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summarizing-clinical-notes

Produces structured, citation-anchored summaries of clinical notes — one-liner, hospital course, and problem-oriented views — where every claim cites a source span so nothing is hallucinated. Use after de-identifying notes when the user wants a discharge summary draft, handoff/SBAR, problem list, or chart-abstraction summary. De-identify FIRST with openmed.deidentify, then anchor summary claims to entity spans from openmed.analyze_text. Trigger keywords: summarize note, discharge summary, hospital course, problem-oriented, one-liner, SOAP, SBAR, handoff, chart abstraction.

Quality

90%

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SecuritybySnyk

Passed

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SKILL.md
Quality
Evals
Security

Quality

Content

75%Weight 40%Scale 1-5

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

A strong, well-structured skill body: executable setup code, a sequenced workflow with genuine validation gates, and high-signal domain guidance (negation/family-history handling, copy-forward bloat, PHI re-leakage) that Claude would not know on its own. The main improvement space is showing one fully composed, cited summary output and tightening the motivational intro.

Suggestions

Replace the comment-only composition step in Quick start with a small, fully composed example — e.g. two rendered problem-oriented lines each carrying cite(start, end) anchors — so the core deliverable is concrete rather than described.

Add a short recovery loop to the citation-coverage gate (e.g. 'If a sentence has no span, drop or rewrite it against the span set, then re-check before presenting') to complete the validate → fix → retry cycle.

Clarify the "resolving-clinical-context" pointer — state whether it is a sibling skill or a file and give its trigger/invocation — and trim the 8-line motivational intro to 2–3 lines since the citation-gate framing already conveys the failure mode.

DimensionReasoningScore

Conciseness

The body is dense, domain-specific, and free of explanations of concepts Claude already knows; e.g., "Keep the mapping (keep_mapping=True) only if a downstream clinician must re-identify in a controlled context — never persist the mapping with the summary." Minor trimmable prose remains — the 8-line motivational intro ("A clinical summary is only useful if it is *faithful*...") and the blockquote disclaimer — so it fits 'efficient; minor instances of over-explanation' rather than 'every token earns its place.'

4 / 5

Actionability

The Quick start provides runnable code for de-identification, entity extraction, and a cite() helper, and the workflow names the exact functions per step. However, the core deliverable — composing the summary — appears only as a comment ("Example problem-oriented line, grounded in detected spans: ... with cite(...) anchors"), i.e. partially pseudocode with no concrete composed output shown. This lands between 'mostly executable with minor gaps' and the pseudocode anchor, so 4.

4 / 5

Workflow Clarity

The six-step workflow is clearly sequenced and includes explicit validation checkpoints: step 5's anti-hallucination gate ("Reject or flag any output sentence with zero span citations") and output-side PHI leakage gates. It falls short of the top anchor only because there is no explicit fix-and-retry loop when the citation gate fails — 'reject or flag' states the check but not the recovery.

4 / 5

Progressive Disclosure

No bundle files exist, and the single SKILL.md is organized into clear, well-scoped sections (When to use, Quick start, Workflow, Hand-off, Edge cases, Standards) that are easy to navigate. Minor gaps keep it below the top anchor: the mention of "resolving-clinical-context" carries no path or link signaling what it is, and edge cases/standards sections are fully inline with no one-level-deep reference structure despite the body exceeding 50 lines.

4 / 5

Total

16

/

20

Passed

Description

100%Weight 40%Scale 1-5

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 is exemplary: third-person, concrete about capabilities, explicit about when to use it, and equipped with a comprehensive natural-language trigger list. It clearly distinguishes itself from adjacent skills and even encodes the ordering constraint (de-identify first).

DimensionReasoningScore

Specificity

Names multiple concrete actions — producing citation-anchored one-liner, hospital course, and problem-oriented summaries — plus the exact tool calls ("De-identify FIRST with openmed.deidentify, then anchor summary claims to entity spans from openmed.analyze_text"). Coverage is comprehensive with no gaps, matching the top anchor.

5 / 5

Completeness

The 'what' is explicit ("Produces structured, citation-anchored summaries of clinical notes") and the 'when' is explicit with concrete triggers ("Use after de-identifying notes when the user wants a discharge summary draft, handoff/SBAR, problem list, or chart-abstraction summary"). Both anchors are fully satisfied.

5 / 5

Trigger Term Quality

The explicit trigger list ("summarize note, discharge summary, hospital course, problem-oriented, one-liner, SOAP, SBAR, handoff, chart abstraction") covers the natural terms a clinician would say, including synonyms like SBAR/handoff and problem-oriented/problem list. No file extensions exist for this domain, so nothing relevant is missing.

5 / 5

Distinctiveness Conflict Risk

The clinical-notes-with-span-citations niche is distinct and the triggers (discharge summary, SBAR, chart abstraction) are domain-specific, so overlap with generic summarization skills is minimal.

5 / 5

Total

20

/

20

Passed

Validation

100%

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

Validation — 16 / 16 Passed

Validation for skill structure

No warnings or errors.

Repository

maziyarpanahi/openmed

Path

skills/summarizing-clinical-notes/SKILL.md

Reviewed

Table of Contents

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