Medical Triage

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

Categories

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": "patient@example.com",
    "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)