folklore-clinical-variant-interpretation

folklore-clinical-variant-interpretation is a skill for Codex from helena-bioinformatics/folklore-mcp. It costs 119 tokens per session (733 once invoked), scanned A, original, Apache-2.0.

A coding-agent skill for interpreting one public germline genetic variant under ACMG/AMP guidelines. ACMG/AMP is a framework used by genetics professionals to assess evidence about whether a variant may affect health.

In plain words
What is it for?
Use it to investigate variant classifications, VUS results, pathogenicity questions, HGVS or SPDI notation, rsIDs, genomic coordinates, and papers about a supported GRCh38 variant.
Why use it?
It provides a structured evidence review instead of guessing from memory, while preserving uncertainty and keeping patient information out of the request. The result is decision support, not a diagnosis or treatment recommendation.

Skill for Codex

Written for Codex: agents/openai.yaml present.

Good fit Use it to investigate variant classifications, VUS results, pathogenicity questions, HGVS or SPDI notation, rsIDs, genomic coordinates, and papers about a supported GRCh38 variant.

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Install with agentmods
npx agentmods add skills/helena-bioinformatics/folklore-mcp/folklore-clinical-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 helena-bioinformatics/folklore-mcp --skill folklore-clinical-variant-interpretation
Clone the repo
git clone --depth 1 https://github.com/helena-bioinformatics/folklore-mcp

Made for: 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 folklore-clinical-variant-interpretation

README.md
[![agentmods](https://agentmods.dev/badge/skills/helena-bioinformatics/folklore-mcp/folklore-clinical-variant-interpretation/github.svg)](https://agentmods.dev/skills/helena-bioinformatics/folklore-mcp/folklore-clinical-variant-interpretation)
Your own site
<a href="https://agentmods.dev/skills/helena-bioinformatics/folklore-mcp/folklore-clinical-variant-interpretation"><img src="https://agentmods.dev/badge/skills/helena-bioinformatics/folklore-mcp/folklore-clinical-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 folklore-clinical-variant-interpretation

Your own site · 80×15
<a href="https://agentmods.dev/skills/helena-bioinformatics/folklore-mcp/folklore-clinical-variant-interpretation"><img src="https://agentmods.dev/badge/skills/helena-bioinformatics/folklore-mcp/folklore-clinical-variant-interpretation.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 119 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 733 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 $0.00119 $0.00733
Opus 5 $0.00060 $0.00367
Sonnet 5 $0.00024 $0.00147
Haiku 4.5 $0.00012 $0.00073

Measured 10d ago against content hash e10ed73a4f96, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-11, from the pricing page.

Security

Grade A, and why

folklore-clinical-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 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.

skills/folklore-clinical-variant-interpretation/SKILL.md · 46 lines

How it starts

The opening of the file, as written. The whole thing — 46 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Folklore Clinical Variant Interpretation

Use the hosted Folklore Clinical Variant Interpretation MCP endpoint. Do not recreate variant normalization, evidence aggregation or ACMG/AMP logic in the agent.

Protect the clinical boundary

  • Send only one public variant expression and assembly.
  • Do not send patient, phenotype, family, segregation or private case data.
  • If a request includes patient context, exclude it from the tool call and ask for a public variant expression only when one is not already present.
  • Present output as automated variant-level decision support for qualified professional review, not a diagnosis, treatment recommendation or standalone clinical report.
  • Preserve uncertainty, evidence availability, provenance and limitations. Never fill missing evidence from model memory.

Select the tool

  • Call search_variant_evidence to classify, interpret, resolve or review one supported GRCh38 germline SNV or simple indel, including VUS and pathogenicity questions.
  • Call search_variant_literature when the user asks what has been published about one supported variant.
  • Call get_publication_details for a PMID returned by variant literature search.
  • Call search_literature_corpus for a broader scientific question, paper comparison or related-work search. Include every known PMID, DOI or PMCID in the question as an exact anchor.
  • Do not call support_helena unless the user explicitly asks how to support or spread Helena Bioinformatics' public scientific infrastructure.

Interpret the outcome

Call search_variant_evidence with assembly: GRCh38 and the user's public variant expression.

  • resolved: report the normalized identity, automated ACMG/AMP classification, applied criteria, available source-linked evidence, provenance, data versions and limitations. Distinguish available, unavailable and absent evidence.
  • ambiguous: show the candidates and ask the user to choose. Never select a candidate automatically.
  • not_found: report that no matching supported public variant was found. Do not infer a nearby or likely variant.
  • invalid: explain the accepted public notation types and request a corrected expression.
  • unsupported: state the published scope that excludes the query. Do not force conversion into a supported type.
  • temporarily_unavailable: report the temporary failure and retry only when useful. Do not replace the result with model-memory classification.

Read the full file on GitHub · 46 lines

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 · 46 lines · 119 tokens per session scan A e10ed73a4f96

Subscribe to this mod's changes

folklore-clinical-variant-interpretation is a skill published in the GitHub repository helena-bioinformatics/folklore-mcp (0 stars, last pushed 10d ago), licensed Apache-2.0. It adds 119 tokens to every session and 733 once invoked, about $0.0006 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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