Agent skill

Openevidence Upgrade Migration

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

Adopt a documented OpenEvidence feature or model change through inventory, pilot, review, training, and rollback.

MITAuto-check passedDevOps & Cloud

Install Openevidence Upgrade Migration

skills CLI
$ npx skills add jeremylongshore/tons-of-skills-marketplace --skill openevidence-upgrade-migration -a claude-code

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

GitHub CLI
$ gh skill install jeremylongshore/tons-of-skills-marketplace openevidence-upgrade-migration --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/openevidence-upgrade-migration .claude/skills/openevidence-upgrade-migration && 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
openevidence-upgrade-migration
GitHub stars
2.8k
Token cost
~1.1k tokens
SKILL.md length
449 words
Files
2 (incl. references)
Skills in repo
3,342
Repo updated
First seen
Licence
MIT

At a glance

Adopt a documented OpenEvidence feature or model change through inventory, pilot, review, training, and rollback.

  • Works in 6 steps: Capture the change source, evidence… → Separate documented facts from… → Run synthetic before/after scenarios… → …
  • Working with OpenEvidence in a healthcare organization
  • SKILL.md covers Overview, Prerequisites, Tool Discipline and Current Contract, plus 7 more sections
  • Instructions only: no scripts, shell commands, URLs or credentials in SKILL.md

What it does

Openevidence Upgrade Migration is an agent skill from jeremylongshore/tons-of-skills-marketplace. Adopt a documented OpenEvidence feature or model change through inventory, pilot, review, training, and rollback. Use when working with OpenEvidence in a healthcare organization. Trigger with "openevidence upgrade migration", "OpenEvidence change-management", or a matching workflow request.

Its SKILL.md is about 1.1k 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; requires authorized OpenEvidence access and qualified clinical review for patient-care use

It sits in DevOps & Cloud. 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

  • Working with OpenEvidence in a healthcare organization
  • With openevidence upgrade migration
  • OpenEvidence change-management
  • A matching workflow request

Example prompts

  • “openevidence upgrade migration”
  • “OpenEvidence change-management”
  • “/openevidence-upgrade-migration”

Requirements

  • Compatibility (from SKILL.md): Designed for Claude Code; requires authorized OpenEvidence access and qualified clinical review for patient-care use
  • 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. Capture the change source, evidence date, affected users, workflows, data, templates, records, training, and controls.
  2. Separate documented facts from assumptions and determine whether the change is mandatory, optional, or unavailable to the account.
  3. Run synthetic before/after scenarios using a stable rubric for citations, applicability, uncertainty, format, and effort.
  4. Review privacy, consent, security, clinical, operational, and records impacts.
  5. Update procedures and training, define rollback or fallback, and obtain accountable approval.
  6. Monitor the first cohort and close only after acceptance evidence and residual risks are recorded.

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

    Links to these hosts (documentation or services it may open):

    • openevidence.com

    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; requires authorized OpenEvidence access and qualified clinical review for patient-care use

    From compatibility in the SKILL.md frontmatter.

Context cost

Openevidence Upgrade Migration loads about 1.1k tokens when it runs, and up to ~1.8k if it reads all its reference files. Until then it costs about 81 tokens; SKILL.md has 449 words of instructions outside code blocks.

Always · name and description, kept in context so the agent knows when to use it
~81
When it runs · the whole SKILL.md, loaded when a task matches
~1.1k
With references · SKILL.md plus every file in references/, read only if the agent opens them
~1.8k

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). 449 words, ~1,145 tokens.

Download SKILL.mdSave it as .claude/skills/openevidence-upgrade-migration/SKILL.md (or your agent's skills folder). This skill also uses 1 other file; get the full folder from GitHub.
name
openevidence-upgrade-migration
description
Adopt a documented OpenEvidence feature or model change through inventory, pilot, review, training, and rollback. Use when working with OpenEvidence in a healthcare organization. Trigger with "openevidence upgrade migration", "OpenEvidence change-management", or a matching workflow request.
allowed-tools
Read, Glob, Grep, WebFetch, Write, Edit
compatibility
Designed for Claude Code; requires authorized OpenEvidence access and qualified clinical review for patient-care use
argument-hint
[change-description] [affected-workflows-path]
version
1.14.0
author
Jeremy Longshore <jeremy@intentsolutions.io>
license
MIT
tags
saas, openevidence, change-management, migration
model
inherit
effort
high

OpenEvidence Feature-Change Adoption

Overview

Prevent silent workflow drift when navigation, models, outputs, or product features change. Keep inputs minimal, separate observed facts from assumptions, and leave consequential decisions with the named accountable owner.

Prerequisites

  • A clearly bounded workflow, accountable clinical owner, and organizational policy
  • Current first-party OpenEvidence documentation and applicable institution agreements
  • Synthetic or properly authorized minimum-necessary data

Tool Discipline

Use Read, Glob, and Grep to inspect supplied policies, plans, and evidence. Use WebFetch only for current first-party OpenEvidence documentation. Use Write or Edit only when the user requests a named deliverable with an approved destination. Never expose credentials, PHI, recordings, or unrestricted environment output.

Current Contract

  • OpenEvidence features and model choices can change; current first-party guidance is the baseline.
  • Deep Consult-to-Snow is one documented replacement, but other changes require their own evidence.
  • Saved prompts and procedures must be revalidated when model or output behavior changes.

