# Preferred: Get from current.yaml (source of truth)
grep -A 100 "^medications:" "{health_log_path}/current.yaml" | grep -B 100 -m 1 "^[a-z]" | head -n -1
grep -A 100 "^supplements:" "{health_log_path}/current.yaml" | grep -B 100 -m 1 "^[a-z]" | head -n -1

# Alternative: Extract from history.csv for timeline
grep -E ",medication,|,supplement," "{health_log_path}/history.csv" | \
  awk -F',' '{print $1","$2","$3","$4","$5","$6}' | \
  tail -50  # Recent 50 entries

# Events in timeframe from history.csv
awk -F',' -v start="YYYY-MM-DD" 'NR==1 || $1 >= start' "{health_log_path}/history.csv"

# Out-of-range labs in timeframe
awk -F',' -v start="YYYY-MM-DD" 'NR==1 || ($1 >= start && ($5 > $7 || $5 < $6))' "{labs_path}/all.csv"

# Preferred: Get from current.yaml (source of truth)
grep -A 100 "^conditions:" "{health_log_path}/current.yaml" | grep -B 100 -m 1 "^[a-z]" | head -n -1

# Alternative: Extract from history.csv for timeline
grep ",condition," "{health_log_path}/history.csv" | \
  awk -F',' '{print $1","$2","$3","$4","$5","$6}'

---
document_type: provider_visit_summary
visit_type: {annual|specialist|follow_up|urgent}
generated: {YYYY-MM-DD}
profile: {profile_name}
timeframe: {description of time period covered}
---

# Provider Visit Summary
**Patient**: {profile_name}
**Visit Type**: {visit_type}
**Generated**: {YYYY-MM-DD}
**Timeframe**: {description}

## Visit Context

{2-3 sentences describing reason for visit, any specific concerns, and overall health status}

## Current Medications & Supplements

{Narrative intro: "Currently taking the following medications:"}

| Medication/Supplement | Dosage/Frequency | Started | Status |
|----------------------|------------------|---------|--------|
| ... | ... | ... | Active |

{Brief commentary on recent changes, if any}

## Recent Health Events

{Narrative intro describing event categories and any patterns}

**[Category Name]** ({count} events):
- {Date}: {Event} - {Brief detail}
- {Date}: {Event} - {Brief detail}

{Narrative synthesis: "Notable patterns include..." or "No concerning patterns identified"}

## Laboratory Results

{Narrative intro describing lab monitoring and any trends}

**Abnormal Values**:

| Date | Test | Value | Reference Range | Status |
|------|------|-------|-----------------|--------|
| ... | ... | ... | ... | High/Low |

{Brief interpretation: "HbA1c trending upward, may warrant discussion of medication adjustment"}

## Active Medical Conditions

{If none: "No active chronic conditions documented in health log."}
{If present: Bulleted list with onset dates and current status}

- **{Condition}** (since {date}): {Brief status note}

{FOR SPECIALIST/RELEVANT VISITS ONLY}
## Relevant Genetic Findings

{ONLY include if genetics configured AND directly relevant to visit}

{Brief narrative on findings relevant to visit purpose}

## Summary & Considerations

{2-4 bullet points synthesizing key discussion points for provider:}
- {Synthesis point 1}
- {Synthesis point 2}
- {Potential discussion topic}

---
*This summary was generated by health-agent to support clinical decision-making. All data is patient-reported or extracted from personal health records. Please verify critical information.*

.output/{profile}/provider-visit-{visit_type}-{YYYY-MM-DD}.md

mkdir -p .output/{profile}

Provider visit summary generated and saved to:
.output/{profile}/provider-visit-{visit_type}-{YYYY-MM-DD}.md

The summary includes:
- {List of sections included}
- Covers timeframe: {timeframe description}

You can review, edit, or print this document for your appointment.

## Medications
Patient takes lisinopril 10mg.

## Labs
HbA1c was 6.8% on 2026-01-15.

## Events
Patient had a cold in December.

## Visit Context
Mr. Smith is a 52-year-old male presenting for routine follow-up of his well-controlled
hypertension. Since his last visit, he reports good medication adherence with stable
blood pressure readings at home, though he experienced a brief upper respiratory
infection in December that resolved without complications.

## Current Medications
He continues on lisinopril 10mg daily, which he tolerates well with no reported side
effects. No medication changes have been made since his last visit.

## Laboratory Results
Recent labs from January 15th show an HbA1c of 6.8%, which represents a slight increase
from his previous value of 6.5%. While still within the prediabetic range, this upward
trend may warrant discussion of lifestyle modifications.

