Agent skill
biomarker-analysis
Ralph-Inspired Adaptive Learning Framework for iterative, quality-gated biomarker report analysis
Install this agent skill to your Project
npx add-skill https://github.com/majiayu000/claude-skill-registry/tree/main/skills/other/other/biomarker-analysis
SKILL.md
Biomarker Analysis Pipeline (RALF)
Ralph-Inspired Adaptive Learning Framework for iterative, quality-gated biomarker report analysis.
Overview
This skill runs comprehensive biomarker analysis using the RALF architecture:
- Iterative Processing: Each category processed independently with fresh context
- KB Enrichment: Per-category VectorShift KB queries inform analysis
- Dual Validation Gates: Structural completeness + clinical accuracy
- Retry with Feedback: Failed validations trigger specific revision prompts
- State Persistence: Resume from any point, track learnings
Usage
Basic Analysis
# Run from Python
from lib.biomarker_analysis.execution import run_analysis
biomarkers = [
{"name": "A1c", "value": "5.8", "unit": "%", "ref_range": "<5.7"},
{"name": "Fasting Glucose", "value": "98", "unit": "mg/dL", "ref_range": "70-99"},
# ... more biomarkers
]
prd = run_analysis(
biomarkers=biomarkers,
user_preference_level=3, # 1-5 scale
patient_goals="Optimize metabolic health and longevity",
)
Resume Interrupted Analysis
from lib.biomarker_analysis.execution import resume_analysis
prd = resume_analysis(output_dir=".biomarker-analysis")
Generate Visual Report
from lib.biomarker_analysis.synthesis import synthesize_report
from lib.biomarker_analysis.visual import generate_visual_report
from lib.biomarker_analysis.state import StateManager
state = StateManager()
synthesis = synthesize_report(state)
html = generate_visual_report(synthesis)
Architecture
PHASE 1: INITIALIZATION
├── Parse biomarkers from lab report
├── Categorize into 5 core categories + dynamic modules
└── Generate PRD with segment definitions
PHASE 2: ITERATIVE ANALYSIS (per category)
├── Query VectorShift KB for research context
├── Generate category analysis (Claude Haiku 4.5)
├── Validate with dual gates
├── Retry with feedback if failed (max 2 retries)
└── Mark complete or blocked
PHASE 3: SYNTHESIS
├── Generate Goal Summary + Findings Summary
├── Merge all category analyses
├── Prioritize interventions
└── Generate visual HTML report
Categories
Core Categories (Always Present)
- GENERAL HEALTH: CBC, CMP, liver/kidney function
- METABOLIC FUNCTION: A1c, glucose, insulin, ApoB, triglycerides
- INFLAMMATION: hs-CRP, homocysteine, GGT
- HORMONES: Testosterone, thyroid, estrogen, AMH
- NUTRIENTS: Vitamin D, ferritin, B12, magnesium
Dynamic Modules (Auto-detected)
- Organic acids
- Microbiome
- Genetics/Epigenetics
- Advanced lipid panels
- Urine/salivary hormones
User Preference Levels
| Level | Description |
|---|---|
| 1 | Ultra-conservative: Evidence-based medicine only |
| 2 | Conservative: Some emerging research considered |
| 3 | Balanced: Mix of conventional and alternative |
| 4 | Progressive: Experimental approaches |
| 5 | Cutting-edge: Biohacker methodologies |
Clinical Conventions
The pipeline enforces these clinic-specific conventions:
- Free Testosterone: Always labeled "suboptimal" per clinic protocol
- GLP-1 RAs: When recommending, add creatine monohydrate 5g daily
- NAD+: Consider 1000mg oral daily if A1c >5.4 AND CRP <1
- Vitamin D: Target 60-80 ng/mL (optimal longevity range)
- Lab Values: Report EXACTLY as provided (no rounding)
Output Files
State is persisted in .biomarker-analysis/:
.biomarker-analysis/
├── prd.json # Segment definitions + status
├── progress.txt # Iteration logs
├── context/ # Per-category KB research
├── outputs/ # Per-category analysis JSON
└── final/
├── synthesis.json # Merged synthesis data
├── report.html # Visual HTML report
└── report.md # Markdown report
Validation Gates
Gate 1: Structural Completeness
- Status paragraph ≥100 words
- Root causes paragraph ≥100 words
- Interventions paragraph ≥100 words
- All biomarkers referenced by name
Gate 2: Clinical Accuracy
- Biomarker values match source exactly
- Units are correct
- Status classifications accurate
- Recommendations align with preference level
- Clinical conventions followed
Cost Comparison
| Pipeline | Cost/Report |
|---|---|
| VectorShift (current) | ~$1.00 |
| RALF (Haiku 4.5) | ~$0.22 |
78% cost reduction with maintained or improved quality.
Module Structure
lib/biomarker_analysis/
├── __init__.py # Module exports
├── types.py # Pydantic models
├── state.py # State persistence
├── kb_client.py # VectorShift KB queries
├── parser.py # Biomarker extraction
├── generation.py # Category analysis generation
├── validation.py # Dual quality gates
├── execution.py # Main iteration loop
├── synthesis.py # Cross-category synthesis
└── visual.py # HTML report generation
API Reference
ExecutionEngine
class ExecutionEngine:
def __init__(output_dir, config, callbacks...)
def initialize_from_biomarkers(biomarkers, user_preference_level, patient_goals, ...)
async def run() -> AnalysisPRD
def run_sync() -> AnalysisPRD
async def resume() -> AnalysisPRD
def get_status() -> Dict
def is_complete() -> bool
StateManager
class StateManager:
def load_prd() -> Optional[AnalysisPRD]
def save_prd(prd)
def create_prd_from_biomarkers(biomarkers, ...) -> AnalysisPRD
def get_segment(segment_id) -> CategorySegment
def update_segment(segment)
def mark_segment_completed(segment_id)
def log_iteration(segment, status, ...)
KBClient
class KBClient:
async def query(queries: List[str]) -> Dict
def generate_category_queries(segment, user_preference_level) -> List[str]
async def get_category_research_context(segment, ...) -> Dict
Error Handling
- Validation Failures: Automatically retry with specific feedback (up to 2 retries)
- KB Query Failures: Continue with empty research context
- Blocked Segments: Marked as blocked, analysis continues with other segments
- Resume: Full state persistence allows resuming from any point
Testing
# Run tests
pytest tests/test_biomarker_analysis.py
# Test single category
python -c "
from lib.biomarker_analysis.execution import ExecutionEngine
engine = ExecutionEngine()
# Initialize and run...
"
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