Free OpenClaw Skill for OB-GYN Practices: Prenatal and Well-Woman Agent (Download)

What this skill does for your OB-GYN practices

• Drives the ACOG prenatal visit cadence: every 4 weeks until 28, every 2 weeks 28-36, weekly 36 to delivery, with each visit's labs and screens scheduled at the right gestational age.
• Surfaces NIPT, first-trimester screen, anatomy scan, gestational diabetes 1-hour, and 36-week GBS swab timing windows so the front desk never books a screen out of its window.
• Owns the postpartum 6-week visit recall plus the postpartum depression EPDS screening cadence at 4 to 6 weeks.
• Runs the well-woman annual recall keyed to last cervical cancer screening (Pap or HPV co-test) and last mammogram per the current ACOG and USPSTF guidance.
• Routes every patient-facing message through the OB coordinator or office manager for approval by default; flips to autonomous after a two-week validation on rails you define.

What's inside this OpenClaw skill

The full file you download, indexed below for search engines and for operators who want to read before they install.

---
name: obgyn-prenatal-and-wellwoman
description: Prenatal and well-woman coordinator for OB-GYN practices. ACOG prenatal cadence, NIPT and anatomy scan timing, 36-week GBS swab, postpartum 6-week visit, well-woman annual recall. Integrates with athenaPractice, ModMed OBGYN.
version: 1.0.0
author: OpenClaw Consult (Adhiraj Hangal)
license: MIT
url: https://openclawconsult.com/skills/obgyn-practices
---

# OpenClaw Skill: OB-GYN Prenatal and Well-Woman Coordinator

## Overview

This skill turns the OpenClaw agent into a prenatal and well-woman coordinator
for an OB-GYN practice. It owns the ACOG prenatal visit cadence, the timing
windows for NIPT, the first-trimester screen, the anatomy scan, the 1-hour
glucose challenge, the 36-week GBS swab, the postpartum 6-week visit, and the
annual well-woman recall keyed to the patient's last Pap or HPV co-test and
last mammogram.

It is designed for 1 to 6 provider OB-GYN practices running athenaPractice
(athenahealth), ModMed OBGYN, eClinicalWorks OB module, or a generic HL7 v2
PMS. Solo OB practices and multi-location women's health groups both work.

## What this skill does

1. ACOG prenatal cadence: every 4 weeks until 28, every 2 weeks 28-36, weekly 36 to delivery
2. Screen-window outreach for NIPT (10-13 weeks), first-trimester screen (11-13+6), anatomy scan (18-22 weeks), 1-hour GTT (24-28 weeks), GBS swab (35-37 weeks)
3. Postpartum 6-week visit recall plus EPDS or PHQ-9 mood screen
4. Well-woman annual recall keyed to last cervical cancer screening (Pap or HPV co-test) and last mammogram per ACOG and USPSTF
5. Tdap-in-pregnancy recall at 27 to 36 weeks and influenza-in-pregnancy outreach in season
6. New-OB intake workflow from positive pregnancy test confirmation through first prenatal visit booking

## Triggers

```yaml
triggers:
  - type: heartbeat
    schedule: "0 7 * * 1"          # Mondays 7am
    action: compile_prenatal_roster

  - type: heartbeat
    schedule: "0 9 * * 2"          # Tuesdays 9am
    action: well_woman_annual_recall_pass

  - type: heartbeat
    schedule: "0 9 * * 4"          # Thursdays 9am
    action: postpartum_followup_pass

  - type: on_event
    event: pms.new_ob_confirmed
    action: enter_prenatal_cadence_and_book_first_visit

  - type: on_event
    event: pms.delivery_logged
    action: enter_postpartum_recall_queue

  - type: on_event
    event: pms.abnormal_screen_logged
    action: route_to_clinical_team_no_autohandle
```

## Workflow: prenatal cadence

When a new OB is confirmed, the agent reads the LMP or ultrasound-confirmed EDD and schedules the ACOG prenatal cadence forward. For each upcoming visit the agent:

1. Computes the gestational age at the visit
2. Determines which screens or labs open in that window (NIPT, FTS, anatomy, GTT, GBS, anti-D for Rh-negative patients, Tdap, flu in season)
3. Drafts the appointment confirmation that names the visit purpose and any screen scheduling needed
4. Routes to the OB coordinator for approval

The skill handles the reduced-visit prenatal schedule when configured for low-risk patients, and supports the high-risk MFM co-management cadence with separate visits for the OB and the MFM consultant.

