cancer-buddy-second-opinion

star 3

为跨境或国内第二意见生成审阅者可直接使用的英文病例资料包。产出简洁英文病例摘要（1-2 页可转 PDF 的 markdown）、病历索引、医生对医生的转诊信、DHL/FedEx 病历寄送指南，以及「如何把第二意见带回主治医生处沟通」的脚本。覆盖国内三甲与国际中心（如 MSK、MD Anderson 等，更多见正文 top-centers）。按角色处理：仅限患者或照护者，其他家属路由会被拒绝。Use when 患者或照护者想去国内别家医院或跨境寻求第二意见、需要把病例打包成审阅者可用的英文资料包时。Triggers on: 第二意见, 去别的医院看看, 跨境会诊, MSK, MD Anderson, 日本癌研, 梅奥, 香港养和。

CancerDAO By CancerDAO schedule Updated 6/1/2026
play_arrow Run Skill in Manus View GitHub

name: cancer-buddy-second-opinion description: "为跨境或国内第二意见生成审阅者可直接使用的英文病例资料包。产出简洁英文病例摘要（1-2 页可转 PDF 的 markdown）、病历索引、医生对医生的转诊信、DHL/FedEx 病历寄送指南，以及「如何把第二意见带回主治医生处沟通」的脚本。覆盖国内三甲与国际中心（如 MSK、MD Anderson 等，更多见正文 top-centers）。按角色处理：仅限患者或照护者，其他家属路由会被拒绝。Use when 患者或照护者想去国内别家医院或跨境寻求第二意见、需要把病例打包成审阅者可用的英文资料包时。Triggers on: 第二意见, 去别的医院看看, 跨境会诊, MSK, MD Anderson, 日本癌研, 梅奥, 香港养和。" license: MIT metadata: author: CancerDAO version: "0.2.0" tags: oncology second-opinion cross-border referral patient-navigation

cancer-buddy-second-opinion

Second opinions change treatment plans in ~20-30% of oncology cases — but only if the reviewer has a clean, consumable packet. This skill generates that packet.

When to use

  • User says: 第二意见 / 去其他医院看看 / 跨境会诊 / MSK / MD Anderson / 日本癌研 / 香港养和.
  • Complex case where the primary oncologist has suggested second-opinion.
  • Before expanded-access or cross-border treatment decisions.

Preflight

Run ../../references/preflight.md — role + disclosure + readiness grade + review_flags red gate (Step 2.5) + schema validity. Second-opinion packets are sent to international reviewers (MSK / MD Anderson / 癌研有明 / 养和); packaging an unconfirmed 🔴 RED review_flag on diagnosis / stage / treatment_history / molecular_drivers will mislead the reviewer and waste a one-shot consultation slot. Block until every relevant RED flag is human-resolved.

In addition:

  • Role: patient or caregiver only. Family → refuse + redirect.
  • profile.json must be populated with at least diagnosis, stage, treatment history, latest imaging.

Workflow

1. Determine target

  • Domestic second opinion (去另一家三甲): reviewer usually reads Chinese. Packet can be in Chinese + English summary.
  • Cross-border (MSK / MDA / 日本癌研 / 新加坡国立 / 梅奥): English packet required.

2. Generate case summary

Per references/case-summary-template.md. 1-2 pages. Structure:

  • Demographics + ECOG
  • Diagnosis + stage + date
  • Histology + molecular (MUST include)
  • Treatment history (regimen / start / end / best response)
  • Latest imaging (date + finding)
  • Latest labs (date + values)
  • Current status + specific question for reviewer

3. Build medical records index

Scan patients/<patient_code>/ for key files:

  • Pathology report(s)
  • NGS / molecular report(s)
  • Imaging CDs/PDFs
  • Treatment summaries
  • Recent labs

Produce a single index.md listing each file with: date, hospital, type, confidence tag, filename.

4. Generate cover letter

Per references/cover-letter-template.md. Doctor-to-doctor tone, 250-400 words English, specific question stated at top.

5. Cross-border shipping guide

If target is overseas, per references/cross-border-shipping.md: DHL/FedEx medical-records shipping process, customs declarations, expected transit time, how to request digital alternative if the reviewer accepts.

6. How to present opinion back to primary oncologist

After receiving the second opinion, patient/caregiver needs to discuss with primary oncologist. Generate a 1-page discussion script:

  • Summary of what the second opinion said
  • Points of agreement with primary oncologist
  • Points of divergence + specific questions
  • Decision framework

Role behavior

  • Role = patient: 1st-person packet. Case summary uses "I", cover letter implies patient or caregiver authorship.
    • Disclosure: disclosure_state=suppressed + patient → refuse (operator-only task).
  • Role = caregiver: 2nd-person packet helpers. Cover letter can be signed as caregiver on behalf. Include "你帮 X 做翻译电话时的 checklist" for if a phone consultation follows.
  • Role = family: refuse. Emit: 第二意见的操作需要主照护者或患者本人来推进（需要签字、身份证明、支付）。

Output

Written under patients/<patient_code>/reports/second-opinion/<target-center>/:

  • case-summary.md — 1-2 page English case summary
  • records-index.md — list of medical records in the packet
  • cover-letter.md — doctor-to-doctor letter
  • shipping-instructions.md — if cross-border
  • presentation-script.md — post-opinion discussion guide

Safety

  • Never promise a specific outcome from a second opinion ("MSK 会给你新方案").
  • Never encourage sending records to paid internet services that are not established medical institutions.
  • Respect patient privacy — the packet should include only what's relevant to the clinical question.
  • Cross-border shipping involves real customs/medical-privacy considerations. Do not handwave.
  • Never fabricate center intake details. International second-opinion programs, intake emails, portals, eligibility rules, fees and turnaround change frequently and are sometimes discontinued. Do NOT assert that a given center "has an online second-opinion program" / "accepts X" / "intake email is Y" from memory or from the seed data in references/top-centers.md / references/cross-border-shipping.md. Confirm the intake program on the center's official international-patient page before stating it to the user. The center seed data in those references is last_verified-dated and non-authoritative — treat it as a starting point for lookup, never as the source of truth. When you cannot verify live, say so and point the user to the official international-patient office rather than inventing a contact.

References

Install via CLI
npx skills add https://github.com/CancerDAO/cancer-buddy-skill --skill cancer-buddy-second-opinion
Repository Details
star Stars 3
call_split Forks 1
navigation Branch main
article Path SKILL.md
More from Creator
CancerDAO
CancerDAO Explore all skills →