Class C (IEC 62304 / MDR) Tier 3 v2.1.0

perioperative-surgical-care

Vulnerable Populations & High-Risk Specialties

Intended Clinical Purpose

Evaluates perioperative cardiac and pulmonary risk, guides antithrombotic timing around surgery, and assesses surgical emergencies.

Prohibited Clinical Uses & Gating Boundary

Permitting elective surgery in unstratified high-risk cardiac patients

Mandatory Input Parameters

surgical_procedure patient_demographics cardiac_history

Deterministic Dependencies

core.clinical_calculators core.safety_guardrails

Clinical Review Status: REFERENCE_SEED_REQUIRES_CLINICAL_SIGN_OFF

Claude Code & MCP Configuration

Add to Claude Code via MCP stdio:

$ claude mcp add perioperative-surgical-care npx medorqis --skill=perioperative-surgical-care

Skills CLI Execution

Dispatch directly to agent workspace:

$ npx skills run seotarek/MedOrqis/perioperative-surgical-care

SKILL.md & Manifest Specification YAML Frontmatter

---
name: perioperative-surgical-care
description: >-
  Perioperative surgical care and risk assessment skill. Calculates Revised Cardiac Risk Index (RCRI), manages pre-op anticoagulation interruption/bridging, and monitors for acute surgical abdomen.
allowed-tools: bash
license: Apache-2.0
compatibility: Linux, macOS, Windows (Python 3.10+, MCP stdio, Claude Code, Gemini CLI, OpenAI)
metadata:
  ...