dismech: Instructions file for Claude Code

CLAUDE.md

dismech CLAUDE.md is an instructions file for Claude Code from monarch-initiative/dismech. It costs 39,125 tokens per session, scanned A, original, BSD-3-Clause.

A set of project instructions for working in the Disorder Mechanisms Knowledge Base, a structured collection of disease pathophysiology information. It explains the schema, stored disorder files, rendered pages, and important design decisions.

In plain words
What is it for?
Use it when modifying the LinkML schema, disorder YAML files, HTML pages, evidence rules, ontologies, or other core parts of the dismech repository.
Why use it?
It gives coding agents the project context and prevents them from silently contradicting documented choices about scope, data modeling, evidence, and curation.

Instructions file for Claude Code

Written for Claude Code: the file is CLAUDE.md. Also seen: reads .claude/ paths; mentions CLAUDE.md; mentions Claude Code.

This is monarch-initiative/dismech's own configuration. It tells Claude Code how to work on dismech itself, so it is not a mod to install elsewhere. Copy it as a starting point and replace the rules that are about this project. Everything dismech configures →

Reuse

Borrowing it

Nothing to install: this file belongs to monarch-initiative/dismech. Take a copy, put it at the same path in your own repository, and replace the rules that are about this project with yours.

Copy the file
curl -O https://raw.githubusercontent.com/monarch-initiative/dismech/main/CLAUDE.md
Clone the repo
git clone --depth 1 https://github.com/monarch-initiative/dismech

Made for: Claude Code.

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Per session 39,125 This file is loaded in full into every session.
When invoked 39,125 The same file — it is already loaded in full.
Security scan A 0 findings. A grade says what 26 rules found in the file — not that it is safe.
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 5.1 $0.39125 $0.39125
Opus 5 $0.19562 $0.19562
Sonnet 5 $0.07825 $0.07825
Haiku 4.5 $0.03913 $0.03913

Measured yesterday against content hash 69c4b5063141, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-07, from the pricing page.

Security

Grade A, and why

dismech CLAUDE.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 yesterday.

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.

CLAUDE.md · 3,062 lines

How it starts

The opening of the file, as written. The whole thing — 3,062 lines — stays where its author put it; the contents beside it link to each section on GitHub.

CLAUDE.md

This file provides guidance to Claude Code (claude.ai/code) when working with code in this repository.

Project Overview

This is the Disorder Mechanisms Knowledge Base (dismech) - a LinkML-based knowledge base storing disease pathophysiology information. It combines:

  1. A LinkML schema defining the data model (src/dismech/schema/dismech.yaml)
  2. A knowledge base of disorder YAML files (kb/disorders/*.yaml)
  3. HTML rendering for browsable disorder pages (pages/disorders/*.html)

Design Decisions

Before making structural, scope, ontology, BioLink/KGX, or evidence-policy choices, consult the decision register at docs/explanation/design-decisions.md. It records why the project is built the way it is — project scope (what is/isn't a dismech entry), the LinkML schema choice, the constrained ontology set, export-layer-only BioLink reuse, the evidence/provenance policy, curation governance, and a tracked list of open/deferred decisions. Cite it when a recorded decision is relevant; if a decision looks wrong or stale, surface it rather than silently contradicting it. The specifics below in this file remain authoritative for day-to-day curation mechanics.

Skills

Claude Code skills are available in .claude/skills/:

  • dismech-terms: Use when selecting, validating, or repairing ontology bindings and term caches.
  • dismech-references: Use when curating or validating evidence and references.
  • review-hypothesis-exploration: Use when assessing or reconciling a provider hypothesis report, including its datasets, analyses, and artifacts.

Key Commands

# Install dependencies
just install

# Run all QC checks (validation + term validation)
just qc

# Validate all disorder YAML files against schema
just validate-all

# Validate a single disorder file
just validate kb/disorders/Asthma.yaml

# Validate ontology term references in a single file (anti-hallucination check)
just validate-terms kb/disorders/Asthma.yaml

# Validate ontology term references in the schema's dynamic enums
just validate-terms-schema

# Check that no bound term is flagged Not4Curation by its own ontology
just check-not4curation

# Run pytest tests
just pytest-all

# Run a single test
uv run pytest tests/test_data.py -k "test_name" -v

# Generate HTML pages for all disorders
uv run python -m dismech.render --all

# Generate HTML for a single disorder
uv run python -m dismech.render kb/disorders/Asthma.yaml

# Fetch and cache a reference (PMID, DOI, NCT) — NEVER create cache files manually
just fetch-reference PMID:12345678

# Check evidence snippets against the local reference cache (seconds; use this
# in the curation loop — takes any number of files)
just count-verified-snippets kb/disorders/Asthma.yaml

# Pre-PR sweep: schema + terms + references over every changed file in one
# batched pass (slow — run once at the end, not per edit). This is what CI runs.
just validate-disorders kb/disorders/Asthma.yaml kb/disorders/Cholera.yaml

# Reference validation for a single KB entry (also slow; permits full-text matches).
# "kb" distinguishes it from `just validate-research-reference <report.md>`, which
# checks a deep-research report's citations instead (#8841)
just validate-kb-references kb/disorders/Asthma.yaml

# List all available commands
just --list

Read the full file on GitHub · 3,062 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. yesterday Changed · +43 lines · +659 tokens per session 69c4b5063141
  2. 2d ago Changed · +173 lines · +2,564 tokens per session a53c97e83992
  3. 3d ago Changed · +356 lines · +4,739 tokens per session fb59a6e865fa
  4. 7d ago First seen · 2,490 lines · 31,163 tokens per session scan A d4d5efd69c29

Subscribe to this mod's changes

dismech CLAUDE.md is an instructions file published in the GitHub repository monarch-initiative/dismech (57 stars, last pushed yesterday), licensed BSD-3-Clause. It adds 39,125 tokens to every session, about $0.1956 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.

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