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-notesgit 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-notes)<a href="https://agentmods.dev/skills/langcare/langcare-mcp-fhir/progress-notes"><img src="https://agentmods.dev/badge/skills/langcare/langcare-mcp-fhir/progress-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.
<a href="https://agentmods.dev/skills/langcare/langcare-mcp-fhir/progress-notes"><img src="https://agentmods.dev/badge/skills/langcare/langcare-mcp-fhir/progress-notes.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 | $0.00059 | $0.00749 |
| Opus 5 | $0.00030 | $0.00375 |
| Sonnet 5 | $0.00012 | $0.00150 |
| Haiku 4.5 | $0.00006 | $0.00075 |
Grade A, and why
langcare-progress-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 10d 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 — 63 lines — stays where its author put it; the contents beside it link to each section on GitHub.
Progress Note Writer
When to Use This Skill
Use when a clinician needs a daily inpatient progress note summarizing the patient's hospital course, overnight events, current clinical status, and updated plan.
Clinical Workflow
- Use
fhir_searchto retrieve the current inpatient Encounter (calculate hospital day number) - Use
fhir_readto retrieve Patient demographics for note header - Use
fhir_searchto pull Observation resources (vitals from last 24h with trends, overnight extremes) - Use
fhir_searchto pull Observation resources (labs from last 24h) - Use
fhir_searchto pull active MedicationRequest with changes from last 24h (compare authoredOn) - Use
fhir_searchto pull active Condition resources for problem list - Use
fhir_searchto pull pending ServiceRequest resources for outstanding orders - Structure as: Date/HD#, Subjective (overnight events, patient-reported symptoms), Objective (vitals, I/O, labs, imaging), Assessment (updated problem list), Plan (per-problem with changes from prior day)
- Optionally persist as DocumentReference (LOINC 11506-3)
FHIR Resources
- Encounter -- Hospital day calculation from period.start
- Patient -- Demographics
- Observation -- Vitals (24h with min/max), labs (new results), I/O if available
- MedicationRequest -- Current medications with recent changes
- Condition -- Active problem list
- ServiceRequest -- Pending consults, tests
FHIR Query Examples
Pull 24h Vitals
fhir_search(resourceType="Observation", queryParams="patient=[patient-id]&category=vital-signs&date=ge[24-hours-ago]&_sort=-date&_count=50")
Pull Today's Labs
fhir_search(resourceType="Observation", queryParams="patient=[patient-id]&category=laboratory&date=ge[today]&_sort=-date")
Clinical Guidelines
- CMS inpatient documentation requirements
- Attending physician must document assessment/plan at least daily
- Problem-based daily progress notes preferred for complex patients
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.
- 10d ago First seen · 63 lines · 59 tokens per session scan A e8b3e62d3fa3
langcare-progress-notes is a skill published in the GitHub repository langcare/langcare-mcp-fhir (54 stars, last pushed 4mo ago), licensed MIT. It adds 59 tokens to every session and 749 once invoked, about $0.0003 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.
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