Using Skills

Load a saved procedure into a chat, and see when the assistant reaches for one itself.

There are two ways a skill reaches a conversation: you load it yourself, or the assistant recognises that one of your skills fits what you asked.

Loading a Skill Yourself

From the Skills Button

Click Skills in the chat composer to open the picker, then click a skill to attach it. The button shows a count once you have picked something.

The picker lists every skill available to you — your own, plus any your practice has shared. Skills that are still being checked, or that have been flagged, are not listed until they clear.

Type / as the first character of your message and a menu of your skills opens. Keep typing to filter, then press Enter to pick one.

Because the menu only opens on a leading slash, ordinary clinical text is safe — check the 8/3 labs, and/or and protocol / plan B will never trigger it.

Where the Skills Button and `/` Are Available

The new-chat launcher
The composer inside an ongoing conversation
The Ask anything about... composer on a patient's chart

Note: You can load up to 10 skills into a single message. Past that, Meelio tells you that you have reached the limit.

What Happens Once a Skill Is Loaded

Attached skills appear as chips beside the composer. When you send the message, the chips clear — that is expected. The skill has been handed to the assistant and stays in effect for the rest of the conversation, so you do not need to re-attach it with every message. Picking the same skill again does nothing.

A skill's instructions are frozen into the conversation the first time it is loaded. If you edit the skill afterwards, that conversation carries on with the version it was given, and your edits apply to new chats. This is deliberate: a conversation follows one version of a procedure from start to finish.

A conversation can accumulate up to 20 different skills. For a genuinely different procedure, start a new chat.

When the Assistant Picks a Skill Itself

The assistant can also reach for one of your skills on its own when your request matches what that skill is for. Your skill descriptions are what it matches against, which is why a specific description is worth writing carefully.

When this happens, it is always disclosed in the conversation:

Used your "GI-MAP Review" skill — The assistant chose this one.

The first time it ever happens, you will also see a short introduction card explaining the behaviour, with a Manage skills link and a Got it button.

You can always still attach skills yourself. The two work together — a skill you picked stays yours in the transcript even if the assistant would have reached for it anyway.

Turning It Off

For one skill — Turn off Let the assistant use this on its own in the skill editor. The skill then shows a Manual only pill in your library, and you attach it by hand.
For your whole practice — A practice admin can turn off Assistant may choose skills. See Sharing & Admin.

The Assistant Writing and Revising Skills

While the assistant can choose skills, it can also offer to save one. If you work through a procedure in chat and want to keep it, the assistant can write it up:

Saved "Thyroid Panel Review" to your skills

It can also revise a skill you have loaded in that conversation:

Updated "Thyroid Panel Review" in your skills — The change applies to new conversations; this one continues with the version it already loaded.

Two things worth knowing:

Skills the assistant writes are always personal. It never shares one with your practice — that is your decision to make in the library.
It can only revise a skill that is already loaded in the conversation you are in, and only one you created.

Tip: Review anything the assistant saved. Open Settings → Skills and read it the way you would read a note before signing it.

When a Skill Cannot Be Loaded

Occasionally the assistant will tell you it answered without a skill. The reason is always stated, for example:

The skill is set to be attached by hand only, so the assistant answered without it.
The conversation already has the maximum number of skills.
There was too much skill content in that answer already.

The answer still stands — you just know it was produced without that procedure. Attach the skill yourself in a new message, or start a fresh conversation if you have hit the per-conversation limit.

Create a Skill — Write your own
Patient Chat — Where skills are most often used
Documents & Labs — Get a lab report into the chart so a skill can read it