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health-skillz

作者 jmandel · jmandel/health-skillz

Connects Claude to your personal health records via SMART on FHIR — ask questions about your labs, meds, and visits without exporting anything.

A Claude skill that speaks SMART on FHIR, the industry-standard health data API. Lets Claude query your hospital portal as you, so you can ask plain-language questions about your lab values, medications, immunizations, and encounters.

為什麼要用

核心特性

即時演示

實際使用效果

health-skillz-skill.replay ▶ 就緒
0/0

安裝

選擇你的客戶端

~/Library/Application Support/Claude/claude_desktop_config.json  · Windows: %APPDATA%\Claude\claude_desktop_config.json
{
  "mcpServers": {
    "health-skillz-skill": {
      "command": "git",
      "args": [
        "clone",
        "https://github.com/jmandel/health-skillz",
        "~/.claude/skills/health-skillz"
      ],
      "_inferred": true
    }
  }
}

開啟 Claude Desktop → Settings → Developer → Edit Config。儲存後重啟應用。

~/.cursor/mcp.json · .cursor/mcp.json
{
  "mcpServers": {
    "health-skillz-skill": {
      "command": "git",
      "args": [
        "clone",
        "https://github.com/jmandel/health-skillz",
        "~/.claude/skills/health-skillz"
      ],
      "_inferred": true
    }
  }
}

Cursor 使用與 Claude Desktop 相同的 mcpServers 格式。專案級設定優先於全域。

VS Code → Cline → MCP Servers → Edit
{
  "mcpServers": {
    "health-skillz-skill": {
      "command": "git",
      "args": [
        "clone",
        "https://github.com/jmandel/health-skillz",
        "~/.claude/skills/health-skillz"
      ],
      "_inferred": true
    }
  }
}

點擊 Cline 側欄中的 MCP Servers 圖示,然後選 "Edit Configuration"。

~/.codeium/windsurf/mcp_config.json
{
  "mcpServers": {
    "health-skillz-skill": {
      "command": "git",
      "args": [
        "clone",
        "https://github.com/jmandel/health-skillz",
        "~/.claude/skills/health-skillz"
      ],
      "_inferred": true
    }
  }
}

格式與 Claude Desktop 相同。重啟 Windsurf 生效。

~/.continue/config.json
{
  "mcpServers": [
    {
      "name": "health-skillz-skill",
      "command": "git",
      "args": [
        "clone",
        "https://github.com/jmandel/health-skillz",
        "~/.claude/skills/health-skillz"
      ]
    }
  ]
}

Continue 使用伺服器物件陣列,而非映射。

~/.config/zed/settings.json
{
  "context_servers": {
    "health-skillz-skill": {
      "command": {
        "path": "git",
        "args": [
          "clone",
          "https://github.com/jmandel/health-skillz",
          "~/.claude/skills/health-skillz"
        ]
      }
    }
  }
}

加入 context_servers。Zed 儲存後熱重載。

claude mcp add health-skillz-skill -- git clone https://github.com/jmandel/health-skillz ~/.claude/skills/health-skillz

一行命令搞定。用 claude mcp list 驗證,claude mcp remove 移除。

使用場景

實戰用法: health-skillz

Ask plain questions about your lab result trends

👤 Patients tracking chronic conditions, cholesterol, A1c ⏱ ~15 min beginner

何時使用: You've had repeated labs over months/years and want to see the trajectory, not just each result in isolation.

前置條件
  • A patient portal with FHIR access — Most major US health systems support SMART on FHIR — check your portal for API/app access
  • Skill installed — git clone https://github.com/jmandel/health-skillz ~/.claude/skills/health-skillz
步驟
  1. Authenticate
    Use health-skillz to connect to my Epic MyChart account.✓ 已複製
    → Browser opens SMART launch; token stored locally
  2. Pull labs
    Show my LDL, HDL, and A1c over the past 3 years as a trend.✓ 已複製
    → Time-series table or summary with unit conversions
  3. Contextualize
    Relate these to the guideline ranges. Don't give me medical advice — just surface what's in range vs not.✓ 已複製
    → Explicit framing as reference ranges, not diagnosis

結果: A readable longitudinal view of your key labs — useful before your next appointment.

注意事項
  • Treating Claude's output as medical advice — Always bring questions to your actual clinician. This skill is for understanding your own records, not a second opinion.

Reconcile the medication list before an appointment

👤 Patients on multiple meds from multiple providers ⏱ ~10 min beginner

何時使用: You're about to see a new specialist and want a clean, current med list.

步驟
  1. Fetch active meds
    Use health-skillz. Pull my current medication list with dose, frequency, and prescribing provider.✓ 已複製
    → Structured list with RxNorm codes resolved to names
  2. Spot duplicates and gaps
    Any duplicate therapy, same-class redundancies, or meds that look expired?✓ 已複製
    → Flags you can raise with your doctor

結果: A med list to hand your new provider on day one.

注意事項
  • Portals sometimes miss OTC meds — Supplement manually; the portal only shows what was prescribed via it

Export a relevant subset of records for a new specialist

👤 Patients changing providers or seeing a specialist ⏱ ~20 min intermediate

何時使用: You're consolidating records for a second opinion.

步驟
  1. Filter
    Use health-skillz. Pull all cardiology-related encounters, labs, and imaging from the last 2 years.✓ 已複製
    → Filtered export grouped by encounter
  2. Format
    Format as a one-page summary a specialist can skim in 30 seconds.✓ 已複製
    → Compact doc with key dates, diagnoses, pertinent findings

結果: A portable summary you own — not a 200-page PDF dump.

注意事項
  • Losing nuance by summarizing — Always bring the full export as backup; summary is for quick triage
搭配使用: filesystem

組合

與其他 MCP 搭配,撬動十倍槓桿

health-skillz-skill + filesystem

Save exports to an organized local folder structure

Save the cardiology export to ~/health/specialists/cardio-2026.md✓ 已複製

工具

此 MCP 暴露的能力

工具輸入參數何時呼叫成本
smart_launch provider URL First-time connection to a provider OAuth redirect
get_observations patient id, category, date range Pulling labs or vitals FHIR API call
get_medications patient id, status Med reconciliation FHIR API call
get_encounters patient id, date range Visit history review FHIR API call

成本與限制

運行它的成本

API 配額
Depends on the provider's FHIR API limits
每次呼叫 Token 數
Moderate — lab results are compact
費用
Free (portal access is included with care)
提示
Pull in one category at a time; full 'everything' exports are token-expensive.

安全

權限、密鑰、影響範圍

最小權限: patient/*.read
憑證儲存: OAuth token in local credential store; never committed
資料出站: Your FHIR server and Anthropic API only
切勿授予: user/*.write system/*.*

故障排查

常見錯誤與修復

SMART launch fails with redirect error

Most portals require pre-registering the app's redirect URI. Check the skill's docs for your provider.

Empty results despite having data in portal

Your provider may restrict FHIR scopes; try narrower queries or contact support.

Lab codes show as raw LOINC IDs

Ensure the skill's code map is current; may need to update the clone.

驗證: cd ~/.claude/skills/health-skillz && git pull

替代方案

health-skillz 對比其他方案

替代方案何時用它替代權衡
Manual portal exportOne-time export of all recordsPDF dump, not queryable
Apple Health appiOS-centric consumer aggregationClosed data; no LLM querying

更多

資源

📖 閱讀 GitHub 上的官方 README

🐙 查看未解決的 issue

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