OpenMed is local-first healthcare AI software that extracts clinical information and removes personally identifying details from clinical text on hardware controlled by the user. Healthcare developers use its Python runtime, Apple Silicon and mobile SDKs, and browser support for on-device clinical NER and PII de-identification.
Borrowing it
Nothing to install: this file belongs to maziyarpanahi/openmed. Take a copy, put it at the same path in your own repository, and replace the rules that are about this project with yours.
curl -O https://raw.githubusercontent.com/maziyarpanahi/openmed/master/AGENTS.mdgit clone --depth 1 https://github.com/maziyarpanahi/openmedWrote this? Show the measurements
A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.
[](https://agentmods.dev/instructions/maziyarpanahi/openmed/agents-md)<a href="https://agentmods.dev/instructions/maziyarpanahi/openmed/agents-md"><img src="https://agentmods.dev/badge/instructions/maziyarpanahi/openmed/agents-md/github.svg" alt="Measured on agentmods" height="20"></a>Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.
<a href="https://agentmods.dev/instructions/maziyarpanahi/openmed/agents-md"><img src="https://agentmods.dev/badge/instructions/maziyarpanahi/openmed/agents-md.svg" alt="Reviewed on agentmods" width="80" height="20"></a>What it costs to keep this loaded
Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.
| Model | Per session | Once invoked |
|---|---|---|
| Fable 5.1 | $0.01743 | $0.01743 |
| Opus 5.5 | $0.00697 | $0.00697 |
| Sonnet 5.5 | $0.00349 | $0.00349 |
| Haiku 4.5 | $0.00174 | $0.00174 |
Grade A, and why
openmed AGENTS.md scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 1mo ago.
A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.
Nothing flagged
None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.
How it starts
The opening of the file, as written. The whole thing — 86 lines — stays where its author put it; the contents beside it link to each section on GitHub.
Repository Guidelines
Project Structure & Module Organization
Core Python package code lives in openmed/. Keep existing privacy and registry code in openmed/core/; add genuinely new capability in top-level packages already present or planned: clinical/, eval/, multimodal/, structured/, risk/, and interop/. Backend adapters live in mlx/, coreml/, and torch/; the REST surface is in service/; Swift code and demos are in swift/. Tests are under tests/unit, tests/integration, and tests/fixtures; docs are in docs/; examples are in examples/; release and maintenance scripts are in scripts/.
Build, Test, and Development Commands
uv pip install -e ".[dev]": install editable package with test and lint dependencies.uv pip install -e ".[dev,hf]": add Hugging Face dependencies for model-related work..venv/bin/python -m pytest tests/ -q: run the full test suite before preparing a PR.pytest --cov=openmed --cov-report=term-missing: run local coverage.make build: build wheel and sdist viapython3 -m build.make docs-serve/make docs-build: preview or strictly build MkDocs.cd swift/OpenMedKit && swift test: run Swift package tests.
Linting and Formatting
Use the checked-in tooling as the single source of truth. Do not apply ad hoc editor formatting or alternate lint configurations.
Python linting and formatting are owned by Ruff through pyproject.toml, .pre-commit-config.yaml, and the CI lint job. Before opening a Python-touching PR, run make format, make lint, and make format-check. Use pre-commit run --all-files for broad validation, or pre-commit run --files <paths> when validating a tightly scoped change.
Swift package formatting is separate from Python. OpenMedKit Swift code uses Apple swift-format through .swift-format, scripts/format_swift.sh, scripts/lint_swift.sh, and the Swift package CI workflow. Before opening a PR that touches Package.swift or swift/OpenMedKit, run make format-swift and make lint-swift.
What this file has done since we first saw it
Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.
- 1mo ago First seen · 86 lines · 1,743 tokens per session scan A a682e6c46e6c
openmed AGENTS.md is an instructions file published in the GitHub repository maziyarpanahi/openmed (5,700 stars, last pushed today), licensed Apache-2.0. It adds 1,743 tokens to every session, about $0.0070 per session on Opus 5.5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-08-30.
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