Layer 1
Intent Tokens
12 tokens
Q
Query
Ask for information. Request facts, data, or explanations.
Q: T2DM.remission.rate
C
Command
Instruct an action. Tell the machine what to do.
C: send.report @director
G
Generate
Create new content — email, report, code, plan.
G.email: @surgeon -length
E
Explain
Educate or clarify a concept, term, or process.
E: GLP-1.mechanism
S
Summarise
Compress existing content into a shorter form.
S: #prev3 >brief
D
Data
Input structured data for storage or processing.
D.med: BMI=42 sex=F age=45
A
Affirm
Approve, confirm, or agree with previous output.
A: proceed
N
Negate
Reject, deny, or disagree with previous output.
N: wrong.approach
R
Revise
Modify or improve previous output.
R: #prev -length -complexity
X
Cancel
Discard previous instruction or output.
X: ignore.last
V
Verify
Validate, check, or confirm accuracy.
V: dosage=correct
T
Translate
Convert to another language or format.
T: #prev >arabic
Layer 4
Modifier Symbols
15 symbols
!
Negation
!surgical = non-surgical
+
More / increase
+detail +length
-
Less / decrease
-length -complexity
@
Target recipient
@surgeon @director
#
Prior reference
#prev #prev3
^
Priority / urgent
^urgent ^key-point
?
Uncertain / approx
?3kg.loss
=
Value assignment
BMI=42 age=45
|
Conditional
BMI>40 | C: refer
>>
Sequence
login >> search >> export
&
Parallel
@surgeon & @director
+past
Past tense
surgery+past
+next
Future tense
appointment+next
++
High degree
++confident ++satisfied
+++
Maximum / critical
+++urgent +++critical
Layer 5
Output Format Tokens
10 tokens
>txt
Plain prose text
>list
Bullet point list
>tbl
Table format
>json
JSON structure
>code
Code output
>brief
Short summary
>full
Comprehensive
>step
Step by step
>q&a
Q&A format
>md
Markdown
Syntax
Separators & Structure
| Symbol | Name | Function | Example |
|---|---|---|---|
| . | Dot | Sub-type or compound concept | G.email · weight.loss.rate |
| : | Colon | Opens the subject layer | Q: subject |
| ~ | Tilde | Opens the modifier layer | ~ angle=compliance |
| > | Angle | Opens format specification | >txt >list |
| | | Pipe | Separates data fields or conditionals | sex=F | BMI=42 | T2DM |
| [CTX: ] | Context block | Session context declaration | [CTX: med.bariatric.UK] |
| $name | Variable | Session variable reference | $pt=patient#1047 |
Rules
Compression Rules
| Rule | Drop / Replace | English | GALEN |
|---|---|---|---|
| Drop articles | the · a · an | the patient · a surgeon | patient · surgeon |
| Drop auxiliaries | is are was were have has had | the patient is waiting | patient+next |
| Plural prefix | N + noun | three patients | 3patient |
| Possession | ~ | surgeon's outcome | surgeon~outcome |
| Compound | . | rate of weight loss | weight.loss.rate |
| Negation | ! | non-surgical · not invasive | !surgical · !invasive |
| Past tense | +past | the surgery was performed | surgery+past |
| Future tense | +next | awaiting surgery | surgery+next |
| Drop hedging | (omit) | I think · perhaps · maybe · could you | (omit entirely) |
| Approximate | ? | approximately 3kg · roughly | ?3kg |
General
People & Roles
50 tokens
| Token | English | Example |
|---|---|---|
| user | Current user / self | user~role |
| person | Individual / person | person~name |
| patient | Patient | patient | BMI=42 |
| client | Client / customer | client~account |
| team | Team / group | team~output |
| org | Organisation | org~policy |
| admin | Administrator | @admin |
| manager | Manager / lead | @manager |
| director | Director / head | @director |
| exec | Executive | @exec |
| founder | Founder | founder~vision |
| investor | Investor / funder | @investor |
| partner | Business partner | partner~agreement |
| vendor | Vendor / supplier | vendor~contract |
| buyer | Buyer / purchaser | buyer~intent |
| staff | Staff / employees | staff~training |
| expert | Subject expert | expert~opinion |
| lead | Sales / warm lead | lead~status |
| contact | Contact person | contact~email |
| audience | Target audience | audience=clinician |
General
Actions & Verbs
60 tokens
| Token | English | Example |
|---|---|---|
| send | Send / dispatch | C: send.email @client |
| draft | Draft / compose | C: draft.letter |
