resolving-clinical-context SKILL.md skillA
resolving-clinical-context 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/resolving-clinical-context@v1.0Pins v1.0 in mdr.lock. Pin the fingerprint instead.
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- Kind
- SKILL.md skill
- Repository
- maziyarpanahi/openmed
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skills/resolving-clinical-context/SKILL.md- Versions recorded
- 1
- Latest version
- v1.0, committed Jul 20, 2026
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- 7,079 bytes
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- 5,784
- License
- Apache-2.0
Assign negation, temporality, and uncertainty (the ConText axes) to clinical entities extracted by OpenMed, so "denies chest pain" is not counted as chest pain and "history of MI" is not counted as an active MI. Use after NER when the user needs assertion status, negation detection, family-history / hypothetical / historical flags, or ConText/NegEx-style classification before grounding entities to FHIR or a problem list. Covers openmed.clinical.resolve_negation / resolve_temporality /…
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What the file says
# Resolving clinical context
NER finds *that* a condition was mentioned; it does not tell you whether the
patient **has** it. "Patient denies chest pain," "history of MI," and "rule out
PE" all surface entities that must **not** be recorded as active, present
findings. OpenMed's `openmed.clinical` ConText layer assigns three deterministic
axes to each span — **negation**, **temporality**, **uncertainty** — turning raw
mentions into clinically faithful assertions before they reach a problem list or
FHIR Condition.
## When to use
- Immediately after `extracting-clinical-entities`, before grounding,
problem-list building, or analytics.
- The user asks for assertion status, negation handling, "is this affirmed?",
family-history vs. patient, historical vs. active, or hedged/uncertain findings.
- You are about to map entities to FHIR `verificationStatus` /`clinicalStatus`
and need the upstream signal.
## Quick start
```python
import openmed
from openmed.clinical import (
resolve_span_context, assert_context_axes,
NEGATED, HISTORICAL, HYPOTHETICAL, UNCERTAIN,
)
note = "Patient denies chest pain. History of MI. Concern for PE; rule out DVT."
…Read the whole file at its exact version.
How to install
mdr add maziyarpanahi/openmed/resolving-clinical-context@sha256:707db6219f83a597The 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_mea6bo33igp5kbep)
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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_mea6bo33igp5kbep GET https://markdownregistry.com/api/v1/resolve?ref=maziyarpanahi/openmed/resolving-clinical-context GET https://markdownregistry.com/api/v1/blob/707db6219f83a597c7aa8ac444c91029c502b8a234d4dafbe7d5f9fdfef754ad
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Guides: the SKILL.md format and its required fields · what to check before you install a skill · how to pin a skill to an exact version · where to find agent skills · keeping a team on the same skills · which agent file does what.