What is langcare-procedure-notes?

A procedure-note template generator that uses FHIR, a standard format for exchanging health records, to collect patient and procedure details. It structures documentation for completed medical procedures.

Creating operative or procedure notes with patient details, indication, consent, anesthesia, technique, findings, specimens, blood loss, complications, recovery status, and follow-up plan.

It brings relevant information such as allergies, medications, assessments, findings, and complications into one note structure. This reduces the need to assemble the note from separate records.

langcare-procedure-notes — 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 procedure-notes

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/procedure-notes/github.svg)](https://agentmods.dev/skills/langcare/langcare-mcp-fhir/procedure-notes)

Your own site

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

Per session 61 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.

When invoked 722 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	$0.00061	$0.00722
Opus 5.5	$0.00024	$0.00289
Sonnet 5.5	$0.00012	$0.00144
Haiku 4.5	$0.00006	$0.00072

Measured 2mo ago against content hash 00c835605220, method: parsed. Prices are Anthropic first-party input rates as of 2026-10-07, from the pricing page.

Security

Grade A, and why

langcare-procedure-notes 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.

cma/skills/documentation/procedure-notes/SKILL.md · 60 lines

How it starts

The opening of the file, as written. The whole thing — 60 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Procedure Note Template

When to Use This Skill

Use when a clinician needs a structured procedure note populated with patient context from FHIR resources.

Clinical Workflow

Use fhir_read to retrieve Patient demographics and allergies
Use fhir_search to pull the Procedure resource for the completed procedure (code, performedDateTime, outcome)
Use fhir_search to pull pre-procedure Observation resources (vitals, relevant labs, coagulation studies)
Use fhir_search to pull active Condition resources for relevant comorbidities and procedure indication
Use fhir_search to pull MedicationRequest for anesthesia/sedation medications administered
Assemble procedure note: patient identification, procedure name/CPT, indication, consent status, anesthesia type, pre-procedure assessment, procedure description (technique, findings), specimens collected, complications, estimated blood loss, post-procedure condition, and plan
Optionally use fhir_create to persist as DocumentReference (LOINC 28570-0 for procedure note)

FHIR Resources

Patient -- Demographics, allergies
Procedure -- Procedure details: code (CPT/SNOMED), status, performedDateTime, outcome, complication
Observation -- Pre-procedure vitals and labs
Condition -- Procedure indication and comorbidities
MedicationRequest / MedicationAdministration -- Anesthesia, sedation, antibiotics
DocumentReference -- Output: procedure note

FHIR Query Examples

Pull Procedure Details

fhir_read(resourceType="Procedure", id="[procedure-id]")

Pull Pre-Procedure Labs

fhir_search(resourceType="Observation", queryParams="patient=[patient-id]&category=laboratory&date=ge[procedure-date-minus-7d]&date=le[procedure-date]&_sort=-date")

Clinical Guidelines

CMS operative report documentation requirements
Joint Commission immediate post-procedure documentation standards
Specialty-specific procedure note elements (ACS, ASGE, ACC)

Interpretation Guide

Structure: Date/Time, Patient ID, Procedure (name + CPT code), Surgeon/Proceduralist, Assistant(s), Anesthesia (type + provider), Indication, Consent (confirmed), Pre-procedure assessment (vitals, relevant labs), Technique (step-by-step), Findings, Specimens (sent to pathology), Complications (none or describe), EBL, Post-procedure condition (stable/ICU/etc.), Post-procedure orders, Follow-up plan
For endoscopic procedures: include scope type, insertion/withdrawal times, visualization quality, biopsy sites
For surgical procedures: include incision type, exposure, key operative findings, closure method, drain placement

Read the full file on GitHub · 60 lines

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 · 60 lines · 61 tokens per session scan A 00c835605220

Subscribe to this mod's changes

langcare-procedure-notes is a skill published in the GitHub repository langcare/langcare-mcp-fhir (71 stars, last pushed 6mo ago), licensed MIT. It adds 61 tokens to every session and 722 once invoked, about $0.0002 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.

Documents

langcare-procedure-notes next to 6 skills from other repositories
Mod	Type	Stars	Last push	Licence	Scan	Tokens	Works with
langcare-procedure-noteslangcare/langcare-mcp-fhir	Skill	71	6mo ago	MIT	A	61	Claude Code, Codex
orbit-notionnexu-io/open-design	Skill	106k	yesterday	Apache-2.0	A	117	Claude Code, Codex
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