Name: Langcare Transitions Of Care
Author: langcare

Transitions of Care Summary

When to Use This Skill

Use when a clinician needs a structured care transition document for transfers between inpatient units, facilities, or inpatient-to-outpatient handoffs.

Clinical Workflow

Use fhir_search to retrieve the current Encounter with admission details
Use fhir_read to retrieve Patient demographics
Use fhir_search to pull active Conditions for illness severity and problem list
Use fhir_search to pull active MedicationRequest for current medication list
Use fhir_search to pull recent Observation resources (vitals, labs) for clinical status
Use fhir_search to pull pending ServiceRequest resources for action items
Use fhir_search to pull active CarePlan for ongoing care goals
Structure output using I-PASS framework (see references/ipass-framework.md): Illness severity, Patient summary, Action list, Situation awareness, Synthesis by receiver

Transitions of Care Summary

When to Use This Skill

Use when a clinician needs a structured care transition document for transfers between inpatient units, facilities, or inpatient-to-outpatient handoffs.

Clinical Workflow

Use fhir_search to retrieve the current Encounter with admission details
Use fhir_read to retrieve Patient demographics
Use fhir_search to pull active Conditions for illness severity and problem list
Use fhir_search to pull active MedicationRequest for current medication list
Use fhir_search to pull recent Observation resources (vitals, labs) for clinical status
Use fhir_search to pull pending ServiceRequest resources for action items
Use fhir_search to pull active CarePlan for ongoing care goals
Structure output using I-PASS framework (see references/ipass-framework.md): Illness severity, Patient summary, Action list, Situation awareness, Synthesis by receiver

Langcare Transitions Of Care

Transitions of Care Summary

When to Use This Skill

Clinical Workflow

Langcare Transitions Of Care

Transitions of Care Summary

When to Use This Skill

Clinical Workflow

FHIR Resources

FHIR Query Examples

Pull Current Encounter

Pull Pending Actions

Clinical Guidelines

Interpretation Guide

Safety

Clickhouse Io

Clickhouse Io

Claude Devfleet

Clickhouse Io

Ai First Engineering

Postgres Patterns