reconciling-problem-lists SKILL.md skillA
reconciling-problem-lists from maziyarpanahi/openmed is an agent skill: a SKILL.md folder an AI agent loads when a task calls for it.
mdr add maziyarpanahi/openmed/reconciling-problem-lists@v1.0Pins v1.0 in mdr.lock. Pin the fingerprint instead.
- Audit grade
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- Kind
- SKILL.md skill
- Repository
- maziyarpanahi/openmed
- Path
skills/reconciling-problem-lists/SKILL.md- Versions recorded
- 1
- Latest version
- v1.0, committed Jul 20, 2026
- Size
- 7,102 bytes
- Repository stars
- 5,784
- License
- Apache-2.0
Deduplicate and reconcile OpenMed-extracted conditions into one clean active problem list with clinical status (active / resolved / historical). Use after NER and context resolution when the user wants a problem list, condition reconciliation, dedup of synonymous diagnosis mentions, or active-vs-resolved status from a note. Covers clustering synonymous mentions into one concept, excluding negated mentions, applying clinical context (historical / hypothetical / recent) to set status, and…
Collected from public GitHub. Every version is saved exactly as it was and never changes. Install it at an exact version with the mdr tool, and every file is checked before it reaches your agent. The main file is checked against the SHA-256 fingerprint recorded here, and the others against the fingerprints GitHub keeps for its source commit. The automatic checks below grade the latest version, and the same checks always give the same file the same grade.
What the file says
# Reconciling problem lists
A single note mentions the same condition many ways — "DM2," "type 2 diabetes,"
"diabetes mellitus" — across PMH, HPI, and A&P, some negated, some historical.
A usable **problem list** collapses those mentions into one concept per problem,
drops what the patient does not have, and assigns a clinical status (active /
resolved / historical). This skill turns OpenMed's per-mention entity stream plus
ConText axes into that reconciled, de-duplicated list, shaped for USCDI "Problem"
exchange.
## When to use
- After `extracting-clinical-entities` and `resolving-clinical-context`, when the
user wants a clean problem list, condition reconciliation, or dedup of repeated
diagnosis mentions.
- You need active-vs-resolved-vs-historical status per problem, not just raw
mentions.
- You are assembling a FHIR Condition list or a USCDI Problem element and need
one entry per concept.
## Quick start
```python
import openmed
from openmed.clinical import resolve_span_context, NEGATED, HISTORICAL, HYPOTHETICAL
note = ("PMH: type 2 diabetes, prior MI 2019 (resolved). "
"A&P: poorly controlled DM2; denies chest pain.")
…Read the whole file at its exact version.
How to install
mdr add maziyarpanahi/openmed/reconciling-problem-lists@sha256:46d6a521f0d77adbThe line at the top of this page pins the label v1.0, which is what most people want. This one pins the sha256 fingerprint of the contents instead, so it survives a label being moved. Either way the exact version is written to mdr.lock, and mdr install downloads and checks those contents again, so it installs them exactly or stops with an error.
[](https://markdownregistry.com/a/art_gysnzqbf62n57z3y)
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Versions
The registry has recorded 1 version of this file, committed on Jul 20, 2026.
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Source
maziyarpanahi/openmed · 5,784 stars · license Apache-2.0 · pushed 2026-11-07 · branch master
API
GET https://markdownregistry.com/api/v1/artifacts/art_gysnzqbf62n57z3y GET https://markdownregistry.com/api/v1/resolve?ref=maziyarpanahi/openmed/reconciling-problem-lists GET https://markdownregistry.com/api/v1/blob/46d6a521f0d77adb2f5e1ba41cca9e1b90a321a9e98476effb2cbbbe66d74bc7
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