Instructions file CodexOpenCode
Instructions for realactivity/tula, covering agents.md - tula repo guide for coding agents, what tula is (30 seconds), repo map, hard rules (non-negotiable) and reference skills (clone these).
Instructions file
Instructions for realactivity/tula, covering claude.md - claude code notes, claude code and quick links.
Skill Claude CodeCodex
Drafts a concise patient-portal message the user can copy-paste to a clinician via Epic MyChart, Oracle Health HealtheLife, or similar. Personal data is referenced from an external profile file, never embedded. USE FOR: symptom reports, refill requests, lab/result follow-ups, visit follow-ups, asking a single clear…
Skill Claude CodeCodex
Pulls the user's medical records from patient portals (Epic MyChart, Oracle/Cerner) via end-to-end-encrypted SMART on FHIR, into per-provider JSON files Tula can reason over. Personal data is referenced from an external profile file, never embedded. USE FOR: connecting or refreshing records, trending labs across…
Skill Claude CodeCodex
Personalized ambient health awareness. Pulls environmental, public-health, and place-based data for the user's location and triages it against their longitudinal record, surfacing only what matters. USE FOR: 'lookout for me' briefings, ambient/air/UV/weather/pressure checks, place-based resource queries, travel-mode…
Skill Claude CodeCodex
Reads medical PDFs (labs, radiology, MyChart/Epic exports, discharge summaries, pathology) and turns them into structured JSON Tula can reason over. Personal data is referenced from an external profile file, never embedded. USE FOR: the user sharing a health-related PDF, image, or screenshot, or asking to compare…
Skill Claude CodeCodex
Surfaces what changed in the user's health since a reference point (date, named event, 'since last X'). Reads workspace memory from med-pdf, health-records, myhealth-pulse, and dated notes; tiers changes by clinical significance. USE FOR: 'what changed', post-visit summaries, longitudinal questions, weekly check-ins.…
Skill Claude CodeCodex
Aggregates a user's health-related signal feeds (social, web, wearables, portal, calendar) into a curated, scored digest. Personal data is referenced from an external profile file, never embedded. USE FOR: 'run myhealth-pulse', scheduled daily/weekly pulses, mention digests. DO NOT USE FOR: PDFs (med-pdf), clinician…
Skill Claude CodeCodex
Eval-only routing reference for Tula cross-skill composition tests. Documents which skill handles each patient-agent request type. USE FOR: composition eval tasks that test handoffs between skills. DO NOT USE FOR: end-user production invocations.
Skill Claude CodeCodex
Prepare an IPS-aligned visit-prep package from patient health data. USE FOR: upcoming visit prep, lab opportunities, and portal snippets. DO NOT USE FOR: diagnosis/treatment, insurance/billing tasks, or PHI transfer outside the workspace.
Skill Claude CodeCodex
Draft HIPAA-aligned health-record amendment requests, separate patient claims from source-record evidence, track response timelines, and optionally prepare draft FHIR Task JSON. USE FOR: requests to correct, clarify, append, or dispute clinical note content, medications/allergies, diagnoses, encounter metadata, or…