [1-line summary per study] |
| Cultures | [organism / sensitivity / specimen] |
| ECG / TTE | [if done] |
| Consults | [service / recommendation summary] |
## 5. What we did
**Active problems this admission** — numbered list, one line per problem + what was done:
1. **[Problem]** — [workup done, treatment given, response]
2. **[Problem]** — [...]
3. ...
## 6. Current status / disposition
- **Clinical status at presentation-time:** [improving / stable / deteriorating / discharged]
- **Functional status now vs baseline:** [capture PT assessment if available]
- **Disposition plan:** [home / rehab / hospice / long-term facility / still inpatient]
- **Open questions for the room:** [1-3 bullets — things the presenter wants discussion on]
STYLE RULES
- Concise. Target: 1 page printed / one screen scroll.
- Tables over prose for labs, imaging, vitals trends.
- Trends use
> with spaces: Ca: 12.3 > 11.6 > 9.8
- Abnormal values only — don't list normal labs unless clinically important that they WERE normal (e.g., "TSH normal, excluding thyrotoxicosis as AF trigger").
- Drug doses inline with route:
Meropenem IV 1g q8h (exception to the q8h rule — case conferences are English and terse is fine here)
- No opinions / no audit. The skill reports what happened. The presenter adds analysis live.
- No "teaching points" section. The room generates those in discussion.
- No citations / PMIDs. This is not journal club.
WORKFLOW
1. Intake
- Collect all provided inputs (screenshots, PDFs, text).
- If AZMA screenshots: invoke
azma-ui skill to interpret columns/icons/colors.
- If Chameleon discharge letter: extract demographic header, diagnoses (active + background), admission story, lab trends, culture results, discharge disposition, PT block (for functional status).
2. Map inputs to template sections
| Template section | Pull from |
|---|
| Who | demographics + הצגת החולה + PT functional block + caregiver info |
| Background | אבחנות ברקע + רקע רפואי |
| Why they came | תלונה עיקרית + מחלה נוכחית + ED notes |
| What we found | בדיקות עזר + בדיקות מעבדה trends + culture tables + consult notes |
| What we did | # problem headers from מהלך ודיון + המשך טיפול תרופתי changes |
| Current status | discharge disposition + PT assessment + follow-up plan |
3. Write, tightly
- One paragraph per section max (except "What we did" — bulleted list).
- Strip out stuff the room doesn't need (normal CBC, normal LFTs, routine meds unchanged).
- Keep the 2-3 lab trends that actually drove decisions.
4. Let the presenter decide what to emphasize
End with "Open questions for the room" — 1-3 items the presenter flags for discussion. The skill doesn't decide; the presenter does. Examples:
- "Was empiric ABX the right call given prior sensitivities?"
- "Would you have pursued further workup against patient preference?"
- "Optimal anticoagulation decision here?"
The presenter adds these manually or asks explicitly.
DATA COMPLETENESS CHECK
Before outputting, verify the template has values for:
If any are missing from the input, mark as [not provided] in the output — don't invent.
ANTI-PATTERNS — DO NOT
- ❌ Add condition-specific audit checklists (benzos, Apixaban dosing, etc.) — this skill is a template, not an auditor
- ❌ List every medication
- ❌ Include normal labs by default
- ❌ Use NEJM section headers ("Presentation of Case:", "Differential:")
- ❌ Add citations / PMIDs / references
- ❌ Write opinions about management quality
- ❌ Raise GOC or prescribing concerns unless explicitly in the source data
- ❌ Pad with prose where a table works
- ❌ Generate "teaching points"
- ❌ Hebrew by default (only when asked)
CHAIN OPTIONS
On request, this skill hands off to:
geriatric-case-presentation — for a full NEJM-format PPTX journal club deck built on the same case dataszmc-clinical-notes — to produce a Chameleon-paste admission note from the same inputs
User says "make slides" / "journal club version" → chain to case-presentation.
User says "write the קבלה" / "admission note" → chain to clinical-notes.
