What is langcare-chronic-pain?

A clinical review workflow for assessing and improving treatment for people with long-term pain.

Use it to review a patient's chronic pain care, including pain diagnoses, medication use, opioid dose, physical therapy, counseling, and other non-drug or procedure-based treatments.

It brings pain scores, medicines, daily functioning, opioid risks, procedures, and other treatments into one structured review.

langcare-chronic-pain — Skill for Claude Code and Codex by langcare

Install

Getting it into your agent

One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.

Any agent

npx skills add langcare/langcare-mcp-fhir --skill chronic-pain

Clone the repo

git clone --depth 1 https://github.com/langcare/langcare-mcp-fhir

Made for: Claude Code, Codex.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

README.md

[![agentmods](https://agentmods.dev/badge/skills/langcare/langcare-mcp-fhir/chronic-pain/github.svg)](https://agentmods.dev/skills/langcare/langcare-mcp-fhir/chronic-pain)

Your own site

<a href="https://agentmods.dev/skills/langcare/langcare-mcp-fhir/chronic-pain"><img src="https://agentmods.dev/badge/skills/langcare/langcare-mcp-fhir/chronic-pain/github.svg" alt="Measured on agentmods" height="20"></a>

Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

Your own site · 80×15

<a href="https://agentmods.dev/skills/langcare/langcare-mcp-fhir/chronic-pain"><img src="https://agentmods.dev/badge/skills/langcare/langcare-mcp-fhir/chronic-pain.svg" alt="Reviewed on agentmods" width="80" height="20"></a>

Per session 72 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.

When invoked 901 The whole file, excluding the scripts and references it only reads on demand.

Security scan A 0 findings. A grade says what 26 rules found in the file — not that it is safe.

Origin original No closer match found in the catalogue.

Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

Model	Per session	Once invoked
Fable 5.1	$0.00072	$0.00901
Opus 5.5	$0.00029	$0.00360
Sonnet 5.5	$0.00014	$0.00180
Haiku 4.5	$0.00007	$0.00090

Measured 2mo ago against content hash 28dd42daca26, method: parsed. Prices are Anthropic first-party input rates as of 2026-10-07, from the pricing page.

Security

Grade A, and why

langcare-chronic-pain scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 2mo ago.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

cma/skills/specialty/chronic-pain/SKILL.md · 68 lines

How it starts

The opening of the file, as written. The whole thing — 68 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Chronic Pain Management Review

When to Use This Skill

Use when a clinician needs a comprehensive evaluation of a chronic pain patient's current management including pain scores, medication regimen, functional status, and guideline compliance.

Clinical Workflow

Use fhir_read to retrieve Patient demographics
Use fhir_search to pull Condition resources for pain diagnoses (chronic pain, neuropathy, fibromyalgia, low back pain, osteoarthritis)
Use fhir_search to pull Observation resources for pain scores (LOINC 72514-3) and functional assessments over time
Use fhir_search to pull active MedicationRequest for current pain regimen: opioids, NSAIDs, acetaminophen, gabapentinoids, antidepressants (duloxetine, TCAs), topicals, muscle relaxants
If opioids present, calculate total daily MME and apply CDC 2022 thresholds (see references/cdc-pain-guidelines.md)
Use fhir_search to pull Procedure resources for interventional pain procedures (injections, nerve blocks, spinal cord stimulation)
Assess multimodal therapy: physical therapy referrals, CBT/psychology referrals, complementary medicine
Present comprehensive pain management dashboard with pain trend, current regimen, MME (if applicable), functional status, and recommended optimizations

FHIR Resources

Condition -- Pain diagnoses with ICD-10/SNOMED codes
Observation -- Pain scores (LOINC 72514-3), functional assessments, UDS
MedicationRequest -- Current pain medications
Procedure -- Interventional procedures, physical therapy
ServiceRequest -- Referrals (pain clinic, PT, psychology, complementary)

FHIR Query Examples

Pull Pain Scores Over Time

fhir_search(resourceType="Observation", queryParams="patient=[patient-id]&code=72514-3&_sort=date&_count=20")

Pull Pain Diagnoses

fhir_search(resourceType="Condition", queryParams="patient=[patient-id]&clinical-status=active")

Pull Pain Medications

fhir_search(resourceType="MedicationRequest", queryParams="patient=[patient-id]&status=active&_count=100")

Read the full file on GitHub · 68 lines

Files

What ships with it

1 file beside SKILL.md in the same directory: the scripts, references and assets a skill reads on demand. Not counted in the per-session cost; read them before you install if any of them is executable.

references/cdc-pain-guidelines.md 6.0 KB

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

2mo ago First seen · 68 lines · 72 tokens per session scan A 28dd42daca26

Subscribe to this mod's changes

langcare-chronic-pain is a skill published in the GitHub repository langcare/langcare-mcp-fhir (71 stars, last pushed 6mo ago), licensed MIT. It adds 72 tokens to every session and 901 once invoked, about $0.0003 per session on Opus 5.5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-08-30.

langcare-chronic-pain next to 6 skills from other repositories
Mod	Type	Stars	Last push	Licence	Scan	Tokens	Works with
langcare-chronic-painlangcare/langcare-mcp-fhir	Skill	71	6mo ago	MIT	A	72	Claude Code, Codex
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