What is progress-note-writer?

A clinical note generator that uses FHIR, a standard format for exchanging healthcare data, to assemble daily hospital progress notes. It brings together events, vital signs, fluid intake and output, test results, medicines, problems, and treatment plans.

Use it to prepare inpatient rounding notes and other daily hospital notes from patient data.

It reduces the need to collect the same information from many hospital records by hand. It also highlights critical values and important changes from the previous day.

progress-note-writer — 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 progress-note-writer

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/progress-note-writer/github.svg)](https://agentmods.dev/skills/langcare/langcare-mcp-fhir/progress-note-writer)

Your own site

<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.

Your own site · 80×15

<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>

Per session 105 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.

When invoked 3,702 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	$0.00105	$0.03702
Opus 5.5	$0.00042	$0.01481
Sonnet 5.5	$0.00021	$0.00740
Haiku 4.5	$0.00011	$0.00370

Measured 2mo ago against content hash 872b0ad70045, method: parsed. Prices are Anthropic first-party input rates as of 2026-10-07, from the pricing page.

Security

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 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/documentation/progress-note-writer/SKILL.md · 352 lines

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].

Read the full file on GitHub · 352 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 · 352 lines · 105 tokens per session scan A 872b0ad70045

Subscribe to this mod's changes

progress-note-writer is a skill published in the GitHub repository langcare/langcare-mcp-fhir (71 stars, last pushed 6mo ago), licensed MIT. It adds 105 tokens to every session and 3,702 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.

progress-note-writer next to 6 skills from other repositories
Mod	Type	Stars	Last push	Licence	Scan	Tokens	Works with
progress-note-writerlangcare/langcare-mcp-fhir	Skill	71	6mo ago	MIT	A	105	Claude Code, Codex
imagegenopenai/codex	Skill	133k	yesterday	Apache-2.0	A	113	Codex
playwright-climicrosoft/playwright	Skill	99k	yesterday	Apache-2.0	A	19	Claude Code
local-ai-agentsmicrosoft/ai-agents-for-beginners	Skill	79k	4d ago	MIT	A	200	Claude Code, Codex
systematic-debuggingobra/superpowers	Skill	313k	3d ago	MIT	A	21	Claude Code
next-cache-components-adoptionvercel/next.js	Skill	143k	yesterday	MIT	A	95	Claude Code
next-partial-prefetching-adoptionvercel/next.js	Skill	143k	yesterday	MIT	A	103	Claude Code