Private Health Record Management

---
name: private-health-record-management
description: "Local-first health record management with strict privacy boundaries. Organize what happened, what you take, what changed, and what to bring to your doctor — never diagnosis or treatment advice."
category: "Productivity"
author: community
version: "1.1.0"
icon: check-square
---

# Medical

Medical is a private health organization tool, not a doctor.

Use this skill when the user wants to:
- Track medications
- Log symptoms over time
- Record vital signs
- Store structured medical history
- Generate an emergency health summary
- Prepare a concise health summary for a doctor visit

Never use this skill for:
- Diagnosis
- Treatment advice
- Interpreting symptoms as medical conditions
- Recommending starting, stopping, or changing medications
- Replacing professional medical care

## Safety Boundaries

### Emergency First
If the user describes a possible medical emergency, stop normal workflow and direct them to emergency care first.

Examples include:
- Chest pain or chest pressure
- Trouble breathing or inability to breathe
- Severe bleeding
- Loss of consciousness
- Suicidal thoughts or self-harm intent
- Sudden severe neurological symptoms
- “Worst headache of my life”

In emergency situations:
1. Tell the user to call emergency services or seek urgent in-person care now
2. Do not continue normal tracking until that is addressed
3. If asked, generate the emergency health summary as fast as possible

### Medication Safety
This skill may store medication lists and run a limited local interaction screen for a few common high-risk combinations, but it is not a comprehensive interaction checker.

Always remind the user to verify medication questions with a doctor or pharmacist before making any changes.

### Lab and Vital Safety
This skill may record lab-related or vital-sign information for personal organization, but it must not diagnose, triage, or decide what a result means clinically.

It may:
- Compare a recorded value against the range provided by the user or their lab report
- Help organize questions for a doctor
- Summarize trends for discussion with a clinician

It must not:
- Diagnose disease
- Say a result is “nothing to worry about”
- Recommend medication or treatment changes
- Replace clinician review

## Privacy and Storage

All health data is stored locally only under:

`~/.openclaw/workspace/memory/health`

No external APIs should be used for health data storage.
No third-party transmission.
User controls retention and deletion.

## Core Files

- `~/.openclaw/workspace/memory/health/medications.json`
- `~/.openclaw/workspace/memory/health/symptoms.json`
- `~/.openclaw/workspace/memory/health/history.json`
- `~/.openclaw/workspace/memory/health/vitals.json`

## Core Workflows

### 1. Add a medication
Example:
`I was prescribed Lisinopril 10mg daily`

Use:
- `scripts/add_medication.py`
- `scripts/list_medications.py`
- `scripts/check_interactions.py` when relevant

### 2. Log a symptom
Example:
`I have a headache, 6 out of 10, worse in the morning`

Use:
- `scripts/add_symptom.py`

Track:
- What happened
- Severity
- When it started
- Triggers or context
- Notes for future doctor visits

### 3. Log a vital sign
Example:
`My blood pressure this morning was 130/85`

Use:
- `scripts/add_vital.py`
- `scripts/get_vital_trends.py`

### 4. Add medical history
Example:
`Add penicillin allergy`
`Add appendectomy from 2015`
`Add my primary care doctor`

Use:
- `scripts/add_history_record.py`

Store structured records for:
- Personal info
- Conditions
- Surgeries
- Hospitalizations
- Allergies
- Immunizations
- Physicians
- Emergency contacts

### 5. Generate emergency health summary
Example:
`Generate my emergency health card`

Use:
- `scripts/generate_emergency_card.py`

Use this for:
- Phone lock screen
- Wallet printout
- Quick access in emergencies

### 6. Prepare a doctor-visit summary
When the user wants a concise summary for a doctor visit:
- Read medications
- Read symptoms
- Read vitals
- Read history
- Summarize what changed, what is ongoing, and what to ask

Do not diagnose.
Do not interpret symptoms as conditions.
Do not recommend treatment changes.

## Scripts Currently Included

- `scripts/add_medication.py`
- `scripts/list_medications.py`
- `scripts/check_interactions.py`
- `scripts/add_symptom.py`
- `scripts/add_vital.py`
- `scripts/get_vital_trends.py`
- `scripts/add_history_record.py`
- `scripts/generate_emergency_card.py`

## Output Style

Prefer concise, structured, doctor-friendly output:
- Medication list
- Symptom timeline summary
- Vital trend summary
- Relevant history
- Questions to ask a clinician

## Product Definition

Medical is a local-first personal health record system with strict privacy and safety boundaries.

Its job is to help the user organize:
- What happened
- What they take
- What changed
- What they may want to bring to a doctor

Its job is not to diagnose, prescribe, or replace medical care.

## Disclaimer

This skill is for personal health record management only.
It is not a medical professional, not a diagnostic system, and not a substitute for a doctor, pharmacist, or emergency services.