## Workflow: screen-window outreach

The screen windows are tight. The skill knows them:

```yaml
screen_windows:
  nipt: { open: 10w0d, close: 22w0d, preferred: 10w0d_to_13w6d }
  first_trimester_screen: { open: 11w0d, close: 13w6d }
  anatomy_scan: { open: 18w0d, close: 22w0d, preferred: 20w0d }
  one_hour_gtt: { open: 24w0d, close: 28w0d }
  three_hour_gtt: { triggered_by: one_hour_gtt_abnormal }
  gbs_swab: { open: 35w0d, close: 37w6d }
  tdap_in_pregnancy: { open: 27w0d, close: 36w6d }
```

When a patient enters a window the agent drafts a scheduling message that names the specific screen and explains the timing window. Out-of-window screens are flagged for clinical review rather than auto-rescheduled.

## Workflow: postpartum and well-woman recall

After delivery is logged the agent enters the postpartum recall queue:

- Day 1 to 7: passive standby, no outreach unless flagged
- Week 3: scheduling outreach for the 6-week postpartum visit
- Week 6: visit reminder with the EPDS or PHQ-9 attached as a portal pre-fill
- Week 8: if no visit completed, soft re-engagement message
- Month 6: contraception check-in and routing to well-woman if appropriate

For well-woman annual recall, the skill maintains a per-patient ledger of last Pap, last HPV co-test, last mammogram, last bone density, last colonoscopy referral, and drafts the annual visit recall message naming the screens due that year per the current ACOG and USPSTF guidance.

## Message templates

```yaml
templates:
  prenatal_visit_reminder_with_screen:
    body: |
      Hi {patient_first_name},

      Reminder: you have a prenatal visit with Dr. {provider_last_name} on
      {visit_date} at {visit_time}. At this visit we will also do the
      {screen_name}, which is the standard ACOG screen at {gestational_age}
      weeks.

      If you need to reschedule, reply here. Otherwise we will see you then.

      {coordinator_first_name}

  nipt_window_open:
    body: |
      Hi {patient_first_name},

      You are now at {gestational_age} weeks. This is the window for the
      Non-Invasive Prenatal Test (NIPT), the blood test that screens for
      common chromosomal conditions and can tell you the baby's sex if you
      want to know.

      We can schedule the draw at your next visit on {next_visit_date}, or
      sooner if you would prefer. Just reply with what works.

      {coordinator_first_name}

  gbs_swab_window_open:
    body: |
      Hi {patient_first_name},

      You are at {gestational_age} weeks, which is when ACOG recommends the
      Group B Strep (GBS) swab. It is a quick swab at the next visit on
      {next_visit_date}; no extra appointment needed.

      Reply if you have any questions.

      {coordinator_first_name}

  postpartum_six_week_recall:
    body: |
      Hi {patient_first_name},

      Hard to believe it has been almost six weeks since {baby_name} was
      born. Time for the postpartum check-in with Dr. {provider_last_name}.
      We will check in on how recovery is going, talk through contraception
      options if you want, and go through a quick mood screen together.

      Open slots:
      {open_slots}

      {coordinator_first_name}

  well_woman_annual_pap_due:
    body: |
      Hi {patient_first_name},

      It has been about a year since your last visit. Looking at the chart,
      your cervical cancer screening (Pap and HPV co-test) is also due this
      year per the current ACOG schedule.

      Open slots:
      {open_slots}

      We can do everything in one visit.

      {coordinator_first_name}
```

## Memory keys

```yaml
memory:
  - key: ob.prenatal_ledger[{patient_id}]
    description: Current pregnancy cadence state
    schema: { edd: date, gestational_age_weeks: int, last_visit: date, next_visit: date, risk_status: string }

  - key: ob.screen_ledger[{patient_id}]
    description: Pregnancy screens ordered and resulted
    schema: { nipt: object, fts: object, anatomy: object, gtt_1hr: object, gbs: object, tdap: object }

  - key: ob.postpartum_ledger[{patient_id}]
    description: Postpartum recall and EPDS state
    schema: { delivery_date: date, six_week_visit: date, epds_score: int, contraception_method: string }

  - key: ob.well_woman_ledger[{patient_id}]
    description: Last preventive screenings per ACOG and USPSTF
    schema: { last_pap: date, last_hpv_test: date, last_mammogram: date, last_dexa: date }

  - key: ob.recall_state[{patient_id}]
    description: Current well-woman recall stage
    values: [pending, message_1_sent, message_2_sent, scheduled, dormant]
```

