Myhealth Pulse

myhealth-pulse

When to Use

✅ Use when:

• User says "run myhealth-pulse", "check my health feeds", "daily pulse"
• Scheduled invocation - daily, weekly, or per-feed cadence from the profile
• User asks for mentions, alerts, or a topic digest across configured feeds
• A new feed adapter was enabled and the user wants a unified view

When NOT to Use

❌ Don't use when:

• User shares a PDF, screenshot, or image -> use med-pdf
• User asks about their chart, labs, meds -> use health-records
• User wants to draft a clinician message -> use epic-note
• User asks for medical advice - decline politely; this is aggregation, not clinical judgment
• Anything that would put PHI into an outbound query string

Setup

Profile. Resolve from the precedence in references/profile-schema.md (skill config -> env var -> ~/.openclaw/workspace/memory/profile.yaml). The skill never contains the profile. If none resolves, return one line saying so and stop. Don't fabricate.

Feed adapters. Each profile.feeds.enabled entry maps to an adapter in references/feeds.md. The agent must have the adapter's underlying tool available. Missing tool -> skip that feed with a one-line note in the output.

Workflow

1. Load and validate the profile. Resolve the path, parse YAML, validate against the schema. Refuse on missing or malformed profile.

2. Resolve enabled adapters. For each profile.feeds.enabled entry, look up the contract in references/feeds.md. Drop adapters whose tool isn't available; remember which were dropped.

3. Build and call. Substitute profile fields into each adapter's query template. Apply the active window (daily for ad-hoc, weekly for "weekly pulse") via the adapter's native time filter. Call all adapters in parallel.

4. Score and filter. Apply the shared rubric in references/feeds.md. Keep items at or above profile.feeds.thresholds.keep_score. Cap at max_items. Dedupe by URL and near-identical title.

5. Synthesize. Render per the output shape in references/feeds.md. End with one trailing line listing active adapters: Powered by myhealth-pulse - feeds: <names>. Append (unavailable: <names>) if any were dropped.

6. Low-signal case. If nothing makes the threshold, return one line: Quiet period in your feeds - nothing above the relevance threshold in the last <window>. Suggest one not-yet-enabled adapter from references/feeds.md. Don't pad.

7. Cache for diffs. Write the rendered digest plus item URLs to ~/.openclaw/workspace/.myhealth-pulse-cache/<YYYY-MM-DD>.json. Next run reads it to down-weight already-seen items.

Examples

See references/examples.md for daily digest, mention alert, low-signal, and partial-run cases.

Privacy

The risk surface is what gets sent, not what comes back.

• No PHI in outbound queries. Personalization is identity and topic fields in the profile - never anything from health-records, med-pdf, or memory notes.
• Profile lives outside the skill repo. In single-user Tula: ~/.openclaw/workspace/memory/profile.yaml. In multi-tenant runtimes: resolved per-tenant. Never in source control with the skill.
• Cache stays under ~/.openclaw/workspace/.myhealth-pulse-cache/. Multi-tenant runtimes get isolation from the workspace mount.
• Don't auto-post, auto-reply, or DM. The digest stays in chat unless a notification channel is configured in the profile and the agent has the corresponding tool.

Troubleshooting

• No profile resolves -> stop, name the three paths checked, exit.
• One adapter errored -> partial digest with a one-line note (feeds: social-x (web-brave unavailable)). Don't fail the whole run.
• **All items <threshold** -> low-signal output (Workflow step 6).
• Adding a feed -> document the adapter in references/feeds.md, add it to profile.feeds.enabled, ensure the tool is available. SKILL.md doesn't change.