open-genome-agent: Skill for Claude Code

.agents/skills/pharmacogenomics/SKILL.md

pharmacogenomics is a skill for Claude Code, Codex from 45ck/open-genome-agent. It costs 32 tokens per session (259 once invoked), scanned B, original, MIT.

A pharmacogenomics skill for presenting clues about how genetic variants may affect medication response. Pharmacogenomics is the study of how genes can influence a person’s response to medicines.

In plain words
What is it for?
Producing a reviewed pharmacogenomics section from already validated genetic variants or haplotypes, with caveats and human-review flags.
Why use it?
It keeps medication-response information separate from disease findings and avoids treating it as a prescription.

Skill for Claude CodeCodex

Written for no agent in particular: nothing here depends on one. Also seen: installed under .agents/ (shared by several agents).

This is 45ck/open-genome-agent's own configuration. It tells Claude Code and Codex how to work on open-genome-agent 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 open-genome-agent configures →

Reuse

Borrowing it

Nothing to install: this file belongs to 45ck/open-genome-agent. 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/45ck/open-genome-agent/main/.agents/skills/pharmacogenomics/SKILL.md
Clone the repo
git clone --depth 1 https://github.com/45ck/open-genome-agent

Made for: Claude Code, Codex.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

agentmods badge for pharmacogenomics

README.md
[![agentmods](https://agentmods.dev/badge/skills/45ck/open-genome-agent/pharmacogenomics/github.svg)](https://agentmods.dev/skills/45ck/open-genome-agent/pharmacogenomics)
Your own site
<a href="https://agentmods.dev/skills/45ck/open-genome-agent/pharmacogenomics"><img src="https://agentmods.dev/badge/skills/45ck/open-genome-agent/pharmacogenomics/github.svg" alt="Measured on agentmods" height="20"></a>

Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

agentmods 80×15 button for pharmacogenomics

Your own site · 80×15
<a href="https://agentmods.dev/skills/45ck/open-genome-agent/pharmacogenomics"><img src="https://agentmods.dev/badge/skills/45ck/open-genome-agent/pharmacogenomics.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 32 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 259 The whole file, excluding the scripts and references it only reads on demand.
Security scan B 1 finding. 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 $0.00032 $0.00259
Opus 5 $0.00016 $0.00130
Sonnet 5 $0.00006 $0.00052
Haiku 4.5 $0.00003 $0.00026

Measured 9d ago against content hash 6081687a55af, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-09, from the pricing page.

Security

Grade B, and why

pharmacogenomics scanned grade B with 1 finding 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 9d 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.

Subtle steeringmediumPrompt injection

Instructions that bias recommendations or shape behaviour without the user noticing.

- Never tell the user to change medication directly from this output.
.agents/skills/pharmacogenomics/SKILL.md · 40 lines

What it actually says

Pharmacogenomics

Generate a clearly separated pharmacogenomics section with conservative language and explicit human-review flags. Use only when the user requests drug-response analysis.

When to use

  • the user explicitly requests drug-response or medication-response clues

Do not use when

  • the user only wants ancestry or general variant analysis

Expected outputs

  • pharmacogenomics.json

Goal

Produce a conservative drug-response section that remains clearly separate from diagnosis.

Procedure

  1. Start from already validated variant or haplotype inputs.
  2. Present outputs as medication-response clues, not prescriptions.
  3. Attach strong caveats and a human-review flag to every entry.
  4. Keep the output in its own artifact and section.

Guardrails

  • Never tell the user to change medication directly from this output.
  • Never mix pharmacogenomics entries into the same summary bucket as disease findings.
  • If genotype-to-phenotype translation is incomplete, say so.

References

See references/README.md for durable notes and scripts/ for deterministic helpers.

Files

What ships with it

2 files beside SKILL.md in the same directory: the scripts, references and assets a skill reads on demand. Not counted in the per-session cost; read them before you install if any of them is executable.

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. 9d ago First seen · 40 lines · 32 tokens per session scan B 6081687a55af

Subscribe to this mod's changes

pharmacogenomics is a skill published in the GitHub repository 45ck/open-genome-agent (4 stars, last pushed 2mo ago), licensed MIT. It adds 32 tokens to every session and 259 once invoked, about $0.0002 per session on Opus 5. A static security scan graded it B with 1 finding (subtle steering). No closer match exists in the catalogue, so it is treated as the original; first seen 2026-08-31.

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