Agent skill

careplan-goals

Generate CarePlan, Goal, and ServiceRequest resources with proper status, intent, categories, targets, and linked conditions. Use when user mentions care plan, goals, service request, referral, orders, lab orders, imaging orders, or care coordination.

Stars 163
Forks 31

Install this agent skill to your Project

npx add-skill https://github.com/majiayu000/claude-skill-registry/tree/main/skills/other/other/careplan-goals

SKILL.md

Care Plans, Goals, and Service Requests

Care Plan

  • Status: draft, active, on-hold, revoked, completed, entered-in-error.
  • Intent: proposal, plan, order, option.
  • Categories: assess-plan, longitudinal, encounter-specific.
  • Include CarePlan.activity with detail (scheduled procedures, medication reviews, referrals).
  • Link to Conditions via CarePlan.addresses[].
  • Link to Goals via CarePlan.goal[].

Goals

  • lifecycleStatus: proposed, planned, accepted, active, on-hold, completed, cancelled.
  • achievementStatus: in-progress, improving, worsening, no-change, achieved, not-achieved.
  • Include target with detailQuantity, dueDate:
    • HbA1c < 7.0%, BP < 140/90, LDL < 100, BMI < 30, weight loss X lbs by date.
  • Priority: high-priority, medium-priority, low-priority.

Service Requests

  • Status: draft, active, completed, revoked, entered-in-error.
  • Intent: order, plan, proposal, directive, reflex-order, filler-order.
  • Categories: laboratory, imaging, procedure, referral, counseling.
  • Priority: routine, urgent, asap, stat.
  • Common orders: Lab panels, imaging (X-ray, CT, MRI), specialist referrals, physical therapy, dietary counseling.

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