CareMax Upload & OCR

Requires caremax-auth as a sibling directory (../caremax-auth/). If missing, tell the user to install caremax-auth first (e.g. npx skills add KittenYang/caremax-skills).

Upload medical report files (PDF, JPG, PNG, HEIC) and extract structured data via AI-powered OCR.

Session-based workflow: upload → OCR → review → confirm. All operations are on a single session.

Checkpoint & resume: Every pipeline step saves progress to the database. If OCR fails mid-way (LLM timeout, worker crash, network error), retrying automatically resumes from the last checkpoint — no work is lost.

Agent default behavior (MANDATORY)

1. Upload and OCR are one continuous workflow. When the user uploads report files (or asks you to upload/扫描/识别体检报告等), after $UPLOAD returns successfully you must in the same turn run $OCRSTREAM <session_id> using the returned session_id. Do not end the task after upload.sh alone.
2. Upload-only exception: Skip immediate OCR only if the user explicitly asked to upload without recognition (e.g. 只上传、不要识别、别跑 OCR、只存文件). If unclear, default to running OCR after upload.
3. Progress: Stream each SSE line to the user as it arrives (normalize / ocr / structure / …).
4. After step=done: Always continue to Step 3 (review). Do not auto-call confirm — wait for user approval before Step 4.

Prerequisites — Auto-Auth (MANDATORY)

APICALL="bash ../caremax-auth/scripts/api-call.sh"
UPLOAD="bash ../caremax-auth/scripts/upload.sh"
OCRSTREAM="bash ../caremax-auth/scripts/ocr-stream.sh"

If any script returns no_credentials → run bash ../caremax-auth/scripts/auth-flow.sh [base_url] (from this skill’s root, sibling of caremax-auth/).

Step 1: Upload (creates session)

$UPLOAD /path/to/report1.jpg /path/to/report2.jpg /path/to/report.pdf

Returns:

{
  "session_id": "uuid-xxx",
  "member_id": "uuid-yyy",
  "files": [
    { "id": "file-1", "original_name": "report1.jpg" },
    { "id": "file-2", "original_name": "report2.jpg" },
    { "id": "file-3", "original_name": "report.pdf" }
  ]
}

Save the session_id.

Step 2: OCR with real-time progress

$OCRSTREAM <session_id>

Outputs one JSON per line:

{"step":"resume","progress":1,"message":"Resuming from checkpoint (last completed: ocr)..."}
{"step":"normalize","progress":5,"message":"Loading file 1/3..."}
{"step":"ocr","progress":30,"message":"OCR page 2/3: report2.jpg"}
{"step":"ocr_retry","progress":35,"message":"Retrying OCR page 1/1: report1.jpg"}
{"step":"structure","progress":62,"message":"Detecting report groups..."}
{"step":"structure","progress":75,"message":"Structuring report 2/2..."}
{"step":"normalize_indicators","progress":88,"message":"Standardizing..."}
{"step":"done","progress":100,"data":{"session_id":"...","reports":[...],"resumed":true}}

Display progress to the user as each line arrives.

Key progress events

If step=resume appears, tell the user: "正在从上次的进度继续处理（不需要重新开始）"

Error responses from $OCRSTREAM

Step 2b: Poll status (when SSE disconnects)

If the SSE stream disconnects (network timeout, terminal closed), use the status endpoint to check progress:

$APICALL GET "/api/skill/sessions/<session_id>/status"

Returns:

{
  "session_id": "uuid",
  "status": "processing",
  "pipeline": {
    "completedStep": "ocr",
    "pageCount": 5,
    "ocrCompleted": 4,
    "ocrFailed": 1,
    "reportCount": 0,
    "errors": [{"step":"ocr","pageIndex":2,"message":"PaddleOCR timeout"}]
  },
  "error": null,
  "is_stale": false
}

Field guide:

• status = processing + is_stale = false → OCR is still running normally
• status = processing + is_stale = true → Worker crashed/timed out, safe to retry OCR
• status = awaiting_confirm → OCR completed! Fetch session detail for results
• status = uploading + error present → Last OCR attempt failed, retry will resume from checkpoint
• pipeline.completedStep → How far the pipeline got (normalize → ocr → structure → done)
• pipeline.ocrFailed → Number of pages that failed OCR (will be retried on next attempt)

Polling workflow:

1. Call $OCRSTREAM → SSE disconnects mid-way
2. Poll GET /sessions/<id>/status every 5-10 seconds
3. When status = "awaiting_confirm" → fetch full results with GET /sessions/<id>
4. If status = "uploading" (failed) → retry with $OCRSTREAM (auto-resumes)
5. If is_stale = true → retry with $OCRSTREAM (auto-resumes from checkpoint)

Step 3: Review results (MANDATORY)

Parse the step=done data. Show formatted summary. Do NOT auto-confirm.

