patient-instructions

patient-instructions is a skill for Claude Code, Codex from microsoft/cat-agent-skills. It costs 139 tokens per session (1,728 once invoked), scanned A, original, MIT.

A draft patient handout created from the checked discharge information. It explains what the patient should do at home in plain language, but a clinician must review it before giving it to them.

In plain words
What is it for?
It helps draft home-care steps, medication guidance, warning signs, and other discharge instructions after medicines have been checked.
Why use it?
It turns clinical information into instructions a patient can act on without copying the medical summary word for word. It also checks readability using the configured rules, while avoiding unresolved medication discrepancies.

Skill for Claude CodeCodex ✓ vendor

Written for no agent in particular: nothing here depends on one.

Good fit It helps draft home-care steps, medication guidance, warning signs, and other discharge instructions after medicines have been checked.

Compare 6 skills from other repositories ↓
Install with agentmods
npx agentmods add skills/microsoft/cat-agent-skills/patient-instructions
About the project

microsoft/cat-agent-skills is a static website that catalogs reusable instruction sets and related packages for AI agents. People use it to search, filter, rate, and download skills for Cowork, Copilot Studio, and Scout, along with Copilot plugins and Scout automations. The catalogue entries are the skills, instructions, plugins, and settings displayed by the site.

microsoft/cat-agent-skills · 101 stars · on GitHub

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 microsoft/cat-agent-skills --skill patient-instructions
Clone the repo
git clone --depth 1 https://github.com/microsoft/cat-agent-skills

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.

agentmods badge for patient-instructions

README.md
[![agentmods](https://agentmods.dev/badge/skills/microsoft/cat-agent-skills/patient-instructions/github.svg)](https://agentmods.dev/skills/microsoft/cat-agent-skills/patient-instructions)
Your own site
<a href="https://agentmods.dev/skills/microsoft/cat-agent-skills/patient-instructions"><img src="https://agentmods.dev/badge/skills/microsoft/cat-agent-skills/patient-instructions/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.

agentmods 80×15 button for patient-instructions

Your own site · 80×15
<a href="https://agentmods.dev/skills/microsoft/cat-agent-skills/patient-instructions"><img src="https://agentmods.dev/badge/skills/microsoft/cat-agent-skills/patient-instructions.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 139 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 1,728 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.

ModelPer sessionOnce invoked
Fable 5.1 $0.00139 $0.01728
Opus 5.5 $0.00056 $0.00691
Sonnet 5.5 $0.00028 $0.00346
Haiku 4.5 $0.00014 $0.00173

Measured 2d ago against content hash ec0dd5b028cc, method: parsed. Prices are Anthropic first-party input rates as of 2026-10-07, from the pricing page.

Security

Grade A, and why

patient-instructions 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 2d ago.

The scan reads SKILL.md. This mod also ships 2 executable files (base/scripts/med_reconcile.py, base/scripts/readability_check.py), listed below but not scanned — reading those needs a real analyzer, not pattern matching.

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.

submissions/discharge-care-transition/patient-instructions/SKILL.md · 96 lines

How it starts

The opening of the file, as written. The whole thing — 96 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Patient Instructions

Action level: L1 (draft for human approval). Instructions are drafted for the discharging clinician to give to the patient; nothing is sent to the patient by this plugin.

Purpose

Give the patient an instruction sheet they can actually act on.

When to use

After med-reconcile, in parallel with summary-draft. Typical triggers: "write the patient instructions", "make this readable for the patient", "plain-language discharge sheet", "just give the patient the same list".

When NOT to use

When NOT to use: do not use it to produce the clinical record (summary-draft), the medication diff (med-reconcile) or the follow-up checklist (followup-plan). Do not use it to reword the clinical summary verbatim into a patient sheet - it is derived from the same evidence, not mechanically simplified. Do not use it to claim a reading level without running the engine, to include a medication still flagged as an unresolved discrepancy, or to send anything directly to the patient.

Inputs

encounter; reconciliation_report.expected_discharge_meds; reconciliation_report.stopped_meds and reconciliation_report.discrepancies; cited discharge orders and instruction sets on the contract (discharge_instruction_notes[] - each carries source_note, documented_date and verbatim lines per section - plus followup_checklist and pending_results); config/readability-rules.json (metric, max_grade_level, max_sentence_words, banned_jargon, required_sections).

Steps

  1. If reconciliation_report is absent, run med-reconcile first (engine tool python3 base/scripts/med_reconcile.py --question <payload> --out <payload>); never re-derive the list here.
  2. Draft instructions in plain language, covering every section listed in config/readability-rules.json required_sections; omit any medication flagged as an unresolved discrepancy, and keep each timing or administration line directly under the medication it belongs to. Under the medicines section write one "take" line per expected_discharge_meds entry, then one explicit stop/hold line per stopped_meds entry that has no discrepancy for the same drug (for example "Stop taking metformin, including the pills you have at home, until your care team tells you to start again."), carrying that entry's reason, source_note and documented_date in the source list. A documented stop is never left off the sheet - the patient may still have a home supply.
  3. Run the readability_check engine tool (python3 base/scripts/readability_check.py --question <payload> --config config/readability-rules.json --out <payload>) over patient_instructions.
  4. Read readability_report: grade level against max_grade_level, long sentences, jargon hits, missing sections.
  5. Revise the wording and re-run until readability_report.passed is true - the verdict is engine output, never self-asserted; after each revision re-check that every medication line still matches the reconciled dose or stop, and that no instruction moved under a different medication.
  6. Write patient_instructions to the contract and hand off for clinician approval.

Read the full file on GitHub · 96 lines

Files

What ships with it

6 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.

  1. 2d ago First seen · 96 lines · 139 tokens per session scan A ec0dd5b028cc

Subscribe to this mod's changes

patient-instructions is a skill published in the GitHub repository microsoft/cat-agent-skills (101 stars, last pushed yesterday), licensed MIT. It adds 139 tokens to every session and 1,728 once invoked, about $0.0006 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 2026-11-06.

Related

patient-instructions compared with skills from other repositories

patient-instructions next to 6 skills from other repositories
ModTypeStarsLast pushLicenceScanTokensWorks with
patient-instructionsmicrosoft/cat-agent-skillsSkill101yesterdayMITA139Claude Code, Codex
imagegenopenai/codexSkill134ktodayApache-2.0A113Codex
local-ai-agentsmicrosoft/ai-agents-for-beginnersSkill79kyesterdayMITA200Claude Code, Codex
playwright-climicrosoft/playwrightSkill100kyesterdayApache-2.0A19Claude Code
browser-automationopenclaw/openclawSkill394ktodayMITA36Claude Code
systematic-debuggingobra/superpowersSkill314k4d agoMITA21Claude Code
next-cache-components-adoptionvercel/next.jsSkill143ktodayMITA95Claude Code