langcare-discharge-summaries

langcare-discharge-summaries is a skill for Claude Code, Codex from langcare/langcare-mcp-fhir. It costs 58 tokens per session (722 once invoked), scanned A, original, MIT.

A hospital discharge summary writer that compiles a patient's stay, diagnoses, treatments, medicines, follow-up plans, and pending results from FHIR health records. FHIR is a standard format for exchanging healthcare information.

In plain words
What is it for?
Use it to prepare discharge summaries with admission and discharge details, the hospital course, procedures, diagnoses, discharge medicines, follow-up appointments, pending results, and patient instructions.
Why use it?
It reduces the manual work of collecting information from different parts of a hospital record and organizing it into one discharge document. It also supports checking medicines against those taken on admission.

Skill for Claude CodeCodex

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

Good fit Use it to prepare discharge summaries with admission and discharge details, the hospital course, procedures, diagnoses, discharge medicines, follow-up appointments, pending results, and patient instructions.

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Install with agentmods
npx agentmods add skills/langcare/langcare-mcp-fhir/discharge-summaries
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-summaries
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 langcare-discharge-summaries

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

Your own site · 80×15
<a href="https://agentmods.dev/skills/langcare/langcare-mcp-fhir/discharge-summaries"><img src="https://agentmods.dev/badge/skills/langcare/langcare-mcp-fhir/discharge-summaries.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 58 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 722 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 $0.00058 $0.00722
Opus 5 $0.00029 $0.00361
Sonnet 5 $0.00012 $0.00144
Haiku 4.5 $0.00006 $0.00072

Measured 12d ago against content hash ca11addd6c29, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-12, from the pricing page.

Security

Grade A, and why

langcare-discharge-summaries 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.

cma/skills/documentation/discharge-summaries/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.

Discharge Summary Writer

When to Use This Skill

Use when a clinician needs a comprehensive discharge summary document compiled from the patient's hospital course in FHIR.

Clinical Workflow

  1. Use fhir_search to retrieve the Encounter (admission date, discharge date, reason, attending)
  2. Use fhir_read to retrieve Patient demographics
  3. Use fhir_search to pull Condition resources: admitting diagnosis, discharge diagnoses, complications
  4. Use fhir_search to pull Procedure resources performed during the hospitalization
  5. Use fhir_search to pull active MedicationRequest for discharge medications; compare against admission medications for reconciliation summary
  6. Use fhir_search to pull key Observation results (admission labs, discharge labs, significant findings)
  7. Use fhir_search to pull ServiceRequest resources for pending results and referrals
  8. Use fhir_search to pull scheduled Appointments for follow-up
  9. Assemble discharge summary: demographics, admission/discharge dates, admitting diagnosis, hospital course, procedures, discharge diagnoses, discharge medications, follow-up, pending results, patient instructions
  10. Use fhir_create to persist as DocumentReference (LOINC 18842-5)

FHIR Resources

  • Encounter -- Admission/discharge dates, reason, attending
  • Patient -- Demographics
  • Condition -- Admitting and discharge diagnoses
  • Procedure -- Inpatient procedures
  • MedicationRequest -- Discharge medications
  • Observation -- Key lab results
  • Appointment -- Follow-up appointments
  • ServiceRequest -- Pending results, referrals
  • DocumentReference -- Output: discharge summary

FHIR Query Examples

Pull Encounter

fhir_read(resourceType="Encounter", id="[encounter-id]")

Pull Procedures During Admission

fhir_search(resourceType="Procedure", queryParams="patient=[patient-id]&encounter=[encounter-id]")

Clinical Guidelines

  • CMS Conditions of Participation require discharge summary within 30 days
  • Joint Commission: discharge summary must include reason for admission, significant findings, procedures, discharge condition, discharge medications, follow-up instructions, pending results
  • TJC NPSG.02.03.01: communicate pending test results to outpatient provider

Read the full file on GitHub · 68 lines

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 · 68 lines · 58 tokens per session scan A ca11addd6c29

Subscribe to this mod's changes

langcare-discharge-summaries is a skill published in the GitHub repository langcare/langcare-mcp-fhir (55 stars, last pushed 5mo ago), licensed MIT. It adds 58 tokens to every session and 722 once invoked, about $0.0003 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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