Allergy History Management Skill

Record and manage allergy history, including drug allergies, food allergies, environmental allergies, etc., with quick query and update support.

Core Flow

User Input -> Parse Operation Type -> [add] Parse Allergy Info -> Medical Standardization -> Generate JSON -> Save
                             -> [list] Filter and Display
                             -> [update] Find and Update -> Save
                             -> [delete] Confirm Deletion

Step 1: Parse User Input

Operation Type Recognition

Step 2: Add Allergy Record (add)

Allergy Information Parsing

Extract from natural language:

Basic Information (Auto Extracted):

• Allergen Name: Specific substance name causing allergy
• Allergy Type: Drug, food, environmental, other
• Severity Level: Mild, moderate, severe, anaphylaxis
• Reaction Symptoms: Specific allergic reaction manifestations

Detailed Information (Extract or Ask):

• Discovery Time: When allergy was first discovered
• Discovery Circumstances: Situation and context at the time
• Confirmation Method: Doctor diagnosis, self-observation, test confirmed
• Current Status: Still allergic or resolved

Medical Standardization Conversion

Allergy Type Classification

• Drug Allergies: Antibiotics (penicillin, cephalosporin, etc.), painkillers (aspirin, etc.), contrast agents, vaccines, TCM, etc.
• Food Allergies: Seafood (shrimp, crab, shellfish), nuts (peanut, walnut), eggs, dairy, gluten, fruits, etc.
• Environmental Allergies: Pollen, dust mites, animal dander, mold, latex, etc.
• Other Allergies: Insect bites, chemicals, metals, etc.

Automatic Severity Determination

Keyword Mapping:

• "Shock", "Anaphylaxis", "Unconscious", "Coma" → Level 4 (anaphylaxis)
• "Severe", "Systemic", "Unbearable", "BP drop" → Level 3 (severe)
• "Obvious", "Moderate", "Needs treatment", "Swelling" → Level 2 (moderate)
• "Mild", "Occasional", "Local" → Level 1 (mild) |

Reaction Symptom Recognition

Skin symptoms: Rash, hives, itching, redness, erythema Respiratory symptoms: Dyspnea, wheezing, laryngeal edema, chest tightness Digestive symptoms: Nausea, vomiting, diarrhea, abdominal pain Systemic symptoms: Shock, blood pressure drop, syncope, loss of consciousness, systemic urticaria

Step 3: Generate JSON

{
  "allergies": [
    {
      "id": "allergy_20251231123456789",
      "allergen": {
        "name": "Penicillin",
        "type": "drug",
        "type_category": "Drug allergy",
        "synonyms": ["Penicillin", "盘尼西林"]
      },
      "severity": {
        "level": "severe",
        "level_code": 3,
        "description": "Severe allergic reaction"
      },
      "reactions": [
        {
          "reaction": "Rash",
          "onset_time": "Within 30 minutes of exposure",
          "severity": "moderate"
        }
      ],
      "discovery": {
        "date": "2010-05-15",
        "age_at_discovery": "8 years old",
        "circumstances": "Appeared after penicillin injection during pneumonia treatment"
      },
      "confirmation": {
        "method": "doctor_confirmed",
        "method_name": "Doctor diagnosis",
        "confirmed_by": "XX Hospital Pediatrics"
      },
      "current_status": {
        "status": "active",
        "status_name": "Active"
      },
      "management": {
        "avoidance_strategy": "Strictly avoid penicillin-class medications",
        "emergency_plan": "Seek immediate medical attention if accidentally used, carry allergy information",
        "medical_alert": true
      },
      "notes": "Must proactively inform medical staff during all medical visits"
    }
  ]
}

Step 4: Save Data

File path: data/allergies.json

Step 5: View Allergy Records (list)

Filter Parameters:

• No parameters: Display all allergies
• active: Display only active allergies
• drug: Display only drug allergies
• food: Display only food allergies
• severe: Display only severe and above allergies

Step 6: Update/Delete Allergy Records

Supported Fields:

• severity: Severity level (mild/moderate/severe/anaphylaxis)
• status: Current status (active/resolved)
• notes: Notes

Execution Instructions

1. Parse operation type (add/list/update/delete)
2. [add] Parse allergy info, medical standardization, generate JSON, save
3. [list] Read allergies.json, filter and display
4. [update] Find allergen, update fields, save
5. [delete] Confirm deletion, remove record

Example Interactions

Add Allergy Record

User: Penicillin severe allergy from childhood injection caused difficulty breathing
-> Save drug allergy record, severity level 3

View All Allergies

User: View all allergies
-> Display all allergy records grouped by type

View Severe Allergies

User: View severe allergies
-> Display only level 3 and above allergy records

Update Status

User: Peanut status changed to resolved
-> Update current status to resolved

Delete Record

User: Delete penicillin allergy
-> Confirm then delete record