---
document_type: provider_visit_summary
visit_type: follow_up
generated: 2026-01-23
profile: john_smith
timeframe: Since last visit (2025-10-15)
---

# Provider Visit Summary
**Patient**: John Smith
**Visit Type**: Follow-up
**Generated**: January 23, 2026
**Timeframe**: October 15, 2025 - Present (3 months)

## Visit Context

Mr. Smith is a 54-year-old male returning for 3-month follow-up of newly diagnosed
type 2 diabetes and hypertension. Since initiating therapy in October, he reports
good adherence to both medications and has made dietary modifications as recommended.
His primary concerns today are occasional morning headaches and questions about
exercise intensity.

## Current Medications

His current regimen includes metformin 500mg twice daily for glycemic control and
lisinopril 10mg daily for blood pressure management. He tolerates both medications
well, though he notes mild gastrointestinal discomfort with metformin that improved
after taking it with meals. He has discontinued his previous as-needed ibuprofen use
per prior guidance and now uses acetaminophen occasionally for headaches.

| Medication | Dose | Frequency | Started | Status |
|------------|------|-----------|---------|--------|
| Metformin | 500mg | BID with meals | 2025-10-15 | Active |
| Lisinopril | 10mg | Daily | 2025-10-15 | Active |
| Acetaminophen | 500mg | PRN | Long-standing | Active (PRN) |

## Recent Health Events

Over the past three months, Mr. Smith has had no acute illnesses or emergency visits.
He reports the following health-related events:

**Symptoms (2 events)**:
- 2025-12-01: Morning headaches, mild intensity, approximately 3x/week
- 2026-01-10: Occasional dizziness when standing quickly

**Lifestyle changes (3 events)**:
- 2025-10-20: Started walking program (30 min, 4x/week)
- 2025-11-15: Reduced carbohydrate intake per dietitian recommendations
- 2026-01-05: Joined gym, began light resistance training

The morning headaches may correlate with the timing of his blood pressure medication;
further discussion regarding timing optimization may be beneficial.

## Laboratory Results

Labs obtained on January 15, 2026, show encouraging progress:

| Test | Value | Reference | Status | Trend |
|------|-------|-----------|--------|-------|
| HbA1c | 6.8% | <5.7% (normal) | Elevated | ↓ Improved (was 7.2%) |
| Fasting Glucose | 118 mg/dL | 70-99 | Elevated | ↓ Improved (was 145) |
| Creatinine | 1.0 mg/dL | 0.7-1.3 | Normal | Stable |
| Potassium | 4.2 mEq/L | 3.5-5.0 | Normal | Stable |

His HbA1c has decreased by 0.4% over three months on metformin monotherapy, suggesting
good response to current therapy. Renal function remains stable on lisinopril, with
no electrolyte abnormalities. Lipid panel was not repeated at this visit; last values
from October showed LDL 142 mg/dL (above target for diabetic patient).

## Active Medical Conditions

- **Type 2 Diabetes Mellitus** (diagnosed 2025-10): Currently on metformin, responding well
- **Essential Hypertension** (diagnosed 2025-10): On lisinopril, home BP readings 128-135/78-84
- **Obesity** (BMI 32.1): Weight stable at 218 lbs; actively working on lifestyle changes

## Summary & Considerations

Key discussion points for this visit:

1. **Glycemic control improving**: HbA1c down 0.4% on metformin alone. Consider continuing
   current regimen with repeat HbA1c in 3 months. Discuss target goal (<7% vs <6.5%).

2. **Morning headaches**: Evaluate relationship to BP medication timing. Consider checking
   morning blood pressure before medication dose. Rule out sleep apnea given obesity.

3. **Orthostatic symptoms**: Occasional dizziness on standing - check orthostatic vitals
   today. May warrant lisinopril dose adjustment if significant drop.

4. **Lipid management**: LDL 142 mg/dL untreated. Per guidelines, diabetic patients benefit
   from statin therapy. Discuss initiation of moderate-intensity statin.

5. **Exercise clearance**: Patient asking about increasing exercise intensity. Cardiac risk
   assessment may be appropriate given new diabetes diagnosis and desire for vigorous exercise.

---
*This summary was generated by health-agent to support clinical decision-making.
All data is patient-reported or extracted from personal health records.
Please verify critical information.*

source .claude/skills/health-agent/references/lab-specs-helpers.sh
canonical_name=$(get_canonical_name "{labs_path}/lab_specs.json" "HbA1c")
pattern=$(build_grep_pattern "{labs_path}/lab_specs.json" "HbA1c")