Decodes pipe-delimited HL7 v2.x messages (ADT, ORU, MDM, ORM) into structured segments/fields/components and surfaces OBX-5 and NTE-3 free-text narrative for OpenMed. Use before OpenMed processing when ingesting HL7 v2 feeds from an interface engine, lab/results system, or ADT stream and you need the embedded clinical note text de-identified and analyzed. Flatten OBX/NTE text then call openmed.deidentify and openmed.analyze_text; segment-aware redaction is available via openmed.interop.hl7v2. Trigger keywords: HL7, HL7 v2, ADT, ORU, OBX, MSH, PID, pipe-delimited, interface engine, Mirth, lab results.

Searches and fetches PubMed and PMC via NCBI E-utilities (ESearch then EFetch/ESummary) to gather biomedical evidence and build text corpora. Use when the user wants citations for a condition or drug, abstracts to summarize, MeSH-based searches, or a corpus of literature to run NER over. Trigger keywords: PubMed, PMC, NCBI, E-utilities, ESearch, EFetch, ESummary, MeSH, PMID, literature search, abstracts, evidence. Pairs adjacent to OpenMed: fetched abstracts feed openmed.analyze_text for biomedical NER, and OpenMed-extracted diagnoses/drugs/genes become the search terms. E-utilities are public; an optional free API key raises rate limits from 3 to 10 requests/second.

Load OpenMed clinical/biomedical NER models from the Hugging Face Hub or a local path and reuse them efficiently across calls. Use when the user wants to load an OpenMed model, control the model cache, run fully offline after a one-time download, reuse a ModelLoader to avoid reloading, set a cache_dir or device, or pick between a registry key, a full Hugging Face id, and a local directory. Pairs with choosing-openmed-models (pick the model) and extracting-clinical-entities (run it).

Run clinical and biomedical named-entity recognition on medical text with OpenMed's analyze_text. Use when the user wants to extract diseases, drugs, anatomy, genes, or other biomedical entities from notes; needs NER output as dict/json/html/csv; wants to filter by confidence, group entities, toggle sentence detection, or save spans to JSONL; or wants the openmed analyze CLI. Pairs with loading-openmed-models and choosing-openmed-models, and runs after deidentifying-clinical-text in a privacy-first pipeline.

Run OpenMed's Model Context Protocol (MCP) server so coding agents (Claude Code, Codex) and chat clients can call clinical NER, PII extraction, and de-identification as tools, on-device. Use when the user wants to add OpenMed to an agent's MCP config, expose de-id/NER as MCP tools, run an MCP server over stdio or Streamable HTTP, give Claude/Codex access to OpenMed, or containerize the MCP server. Covers the mcp extra, create_mcp_server, the 7 tools (openmed_analyze_text, openmed_extract_pii, openmed_deidentify, openmed_list_models, openmed_list_pii_languages, openmed_loaded_models, openmed_unload_model), the resources and prompts, stdio vs streamable-http transports, ServiceRuntime env config, and MCP client config snippets.

Authors computable phenotype and cohort definitions in the OHDSI ATLAS / CIRCE style over the OMOP CDM, combining standard concept sets with NLP-derived features that OpenMed extracts. Use when the user wants to define a patient cohort, write a computable phenotype, reuse PheKB or OHDSI Phenotype Library logic, build concept sets, or augment code-based criteria with text features. Trigger keywords: phenotype, cohort definition, OHDSI, ATLAS, CIRCE, OMOP CDM, concept set, PheKB, Phenotype Library, eMERGE, computable phenotype. Pairs adjacent to OpenMed: NLP features from openmed.analyze_text augment code-based phenotypes for entities that are poorly captured by structured codes. OMOP CDM and OHDSI tools are open source; restricted vocabularies (SNOMED, CPT) are user-supplied.

Maps chronic conditions extracted by OpenMed to CMS-HCC V28 risk-adjustment categories and estimates a RAF (Risk Adjustment Factor) score as decision support. Use when the user wants to surface risk-adjustable diagnoses from notes, map ICD-10-CM codes to HCC categories, estimate or reconcile a patient/panel RAF, find suspected-but-undocumented HCCs, or check MEAT documentation support. Trigger keywords: HCC, CMS-HCC, V28, RAF score, risk adjustment, Medicare Advantage, hierarchical condition category, MEAT, recapture, suspect HCC, RADV. Pairs after OpenMed NER + ICD-10 coding: consume Disease/Pathology entities from openmed.analyze_text, code them (see coding-icd10), then roll up to HCCs. CMS-HCC mappings and weights are public from CMS. This is a coding-support aid for human review, never autonomous risk-adjustment coding.

Combine OpenMed clinical NLP with Microsoft Presidio, spaCy, or LangChain through OpenMed's built-in interop adapter registry (openmed.interop). Covers the lazy adapter registry (available_adapters, get_adapter, adapter_spec), the presidio/spacy/langchain pip extras, and the verified callables — Presidio to_canonical/from_canonical/merge_with_openmed, the spaCy openmed_deid pipeline factory, and the LangChain create_redaction_runnable. Use when the user wants to add Presidio recognizers, embed OpenMed PII detection in a spaCy pipeline, or use OpenMed de-identification as a LangChain runnable. Pairs adjacent to the OpenMed PII skills.