| review | Review / check | C: review.contract |
| analyse | Analyse / examine | C: analyse.data |
| compare | Compare / contrast | C: compare.options |
| extract | Extract / pull out | C: extract.key-points |
| search | Search / find | C: search.literature |
| filter | Filter / narrow | C: filter.results ~date=2025 |
| sort | Sort / order | C: sort.list ~date |
| export | Export / output | C: export.data >json |
| import | Import / bring in | C: import.records |
| update | Update / change | C: update.record |
| delete | Delete / remove | C: delete.draft |
| save | Save / store | C: save.output |
| calculate | Calculate / compute | C: calculate.ROI |
| schedule | Schedule / book | C: schedule.meeting |
| notify | Notify / alert | C: notify @team |
| refer | Refer / direct | C: refer.bariatric |
| approve | Approve / sign off | C: approve.plan |
| reject | Reject / decline | C: reject.proposal |
| publish | Publish / release | C: publish.article |
| archive | Archive / store | C: archive.record |
| log | Log / record | C: log.event |
| flag | Flag / mark | C: flag.issue ^urgent |
| merge | Merge / combine | C: merge.records |
| split | Split / divide | C: split.document |
| convert | Convert / transform | C: convert >pdf |
| deploy | Deploy / launch | C: deploy.update |
| test | Test / validate | C: test.feature |
| monitor | Monitor / track | C: monitor.metrics |
General
Objects & Things
60 tokens
| Token | English | Example |
|---|---|---|
| doc | Document / file | G.doc: summary |
| Email message | G.email: @client | |
| report | Report / analysis | G.report: Q3.outcomes |
| letter | Formal letter | G.letter: @solicitor |
| post | Social media post | G.post: @linkedin |
| article | Article / blog post | G.article: GALEN.intro |
| script | Script / transcript | G.script: video.60s |
| plan | Plan / roadmap | G.plan: dev.roadmap |
| proposal | Proposal / pitch | G.proposal: @hospital |
| contract | Contract / agreement | contract~terms |
| invoice | Invoice / bill | invoice~amount |
| record | Record / entry | record~patient |
| dataset | Dataset / data | dataset~outcomes |
| form | Form / template | form~consent |
| guide | Guide / manual | G.guide: user.onboard |
| spec | Specification | spec~technical |
| code | Code / software | G.code: function |
| api | API / interface | api~endpoint |
| db | Database | db~schema |
| dashboard | Dashboard / UI | dashboard~metrics |
| chart | Chart / graph | G: chart.outcomes >tbl |
| summary | Summary / overview | G.summary: #prev |
| list | List / inventory | G: list.options >list |
| draft | Draft / version | draft~v1 |
| output | Output / result | #prev~output |
| input | Input / source | input~voice |
| token | GALEN token | token~intent |
| session | Session / context | session~ctx |
| protocol | Protocol / standard | protocol~GALEN |
| platform | Platform / system | platform~SurgeryMetrics |
General
Qualities & Attributes
40 tokens
| Token | English | Example |
|---|---|---|
| quality | Quality / standard | quality=high |
| priority | Priority level | priority=^urgent |
| status | Current status | status=active |
| type | Type / category | type=clinical |
| level | Level / grade | level=senior |
| scope | Scope / range | scope=national |
| format | Format / structure | format=email |
| tone | Tone / style | tone=formal |
| length | Length / size | -length |
| complexity | Complexity level | -complexity |
| detail | Detail / depth | +detail |
| accuracy | Accuracy / precision | accuracy=++ |
| confidence | Confidence level | confidence=++ |
| angle | Angle / perspective | angle=compliance |
| context | Context / setting | context=clinical |
| audience | Audience / reader | audience=surgeon |
| risk | Risk level | risk=low |
| benefit | Benefit / advantage | benefit~efficiency |
| cost | Cost / price | cost=low |
| impact | Impact / effect | impact=++ |
General
Time & Tense
30 tokens
| Token | English | Example |
|---|---|---|
| +past | Past tense suffix | surgery+past |
| +next | Future tense suffix | appointment+next |
| now | Current / present | status=now |
| today | Today | date=today |
| yesterday | Yesterday | date=yesterday |
| week | Week | followup=1week |
