patient-panel-overview

Official

Panel insights at a glance for proactive care.

Authorlangcare
Version1.0.0
Installs0

System Documentation

What problem does it solve?

Queries and summarizes chronic-disease patient cohorts to deliver panel-level analytics, risk stratification, and outreach priorities, enabling proactive population health management.

Core Features & Use Cases

  • Identifies cohorts by condition (e.g., diabetes, hypertension, CHF, COPD, CKD, depression) using standard clinical codes and aggregates cohort-level metrics.
  • Produces panel metrics (panel size, at-goal rate, not-at-goal rate, no recent lab, no recent visit) plus risk stratification and prioritized outreach lists.
  • Supports multi-panel scenarios (single or multiple conditions) and integrates with reference materials to inform care gaps and follow-up actions.

Quick Start

Ask me to generate a patient panel overview for a specified condition to receive the panel summary and outreach priorities.

Dependency Matrix

Required Modules

None required

Components

references

💻 Claude Code Installation

Recommended: Let Claude install automatically. Simply copy and paste the text below to Claude Code.

Please help me install this Skill:
Name: patient-panel-overview
Download link: https://github.com/langcare/langcare-mcp-fhir/archive/main.zip#patient-panel-overview

Please download this .zip file, extract it, and install it in the .claude/skills/ directory.
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