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Agent skill

Abridge Reference Architecture

by jeremylongshore in jeremylongshore/tons-of-skills-marketplace

Define an Abridge reference architecture that separates vendor, EHR, identity, device, customer, and clinical authority boundaries.

MITAuto-check passedResearch & Science

Install Abridge Reference Architecture

skills CLI
$ npx skills add jeremylongshore/tons-of-skills-marketplace --skill abridge-reference-architecture -a claude-code

Project install by default; add -g for ~/.claude/skills/.

GitHub CLI
$ gh skill install jeremylongshore/tons-of-skills-marketplace abridge-reference-architecture --agent claude-code

Project scope by default; add --scope user for a personal install. Needs GitHub CLI 2.90.0 or later (public preview).

Manual copy
$ git clone --depth 1 https://github.com/jeremylongshore/tons-of-skills-marketplace.git skills-src && mkdir -p .claude/skills && cp -r skills-src/skills/.curated/abridge-reference-architecture .claude/skills/abridge-reference-architecture && rm -rf skills-src

Use ~/.claude/skills/ instead of .claude/skills for a personal install. The folder must contain SKILL.md.

Claude Code skills documentation · loads skills from .claude/skills/

Facts

Skill name
abridge-reference-architecture
GitHub stars
2.8k
Token cost
~1.2k tokens
SKILL.md length
507 words
Files
2 (incl. references)
Skills in repo
3,342
Repo updated
First seen
Licence
MIT

At a glance

Define an Abridge reference architecture that separates vendor, EHR, identity, device, customer, and clinical authority boundaries.

  • Works in 6 steps: Inventory actors, care settings,… → Use Read, Glob, and Grep to locate… → Draw data and control flows with… → …
  • Reviewing an enterprise Abridge design
  • SKILL.md covers Overview, Prerequisites, Tool Discipline and Current Contract, plus 8 more sections
  • Instructions only: no scripts, shell commands, URLs or credentials in SKILL.md

What it does

Abridge Reference Architecture is an agent skill from jeremylongshore/tons-of-skills-marketplace. Define an Abridge reference architecture that separates vendor, EHR, identity, device, customer, and clinical authority boundaries. Use when reviewing an enterprise Abridge design. Trigger with "design the Abridge architecture".

Its SKILL.md is about 1.2k tokens, which your agent loads only when the skill is triggered. The skill folder holds 2 other files, including reference files (for example `references/official-docs.md`). Compatibility notes: Designed for Claude Code; live work requires an authorized Abridge tenant, approved test data, and health-system change authority

It sits in Research & Science, covering Clinical and healthcare research. The repository describes itself as: Model-agnostic agent-skills platform with a harness-free canonical layer, verified adapters, and the ccpi package manager. Explore at tonsofskills.com. The licence is MIT.

When your agent uses it

  • Reviewing an enterprise Abridge design
  • With design the Abridge architecture

Example prompts

  • “design the Abridge architecture”
  • “/abridge-reference-architecture”

Requirements

  • Compatibility (from SKILL.md): Designed for Claude Code; live work requires an authorized Abridge tenant, approved test data, and health-system change authority
  • Pre-approved tools (allowed-tools): Read, Glob, Grep, WebFetch, Write, Edit

Workflow steps

6 steps, taken from the first numbered list in SKILL.md.

  1. Inventory actors, care settings, devices, Abridge tenant capabilities, EHR modules, identity systems, networks, support channels, and…
  2. Use Read, Glob, and Grep to locate interface control documents, data-flow diagrams, retention decisions, and threat models.
  3. Draw data and control flows with classification, system of record, trust boundary, authorization, retention, and failure owner on each edge.
  4. Model consent, wrong-patient prevention, clinician review, downtime, rollback, and protected support evidence as first-class paths.
  5. Use WebFetch only for current official Abridge product context and label all tenant-specific facts by source revision.
  6. Use Write or Edit to update the architecture record and unresolved evidence register.

