history-and-physical-generator

Generate admission History and Physical notes from FHIR data.

53|12|Updated Jan 26, 2026
One-click install
npx skills add https://github.com/langcare/langcare-mcp-fhir --skill history-and-physical-generator
Or copy as Structured Prompt for Agent
Please help me install this Agent Skill.
Skill: history-and-physical-generator
Source: https://github.com/langcare/langcare-mcp-fhir/tree/main/skills/core/documentation/history-and-physical-generator
Command: npx skills add https://github.com/langcare/langcare-mcp-fhir --skill history-and-physical-generator

SYSTEM DOCUMENTATION & REQUIREMENTS

💡 This Skill includes references (resource) components.

What problem does it solve?

Automatically generate a comprehensive History and Physical document from FHIR data for admission workflows, reducing manual chart assembly and ensuring consistent coverage of PMH, PSH, medications, allergies, ROS, vital signs, labs, and assessment/plan.

Core Features & Use Cases

  • Generates a complete admission H&P by aggregating data from FHIR resources such as Patient, Encounter, Condition, Procedure, MedicationRequest, AllergyIntolerance, FamilyMemberHistory, Observation, DocumentReference, and CarePlan.
  • Flags data gaps requiring clinician input and aligns with CMS CoP and Joint Commission standards for timing and content.
  • Supports both medical and surgical admissions and provides templates suitable for regulatory documentation and routine clinical handoffs.

Quick Start

Ask the system to generate an admission H&P for a patient using current Patient, Encounter, and related FHIR data.

Frequently Asked Questions about history-and-physical-generator

High-intent search queries and answers about installing and using this skill.

FAQPage Schema
How do I generate an admission H&P note from FHIR data?

Generate an admission H&P from FHIR data by aggregating Patient, Encounter, Condition, Procedure, MedicationRequest, and Observation resources to assemble PMH, PSH, medications, allergies, ROS, vital signs, labs, and plan.

Does this H&P generator meet CMS CoP and Joint Commission documentation requirements?

Yes, the generated H&P note aligns with CMS CoP and Joint Commission standards for admission documentation timing and content, ensuring regulatory compliance for inpatient medical and surgical admissions.

Can I use FHIR resources to create a comprehensive admission note for surgical patients?

Yes, you can use FHIR resources to create comprehensive admission notes for both medical and surgical admissions, producing templates suitable for regulatory documentation and routine clinical handoffs.

How does the history and physical generator handle missing patient data?

During H&P generation, the system flags data gaps requiring clinician input, ensuring missing information from FHIR resources like FamilyMemberHistory or Observation is explicitly identified for manual completion.

What FHIR resources are needed to assemble a complete history and physical document?

Assembling a complete H&P requires FHIR resources including Patient, Encounter, Condition, Procedure, MedicationRequest, AllergyIntolerance, FamilyMemberHistory, Observation, DocumentReference, and CarePlan data.