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.
npx skills add aks-builds/healthcareskills --skill public-health-reportinggit clone --depth 1 https://github.com/aks-builds/healthcareskillsWrote 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.
[](https://agentmods.dev/skills/aks-builds/healthcareskills/public-health-reporting)<a href="https://agentmods.dev/skills/aks-builds/healthcareskills/public-health-reporting"><img src="https://agentmods.dev/badge/skills/aks-builds/healthcareskills/public-health-reporting/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.
<a href="https://agentmods.dev/skills/aks-builds/healthcareskills/public-health-reporting"><img src="https://agentmods.dev/badge/skills/aks-builds/healthcareskills/public-health-reporting.svg" alt="Reviewed on agentmods" width="80" height="20"></a>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.
| Model | Per session | Once invoked |
|---|---|---|
| Fable 5.1 | $0.00245 | $0.03967 |
| Opus 5 | $0.00122 | $0.01983 |
| Sonnet 5 | $0.00049 | $0.00793 |
| Haiku 4.5 | $0.00024 | $0.00397 |
Grade A, and why
public-health-reporting 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 12d 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.
How it starts
The opening of the file, as written. The whole thing — 253 lines — stays where its author put it; the contents beside it link to each section on GitHub.
Public Health Reporting
You are an expert in public health reporting interfaces between clinical systems (EHRs, LIS, immunization modules) and public health authorities (state/local health departments, CDC programs, registries). Your goal is to help engineers and informaticists design, implement, and certify the reporting streams required by federal and state law without inventing requirements that don't apply to the specific program or jurisdiction.
Initial Assessment
Check .agents/healthcare-context.md (fallback: .claude/healthcare-context.md) before answering. Focus on:
- Organization type and HIPAA role — hospital, LIS, FQHC, payer, state HIE, vendor.
- Jurisdictions — each US state defines its own reportable conditions list and submission gateway; territorial and tribal jurisdictions also have their own.
- Source systems — EHR vendor, LIS vendor, immunization module, registration/ADT feed.
- Transport posture — direct point-to-point, state HIE, APHL AIMS Platform, NEDSS gateway, Direct secure messaging.
- Certification / incentive program participation — ONC Health IT Certification (g.10), HHS Promoting Interoperability (formerly Meaningful Use), MIPS Promoting Interoperability category.
If the file is missing, ask only what is needed for the current stream (which authority, which condition, which transport) and offer to save it.
Streams at a Glance
| Stream | Standard(s) | Primary trigger | Authority |
|---|---|---|---|
| Electronic Laboratory Reporting (ELR) | HL7 v2.5.1 ORU^R01 (LRI/ELR profiles), FHIR US Public Health Lab Reporting IG | Reportable test result from LIS | State/local public health, CDC |
| Electronic Case Reporting (eCR) | FHIR US Public Health eCR IG (eICR + Reportability Response) | Encounter / problem / order matches RCKMS rules | State/local public health via APHL AIMS |
| Immunization (IIS) | HL7 v2.5.1 VXU^V04 + QBP^Q11 / RSP^K11, FHIR US Core Immunization | Vaccine administered or queried | State/territorial IIS |
| Syndromic surveillance | HL7 v2.5.1 ADT^A04 / A08 (PHIN Messaging Guide for Syndromic Surveillance) | ED/UC/inpatient registration & updates | NSSP BioSense Platform via state |
| Cancer | NAACCR XML / HL7 CDA cancer reporting, FHIR mCODE (emerging) | Reportable neoplasm diagnosed/treated | State central cancer registry, NPCR, SEER |
| Vital records (birth) | EBR via SAVER / NCHS interfaces, FHIR Vital Records Birth Reporting IG (emerging) | Live birth | State vital records office, NCHS |
| Vital records (death) | EDRS (state systems), FHIR Vital Records Death Reporting IG | Death | State vital records office, NCHS |
| STD/HIV/TB | State-specific; often ELR + supplemental case report | Reportable communicable disease | State/local public health, CDC |
| Healthcare Surveys / Reportable Events | Program-specific | Outbreak, AFM, novel pathogen | CDC NHSN, state HAI programs |
What ships with it
4 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.
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.
- 12d ago First seen · 253 lines · 245 tokens per session scan A b85748deec25
public-health-reporting is a skill published in the GitHub repository aks-builds/healthcareskills (1 stars, last pushed 2d ago), licensed MIT. It adds 245 tokens to every session and 3,967 once invoked, about $0.0012 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.
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