clinical-reasoning AGENTS.md

A project guide for JVM-based clinical software that evaluates medical measures and applies care plans using FHIR and CQL. FHIR is a standard for exchanging healthcare data, and CQL is a language for expressing clinical rules.

In plain words
What is it for?
Building the project, compiling Java, running all, module, integration, or individual tests, checking formatting, and applying clinical reasoning operations.
Why use it?
It provides the commands and conventions needed to build, test, format, and inspect this multi-module healthcare project safely.

Instructions file for CodexOpenCode

Install

Getting it into your agent

One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.

agentmods
npx agentmods add instructions/cqframework/clinical-reasoning/agents-md
Clone the repo
git clone --depth 1 https://github.com/cqframework/clinical-reasoning

Made for: Codex, OpenCode.

Per session 927 This file is loaded in full into every session.
When invoked 927 The same file — it is already loaded in full.
Security scan A 0 findings. Scan, not verified.
Origin original No closer match found in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5 $0.00927 $0.00927
Opus 5 $0.00464 $0.00464
Sonnet 5 $0.00185 $0.00185
Haiku 4.5 $0.00093 $0.00093

Measured 2d ago against content hash ef28b8f2e8a9, method: parsed. Prices are Anthropic first-party input rates as of 2026-08-30, from the pricing page.

Security

Grade A, and why

clinical-reasoning AGENTS.md scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 2d ago.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

AGENTS.md · 129 lines

How it starts

The opening of the file, as written. The whole thing — 129 lines — stays where its author put it; the contents beside it link to each section on GitHub.

AGENTS.md

Project Overview

This is the CQF Clinical Reasoning on FHIR repository, which provides JVM-based, FHIR-enabled clinical reasoning components. The project implements FHIR Clinical Reasoning operations like Measure evaluation ($evaluate-measure), PlanDefinition application ($apply), and CQL evaluation capabilities.

See the ARCHITECTURE.md document for a detailed overview of the vision, architecture, design patterns, and coding standards used in this project.

Build and Test Commands

Building the Project

# Full build with tests
./gradlew build

# Build without tests
./gradlew assemble

# Compile only
./gradlew compileJava

# Parallel build (enabled by default via gradle.properties)
./gradlew build

Running Tests

# Run all tests
./gradlew test

# Run tests in a specific module
./gradlew :cqf-fhir-cr:test

# Run a single test class
./gradlew :MODULE:test --tests ClassName

# Run a single test method
./gradlew :MODULE:test --tests "ClassName.methodName"

# Run integration tests
./gradlew integrationTest

# Skip tests
./gradlew assemble

Code Formatting and Quality

# Check code formatting (runs in CI on PRs)
./gradlew spotlessCheck

# Apply code formatting fixes
./gradlew spotlessApply

# This project uses Palantir Java Format (configured in buildSrc convention plugins)
# Checkstyle runs automatically as part of the build

Linked Builds (Cross-Repo Development)

To build against a local checkout of a dependency (e.g., CQL Engine) instead of Maven Central:

# Copy the template and set paths to your local checkouts
cp local.properties.example local.properties

# Edit local.properties — uncomment and set the path:
# cql.engine.path=../clinical_quality_language/Src/java

# Build as normal — the settings plugin detects local.properties and includes the linked build
./gradlew build

Available linked builds are listed in local.properties.example. The registry is defined in build-logic/src/main/kotlin/cqf/LinkedBuild.kt.

Read the full file on GitHub · 129 lines

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. 2d ago First seen · 129 lines · 927 tokens per session scan A ef28b8f2e8a9

Subscribe to this mod's changes

clinical-reasoning AGENTS.md is an instructions file published in the GitHub repository cqframework/clinical-reasoning (49 stars, last pushed 4d ago), licensed Apache-2.0. It adds 927 tokens to every session, about $0.0046 per session on Opus 5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-08-30.