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langcare
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problem-list-review

Cross-reference Condition, MedicationRequest, Encounter, and Observation data to identify problem-list discrepancies.

53|12|Updated Jan 26, 2026
Search Tags:#data-quality#fhir#problem-list#clinical-audit#diagnosis-review#medication-crosswalk#icd10-coding
One-click install
npx skills add https://github.com/langcare/langcare-mcp-fhir --skill problem-list-review
Or copy as Structured Prompt for Agent▼
Please help me install this Agent Skill.
Skill: problem-list-review
Source: https://github.com/langcare/langcare-mcp-fhir/tree/main/skills/core/patient-data-summary/problem-list-review
Command: npx skills add https://github.com/langcare/langcare-mcp-fhir --skill problem-list-review

SYSTEM DOCUMENTATION & REQUIREMENTS

💡 This Skill includes references (resource) components.

What problem does it solve?

Reviews the active problem list by cross-referencing Conditions with medications, encounters, and labs to identify discrepancies. Use when user asks to "review the problem list", "audit diagnoses", "check conditions", "problem list reconciliation", "coding review", "are there missing diagnoses", or "what conditions are untreated". Do NOT use for allergy review, medication reconciliation, or generating full clinical summaries.

Core Features & Use Cases

  • Pull All Conditions and categorize by clinicalStatus, verificationStatus, and category; extract SNOMED and ICD-10 codes.
  • Pull Active Medications (MedicationRequest) and extract drug names, RxNorm codes, and dosages.
  • Pull Recent Encounters (Last 12 Months) for contextual reference.
  • Cross-Reference Medications Against Problems to identify implied diagnoses missing or mismatches.
  • Check for Conditions Without Active Treatment (untreated active conditions).
  • Identify Potentially Resolved Conditions still listed as Active and provide remediation guidance.
  • Assess ICD-10 coding specificity opportunities and propose improved codes.

Quick Start

Run a problem-list review for a patient by cross-referencing Condition, MedicationRequest, Encounter, and Observation data to surface missing diagnoses, untreated active conditions, and coding improvements.

Frequently Asked Questions about problem-list-review

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

FAQPage Schema
How do I audit a FHIR problem list to find missing diagnoses or untreated conditions?▼

Problem list reconciliation cross-references FHIR Condition resources against MedicationRequests, Encounters, and Observations to identify discrepancies. It pulls clinical data to flag missing diagnoses, untreated active conditions, and resolved conditions still listed as active.

What is the best way to cross-reference active medications against patient conditions for diagnosis gaps?▼

Cross-referencing medications against problems extracts drug names and RxNorm codes from MedicationRequests to identify implied diagnoses missing from the Condition list. It flags mismatches and active conditions lacking corresponding treatment for clinical review.

Can I use problem list review to improve ICD-10 coding specificity?▼

Yes, problem list review assesses ICD-10 coding specificity by extracting codes from Condition resources and proposing improved alternatives. It identifies coding upgrade opportunities and generates remediation guidance for clinical review.

Does problem list reconciliation work without Encounter and Observation data?▼

Problem list reconciliation is designed to cross-reference Condition resources with MedicationRequests, Encounters, and Observations together. Missing Encounter or Observation data limits the ability to contextualize discrepancies and identify implied diagnoses during the audit.

When should I not use a problem list review for clinical data audit?▼

Do not use problem list review for allergy review, medication reconciliation, or generating full clinical summaries. It is specifically built to audit active Condition resources against medications, encounters, and labs to flag missing diagnoses and untreated conditions.

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