| month | Month | postop=6month |
| year | Year | year=2026 |
| date | Date | date=2026-04-01 |
| time | Time | time=14:00 |
| duration | Duration / period | duration=6month |
| deadline | Deadline / cutoff | deadline=2026-05-01 |
| onset | Onset / start | onset=acute |
| recent | Recent / latest | recent~results |
| prior | Prior / previous | prior~treatment |
| annual | Annual / yearly | annual~review |
| Q1 Q2 Q3 Q4 | Financial quarters | Q3~outcomes |
| preop | Pre-operative | BMI.preop=44 |
| postop | Post-operative | postop=6m |
| followup | Follow-up visit | D.med: followup |
General
Quantity & Numbers
| Token | English | Example |
|---|---|---|
| N+noun | Plural — number prefix | 3patient · 10staff |
| ?N | Approximate number | ?50patients |
| N% | Percentage | reduction=67% |
| Nkg | Weight in kilograms | wt=94kg · loss=32kg |
| Ncm | Height / measurement in cm | height=172cm |
| N/10 | Score out of 10 | sat=9/10 |
| Nyr | Years | age=45yr |
| Nm | Months | postop=6m |
| Nw | Weeks | recovery=6w |
| min | Minimum | min=1 |
| max | Maximum | max=100 |
| avg | Average | avg~BMI |
| total | Total / sum | total~cost |
| count | Count / number of | count~patients |
General
Communication
30 tokens
| Token | English | Example |
|---|---|---|
| outreach | Outreach / contact | G.email: outreach @surgeon |
| followup | Follow-up message | G.email: followup @lead |
| intro | Introduction | G.email: intro @prospect |
| pitch | Sales pitch | G: pitch @investor |
| complaint | Complaint / grievance | G.letter: complaint @vendor |
| response | Response / reply | G: response @query |
| announcement | Announcement | G.post: announcement |
| update | Update / news | G.post: update ~prod=GALEN |
| feedback | Feedback / comment | feedback~positive |
| approval | Approval request | G: approval.request @manager |
| invite | Invitation | G.email: invite @surgeon |
| reminder | Reminder message | G.email: reminder @patient |
| confirm | Confirmation | G.email: confirm~appointment |
| decline | Decline / reject | G.email: decline @invite |
| negotiate | Negotiate / discuss terms | G.email: negotiate~price |
General
Data & Values
30 tokens
| Token | English | Example |
|---|---|---|
| true | True / confirmed | confirmed=true |
| false | False / not confirmed | confirmed=false |
| null | No value / missing | result=null |
| active | Active / current | status=active |
| inactive | Inactive / closed | status=inactive |
| pending | Pending / awaiting | status=pending |
| complete | Complete / done | status=complete |
| draft | Draft / unfinished | status=draft |
| approved | Approved | status=approved |
| rejected | Rejected / denied | status=rejected |
| high | High value / level | risk=high |
| low | Low value / level | risk=low |
| normal | Normal / within range | BP=normal |
| abnormal | Abnormal / out of range | ECG=abnormal |
| positive | Positive result | test=positive |
| negative | Negative result | test=negative |
Domain Pack
GALEN-MED — Medical
100+ tokens
med
Clinical and medical vocabulary. Sub-domains: med.bariatric · med.cardio · med.pharma · med.primary · med.surgical
| Token | English / Clinical Term | Example |
|---|---|---|
| patient | Patient | D.med: patient | BMI=42 |
| pt | Patient (short form) | pt~history |
| dx | Diagnosis | dx=T2DM |
| hx | History | hx~surgical |
| rx | Prescription / treatment | rx=metformin |
| sx | Symptoms | sx=fatigue+dyspnoea |
| fx | Family history | fx=T2DM |
| BMI | Body mass index | BMI=42 |
| wt | Weight | wt=120kg |
| ht | Height | ht=172cm |
| BP | Blood pressure | BP=140/90 |
| HR | Heart rate | HR=72 |
| HbA1c | Glycated haemoglobin | HbA1c=68 |
| EBL | Estimated blood loss | EBL=minimal |
| EWL | Excess weight loss | EWL=65% |
| TWL | Total weight loss | TWL=32kg |
| T2DM | Type 2 diabetes mellitus | T2DM+remission |
| T1DM | Type 1 diabetes mellitus | T1DM~insulin |
| HTN | Hypertension | HTN=controlled |
| OSAS | Obstructive sleep apnoea | OSAS~CPAP |
| NAFLD | Non-alcoholic fatty liver disease | NAFLD=resolved |
| GORD | Gastro-oesophageal reflux | GORD~sx |
| MI | Myocardial infarction | hx~MI+past |
| CVA | Cerebrovascular accident / stroke | hx~CVA |
