Update to PenguinAI Medical Coding

{
  "description": "Use PenguinAI Medical Coding to code de-identified medical charts — ICD-10-CM diagnoses with CMS-HCC v24/v28/RxHCC mappings and cited evidence, E/M visit levels, and chart summaries. Use when the user attaches a de-identified chart or pastes a de-identified clinical note and asks for diagnosis codes, HCCs, risk adjustment or a clinical summary.",
  "included_files": [],
  "name": "medical-chart-coding",
  "skill_md_contents": "---\nname: medical-chart-coding\ndescription: Use PenguinAI Medical Coding to code de-identified medical charts — ICD-10-CM diagnoses with CMS-HCC v24/v28/RxHCC mappings and cited evidence, E/M visit levels, and chart summaries. Use when the user attaches a de-identified chart or pastes a de-identified clinical note and asks for diagnosis codes, HCCs, risk adjustment or a clinical summary.\n---\n\n# Medical chart coding with PenguinAI Medical Coding\n\n## When to use\n- The user attaches a **de-identified** chart (PDF) or pastes a de-identified note and asks for ICD-10 codes, HCC / risk-adjustment codes, an E/M level, or a summary.\n- The user wants to accept or reject a suggested code on a chart that was already coded.\n\n## How to use the tools\n1. **Code a chart**: call `process_chart` with the attached file and a pseudonymous `member_id` (e.g. `DEMO-1`, never a real member or beneficiary number). Then poll `get_chart_status` and fetch `get_chart_results`.\n2. **Summary only, no codes**: `summarize_chart`.\n3. **Record a coder decision**: `submit_code_decision` (accept or reject a suggested code).\n\n## Rules\n- **De-identified charts only.** If the tool refuses a chart because it contains patient identifiers, tell the user which identifier *types* were found and ask them to upload a de-identified version. Do not include identifier values in your reply.\n- Present results as **suggestions for review by a qualified coder**, not final billing determinations.\n- Encounters are labelled by year only (e.g. \"2024, encounter 1\"). Do not try to recover exact dates.\n- Usage is charged to the user's Gwen credits. If the tool reports insufficient credits, tell the user to add credits in Gwen.\n"
}