What it can do on your machine

Read from SKILL.md and the folder at commit cfae287. It shows what the files ask for, not the result of running them.

  • Tool permissions

    Pre-approves these tools, so the agent can use them without asking each time:

    • Read
    • Glob
    • Grep
    • WebFetch
    • Write
    • Edit

    From allowed-tools in the SKILL.md frontmatter.

  • Runs code

    No scripts in the folder and no shell commands in SKILL.md.

    From the folder's file list and the shell code blocks in SKILL.md.

  • Network

    No URLs in SKILL.md.

    From URLs in SKILL.md, links to its own repository left out.

  • Credentials

    Names no API keys, tokens, secrets or passwords.

    From names ending in _API_KEY, _TOKEN, _SECRET, _KEY or _PASSWORD in SKILL.md.

  • Compatibility

    Designed for Claude Code; live work requires an authorized Abridge tenant, approved test data, and health-system change authority

    From compatibility in the SKILL.md frontmatter.

Context cost

Abridge Reference Architecture loads about 1.2k tokens when it runs, and up to ~1.7k if it reads all its reference files. Until then it costs about 65 tokens; SKILL.md has 507 words of instructions outside code blocks.

Always · name and description, kept in context so the agent knows when to use it
~65
When it runs · the whole SKILL.md, loaded when a task matches
~1.2k
With references · SKILL.md plus every file in references/, read only if the agent opens them
~1.7k

Estimates: characters ÷ 4, the usual rule of thumb; real counts depend on the model's tokenizer. Scripts and assets cost tokens only if the agent reads them.

Safety

Auto-check passed

The automated check found no risky patterns in SKILL.md.

Automated static check — not a guarantee. Review scripts before installing. It scans the text of SKILL.md for risky patterns (piping downloads into a shell, reading credential files, hidden Unicode, destructive commands); files beside SKILL.md are not scanned.

SKILL.md

The full file from jeremylongshore/tons-of-skills-marketplace at commit cfae287, republished under its MIT licence (© jeremylongshore). 507 words, ~1,209 tokens.

Download SKILL.mdSave it as .claude/skills/abridge-reference-architecture/SKILL.md (or your agent's skills folder). This skill also uses 1 other file; get the full folder from GitHub.
name
abridge-reference-architecture
description
Define an Abridge reference architecture that separates vendor, EHR, identity, device, customer, and clinical authority boundaries. Use when reviewing an enterprise Abridge design. Trigger with "design the Abridge architecture".
allowed-tools
Read, Glob, Grep, WebFetch, Write, Edit
compatibility
Designed for Claude Code; live work requires an authorized Abridge tenant, approved test data, and health-system change authority
argument-hint
[care-settings] [ehr-landscape]
version
1.5.0
author
Jeremy Longshore <jeremy@intentsolutions.io>
license
MIT
tags
saas, abridge, architecture, ehr, governance
model
inherit
effort
high

Abridge Health-System Integration Architecture

Overview

Produce a tenant-grounded component and trust-boundary model for clinician capture, Abridge processing, review, Linked Evidence, EHR handoff, identity, support, telemetry, and downtime. Show unknown private interfaces explicitly instead of filling them with generic REST or FHIR assumptions.

Prerequisites

  • The authorized Abridge environment, clinical owner, and health-system policy set
  • Current tenant-specific implementation evidence for every private interface in scope
  • Synthetic data or the organization's formally approved test-record procedure

Tool Discipline

Use Read, Glob, and Grep to inspect repository configuration, adapters, tests, policies, and existing evidence. Use WebFetch only for current official Abridge, HHS, or named EHR documentation. Use Write or Edit only after confirming scope, environment, owners, patient-data boundary, and approval state. These tools do not confer access to Abridge, an EHR, or a clinical record; return exact operator steps or an approval-gated handoff for live actions.

