patient-history-reconciliation-skill

name	patient_history_reconciliation_skill
description	Compare current symptoms, medicines, prescriptions, and tests against patient history to detect mismatches, risks, and missing context for CareConnect AI.

Patient History Reconciliation Skill (CareConnect AI)

Purpose

Use this skill to compare current clinical information with past patient history and provide a safe reconciliation summary.

Use this skill when

• User asks to compare new prescription with old prescription.
• User asks if current plan matches past medicines/tests.
• User uploads or shares current report/prescription and asks for changes.
• User says: “does this conflict with my old medicines?”, “what changed from last time?”

Inputs expected

• Current prescription / test / symptom details
• Past prescriptions (medication name, dose, frequency, duration)
• Past diagnoses and allergies
• Past test trends (BP, sugar, kidney/liver markers where available)

Reconciliation checks

1. Medication duplication (same ingredient, different brand)
2. Dose/frequency changes compared to prior plan
3. Potential interaction flags with known history/allergies
4. Missing context (unknown allergy history, missing test values)
5. Trend shifts in major test indicators (better/stable/worse)

Output format

1. What I compared
2. Matches
3. Possible mismatches / flags
4. Missing info I need
5. Safe next step to discuss with your doctor

Safety rules

• Do not claim definitive clinical error by doctor.
• Use wording: “possible mismatch”, “needs clinician confirmation”.
• If severe risk signals appear, advise urgent medical review.
• If data is incomplete, clearly state uncertainty.

Escalation wording

“I found potential issues worth discussing with your clinician immediately. I can help you prepare a short summary for your next consultation.”