Medical Triage

Classify medical messages (emails, iMessages) as critical, urgent, or routine based on medical urgency indicators.

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

Categories

Icon	Category	Description
🔴	critical	Life-threatening symptoms, emergency keywords, severe pain
🟡	urgent	Needs same-day attention, worsening symptoms, medication issues
🟢	routine	Follow-ups, general questions, appointment requests

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:

json

[
  {
    "id": "msg-123",
    "subject": "Chest pain",
    "from": "[e-mail]",
    "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:

json

[
  {
    "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:

bash

openclaw skill run medical-triage --input '[{"id":"msg-1","subject":"...","body":"..."}]' --json

Or programmatically:

typescript

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)