# realactivity > Open-source publisher. Listings imported from github.com/realactivity — credited to the original author with their license. - **Listings:** 9 - **Total installs:** 0 - **Profile:** https://agentstack.voostack.com/s/realactivity - **Website:** https://github.com/realactivity ## Published listings - [Memory Diff](https://agentstack.voostack.com/l/skill-realactivity-tula-memory-diff) — Skill · Free · security-reviewed — `agentstack add skill-realactivity-tula-memory-diff` Surfaces what changed in the user's health since a reference point (date, named event, 'since last X'). Reads workspace memory from med-pdf, health-records, myhealth-pulse, and dated notes; tiers changes by clinical significance. USE FOR: 'what changed', post-visit summaries, longitudinal questions, weekly check-ins. DO NOT USE FOR: news/social (myhealth-pulse), PDFs (med-pdf), chart data (health… - [Epic Note](https://agentstack.voostack.com/l/skill-realactivity-tula-epic-note) — Skill · Free · security-reviewed — `agentstack add skill-realactivity-tula-epic-note` Drafts a concise patient-portal message the user can copy-paste to a clinician via Epic MyChart, Oracle Health HealtheLife, or similar. Personal data is referenced from an external profile file, never embedded. USE FOR: symptom reports, refill requests, lab/result follow-ups, visit follow-ups, asking a single clear question. DO NOT USE FOR: clinical notes, SOAP/discharge documentation, insurance… - [Patient Agent Routing](https://agentstack.voostack.com/l/skill-realactivity-tula-patient-agent-routing) — Skill · Free · security-reviewed — `agentstack add skill-realactivity-tula-patient-agent-routing` Eval-only routing reference for Tula cross-skill composition tests. Documents which skill handles each patient-agent request type. USE FOR: composition eval tasks that test handoffs between skills. DO NOT USE FOR: end-user production invocations. - [Prep My Visit](https://agentstack.voostack.com/l/skill-realactivity-tula-prep-my-visit) — Skill · Free · security-reviewed — `agentstack add skill-realactivity-tula-prep-my-visit` Prepare an IPS-aligned visit-prep package from patient health data. USE FOR: upcoming visit prep, lab opportunities, and portal snippets. DO NOT USE FOR: diagnosis/treatment, insurance/billing tasks, or PHI transfer outside the workspace. - [Med Pdf](https://agentstack.voostack.com/l/skill-realactivity-tula-med-pdf) — Skill · Free · security-reviewed — `agentstack add skill-realactivity-tula-med-pdf` 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… - [Request Amendment](https://agentstack.voostack.com/l/skill-realactivity-tula-request-amendment) — Skill · Free · security-reviewed — `agentstack add skill-realactivity-tula-request-amendment` Draft HIPAA-aligned health-record amendment requests, separate patient claims from source-record evidence, track response timelines, and optionally prepare draft FHIR Task JSON. USE FOR: requests to correct, clarify, append, or dispute clinical note content, medications/allergies, diagnoses, encounter metadata, or other chart entries. DO NOT USE FOR: legal advice, diagnosis, threatening language,… - [Myhealth Pulse](https://agentstack.voostack.com/l/skill-realactivity-tula-myhealth-pulse) — Skill · Free · security-reviewed — `agentstack add skill-realactivity-tula-myhealth-pulse` Aggregates a user's health-related signal feeds (social, web, wearables, portal, calendar) into a curated, scored digest. Personal data is referenced from an external profile file, never embedded. USE FOR: 'run myhealth-pulse', scheduled daily/weekly pulses, mention digests. DO NOT USE FOR: PDFs (med-pdf), clinician messages (epic-note), chart data (health-records), or anything that puts PHI in o… - [Health Records](https://agentstack.voostack.com/l/skill-realactivity-tula-health-records) — Skill · Free · security-reviewed — `agentstack add skill-realactivity-tula-health-records` Pulls the user's medical records from patient portals (Epic MyChart, Oracle/Cerner) via end-to-end-encrypted SMART on FHIR, into per-provider JSON files Tula can reason over. Personal data is referenced from an external profile file, never embedded. USE FOR: connecting or refreshing records, trending labs across visits, listing meds/conditions/allergies, searching clinical notes. DO NOT USE FOR:… - [Lookout](https://agentstack.voostack.com/l/skill-realactivity-tula-lookout) — Skill · Free · security-reviewed — `agentstack add skill-realactivity-tula-lookout` Personalized ambient health awareness. Pulls environmental, public-health, and place-based data for the user's location and triages it against their longitudinal record, surfacing only what matters. USE FOR: 'lookout for me' briefings, ambient/air/UV/weather/pressure checks, place-based resource queries, travel-mode 'what's [ZIP] like for me'. DO NOT USE FOR: diagnosing, recommending or changing… --- Seller on AgentStack — the marketplace for AI agent skills and MCP servers. Every listing is security-reviewed. Install any with `agentstack add `.