hypertension

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": "<10",
    "date": "2025-02-15"
  }
}

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

1. Read data/hypertension-tracker.json
2. Update corresponding sections based on operation type
3. Update statistics
4. 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