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

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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

Input Keywords	Operation
add	add
list	list
update	update
delete	delete

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

Colloquial Description	Medical Term	Type
Penicillin	Penicillin	Drug allergy
Peanut	Peanut	Food allergy
Pollen	Pollen	Environmental allergy
Iodine contrast	Iodine contrast	Drug allergy
Hymenoptera venom	Hymenoptera venom	Other allergy

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

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

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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

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

View All Allergies

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

View Severe Allergies

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

Update Status

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

Delete Record

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User: Delete penicillin allergy
-> Confirm then delete record