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experiments/claude_code_deepseek_v4_pro_max/reports/skills/task_group_015/reflect-3/reflect-3_attempt_02/SKILL.md

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# EHR Quality-Governance Skill

## Purpose
Prepare normalized JSON packets for EHR quality-governance tasks: duplicate-chart merge readiness, referral coordination, care-transition handoffs, duplicate-review with ServiceRequest validation, and referral-batch audits.

## Core Principles

### 1. API-First Data Gathering
Query the EHR environment exhaustively before constructing any answer. Every answer field must be grounded in data returned by the API. Do not guess or interpolate values.

**Standard data-gathering sequence:**
- Read the task prompt to identify the primary entities (patient IDs, referral IDs, duplicate candidate IDs, batch IDs).
- Query the primary entity endpoints first (patient detail, referral detail, duplicate candidate detail).
- Then query all related clinical endpoints (conditions, medications, allergies, encounters, immunizations, documents, service-requests, disclosures).
- Query reference directories (providers, ICD-10 codes, service codes) for every code or provider ID referenced.
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