FHIR API development guide for building healthcare endpoints.

No licenceAuto-check passedResearch & Science

Install Fhir Developer Skill

skills CLI
$ npx skills add FreedomIntelligence/OpenClaw-Medical-Skills --skill fhir-developer-skill -a claude-code

Project install by default; add -g for ~/.claude/skills/.

GitHub CLI
$ gh skill install FreedomIntelligence/OpenClaw-Medical-Skills fhir-developer-skill --agent claude-code

Project scope by default; add --scope user for a personal install. Needs GitHub CLI 2.90.0 or later (public preview).

Manual copy
$ git clone --depth 1 https://github.com/FreedomIntelligence/OpenClaw-Medical-Skills.git skills-src && mkdir -p .claude/skills && cp -r skills-src/skills/fhir-developer-skill .claude/skills/fhir-developer-skill && rm -rf skills-src

Use ~/.claude/skills/ instead of .claude/skills for a personal install. The folder must contain SKILL.md.

Claude Code skills documentation · loads skills from .claude/skills/

Facts

Skill name
fhir-developer-skill
GitHub stars
3.1k
Used in
1 other repo
Token cost
~2.5k tokens
SKILL.md length
601 words
Files
6 (incl. scripts, references)
Skills in repo
279
Repo updated
First seen
Licence
None found

At a glance

FHIR API development guide for building healthcare endpoints.

  • Works in 8 steps: Set Content-Type: application/fhir+json… → Return meta.versionId and… → Return Location header on create:… → …
  • Creating FHIR REST endpoints (Patient
  • SKILL.md covers Quick Reference, Required vs Optional Fields…, Value Sets (Enum Values) and Validation Pattern, plus 9 more sections
  • Runs Python scripts from its folder; calls python; reaches terminology.hl7.org and loinc.org

What it does

Fhir Developer Skill is an agent skill from FreedomIntelligence/OpenClaw-Medical-Skills. FHIR API development guide for building healthcare endpoints. Use when: (1) Creating FHIR REST endpoints (Patient, Observation, Encounter, Condition, MedicationRequest), (2) Validating FHIR resources and returning proper HTTP status codes and error responses, (3) Implementing SMART on FHIR authorization and OAuth scopes, (4) Working with Bundles, transactions, batch operations, or search pagination. Covers FHIR R4 resource structures, required fields, value sets (status codes, gender, intent), coding systems…

Its SKILL.md is about 2.5k tokens, which your agent loads only when the skill is triggered. The skill folder holds 7 other files, including scripts and reference files (for example `references/bundles.md`, `references/pagination.md` and `references/resource-examples.md`).

It sits in Research & Science, covering Clinical and healthcare research and REST APIs. The repository describes itself as: The largest open-source medical AI skills library for OpenClaw🦞.

When your agent uses it

  • Creating FHIR REST endpoints (Patient
  • MedicationRequest)
  • Validating FHIR resources and returning proper HTTP status codes and error responses
  • Implementing SMART on FHIR authorization and OAuth scopes

Example prompts

  • “/fhir-developer-skill”

Requirements

  • Python 3

Workflow steps

8 steps, taken from the first numbered list in SKILL.md.

  1. Set Content-Type: application/fhir+json on all responses
  2. Return meta.versionId and meta.lastUpdated on resources
  3. Return Location header on create: /Patient/{id}
  4. Return ETag header: W/"{versionId}"
  5. Use OperationOutcome for all error responses
  6. Validate required fields → 422 for missing
  7. Validate enum values → 422 for invalid
  8. Search returns Bundle with type: "searchset"

What it can do on your machine

Read from SKILL.md and the folder at commit b1f9b6e. It shows what the files ask for, not the result of running them.

  • Tool permissions

    Pre-approves nothing: there is no allowed-tools line, so your agent's usual permission prompts apply.

    From allowed-tools in the SKILL.md frontmatter.

  • Runs code

    Ships 1 file in scripts/ (Python), which the agent can run.

    Shell commands in SKILL.md call:

    • python

    From the folder's file list and the shell code blocks in SKILL.md.

  • Network

    Hosts in commands or code, which the agent is likely to contact:

    • terminology.hl7.org
    • loinc.org
    • snomed.info
    • nlm.nih.gov
    • hl7.org

    From URLs in SKILL.md, links to its own repository left out.

  • Credentials

    Names no API keys, tokens, secrets or passwords.

    From names ending in _API_KEY, _TOKEN, _SECRET, _KEY or _PASSWORD in SKILL.md.

Context cost

Fhir Developer Skill loads about 2.5k tokens when it runs, and up to ~7.2k if it reads all its reference files. Until then it costs about 151 tokens; SKILL.md has 601 words of instructions outside code blocks.

Always · name and description, kept in context so the agent knows when to use it
~151
When it runs · the whole SKILL.md, loaded when a task matches
~2.5k
With references · SKILL.md plus every file in references/, read only if the agent opens them
~7.2k

Estimates: characters ÷ 4, the usual rule of thumb; real counts depend on the model's tokenizer. Scripts and assets cost tokens only if the agent reads them.

Safety

Auto-check passed

The automated check found no risky patterns in SKILL.md.

Automated static check — not a guarantee. Review scripts before installing. It scans the text of SKILL.md for risky patterns (piping downloads into a shell, reading credential files, hidden Unicode, destructive commands); the scripts in this folder are not scanned.

SKILL.md

Without a licence we can't republish the file, so here is its outline and opening line. It has 601 words (~2,488 tokens).

“Only validate fields with cardinality starting with "1" as required.”

