guideline-integration

guideline-integration is a skill for Claude Code, Codex from aizech/clinical-skills. It costs 55 tokens per session (525 once invoked), scanned A, original, MIT.

A reference tool for applying radiology society guidance to imaging questions, including ACR recommendations and reporting systems such as BI-RADS for breast imaging.

In plain words
What is it for?
Use it to assess whether an imaging test is appropriate, choose imaging protocols, follow screening rules, apply reporting standards, and check radiation-dose guidance.
Why use it?
It helps find the relevant professional recommendation instead of relying on memory or searching through many medical documents.

Skill for Claude CodeCodex

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

Good fit Use it to assess whether an imaging test is appropriate, choose imaging protocols, follow screening rules, apply reporting standards, and check radiation-dose guidance.

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Install with agentmods
npx agentmods add skills/aizech/clinical-skills/guideline-integration
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.

Any agent
npx skills add aizech/clinical-skills --skill guideline-integration
Clone the repo
git clone --depth 1 https://github.com/aizech/clinical-skills

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 guideline-integration

README.md
[![agentmods](https://agentmods.dev/badge/skills/aizech/clinical-skills/guideline-integration/github.svg)](https://agentmods.dev/skills/aizech/clinical-skills/guideline-integration)
Your own site
<a href="https://agentmods.dev/skills/aizech/clinical-skills/guideline-integration"><img src="https://agentmods.dev/badge/skills/aizech/clinical-skills/guideline-integration/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 guideline-integration

Your own site · 80×15
<a href="https://agentmods.dev/skills/aizech/clinical-skills/guideline-integration"><img src="https://agentmods.dev/badge/skills/aizech/clinical-skills/guideline-integration.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 55 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 525 The whole file, excluding the scripts and references it only reads on demand.
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 $0.00055 $0.00525
Opus 5 $0.00028 $0.00262
Sonnet 5 $0.00011 $0.00105
Haiku 4.5 $0.00006 $0.00052

Measured 10d ago against content hash 08ad29dd43b5, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-10, from the pricing page.

Security

Grade A, and why

guideline-integration 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 10d 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/skills/guideline-integration/SKILL.md · 81 lines

What it actually says

Guideline Integration Skill

Triggers

  • "ACR criteria"
  • "appropriateness rating"
  • "guideline for"
  • "society recommendation"
  • "BI-RADS update"
  • "dose reference levels"
  • "protocol guidelines"

Parameters

  • guideline_type (required): Type of guideline needed
    • appropriateness - ACR Appropriateness Criteria
    • reporting - Structured reporting standards (BI-RADS, LI-RADS)
    • dose - Radiation dose guidelines
    • protocol - Imaging protocol recommendations
    • screening - Screening eligibility guidelines
  • clinical_scenario (required): Brief description of clinical question
  • modality (optional): Specific imaging modality
  • age_group (optional): Adult, pediatric, geriatric

Major Guideline Sources

ACR (American College of Radiology)

  • Appropriateness Criteria (200+ scenarios)
  • BI-RADS Atlas (mammography)
  • LI-RADS (liver imaging)
  • PI-RADS (prostate)
  • TI-RADS (thyroid)
  • Dose Reference Levels

Society Guidelines

  • RSNA (Radiological Society of North America)
  • ESR (European Society of Radiology)
  • ASNR (American Society of Neuroradiology)
  • SPR (Society for Pediatric Radiology)
  • SRU (Society of Radiologists in Ultrasound)

Appropriateness Rating Scale

Rating Meaning
Usually Appropriate 7-9
May Be Appropriate 4-6
Usually Not Appropriate 1-3

Output Format

Returns structured JSON with:

  • Guideline source and version
  • Relevant rating or recommendation
  • Clinical context
  • Alternative considerations
  • Evidence level (if available)

Usage Examples

guideline_type: appropriateness
clinical_scenario: acute flank pain suspected kidney stone
modality: CT

guideline_type: reporting
clinical_scenario: liver imaging surveillance

Integration

Links to:

  • structured-reporting for template integration
  • ai-detection-pipeline for protocol recommendations
  • radiology-context for institution-specific protocols
Files

What ships with it

1 file 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. 10d ago First seen · 81 lines · 55 tokens per session scan A 08ad29dd43b5

Subscribe to this mod's changes

guideline-integration is a skill published in the GitHub repository aizech/clinical-skills (4 stars, last pushed 2mo ago), licensed MIT. It adds 55 tokens to every session and 525 once invoked, about $0.0003 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 2026-08-31.