# OpenScar Skill Map

OpenScar skills should turn repeatable scar and keloid workflows into agent-readable instructions. Each skill should remain clinician-supervised, conservative, and clearly outside autonomous diagnosis or treatment prescription.

## Planned Skills

| Skill | Category | Purpose | First Output |
| --- | --- | --- | --- |
| scar-photo-standardization | Imaging | Define capture requirements for scar and keloid photography. | Photo capture checklist and quality flags. |
| scar-image-quality-review | Imaging | Review scar images for comparability limits. | Image quality score and confounder notes. |
| before-after-scar-analysis | Imaging | Compare scar images across time with conservative language. | Region observations and limitations. |
| keloid-follow-up-intake | Clinical | Structure follow-up notes for keloid patients. | Follow-up summary with symptoms, treatment exposure, and recurrence status. |
| scar-treatment-response-review | Clinical | Summarize response after injections, devices, surgery, or conservative care. | Clinician-reviewable response brief. |
| recurrence-risk-factor-extraction | Research | Extract structured recurrence risk factors from chart text. | Candidate variables for registry entry. |
| scar-registry-entry-builder | Operations | Convert clinical notes into the OpenScar schema. | Draft patient, lesion, visit, image, treatment, and outcome rows. |
| scar-literature-review | Research | Produce evidence-aware literature briefs for scar and keloid topics. | Search strategy, evidence table, and gap summary. |
| scar-consent-language-review | Operations | Review consent and media-use language for scar image workflows. | Missing-section checklist and conservative edits. |
| scar-patient-education-draft | Patient Care | Draft plain-language education for scar care and follow-up. | Patient handout for clinician review. |

## Priority Build Order

1. `scar-photo-standardization` - available at `skills/imaging/scar-photo-standardization/SKILL.md`
2. `keloid-follow-up-intake` - available at `skills/clinical/keloid-follow-up-intake/SKILL.md`
3. `scar-treatment-response-review` - available at `skills/clinical/scar-treatment-response-review/SKILL.md`
4. `scar-literature-review` - available at `skills/research/scar-literature-review/SKILL.md`
5. `scar-registry-entry-builder` - available at `skills/operations/scar-registry-entry-builder/SKILL.md`

This order starts with the workflows that create clean data. Modeling should wait until image capture, follow-up intake, and outcome definitions are stable.

## Implementation Status

All 10 planned OpenScar v0.1 skills are now drafted:

- `scar-photo-standardization`
- `scar-image-quality-review`
- `before-after-scar-analysis`
- `keloid-follow-up-intake`
- `scar-treatment-response-review`
- `recurrence-risk-factor-extraction`
- `scar-registry-entry-builder`
- `scar-literature-review`
- `scar-consent-language-review`
- `scar-patient-education-draft`

## Standard Skill Structure

Each skill should include:

- name and one-sentence description
- when to use
- when not to use
- required inputs
- step-by-step workflow
- output format
- safety and compliance boundaries
- examples
- integrations with other OpenScar or Mad Beauty skills

## Safety Language Template

Use this boundary in every patient-facing or case-facing skill:

> This skill supports documentation, research preparation, and clinician review. It does not diagnose, prescribe, determine recurrence, or replace licensed clinical judgment. Escalate urgent symptoms, suspected infection, wound breakdown, severe pain, rapid progression, or functional compromise to a qualified clinician.

## Integration Targets

OpenScar skills should eventually integrate with the existing Mad Beauty Skills repository without changing the first starter interface:

- `facial-photo-standardization`
- `skin-image-assessment`
- `before-after-analysis`
- `aesthetic-literature-review`
- `patient-education-handout`
- `consent-form-review`