What is langcare-sepsis-qsofa?

A sepsis screening tool that calculates qSOFA, SOFA, and SIRS scores from patient observations and laboratory results. Sepsis is a dangerous body-wide response to infection.

Screening for possible sepsis, calculating the three clinical scores, checking hour-one actions such as lactate testing, cultures, antibiotics, fluids, and vasopressors, and recording the assessment.

It brings together vital signs, lab results, infection information, medicines, and treatment actions to assess risk and check the first-hour sepsis care bundle. This reduces manual score calculation and checklist work.

langcare-sepsis-qsofa — 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 sepsis-qsofa

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

Your own site

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

Per session 90 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.

When invoked 1,021 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	$0.00090	$0.01021
Opus 5.5	$0.00036	$0.00408
Sonnet 5.5	$0.00018	$0.00204
Haiku 4.5	$0.00009	$0.00102

Measured 2mo ago against content hash dd156e94eac0, method: parsed. Prices are Anthropic first-party input rates as of 2026-10-07, from the pricing page.

Security

Grade A, and why

langcare-sepsis-qsofa 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/clinical-decision-support/sepsis-qsofa/SKILL.md · 68 lines

How it starts

The opening of the file, as written. The whole thing — 68 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Sepsis Screening (qSOFA/SOFA/SIRS)

When to Use This Skill

Use when a clinician needs to calculate sepsis risk scores from vital signs and laboratory data, with bundle compliance assessment.

Clinical Workflow

Use fhir_read to retrieve Patient demographics (age for baseline risk)
Use fhir_search to pull vital signs (last 24h): temperature (8310-5), heart rate (8867-4), respiratory rate (9279-1), systolic BP (8480-6), SpO2 (2708-6)
Use fhir_search to pull labs: WBC (6690-2), lactate (2524-7), creatinine (2160-0), bilirubin (1975-2), platelets (777-3), PaO2 (2703-7), FiO2 (3150-0)
Use fhir_search to pull active Condition resources for infection source identification
Use fhir_search to pull active MedicationRequest for vasopressor status and current antibiotics
Calculate qSOFA (0-3), SIRS (0-4), and SOFA (0-24) scores (see references/qsofa-sofa-scoring.md)
Evaluate hour-1 bundle compliance: lactate measured, blood cultures ordered, antibiotics administered, IV fluids initiated, vasopressors if MAP <65
Use fhir_create to create ClinicalImpression resource documenting the assessment

FHIR Resources

Observation -- Vitals (LOINC codes for temp, HR, RR, BP, SpO2) and labs (WBC, lactate, Cr, bilirubin, platelets, PaO2/FiO2)
Condition -- Active infection source identification
MedicationRequest -- Vasopressors (norepinephrine, epinephrine, vasopressin, dopamine) and antibiotics
Procedure -- Mechanical ventilation status (SNOMED 40617009)
ServiceRequest -- Blood culture orders (LOINC 600-7)
ClinicalImpression -- Output: sepsis risk documentation

FHIR Query Examples

Pull Recent Vitals

fhir_search(resourceType="Observation", queryParams="patient=[patient-id]&code=8310-5&_sort=-date&_count=5")

Pull Lactate

fhir_search(resourceType="Observation", queryParams="patient=[patient-id]&code=2524-7,32693-4,2519-7&_sort=-date&_count=3")

Check Vasopressor Orders

fhir_search(resourceType="MedicationRequest", queryParams="patient=[patient-id]&status=active&code=3628,3616,11149,35208")

Read the full file on GitHub · 68 lines

Files

What ships with it

1 file 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.

references/qsofa-sofa-scoring.md 4.4 KB

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 · 68 lines · 90 tokens per session scan A dd156e94eac0

Subscribe to this mod's changes

langcare-sepsis-qsofa is a skill published in the GitHub repository langcare/langcare-mcp-fhir (71 stars, last pushed 6mo ago), licensed MIT. It adds 90 tokens to every session and 1,021 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.

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