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.
npx skills add langcare/langcare-mcp-fhir --skill discharge-summary-writergit clone --depth 1 https://github.com/langcare/langcare-mcp-fhirWrote 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.
[](https://agentmods.dev/skills/langcare/langcare-mcp-fhir/discharge-summary-writer)<a href="https://agentmods.dev/skills/langcare/langcare-mcp-fhir/discharge-summary-writer"><img src="https://agentmods.dev/badge/skills/langcare/langcare-mcp-fhir/discharge-summary-writer/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.
<a href="https://agentmods.dev/skills/langcare/langcare-mcp-fhir/discharge-summary-writer"><img src="https://agentmods.dev/badge/skills/langcare/langcare-mcp-fhir/discharge-summary-writer.svg" alt="Reviewed on agentmods" width="80" height="20"></a>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 | $0.00102 | $0.03877 |
| Opus 5.5 | $0.00041 | $0.01551 |
| Sonnet 5.5 | $0.00020 | $0.00775 |
| Haiku 4.5 | $0.00010 | $0.00388 |
Grade A, and why
discharge-summary-writer 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.
How it starts
The opening of the file, as written. The whole thing — 392 lines — stays where its author put it; the contents beside it link to each section on GitHub.
Discharge Summary Writer
Overview
Generate comprehensive discharge summaries meeting CMS Conditions of Participation (CoP) and The Joint Commission (TJC) requirements. Pull admission and discharge diagnoses, hospital course data, procedures performed, discharge medication list with changes from admission highlighted, follow-up appointments, discharge condition, and generate patient-appropriate discharge instructions. Per CMS CoP 482.24(c)(2), discharge summaries must include: reason for hospitalization, significant findings, procedures performed, treatment rendered, patient condition at discharge, patient/family instructions, and attending signature.
FHIR Resources Used
| Resource | Purpose | Key Fields |
|---|---|---|
| Encounter | Admission/discharge context, LOS | period, reasonCode, hospitalization, diagnosis |
| Patient | Demographics, language preference | name, birthDate, gender, communication |
| Condition | Admission dx, discharge dx, active problems | code, clinicalStatus, category, encounter |
| Procedure | Procedures during hospitalization | code, performedDateTime, outcome, report |
| MedicationRequest | Discharge medications vs admission meds | medicationCodeableConcept, status, intent, authoredOn, dosageInstruction |
| MedicationStatement | Pre-admission home medication list | medicationCodeableConcept, dosage, status |
| AllergyIntolerance | Allergy list for summary | code, reaction, clinicalStatus |
| DiagnosticReport | Significant findings, pathology | code, conclusion, effectiveDateTime |
| Observation | Key labs at discharge, vitals | code, value[x], effectiveDateTime |
| CarePlan | Follow-up plans, discharge instructions | activity, description, period |
| Appointment | Follow-up appointments scheduled | status, serviceType, start, participant |
| DocumentReference | Persist the discharge summary | type, content, context |
Instructions
Step 1: Retrieve Encounter Details
Tool: fhir_read
resourceType: "Encounter"
id: "[encounter-id]"
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.
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 · 392 lines · 102 tokens per session scan A 35ddd152b978
discharge-summary-writer is a skill published in the GitHub repository langcare/langcare-mcp-fhir (71 stars, last pushed 6mo ago), licensed MIT. It adds 102 tokens to every session and 3,877 once invoked, about $0.0004 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.
discharge-summary-writer compared with skills from other repositories
| Mod | Type | Stars | Last push | Licence | Scan | Tokens | Works with |
|---|---|---|---|---|---|---|---|
| discharge-summary-writerlangcare/langcare-mcp-fhir | Skill | 71 | 6mo ago | MIT | A | 102 | Claude Code, Codex |
| orbit-notionnexu-io/open-design | Skill | 106k | yesterday | Apache-2.0 | A | 117 | Claude Code, Codex |
| instrument-data-to-allotropeanthropics/knowledge-work-plugins | Skill | 35k | 2d ago | Apache-2.0 | A | 123 | Claude Code |
| apify-youtube-transcript-scrapersickn33/agentic-awesome-skills | Skill | 49k | yesterday | MIT | A | 48 | Claude Code |
| legal-holdanthropics/claude-for-legal | Skill | 9.9k | 3d ago | Apache-2.0 | A | 68 | Claude Code |
| ppt-reviewOrkas-AI/Orkas | Skill | 9.0k | yesterday | MIT | A | 2 | Claude Code, Codex |
| feishuHmbown/CodeWhale | Skill | 41k | 5d ago | MIT | A | 33 | Claude Code, Codex |