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Aggregate audit JSONLs across reviewed records and surface fields where override rates have shifted recently. Use to detect when a chart-review-guideline criterion is becoming systematically wrong and may need a guideline update.
Codex または Claude でインストール この Prompt をコピーして Codex、Claude、または他のアシスタントに貼り付けると、Skill ページを確認してインストールできます。
SOC 職業分類に基づく
ACTS Alzheimer's/dementia phenotyping — extract from a patient's clinical notes: impaired cognition (impaired_cognition), the documented APOE genotype (apoe_genotype → ε2/ε3/ε4 allele flags computed), postmenopausal status + last menstrual period, documented cognitive / depression / neuropsychiatric scale scores (MoCA, MMSE, CDR, Hachinski, Mattis DRS, TICS, GDS, Cornell, NPI, Global Deterioration stage), education years, and smoking status. Evidence-cited. Triggers on: impaired cognition, MCI, dementia, APOE, ε2/ε3/ε4, postmenopause, LMP, MoCA, MMSE, CDR, Hachinski, NPI, GDS, smoking, ACTS.
BSO-AD (Biological / Social / Other determinants of Alzheimer's Disease) NER scope skill. Activates when extracting entities under the BSO-AD ontology — 9 entity-type subtrees covering Demographic, Behavior / Lifestyle, Economic Stability, Education / Literacy, Food, Health Care, Neighborhood, Social and Community Context, and Dementia. Use this skill in combination with the universal chart-review-ner skill when the task_id is "bso-ad-ner" (or any task with task_kind=ner that pins the BSO-AD ontology).
PSMA PET/CT clinical-context chart review. Activate when assembling the prostate-cancer context a radiologist needs to interpret a PSMA PET/CT — Grade Group, PSA + trend, prior metastatic sites, treatment history (prostatectomy, radiation, ADT, ARPI, chemo, radioligand), the scan indication, and prior-imaging status — answering the PC0–PC3 chart-review questions per patient from pathology, oncology, urology, radiation-oncology, and prior imaging notes plus structured EHR data.
Asthma adherence task. Activates when extracting structured guideline-concordance signals from an asthma patient's chart — tier 0 (eligibility), tier 1 (control assessment: ACT score, exacerbation history, controller use), tier 2 (management: step therapy, spirometry follow-up, written action plan). Use this skill when task_kind=adherence and the task_id is asthma-adherence. The pipeline-extract-adherence package reads the references/questions/*.yaml + references/rules/*.yaml in this bundle to build the tier prompts and concordance verdicts.
Identify evidence of depression from a patient's post-index clinical notes: explicit diagnosis, depressive symptoms, antidepressant use, psychiatry referral, and PHQ-9 severity. Tier and final Depression/No Depression decision are computed. Evidence-cited. Triggers on: depression, PHQ-9, depressive disorder, MDD, antidepressant.
Score RUCAM (Roussel Uclaf Causality Assessment Method) for drug-induced liver injury (DILI) from EHR structured data + clinical notes. Triggers on: RUCAM, DILI causality, drug-induced liver injury, hepatotoxicity, R ratio, time to onset, rechallenge, liver injury scoring.
| name | drift-detection |
| description | Aggregate audit JSONLs across reviewed records and surface fields where override rates have shifted recently. Use to detect when a chart-review-guideline criterion is becoming systematically wrong and may need a guideline update. |
Detects when a criterion's override rate is shifting outside its historical baseline.
Implemented as app/server/drift-detector.ts. Runs on demand (POST endpoint) and as a continuous monitor for field-level overrides over rolling windows.
Out of scope for batch E.0.
