Terms of Use

Welcome to OpenMedica, a project of IntelMedica.ai. OpenMedica encompasses the Open Medical Skills catalog, the OpenMedica CLI, the OpenMedica API, and related services hosted at openmedica.us. By accessing or using any of these services, you agree to be bound by these Terms of Use. If you do not agree with any part of these terms, please do not use the platform.

1. Acceptance of Terms

By accessing, browsing, or using the OpenMedica platform — including the Open Medical Skills catalog website, the OpenMedica CLI, the OpenMedica API, and any associated services — you acknowledge that you have read, understood, and agree to be bound by these Terms of Use, as well as our Privacy Policy. These terms apply to all visitors, users, contributors, API consumers, CLI users, and anyone who accesses the platform or its services.

2. Description of Service

OpenMedica is a platform operated by IntelMedica.ai that provides a suite of medical AI research tools and services. The platform includes:

• Open Medical Skills — a curated directory and catalog of medical AI agent skills and plugins, with physician review, classification, searchable listings, and installation instructions
• OpenMedica CLI — a command-line interface tool for discovering, searching, and installing medical AI skills from the catalog
• OpenMedica API — a programmatic interface for searching, validating, and retrieving skill and plugin metadata from the catalog
• PA Doc Generator — a prior authorization document generation tool for clinical documentation workflows (research tool, not a clinical decision support system)
• A submission pipeline for contributors to add new skills and plugins via web form or GitHub

We are a directory and research tools platform. We do not develop, host, maintain, or operate the third-party skills and plugins listed in the catalog. Each listed tool is created and maintained by independent third-party developers, researchers, or organizations. We do not control their code, behavior, accuracy, or availability.

All tools on this platform are research tools. No tool on OpenMedica is classified as a medical device, clinical decision support system (CDS), or Software as a Medical Device (SaMD) under FDA regulations unless explicitly stated otherwise by the tool's author. This is a deliberate regulatory boundary.

3. Medical Disclaimer (Critical — Read Carefully)

4. No Responsibility for Skill Usage or Deployment

5. Responsible and Ethical AI Use

We strongly recommend that all users of skills listed in this directory adhere to the principles of responsible AI use. Specifically, we recommend that you:

• Follow ethical guidelines for responsible AI use as published by professional organizations (AMA, WHO, IEEE, NIST AI RMF, EU AI Act, etc.)
• Protect Protected Health Information (PHI) — ensure any tool that handles patient data complies with HIPAA, HITECH, and your organization's information security policies
• Comply with all applicable laws and regulations at the federal, state, local, and institutional level — including but not limited to HIPAA, FDA regulations, state medical practice acts, data protection laws (GDPR, CCPA/CPRA), and professional licensing requirements
• Follow your organization's policies — workplace policies, clinical governance frameworks, institutional review board (IRB) requirements, credentialing committee guidelines, and IT security policies
• Maintain human oversight — AI tools should augment, not replace, clinical decision-making. A qualified healthcare professional should always review and validate AI-generated outputs before acting on them
• Document AI use — maintain appropriate records of AI tool usage in clinical and research contexts as required by your institution and applicable regulations
• Report issues — if you discover a safety concern, inaccuracy, or vulnerability in any listed skill, report it to the skill author and to us via GitHub

6. No Warranty

Open Medical Skills is provided "AS IS" and "AS AVAILABLE" without warranties of any kind, either express or implied, including but not limited to:

• Warranties of merchantability or fitness for a particular purpose
• Warranties that the information is accurate, complete, current, or reliable
• Warranties that the site will be uninterrupted, error-free, or secure
• Warranties regarding the safety, efficacy, accuracy, or appropriateness of listed skills
• Warranties that listed skills will function as described, produce correct results, or be free of bugs, vulnerabilities, or malicious code
• Warranties that physician review is comprehensive, infallible, or applicable to your specific use case

Third-party skills: Each skill or plugin is developed and maintained by independent third parties. IntelMedica.ai does not control, endorse, guarantee, or certify the quality, safety, accuracy, or functionality of any listed tool. Listing on this directory does not constitute an endorsement, recommendation, or certification.

