consult

Multi-Disciplinary Team Consultation Skill

Coordinate MDT specialist team to analyze patient medical data and generate comprehensive diagnostic reports. |

Core Process

用户输入 -> 读取数据索引 -> 确定分析范围 -> 识别专科需求 -> 并行启动专科分析 -> 整合报告 -> 展示结果

Step 1: Parse User Input

Data Scope Identification

Input	Analysis Range
all	All available data
recent N	Last N records
date YYYY-MM-DD	Specified date data
date YYYY-MM-DD to YYYY-MM-DD	Date range data
no parameters	Last 3 records

Step 2: Read Data Index

From data/index.json , read the patient examination record index.

Data File Types

Examination Report: data/检查报告/YYYY-MM/YYYY-MM-DD_检查名称.json
Symptom Record: data/health-feeling-logs.json
Chronic Disease Management: data/*-tracker.json

Step 3: Determine Consultation Specialties

Automatic Identification Rules

Based on the examination data and abnormal indicators, determine the specialty experts to invite:

Abnormal Indicator	Specialty
Dyslipidemia, abnormal myocardial enzymes, abnormal BNP	Cardiology
Abnormal blood glucose, abnormal thyroid function	Endocrinology
Abnormal liver function, abnormal abdominal ultrasound	Gastroenterology
Abnormal kidney function, abnormal urinalysis	Nephrology
Abnormal blood count, abnormal coagulation	Hematology
Abnormal chest CT, abnormal infection indicators	Respiratory
Abnormal head imaging	Neurology
Abnormal tumor markers	Oncology
Multi-system abnormalities	General Practice (Coordinator)

Specialty List

Specialty Code	Specialty Name	Skill File
cardio	Cardiology	.claude/specialists/cardiology.md
endo	Endocrinology	.claude/specialists/endocrinology.md
gastro	Gastroenterology	.claude/specialists/gastroenterology.md
nephro	Nephrology	.claude/specialists/nephrology.md
heme	Hematology	.claude/specialists/hematology.md
resp	Respiratory	.claude/specialists/respiratory.md
neuro	Neurology	.claude/specialists/neurology.md
onco	Oncology	.claude/specialists/oncology.md
general	General Practice	.claude/specialists/general.md

Step 4: Launch Parallel Specialty Analyses

Use the Task tool to launch subagents for the relevant specialties in parallel.

Subagent Prompt Template

您是{{专科名称}}专家。请按照以下 Skill 定义进行医疗数据分析：

## Skill 定义
{{读取对应的专科 skill 定义文件}}

## 患者医疗数据
{{加载相关的检查数据}}

## 分析要求
1. 严格按照 Skill 定义的格式输出分析报告
2. **优先分析慢性病管理情况**（如存在）
3. 结合检查报告数据综合分析
4. 严格遵守以下安全红线：
   - 不给出具体用药剂量
   - 不直接开具处方药名
   - 不判断生死预后
   - 不替代医生诊断
5. 提供具体可行的建议

Step 5: Integrate Consultation Report

Report Format

## 多学科会诊(MDT)报告

会诊日期: YYYY-MM-DD

━━━━━━━━━━━━━━━━━━━━━━━━━━

### 各专科分析

#### 1. {{专科名称}}
[专科分析内容...]

#### 2. {{专科名称}}
[专科分析内容...]

━━━━━━━━━━━━━━━━━━━━━━━━━━

### 综合评估

[综合分析...]

━━━━━━━━━━━━━━━━━━━━━━━━━━

### 优先级排序

1. [高优先级问题]
2. [中优先级问题]
3. [低优先级问题]

━━━━━━━━━━━━━━━━━━━━━━━━━━

### 综合建议

#### 生活方式调整
[具体建议...]

#### 就医建议
[具体建议...]

#### 随访计划
[具体计划...]

━━━━━━━━━━━━━━━━━━━━━━━━━━

### 重要声明

本报告仅供健康参考，不能替代专业医疗诊断和治疗。
所有医疗决策请遵从医生指导。

Safety Red Lines (Strictly Follow)

Do not give specific medication dosages
- Incorrect example: "Take atorvastatin 20mg once daily"
- Correct approach: "Consult a doctor to adjust the lipid-lowering medication regimen"
Do not directly prescribe prescription drug names
- Incorrect example: "Prescribe aspirin enteric-coated tablets"
- Correct approach: "Consult a doctor about whether antiplatelet therapy is needed"
Do not judge life or death prognosis
- Incorrect example: "Poor prognosis, survival period no more than 6 months"
- Correct approach: "Recommend active treatment and regular follow-up to evaluate efficacy"
Do not replace doctor diagnosis
- Incorrect example: "Diagnosed with coronary heart disease"
- Correct approach: "Suggests possible risk of coronary heart disease; recommend further examination in Cardiology to confirm the diagnosis"

Execution Instructions

1. 识别数据范围参数
2. 读取 data/index.json 获取记录列表
3. 根据数据类型确定需要的专科
4. 并行启动相关专科 subagent 分析
5. 收集各专科分析报告
6. 整合生成综合会诊报告
7. 向用户展示完整报告

Example Interactions

Example 1: Analyze all data

用户: /consult all
AI: 📊 正在启动多学科专家会诊...

    读取数据中...
    发现异常指标:
    • 血脂异常 → 心内科
    • 血糖偏高 → 内分泌科
    • 肝功能异常 → 消化科

    并行启动专科分析...

    [生成完整会诊报告...]

Example 2: Analyze the most recent 5 records

用户: /consult recent 5
AI: 📊 分析最近5条检查记录...

    涉及专科: 心内科、内分泌科

    [生成会诊报告...]

Example 3: Analyze data for a specified date

用户: /consult date 2025-12-31
AI: 📊 分析2025年12月31日的检查数据...

    [生成会诊报告...]

Important Notes

This system is for health reference only and cannot replace professional medical diagnosis and treatment
All medical decisions should follow doctor guidance
The consultation report is based on the provided examination data and may have limitations
In case of emergency, seek medical attention immediately