screening_skill

Overview

This skill manages gynecological cancer screening workflows and longitudinal tracking for HPV testing, TCT (Pap smear), co-testing, and tumor marker monitoring. It organizes results, performs risk stratification, recommends next steps, and stores structured screening records for follow-up and reporting.

How this skill works

The skill parses user input to identify the operation type (hpv, tct, co-testing, marker, status, next) and normalizes test results into standard categories and risk levels. It applies guideline-based risk rules for HPV types and Bethesda TCT categories, generates management recommendations (for example colposcopy or interval re-screening), and produces structured JSON records for persistence and trend analysis.

When to use it

• Record a new HPV, TCT, co-test, or tumor marker result for a patient.
• Assess combined HPV+TCT results to determine immediate action or surveillance interval.
• Monitor tumor marker trends (CA125, CA19-9, CEA, AFP) for ovarian or endometrial cancer follow-up.
• Generate a patient screening status or next screening reminder.
• Manage higher-frequency screening for high-risk groups (HIV, immunosuppression, prior cervical cancer).

Best practices

• Provide clear input with test type, date, numeric marker values, and HPV types when available.
• Follow age-based screening strategies: 21–29 TCT every 3 years, 30–65 co-testing every 5 years or TCT every 3 years.
• Treat HPV 16/18 positive results as high priority and recommend prompt colposcopy evaluation.
• Use repeated marker measurements to establish trends rather than relying on single values.
• Document follow-up actions and dates to maintain an auditable screening history.

Example use cases

• Log an HPV PCR result specifying positive/negative and HPV genotype(s) to trigger risk assessment and next-step recommendation.
• Enter a TCT (Bethesda) result such as NILM, ASC-US, LSIL, or HSIL to generate management guidance.
• Record CA125 values over time to classify as normal/elevated and display trend stability or rise.
• Submit a combined co-testing result to get an integrated risk level and suggested interval or urgent referral.
• Query a patient’s screening status to receive a JSON summary of last tests and days until next recommended screen.