7. Limitation of Liability

To the fullest extent permitted by applicable law, IntelMedica.ai, its founders, officers, directors, employees, contractors, agents, physician reviewers, contributors, and affiliates SHALL NOT BE LIABLE for any:

• Direct, indirect, incidental, special, consequential, exemplary, or punitive damages
• Loss of profits, revenue, data, goodwill, or business opportunities
• Patient harm, medical errors, misdiagnosis, treatment complications, or adverse clinical outcomes
• Damages arising from the use, misuse, inability to use, or reliance on any skill or plugin listed on this site
• Damages arising from the installation, deployment, or integration of any listed tool into any system, application, or workflow
• Damages arising from inaccurate, incomplete, outdated, or misleading information in any listing
• Damages arising from security vulnerabilities, data breaches, or privacy violations in any listed tool
• Damages arising from regulatory non-compliance, legal actions, or professional sanctions related to skill usage
• Personal injury, wrongful death, or property damage

This limitation applies whether or not we have been advised of the possibility of such damages, and regardless of the legal theory (contract, tort, negligence, strict liability, product liability, or otherwise).

In no event shall IntelMedica.ai's total aggregate liability exceed the amount you paid to use this service, which is zero dollars ($0.00) as this is a free service.

Some jurisdictions do not allow the exclusion or limitation of certain warranties or liabilities. In such jurisdictions, our liability will be limited to the maximum extent permitted by law.

8. Indemnification

You agree to indemnify, defend, and hold harmless IntelMedica.ai, its founders, officers, employees, contractors, physician reviewers, and affiliates from and against any and all claims, damages, losses, liabilities, costs, and expenses (including reasonable attorneys' fees) arising from or related to:

• Your use of any skill or plugin listed on this directory
• Your deployment of any listed tool in any environment (clinical, production, research, or otherwise)
• Your violation of these Terms of Use
• Your violation of any applicable law, regulation, or professional standard
• Any claim by a third party arising from your use of a listed skill

9. User Responsibilities

By using the OpenMedica platform, you agree to:

• Independently verify all tools before deploying them in clinical, research, or production environments. Do not rely solely on our physician review or any information on this site.
• Conduct your own due diligence — review source code, check for known vulnerabilities, validate outputs, and assess fitness for your specific use case.
• Comply with all applicable laws — including but not limited to HIPAA, GDPR, CCPA/CPRA, FDA regulations, state medical practice acts, and local healthcare regulations.
• Follow workplace and institutional policies — including IT security policies, clinical governance frameworks, credentialing requirements, and institutional review board (IRB) protocols.
• Review each skill's license, privacy policy, and documentation before installation.
• Use skills only within your scope of training and licensure. Do not use tools for purposes beyond your clinical expertise or professional competency.
• Use the CLI and API responsibly — do not abuse rate limits, attempt to circumvent access controls, or use automated tools to overload our services.
• Not misuse the platform — e.g., no spamming, scraping, malicious submissions, reverse engineering of APIs, or attempts to compromise security.
• Accept full responsibility for any consequences arising from your use of listed tools, the CLI, or the API.

10. Submission and Contribution Terms

If you submit a skill, plugin, or other contribution to Open Medical Skills (via GitHub pull request, the web submission form, the OpenMedica API, or otherwise), you agree that:

• Your submission becomes part of the open-source project. Submissions are publicly visible and will be licensed under the project's open-source license.
• You have the right to submit the content. You represent that you own or have permission to share the content you submit.
• Submissions are processed through our infrastructure. Web form submissions are processed by our Cloudflare Workers-based submission API, which validates your submission, sanitizes input, generates properly formatted content files, and creates a GitHub pull request on your behalf. By submitting, you consent to this automated processing.
• Physician review is discretionary. We reserve the right to accept, reject, or remove any submission at our sole discretion, without explanation.
• You retain ownership of your work. Submitting a skill to the directory does not transfer ownership of the underlying code or intellectual property to IntelMedica.ai.
• You are responsible for your submission's accuracy. IntelMedica.ai is not liable for inaccurate, misleading, or harmful content in user submissions.
• Rate limits apply. Submission endpoints are rate-limited to prevent abuse. Attempting to circumvent rate limits may result in temporary or permanent restriction of your access.

11. Intellectual Property

The OpenMedica platform — including the Open Medical Skills directory, website design, layout, documentation, OpenMedica CLI, OpenMedica API, and review process — is owned by IntelMedica.ai. Portions of the platform are open source and governed by their respective licenses.

