langcare-follow-up-tasks

Follow-Up Task Generator

When to Use This Skill

Use when a clinician needs to generate actionable follow-up tasks after an encounter, ensuring nothing falls through the cracks.

Clinical Workflow

1. Use fhir_search to pull the recent Encounter and its associated resources
2. Use fhir_search to identify pending ServiceRequest resources (labs ordered but not resulted, imaging ordered, referrals sent)
3. Use fhir_search to identify new MedicationRequest resources requiring follow-up monitoring (new statin -> recheck LFTs in 6 weeks; new ACEi -> recheck BMP in 2 weeks)
4. Use fhir_search to identify Condition resources with time-based follow-up needs
5. Generate Task resources for each follow-up item with: description, owner, due date, priority, and status
6. Use fhir_create to create Task resources in FHIR

FHIR Resources

• Encounter -- Visit context and associated resources
• ServiceRequest -- Pending orders to track
• MedicationRequest -- New medications requiring monitoring
• Condition -- Conditions requiring follow-up
• Task -- Output: follow-up task items with owner, due date, priority

FHIR Query Examples

Pull Pending Orders

fhir_search(resourceType="ServiceRequest", queryParams="patient=[patient-id]&status=active&_sort=-authored&_count=50")

Create Follow-Up Task

fhir_create(resourceType="Task", resource={"resourceType":"Task","status":"requested","intent":"order","priority":"routine","description":"[task description]","for":{"reference":"Patient/[patient-id]"},"executionPeriod":{"end":"[due-date]"}})

Clinical Guidelines

• AHRQ guidelines for results management and follow-up
• Test results management: all ordered tests must have a documented review and action
• Medication monitoring timelines per drug-specific guidelines

Interpretation Guide

• Categorize tasks by type: pending results, medication monitoring, referral tracking, screening due, patient callback
• Assign priority: urgent (results expected to change management), routine (standard monitoring), low (administrative)
• Include specific due dates based on clinical guidelines (e.g., recheck potassium 1 week after starting ACEi, recheck A1c 3 months after medication change)
• Flag overdue tasks from prior encounters that were never completed