Name: fastpifu-ophthalmology
Author: lsc-sde

Imported from lsc-sde/fastpifu-skills (skills/fastpifu-ophthalmology/SKILL.md). Install upstream with npx skills add lsc-sde/fastpifu-skills --skill fastpifu-ophthalmology. Copyright stays with the author.

FastPIFU — Ophthalmology

Ophthalmology PIFU assessment. Routing, cautions, and hard rules specific to ophthalmology; apply under the FastPIFU orchestrator's universal operating instructions.

Condition routing

Condition	Reference file
Cataract surgery	`references/cataract-surgery.md`
Age-related macular degeneration (AMD)	`references/amd.md`
Diabetic macular oedema (DMO)	`references/diabetic-macular-oedema.md`
Glaucoma	`references/glaucoma.md`

Specialty-specific cautions (data-gap traps)

A treated macular patient who looks inactive but is in the strict treat-and-extend window — monitoring must continue at interval before discharge.
A glaucoma patient whose follow-up interval and discharge eligibility are defined by GIRFT Best Practice for Glaucoma Services, not by clinic convenience.
PDR/R3a or new wet AMD needs urgent face-to-face assessment, never PIFU.

Specialty-specific hard rules

Glaucoma follow-up intervals and discharge are governed by GIRFT Best Practice for Glaucoma Services — rationale: risk-stratified intervals, not ad hoc review.
Suspected wet AMD requires urgent referral/assessment within one working day — never a PIFU disposition.

# after Install: the listing is in your workspace's routing pool - a plan picks it for its slot curl -s -X POST https://api.opensmartroute.ai/api/v1/route -H 'Authorization: Bearer $OSR_API_KEY' -H 'Content-Type: application/json' -d '{"text": "...", "plan": true}'

{ "ocm": "1", "id": "lsc-sde-fastpifu-skills-fastpifu-ophthalmology", "kind": "skill", "name": "fastpifu-ophthalmology", "description": "Use when deciding what should happen next with a ophthalmology patient's follow-up — whether they can move to patient-initiated follow-up, be discharged, or stay in timed follow-up. Covers cataract surgery, age-related macular degeneration (AMD), diabetic macular oedema (DMO) and glaucoma, including virtual/asynchronous review pathways.", "publisher": "lsc-sde", "version": "1.0.0", "capabilities": { "domains": [ "medical" ], "tags": [ "skill-md", "github" ], "languages": [ "en" ] }, "quality_prior": 0.6, "examples": [ "Use when deciding what should happen next with a ophthalmology patient's follow-up — whether they can move to patient-initiated follow-up, be discharged, or stay in timed follow-up. Covers cataract surgery, age-related macular degeneration (AMD), diabetic macular oedema (DMO) and glaucoma, including virtual/asynchronous review pathways." ], "primary": false, "metadata": { "source": { "provider": "github", "repository": "https://github.com/lsc-sde/fastpifu-skills", "path": "skills/fastpifu-ophthalmology/SKILL.md", "ref": "9c1b630546acede9a900f02c26d1a3a1ab4eed39", "url": "https://github.com/lsc-sde/fastpifu-skills/blob/9c1b630546acede9a900f02c26d1a3a1ab4eed39/skills/fastpifu-ophthalmology/SKILL.md", "key": "lsc-sde/fastpifu-skills/skills/fastpifu-ophthalmology/SKILL.md" } }, "instructions": "\n\n# FastPIFU — Ophthalmology\n\nOphthalmology PIFU assessment.\nRouting, cautions, and hard rules specific to ophthalmology; apply under the FastPIFU orchestrator's universal operating instructions.\n\n## Condition routing\n\n| Condition | Reference file |\n|---|---|\n| Cataract surgery | `references/cataract-surgery.md` |\n| Age-related macular degeneration (AMD) | `references/amd.md` |\n| Diabetic macular oedema (DMO) | `refer", "cost": { "context_tokens": 352 } }

fastpifu-ophthalmology

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