WellAlly-health: Command for Claude Code

更年期管理

围绝经期症状追踪和管理，提供更年期健康评估和管理建议。

操作类型

1. 开始更年期追踪 - start

初始化更年期追踪记录。

参数说明：

• info: 更年期基本信息（必填）
  • 年龄：数字
  • 末次月经日期：YYYY-MM-DD

示例：

/menopause start 48 2025-11-15
/menopause start age 48 last period November 15 2025
/menopause start 50岁 2025-06-01

执行步骤：

1. 解析输入信息

从自然语言中提取：

• 年龄：数字
• 末次月经日期 (LMP)：精确日期

2. 验证输入

检查项：

• 年龄应在40-65岁之间
• LMP不能是未来日期
• LMP应在过去12个月内

3. 确定更年期阶段

更年期阶段定义：

阶段	定义	月经模式	时间范围
围绝经期	Perimenopausal	周期不规律	40-55岁
绝经	Menopausal	停经12个月	LMP + 12个月
绝经后	Postmenopausal	停经>12个月	>12个月

判断逻辑：

months_since_lmp = (today - lmp_date) / 30.44

if (months_since_lmp < 12) {
  stage = "perimenopausal"  // 围绝经期
} else if (months_since_lmp >= 12 && months_since_lmp < 36) {
  stage = "menopausal"  // 绝经
} else {
  stage = "postmenopausal"  // 绝经后
}

4. 创建更年期记录

生成 menopause_id：menopause_YYYYMMDD

更年期数据结构：

{
  "menopause_id": "menopause_20250101",
  "stage": "perimenopausal",
  "age": 48,
  "last_menstrual_period": "2025-11-15",
  "months_since_lmp": 0,

  "symptoms": {
    "hot_flashes": {
      "present": false,
      "frequency": null,
      "severity": null,
      "impact_on_life": null,
      "triggers": [],
      "last_updated": null
    },
    "night_sweats": {
      "present": false,
      "frequency": null,
      "severity": null
    },
    "sleep_issues": {
      "present": false,
      "type": null,
      "sleep_quality": null
    },
    "mood_changes": {
      "present": false,
      "symptoms": []
    },
    "vaginal_dryness": {
      "present": false,
      "severity": null
    },
    "joint_pain": {
      "present": false,
      "severity": null,
      "locations": []
    }
  },

  "symptom_history": [],

  "hrt": {
    "on_treatment": false,
    "considering": false,
    "medication": null,
    "type": null,
    "dose": null,
    "route": null,
    "start_date": null,
    "duration": null,
    "effectiveness": null,
    "effectiveness_rating": null,
    "side_effects": [],
    "notes": ""
  },

  "bone_density": {
    "last_check": null,
    "t_score": null,
    "z_score": null,
    "diagnosis": null,
    "diagnosis_category": null,
    "fracture_risk": null,
    "fracture_risk_level": null,
    "next_check_due": null,
    "calcium_intake": {},
    "vitamin_d": {},
    "weight_bearing_exercise": null,
    "fall_risk_factors": []
  },

  "cardiovascular_risk": {
    "last_assessment": null,
    "blood_pressure": null,
    "systolic": null,
    "diastolic": null,
    "bp_classification": null,
    "lipids": {},
    "blood_sugar": {},
    "risk_level": null,
    "risk_factors": [],
    "modifiable_factors": []
  },

  "lifestyle": {
    "exercise": {},
    "diet": {},
    "stress_management": [],
    "sleep_habits": null
  },

  "metadata": {
    "created_at": "2025-01-01T00:00:00.000Z",
    "last_updated": "2025-01-01T00:00:00.000Z"
  }
}