Authentication

Use only the official OpenEvidence web/mobile sign-in or an institution-approved access path. Do not invent API keys, OAuth clients, SDK credentials, service accounts, or private endpoints. Never ask a user to reveal a password, session token, cookie, or recovery code.

Instructions

  1. Capture the change source, evidence date, affected users, workflows, data, templates, records, training, and controls.
  2. Separate documented facts from assumptions and determine whether the change is mandatory, optional, or unavailable to the account.
  3. Run synthetic before/after scenarios using a stable rubric for citations, applicability, uncertainty, format, and effort.
  4. Review privacy, consent, security, clinical, operational, and records impacts.
  5. Update procedures and training, define rollback or fallback, and obtain accountable approval.
  6. Monitor the first cohort and close only after acceptance evidence and residual risks are recorded.
Show full SKILL.md (171 more words)Show less

Approval Boundaries

Do not create or share accounts; change access, roles, agreements, consent, retention, or security settings; enter PHI; record a conversation; copy content into another system; contact a patient; make a diagnosis or treatment decision; submit billing; transmit a support packet; run a production pilot; or represent vendor capabilities without explicit approval from the accountable owner. A qualified professional remains responsible for clinical decisions.

Output

Return scope, current first-party evidence and date, data classification, workflow or findings, citations reviewed, assumptions rejected, clinical and governance owners, approval state, unresolved risk, and the exact next action. Redact patient and credential data.

Error Handling

ConditionResponse
No authoritative change noticeTreat the observation as unverified and seek vendor confirmation.
Rollback impossibleUse a smaller pilot and independent fallback.
Clinical behavior regressesPause adoption and escalate to the clinical owner.

Examples

This compact example shows the minimum reviewable handoff; adapt fields to the approved workflow without adding sensitive data.

Input:

text
change=model selector update; workflows=4; cohort=pilot; data=synthetic

Expected handoff:

text
affected=4; passed=3; blocked=1; training=updated; rollout=paused

Resources

© 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/openevidence-upgrade-migration of jeremylongshore/tons-of-skills-marketplace.

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

Open the folder on GitHubat commit cfae287

Compare with similar skills

Openevidence Upgrade Migration 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.

Openevidence Upgrade Migration compared with similar skills
SkillStarsUsed inTokensAuto-checkLicenceRepo updated
Openevidence Upgrade Migration this skilljeremylongshore/tons-of-skills-marketplace2.8k—~1.1kAutomated safety check: PassMIT
Monitor CInrwl/nx29k6 repos~4.7kAutomated safety check: PassMIT
Terraform and OpenTofu Guideagentscope-ai/QwenPaw36k6 repos~4.2kAutomated safety check: PassApache-2.0
Vercel Optimize Auditvercel-labs/agent-skills32k8 repos~4.3kAutomated safety check: PassNone
Analyze GitHub Action Logswithastro/astro63k1 repos~1.3kAutomated safety check: PassCustom licence
Openclaw Live Updateropenclaw/openclaw392k—~3.7kAutomated safety check: PassMIT

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Categories

Questions about Openevidence Upgrade Migration

What does Openevidence Upgrade Migration do?

Adopt a documented OpenEvidence feature or model change through inventory, pilot, review, training, and rollback. Openevidence Upgrade Migration is an agent skill from jeremylongshore/tons-of-skills-marketplace. Adopt a documented OpenEvidence feature or model change through inventory, pilot, review, training, and rollback.

When should I use Openevidence Upgrade Migration?

Openevidence Upgrade Migration fits situations like: working with OpenEvidence in a healthcare organization; with openevidence upgrade migration; openEvidence change-management; A matching workflow request.

How do I install Openevidence Upgrade Migration in Claude Code?

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

How do I install Openevidence Upgrade Migration in Codex?

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

Can I use Openevidence Upgrade Migration 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 openevidence-upgrade-migration -a cursor` (or -a gemini-cli, github-copilot or opencode for the others). To copy it by hand, put the folder in .cursor/skills/openevidence-upgrade-migration, .gemini/skills/openevidence-upgrade-migration, .github/skills/openevidence-upgrade-migration and .opencode/skills/openevidence-upgrade-migration in your project.

What does Openevidence Upgrade Migration need to run?

SKILL.md names no scripts, command-line tools or credentials: Openevidence Upgrade Migration 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; requires authorized OpenEvidence access and qualified clinical review for patient-care use.

Does Openevidence Upgrade Migration access the network?

SKILL.md names 1 domain. As links in the text: openevidence.com. This is read from the text; nothing was executed.

Is Openevidence Upgrade Migration 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 Openevidence Upgrade Migration use?

Openevidence Upgrade Migration 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 Openevidence Upgrade Migration use?

About 1.1k tokens (SKILL.md is roughly 4.6k 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 641 tokens, read only when the agent opens those files.

What are the alternatives to Openevidence Upgrade Migration?

Skills that share tags, products or a category with Openevidence Upgrade Migration: Monitor CI (nrwl/nx, 29k stars), Terraform and OpenTofu Guide (agentscope-ai/QwenPaw, 36k stars), Vercel Optimize Audit (vercel-labs/agent-skills, 32k stars) and Analyze GitHub Action Logs (withastro/astro, 63k stars). The comparison table on this page puts their stars, adoption, token cost, safety result and licence side by side.

Who maintains Openevidence Upgrade Migration?

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.