immunization-status-checker

immunization-status-checker is a skill for Claude Code, Codex from langcare/langcare-mcp-fhir. It costs 122 tokens per session (3,444 once invoked), scanned A, original, MIT.

A tool that compares a patient's vaccination history with CDC schedules for adults and children. It also considers documented conditions, allergies, pregnancy, and immune status when checking recommendations.

In plain words
What is it for?
It helps review vaccine status and optionally create an ImmunizationRecommendation FHIR resource with suggested vaccinations.
Why use it?
It helps reveal overdue or upcoming vaccines and possible contraindications without manually comparing records with immunization schedules.

Skill for Claude CodeCodex

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

Good fit It helps review vaccine status and optionally create an ImmunizationRecommendation FHIR resource with suggested vaccinations.

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Install with agentmods
npx agentmods add skills/langcare/langcare-mcp-fhir/immunization-status-checker
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 immunization-status-checker
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 immunization-status-checker

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

Your own site · 80×15
<a href="https://agentmods.dev/skills/langcare/langcare-mcp-fhir/immunization-status-checker"><img src="https://agentmods.dev/badge/skills/langcare/langcare-mcp-fhir/immunization-status-checker.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 122 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 3,444 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 $0.00122 $0.03444
Opus 5 $0.00061 $0.01722
Sonnet 5 $0.00024 $0.00689
Haiku 4.5 $0.00012 $0.00344

Measured 9d ago against content hash b6ef35914d9d, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-12, from the pricing page.

Security

Grade A, and why

immunization-status-checker 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 9d 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/population-health/immunization-status-checker/SKILL.md · 307 lines

How it starts

The opening of the file, as written. The whole thing — 307 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Immunization Status Checker

Overview

Retrieve a patient's Immunization history from FHIR, compare against CDC-recommended immunization schedules (adult and pediatric), identify overdue and upcoming vaccinations, evaluate contraindications based on documented conditions and allergies, and optionally generate an ImmunizationRecommendation FHIR resource. See references/adult-immunization-schedule.md and references/pediatric-immunization-schedule.md for full schedule details, CVX codes, and contraindication criteria.

FHIR Resources Used

Resource Purpose Key Fields
Immunization Vaccination history vaccineCode, occurrenceDateTime, status, patient, protocolApplied
ImmunizationRecommendation Generated vaccine recommendations recommendation[].vaccineCode, dateCriterion, forecastStatus
Patient Age, sex for schedule determination birthDate, gender
Condition Contraindications, risk group identification code, clinicalStatus
AllergyIntolerance Vaccine component allergies code, reaction, clinicalStatus
Observation Pregnancy status, immune status labs code, valueQuantity, effectiveDateTime

Instructions

Step 1: Retrieve Patient Demographics

Tool: fhir_read
resourceType: "Patient"
id: "[patient-id]"

Extract birthDate (calculate age in years, months, days for pediatric precision), gender. Determine schedule type: pediatric (age < 19) or adult (age >= 19).

Step 2: Pull Immunization History

Tool: fhir_search
resourceType: "Immunization"
queryParams: "patient=[patient-id]&status=completed&_sort=-date&_count=100"

For each Immunization resource, extract:

  • vaccineCode.coding -- match CVX code (system http://hl7.org/fhir/sid/cvx)
  • occurrenceDateTime -- administration date
  • protocolApplied[].doseNumberPositiveInt -- dose number in series
  • protocolApplied[].seriesString or seriesDosesPositiveInt -- series name and total doses

Build a vaccine history table: Vaccine Name | CVX Code | Date Given | Dose # | Series.

Read the full file on GitHub · 307 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. 9d ago First seen · 307 lines · 122 tokens per session scan A b6ef35914d9d

Subscribe to this mod's changes

immunization-status-checker is a skill published in the GitHub repository langcare/langcare-mcp-fhir (55 stars, last pushed 5mo ago), licensed MIT. It adds 122 tokens to every session and 3,444 once invoked, about $0.0006 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 2026-09-03.

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