extracting-sdoh SKILL.md skillA
extracting-sdoh 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/extracting-sdoh@v1.0Pins 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/extracting-sdoh/SKILL.md- Versions recorded
- 1
- Latest version
- v1.0, committed Jul 20, 2026
- Size
- 7,474 bytes
- Repository stars
- 5,784
- License
- Apache-2.0
Extracts social determinants of health (SDOH) — housing instability, food insecurity, unemployment, transportation barriers, social isolation, financial strain — from clinical narrative and maps the spans to ICD-10-CM Z-codes (Z55–Z65). Use after running OpenMed NER when the user wants SDOH surfacing, Z-code suggestion, health-equity analytics, or to recover SDOH that is documented in free text but not coded. Pairs with OpenMed analyze_text output. Standards: ICD-10-CM Z55–Z65, Gravity Project…
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
# Extracting SDOH and Mapping to ICD-10-CM Z-Codes
Social determinants of health (SDOH) — the conditions in which people live,
work, and age — drive an estimated 80% of health outcomes, yet they live almost
entirely in free-text narrative. Multiple chart-review studies find SDOH
**documented in notes but coded with a Z-code under ~2% of the time**. The
information is there; the structured signal is not. This skill recovers it: run
OpenMed NER over de-identified notes, then map the resulting spans to the
ICD-10-CM **Z55–Z65** family.
## When to use
- A note clearly describes a social risk ("lives in her car", "skips meals to
afford insulin", "no ride to dialysis") and you want a coded, queryable signal.
- You are building health-equity dashboards, risk stratification, or
closed-loop referral feeds and need SDOH as discrete data.
- You want to reconcile what the chart *says* against what was *coded*, and flag
Z-code gaps for a coder or care team to confirm.
This is a **decision-support** step. It proposes Z-codes; a human assigns them.
SDOH coding is sensitive — never expose individual SDOH inferences outside the
…Read the whole file at its exact version.
How to install
mdr add maziyarpanahi/openmed/extracting-sdoh@sha256:b081dd4ac82e4852The 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_ynbo2mhsek66kkwe)
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Versions
The registry has recorded 1 version of this file, committed on Jul 20, 2026.
Audit of the latest version
- pass: Frontmatter block present
- pass: Frontmatter declares a name
- pass: Frontmatter declares a description
- pass: Size between 200 bytes and 200 KB (7474 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
maziyarpanahi/openmed · 5,784 stars · license Apache-2.0 · pushed 2026-11-07 · branch master
API
GET https://markdownregistry.com/api/v1/artifacts/art_ynbo2mhsek66kkwe GET https://markdownregistry.com/api/v1/resolve?ref=maziyarpanahi/openmed/extracting-sdoh GET https://markdownregistry.com/api/v1/blob/b081dd4ac82e48520d356480eb796e0e036391608f9d541547c3060c16ecc1d9
Your AI assistant does the legwork. You hear about the deals worth your word. Hand yours the standing instructions at modelranch.com and it joins the network that reads files like this one.
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.