Eiasash

Add a clinical rule to Toranot's src/engine/rules.ts with the Golden Rule invariant, unique group check, comfort-care suppression audit, and automatic test scaffolding. Use when user says "add a rule", "new rule", "add clinical rule", "new trigger in rules.ts", or when proposing a new auto-generated task pattern for the rules engine. DO NOT use for drug interactions (those live in drugSafety.ts).

Full audit → fix → test → build → deploy → verify cycle for this repo. Auto-detects repo; captain-mode with verify-first + merge carve-outs.

Generate professional SZMC (Shaare Zedek Medical Center) ward clinical notes in exact institutional format. PRIMARY USE: geriatric and internal medicine ward admission notes (קבלה רפואית) and ward discharge summaries (סיכום שחרור / סיכום אשפוז זמני). Also supports ED discharge (סיכום שחרור מיון) as secondary use. Trigger on: "כתוב לי קבלה", "כתוב סיכום שחרור", "סיכום אשפוז", "draft a note", "format this admission", or when user uploads תיק אשפוז / EMR data / patient data. For geriatric ward notes, auto-runs Beers/STOPP-START/drug interaction analysis. Always generates HTML export for RTL copy-paste into EMR. Do not attempt ad-hoc formatting — always use this skill.

Auto-update SKILL.md (toranot-dev) with current ground truth. Run after every deploy or when skill feels stale.

End-to-end Toranot ship pipeline. Runs the mandatory 7-step workflow (tsc, vitest, vite build, README update, git push with PAT rotation, Netlify deploy verification, auditor sweep). Use when user says "push", "push Toranot", "deploy", "ship Toranot", "ship it", "release", or any variant asking to ship Toranot to production. DO NOT use for watch-advisor2 or Shlav A Mega — this is Toranot-specific.

End-to-end Toranot ship pipeline. Runs the mandatory 7-step workflow (tsc, vitest, vite build, README update, git push with PAT rotation, Netlify deploy verification, auditor sweep). Use when user says "push", "push Toranot", "deploy", "ship Toranot", "ship it", "release", or any variant asking to ship Toranot to production. DO NOT use for watch-advisor2 or Shlav A Mega — this is Toranot-specific.

Canonical format for Toranot `.cowork/<slug>.md` handoff files. Load whenever writing or reading a handoff. Enforces the five required sections and what belongs in each.

Canonical format for Geriatrics `.cowork/<slug>.md` handoff files. Load whenever writing or reading a handoff.

Run the 13 health checks that .github/workflows/weekly-audit.yml runs on a cron, but on demand. Use Monday mornings or before major milestones. Produces a markdown report of drift, staleness, and accumulated technical debt. Read-only, takes 2-3 minutes.

Background knowledge for Hebrew medical terminology used in Israeli clinical practice. Claude should use this when editing any Hebrew content in data/notes.json, data/questions.json, data/flashcards.json, or any UI string in shlav-a-mega.html. Ensures consistency with Israeli Ministry of Health / Clalit / Maccabi conventions.

Authoritative schema reference for data/questions.json, data/notes.json, data/drugs.json. Claude must load this whenever editing any of those files. Contains the exact field names, allowed values, syllabus constraints (Hazzard excluded chapters, Harrison allowed chapters, no GRS), and the auto-tagging topic map. Complements the existing /add-questions command — doesn't replace it.

Run the full CI-mirror locally, bump SW cache version, commit, and push. Use when you're ready to deploy a change to Geriatrics. Replaces the "edit → test → bump SW → commit → wait 60s for CI" loop.

PRIMARY: Israeli geriatrics board exam (שלב א' גריאטריה, P005-2026) study platform. SECONDARY: SZMC ward clinical decision support. Contains: Hazzard's 8th ed (Ch 2-6, 34, 62), Harrison's 22nd ed (board chapters), SZMC DAG Antimicrobial Guidelines, Washington Manual of Therapeutics, AGS Beers Criteria 2023 (JAGS 71:2052-2081) ✓, IWG Alzheimer disease clinical-biological construct (JAMA Neurol 2024) ✓, AA Workgroup revised Alzheimer criteria (Alzheimer's & Dementia 2024) ✓, VasCog-2-WSO criteria (JAMA Neurol 2025) ✓, Dementia Prevention narrative review (JAMA IM, Reuben et al) ✓, Age-Related Hearing Loss (NEJM 2024, Lin) ✓, נוהל התעמרות בזקנים (MOH circular 22/03) ✓, חוזר מנכ"ל 6/2023 + report form נספח א' ✓, ייפוי כוח מתמשך (MOH Legal Dept Aug 2023) ✓, מקבל החלטות זמני (Amendment 16, Jan 2024) ✓, סיעוד מורכב (MOH Circular 4/2010) ✓, PEG לחולה עם קיהיון הנוטה למות — National Committee (11.8.16) ✓, מינוי אפוטרופוס באשפוז ממושך (Circular 10/2006) ✓, קביעת מצב תפקודי להעברה (Circular 26/2010) ✓, אמות מידה לטיפול

Background knowledge for Hebrew medical terminology used in Israeli clinical practice. Claude loads this when editing any Hebrew content in data/notes.json, data/questions.json, data/flashcards.json, data/highyield.json, or any UI string in pnimit-mega.html / src/. Ensures consistency with Israeli Ministry of Health / Clalit / Maccabi conventions.