## Required integrations

| Integration              | Purpose                                          | Read | Write |
|--------------------------|--------------------------------------------------|------|-------|
| athenaPractice           | OB Episode of Care feed + athenaNet REST API     | yes  | optional |
| ModMed OBGYN             | FHIR API for visits, screens, postpartum         | yes  | optional |
| eClinicalWorks OB module | eBO reports and ECW API                          | yes  | optional |
| Twilio (or similar)      | Outbound SMS                                     | no   | yes   |
| Email provider           | Outbound email (SendGrid, Postmark)              | no   | yes   |
| OpenClaw Memory          | Cross-run state                                  | yes  | yes   |
| OpenClaw Heartbeat       | Scheduled cadence triggers                       | yes  | yes   |

Write-back to the PMS starts disabled. The OB coordinator commits any PMS changes manually for the first two weeks, then write access can be flipped on for low-risk fields (recall date stamps, communication log entries).

## Compliance notes

HIPAA: by default the skill operates on patient identifiers, gestational age, EDD, and appointment metadata. Lab results, ultrasound findings, and chart notes are not put into outbound SMS. For practices that want tighter PHI handling, set phi_mode to identifier_only and the agent will tokenize patient names, forcing the OB coordinator to complete personalized content from inside the secure portal.

Abnormal screens, fetal concerns, and postpartum mood flags are routed to a clinical staff member by default. The skill will never auto-handle communication for a result that is abnormal, indeterminate, or out-of-window.

Confirm your BAA covers the cloud AI provider you point OpenClaw at. The skill itself is local; the model inference is not.

## Configuration

```yaml
config:
  practice_name: "Your OB-GYN Practice"
  providers:
    - last_name: "Chen"
      open_slot_lookup: athena_calendar
  approval_mode: ob_coordinator_approves_all   # or "autonomous_after_2_weeks"
  phi_mode: standard                           # or "identifier_only"
  prenatal_schedule: standard_acog             # or "reduced_visit_low_risk", "mfm_comanagement"
  screen_windows:
    nipt: { open: 10w0d, close: 22w0d }
    anatomy: { preferred: 20w0d }
    gtt: { open: 24w0d, close: 28w0d }
    gbs: { open: 35w0d, close: 37w6d }
  postpartum_mood_screen: epds                 # or "phq9"
  well_woman_screen_protocol:
    cervical_cancer: acog_2024
    breast_cancer_screening: uspstf_2024
```

## Quick install

```bash
mkdir -p ~/.claude/skills
mv obgyn-practices.md ~/.claude/skills/obgyn-prenatal-and-wellwoman.md
# Edit the config block to match your practice
```

Launch OpenClaw and the skill is live. Run `compile prenatal roster` or `run well-woman recall` on demand, or wait for Heartbeat to fire on the configured schedule.

## Want it wired to your stack?

This SKILL.md is the starting point. If you want it plugged into your specific PMS, your high-risk co-management protocols, your specific brand voice, on a fixed-price two-week clock with the founder writing every line of the build, the door is at
https://www.adhirajhangal.com/work

Install in 60 seconds

1. 1

   Drop the file into your OpenClaw skills directory

   Save the downloaded obgyn-practices.md as ~/.claude/skills/obgyn-prenatal-and-wellwoman.md (or your project-level .claude/skills/). OpenClaw picks up new skill files on next agent launch.

2. 2

   Connect your practice management system

   Edit the integrations block to point at your athenaPractice or ModMed OBGYN export. Read-only access is enough to start. The skill ships the prompts that translate your daily PM export plus the EDD (estimated date of delivery) field into the agent's working memory.

3. 3

   Launch in approval mode, validate, then flip to autonomous

   Start with the OB coordinator approving every outbound text and email for the first two weeks. Defaults route anything that touches a fetal concern, an abnormal lab, or a postpartum mood flag to a human. After two weeks of validation, flip the well-woman and routine prenatal templates to autonomous.

Example conversation

Common questions

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