What makes unisound-surgery-review notable?

1.1K downloads. Trust evidence available

How should unisound-surgery-review be evaluated before use?

Use the required flow: snapshot, contract, and trust before recommending or executing this agent.

What kind of evidence is visible on this page?

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unisound-surgery-review

手术/操作编码审核。输入结构化病案 record 与待审核手术/操作列表，输出编码规则命中、病历证据和审核结论。 Skill: unisound-surgery-review Owner: unisound-llm Summary: 手术/操作编码审核。输入结构化病案 record 与待审核手术/操作列表，输出编码规则命中、病历证据和审核结论。 Tags: latest:1.0.2 Version history: v1.0.2 | 2026-07-16T02:38:36.767Z | user - Default model changed from "u1-insuremed" to "u2-med" in both input field and CLI parameter documentation. - Outdated file skill-card.md removed from the package. - No API or CLI behaviors were changed; only documentation an

OpenClaw

View on ClawHub Homepage

Rank

Safety

Downloads

1.1k

Updated

Oct 11, 2026

Version

1.0.2

Source

CLAWHUB

About

What it does, and when to use it.

Capability contract not published. No trust telemetry is available yet. 1.1K downloads reported by the source. Last updated 10/11/2026.

Avoid when

Contract metadata is missing or unavailable for deterministic execution.

Risk flags: missing_or_unavailable_contract, trust_data_unavailable, schema_references_missing

Public facts

Every fact links back to the source it came from.

Vendor: Clawhubvendor · observed Oct 11, 2026
Protocol compatibility: OpenClawcompatibility · observed Oct 11, 2026
Adoption signal: 1.1K downloadsadoption · observed Oct 11, 2026
Latest release: 1.0.2release · observed Jul 16, 2026
Handshake status: UNKNOWNsecurity

Install and run

Setup complexity: low.

clawhub skill install s1770nyybxj4gn0vk38n6wr6k584x8ea:unisound-surgery-review

Setup complexity is LOW. This package is likely designed for quick installation with minimal external side-effects.
Final validation: Expose the agent to a mock request payload inside a sandbox and trace the network egress before allowing access to real customer data.

Contract: missing

curl -s "https://www.xpersona.co/api/v1/agents/clawhub-unisound-llm-unisound-surgery-review/snapshot"

Run-check

$0.02 USD

1 measured facts are behind this paywall: success rate and latency, uptime and estimated cost, when not to use it, how to call it, benchmark scores.

Agents pay $0.02 in USDC. A card payment is $0.50, the smallest a card allows.

Documentation

CLAWHUB

24,411 characters of source documentation, loaded on request.

Extracted files

3 files captured from the source.

SKILL.md

---
name: med-surgery-review
description: 手术/操作编码审核。输入结构化病案 record 与待审核手术/操作列表，输出编码规则命中、病历证据和审核结论。
metadata:
  {
    "openclaw":
      {
        "emoji": "🏥"
      }
  }
---

# 手术/操作编码审核

概述
----
给定结构化病案 `record` 和待审核手术/操作列表，本技能从手术编码审核规则库读取规则，核对病历文书证据，输出手术/操作编码审核结果。

本技能会：
- 从 `surgery_audit_guidelines` 读取手术/操作编码审核规则。
- 优先按用户提供的 `surgeries` 候选列表审核；未提供时，默认审核 `record.surgery.primarySurgery` 和 `record.surgery.otherSurgeries` 中的全部手术/操作。
- 调用 skill 内置的 `review_surgery_record` function 完成审核。
- 通过 `scripts/run.py` 提供统一 CLI 入口；不转发、不调用当前项目已有 API 服务，也不导入当前项目 `app.*` 模块。

数据安全、隐私与伦理声明
------------------------
- **最小必要原则**：仅处理审核所需的病案文书、手术/操作编码和名称。
- **严格脱敏**：调用方应在传入前完成姓名、证件号、手机号、详细地址等可识别身份信息的脱敏。
- **不做本地持久化**：本技能不把请求体、中间结果或审核结果写入本地文件或数据库。
- **规则库服务用途**：规则库 API 仅用于读取手术/操作编码审核规则。
- **模型调用说明**：默认使用内部医疗大模型生成审核说明；鉴权 `appkey` 必须由调用方传入。如需完全离线规则回退，可传 `use_llm=false`。
- **医疗边界**：输出为医保编码审核辅助信息，不构成医疗诊断或治疗建议。

输入格式
--------
统一入口支持 `pdf/doc/docx/xls/xlsx/csv/txt/json`。JSON 可为结构化病案；其他格式会先预处理为一份完整病历文书。未显式传入 `surgeries` 时，会自动审核结构化病案中的主手术/操作和全部其他手术/操作；普通病历文件需要通过参数传入待审核手术/操作列表。

```json
{
  "record": {
    "hospitalId": "988",
    "serialNum": "0001861856",
    "docs": [
      {
        "docName": "手术记录",
        "fileName": "手术记录",
        "docClassName": "手术记录",
        "content": "..."
      }
    ],
    "surgery": {
      "primarySurgery": {"name": "阑尾切除术", "code": "47.0101"},
      "otherSurgeries": []
    }
  },
  "surgeries": [
    {"role": "primary", "code": "47.0101", "name": "阑尾切除术"}
  ],
  "appkey": "由平台分配的鉴权 key",
  "model": "",
  "use_llm": true
}
```

