Intelligent Triage and Symptom Analysis

Version: 1.1.0
Category: Healthcare / Medical
Billing: SkillPay (1 token per call, ~0.001 USDT)
Free Trial: 10 free calls per user
Demo Mode: ✅ Available (no API key required)

AI-powered medical triage assistance for healthcare providers, telemedicine platforms, and patients. Provides accurate preliminary symptom assessment and urgency recommendations.

Features

1. Comprehensive Symptom Coverage - 650+ symptoms across 11 body systems
2. Standardized Triage - 5-level classification (Resuscitation to Non-emergency)
3. Red Flag Detection - ≥95% accuracy for life-threatening conditions
4. NLP Analysis - Natural language symptom extraction
5. Differential Diagnosis - ML-assisted condition ranking
6. SkillPay Billing - 1 token per analysis (~0.001 USDT)
7. Free Trial - 10 free calls for every new user
8. Demo Mode - Try without API key, returns simulated triage data
9. Symptom History - Track patient symptom history over time
10. Multi-language Support - Chinese and English output

Support / 支持

If you find this skill helpful, you can support the developer:

EVM Address: 0xf8ea28c182245d9f66f63749c9bbfb3cfc7d4815

Your support helps maintain and improve this skill!

Demo Mode

Try the skill without any API key:

python scripts/triage.py --demo --symptoms "胸痛、呼吸困难"

Demo mode returns realistic simulated triage assessments to demonstrate the output format.

Free Trial

Each user gets 10 free calls before billing begins. During the trial: - No payment required - Full feature access - Trial status returned in API response

{
    "success": True,
    "trial_mode": True,      # Currently in free trial
    "trial_remaining": 8,    # 8 free calls left
    "balance": None,         # No balance needed in trial
    "analysis": {...}
}

After 10 free calls, normal billing applies.

Quick Start

Demo Mode (No API Key):

python scripts/triage.py --demo --symptoms "胸痛、呼吸困难、持续30分钟"

Analyze symptoms:

from scripts.triage import analyze_symptoms
import os

# Set environment variables
os.environ["SKILLPAY_API_KEY"] = "your-api-key"
os.environ["SKILLPAY_SKILL_ID"] = "your-skill-id"

# Analyze patient symptoms
result = analyze_symptoms(
    symptoms="胸痛，呼吸困难，持续30分钟",
    age=65,
    gender="male",
    vital_signs={"bp": "160/95", "hr": 110, "temp": 37.2},
    user_id="user_123"
)

# Check result
if result["success"]:
    print("分诊等级:", result["analysis"]["triage"]["level"])
    print("紧急程度:", result["analysis"]["triage"]["urgency"])
    print("建议措施:", result["analysis"]["recommendations"])
else:
    print("错误:", result["error"])
    if "paymentUrl" in result:
        print("充值链接:", result["paymentUrl"])

View Symptom History:

python scripts/triage.py --history --user-id "user_123"

With Vital Signs:

python scripts/triage.py --symptoms "胸痛" --age 65 --vital-signs '{"bp":"160/95","hr":110}' --user-id "user_123"

Language Selection:

# Chinese output (default)
python scripts/triage.py --symptoms "头痛、发热" --age 35 --language zh --user-id "user_123"

# English output
python scripts/triage.py --symptoms "headache, fever" --age 35 --language en --user-id "user_123"

Environment Variables

This skill requires the following environment variables:

Required Variables (After Trial)

Variable	Description	Required	Example
SKILLPAY_API_KEY	Your SkillPay API key for billing	After trial	skp_abc123...
SKILLPAY_SKILL_ID	Your Skill ID from SkillPay dashboard	After trial	skill_def456...

Optional Variables

Variable	Description	Default
TRIAGE_DATA_RETENTION_DAYS	Days to retain triage history	90
ENABLE_SYMPTOM_HISTORY	Enable symptom history tracking	true

See .env.example for a complete list of environment variables.

