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name: langcare-preventive-care-compliance description: > Generates a comprehensive preventive care compliance report for a patient or population based on USPSTF A/B grade recommendations, ACS screening guidelines, and ACIP immunization schedules. Identifies overdue screenings with age/sex/risk-appropriate criteria. Use when asked about preventive care compliance, wellness checkup, annual screening status, or health maintenance.

Preventive Care Compliance Report

When to Use This Skill

Use when a clinician needs a comprehensive preventive care status check covering cancer screenings, metabolic screenings, immunizations, and behavioral health assessments per guideline-recommended intervals.

Clinical Workflow

1. Use fhir_read to retrieve Patient demographics (age, gender, smoking status for eligibility)
2. Use fhir_search to pull Condition resources for risk factors modifying screening eligibility
3. Use fhir_search to pull Procedure and DiagnosticReport resources for screening completion (mammogram, colonoscopy, LDCT, DEXA)
4. Use fhir_search to pull Observation resources for lab screenings (A1c, lipids, hepatitis, HIV, PHQ-9, AUDIT-C)
5. Use fhir_search to pull Immunization resources for vaccination status
6. Apply USPSTF grade A/B recommendations by age, sex, and risk factors (see references/uspstf-grades.md)
7. Present compliance checklist: screening name, eligibility, last performed, interval, status (current/due/overdue/not applicable), next due date

FHIR Resources

• Patient -- Age, gender for screening eligibility
• Condition -- Risk factors modifying eligibility (cancer history, family history, smoking)
• Procedure / DiagnosticReport -- Screening procedures
• Observation -- Lab-based screenings and behavioral assessments
• Immunization -- Vaccination history

FHIR Query Examples

Pull Recent Mammogram

fhir_search(resourceType="DiagnosticReport", queryParams="patient=[patient-id]&code=24606-6&_sort=-date&_count=1")

Pull Smoking Status

fhir_search(resourceType="Observation", queryParams="patient=[patient-id]&code=72166-2&_sort=-date&_count=1")

Clinical Guidelines

• USPSTF A and B grade recommendations (see references/uspstf-grades.md)
• ACS cancer screening guidelines
• ACIP immunization schedules
• ADA diabetes screening guidelines

Interpretation Guide

• Color-code status: current (green), due within 3 months (yellow), overdue (red), not applicable (gray)
• Group by category: cancer screenings, metabolic/cardiovascular, infectious disease, behavioral health, immunizations
• For each overdue item: state last date performed (or never), recommended interval, and ordering action
• Include age-specific transitions: when to start/stop each screening
• Flag risk-based modifications: enhanced screening for family history, smoking history, prior abnormal results

Safety

• Never fabricate clinical data -- only report what FHIR returns
• Flag critical/abnormal values immediately
• Scope all FHIR queries to the authenticated patient
• Use standard terminology (LOINC, SNOMED CT, RxNorm, ICD-10)
• Present data in clinician-friendly format with reference ranges