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Diarrhea Follow-Up Assessment Assistant

Professional Updated 2026.08.30

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Follow https://skillhub.cn/install/skillhub.md and install @user_b354eb61/diarrheaskill.

About this skill

Problem to solve

In chemo or oncology follow-up, diarrhea often requires structured tracking of stool frequency, stool consistency, abdominal pain, fever, and medication use. Plain chat logs can miss baseline comparison, negative-symptom checks, and a clear handoff signal, making later review harder to audit.

How it works

The skill follows a diarrhea follow-up SOP: it talks to patients as a case-manager assistant while producing structured internal assessment. It asks checklist questions about stool frequency, watery or loose stool, abdominal pain or fever, and antidiarrheal medication, then grades the case using CTCAE v5.0-style logic.

  • Nurse: extracts indicators and gives an initial grade.
  • Auditor: aligns findings to the patient baseline and checks negative signs.
  • Compliance: emits [FINISH_SIGNAL] or [HANDOVER_SIGNAL].

When the grade reaches a higher severity, it stops guiding the patient, recommends urgent care, and outputs JSON fields such as symptoms, level, reason, advice, basis, and final_advice for downstream systems.

Boundaries

It is positioned as follow-up collection and workflow triage, not prescribing or replacing physician decisions. The material focuses on diarrhea monitoring; red flags such as hematochezia, severe dehydration, or altered mental status should still be treated as emergency cases. In production, teams should complete the full CTCAE grading rules and verify patient baseline, allergies, and current treatment.

Use Cases

  • During post-chemo diarrhea follow-up, ask about stool frequency, consistency, pain, and fever, then record checklist answers.
  • When a patient reports watery stool or increased frequency, align baseline data, check negative signs, and output grading rationale.
  • Before clinical handoff, stop guided questioning, recommend urgent care, and generate JSON with `symptoms` and `basis` fields.
  • Produce patient-facing replies plus internal audit records, separating warm dialogue, metadata, and finish or handoff signals.

Best For

  • Oncology case managers: need to audit diarrhea questioning, grading rationale, and handoff signals.
  • Remote follow-up operations: need checklist-based collection of stool, pain, and fever fields without missing key data.
  • Clinical dialogue engineers: need layered output between patient-facing text and internal JSON.
  • Workflow designers: need to embed CTCAE v5.0 grading and handoff rules into follow-up SOPs.