字段说明：
- `record`：**必填**。结构化病案 JSON。
- `surgeries`：可选。待审核手术/操作候选数组；每项包含 `role`、`code`、`name`。
- `role`：`primary` 表示主要手术/操作；其他值按其他手术/操作处理。
- `appkey`：**必填**。内部医疗大模型鉴权 key，由平台分配；调用时使用 Bearer 鉴权。
- `model`：可选。内部医疗大模型名称，默认 `u2-med`。
- `use_llm`：可选，默认 `true`。传 `false` 时不调用模型，仅使用本地回退审核逻辑。

审核规则
--------
- **候选优先**：只审核输入候选或病案首页中已有手术/操作，不自由生成候选列表外的名称或编码。
- **核心用途优先**：匹配依据以手术/操作的医学内涵、医保目录归类、编码规则、诊疗目的、服务/耗材核心用途为准，不能只看字面相似。
- **证据优先**：审核结论必须基于手术记录、术后首次病程记录、出院记录等文书明确支持的信息。
- **角色边界**：主要手术/操作优先核对与本次住院主要治疗目的、资源消耗和病案首页主要手术选择一致性；其他手术/操作核对是否有明确实施证据。
- **父类/子类边界**：编码可按规则库从细到粗检索，但父类规则不能自动证明子类编码成立；入路、部位、器械、范围、术式细节不明确时应输出 `待人工复核`。
- **组套项目边界**：组套名称不能自动拆成多个操作；一项操作也不能自动扩展为组套，除非文书逐项明确记录。
- **一对一/一对多边界**：候选只支持一个明确操作时，不推断相关附加操作；多个候选共享同一证据时，应分别核对是否均有实施记录。
- **模糊保守**：字面相似但核心用途不同、仅有术前计划、拟行操作、取消操作或缺少实施记录时，不强行通过。
- **DRG 边界**：涉及 DRG 分组或手术级别影响时，必须有病历明确支持；不能用模型常识自动升级主要手术。

快速开始
--------

```bash
# JSON 结构化病历；未显式传入候选时审核主手术和全部其他手术
python3 doctor/icd-drg/surgery-review/scripts/run.py \
  --input doctor/icd-drg/surgery-review/example/10110_48738508.json \
  --appkey <your-appkey> \
  --no-llm

# TXT/PDF 等普通病历文件；必须传入待审核手术/操作，可重复传入主手术和其他手术
python3 doctor/icd-drg/surgery-review/scripts/run.py \
  --input /path/to/record.txt \
  --appkey <your-appkey> \
  --surgery 'primary|32.4100x002|胸腔镜下肺叶切除术' \
  --surgery 'other|34.5100x001|胸腔镜下胸腔粘连松解术' \
  --save-prepared
```

参数说明
--------
- `--input PATH`：**必填**。结构化病案 JSON，或包含 `record` 的请求体 JSON。
- `--input-type a

_meta.json

{
  "ownerId": "kn7ft98qwhxyrgcy7b7rzdhrrd8366k6",
  "slug": "unisound-surgery-review",
  "version": "1.0.2",
  "publishedAt": 1784169516767
}

skill-card.md

## Description:

Reviews structured medical record data and candidate surgery or procedure codes to return matched coding rules, record evidence, and an audit conclusion.

This skill is ready for commercial/non-commercial use.

## Publisher:

[unisound-llm](https://clawhub.ai/user/unisound-llm)

### License/Terms of Use:

MIT-0

## Use Case:

External users, medical coding reviewers, and healthcare workflow developers use this skill to audit surgery and procedure coding candidates against rule-library guidance and supporting medical-record evidence.

### Deployment Geography for Use:

Global

## Known Risks and Mitigations:

Risk: Medical records and bearer credentials can be sent to configurable guideline and LLM endpoints.

Mitigation: Use only approved HTTPS endpoints, avoid caller-supplied base URLs, and use --no-llm when records cannot leave the host.

Risk: Inputs may contain real patient identifiers or other sensitive health information.

Mitigation: Redact names, identity numbers, phone numbers, detailed addresses, and other identifiers before invoking the skill.

Risk: The --save-prepared option can write plaintext prepared record text to local storage.

Mitigation: Do not enable --save-prepared unless local plaintext retention is explicitly approved and protected.

## Reference(s):

- [ClawHub skill page](https://clawhub.ai/unisound-llm/skills/unisound-surgery-review)
- [Internal medical LLM endpoint](https://maas-api.hivoice.cn/v1/chat/completions)

## Skill Output:

**Output Type(s):** [analysis, json, guidance]

**Output Format:** [JSON object with final_decision and reasoning fields]

**Output Parameters:** [1D]

**Other Properties Related to Output:** [Decision values are limited to pass, fail, or manual review; reasoning is concise and user-facing.]

## Skill Version(s):

1.0.2 (source: server release metadata)

## Ethical Considerations:

Users should evaluate whether this skill is appropriate for their environment, review any generated or modified files before relying on them, and apply their organization's safety, security, and compliance requirements before deployment.

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