— opening of SKILL.md by FreedomIntelligence
name
fhir-developer-skill

Read the full SKILL.md on GitHub

Files

SKILL.md and 5 other files (scripts, references) in skills/fhir-developer-skill of FreedomIntelligence/OpenClaw-Medical-Skills.

  • SKILL.md
  • references/bundles.md
  • references/pagination.md
  • references/resource-examples.md
  • references/smart-auth.md
  • scripts/setup_fhir_project.py

Open the folder on GitHubat commit b1f9b6e

Used in 1 other repository

We found 1 copy of this SKILL.md (exact, near-identical or edited) in other folders, from 1 other GitHub owner. This page covers the copy in FreedomIntelligence/OpenClaw-Medical-Skills, which our catalogue first saw on October 9, 2026.

Compare with similar skills

Fhir Developer Skill next to the 5 skills that share the most tags, products or categories with it. Stars are the repository's; “used in” counts other GitHub owners with a copy.

Fhir Developer Skill compared with similar skills
SkillStarsUsed inTokensAuto-checkLicenceRepo updated
Fhir Developer Skill this skillFreedomIntelligence/OpenClaw-Medical-Skills3.1k1 repos~2.5kAutomated safety check: PassNone
Fhir APIaehrc/pathling137—~1.5kAutomated safety check: PassApache-2.0
Claude To MedrixflowCitrus-bit/Anaxa120—~1.7kAutomated safety check: PassMIT
Pubchem Databasedavila7/claude-code-templates32k11 repos~4.1kAutomated safety check: PassMIT
Hapi Fhir Serveraehrc/pathling137—~2.6kAutomated safety check: PassApache-2.0
Searching Clinicaltrialsmaziyarpanahi/openmed5.5k—~2kAutomated safety check: PassApache-2.0

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Questions about Fhir Developer Skill

What does Fhir Developer Skill do?

FHIR API development guide for building healthcare endpoints. Fhir Developer Skill is an agent skill from FreedomIntelligence/OpenClaw-Medical-Skills. FHIR API development guide for building healthcare endpoints.

When should I use Fhir Developer Skill?

Fhir Developer Skill fits situations like: creating FHIR REST endpoints (Patient; medicationRequest); validating FHIR resources and returning proper HTTP status codes and error responses; implementing SMART on FHIR authorization and OAuth scopes.

How do I install Fhir Developer Skill in Claude Code?

Run `npx skills add FreedomIntelligence/OpenClaw-Medical-Skills --skill fhir-developer-skill -a claude-code`. Or copy the skill folder (skills/fhir-developer-skill in FreedomIntelligence/OpenClaw-Medical-Skills) into .claude/skills/fhir-developer-skill in your project. Claude Code loads it when a task matches its description.

How do I install Fhir Developer Skill in Codex?

Run `npx skills add FreedomIntelligence/OpenClaw-Medical-Skills --skill fhir-developer-skill -a codex`. Or copy the skill folder (skills/fhir-developer-skill in FreedomIntelligence/OpenClaw-Medical-Skills) into .agents/skills/fhir-developer-skill in your project. Codex loads it when a task matches its description.

Can I use Fhir Developer Skill in Cursor, Gemini CLI or GitHub Copilot?

Cursor, Gemini CLI, GitHub Copilot and OpenCode also load SKILL.md folders. With the skills CLI, run `npx skills add FreedomIntelligence/OpenClaw-Medical-Skills --skill fhir-developer-skill -a cursor` (or -a gemini-cli, github-copilot or opencode for the others). To copy it by hand, put the folder in .cursor/skills/fhir-developer-skill, .gemini/skills/fhir-developer-skill, .github/skills/fhir-developer-skill and .opencode/skills/fhir-developer-skill in your project.

What does Fhir Developer Skill need to run?

Going by SKILL.md and its folder, Fhir Developer Skill needs Python for the scripts in its folder and the command-line tools its instructions call (python). Our summary lists: Python 3.

Does Fhir Developer Skill access the network?

SKILL.md names 5 domains. In commands or code: terminology.hl7.org, loinc.org, snomed.info, nlm.nih.gov and hl7.org; the agent is likely to contact these when it follows the instructions. This is read from the text; nothing was executed.

Is Fhir Developer Skill safe to install?

Our automated static check of SKILL.md found no risky patterns, such as piping downloads into a shell, reading credential files or hidden Unicode. It is not a guarantee. The check reads SKILL.md only: the scripts in the folder are not scanned, so read them before running anything.

What licence does Fhir Developer Skill use?

No licence was found for Fhir Developer Skill or its repository. Without one, default copyright applies: ask the author before reusing or redistributing it.

How many tokens does Fhir Developer Skill use?

About 2.5k tokens (SKILL.md is roughly 10k characters). Agents keep only the skill's name and description in context until a task matches; then they load SKILL.md in full. Its references folder adds about 4.7k tokens, read only when the agent opens those files.

What are the alternatives to Fhir Developer Skill?

Skills that share tags, products or a category with Fhir Developer Skill: Fhir API (aehrc/pathling, 137 stars), Claude To Medrixflow (Citrus-bit/Anaxa, 120 stars), Pubchem Database (davila7/claude-code-templates, 32k stars) and Hapi Fhir Server (aehrc/pathling, 137 stars). The comparison table on this page puts their stars, adoption, token cost, safety result and licence side by side.

Who maintains Fhir Developer Skill?

FreedomIntelligence (a GitHub organization) maintains it in FreedomIntelligence/OpenClaw-Medical-Skills, which has 3,052 GitHub stars. The repository holds 279 skills in this directory. The repository was last updated on July 21, 2026.

Source: FreedomIntelligence/OpenClaw-Medical-Skills on GitHub. Facts on this page come from the repository at the commit we read; the author's words are quoted as theirs.