# Microsoft Fhir Server Fhir Server

> Create ADR from Investigations

- Skill: `tomevault-io/microsoft-fhir-server-fhir-server` (Agent Skill, multi-file: 2 files)
- Install (CLI): `npx skillmds@latest add tomevault-io/microsoft-fhir-server-fhir-server`
- Raw SKILL.md: https://api.skillmd.com/api/skills/tomevault-io/microsoft-fhir-server-fhir-server/raw
- Safety review: pending (external: skill-scanner PASS, skillspector PASS)
- Works with: Claude Code, Claude.ai, OpenAI Codex
- Category: Coding & Dev Tools
- Author: tomevault-io (https://skillmd.com/u/tomevault-io)
- Updated: 2026-09-17
- Page: https://skillmd.com/skills/tomevault-io/microsoft-fhir-server-fhir-server

---


# Create ADR from Investigations

Synthesize viable investigations into a concise proposed ADR.

**Usage**: When user says "create ADR for {feature-name}"

## Instructions

1. **Generate ADR number**: Use format `{YYMM}` based on current date (e.g., 2512 for Dec 2025)

2. **Create ADR** at `docs/arch/adr-{YYMM}-{topic}.md`:

```markdown
# ADR-{YYMM}: {Title}

**Status**: Proposed
**Date**: {YYYY-MM-DD}
**Feature**: {feature-name}

## Context
{1-2 paragraphs: The problem from _feature.md, key constraints}

## Options Considered

1. **{Approach A}** - {one line summary} *(rejected: brief reason)*
2. **{Approach B}** - {one line summary} *(viable)*
3. **{Approach C}** - {one line summary} *(viable)*

## Decision

{1-2 paragraphs: What approach we chose and why. Reference the winning investigation(s).}

## Consequences

- {Impact on codebase}
- {What becomes easier}
- {What becomes harder or needs follow-up}
```

5. **Keep it concise**: No code snippets, no implementation checklists, no phase tracking. Just the decision and rationale.

6. **Output**: Show the ADR content and confirm next steps (implement, then accept ADR)

## ADR Principles

- **Context**: Why we needed to decide (not how we'll implement)
- **Decision**: What we chose and why (not the full investigation details)
- **Consequences**: What changes as a result (both positive and negative)

---
> Source: [microsoft/fhir-server](https://github.com/microsoft/fhir-server) — distributed by [TomeVault](https://tomevault.io).
<!-- tomevault:4.0:skill_md:2026-06-28 -->