Authoritative schema reference for data/questions.json, data/notes.json, data/drugs.json, and data/flashcards.json in Pnimit Mega (InternalMedicine). Claude must load this whenever editing any of those files. Contains exact field names, allowed values, the 24-topic map (P0064-2025), and the version trinity. Complements the /add-questions command.

Repo-local snapshot of audit-fix-deploy SS E for InternalMedicine. Use when working on this repo to know current version, test baseline, schema state, and the 16-binding window contract.

Complete development skill for Pnimit Mega (שלב א מגה — פנימית), an Israeli internal medicine board exam PWA. ALWAYS use this skill when: modifying Pnimit Mega code, fixing bugs, adding features, parsing new exam PDFs, adding questions/flashcards/notes, pushing to GitHub, or anything related to the InternalMedicine repo. Also trigger on: "pnimit", "internal medicine board", "פנימית מגה", "P0064-2025", references to eiasash.github.io/InternalMedicine, "parse exam", "add questions", "pnimit bug", or any mention of the InternalMedicine repo. Contains repo structure, data formats, deployment pipeline, exam parsing patterns, and content creation conventions. Always read this before touching any Pnimit code.

Canonical format for Pnimit (InternalMedicine) `.cowork/<slug>.md` handoff files. Load whenever writing or reading a handoff.

SZMC AZMA EMR interface decoder — reads the ניהול מחלקה patient-census grid and the הוראות תרופתיות medication-order grid. CRITICAL — Claude CANNOT reliably read AZMA icons, columns, colors, or row-states from an image alone — they are a closed SZMC-specific visual vocabulary absent from training data, and guessing yields confident wrong reads (icons called "unrecognized" or given invented meanings). ALWAYS consult this skill BEFORE interpreting ANY screenshot of a Hebrew hospital EMR, ward census, patient list, or medication grid — whether or not the user names AZMA, and even when they just paste an image with a clinical request (write a SOAP, decode this, what does this icon/color mean, read the census). Treat every uploaded SZMC ward/EMR screenshot as a trigger; the skill confirms AZMA vs Chameleon. Covers the 21 patient-grid columns, double-click behaviors, color codes, the order-grid icon legend, and the AZMA familiarization quiz answers. Read AZMA_REFERENCE.md first.

Generate professional SZMC ward clinical notes in exact institutional format. PRIMARY: geriatric/internal medicine admission (קבלה רפואית), discharge (סיכום שחרור / סיכום אשפוז), consultation letters (ייעוץ), rehab admission (קבלת שיקום), rehab daily rounds (ביקור רופא בשיקום), and rehab discharge (סיכום אשפוז שיקומי). Secondary: ED discharge. Trigger on: "כתוב לי קבלה", "כתוב סיכום שחרור", "ייעוץ", "קבלת שיקום", "ביקור רופא", "rehab round", "daily round", "סיכום אשפוז שיקומי", "rehab discharge", "draft a note", or patient data upload. Auto-runs geriatric pharm analysis for ward notes. Generates HTML export for Chameleon EMR paste.

Project knowledge base for SZMC geriatric medicine clinical practice. Contains Hazzard's Geriatric Medicine, Harrison's Internal Medicine, Washington Manual of Therapeutics, SZMC DAG Antimicrobial Guidelines, Israeli Ministry of Health regulations (ייפוי כוח מתמשך, מקבל החלטות זמני, סיעוד מורכב, driving fitness חוזר מנכ"ל 6/2023), and Israeli 65+ statistics (Brookdale/JDC). Use the inline tables in this file directly (inline-table lookup is not available in this runtime). Trigger on: drug dosing, Beers criteria, geriatric syndromes (falls, delirium, dementia, frailty, incontinence, pressure ulcers, dysphagia, polypharmacy), disease management, antibiotic selection, STOPP/START, AKI/CKD dosing, electrolytes, heart failure, VTE, palliative care, goals of care, functional assessment, nutrition, pain, perioperative risk, capacity assessment, ייפוי כוח מתמשך, מקבל החלטות זמני, driving fitness, נהיגה, כשירות לנהוג, סיעוד מורכב admission criteria. Never answer clinical questions from memory alone — always cite from

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).

Background knowledge for Hebrew medical terminology used in Israeli clinical practice. Claude should use this when editing any Hebrew content in data/questions.json, data/highyield.json, data/notes.json, data/nelson_notes.json, data/flashcards.json, or any UI string in the Family Medicine (Mishpacha Mega) app. Ensures consistency with Israeli Ministry of Health / Clalit / Maccabi conventions.

Authoritative schema reference for data/questions.json, data/highyield.json, data/notes.json, data/nelson_notes.json, and data/drugs.json in the Family Medicine (Mishpacha Mega) app. Claude must load this whenever editing any of those files. Contains exact field names, allowed values, the c_accept invariant, the 27-topic map, and the tag whitelist. Complements the /add-questions command — doesn't replace it.

Development and content work on Mishpacha Mega (Family Medicine Shlav A PWA). Trigger on repo modifications, deploy requests, ingestion work, content changes, or any mention of github.com/Eiasash/FamilyMedicine or eiasash.github.io/FamilyMedicine.

Canonical format for watch-advisor2 `.cowork/<slug>.md` handoff files. Load whenever writing or reading a handoff.