tooluniverse-cancer-variant-interpretation

tooluniverse-cancer-variant-interpretation is a skill for Claude Code, Codex from AndyZhuang/Opentest. It costs 138 tokens per session (9,248 once invoked), scanned A, original, MIT.

A cancer-mutation interpretation workflow that examines a gene variant, such as EGFR L858R, in the context of cancer treatment. It combines clinical evidence, treatment links, resistance information, trials, and prognosis.

In plain words
What is it for?
It is for reviewing treatment options, mutation evidence, resistance mechanisms, related trials, and prognostic implications.
Why use it?
It turns a mutation result into a structured clinical report instead of leaving the user to compare many cancer databases manually.

Skill for Claude CodeCodex

Written for no agent in particular: nothing here depends on one.

Good fit It is for reviewing treatment options, mutation evidence, resistance mechanisms, related trials, and prognostic implications.

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Install with agentmods
npx agentmods add skills/andyzhuang/opentest/tooluniverse-cancer-variant-interpretation
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 AndyZhuang/Opentest --skill tooluniverse-cancer-variant-interpretation
Clone the repo
git clone --depth 1 https://github.com/AndyZhuang/Opentest

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 tooluniverse-cancer-variant-interpretation

README.md
[![agentmods](https://agentmods.dev/badge/skills/andyzhuang/opentest/tooluniverse-cancer-variant-interpretation/github.svg)](https://agentmods.dev/skills/andyzhuang/opentest/tooluniverse-cancer-variant-interpretation)
Your own site
<a href="https://agentmods.dev/skills/andyzhuang/opentest/tooluniverse-cancer-variant-interpretation"><img src="https://agentmods.dev/badge/skills/andyzhuang/opentest/tooluniverse-cancer-variant-interpretation/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 tooluniverse-cancer-variant-interpretation

Your own site · 80×15
<a href="https://agentmods.dev/skills/andyzhuang/opentest/tooluniverse-cancer-variant-interpretation"><img src="https://agentmods.dev/badge/skills/andyzhuang/opentest/tooluniverse-cancer-variant-interpretation.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 138 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 9,248 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 $0.00138 $0.09248
Opus 5 $0.00069 $0.04624
Sonnet 5 $0.00028 $0.01850
Haiku 4.5 $0.00014 $0.00925

Measured 9d ago against content hash e1982bcd2a27, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-12, from the pricing page.

Security

Grade A, and why

tooluniverse-cancer-variant-interpretation 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 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.

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.

skills/labclaw/med/tooluniverse-cancer-variant-interpretation/SKILL.md · 972 lines

How it starts

The opening of the file, as written. The whole thing — 972 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Cancer Variant Interpretation for Precision Oncology

Comprehensive clinical interpretation of somatic mutations in cancer. Transforms a gene + variant input into an actionable precision oncology report covering clinical evidence, therapeutic options, resistance mechanisms, clinical trials, and prognostic implications.

KEY PRINCIPLES:

  1. Report-first approach - Create report file FIRST, then populate progressively
  2. Evidence-graded - Every recommendation has an evidence tier (T1-T4)
  3. Actionable output - Prioritized treatment options, not data dumps
  4. Clinical focus - Answer "what should we treat with?" not "what databases exist?"
  5. Resistance-aware - Always check for known resistance mechanisms
  6. Cancer-type specific - Tailor all recommendations to the patient's cancer type when provided
  7. Source-referenced - Every statement must cite the tool/database source
  8. English-first queries - Always use English terms in tool calls (gene names, drug names, cancer types), even if the user writes in another language. Respond in the user's language

When to Use

Apply when user asks:

  • "What treatments exist for EGFR L858R in lung cancer?"
  • "Patient has BRAF V600E melanoma - what are the options?"
  • "Is KRAS G12C targetable?"
  • "Patient progressed on osimertinib - what's next?"
  • "What clinical trials are available for PIK3CA E545K?"
  • "Interpret this somatic mutation: TP53 R273H"
  • "Molecular tumor board: EGFR exon 19 deletion, NSCLC"

Input Parsing

Required: Gene symbol + variant notation Optional: Cancer type (improves specificity)

Accepted Input Formats

Format Example How to Parse
Gene + amino acid change EGFR L858R gene=EGFR, variant=L858R
Gene + HGVS protein BRAF p.V600E gene=BRAF, variant=V600E
Gene + exon notation EGFR exon 19 deletion gene=EGFR, variant=exon 19 deletion
Gene + fusion EML4-ALK fusion gene=ALK, variant=EML4-ALK
Gene + amplification HER2 amplification gene=ERBB2, variant=amplification
Full query with cancer "EGFR L858R in lung adenocarcinoma" gene=EGFR, variant=L858R, cancer=lung adenocarcinoma

Read the full file on GitHub · 972 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. 9d ago First seen · 972 lines · 138 tokens per session scan A e1982bcd2a27

Subscribe to this mod's changes

tooluniverse-cancer-variant-interpretation is a skill published in the GitHub repository AndyZhuang/Opentest (22 stars, last pushed 6mo ago), licensed MIT. It adds 138 tokens to every session and 9,248 once invoked, about $0.0007 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 2026-09-03.

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