Dr. Ralph Diagnose Command

Execute the setup script to initialize the full diagnostic workflow:

"${CLAUDE_PLUGIN_ROOT}/scripts/setup-dr-ralph-diagnose.sh" $ARGUMENTS

PHASE-BASED WORKFLOW

This command runs through 5 phases:

1. Interview - Use AskUserQuestion for comprehensive medical intake
2. Research - WebSearch for literature, guidelines, treatment protocols
3. Differential - Analyze findings to determine diagnosis
4. Treatment - Develop research-backed action plan
5. Report - Generate SOAP format documentation

CRITICAL RULES

0. MEDICAL RECORDS FIRST

Before symptom questions, ask if patient has medical records to share. Process files ONE BY ONE:

• Check file size with ls -la or stat before reading
• If file > 3MB: Alert user, offer to skip or provide smaller version
• Suggest Adobe Acrobat to split large PDFs
• Never let one bad file crash the workflow

1. USE AskUserQuestion FOR ALL INTERVIEW QUESTIONS

You MUST use the AskUserQuestion tool for every interview question. Do NOT output questions as plain text.

2. MAINTAIN RUNNING NOTES

Write findings to the patient notes file after each phase. Use timestamps for all entries.

3. READ EXISTING PATIENT HISTORY

If patient notes exist, READ them first to understand previous sessions before beginning.

4. USE WebSearch FOR RESEARCH

Search for medical literature, guidelines, and treatment protocols. Use inline citations.

5. FOLLOW PHASE ORDER

Complete each phase fully before moving to the next. Announce phase transitions.

6. MEDICAL DISCLAIMER

This is an AI-assisted tool. Always remind patients this is not a substitute for professional medical advice. Remind them to redact sensitive information.

7. FLAG RED FLAGS

If emergency symptoms are detected (chest pain + SOB, sudden severe headache, etc.), flag them prominently but continue the workflow.

OUTPUT FILES

• Running Notes: @notes/[patient].md - Updated throughout session
• Final Report: @notes/[patient]-report-[timestamp].md - SOAP format