What is history-and-physical-generator?

A medical history-and-physical generator creates an admission H&P, a document describing a patient's history, examination, assessment, and treatment plan, from FHIR records. It fills in available details and flags information a clinician must add.

Use it to prepare H&Ps from demographics, diagnoses, procedures, medications, allergies, family and social history, symptoms, vital signs, and laboratory results.

It reduces manual copying of patient information into admission documentation while making missing data visible.

history-and-physical-generator — Skill by langcare/langcare-mcp-fhir

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 history-and-physical-generator

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/history-and-physical-generator/github.svg)](https://agentmods.dev/skills/langcare/langcare-mcp-fhir/history-and-physical-generator)

Your own site

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

Per session 114 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.

When invoked 3,962 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	$0.00114	$0.03962
Opus 5.5	$0.00046	$0.01585
Sonnet 5.5	$0.00023	$0.00792
Haiku 4.5	$0.00011	$0.00396

Measured 2mo ago against content hash 7cc5bf433fe3, method: parsed. Prices are Anthropic first-party input rates as of 2026-10-07, from the pricing page.

Security

Grade A, and why

history-and-physical-generator 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.

skills/core/documentation/history-and-physical-generator/SKILL.md · 418 lines

How it starts

The opening of the file, as written. The whole thing — 418 lines — stays where its author put it; the contents beside it link to each section on GitHub.

History and Physical Generator

Overview

Generate a comprehensive History and Physical document from FHIR resources. Auto-populate all available structured data including past medical history, past surgical history, medication list, allergy list, family history, social history, and current vital signs/labs. Flag data gaps requiring clinician input. Support regulatory requirements for admission H&P per CMS CoP and TJC standards (must be completed within 24 hours of admission, updated within 30 days if pre-admission H&P exists).

FHIR Resources Used

Resource	Purpose	Key Fields
Patient	Demographics, social determinants	name, birthDate, gender, communication, extension
Encounter	Admission context, reason for admission	class, reasonCode, period, hospitalization
Condition	PMH, current diagnoses	code, clinicalStatus, onsetDateTime, category
Procedure	Past surgical history	code, performedDateTime, status
MedicationRequest	Current and home medications	medicationCodeableConcept, dosageInstruction, status
AllergyIntolerance	Allergies and adverse reactions	code, reaction, clinicalStatus, criticality
FamilyMemberHistory	Family medical history	relationship, condition, deceasedBoolean
Observation	Vitals, labs, social history	code, value[x], category, effectiveDateTime
DocumentReference	Prior H&P documents	type, content, date
CarePlan	Existing care plans	status, intent, category, activity

Instructions

Step 1: Retrieve Admission Encounter

Tool: fhir_read
resourceType: "Encounter"
id: "[encounter-id]"

Extract:

Admitting diagnosis: reasonCode array
Admission date/time: period.start
Encounter class: class.code (IMP = inpatient, OBSENC = observation)
Admitting physician: participant where type.coding.code = "ADM"
Source of admission: hospitalization.admitSource

If no encounter ID provided:

Tool: fhir_search
resourceType: "Encounter"
queryParams: "patient=[patient-id]&class=IMP&status=in-progress&_sort=-date&_count=1"

Read the full file on GitHub · 418 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.

2mo ago First seen · 418 lines · 114 tokens per session scan A 7cc5bf433fe3

Subscribe to this mod's changes

history-and-physical-generator is a skill published in the GitHub repository langcare/langcare-mcp-fhir (71 stars, last pushed 6mo ago), licensed MIT. It adds 114 tokens to every session and 3,962 once invoked, about $0.0005 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.

history-and-physical-generator next to 6 skills from other repositories
Mod	Type	Stars	Last push	Licence	Scan	Tokens	Works with
history-and-physical-generatorlangcare/langcare-mcp-fhir	Skill	71	6mo ago	MIT	A	114	Claude Code, Codex
imagegenopenai/codex	Skill	133k	yesterday	Apache-2.0	A	113	Codex
playwright-climicrosoft/playwright	Skill	99k	yesterday	Apache-2.0	A	19	Claude Code
local-ai-agentsmicrosoft/ai-agents-for-beginners	Skill	79k	4d ago	MIT	A	200	Claude Code, Codex
systematic-debuggingobra/superpowers	Skill	313k	3d ago	MIT	A	21	Claude Code
next-cache-components-adoptionvercel/next.js	Skill	143k	yesterday	MIT	A	95	Claude Code
next-partial-prefetching-adoptionvercel/next.js	Skill	143k	yesterday	MIT	A	103	Claude Code