safety-md-csmf

name	safety-md-csmf
description	User-invoked skill for generating or updating repo-native SAFETY.md Clinical Risk Management File documentation.
disable-model-invocation	true

SAFETY.md CSMF

Use only when the user explicitly asks for this skill or asks you to create/update a SAFETY.md Clinical Risk Management File.

Purpose

Generate or update a repo-native clinical safety file set that helps teams do real safety work close to code. Do not generate fake compliance.

Read first

• GLOSSARY.md
• mappings/dcb0129-to-safety-md.md
• mappings/dcb0160-to-safety-md.md
• mappings/duaa2025-to-safety-md.md
• For file shapes, read references/file-set.md.

Steps

1. Inspect the target repository: README, package metadata, docs, visible routes/code, existing safety files, issues/workflows if available. Completion: you can state the product purpose, likely users, and whether clinical context is clear or unknown.
2. Determine role and scope: manufacturer/supplier, deployer, operator, maintainer, relevant IT provider, or unclear. Completion: role table is explicit or [PENDING].
3. Determine proportionate tier and likely standards: DCB0129, DCB0160, both, neither, MDR triage needed, DUAA2025 information-standard relevance. Completion: standards table is explicit or [PENDING].
4. Ask only blocking questions needed to avoid unsafe fabrication. Put minor unknowns in queries.md.
5. Generate or update the file set using references/file-set.md and templates/. Completion: files are written and unknowns remain marked [PENDING].
6. Check the output for unsupported compliance claims, invented sign-off, broken role boundaries, and missing hazard/evidence links. Completion: final summary states what was generated and what remains pending.

Never do

• Do not assert compliance because files exist.
• Do not invent CSO names, registrations, approvals, evidence, validation, risk acceptance, or clinical context.
• Do not blur DCB0129 manufacturer evidence with DCB0160 deployment evidence.
• Do not overwrite meaningful existing safety decisions without preserving or explaining them.

Completion criteria

• SAFETY.md exists or is updated.
• SAFETY-CASE.md and HAZARD-LOG.md exist for Tier 2+ or when DCB0129/DCB0160 evidence is needed.
• SAFETY-PLAN.md exists when tier/complexity warrants it, or the reason for omitting it is stated.
• Applicable standards and assurance domains are present.
• All unknowns are [PENDING] or in queries.md.
• No unsupported compliance or approval claim remains.

Common Gotchas

• A supplier DCB0129 safety case does not discharge local DCB0160 deployment obligations.
• Starter hazards are prompts, not evidence that a hazard workshop happened.
• DUAA2025-adjacent domains are not automatically CSO-owned, but can create patient harm.
• Root-level SAFETY.md is the default unless the user chooses another structure.