Kick off and harvest a FHIR Bulk Data $export (system-, group-, or patient-level) and stream the resulting NDJSON into a batch OpenMed de-identification + NER pipeline at cohort scale. Covers the async kickoff (Prefer respond-async) -> poll Content-Location -> download NDJSON flow, the Bulk Data Access IG, _type/_since filters, and feeding DocumentReference/DiagnosticReport notes into openmed.deidentify in batch. Use when the user needs population-scale note extraction from an EHR or data warehouse to feed OpenMed, mentions bulk export, $export, NDJSON, Flat FHIR, or cohort de-identification. Pairs before the OpenMed de-id/NER pipeline.

Add a logging and telemetry guard that scrubs or blocks PHI from logs, traces, and error reports around an OpenMed deployment. Use when the user wants a Python logging.Filter that redacts protected health information before records are emitted, wants to keep PHI out of OpenTelemetry spans or error trackers, needs structured no-PHI log fields, or is worried that logs and stack traces are leaking patient data. Trigger on "scrub logs", "redact PHI from logs", "no-PHI logging", "logging filter", "telemetry redaction", "logs leaking patient data", or "OpenTelemetry redaction" in an OpenMed deployment.

Computes disproportionality signals — PRR, ROR, EBGM, and IC (BCPNN) — over FAERS / OpenFDA drug-event data to flag potential safety signals. Use when the user wants to mine spontaneous-report data for drug-reaction associations, build a 2x2 contingency table, compute a Proportional Reporting Ratio or Reporting Odds Ratio, run Empirical Bayes (EBGM/EB05) or Information Component shrinkage, or screen a drug for over-reported reactions. Trigger keywords: disproportionality, signal detection, PRR, ROR, EBGM, EB05, IC, BCPNN, MGPS, 2x2 table, signal of disproportionate reporting, SDR, OpenFDA, FAERS. Pairs adjacent to OpenMed: aggregate de-identified, coded cases (from reporting-adverse-events) then query the public OpenFDA /drug/event count API to build the contingency table. Reaction terms are MedDRA PTs (licensed, user-supplied).

De-identify non-English clinical text on-device with OpenMed by passing lang= and locale= to deidentify(). Use when the user has Spanish, German, French, Italian, Portuguese, Dutch, Hindi, Telugu, Arabic, Japanese, or Turkish medical notes, needs locale-aware fake surrogates, must handle language-specific national IDs (DNI, NIR, Steuer-ID, codice fiscale, BSN, CPF, TCKN, Aadhaar), or asks which languages OpenMed PII supports. Covers SUPPORTED_LANGUAGES, get_pii_models_by_language, get_patterns_for_language, LANG_TO_LOCALE, and accent normalization. Pairs with OpenMed deidentifying-clinical-text and generating-synthetic-surrogates.

Discover and pick the right OpenMed model for a clinical or biomedical task, domain, or language. Use when the user asks which OpenMed model to use, wants to list model categories, find a Disease vs Oncology vs Privacy/PII model, get a PII model for a specific language, search models by size or task, or inspect a model's labels and metadata before loading. Covers list_model_categories, get_models_by_category, get_pii_models_by_language, get_default_pii_model, search_models(ModelQuery(...)), get_model_info, and the openmed models CLI. Pairs with loading-openmed-models.

Runs a HIPAA Privacy and Security Rule checklist over a data pipeline and produces a gap report before deploying OpenMed on PHI. Use when the user is about to process protected health information, needs a pre-deployment compliance review, wants to know which administrative, physical, and technical safeguards apply, is scoping a Business Associate Agreement, or must document minimum-necessary and de-identification controls. Trigger keywords: HIPAA, Privacy Rule, Security Rule, 45 CFR 164, PHI, BAA, business associate, minimum necessary, safeguards, Safe Harbor, Expert Determination, gap analysis, compliance review. Pairs adjacent to OpenMed: the checklist shows where openmed.deidentify and signed audit reports satisfy the de-identification and audit-control requirements. The control list lives in references/hipaa-checklist.md. This is a structured self-assessment aid, not legal advice.

