clinical-reasoning: Skill for Claude Code

.claude/skills/linked-builds-pr/SKILL.md

linked-builds-pr is a skill for Claude Code from cqframework/clinical-reasoning. It costs 44 tokens per session (2,071 once invoked), scanned A, original, Apache-2.0.

A workflow guide for creating pull requests across repositories that are developed together. A pull request is a proposed set of code changes for review, and linked builds let local projects use sibling repositories as source code.

In plain words
What is it for?
Committing, pushing, and opening coordinated pull requests across related repositories, including dependency notes and build ordering.
Why use it?
It records which pull requests depend on one another so continuous integration can build and review the changes in the right order.

Skill for Claude Code

Written for Claude Code: installed under .claude/. Also seen: mentions Claude Code.

This is cqframework/clinical-reasoning's own configuration. It tells Claude Code how to work on clinical-reasoning 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 clinical-reasoning configures →

Needs its repository: it reads a path above its own folder, which exists only inside the repository. The line is cql.engine.path=../clinical_quality_language.

Reuse

Borrowing it

Nothing to install: this file belongs to cqframework/clinical-reasoning. 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/cqframework/clinical-reasoning/main/.claude/skills/linked-builds-pr/SKILL.md
Clone the repo
git clone --depth 1 https://github.com/cqframework/clinical-reasoning

Made for: Claude Code.

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 linked-builds-pr

README.md
[![agentmods](https://agentmods.dev/badge/skills/cqframework/clinical-reasoning/linked-builds-pr/github.svg)](https://agentmods.dev/skills/cqframework/clinical-reasoning/linked-builds-pr)
Your own site
<a href="https://agentmods.dev/skills/cqframework/clinical-reasoning/linked-builds-pr"><img src="https://agentmods.dev/badge/skills/cqframework/clinical-reasoning/linked-builds-pr/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 linked-builds-pr

Your own site · 80×15
<a href="https://agentmods.dev/skills/cqframework/clinical-reasoning/linked-builds-pr"><img src="https://agentmods.dev/badge/skills/cqframework/clinical-reasoning/linked-builds-pr.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 44 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 2,071 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. Third-party audits
  • NVIDIA SkillSpector pass 7 Sept 2026
How audits are shown
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 $0.00044 $0.02071
Opus 5.5 $0.00018 $0.00828
Sonnet 5.5 $0.00009 $0.00414
Haiku 4.5 $0.00004 $0.00207

Measured 1mo ago against content hash de02f871d484, method: parsed. Prices are Anthropic first-party input rates as of 2026-10-07, from the pricing page.

Security

Grade A, and why

linked-builds-pr 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 1mo 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.

.claude/skills/linked-builds-pr/SKILL.md · 226 lines

How it starts

The opening of the file, as written. The whole thing — 226 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Creating PRs with Linked Builds

Overview

This project supports linked builds — composite Gradle builds that substitute Maven Central artifacts with local source checkouts of sibling repositories. When creating PRs that span multiple repositories, each PR must declare its cross-repo dependencies using Depends-On: directives so CI can build them together.

Key Files

  • local.properties (gitignored): Developer's active linked builds
  • local.properties.example: Template showing available linked builds
  • build-logic/src/main/kotlin/cqf/LinkedBuild.kt: Registry of all known linked builds (LinkedBuildRegistry) — contains repo slugs, property keys, build roots, and substitution mappings
  • build-logic/src/main/kotlin/cqf.linked-builds.settings.gradle.kts: Settings plugin that reads local.properties and calls includeBuild() with dependency substitutions
  • build-logic/src/main/kotlin/cqf.ci-conventions.gradle.kts: CI plugin with the resolveLinkedBuilds task that parses Depends-On: from PR descriptions

Workflow

When a developer asks you to create PRs for their linked build changes, follow this procedure. The goal is to create PRs from the most upstream repo down to this repo, with each downstream PR declaring Depends-On: for its upstream dependencies. Once all PRs are created, go back and update the upstream PRs to indicate they block downstream work by appending a Blocks: section.

Step 1: Discover Active Linked Builds

Read local.properties in the project root. Each property key maps to a LinkedBuild entry in the registry. For example:

cql.engine.path=../clinical_quality_language

Look up each active property key in LinkedBuildRegistry (in LinkedBuild.kt) to get the repo slug, build root, etc.

If no linked builds are active (i.e., local.properties doesn't exist, is empty, comments out all properties, or only has unrelated properties), then no cross-repo PRs are needed, exit this workflow, and create a single PR for this repo as usual.

Read the full file on GitHub · 226 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. 1mo ago Changed de02f871d484
  2. 2mo ago First seen · 226 lines · 44 tokens per session scan A de4d143fefcb

Subscribe to this mod's changes

linked-builds-pr is a skill published in the GitHub repository cqframework/clinical-reasoning (51 stars, last pushed yesterday), licensed Apache-2.0. It adds 44 tokens to every session and 2,071 once invoked, about $0.0002 per session on Opus 5.5. 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.

Related

linked-builds-pr compared with skills from other repositories

linked-builds-pr next to 6 skills from other repositories
ModTypeStarsLast pushLicenceScanTokensWorks with
linked-builds-prcqframework/clinical-reasoningSkill51yesterdayApache-2.0A44Claude Code
release-notesAzure/azure-sdk-for-javaSkill2.6kyesterdayMITA50Claude Code, Codex
codegenAzure/azure-sdk-for-javaSkill2.6kyesterdayMITA37Claude Code, Codex
feature-workflowapache/tikaSkill4.1kyesterdayApache-2.0A77Claude Code, Codex
release-pluginflutter/flutter-intellijSkill2.0kyesterdayBSD-3-ClauseA30Claude Code, Codex
changelog-generatordecebals/claude-code-javaSkill7708d agoMITA40Claude Code, Codex
git-commitdecebals/claude-code-javaSkill7708d agoMITA38Claude Code, Codex