shifting-clinical-dates SKILL.md skillA

shifting-clinical-dates from maziyarpanahi/openmed is an agent skill: a SKILL.md folder an AI agent loads when a task calls for it.

Install it, pinned
mdr add maziyarpanahi/openmed/shifting-clinical-dates@v1.0

Pins v1.0 in mdr.lock. Pin the fingerprint instead.

Audit grade
A, 17 of 17 checks passed
Kind
SKILL.md skill
Repository
maziyarpanahi/openmed
Path
skills/shifting-clinical-dates/SKILL.md
Versions recorded
1
Latest version
v1.0, committed Jul 20, 2026
Size
6,668 bytes
Repository stars
5,784
License
Apache-2.0

Apply consistent per-patient date shifting in OpenMed that preserves intervals between events while satisfying HIPAA Safe Harbor's date rule. Use when the user needs to de-identify dates but keep temporal structure for research, shift all dates by the same offset per patient, preserve days-between-events for survival or longitudinal analysis, cap ages over 89, or strip everything but the year. Covers deidentify(method="shift_dates", date_shift_days=..., keep_year=...) and per-patient…

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

# Shifting clinical dates

HIPAA Safe Harbor forbids keeping dates more specific than the year. But naively
deleting dates destroys the temporal structure research depends on — time to
event, length of stay, intervals between visits. **Date shifting** is the
compromise: move every date by a single random offset so the *absolute* dates
become meaningless while the *intervals* between them are preserved exactly.
OpenMed does this on-device with `deidentify(method="shift_dates", ...)`.

## When to use this skill

Use it when downstream analysis needs temporal relationships (survival curves,
sepsis-to-antibiotic time, readmission gaps) but the calendar dates must be
de-identified. If you can throw dates away entirely, plain `method="mask"` is
simpler — reach for shifting only when intervals matter.

## Quick start

```python
import openmed

note = (
    "Admitted 2024-03-02, started antibiotics 2024-03-04, discharged 2024-03-09. "
    "Follow-up scheduled 2024-04-02."
)

# Shift every date by the SAME offset -> intervals preserved, dates obscured.
result = openmed.deidentify(
    note,
    method="shift_dates",
    consistent=True,        # one stable offset for this run
…

Read the whole file at its exact version.

How to install

The exact contents, by fingerprint
mdr add maziyarpanahi/openmed/shifting-clinical-dates@sha256:3dcd6e733a101305

The 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.

Badge

mdr badge

[![mdr](https://markdownregistry.com/badge/art_pzdssraauzxbjoha.svg)](https://markdownregistry.com/a/art_pzdssraauzxbjoha)

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Versions

The registry has recorded 1 version of this file, committed on Jul 20, 2026.

versioncommittedcommitsizeaudit
v1.0 latest2026-07-20 74f7d6b 6,668 BA view

Audit of the latest version

A  17 of 17 checks passed. Fixed automatic checks with no AI involved, so the same checks give the same answer every run.
  • pass: Frontmatter block present
  • pass: Frontmatter declares a name
  • pass: Frontmatter declares a description
  • pass: Size between 200 bytes and 200 KB (6668 bytes)
  • pass: No zero-width or bidi control characters
  • pass: No instruction hidden inside an HTML comment
  • pass: No link to an exfiltration or paste host
  • pass: No credential-shaped string
  • pass: No instruction to send local credentials anywhere
  • pass: No text hidden with inline styles
  • pass: No prompt-injection phrasing
  • pass: No curl or wget piped into a shell
  • pass: No recursive delete of root, home or parent
  • pass: No instruction to read or print local credentials
  • pass: No base64 blob over 200 characters
  • pass: No link to a raw IP address
  • pass: No script tag

Source

GitHub

maziyarpanahi/openmed · 5,784 stars · license Apache-2.0 · pushed 2026-11-07 · branch master

API

GET https://markdownregistry.com/api/v1/artifacts/art_pzdssraauzxbjoha
GET https://markdownregistry.com/api/v1/resolve?ref=maziyarpanahi/openmed/shifting-clinical-dates
GET https://markdownregistry.com/api/v1/blob/3dcd6e733a10130547ebcd04593838eafe374a0a8c540d4d2ab9deb531a3ae6d

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