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---
name: clinical-data-patterns
description: Principal-level clinical data interoperability — FHIR R5, USCDI v4, HL7 v2 / CDA / CCDA, SMART on FHIR + SMART Health Cards / Links, ICD-10 / SNOMED-CT / LOINC / RxNorm / CPT terminologies, DICOM imaging, telehealth, mHealth (HealthKit / Health Connect). Sister to hipaa-compliance (regulation) and security (cryptography).
disable-model-invocation: true
---
# Clinical Data Patterns
> **Size budget: 8 KB** — `token-budget.mjs --check`.
Principal-level clinical data interoperability — FHIR R5, USCDI v4, HL7 v2 / CDA / CCDA, SMART on FHIR + SMART Health Cards / Links, ICD-10 / SNOMED-CT / LOINC / RxNorm / CPT terminologies, DICOM imaging, telehealth, mHealth (HealthKit / Health Connect). Sister to hipaa-compliance (regulation) and security (cryptography).
## Working procedure
1. Establish the relevant mode and existing evidence; do not repeat completed intake.
2. Determine record category, jurisdiction and authorization before handling patient data. Preserve provenance, access controls, reconciliation and terminology semantics. Validate interoperability against the actual target profile/version.
3. Read only the corresponding sections below before applying their examples.
4. Verify the result with meaningful positive, negative and failure controls. Record actual outcomes, limitations and next action.
## Selected references
- [Purpose](references/procedure.md#purpose) — read when this part of the task applies.
- [Standards Cited](references/procedure.md#standards-cited) — read when this part of the task applies.
- [When to Fire](references/procedure.md#when-to-fire) — read when this part of the task applies.
- [Core Patterns](references/procedure.md#core-patterns) — read when this part of the task applies.
- [Anti-Patterns](references/procedure.md#anti-patterns) — read when this part of the task applies.
- [Verification Checklist](references/procedure.md#verification-checklist) — read when this part of the task applies.
- [Cross-References](references/procedure.md#cross-references) — read when this part of the task applies.
- [Why This Skill Exists](references/procedure.md#why-this-skill-exists) — read when this part of the task applies.
- [Learning hooks](references/procedure.md#learning-hooks) — read when this part of the task applies.
The [full procedure](references/procedure.md) preserves detailed examples and standards.
Load relevant excerpts rather than the entire reference. Runtime capabilities and higher-priority instructions govern imported templates.
