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 procedure-note-templategit 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/procedure-note-template)<a href="https://agentmods.dev/skills/langcare/langcare-mcp-fhir/procedure-note-template"><img src="https://agentmods.dev/badge/skills/langcare/langcare-mcp-fhir/procedure-note-template/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/procedure-note-template"><img src="https://agentmods.dev/badge/skills/langcare/langcare-mcp-fhir/procedure-note-template.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 | $0.00104 | $0.03792 |
| Opus 5.5 | $0.00042 | $0.01517 |
| Sonnet 5.5 | $0.00021 | $0.00758 |
| Haiku 4.5 | $0.00010 | $0.00379 |
Grade A, and why
procedure-note-template 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 — 358 lines — stays where its author put it; the contents beside it link to each section on GitHub.
Procedure Note Template
Overview
Generate pre-populated procedure documentation templates from FHIR data. Pull patient demographics, procedure indication from active conditions, relevant pre-procedure labs (coagulation studies, platelets, hemoglobin), allergy list, and current anticoagulant status. Include required elements: informed consent verification, time-out documentation, procedure details, specimen handling, complications, and post-procedure orders. Support common bedside procedures: central venous catheter, arterial line, intubation, lumbar puncture, paracentesis, thoracentesis, chest tube, foley catheter, and NG tube.
FHIR Resources Used
| Resource | Purpose | Key Fields |
|---|---|---|
| Patient | Demographics for note header | name, birthDate, gender, identifier |
| Condition | Procedure indication | code, clinicalStatus |
| Observation | Pre-procedure labs (coags, CBC), vitals | code, value[x], effectiveDateTime |
| AllergyIntolerance | Allergy check (esp. latex, iodine, lidocaine) | code, reaction, clinicalStatus |
| MedicationRequest | Anticoagulant status, sedation orders | medicationCodeableConcept, status, dosageInstruction |
| MedicationAdministration | Sedation medications given | medicationCodeableConcept, dosage, effectiveDateTime |
| Consent | Informed consent status | status, scope, dateTime |
| Procedure | Create procedure record | code, status, performedDateTime, outcome, complication |
Instructions
Step 1: Retrieve Patient Demographics
Tool: fhir_read
resourceType: "Patient"
id: "[patient-id]"
Extract: name, DOB, age, gender, MRN for procedure note header and patient identification band verification.
Step 2: Identify Procedure Indication
Tool: fhir_search
resourceType: "Condition"
queryParams: "patient=[patient-id]&clinical-status=active"
Match the stated procedure to an active condition as the indication. Common mappings:
- Central line: difficult IV access, need for vasopressors, TPN, prolonged IV antibiotics
- Arterial line: hemodynamic instability, frequent ABG monitoring
- Intubation: respiratory failure, airway protection
- Lumbar puncture: meningitis workup, subarachnoid hemorrhage evaluation
- Paracentesis: ascites (tense, diagnostic)
- Thoracentesis: pleural effusion (diagnostic or therapeutic)
- Chest tube: pneumothorax, hemothorax, empyema
- Foley catheter: urinary retention, strict I&O monitoring, perioperative
- NG tube: bowel obstruction, GI decompression, medication administration
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 · 358 lines · 104 tokens per session scan A 919f3b861395
procedure-note-template is a skill published in the GitHub repository langcare/langcare-mcp-fhir (71 stars, last pushed 6mo ago), licensed MIT. It adds 104 tokens to every session and 3,792 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.
procedure-note-template compared with skills from other repositories
| Mod | Type | Stars | Last push | Licence | Scan | Tokens | Works with |
|---|---|---|---|---|---|---|---|
| procedure-note-templatelangcare/langcare-mcp-fhir | Skill | 71 | 6mo ago | MIT | A | 104 | 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 |