Audit an OpenMed NER or de-identification model for performance disparities across demographic subgroups (sex, age band, race/ethnicity when available) using openmed.eval.fairness_report. Use when the user wants per-subgroup recall and leakage, wants to check whether de-identification under-protects a group, wants to surface a documentation gap where subgroup data is missing, or needs equalized-odds-style disparity numbers for a clinical model. Trigger on "fairness", "subgroup", "bias audit", "disparity", "equalized odds", "under-protected group", "per-group recall", or "STANDING Together" for an OpenMed model.

Adversarially scan already-de-identified clinical text for residual identifiers and emit a leakage report that blocks release on any hit. Use after OpenMed de-identification when the user asks to verify a redaction, prove no PHI/PII leaked, gate a dataset before sharing, or run a second-pass detector. Covers format and checksum detectors (SSN, Luhn for card numbers, MRN/account patterns, emails, phones, dates), entropy heuristics for high-randomness tokens, severity scoring, and a hard block-on-leak rule. This is the verification half of OpenMed's leakage-first ethos. Hand-off: re-run openmed.extract_pii on the de-id output and diff against expectations. License-free, local-first. Pairs after deidentifying-clinical-text.

Guide for upgrading Stripe API versions and SDKs

Decide whether an authored piece is ready to represent its writer in public by testing recognition, legibility, integrity, and worth. Use before publishing a post, video, essay, or controversial idea; not for platform formatting or audience approval.

Identify a .NET project's test platform, framework, command mode, and SDK-style vs classic project system. Use only for "which test platform/framework?", "VSTest or MTP?", or "what runner does this project use?", including bridge settings, UseVSTest opt-outs, and incompatible or conflicting VSTest/MTP configuration. Resolves global.json, project, packages.config, Directory.Build.props, and Directory.Packages.props precedence for MSTest/xUnit/NUnit/TUnit. DO NOT USE when the user asks to run/filter tests or for commands, flags, TRX/dumps, or test-command/filter errors; use run-tests directly. Do not route hot-reload or migration requests here as the entry skill; mtp-hot-reload may use this skill internally for platform detection.

Guide for MSBuild extensibility: CustomBefore/CustomAfter hooks, wildcard imports with alphabetic ordering, import gating with control properties, NuGet package build extension layout (build/buildTransitive), and the MicrosoftCommonPropsHasBeenImported guard. USE FOR: diagnosing and fixing MSBuild import and hook patterns, reviewing and fixing extension point anti-patterns in Directory.Build files, fixing missing Exists() guards on imports that break fresh clones, fixing NuGet package hooks being silently dropped instead of appended, making build targets extensible for other projects, injecting custom logic into the build pipeline, creating NuGet packages that extend the build, conditionally disabling imports. DO NOT USE FOR: target authoring patterns (use target-authoring), props vs targets placement (use directory-build-organization), general anti-patterns (use msbuild-antipatterns), non-MSBuild build systems.

Patterns for managing MSBuild item groups: Include/Remove/Update semantics, item metadata, batching with %(Metadata), transforms, per-item filtering, and cross-product batching pitfalls. USE FOR: diagnosing and fixing item group anti-patterns in .csproj files, reviewing item management for correctness, fixing CS2002 duplicate file warnings from SDK globbing, fixing targets that run more times than expected due to cross-product batching, fixing Include vs Update misuse on SDK-globbed items, fixing FileWrites registration for generated file clean support, moving generated files to IntermediateOutputPath. DO NOT USE FOR: target chain architecture (use target-authoring), property patterns (use property-patterns), incrementality (use incremental-build), general anti-patterns (use msbuild-antipatterns), non-MSBuild build systems.

