What is problem-list-review?

A structured review of a patient's active diagnoses, matched against medications, visits, and laboratory results.

It helps audit problem lists, reconcile diagnoses with current care, and highlight findings for clinical review.

It helps find conditions that may be outdated, untreated, undocumented, or recorded with insufficient coding detail.

problem-list-review — Skill for Claude Code and Codex by langcare

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 problem-list-review

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/problem-list-review/github.svg)](https://agentmods.dev/skills/langcare/langcare-mcp-fhir/problem-list-review)

Your own site

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

Per session 86 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.

When invoked 2,788 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	$0.00086	$0.02788
Opus 5.5	$0.00034	$0.01115
Sonnet 5.5	$0.00017	$0.00558
Haiku 4.5	$0.00009	$0.00279

Measured 2mo ago against content hash a401401247a2, method: parsed. Prices are Anthropic first-party input rates as of 2026-10-07, from the pricing page.

Security

Grade A, and why

problem-list-review 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/patient-data-summary/problem-list-review/SKILL.md · 246 lines

How it starts

The opening of the file, as written. The whole thing — 246 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Problem List Review

Overview

Perform a structured audit of the active problem list by pulling Condition resources and cross-referencing with MedicationRequests, recent Encounters, and Observations. Identify clinical discrepancies: conditions without active treatment, resolved conditions still listed as active, medications implying undocumented conditions, and ICD-10 coding specificity opportunities. Output actionable findings for clinical review.

FHIR Resources Used

Resource	Purpose	Search Parameters
Condition	Active problem list	patient, clinical-status
MedicationRequest	Cross-reference treatments	patient, status=active
Encounter	Recent visit context	patient, date
Observation	Lab correlation	patient, category=laboratory, code

Instructions

Step 1: Pull All Conditions

Tool: fhir_search
resourceType: "Condition"
queryParams: "patient=[patient-id]"

Retrieve all conditions regardless of status. Categorize each by:

clinicalStatus: active, recurrence, relapse, inactive, remission, resolved
verificationStatus: confirmed, unconfirmed, provisional, differential, refuted, entered-in-error
category: problem-list-item, encounter-diagnosis, health-concern
code.coding: Extract SNOMED CT code and ICD-10-CM code if present

Build two lists:

Active conditions (clinicalStatus = active, recurrence, or relapse)
Inactive/resolved conditions (clinicalStatus = inactive, remission, or resolved)

Step 2: Pull Active Medications

Tool: fhir_search
resourceType: "MedicationRequest"
queryParams: "patient=[patient-id]&status=active"

For each medication, extract:

Drug name and RxNorm code from medicationCodeableConcept
Drug class (infer from name suffix or RxNorm hierarchy)
Dosage from dosageInstruction

Step 3: Pull Recent Encounters (Last 12 Months)

Tool: fhir_search
resourceType: "Encounter"
queryParams: "patient=[patient-id]&date=ge[12-months-ago]&_sort=-date"

Read the full file on GitHub · 246 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 · 246 lines · 86 tokens per session scan A a401401247a2

Subscribe to this mod's changes

problem-list-review is a skill published in the GitHub repository langcare/langcare-mcp-fhir (71 stars, last pushed 6mo ago), licensed MIT. It adds 86 tokens to every session and 2,788 once invoked, about $0.0003 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 2026-09-03.

Debugging

problem-list-review next to 6 skills from other repositories
Mod	Type	Stars	Last push	Licence	Scan	Tokens	Works with
problem-list-reviewlangcare/langcare-mcp-fhir	Skill	71	6mo ago	MIT	A	86	Claude Code, Codex
systematic-debuggingopen-metadata/OpenMetadata	Skill	16k	yesterday	Apache-2.0	A	37	Claude Code
log-error-digestzebbern/claude-code-guide	Skill	4.7k	3d ago	MIT	A	71	Claude Code, Codex
cwv-optimizeradobe/skills	Skill	319	yesterday	Apache-2.0	A	112	Claude Code
ci-fixersipyourdrink-ltd/bernstein	Skill	1.2k	yesterday	Apache-2.0	A	15	Claude Code, Codex
incident-response-incident-responsermyndharis/antigravity-skills	Skill	1.9k	23d ago	MIT	A	36	Claude Code
triaging-web-analytics-supportPostHog/posthog	Skill	41k	yesterday	none	A	151	Claude Code, Codex