healthcare-agents: Instructions file for Claude Code

Healthcare Agents Repository Instructions

Repository Map

• Agent prompts live in agents/*.md.
• The simple self-improvement kit lives in .claude/commands/eval.md, eval/rubric.md, eval/results.tsv, and eval/role-baselines/.
• The old Python eval harness has been removed. The active eval path is the simple self-improvement kit above.
• This repo uses bd as the active bead tracker. If external skills or copied prompts mention br or bv, translate to the equivalent bd workflow instead of abandoning tracker work. Useful local commands: bd prime, bd show <id>, bd children <id>, bd ready -n 100, bd list --json, bd dep tree <id>, bd update <id> --claim, and bd close <id> --reason "..." after current evidence proves the acceptance criteria.
• Use bd-agent-sync pull before creating, claiming, updating, or closing beads, and bd-agent-sync push after Beads changes. Do not create markdown TODO ledgers, scratch JSONL files, or parallel agent backlogs. .beads/issues.jsonl is the only supported JSONL bridge and must be managed by bd import and bd export, not hand-edited. bd sync is not available in bd 1.0.2 on Plumbob.

Git Workflow

• Do not push directly to main.
• For requested edits, create a short-lived branch, commit there, push the branch, open a PR, and merge the PR with gh pr merge.
• Do not merge the feature branch into local main before opening or merging the PR. That creates duplicate local merge commits and makes main appear ahead/behind after GitHub merges the PR.
• After a PR is merged, run git fetch origin --prune and align local main to origin/main before continuing work.
• For docs-only or metadata-only changes, the streamlined path is: branch -> commit -> push branch -> gh pr create -> gh pr merge --merge --delete-branch -> sync local main.

Self-Improvement Loop

• When asked to run the healthcare self-improvement loop for an agent, first read .claude/commands/eval.md and execute that procedure as a normal task, substituting $ARGUMENTS with the requested agent slug.
• Treat .claude/commands/eval.md as the canonical workflow for both Claude Code and Codex.
• If the runtime supports native subagents or model specialization, prefer a strongest scorer/judge plus a faster editor, with the parent agent owning git writes and eval/results.tsv.
• Avoid recursive CLI invocation when native subagents are available.
• Never modify eval/rubric.md or any file under eval/role-baselines/.
• Never modify eval/results.tsv except to append rows.
• Preserve the agent's distinctive role identity; do not flatten prompts into generic "best practices" boilerplate.
• During a normal eval run, only edit the requested agents/<slug>.md, append eval/results.tsv, and write local ignored artifacts under eval/run-logs/.