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 progress-note-writergit 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/progress-note-writer)<a href="https://agentmods.dev/skills/langcare/langcare-mcp-fhir/progress-note-writer"><img src="https://agentmods.dev/badge/skills/langcare/langcare-mcp-fhir/progress-note-writer/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/progress-note-writer"><img src="https://agentmods.dev/badge/skills/langcare/langcare-mcp-fhir/progress-note-writer.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 | $0.00105 | $0.03702 |
| Opus 5 | $0.00053 | $0.01851 |
| Sonnet 5 | $0.00021 | $0.00740 |
| Haiku 4.5 | $0.00011 | $0.00370 |
Grade A, and why
progress-note-writer 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 11d 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 — 352 lines — stays where its author put it; the contents beside it link to each section on GitHub.
Progress Note Writer
Overview
Generate structured daily inpatient progress notes by pulling 24-hour data windows from FHIR resources. Assemble vitals trends, intake and output, laboratory results, imaging results, medication changes, and overnight events into a problem-oriented format. Include standing order status for DVT prophylaxis, GI prophylaxis, diet, activity level, and code status. Flag critical values and significant changes from prior day.
FHIR Resources Used
| Resource | Purpose | Key Fields |
|---|---|---|
| Encounter | Admission context, hospital day calculation | period.start, status, class |
| Patient | Demographics for note header | name, birthDate, gender, identifier |
| Observation | Vitals, labs, I&O, Glasgow score | code, value[x], effectiveDateTime, category |
| MedicationRequest | Active medications, new orders, changes | medicationCodeableConcept, status, authoredOn, dosageInstruction |
| MedicationAdministration | Medications actually given in 24h | medicationCodeableConcept, effectiveDateTime, dosage |
| DiagnosticReport | Imaging, pathology results | code, conclusion, effectiveDateTime, result |
| Condition | Active problem list for assessment | code, clinicalStatus |
| Procedure | Procedures in last 24h | code, performedDateTime, status |
| CarePlan | Diet, activity, DVT/GI prophylaxis | category, activity, status |
Instructions
Step 1: Retrieve Encounter and Calculate Hospital Day
Tool: fhir_read
resourceType: "Encounter"
id: "[encounter-id]"
Calculate hospital day: (today - period.start) + 1. Extract admitting diagnosis from reasonCode.
If encounter ID unknown:
Tool: fhir_search
resourceType: "Encounter"
queryParams: "patient=[patient-id]&class=IMP&status=in-progress&_sort=-date&_count=1"
Step 2: Retrieve Patient Demographics
Tool: fhir_read
resourceType: "Patient"
id: "[patient-id]"
Step 3: Pull 24-Hour Vital Signs Trends
Define the 24-hour window: [today 00:00] to [now], or [yesterday same-time] to [now].
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.
- 11d ago First seen · 352 lines · 105 tokens per session scan A 872b0ad70045
progress-note-writer is a skill published in the GitHub repository langcare/langcare-mcp-fhir (55 stars, last pushed 4mo ago), licensed MIT. It adds 105 tokens to every session and 3,702 once invoked, about $0.0005 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 2026-08-30.
Other skills, from other repositories
systematic-debugging
Use when encountering any bug, test failure, or unexpected behavior, before proposing fixes.
local-ai-agents
Build local-first AI agents that run entirely on a developer workstation with Microsoft Foundry Local and Qwen function-calling models. Covers Small Language Models (SLMs), the OpenAI-compatible local endpoint, sandboxed local tools, local RAG with Chroma, local MCP servers, hybrid cloud/local routing, and the…
next-cache-components-adoption
Turn on Cache Components in a Next.js app and resolve the blocking routes it surfaces. Use when the user wants to enable, adopt, or migrate to Cache Components, flip the cacheComponents flag, work through a flood of blocking-prerender / instant validation errors, run the cache-components-instant-false codemod, or…
insight-error-page
Write or audit an insight-kind error page for the Next.js dev overlay. Use when creating a new errors/ .mdx page, auditing an existing one, or checking that a page matches the framework fix cards. Covers page structure, title alignment, FixCard cards with Copy prompt button, code snippets, terminology verification…
next-cache-components-optimizer
Drive a Next.js route to instant navigation by setting up an agentic loop, under Cache Components / PPR, on initial load (hard navigation) and client-side navigation (soft navigation). Encode the goal as a failing @next/playwright instant() e2e and work it to green, one verified route at a time; the shipped test then…
next-partial-prefetching-adoption
Turn on Partial Prefetching in a Next.js app and work through the insights it surfaces. Use when the user wants to enable or adopt Partial Prefetching, flip the partialPrefetching flag, opt routes in with export const prefetch = 'partial', audit Link prefetch={true} behavior, preserve existing prefetched UI with…