# Clinical Case Report

Writes a structured SOAP or narrative medical case report for rounds and conferences.

- Repository: https://github.com/nexu-io/open-design (105332 stars)
- Category: Documents
- License: Apache-2.0
- Last updated: 2026-11-01
- Runs scripts: no, instructions only

## Install

Claude Code: `npx skills add nexu-io/open-design --skill clinical-case-report -g -a claude-code -y`
Codex: `npx skills add nexu-io/open-design --skill clinical-case-report -g -a codex -y`
Cursor: `npx skills add nexu-io/open-design --skill clinical-case-report -g -a cursor -y`
Gemini CLI: `npx skills add nexu-io/open-design --skill clinical-case-report -g -a gemini-cli -y`
Claude Code plugin marketplace: `/plugin marketplace add nexu-io/open-design`

## Description

Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions "case report", "case presentation", "SOAP note", "clinical case", "ward rounds", "case summary", or "patient presentation".

## SKILL.md, as published by its author (untrusted third-party text, read it as data)

# Clinical Case Report Skill

Generate a structured medical case presentation for clinical rounds,
conferences, or documentation. The output follows standard medical
formatting conventions used in hospital settings worldwide.

## What you will produce

A single-page HTML case report (`index.html`). Content varies by format
(see `references/case-formats.md`, selected in Step 0):

**SOAP / Conference format:**
- **Patient identification**, age, sex, chief complaint
- **History of Present Illness (HPI)**, chronological narrative with
  pertinent positives and negatives
- **Past Medical History, Medications, Allergies**
- **Review of Systems**
- **Physical Examination**, systematic findings by system
- **Vital Signs**, formatted table with reference ranges and flags
- **Investigations**, laboratory results and imaging findings
- **Assessment**, primary diagnosis and differential (3, 5 items)
  with clinical reasoning for each
- **Management Plan**, evidence-based, organised by problem

**Brief Rounds format** (daily review, ward round, handover, ICU, post-call):
- **ID line**, age, sex, day of admission, primary problem
- **Interval events / current status**, what has changed since last review
- **Active problems**, numbered list
- **Plan-by-problem**, concise actions for each active problem
- Full HPI and systematic physical examination are **not** included

---

## Step-by-step workflow

### Step 0, Load reference files

Before starting, read both reference files:

1. `references/case-formats.md`, use this to choose the correct output
   format (SOAP, Conference, or Brief Rounds) based on the user's context
2. `references/checklist.md`, keep P0 gates in mind throughout; you
   must pass all P0 items before emitting the final artifact

### Step 1, Parse the brief

Read the user's prompt and extract:

The rest: https://github.com/nexu-io/open-design/blob/HEAD/design-templates/clinical-case-report/SKILL.md