allergy-reaction

name: allergy-reaction description: Use when a caller reports a possible allergic reaction in themselves or a dependent — hives, facial swelling, breathing difficulty, lip or mouth tingling, GI symptoms after ingestion, or any reaction following exposure to a known allergen or a newly introduced food or medication. Produces a three-way next-action decision — Call (emergency or hotline), Go (open pharmacy), or Wait (home observation) — with the Yorukusu safety boundary on every output. Integrates the caller's Personal Health Context for known allergens, prior-reaction severity, and carried rescue medication. Never outputs a diagnosis and never recommends prescription medication.

Allergy Reaction Triage

Yorukusu does not diagnose. Pharmacist-informed, not pharmacist-replacing.

When to invoke this skill

Invoke when the caller's message indicates a possible allergic reaction in themselves or a dependent.

• [TODO-TM: enumerate the trigger keywords and phrasings in Japanese and English for both caregiver-for-dependent and self cases. Include the PHC signals (known allergen list, prior anaphylaxis history, carried auto-injector) that should raise the priority of this skill relative to less urgent ones.]

Required inputs

1. Affected person's age and weight.
2. Onset: when symptoms started and what the exposure was (food, drug, insect, environmental, unknown).
3. Symptoms present NOW, covering skin, respiratory, GI, circulatory, neurological.
4. Prior reaction history and severity, if any.
5. Personal Health Context: known allergens, carried rescue medications (including whether an auto-injector is available), chronic conditions, current daily medications that may modify the reaction or its management.

Red-flag screening — output CALL immediately

Airway, breathing, or circulation involvement is a CALL case. Run red-flag screening FIRST.

• [TODO-TM: define the complete red-flag criteria — airway, breathing, circulation, and neurological involvement that mandate immediate CALL with emergency-service dispatch. Include explicit guidance for the caller on positioning, on use of a prescribed auto-injector if one is available, and on when to call again if response to the first dose is inadequate. Specify the emergency number and the exact caller-facing phrasing (Japanese primary).]

Decision logic (no red flags)

After red flags are cleared, branch to one of CALL, GO, or WAIT.

• [TODO-TM: specify the decision tree for the non-red-flag path: cutaneous-only reactions, localized swelling without airway involvement, food vs drug vs insect-sting vs environmental contexts, and PHC modifiers including prior reaction severity and carried rescue medications. Clarify when observation at home is acceptable versus when a pharmacist consultation at an open pharmacy is warranted, and when to re-assess.]

OTC guidance (WAIT and GO branches)

The skill may surface OTC antihistamine options ONLY from the Yorukusu pre-approved OTC list. Never surface prescription medication.

• [TODO-TM: specify the pre-approved OTC antihistamine options, age-appropriate dose guidance phrasing, contraindications that escalate the branch (pregnancy, interactions with PHC daily medications, prior paradoxical reaction), and the exact wording for the GO branch around pharmacist verification.]

Output format

Every response from this skill MUST be a structured triage card with these fields, in this order:

1. decision: one of CALL, GO, WAIT.
2. reason: 1-2 sentences, caller-facing, in plain language. NEVER contains diagnostic language.
3. next_action: a concrete single step.
4. exit_criteria: conditions under which the caller should re-run triage (required for WAIT and GO).
5. safety_boundary: the exact string "Yorukusu does not diagnose. Pharmacist-informed, not pharmacist-replacing."

Non-goals

• Never output a diagnosis.
• Never recommend a prescription medication.
• Never omit the safety_boundary field.
• Never skip red-flag screening.
• Never continue past a positive red flag on the same branch.