| DVT | Deep vein thrombosis | DVT~risk |
| PE | Pulmonary embolism | PE~risk |
| bypass | Roux-en-Y gastric bypass | bypass+next |
| sleeve | Laparoscopic sleeve gastrectomy | sleeve+past |
| band | Gastric band / LAGB | band~removal |
| OAGB | One anastomosis gastric bypass | OAGB+next |
| BPD-DS | Biliopancreatic diversion with duodenal switch | BPD-DS~consider |
| revision | Revision bariatric surgery | revision+next |
| lap | Laparoscopic | lap.sleeve |
| rob | Robotic | rob.bypass |
| open | Open surgery | open.procedure |
| GLP1 | GLP-1 receptor agonist | GLP1~semaglutide |
| sema | Semaglutide / Ozempic / Wegovy | rx=sema 2.4mg |
| lira | Liraglutide / Saxenda | rx=lira 3mg |
| tirzep | Tirzepatide / Mounjaro | rx=tirzep 15mg |
| metformin | Metformin | rx=metformin 1g |
| insulin | Insulin therapy | rx=insulin~basal |
| remission | Disease remission | T2DM=remission |
| resolved | Condition resolved | HTN=resolved |
| controlled | Condition controlled | HTN=controlled |
| complication | Surgical complication | complication=! |
| leak | Anastomotic leak | leak=! |
| bleed | Post-op bleeding | bleed=! |
| infection | Wound / surgical infection | infection=! |
| NBSR | National Bariatric Surgery Registry | NBSR~submission |
| BOMSS | British Obesity & Metabolic Surgery Society | BOMSS~guideline |
| MDT | Multidisciplinary team | MDT~review |
| consent | Informed consent | consent=obtained |
| clinic | Outpatient clinic | clinic~bariatric |
| ward | Hospital ward | ward~surgical |
| ICU | Intensive care unit | ICU~admission |
| discharge | Hospital discharge | discharge=today |
| admitted | Hospital admission | admitted=2026-04-01 |
| LOS | Length of stay | LOS=2d |
| outcome | Clinical outcome | outcome~weight.loss |
| sat | Patient satisfaction | sat=++ |
| QoL | Quality of life | QoL=improved |
| sex | Biological sex | sex=F · sex=M |
| age | Age in years | age=45 |
| F | Female | sex=F |
| M | Male | sex=M |
Domain Pack
GALEN-FIN — Finance
50 tokens
fin
Financial vocabulary. Sub-domains: fin.tax.UK · fin.invest · fin.mortgage · fin.BTL · fin.pension
| Token | English | Example |
|---|---|---|
| income | Income / earnings | income=£150k |
| tax | Tax / taxation | tax~liability |
| CGT | Capital gains tax | CGT~liability |
| SDLT | Stamp duty land tax | SDLT~calculation |
| VAT | Value added tax | VAT=20% |
| NI | National insurance | NI~contribution |
| PAYE | Pay as you earn | income~PAYE |
| SA | Self assessment | SA~return |
| SIPP | Self-invested personal pension | SIPP~contribution |
| ISA | Individual savings account | ISA~allowance |
| ANI | Adjusted net income | ANI~calculation |
| BTL | Buy-to-let property | BTL~yield |
| LTV | Loan to value ratio | LTV=75% |
| LTD | Limited company | LTD~tax |
| CT | Corporation tax | CT=25% |
| dividend | Dividend payment | dividend~extraction |
| mortgage | Mortgage / loan | mortgage~overpayment |
| interest | Interest rate | interest=4.5% |
| yield | Rental / investment yield | yield=6.2% |
| ROI | Return on investment | ROI~calculation |
| cashflow | Cash flow | cashflow~positive |
| equity | Equity / ownership value | equity~property |
| valuation | Asset valuation | valuation=£350k |
| allowance | Tax allowance | allowance~personal |
| relief | Tax relief | relief~GiftAid |
Domain Pack
GALEN-TECH — Technology
60 tokens
tech
Technology vocabulary. Sub-domains: tech.web · tech.web.react · tech.api · tech.db · tech.ai · tech.security
| Token | English | Example |
|---|---|---|
| app | Application | app~mobile |
| web | Web / website | web~app |
| API | Application programming interface | API~endpoint |
| db | Database | db~schema |
| SQL | SQL database query | G.code: SQL~query |
| UI | User interface | UI~component |
| UX | User experience | UX~review |
| frontend | Frontend / client side | frontend~react |
| backend | Backend / server side | backend~node |
| deploy | Deploy / publish | C: deploy.update |
| bug | Bug / error | bug~fix ^urgent |
| feature | Feature / function | feature~voice |
| auth | Authentication | auth~2FA |
| SSL | SSL / HTTPS | SSL~cert |
| webhook | Webhook | webhook~Stripe |
| repo | Repository / codebase | repo~github |
