simple-clinical

FHIR Clinical Workflows

Structured clinical workflows using LangCare MCP FHIR Server's 4 generic tools: fhir_search, fhir_read, fhir_create, fhir_update.

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1. Patient Chart Review

Purpose: Comprehensive review of patient's clinical record.

Workflow

Step 1: Verify Patient Identity

Tool: fhir_search
resourceType: "Patient"
queryParams: "family=[lastname]&given=[firstname]&birthdate=[YYYY-MM-DD]"

• Confirm demographics match (name, DOB, MRN)
• If multiple matches, ask user to specify

Step 2: Retrieve Active Problems

Tool: fhir_search
resourceType: "Condition"
queryParams: "patient=[patient-id]&clinical-status=active"

• Group by category (problem, diagnosis, symptom)
• Note onset dates and verification status

Step 3: Get Current Medications

Tool: fhir_search
resourceType: "MedicationStatement"
queryParams: "patient=[patient-id]&status=active"

• Include medication name, dose, frequency, route
• Check for high-risk medications (anticoagulants, insulin, opioids)

Step 4: Review Recent Lab Results

Tool: fhir_search
resourceType: "Observation"
queryParams: "patient=[patient-id]&category=laboratory&date=ge[30-days-ago]"

• Present with reference ranges
• Flag abnormal values (High/Low indicators)

Step 5: Check Recent Encounters

Tool: fhir_search
resourceType: "Encounter"
queryParams: "patient=[patient-id]&date=ge[90-days-ago]"

• Include type, date, provider, location
• Note hospital admissions vs outpatient visits

Step 6: Review Allergies

Tool: fhir_search
resourceType: "AllergyIntolerance"
queryParams: "patient=[patient-id]&clinical-status=active"

• Include substance, reaction, severity
• Distinguish true allergies from intolerances

Summary Format

Present findings in clinical order:

1. Demographics - Name, DOB, MRN
2. Active Problems - Conditions with dates
3. Medications - Name, dose, frequency
4. Allergies - Substance and reaction
5. Recent Labs - Results with flags
6. Recent Visits - Date, type, provider