Healthcare: Medical Record Summarization with Claude Code: Result JSON Schema

A production playbook for medical record summarization in healthcare operations using Claude Code: result json schema, run-scoped inputs, logs, typed results, and artifacts.

Audience: Healthcare admin teams preparing case reviews

The problem

Healthcare admin teams preparing case reviews need medical record summarization to run repeatedly against clinical notes, discharge summaries, lab reports, and referral documents. In healthcare operations, the pain is not one good answer; it is repeatability, auditability, exception handling, and evidence that survives handoff.

Implementation path

Define the outer result contract once, let the medical record summarization skill own body.data, and reject terminal output that does not match the expected schema.

Tradeoffs and failure modes

Schema enforcement adds upfront design work, but removes prompt parsing from the product surface. For medical record summarization, the practical test is whether a second run can be debugged, retried, and consumed by a product without reading the raw agent transcript.

Result shape

{
  "schema_version": "argo.result.v1",
  "summary": "medical record summarization completed",
  "body": { "type": "healthcare_medical_record_summarization", "data": {}, "exceptions": [] },
  "artifacts": []
}

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