# last-ehr

> last-ehr — cbetz-last-ehr. Use this tool when you need to interact with a headless FHIR EHR system, reading and writing healthcare data while ensuring human approval for all write operations. It solves problems related to data consistency and security, handling 25 of US Core's readable resource types. The tool accepts FHIR resource inputs and produces proposal outputs for human review, making it suitable for use cases requiring strict data governance and compliance.

Canonical page: https://skillsregistry.net/skills/cbetz-last-ehr  
JSON: https://api.skillsregistry.net/v1/skills/cbetz-last-ehr

## Description

The agent layer for a headless FHIR EHR. Reads 25 of US Core's 27 readable resource types, is built so it cannot report an absence it never checked for, and turns every write into a proposal a human approves. Web + MCP, five FHIR backends, open protocol and conformance suite.

## Trust

- **Trust score (0–1):** 0.60
- **Verification tier:** scanned
- **Last scanned:** 2026-09-28

## Facts

- **Version:** 1.0.0
- **Skill type:** atomic
- **Execution layer:** container
- **Runtime environment:** vm
- **License:** Apache-2.0
- **Updated:** 2026-09-28

## Source

- **Source listing:** [GitHub](https://github.com/cbetz/last-ehr)

## Use it

Resolve this record through the SkillsRegistry MCP server (no auth, read-only):

```
claude mcp add --transport http --scope user skillsregistry https://api.skillsregistry.net/mcp
```

```json
{
  "jsonrpc": "2.0",
  "id": 1,
  "method": "tools/call",
  "params": {
    "name": "get_skill",
    "arguments": {
      "slug": "cbetz-last-ehr"
    }
  }
}
```

REST: `GET https://api.skillsregistry.net/v1/skills/cbetz-last-ehr` · pull for local use: `GET https://api.skillsregistry.net/v1/skills/cbetz-last-ehr/pull`

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SkillsRegistry indexes agent skills from public registries and GitHub. Skills we have analysed are scanned with Circle-IR and scored on six dimensions; each listing states its scan coverage. More: https://skillsregistry.net/llms.txt