Each report has a reportType field: lab, genetic, imaging, pathology, or other.

Lab reports (reportType = "lab")

Show indicators table:

📋 报告 1: [lab] 尿生化 (编号: 114431194)
   日期: 2025-02-05  医生: 俞海瑾
   指标: 12 个 (3 个异常)
   ┌──────────────────────┬────────┬──────────┬────────────┬──────┐
   │ 指标                 │ 结果   │ 单位     │ 参考范围   │ 异常 │
   ├──────────────────────┼────────┼──────────┼────────────┼──────┤
   │ 24H尿钠              │ 130.0  │ mmol/24h │ 137-257    │  ⬇   │
   └──────────────────────┴────────┴──────────┴────────────┴──────┘

Non-lab reports (reportType = "genetic" / "imaging" / etc.)

Show summary + sections:

📋 报告 1: [genetic] 基因检测报告
   日期: 2025-09-12  检测机构: 南京申友医学检验所
   摘要: 心血管18项基因检测...高血压、冠心病风险一般...
   段落: 18 sections
     [gene_variant] 高血压 — 风险: 正常
     [gene_variant] 冠心病 — 风险: 一般
     [medication] ACEI类降压药 — 正常代谢型
     ...

Supported file types

• Images (JPG/PNG/HEIC): PaddleOCR → structure
• PDF (any size): Azure Mistral Document AI page-split → structure
  • Large PDFs (e.g. 23-page gene report, 9.6MB) are fully supported

Step 4: Confirm and save

After user confirms:

$APICALL POST "/api/skill/sessions/<session_id>/confirm" '{"reports":[<reports from step 2>]}'

Returns: {"success":true,"message":"2 report(s) saved","recordIds":[...]}

Resuming incomplete sessions

When the user asks to continue/resume a previous upload, or when checking for unfinished work:

Step A: Find pending sessions

# List sessions that need OCR (uploaded but not processed)
$APICALL GET "/api/skill/sessions?status=uploading"

# List sessions stuck in processing (user exited mid-OCR)
$APICALL GET "/api/skill/sessions?status=processing"

# List sessions with OCR done but not yet confirmed
$APICALL GET "/api/skill/sessions?status=awaiting_confirm"

Show a summary of pending sessions to the user (file names, dates, status).

Step B: Resume based on status

• uploading: Start OCR directly → go to Step 2 ($OCRSTREAM <session_id>)
  • If there's a saved checkpoint (previous failed attempt), OCR auto-resumes from it
• processing: Check with status endpoint first:

  $APICALL GET "/api/skill/sessions/<session_id>/status"
  

  • is_stale = false → still running, wait or poll
  • is_stale = true → worker died, safe to retry: $OCRSTREAM <session_id> (auto-resumes from checkpoint)
• awaiting_confirm: Get session detail → show results → go to Step 3 (review & confirm)

# Get full detail of a pending session (includes OCR results if awaiting_confirm)
$APICALL GET "/api/skill/sessions/<session_id>"

If the session is awaiting_confirm, the response includes ocr_result with the previously parsed reports — display them for review and proceed to Step 3 (confirm).

Resume-aware response handling

When $OCRSTREAM outputs step=done:

• resumed = true in the data → tell user: "已从上次的进度恢复，OCR 结果已就绪"
• resumed = false (or absent) → normal fresh run

When $OCRSTREAM outputs step=error:

• code = processing_in_progress → tell user OCR is still running, poll /status instead
• code = ocr_limit_exceeded → tell user to upgrade
• No code → LLM/network error, safe to retry (will auto-resume from checkpoint)

Step C: Delete individual reports or stale sessions

Delete a single report (does NOT affect other reports in the same session):

$APICALL DELETE "/api/skill/sessions/<session_id>/records/<record_id>"

Delete an entire session (cascade deletes ALL files + reports):

$APICALL DELETE "/api/skill/sessions/<session_id>"

Other session operations

# List all sessions (all statuses)
$APICALL GET /api/skill/sessions

# List sessions filtered by status: uploading | processing | awaiting_confirm | completed
$APICALL GET "/api/skill/sessions?status=<status>"

# Get session detail (includes OCR results if awaiting_confirm, saved reports if completed)
$APICALL GET "/api/skill/sessions/<session_id>"

# Poll OCR progress (lightweight, use when SSE disconnects)
$APICALL GET "/api/skill/sessions/<session_id>/status"

# Delete single report (keeps session and other reports intact)
$APICALL DELETE "/api/skill/sessions/<session_id>/records/<record_id>"

# Delete entire session (undo everything: files + reports)
$APICALL DELETE "/api/skill/sessions/<session_id>"