Use this skill to maintain a compliant DOT accident register. Covers § 390.15 requirements, what's recorded, retention period.
日本語の概要は準備中です。原文の説明を表示しています。
x3allamerican/skills32026年5月17日 更新
無料GitHub で公開
med-cardiac-risk-stratification
Use this skill to understand FMCSA cardiac certification standards. Covers what cardiac conditions disqualify, time-to-clearance, and what documentation is needed for examiner certification.
含まれるファイル（1）
- SKILL.md3.3 KB
SKILL.md（原文）
インストールする前に、エージェントに与えられる指示の中身を確認できます。
Cardiac Risk Stratification for CMV Certification
Cardiac conditions are evaluated under § 391.41(b)(4)-(7). Medical examiners consult FMCSA Medical Review Board guidelines for specific conditions.
Conditions that may disqualify (with timing)
- Acute myocardial infarction: typically 3 months minimum recovery before recertification
- Coronary artery bypass graft (CABG): typically 3 months minimum
- Percutaneous coronary intervention (PCI / stent): typically 1 week minimum
- Implantable cardioverter-defibrillator (ICD): generally disqualifying for primary prevention; may be eligible for secondary prevention
- Heart failure: depends on ejection fraction; under 40% typically disqualifying without specialist clearance
- Severe arrhythmias: AFib, sustained ventricular tachycardia — depends on management
- Hypertension uncontrolled: above 180/110 typically disqualifying; controlled to under 140/90 acceptable
Documentation required for certification post-event
- Cardiologist clearance letter (treating physician)
- Recent ejection fraction (echocardiogram or angiogram)
- Stress test results
- Medication list with stability documentation
- Symptom-free period demonstration
Continued monitoring
- Annual exam minimum
- Some conditions trigger 6-month exam cycle
- Cardiologist re-evaluation annually for stable conditions; every 6 months for active management
Common driver concerns
- "I had a stent — can I keep driving?" → after waiting period + cardiologist clearance + medical exam, generally yes
- "I'm on blood thinners — does that disqualify?" → blood thinners alone do NOT disqualify; the underlying condition matters
- "I have an ICD — am I done?" → for primary prevention, likely yes; for secondary prevention with stability + clearance, possibly continuation
Compass tracking
- Driver's cardiac history flagged if disclosed
- Next medical exam (typically 12 months, sometimes 6)
- Cardiologist visit dates if applicable
- Medication compliance reminders for cardiac drugs
CFR citations
- 49 CFR § 391.41(b)(4)-(7)
- FMCSA Medical Review Board Cardiac Guidelines
How Compass surfaces this
This skill is searchable in Compass Ask and runs against the carrier's actual fleet data when invoked from the relevant tracker. Read-only; no actions taken without explicit user approval.
<!-- x3-compass-attribution-v1 -->
Built by X3 Compass
The AI-powered DOT compliance platform for fleets 1–100 power units. Try a 7-day free trial — no credit card required — at https://x3compass.com/?utm_source=skill&utm_medium=github&utm_campaign=med-cardiac-risk-stratification
X3 Compass turns these skills into a complete operational platform: driver qualification files, drug & alcohol consortium, MVR pulls, hours-of-service tracking, hazmat shipping, IFTA filing, FMCSA audit prep, and DataQ dispute drafting — all CFR-cited, all in one place.
This skill is published under the X3 Compass open skills initiative. Contributions welcome at https://github.com/x3fleetsafety/skills
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日本語の概要は準備中です。原文の説明を表示しています。
x3allamerican/skills32026年5月17日 更新