Diagnoses and fixes .NET MAUI development environment issues. Validates .NET SDK, workloads, Java JDK, Android SDK, Xcode, and Windows SDK. All version requirements discovered dynamically from NuGet WorkloadDependencies.json — never hardcoded. Use when: setting up MAUI development, build errors mentioning SDK/workload/JDK/Android, "Android SDK not found", "Java version" errors, "Xcode not found", environment verification after updates, or any MAUI toolchain issues. Do not use for: non-MAUI .NET projects, Xamarin.Forms apps, runtime app crashes unrelated to environment setup, or app store publishing issues. Works on macOS, Windows, and Linux.

Add, review, or fix JavaScript interop in Blazor components. USE FOR: calling JavaScript from Blazor, calling .NET from JavaScript, collocated .razor.js modules, IJSRuntime, IJSObjectReference lifecycle, DotNetObjectReference, ElementReference, timing rules for when JS is available, IAsyncDisposable disposal of JS references, server-side JS interop safety. DO NOT USE FOR: general Blazor component authoring without JS interop needs (use author-component), forms (use collect-user-input).

Add, configure, or review Ignite UI for Blazor Lite component support in Blazor applications. USE FOR: installing IgniteUI.Blazor.Lite or IgniteUI.Blazor.GridLite, registering AddIgniteUIBlazor() in Blazor Server, WASM, Hybrid, or split Blazor Web App projects, adding @using IgniteUI.Blazor.Controls, wiring the theme stylesheet, picking the right host page, locating the GridLite stylesheet path, explaining single-project vs split Server/Client Web App setup differences, and checking where an interactive render mode is needed for Ignite UI components to work. DO NOT USE FOR: general Blazor component authoring without Ignite UI, choosing app architecture or render mode from scratch (see create-blazor-project), JavaScript interop (see use-js-interop), authentication (see configure-auth), prerendering (see support-prerendering), or layout/component design questions that need no Ignite UI setup.

Add authentication and authorization to a Blazor Web App, accounting for the app's render mode. USE WHEN the user needs [Authorize] on pages, AuthorizeView, role or policy-based access, login/logout Identity pages, or AuthenticationStateProvider. Also USE WHEN auth state is null after WebAssembly loads, SignInManager throws in an interactive component, <NotAuthorized> content never renders in static SSR, or HttpContext.User is null in an interactive component. DO NOT USE for general component authoring (see author-component), for prerendering concerns unrelated to auth (see support-prerendering), or for managing non-auth cascading state (see coordinate-components).

Build forms, validate data, and react to user input in Blazor. USE FOR adding forms, search boxes, filter panels, inline editing, data-entry UI, file uploads, validation (annotations or custom), handling form submissions, and binding input controls. Covers EditForm, built-in input components, DataAnnotationsValidator, custom validation, SSR form patterns (SupplyParameterFromForm, FormName, AntiforgeryToken, Enhance), and @bind for simple interactive controls. DO NOT USE for project scaffolding (see create-blazor-project) or prerendering issues (see support-prerendering).

Set up NuGet trusted publishing (OIDC) on a GitHub Actions repo — replaces long-lived API keys with short-lived tokens. USE FOR: trusted publishing, NuGet OIDC, keyless NuGet publish, migrate from NuGet API key, NuGet/login, secure NuGet publishing. DO NOT USE FOR: publishing to private feeds or Azure Artifacts (OIDC is nuget.org only). INVOKES: shell (powershell or bash), edit, create, ask_user for guided repo setup.

Scattered Spider (UNC3944 / Octo Tempest) adversary-emulation playbook — help-desk vishing → MFA takeover → cloud/SaaS/identity privilege expansion → RMM persistence → data-theft extortion. Use when emulating identity-first social-engineering eCrime against a help-desk/IdP estate. Triggers on: 'emulate Scattered Spider', 'UNC3944', 'Octo Tempest', '0ktapus', 'help desk social engineering', 'MFA fatigue', 'SIM swap', 'identity attack'.