Symptom Checker Triage (ID: 165)

Suggests triage levels (Emergency vs Outpatient) based on red flags in common symptoms.

Features

• Analyzes symptom descriptions entered by users
• Identifies red flags (life-threatening symptoms)
• Suggests triage level: Emergency or Outpatient
• Provides triage rationale and medical advice

Input

Command Line Arguments

python scripts/main.py "symptom description"

Or interactive mode:

python scripts/main.py --interactive

Input Format

Symptom description (natural language), for example:

• "Chest pain, difficulty breathing, lasting 30 minutes"
• "Headache, fever 38.5 degrees, vomiting"
• "Abdominal pain, right lower quadrant tenderness, fever"

Output

JSON format:

{
  "triage_level": "emergency|outpatient|urgent",
  "confidence": 0.85,
  "red_flags": ["Chest pain", "Difficulty breathing"],
  "reason": "Chest pain with difficulty breathing may be a sign of myocardial infarction or pulmonary embolism",
  "recommendation": "Please go to emergency department immediately",
  "department": "Emergency/Cardiology",
  "warning": "This is AI-assisted advice and cannot replace professional medical diagnosis"
}

Triage Levels

Red Flags List

Cardiovascular System

• Chest pain/chest tightness (especially with difficulty breathing, sweating)
• Severe palpitations with syncope
• Extremely high blood pressure (>180/120)

Respiratory System

• Severe difficulty breathing/sensation of suffocation
• Hemoptysis
• Blood oxygen saturation <90%

Nervous System

• Sudden severe headache ("worst headache of my life")
• Altered consciousness/coma
• Slurred speech/hemiplegia (stroke signs)
• Status epilepticus

Digestive System

• Hematemesis/melena
• Severe abdominal pain with abdominal rigidity
• Intestinal obstruction symptoms (abdominal distension, cessation of flatus and defecation)

Others

• Severe trauma/bleeding
• High fever (>40°C) with altered consciousness
• Drug overdose/poisoning
• Pregnant women: vaginal bleeding, severe abdominal pain, decreased fetal movement

Usage Examples

# Direct symptom input
python scripts/main.py "Chest pain, radiating to left arm, sweating"

# Interactive mode
python scripts/main.py --interactive

# Detailed output
python scripts/main.py "Headache, fever" --verbose

Disclaimer

⚠️ Important Notice:

• This tool only provides AI-assisted triage advice
• Cannot replace professional medical diagnosis
• If in doubt, please seek medical care immediately
• Call 120 in emergency situations

Technical Implementation

• Rule-based engine + keyword matching
• Supports symptom synonym expansion
• Configurable red flag weights
• Supports confidence calculation

File Structure

skills/symptom-checker-triage/
├── SKILL.md
└── scripts/
    └── main.py

Risk Assessment

Security Checklist

• No hardcoded credentials or API keys
• No unauthorized file system access (../)
• Output does not expose sensitive information
• Prompt injection protections in place
• Input file paths validated (no ../ traversal)
• Output directory restricted to workspace
• Script execution in sandboxed environment
• Error messages sanitized (no stack traces exposed)
• Dependencies audited

Prerequisites

# Python dependencies
pip install -r requirements.txt

Evaluation Criteria

Success Metrics

• Successfully executes main functionality
• Output meets quality standards
• Handles edge cases gracefully
• Performance is acceptable

Test Cases

1. Basic Functionality: Standard input → Expected output
2. Edge Case: Invalid input → Graceful error handling
3. Performance: Large dataset → Acceptable processing time

Lifecycle Status

• Current Stage: Draft
• Next Review Date: 2026-03-06
• Known Issues: None
• Planned Improvements:
  • Performance optimization
  • Additional feature support