Current Contract

  • Abridge publicly documents application and Epic-integrated user workflows across multiple care settings.
  • Linked Evidence supports review by relating generated text to source material.
  • Exact data flows, retention, interfaces, identity protocols, and EHR mappings require tenant and vendor evidence.

Authentication

Use only the health system's provisioned Abridge application access, SSO, administrative role, or tenant-specific partner authentication documented for the approved environment. Do not infer public API credentials, reuse production secrets in tests, or expose tokens and session material. Verify identity owner, least privilege, environment binding, storage, rotation, and revocation before any authenticated action.

Instructions

  1. Inventory actors, care settings, devices, Abridge tenant capabilities, EHR modules, identity systems, networks, support channels, and owners.
  2. Use Read, Glob, and Grep to locate interface control documents, data-flow diagrams, retention decisions, and threat models.
  3. Draw data and control flows with classification, system of record, trust boundary, authorization, retention, and failure owner on each edge.
  4. Model consent, wrong-patient prevention, clinician review, downtime, rollback, and protected support evidence as first-class paths.
  5. Use WebFetch only for current official Abridge product context and label all tenant-specific facts by source revision.
  6. Use Write or Edit to update the architecture record and unresolved evidence register.
Show full SKILL.md (166 more words)Show less

Approval Boundaries

Do not label an inferred interface, FHIR resource, webhook, hosting model, or retention period as implemented without authoritative evidence.

Output

Return component map, flows, trust boundaries, data classes, systems of record, owners, failure paths, evidence revisions, and open assumptions. Separate verified facts, tenant-specific evidence, assumptions, and actions still awaiting approval.

Error Handling

ConditionResponse
Edge lacks an ownerKeep the design unapproved.
PHI crosses an undocumented boundaryStop and escalate to privacy and security review.
Diagram conflicts with tenant evidenceUpdate the diagram and record the superseded assumption.

Example

The example is a redacted operational receipt, not patient data or proof of vendor certification.

text
settings=outpatient+ed; ehr=epic; boundaries=7; undocumented-edges=2; phi-flows=owner-reviewed; status=design-review

Resources

Read the source map before changing a workflow. Recheck tenant-specific implementation evidence for every interface or capability that public documentation does not define.

Next Steps

Revalidate the evidence date and tenant-specific authority before repeating this workflow in another environment, cohort, care setting, or integration mode.

© jeremylongshore, MIT. Rendered from Markdown: HTML in the file is shown as text, images as links, and headings moved down two levels. Raw file

Files

SKILL.md and 1 other file (references) in skills/.curated/abridge-reference-architecture of jeremylongshore/tons-of-skills-marketplace.

  • SKILL.md
  • references/official-docs.md

Open the folder on GitHubat commit cfae287

Compare with similar skills

Abridge Reference Architecture next to the 5 skills that share the most tags, products or categories with it. Stars are the repository's; “used in” counts other GitHub owners with a copy.

Abridge Reference Architecture compared with similar skills
SkillStarsUsed inTokensAuto-checkLicenceRepo updated
Abridge Reference Architecture this skilljeremylongshore/tons-of-skills-marketplace2.8k—~1.2kAutomated safety check: PassMIT
Clinical Trials Databasegoogle-deepmind/science-skills3.2k2 repos~3.2kAutomated safety check: PassApache-2.0
CHARLS Paper Reproduction Guidexjtulyc/MedgeClaw6171 repos~1.8kAutomated safety check: PassNone
Biomedical Analysis Dispatchxjtulyc/MedgeClaw6171 repos~2kAutomated safety check: PassNone
Research Paperluwill/research-skills862—~1.9kAutomated safety check: PassNone
Research Proposalluwill/research-skills862—~4.5kAutomated safety check: NotesNone

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Categories

Questions about Abridge Reference Architecture

What does Abridge Reference Architecture do?

