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SKILL verified Apache-2.0 Self-run

Med Pdf

skill-realactivity-tula-med-pdf · by realactivity

Reads medical PDFs (labs, radiology, MyChart/Epic exports, discharge summaries, pathology) and turns them into structured JSON Tula can reason over. Personal data is referenced from an external profile file, never embedded. USE FOR: the user sharing a health-related PDF, image, or screenshot, or asking to compare results across visits. DO NOT USE FOR: non-medical PDFs, generating new clinical rep…

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Install

$ agentstack add skill-realactivity-tula-med-pdf

✓ scanned · ✓ verified, works with Claude Code, Cursor, and more.

Security review

✓ Passed

No issues found. Passed automated security review. · v0.1.0 How review works →

  • ✓ Prompt-injection patterns
  • ✓ Secret / credential exfiltration
  • ✓ Dangerous shell & filesystem operations
  • ✓ Untrusted network calls
  • ✓ Known-malicious package signatures

What it can access

  • ✓ Network access No
  • ✓ Filesystem access No
  • ✓ Shell / process execution No
  • ✓ Environment & secrets No
  • ✓ Dynamic code execution No

From automated source analysis of v0.1.0. “Used” means the capability is present in the source — more access means more to trust, not that it’s unsafe.

View the full security report →

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Reliability & compatibility

✓ Security review passed
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Declared compatibility

Claude CodeClaude Desktop

Compatibility is declared by the source manifest. End-to-end runtime verification is coming, see below.

Preview Execution monitoring

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About

med-pdf

When to Use

✅ Use when:

  • The user sends a medical PDF (labs, radiology, discharge, pathology)
  • The user shares a screenshot/image of clinical results
  • The user asks to compare results across visits or trend a value
  • A MyChart/Epic export needs parsing before reasoning

When NOT to Use

❌ Don't use when:

  • The PDF is non-medical (insurance, EOB, billing)
  • The user wants to author a clinical message -> use epic-note
  • Anything that would send PHI outside the workspace

Setup

Profile. Resolve from the precedence in [references/profile-schema.md](references/profile-schema.md#where-the-profile-lives) (skill config -> env var -> ~/.openclaw/workspace/memory/profile.yaml). Use identity.short_name when addressing the user in summaries. The skill never contains the profile.

Workflow

  1. Extract - node {baseDir}/scripts/extract.mjs
  • outDir must be inside ~/.openclaw/workspace/. Suggested:

~/.openclaw/workspace/.med-pdf-cache//.

  • Outputs text.txt, pageN.png, meta.json. Stdout JSON has

numPages, hasText, textChars.

  1. Branch on hasText:
  • true -> skip OCR, feed text.txt to parsers.
  • false -> image-only (MyChart/Epic). Use the image tool on

pageN.png for verbatim transcription. Save as text.txt, continue.

  1. Parse:
  • Imaging -> node {baseDir}/scripts/parse_imaging.mjs
  • Labs -> node {baseDir}/scripts/parse_labs.mjs
  • Both can run on a mixed document.
  1. Reason. Pull abnormal flags, compare to prior values, surface what

matters for healthspan - see [references/healthspan-priorities.md](references/healthspan-priorities.md). Don't just summarize.

  1. Persist. Append to ~/.openclaw/workspace/memory/YYYY-MM-DD.md and

update trends in MEMORY.md. PHI stays in workspace memory only.

Scripts

See [references/scripts.md](references/scripts.md) for per-script flags, output schemas, and dictionary maintenance for parse_labs.mjs.

Examples

See [references/examples.md](references/examples.md) for end-to-end runs (text-extractable Quest/LabCorp PDF, image-only MyChart CT export).

Privacy

Medical PDFs contain PHI (name, DOB, MRN, providers).

  • Cache stays under ~/.openclaw/workspace/.med-pdf-cache/. Don't copy out.
  • Never send raw PDFs or PHI to web search or external services.
  • The image tool is acceptable - same trust boundary as the assistant.
  • Redact MRN if a summary might leave the workspace.

Troubleshooting

  • parse_labs.mjs returns mostly unmatchedLines -> text wasn't transcribed

well. Re-run extract.mjs with --scale=3.0 and re-OCR.

  • A labeled value sits in unmatchedLines -> add an alias to the dictionary

in parse_labs.mjs. See [references/scripts.md](references/scripts.md#maintaining-the-dictionary).

  • hasText: true but parsing yields garbage -> PDF has hidden Unicode

ligatures; force OCR with --images-only.

Source & license

This open-source skill is cataloged on AgentStack and links to its original source — we do not rehost the code.

Install and usage instructions live in the source repository linked above.

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Versions

  • v0.1.0 Imported from the upstream source.

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