Configuration

The skill uses SkillPay billing integration: - Provider: skillpay.me - Pricing: 1 token per call (~0.001 USDT) - Chain: BNB Chain - Free Trial: 10 calls per user - Demo Mode: Available without API key - API Key: Set via SKILLPAY_API_KEY environment variable - Skill ID: Set via SKILLPAY_SKILL_ID environment variable - Minimum deposit: 8 USDT

Triage Levels

Level	Name	Response Time	Description	Examples
1	Resuscitation	Immediate	Life-threatening conditions requiring immediate intervention	Cardiac arrest, severe trauma, respiratory failure
2	Emergent	<15 min	High-risk conditions requiring rapid evaluation	Chest pain, severe bleeding, altered mental status
3	Urgent	<30 min	Serious conditions requiring timely medical attention	Abdominal pain, high fever, moderate trauma
4	Semi-Urgent	<60 min	Less acute conditions needing evaluation within hours	Minor injuries, chronic symptoms, stable conditions
5	Non-urgent	>60 min	Minor conditions that can wait days to weeks	Follow-up, prescription refill, administrative requests

Risk Stratification Factors

• Demographic Risk: Age, gender, medical history
• Vital Signs Abnormalities: Critical parameter thresholds
• Comorbidity Impact: How existing conditions affect urgency
• Medication Interactions: Potential drug-related complications
• Social Determinants: Access to care, support systems
• Time Sensitivity: Progression risk without treatment

Supported Body Systems & Symptoms

1. Cardiovascular Symptoms

Chest pain, palpitations, shortness of breath, edema, hypertension, syncope

2. Respiratory Symptoms

Cough, wheezing, difficulty breathing, chest congestion, hemoptysis, dyspnea

3. Gastrointestinal Symptoms

Abdominal pain, nausea, vomiting, diarrhea, bleeding, jaundice, constipation

4. Neurological Symptoms

Headache, dizziness, confusion, weakness, sensory changes, seizures, altered consciousness

5. Musculoskeletal Symptoms

Joint pain, muscle pain, back pain, injuries, fractures, limited mobility

6. Dermatological Symptoms

Rashes, lesions, swelling, itching, bruising, wounds, burns

7. Genitourinary Symptoms

Dysuria, frequency, hematuria, flank pain, menstrual abnormalities, discharge

8. Endocrine Symptoms

Polyuria, polydipsia, weight changes, temperature intolerance, hormonal changes

9. Hematological Symptoms

Bleeding, bruising, fatigue, pallor, lymphadenopathy

10. Immunological Symptoms

Fever, recurrent infections, allergic reactions, autoimmune symptoms

11. Psychiatric Symptoms

Anxiety, depression, suicidal ideation, hallucinations, behavioral changes

Symptom History

The skill can track patient symptom history for longitudinal care:

# Symptom history is automatically saved for each analysis
# To retrieve history:
from scripts.triage import SymptomHistoryManager

history_manager = SymptomHistoryManager("user_123")
history = history_manager.load_history()
recent_symptoms = history_manager.get_recent_symptoms(days=30)

Safety and Quality

Clinical Safety Mechanisms

• Red Flag Overrides: Forced escalation when critical symptoms present
• Uncertainty Handling: Conservative approach when diagnosis unclear
• Multiple Model Validation: Cross-checking recommendations across algorithms
• Human-in-the-Loop: Provider review requirements for high-stakes decisions
• Continuous Monitoring: Post-assessment outcome tracking

Disclaimer

This tool is for preliminary assessment only and does not replace professional medical diagnosis. Always consult qualified healthcare providers for medical decisions.

System Limitations: - Not a Diagnostic Tool: Provides triage and assessment, not definitive diagnoses - Requires Clinical Judgment: Intended to support, not replace, clinical decision-making - Dependent on Input Quality: Accuracy depends on quality and completeness of information - Age-Specific Accuracy: Variable performance across different age groups - Rare Conditions: Limited accuracy for very rare or novel conditions

References

• Triage methodology: references/triage-systems.md
• Billing API: references/skillpay-billing.md
• Disease database: references/disease-database.md
• Clinical specifications: references/clinical-specs.md

Changelog

v1.1.0

• Added demo mode (no API key required)
• Added symptom history tracking
• Added multi-language support (zh/en)
• Unified environment variable naming to SKILLPAY_API_KEY and SKILLPAY_SKILL_ID
• Fixed version inconsistency

v1.0.3

• Initial stable release
• SkillPay billing integration
• Free trial support