Each listed skill or plugin is owned by its respective author and is subject to its own license. We do not claim ownership of third-party skills.

The IntelMedica.ai name, OpenMedica name, Open Medical Skills name, and associated branding are proprietary to IntelMedica.ai and may not be used without express written permission.

12. Physician Review Is Best-Effort

Skills listed on Open Medical Skills may be reviewed by physician maintainers to assess clinical appropriateness, safety classification, and evidence level. However:

• Physician review is not a guarantee. It does not certify safety, efficacy, or regulatory compliance.
• Review is subjective. Different physicians may have different clinical opinions.
• Skills change over time. A tool may be updated by its author after review. We do not guarantee ongoing monitoring of all listed tools.
• No liability for review errors. Physician reviewers are not liable for errors, omissions, or changes to skills post-review.
• Review scope is limited. Physician review covers general clinical appropriateness — it does not include code audit, security review, penetration testing, or regulatory assessment.

13. Assumption of Risk

By using this directory and any tools discovered through it, you expressly acknowledge and agree that:

• You assume all risk associated with the use, deployment, and integration of any listed skill or plugin
• AI tools are inherently probabilistic and may produce incorrect, incomplete, biased, or harmful outputs
• Medical AI tools carry additional risk due to the life-and-safety implications of healthcare
• You are solely responsible for validating that any tool meets your requirements for accuracy, safety, security, regulatory compliance, and fitness for purpose
• IntelMedica.ai has no control over third-party skills and cannot guarantee their continued availability, accuracy, security, or compliance

14. Analytics and Tracking

OpenMedica uses the following analytics and tracking services to understand how the platform is used, improve our services, and maintain site performance. We are committed to privacy-respecting analytics.

14.1. Cloudflare Web Analytics

We use Cloudflare Web Analytics, a privacy-focused analytics service provided by Cloudflare, Inc. Cloudflare Web Analytics does not use cookies, does not collect personally identifiable information (PII), and does not track individual users across sites. It collects aggregate metrics such as page views, visits, referrers, and browser/device types. Data is processed by Cloudflare as part of their edge network infrastructure.

14.2. Umami Analytics

We use Umami, an open-source, self-hosted web analytics platform. Umami is hosted on our own infrastructure — no data is sent to third-party analytics providers. Umami is cookieless and GDPR-compliant by design. It collects anonymous, aggregate usage data including page views, referrers, browser types, device types, and geographic regions (country-level only). Umami does not collect IP addresses, does not use cookies, does not use fingerprinting, and does not track users across sessions or sites. No personally identifiable information is collected or stored.

14.3. Mautic Marketing Platform

We use Mautic, an open-source, self-hosted marketing automation platform. Mautic is hosted on our own infrastructure. Mautic may use tracking pixels and cookies to track page visits, email opens, and link clicks for users who have opted in to marketing communications. This tracking is used to personalize email content, segment audiences, and measure campaign effectiveness. Mautic tracking only applies to users who have voluntarily provided their contact information through our opt-in forms. If you have not opted in to marketing communications, Mautic does not track your activity.

You may opt out of Mautic tracking at any time by unsubscribing from marketing emails (via the unsubscribe link in every email) or by contacting us directly. See Section 15 (Marketing Communications) for full details on your opt-in and opt-out rights.

15. Marketing Communications

IntelMedica.ai uses Mautic, a self-hosted open-source marketing automation platform, to manage email communications, newsletters, product updates, and community announcements related to the OpenMedica platform.

15.1. Opt-In Requirement

We only send marketing communications to users who have explicitly opted in by providing their email address through one of our subscription forms, event registrations, or other clearly identified opt-in mechanisms. We do not purchase email lists, scrape email addresses, or add users to marketing lists without their affirmative consent.

15.2. What We Send

Marketing communications may include:

• New skill and plugin announcements
• Platform updates and feature releases (OpenMedica CLI, API, catalog)
• Community newsletters and medical AI research highlights
• Event invitations and contributor spotlights
• Security advisories and important platform notices

15.3. Your Rights

You have the right to:

• Unsubscribe at any time using the unsubscribe link included in every marketing email
• Request deletion of your contact information from our Mautic instance by emailing privacy@intelmedica.ai
• Request a copy of the data we hold about you in our marketing platform
• Opt out of tracking associated with marketing emails (tracking pixels, link tracking)

We process unsubscribe requests promptly. Because Mautic is self-hosted on our own infrastructure, your marketing data is not shared with third-party marketing platforms or advertising networks.

