discharge-planning-checklist

discharge-planning-checklist is a skill for Claude Code, Codex from langcare/langcare-mcp-fhir. It costs 102 tokens per session (3,508 once invoked), scanned A, original, MIT.

A checklist for deciding whether a hospital patient is ready to leave. It checks clinical tasks, medicines, follow-up care, education, equipment, and home support using FHIR, a standard format for exchanging healthcare data.

In plain words
What is it for?
Use it to review pending tests, reconcile medicines, check appointments, create discharge-plan tasks, and assess LACE readmission risk.
Why use it?
It helps staff find unfinished discharge tasks before the patient leaves and highlights factors linked to readmission, or returning to hospital after discharge.

Skill for Claude CodeCodex

Written for no agent in particular: nothing here depends on one.

Good fit Use it to review pending tests, reconcile medicines, check appointments, create discharge-plan tasks, and assess LACE readmission risk.

Compare 6 skills from other repositories ↓
Install with agentmods
npx agentmods add skills/langcare/langcare-mcp-fhir/discharge-planning-checklist
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 discharge-planning-checklist
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.

agentmods badge for discharge-planning-checklist

README.md
[![agentmods](https://agentmods.dev/badge/skills/langcare/langcare-mcp-fhir/discharge-planning-checklist/github.svg)](https://agentmods.dev/skills/langcare/langcare-mcp-fhir/discharge-planning-checklist)
Your own site
<a href="https://agentmods.dev/skills/langcare/langcare-mcp-fhir/discharge-planning-checklist"><img src="https://agentmods.dev/badge/skills/langcare/langcare-mcp-fhir/discharge-planning-checklist/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.

agentmods 80×15 button for discharge-planning-checklist

Your own site · 80×15
<a href="https://agentmods.dev/skills/langcare/langcare-mcp-fhir/discharge-planning-checklist"><img src="https://agentmods.dev/badge/skills/langcare/langcare-mcp-fhir/discharge-planning-checklist.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 102 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 3,508 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.

ModelPer sessionOnce invoked
Fable 5.1 $0.00102 $0.03508
Opus 5 $0.00051 $0.01754
Sonnet 5 $0.00020 $0.00702
Haiku 4.5 $0.00010 $0.00351

Measured 12d ago against content hash 1d44a56895e8, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-12, from the pricing page.

Security

Grade A, and why

discharge-planning-checklist 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 12d 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.

skills/core/care-coordination/discharge-planning-checklist/SKILL.md · 327 lines

How it starts

The opening of the file, as written. The whole thing — 327 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Discharge Planning Checklist

Overview

Assess discharge readiness by querying FHIR resources for pending orders, incomplete care plan tasks, unscheduled follow-ups, and unreconciled medications. Generate a structured checklist with pass/fail status for each CMS Condition of Participation discharge requirement. Calculate LACE readmission risk index. Create or update a discharge CarePlan resource with outstanding tasks.

FHIR Resources Used

Resource Purpose Key Fields
ServiceRequest Pending labs, imaging, consults status, intent, code, authoredOn
CarePlan Discharge plan with tasks status, intent, activity, category
Appointment Scheduled follow-ups status, serviceType, start, participant
MedicationRequest Active prescriptions for reconciliation status, medicationCodeableConcept, dosageInstruction
MedicationStatement Patient-reported medications status, medicationCodeableConcept
Encounter Current admission details status, class, period, reasonCode
Condition Active problems for discharge summary clinicalStatus, code, onsetDateTime
Procedure Completed procedures during stay status, code, performedDateTime
Observation Pending lab results status, code, valueQuantity
DocumentReference Patient education materials type, status, content
DeviceRequest DME orders status, codeCodeableConcept, intent

Instructions

Step 1: Retrieve Current Encounter

Tool: fhir_search
resourceType: "Encounter"
queryParams: "patient=[patient-id]&status=in-progress&class=http://terminology.hl7.org/CodeSystem/v3-ActCode|IMP"

Extract: admission date from period.start, reason for admission from reasonCode, attending provider from participant. If no in-progress inpatient encounter found, search for status=finished with most recent date.

Step 2: Check Pending ServiceRequests

Tool: fhir_search
resourceType: "ServiceRequest"
queryParams: "patient=[patient-id]&status=active,draft&encounter=[encounter-id]"

Read the full file on GitHub · 327 lines

Files

What ships with it

2 files 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.

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.

  1. 12d ago First seen · 327 lines · 102 tokens per session scan A 1d44a56895e8

Subscribe to this mod's changes

discharge-planning-checklist is a skill published in the GitHub repository langcare/langcare-mcp-fhir (55 stars, last pushed 5mo ago), licensed MIT. It adds 102 tokens to every session and 3,508 once invoked, about $0.0005 per session on Opus 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.

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