Define an Abridge reference architecture that separates vendor, EHR, identity, device, customer, and clinical authority boundaries. Abridge Reference Architecture is an agent skill from jeremylongshore/tons-of-skills-marketplace. Define an Abridge reference architecture that separates vendor, EHR, identity, device, customer, and clinical authority boundaries.

When should I use Abridge Reference Architecture?

Abridge Reference Architecture fits situations like: reviewing an enterprise Abridge design; with design the Abridge architecture.

How do I install Abridge Reference Architecture in Claude Code?

Run `npx skills add jeremylongshore/tons-of-skills-marketplace --skill abridge-reference-architecture -a claude-code`. Or copy the skill folder (skills/.curated/abridge-reference-architecture in jeremylongshore/tons-of-skills-marketplace) into .claude/skills/abridge-reference-architecture in your project. Claude Code loads it when a task matches its description.

How do I install Abridge Reference Architecture in Codex?

Run `npx skills add jeremylongshore/tons-of-skills-marketplace --skill abridge-reference-architecture -a codex`. Or copy the skill folder (skills/.curated/abridge-reference-architecture in jeremylongshore/tons-of-skills-marketplace) into .agents/skills/abridge-reference-architecture in your project. Codex loads it when a task matches its description.

Can I use Abridge Reference Architecture in Cursor, Gemini CLI or GitHub Copilot?

Cursor, Gemini CLI, GitHub Copilot and OpenCode also load SKILL.md folders. With the skills CLI, run `npx skills add jeremylongshore/tons-of-skills-marketplace --skill abridge-reference-architecture -a cursor` (or -a gemini-cli, github-copilot or opencode for the others). To copy it by hand, put the folder in .cursor/skills/abridge-reference-architecture, .gemini/skills/abridge-reference-architecture, .github/skills/abridge-reference-architecture and .opencode/skills/abridge-reference-architecture in your project.

What does Abridge Reference Architecture need to run?

SKILL.md names no scripts, command-line tools or credentials: Abridge Reference Architecture is instructions for the agent only. Its frontmatter pre-approves these tools: Read, Glob, Grep, WebFetch, Write, Edit. Compatibility (from SKILL.md): Designed for Claude Code; live work requires an authorized Abridge tenant, approved test data, and health-system change authority.

Does Abridge Reference Architecture access the network?

SKILL.md contains no URLs. Any network use would come from the scripts or tools the agent runs. This is read from the text; nothing was executed.

Is Abridge Reference Architecture safe to install?

Our automated static check of SKILL.md found no risky patterns, such as piping downloads into a shell, reading credential files or hidden Unicode. It is not a guarantee. Review the folder before installing.

What licence does Abridge Reference Architecture use?

Abridge Reference Architecture is published under the MIT licence (declared in SKILL.md). It allows redistribution, so the full SKILL.md is shown on this page.

How many tokens does Abridge Reference Architecture use?

About 1.2k tokens (SKILL.md is roughly 4.8k characters). Agents keep only the skill's name and description in context until a task matches; then they load SKILL.md in full. Its references folder adds about 482 tokens, read only when the agent opens those files.

What are the alternatives to Abridge Reference Architecture?

Skills that share tags, products or a category with Abridge Reference Architecture: Clinical Trials Database (google-deepmind/science-skills, 3.2k stars), CHARLS Paper Reproduction Guide (xjtulyc/MedgeClaw, 617 stars), Biomedical Analysis Dispatch (xjtulyc/MedgeClaw, 617 stars) and Research Paper (luwill/research-skills, 862 stars). The comparison table on this page puts their stars, adoption, token cost, safety result and licence side by side.

Who maintains Abridge Reference Architecture?

jeremylongshore (a GitHub user) maintains it in jeremylongshore/tons-of-skills-marketplace, which has 2,827 GitHub stars. The repository holds 3,342 skills in this directory. The repository was last updated on October 10, 2026.

Source: jeremylongshore/tons-of-skills-marketplace on GitHub. Facts on this page come from the repository at the commit we read; the author's words are quoted as theirs.