16. Cloudflare Services and Edge Infrastructure

The OpenMedica platform is hosted and delivered through Cloudflare infrastructure:

• Cloudflare Pages — The Open Medical Skills catalog website is hosted as a static site on Cloudflare Pages, a global content delivery network (CDN). Cloudflare Pages serves content from edge locations worldwide to provide fast load times. As part of this service, Cloudflare may process your IP address, request headers, and other connection metadata for the purposes of content delivery, DDoS protection, and security.
• Cloudflare Workers — Our submission API, search API, and authentication services run on Cloudflare Workers, a serverless edge computing platform. When you submit a skill, perform a search, or authenticate via GitHub OAuth, your request is processed by Cloudflare Workers at the edge location nearest to you. Request data (including form inputs, search queries, and authentication tokens) is processed in memory and is not persistently stored on Cloudflare's infrastructure beyond what is necessary to complete the request.
• Cloudflare Security Features — Cloudflare provides DDoS protection, Web Application Firewall (WAF), bot management, and TLS encryption for all traffic to and from the OpenMedica platform. These security features may process your IP address, request patterns, and connection metadata to identify and block malicious traffic. This processing is governed by Cloudflare's Privacy Policy.

By using the OpenMedica platform, you acknowledge that your requests are routed through Cloudflare's global network and are subject to Cloudflare's standard data processing practices as described in their privacy policy.

17. GitHub Integration and Authentication

The OpenMedica platform integrates with GitHub for code hosting, skill submissions, and user authentication:

• GitHub OAuth — You may optionally authenticate using your GitHub account to submit skills via the web form. When you authenticate, we request limited permissions to verify your identity and create pull requests on your behalf. We receive your GitHub username, email address (if publicly available), and a temporary access token. We do not request access to your private repositories, and we do not store your GitHub password.
• Submissions via GitHub — Skills submitted through the web form result in the creation of a pull request on the Open Medical Skills GitHub repository. Your GitHub username will be publicly visible as the author of the pull request. Submitted content (skill metadata, descriptions, and repository URLs) will be publicly visible in the pull request and, if accepted, in the catalog.
• Open Source Repository — The Open Medical Skills catalog content is hosted on GitHub as an open-source repository. Contributions, issues, and discussions are governed by GitHub's Terms of Service in addition to these Terms of Use.

18. Termination and Removal of Listings

We reserve the right to:

• Remove any skill or plugin from the directory at any time, for any reason
• Terminate or restrict access to the platform, CLI, or API for users who violate these terms
• Revoke API keys or CLI access for abusive or unauthorized use
• Modify, suspend, or discontinue the platform or any part of it without notice

19. Governing Law and Dispute Resolution

These Terms of Use shall be governed by and construed in accordance with the laws of the United States. Any disputes arising from these terms or your use of the site shall first be attempted to be resolved through good-faith negotiation. If negotiation fails, disputes shall be resolved through binding arbitration in accordance with the rules of the American Arbitration Association.

Class Action Waiver: You agree to resolve disputes individually and waive any right to participate in a class action lawsuit or class-wide arbitration against IntelMedica.ai.

20. Changes to These Terms

We may update these Terms of Use from time to time to reflect changes in our practices, legal requirements, or the scope of our services. Changes will be posted on this page with a new "Last updated" date.

Changes are effective immediately upon posting. Your continued use of the platform after changes are posted constitutes acceptance of the updated terms. If you do not agree with the new terms, you must stop using the platform.

21. Severability

If any provision of these Terms of Use is found to be invalid or unenforceable by a court of competent jurisdiction, the remaining provisions shall remain in full force and effect. The invalid provision shall be modified to the minimum extent necessary to make it valid and enforceable.

22. Entire Agreement

These Terms of Use, together with our Privacy Policy, constitute the entire agreement between you and IntelMedica.ai regarding your use of the OpenMedica platform, including the Open Medical Skills catalog, OpenMedica CLI, and OpenMedica API. They supersede any prior agreements or understandings.

23. Contact Information

If you have questions about these Terms of Use, please contact: