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.
Getting it into your agent
One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.
npx skills add maziyarpanahi/openmed --skill auditing-subgroup-fairnessgit 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/skills/maziyarpanahi/openmed/auditing-subgroup-fairness)<a href="https://agentmods.dev/skills/maziyarpanahi/openmed/auditing-subgroup-fairness"><img src="https://agentmods.dev/badge/skills/maziyarpanahi/openmed/auditing-subgroup-fairness/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/skills/maziyarpanahi/openmed/auditing-subgroup-fairness"><img src="https://agentmods.dev/badge/skills/maziyarpanahi/openmed/auditing-subgroup-fairness.svg" alt="Reviewed on agentmods" width="80" height="20"></a>- NVIDIA SkillSpector pass
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 | $0.00148 | $0.01496 |
| Opus 5 | $0.00074 | $0.00748 |
| Sonnet 5 | $0.00030 | $0.00299 |
| Haiku 4.5 | $0.00015 | $0.00150 |
Grade A, and why
auditing-subgroup-fairness 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 12d 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 — 121 lines — stays where its author put it; the contents beside it link to each section on GitHub.
Auditing Subgroup Fairness
An aggregate pass can hide a group the model fails. For de-identification that
failure has a name: under-protection — PHI that leaks more often for one
demographic group than another. openmed.eval.fairness_report slices leakage and
recall by gold-span group so disparities surface before deployment, not after a
breach.
When to use this skill
- You want per-subgroup recall and leakage for a de-id or NER model.
- You suspect (or must rule out) that one group is under-protected.
- You need disparity numbers for a clinical AI governance review.
- You need to document which subgroups you couldn't evaluate (the data gap).
What it measures
For each surrogate group fairness_report returns:
- leakage_rate — fraction of that group's gold PHI characters left exposed (the de-id harm metric).
- recall — fraction of that group's gold spans detected.
- leakage_disparity —
max - minleakage across groups (the gap to close). - worst_group / worst_group_leakage — the most-failed group.
Group membership comes from a group tag in each gold span's metadata (keys
group, demographic_group, or surrogate_group); ungrouped spans fall into
unspecified.
Quick start
from openmed.eval import fairness_report
# Gold fixtures must tag spans with a surrogate group, e.g.
# {"start": 4, "end": 12, "label": "PERSON", "metadata": {"group": "female"}}
fair = fairness_report(
"OpenMed/Privacy-PII-Detection",
"golden", # named suite, or pass a list of fixtures
device="cpu",
)
print("leakage disparity:", fair.leakage_disparity)
print("worst group :", fair.worst_group, fair.worst_group_leakage)
for group, m in sorted(fair.per_group.items()):
print(f" {group:14s} recall={m.recall:.3f} leakage={m.leakage_rate:.4f}")
# Under-protection alarm: any group leaking more than the rest.
LEAKAGE_GAP_LIMIT = 0.0 # leakage-first: ideally zero leakage everywhere
assert fair.leakage_disparity <= LEAKAGE_GAP_LIMIT or fair.worst_group_leakage == 0
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.
- 12d ago First seen · 121 lines · 148 tokens per session scan A 07f38d8255bc
auditing-subgroup-fairness is a skill published in the GitHub repository maziyarpanahi/openmed (5,290 stars, last pushed yesterday), licensed Apache-2.0. It adds 148 tokens to every session and 1,496 once invoked, about $0.0007 per session on Opus 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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