Medical Triage

Classify medical messages into priority categories based on urgency indicators, symptoms, and patient context.

Icon	Category	Description
🔴	`critical`	Life-threatening symptoms, emergency keywords, severe pain
🟡	`urgent`	Needs same-day attention, worsening symptoms, medication issues
🟢	`routine`	Follow-ups, general questions, appointment requests

How It Works

This skill analyzes message content for: - Emergency keywords: chest pain, difficulty breathing, severe bleeding, etc. - Symptom severity: pain scale, duration, progression - Patient context: chronic conditions, medications, recent procedures - Temporal urgency: "right now", "getting worse", "can't wait"

Input Format

The skill expects a JSON array of messages:

[
  {
    "id": "msg-123",
    "subject": "Chest pain",
    "from": "[email protected]",
    "date": "2026-02-27T10:30:00Z",
    "body": "I've been having chest pain for the last hour..."
  }
]

Output Format

Returns a JSON array with triage results:

[
  {
    "id": "msg-123",
    "category": "critical",
    "reason": "Chest pain mentioned - potential cardiac emergency",
    "confidence": 0.95
  }
]

Usage

This skill is designed to be invoked programmatically via OpenClaw's skill execution API.

Medical Urgency Indicators

Critical (🔴)

Chest pain, pressure, or tightness
Difficulty breathing or shortness of breath
Severe bleeding
Loss of consciousness
Stroke symptoms (FAST: Face, Arms, Speech, Time)
Severe allergic reaction
Suicidal ideation

Urgent (🟡)

High fever (>103°F / 39.4°C)
Persistent vomiting or diarrhea
Medication side effects
Worsening chronic condition
Moderate pain (7-8/10)
Infection signs (redness, swelling, pus)
Mental health crisis

Routine (🟢)

Appointment requests
Prescription refills
General health questions
Follow-up on stable conditions
Lab result questions
Mild symptoms (<3 days)

Integration

This skill can be invoked via the OpenClaw CLI:

openclaw skill run medical-triage --input '[{"id":"msg-1","subject":"...","body":"..."}]' --json

Or programmatically:

const result = await execFileAsync('openclaw', [
  'skill', 'run', 'medical-triage',
  '--input', JSON.stringify(messages),
  '--json'
]);

Recommended Model: Claude Sonnet 4.5 (openclaw models set anthropic/claude-sonnet-4-5)

medical-triage

Installation