facts-extraction-normalization

Extract, normalize, and deduplicate longitudinal patient facts into a reviewable table.

Updated Aug 23, 2026
One-click install
npx skills add https://github.com/JustinChaney2023/orate --skill facts-extraction-normalization
Or copy as Structured Prompt for Agent
Please help me install this Agent Skill.
Skill: facts-extraction-normalization
Source: https://github.com/JustinChaney2023/orate/tree/main/roles/facts-extraction-normalization
Command: npx skills add https://github.com/JustinChaney2023/orate --skill facts-extraction-normalization

SYSTEM DOCUMENTATION & REQUIREMENTS

What problem does it solve?

This Skill formalizes extracting, normalizing, and managing longitudinal patient facts (meds, goals, incidents, services, providers, baselines) from current visit evidence and approved outputs, producing a reviewable facts table used as the primary guardrail for RAG and change detection. It enables auditability and deterministic comparisons across visits while discouraging memory-based hallucinations.

Core Features & Use Cases

  • Extract candidate facts from today’s transcript segments and OCR regions
  • Normalize and deduplicate facts for a consistent longitudinal view
  • Propose updates (insert/update/resolve) for human review and controlled write-back
  • Persist approved updates to the patient facts table and expose active facts to the RAG context pack
  • Use cases include implementing fact schemas, controlled vocabularies, and write-back workflows in clinical data pipelines

Quick Start

Use the facts-extraction-normalization skill to generate candidate facts from today’s transcript and OCR outputs and prepare them for review.

Frequently Asked Questions about facts-extraction-normalization

High-intent search queries and answers about installing and using this skill.

FAQPage Schema
How do I extract and normalize patient facts from clinical visit transcripts?

To extract and normalize patient facts from clinical visit transcripts, this Skill processes current visit evidence to generate candidate facts, deduplicates entries, and normalizes them into a consistent longitudinal view for human review.

What is longitudinal fact deduplication in healthcare data workflows?

Longitudinal fact deduplication in healthcare data workflows identifies and removes duplicate patient facts across multiple visits. This Skill normalizes extracted facts like meds, goals, and incidents to ensure deterministic comparisons and auditability.

Can I use extracted clinical facts to guard against RAG hallucinations?

Yes, you can use extracted clinical facts to guard against RAG hallucinations. This Skill persists approved updates to the patient facts table and exposes active facts to the RAG context pack, discouraging memory-based hallucinations.

How do I manage fact provenance to OCR regions and transcript segments?

To manage fact provenance to OCR regions and transcript segments, this Skill links extracted candidate facts directly to today's transcript and OCR outputs. This traceability enforces a write-back workflow requiring human-in-review confirmation.

How are high-stakes and low-stakes clinical facts handled during write-back?

High-stakes, medium-stakes, and low-stakes clinical facts are handled through a controlled write-back workflow. The Skill proposes insert, update, or resolve actions for each fact type, requiring human-in-review confirmation before persisting changes.

What is the best way to maintain a reviewable facts table across patient visits?

The best way to maintain a reviewable facts table across patient visits is to formalize extraction and normalization into a controlled pipeline. This Skill processes visit evidence, proposes updates for human review, and persists approved facts for deterministic comparisons.