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Get Started Free →Medical Concept Annotation Toolkit. Trainable NLP for extracting clinical concepts from unstructured text. Supports ICD-10, SNOMED CT, RxNorm, UMLS. Active learning for custom medical ontologies.
.claude/skills/mkurman-medcat/SKILL.md| Test case | Without → With | Effect | Δ tokens | Δ turns |
|---|---|---|---|---|
| case-10 | ✗→✓ | ▲ Improved | 35% | 0% |
| case-12 | ✗→✓ | ▲ Improved | -65% | 0% |
| case-13 | ✗→✓ | ▲ Improved | -58% | 0% |
| case-20 | ✗→✓ | ▲ Improved | -43% | 0% |
| case-22 | ✗→✓ | ▲ Improved | -47% | 0% |
MedCAT trains NLP models for extracting clinical concepts from unstructured text. Supports ICD-10, SNOMED CT, RxNorm, UMLS, and custom ontologies with active learning.
bashuv pip install medcat
pythonfrom medcat.cat import CAT cat = CAT.load_model_pack("medcat_model_pack.dat") text = "Patient with type 2 diabetes and hypertension, prescribed metformin 500mg BID." doc = cat(text) for entity in doc.entities: print(f"{entity.name:<25} {entity.cui:<10} confidence={entity.confidence:.2f}") # type 2 diabetes D003920 confidence=0.97 # hypertension D006973 confidence=0.99
pythoncat.add_cui_to_category("D003920", "Diabetes Mellitus") cat.train(text="Patient has diabetes", cui="D003920", value="Diabetes Mellitus") unmatched = cat.get_unmatched_concepts() # concepts needing review
| Case | Status | Duration (ms) | Turns | Tokens | Tool calls | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Without | With | Δ | Without | With | Δ | Without | With | Δ | Without | With | Δ | ||
case-01 | pass→pass | 13,673 | 12,296 | -10% | 1 | 1 | 0% | 2,679 | 2,867 | +7% | 0 | 0 | — |
case-02 | pass→pass | 18,256 | 15,513 | -15% | 1 | 1 | 0% | 3,534 | 3,452 | -2% | 0 | 0 | — |
case-03 | pass→pass | 14,521 | 10,891 | -25% | 1 | 1 | 0% | 2,787 | 2,459 | -12% | 0 | 0 | — |
case-04 | fail→fail | 11,622 | 8,172 | -30% | 1 | 1 | 0% | 2,205 | 1,914 | -13% | 0 | 0 | — |
case-05 | fail→fail | 16,201 | 9,735 | -40% | 1 | 1 | 0% | 2,766 | 2,094 | -24% | 0 | 0 | — |
case-06 | fail→fail | 19,067 | 11,037 | -42% | 1 | 1 | 0% | 3,606 | 2,460 | -32% | 0 | 0 | — |
case-07 | pass→pass | 6,056 | 1,659 | -73% | 1 | 1 | 0% | 1,022 | 585 | -43% | 0 | 0 | — |
case-08 | pass→pass | 7,886 | 3,929 | -50% | 1 | 1 | 0% | 1,446 | 1,016 | -30% | 0 | 0 | — |
case-09 | pass→pass | 7,236 | 6,780 | -6% | 1 | 1 | 0% | 1,214 | 1,411 | +16% | 0 | 0 | — |
case-10 | fail→pass | 6,344 | 5,918 | -7% | 1 | 1 | 0% | 1,063 | 1,432 | +35% | 0 | 0 | — |
case-11 | pass→pass | 6,633 | 3,231 | -51% | 1 | 1 | 0% | 1,201 | 839 | -30% | 0 | 0 | — |
case-12 | fail→pass | 12,050 | 2,218 | -82% | 1 | 1 | 0% | 2,117 | 738 | -65% | 0 | 0 | — |
case-13 | fail→pass | 19,196 | 6,275 | -67% | 1 | 1 | 0% | 3,424 | 1,441 | -58% | 0 | 0 | — |
case-14 | fail→fail | 13,093 | 2,093 | -84% | 1 | 1 | 0% | 2,362 | 581 | -75% | 0 | 0 | — |
case-15 | pass→pass | 12,878 | 2,496 | -81% | 1 | 1 | 0% | 2,103 | 769 | -63% | 0 | 0 | — |
case-16 | pass→pass | 2,869 | 1,350 | -53% | 1 | 1 | 0% | 437 | 496 | +14% | 0 | 0 | — |
case-17 | pass→pass | 5,331 | 2,121 | -60% | 1 | 1 | 0% | 821 | 667 | -19% | 0 | 0 | — |
case-18 | pass→pass | 6,499 | 2,174 | -67% | 1 | 1 | 0% | 1,057 | 643 | -39% | 0 | 0 | — |
case-19 | pass→pass | 8,690 | 1,890 | -78% | 1 | 1 | 0% | 1,438 | 641 | -55% | 0 | 0 | — |
case-20 | fail→pass | 6,709 | 1,622 | -76% | 1 | 1 | 0% | 1,026 | 580 | -43% | 0 | 0 | — |
case-21 | pass→pass | 4,646 | 1,788 | -62% | 1 | 1 | 0% | 703 | 563 | -20% | 0 | 0 | — |
case-22 | fail→pass | 19,292 | 8,295 | -57% | 1 | 1 | 0% | 3,661 | 1,923 | -47% | 0 | 0 | — |
DecimalAI ran this skill against gemini-3.6-flash twice over the same eval suite — once with the skill loaded and once without — and compared the two runs case by case. 22 cases were attempted. The headline lift of +23 percentage points is the difference between those two pass rates over the 22 comparable cases. 1 case got worse with the skill loaded, and it is included in that figure.
Without the skill loaded, the model failed this case. With it loaded, the same prompt on the same model passed. This is one improved case from the latest verified run; every case, including any that regressed, is in the table above.
Other measured skills in the registry, with their headline benchmark lift.