CtrlK
BlogDocsLog inGet started
Tessl Logo

hipaa-compliance-auditor

A clinical-grade PII/PHI detection and de-identification tool for healthcare text data.

32

Quality

27%

Does it follow best practices?

Impact

No eval scenarios have been run

SecuritybySnyk

Passed

No known issues

Optimize this skill with Tessl

npx tessl skill review --optimize ./scientific-skills/Academic Writing/hipaa-compliance-auditor/SKILL.md
SKILL.md
Quality
Evals
Security

Quality

Content

22%

Reviews the quality of instructions and guidance provided to agents. Good implementation is clear, handles edge cases, and produces reliable results.

This skill suffers from severe verbosity and repetition, with multiple generic boilerplate sections (Risk Assessment, Security Checklist, Lifecycle Status, Evaluation Criteria, Response Template) that are not specific to HIPAA de-identification and waste token budget. The actual domain-specific content (HIPAA categories, output format, Python API) is reasonable but buried among generic scaffolding. The circular cross-references between sections and competing workflow descriptions create confusion rather than clarity.

Suggestions

Remove all generic boilerplate sections (Risk Assessment, Security Checklist, Lifecycle Status, Evaluation Criteria, Response Template, Output Requirements, Input Validation) that don't contain HIPAA-specific guidance — these waste tokens on things Claude already knows how to do.

Consolidate the multiple workflow/usage sections into a single clear workflow with explicit validation steps, especially a 'verify no PII remains in output' checkpoint before any HIPAA-compliant release.

Remove circular self-references ('See ## Features above', 'See ## Usage above') and reorganize so the document flows logically from quick start → usage → parameters → output format → limitations.

Move the critical HIPAA warning about manual review to the top of the document, not buried near the bottom, given the regulatory compliance implications.

DimensionReasoningScore

Conciseness

Extremely verbose and repetitive. Multiple sections reference each other circularly ('See ## Features above', 'See ## Usage above', 'See ## Workflow above'). Contains extensive boilerplate sections (Risk Assessment, Security Checklist, Lifecycle Status, Evaluation Criteria) that add no actionable value for Claude. The 'When to Use' section repeats the description verbatim. Generic output requirements, error handling, and response templates pad the content significantly without being specific to HIPAA de-identification.

1 / 3

Actionability

The Python API example and CLI commands are concrete and mostly executable. However, much of the content is generic boilerplate rather than specific guidance. The actual implementation details of how to detect and redact PII are described architecturally rather than with executable code. The workflow steps are generic ('confirm the user objective') rather than specific to HIPAA de-identification.

2 / 3

Workflow Clarity

There are multiple competing workflow sections with different levels of specificity, creating confusion about the actual process. The main 'Workflow' section is entirely generic and not specific to PII detection. The 'Technical Architecture' section describes a pipeline but without validation checkpoints or error recovery. For a tool handling HIPAA-sensitive data, there are no explicit validation feedback loops (e.g., verify no PII remains, re-run detection). The critical warning about manual review is buried near the bottom.

1 / 3

Progressive Disclosure

References to external files (references/hipaa_safe_harbor_guide.pdf, references/pii_patterns.json, references/test_cases/) are present and one-level deep, which is good. However, the SKILL.md itself is monolithic with extensive inline content that could be split out. The circular 'See ## X above' references are confusing and suggest poor organization. No bundle files were provided to verify referenced paths exist.

2 / 3

Total

6

/

12

Passed

Description

32%

Based on the skill's description, can an agent find and select it at the right time? Clear, specific descriptions lead to better discovery.

The description identifies a clear domain (healthcare PII/PHI de-identification) but is too terse to be effective for skill selection. It lacks explicit trigger guidance ('Use when...'), specific concrete actions beyond the high-level 'detection and de-identification', and natural keyword variations that users would employ when requesting this capability.

Suggestions

Add an explicit 'Use when...' clause, e.g., 'Use when the user needs to anonymize, redact, or de-identify patient data, medical records, or any text containing protected health information (PHI).'

List specific concrete actions such as 'Detects and redacts patient names, dates of birth, medical record numbers (MRNs), Social Security numbers, addresses, and other HIPAA-covered identifiers from clinical notes and healthcare documents.'

Include natural trigger terms users would say: 'HIPAA compliance', 'anonymize patient data', 'redact medical records', 'remove sensitive health information', 'de-identify clinical notes'.

DimensionReasoningScore

Specificity

Names the domain (healthcare text data) and core actions (PII/PHI detection and de-identification), but does not list multiple specific concrete actions like redacting names, masking dates, replacing MRNs, etc.

2 / 3

Completeness

Describes what the skill does (PII/PHI detection and de-identification) but completely lacks a 'Use when...' clause or any explicit trigger guidance for when Claude should select this skill. Per rubric guidelines, a missing 'Use when...' clause caps completeness at 2, and since the 'when' is entirely absent, this scores a 1.

1 / 3

Trigger Term Quality

Includes relevant terms like 'PII', 'PHI', 'de-identification', and 'healthcare', but misses common user variations such as 'HIPAA', 'anonymize', 'redact', 'patient data', 'medical records', 'sensitive information', or 'protected health information'.

2 / 3

Distinctiveness Conflict Risk

The healthcare/PHI focus provides some distinctiveness, but 'PII detection' is broad enough to overlap with general data privacy or security-focused skills. The lack of specific file types or workflow triggers reduces clarity of its niche.

2 / 3

Total

7

/

12

Passed

Validation

90%

Checks the skill against the spec for correct structure and formatting. All validation checks must pass before discovery and implementation can be scored.

Validation10 / 11 Passed

Validation for skill structure

CriteriaDescriptionResult

frontmatter_unknown_keys

Unknown frontmatter key(s) found; consider removing or moving to metadata

Warning

Total

10

/

11

Passed

Repository
aipoch/medical-research-skills
Reviewed

Table of Contents

Is this your skill?

If you maintain this skill, you can claim it as your own. Once claimed, you can manage eval scenarios, bundle related skills, attach documentation or rules, and ensure cross-agent compatibility.