Package multiple FHIR R4 resources produced from OpenMed output into a single valid transaction Bundle ready to POST to an EHR, using OpenMed's verified bundle assembler openmed.clinical.exporters.fhir.to_bundle. Covers deterministic urn:uuid fullUrls, automatic in-Bundle reference rewriting, request blocks (method/url) for transaction vs batch, and conditional create. Use after exporting-to-fhir when the user has several Condition/Observation/MedicationStatement resources and wants one transaction Bundle, mentions Bundle, transaction, references, or posting to a FHIR server. Builds on exporting-to-fhir; pairs after.

Vercel Marketplace expert guidance — discovering, installing, and managing third-party integrations via the `vercel integration` CLI. Use when building any app that needs an external capability without a dedicated skill — commerce (stores, storefronts, selling products), payments (checkout, subscriptions, billing), observability/monitoring, messaging/email, search, or CMS — or when discovering, installing, or managing integrations.

Reference-only filter syntax for VSTest and MTP with MSTest, NUnit, xUnit v3, and TUnit. Load only after the platform/framework is known and a consumer needs to create or translate a filter. Do not load for unfiltered runs or platform detection. Used by run-tests and mtp-hot-reload; never invoke directly.

Compares two or more dotnet new templates side by side to help users choose between them based on parameters, feature support, frameworks, and classifications. USE FOR: deciding between similar templates (webapi vs webapp, blazor vs blazorwasm, console vs worker), producing a side-by-side comparison of parameters and feature support, understanding how templates differ before creating a project. DO NOT USE FOR: creating a project from a template (use template-instantiation), authoring or validating custom templates (use template-authoring and template-validation), general single-template discovery (use template-discovery).

Helps find, inspect, and compare (at a high level) .NET project templates. Resolves natural-language project descriptions to ranked template matches with pre-filled parameters. USE FOR: finding the right dotnet new template for a task, inspecting a template's parameters and constraints, understanding what a template produces before creating a project, resolving intent like "web API with auth" to concrete template + parameters. DO NOT USE FOR: actually creating projects (use template-instantiation), authoring custom templates (use template-authoring), producing a detailed side-by-side comparison (use template-comparison), choosing cross-parameter defaults during creation (use template-smart-defaults), MSBuild or build issues (use dotnet-msbuild plugin), NuGet package management unrelated to template packages.

Make interactive Blazor components work correctly with prerendering. USE FOR fixing duplicate data loads, UI flicker during prerender-to-interactive handoff, null references during prerender, persisting state across prerender, disabling prerendering, excluding pages from interactive routing, or detecting whether a component is currently prerendering. DO NOT USE for choosing which render mode to use (see create-blazor-project) or general component authoring (see author-component).

Share state between components that don't have a direct parent-child parameter relationship, using cascading values, scoped services with change events, or CascadingValueSource via DI. USE WHEN the user needs a CascadingParameter or CascadingValue that works across render mode boundaries, a shopping cart or notification count accessible from multiple pages, a theme or user preference cascaded app-wide, or when components in different parts of the tree must react when shared data changes. Also USE WHEN cascading values aren't reaching interactive children in per-page interactivity mode, or when the user needs to understand scoped vs singleton service lifetime for state on Blazor Server. DO NOT USE for direct parent-child parameter passing or EventCallback (see author-component), for persisting state across prerender-to-interactive transitions (see support-prerendering), or for service abstractions for data fetching in Auto/WebAssembly (see fetch-and-send-data).

Creates VS Code custom agent files (.agent.md) for specialized AI personas with tools, instructions, and handoffs. Use when scaffolding new custom agents, configuring agent workflows, or setting up agent-to-agent handoffs.

Use this skill for any Kusto query or telemetry investigation specifically related to Fluid Framework or its partners. Triggers include: writing or running a Kusto query against the Office Fluid database, investigating Fluid Framework telemetry or error rates, querying Office_Fluid_FluidRuntime_* tables, looking up a Fluid session by Session_Id or docId, investigating a Fluid-related error in Loop or Whiteboard telemetry, monitoring an FF bump or partner ring deployment, checking Fluid render reliability or Scriptor errors, or when the user mentions Fluid-specific tables (Office_Fluid_FluidRuntime_*, OwhLoads, HostTracker, Scriptor) or Fluid-specific error types (dataCorruptionError, dataProcessingError, DeltaConnectionFailureToConnect, ICE, ACE). Do NOT trigger for general Kusto questions that are not related to Fluid Framework.

Generate the OCE shift status dashboard. Triggers on: 'generate shift dashboard', 'show dashboard', 'shift status', 'status dashboard', 'what's going on', or any request for a NON-SPECIFIC overview of current OCE status (incidents, pipelines, errors).

Use when the user wants to interact with Teamshare capabilities, especially Teamshare Base multi-dimensional tables: files, directories, sheets, fields, records, views, forms, dashboards, or dashboard widgets. Load this skill first to route to the right Teamshare sub-skill. Also trigger for localized requests in the user's language that refer to Teamshare or Teamshare Base.

Run the Kiln pre-release smoke test suite plus the standard CI checks (checks.sh), diagnose every prerelease test that broke (and why), and write a clean readable report with recommended actions. Read-only — it never edits code. Use when the user wants to validate a release candidate, run prerelease tests, or asks for a "prerelease check / smoke / audit".