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lookup_major_illness

Read-onlyIdempotent

Search Taiwan NHI major illness categories by code or keyword. Returns category details: name, ICD-10 coverage, application needs, and validity.

Instructions

Browse Taiwan NHI 重大傷病 (major illness) categories — official categories that grant copayment exemption and a more lenient claim-review process. Returns category name, ICD-10 code coverage, application requirement, and validity period. Use when an agent needs to enumerate or filter major-illness categories (e.g. 'all cancer categories', 'categories that don't require an application'). Don't use if you already have an ICD-10 code and want to know which categories it qualifies for — call check_icd_for_major_illness_eligibility instead. Reference only — final eligibility requires a formal application with supporting documentation per the official 重大傷病範圍及項目. Curated by OPDSTAR (https://opdstar.com).

Input Schema

TableJSON Schema
NameRequiredDescriptionDefault
category_codeNoOptional 1-3 char category code (e.g. '001' = 癌症, '005' = 慢性腎衰竭). If omitted, returns the full official list.
keywordNoOptional Chinese keyword (e.g. '癌症', '透析', '罕見') to filter category names.
Behavior4/5

Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?

Annotations already declare read-only, non-destructive, idempotent behavior. The description adds context about return fields and emphasizes that final eligibility requires formal application, which is important beyond the annotations.

Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.

Conciseness4/5

Is the description appropriately sized, front-loaded, and free of redundancy?

The description is concise, front-loads the purpose, and uses clear structure. It could be slightly trimmed but is well-organized for an agent to parse.

Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.

Completeness4/5

Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?

Given no output schema, the description explains return fields and references a sibling tool for alternative use. It also notes reference nature and source. For a lookup tool with no required parameters, this is sufficiently complete.

Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.

Parameters3/5

Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?

Schema coverage is 100% with descriptions for both parameters. The description mentions `category_code` and `keyword` but does not add significant new meaning beyond what the schema provides, so baseline 3 is appropriate.

Input schemas describe structure but not intent. Descriptions should explain non-obvious parameter relationships and valid value ranges.

Purpose5/5

Does the description clearly state what the tool does and how it differs from similar tools?

The description clearly states the tool browses Taiwan NHI major illness categories and lists the return fields, distinguishing it from the sibling tool `check_icd_for_major_illness_eligibility` which handles a different use case.

Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.

Usage Guidelines5/5

Does the description explain when to use this tool, when not to, or what alternatives exist?

Explicitly states when to use ('enumerate or filter major-illness categories') and when not to use ('if you already have an ICD-10 code... call check_icd... instead'), providing clear decision criteria.

Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.

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