Create a Skill

Skills live under Settings → Skills, in the personal section of your settings. Click New skill to open the editor.

The Editor

A skill has three parts, and all three are required.

Name

What the skill is called, up to 120 characters. This is what you see in the picker and in the / menu, so keep it short and recognisable — Intake review, GI-MAP Review, Discharge summary.

You cannot have two skills of your own with the same name.

Description

Up to 1,024 characters describing when this skill should be used. It is shown when you pick the skill in a chat.

The description does more work than it looks like it does. It is also what the assistant matches against when deciding whether to reach for the skill on its own, so write it as a trigger rather than a summary:

Good — "Use when a GI-MAP stool analysis arrives, or when gut symptoms need lab correlation."
Less useful — "Reviews GI-MAP results."

Steps

The procedure itself, written in Markdown, up to 50,000 characters. This is the part the assistant follows.

Use the Write / Preview toggle to check your formatting. A character counter appears once you get close to the limit.

Note: Skills describe steps, never patients. Do not paste a patient's results, name, or record into a skill — every skill is checked for patient information before it can be shared, and a skill that contains it will be flagged. See Sharing & Admin.

Writing Effective Steps

The assistant follows a skill the way a capable colleague would follow a written protocol. What helps:

Order the work. Say what to gather first, what to interpret second, what to report last. "Pathogens first, patterns before protocols" is a real instruction.
Name the sections you want back. If your write-up always has the same headings, list them.
State the caveats. Collection validity, medication interference, cycle phase — the things you would check before trusting a number.
Say what to do when data is missing. Otherwise you get a confident answer built on a gap.
Tell it where to look. A skill can instruct the assistant to pull the patient's snapshot, search their uploaded documents, or read prior clinical notes.

What does not work:

Instructions to run a script, open a URL, or use an attached file. Skills are instructions only — a skill referring to scripts, references, or asset files will be rejected when you save it.
Patient-specific detail. Write the method, not the case.

The Two Switches

Share with my practice — off by default. Turning it on makes the skill available to everyone in your practice, after a check. Covered in Sharing & Admin.

Let the assistant use this on its own — on by default. Leave it on and the assistant may load this skill when a request matches its description. Turn it off and the skill only ever loads when you attach it yourself; your library will show it with a Manual only pill.

Saving

Click Create skill. A personal skill is usable straight away.

If you run into a limit, Meelio tells you which one:

You can keep 50 personal skills. Delete one to write another.
Your practice can share 100 skills between everyone.

Editing a Skill

Open the skill from your library and click the edit action on its row, then Save.

Important: Changes apply to new chats. A conversation that already loaded this skill keeps the version it was given, all the way through.

Editing a skill that is shared with your practice takes two clicks. The button reads Save…, and the editor explains that saving sends the skill back for checking, so it will briefly stop working for everyone in your practice — including anyone using it right now. Click Save anyway to confirm.

Version History

Every edit keeps a copy of what it replaced. Open the history action on a skill's row to see them, newest first.

Each entry is labelled with where the change came from:

Edited here — You changed it in the editor.
Changed by the assistant — The assistant revised it during a conversation.
Changed by Meelio — A system change.

Click Show steps on any entry to read that version.

Note: There is no restore button. To go back to an earlier version, open its steps, copy them, and paste them into the editor.

Deleting a Skill

Deleting is permanent and there is no undo. If the skill is shared with your practice, deleting it removes it for everyone.

Conversations that already used the skill are unaffected — they keep the instructions they were given.

Using Skills — Loading a skill into a chat
Skill Library — Start from a ready-made skill instead

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