| commit | Code commit | commit~main |
| branch | Git branch | branch~feature |
| test | Test / QA | test~unit |
| prod | Production environment | deploy~prod |
| dev | Development environment | env=dev |
| LLM | Large language model | LLM~claude |
| prompt | AI prompt | prompt~system |
| token | API token / auth token | token~auth |
| host | Hosting / server | host~hostinger |
| domain | Domain name | domain~galenprotocol.com |
| DNS | DNS settings | DNS~configure |
| cache | Cache / stored data | cache~clear |
| log | System log / error log | log~error |
| latency | Response latency | latency=low |
Domain Pack
GALEN-LEG — Legal
40 tokens
leg
Legal vocabulary. Sub-domains: leg.IP · leg.contract · leg.property · leg.employment · leg.UK
| Token | English | Example |
|---|---|---|
| IP | Intellectual property | IP~protection |
| patent | Patent application / grant | patent~file |
| trademark | Trademark registration | trademark~GALEN |
| copyright | Copyright protection | copyright=2026 |
| contract | Contract / agreement | contract~review |
| NDA | Non-disclosure agreement | NDA~sign |
| ToS | Terms of service | G: ToS~draft |
| GDPR | GDPR compliance | GDPR~compliant |
| HIPAA | HIPAA compliance | HIPAA~audit |
| compliance | Regulatory compliance | angle=compliance |
| jurisdiction | Legal jurisdiction | jurisdiction=UK |
| liability | Legal liability | liability~limit |
| dispute | Legal dispute | dispute~resolution |
| claim | Legal claim | claim~mis-selling |
| prior.art | Prior art (patent) | prior.art~search |
| UKIPO | UK Intellectual Property Office | UKIPO~application |
| USPTO | US Patent and Trademark Office | USPTO~provisional |
| provisional | Provisional patent application | provisional~file |
| injunction | Legal injunction | injunction~apply |
| solicitor | UK solicitor / lawyer | @solicitor~IP |
Domain Pack
GALEN-BUS — Business
50 tokens
bus
Business vocabulary. Sub-domains: bus.SaaS · bus.outreach · bus.strategy · bus.marketing · bus.sales
| Token | English | Example |
|---|---|---|
| SaaS | Software as a service | SaaS~pricing |
| MRR | Monthly recurring revenue | MRR~target |
| ARR | Annual recurring revenue | ARR=£50k |
| LTV | Customer lifetime value | LTV~calculation |
| CAC | Customer acquisition cost | CAC~reduce |
| churn | Customer churn rate | churn=low |
| conversion | Conversion rate | conversion~improve |
| funnel | Sales funnel | funnel~stage |
| pipeline | Sales pipeline | pipeline~warm |
| ICP | Ideal customer profile | ICP=bariatric.surgeon |
| pilot | Pilot programme | pilot~free.month |
| licence | Software licence | licence~annual |
| pricing | Pricing model | pricing~individual |
| discount | Discount / reduction | discount=50% |
| onboard | Customer onboarding | onboard~process |
| retention | Customer retention | retention=++ |
| referral | Referral / word of mouth | referral~programme |
| partnership | Business partnership | partnership~hospital |
| outreach | Sales outreach | outreach~bariatric |
| strategy | Business strategy | strategy~growth |
| roadmap | Product roadmap | roadmap~Q2 |
| MVP | Minimum viable product | MVP~launch |
| traction | Market traction | traction~users |
| PMF | Product-market fit | PMF~test |
| brand | Brand identity | brand~GALEN |
Domain Pack
GALEN-EDU — Education
30 tokens
edu
Education vocabulary. Sub-domains: edu.med · edu.HE · edu.CPD · edu.child
| Token | English | Example |
|---|---|---|
| course | Course / module | course~GALEN.intro |
| lesson | Lesson / session | lesson~01 |
| quiz | Quiz / assessment | G: quiz~GALEN >q&a |
| exam | Examination | exam~prep |
| CPD | Continuing professional development | CPD~hours |
| cert | Certificate / certification | cert~GALEN |
| curriculum | Curriculum / syllabus | curriculum~med |
| trainee | Trainee / student | @trainee |
| mentor | Mentor / supervisor | @mentor |
| CME | Continuing medical education | CME~credit |
| MRCS | Member of Royal College of Surgeons | MRCS~exam |
| FRCS | Fellow of Royal College of Surgeons | FRCS~prep |
| research | Research / study | research~bariatric |
| publication | Academic publication | publication~GALEN |
| abstract | Research abstract | G: abstract~GALEN.voice |