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 iblai/medical-healthcare-agents --skill uptodategit clone --depth 1 https://github.com/iblai/medical-healthcare-agentsWrote 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/iblai/medical-healthcare-agents/uptodate)<a href="https://agentmods.dev/skills/iblai/medical-healthcare-agents/uptodate"><img src="https://agentmods.dev/badge/skills/iblai/medical-healthcare-agents/uptodate/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/iblai/medical-healthcare-agents/uptodate"><img src="https://agentmods.dev/badge/skills/iblai/medical-healthcare-agents/uptodate.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 | $0.00039 | $0.00593 |
| Opus 5 | $0.00019 | $0.00296 |
| Sonnet 5 | $0.00008 | $0.00119 |
| Haiku 4.5 | $0.00004 | $0.00059 |
Grade A, and why
uptodate 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 — 37 lines — stays where its author put it; the contents beside it link to each section on GitHub.
UpToDate
What it is
UpToDate is the most widely used clinical decision support resource in US hospitals, with institutional subscriptions at the majority of health systems. It provides physician-authored, peer-reviewed clinical summaries covering diagnosis, treatment, and prevention across all specialties. The REST API enables agents to retrieve topic content, recommendation grades, evidence levels, and related topic links programmatically within the clinical workflow.
When to use this skill
- Retrieve treatment recommendations for an active diagnosis or clinical question
- Look up drug dosing, indications, and contraindications from the drug monograph library
- Surface the graded recommendation strength (A/B/C) and evidence level (1/2/3) for a proposed intervention
- Identify relevant clinical practice guidelines (AHA, IDSA, ACOG, etc.) linked to a topic
- Support clinical decision making at the point of care for physician or nursing queries
Credentials
This skill authenticates using variables declared in the metadata above. Copy ~/.openclaw/.env.example to ~/.openclaw/.env and fill in real values. Required variables:
UPTODATE_API_KEY- institutional API key issued with the UpToDate licenseUPTODATE_BASE_URL- API base URL (typicallyhttps://www.uptodate.com/services/app/contents/api)
Key operations
GET /search?q={query}— keyword or clinical question search returning ranked topic listGET /topic/{topicId}— full topic content with structured sections (Recommendations, Evidence Summary, References)GET /drug/{drugName}— drug monograph (dosing, indications, contraindications, pregnancy safety, renal/hepatic adjustments)GET /topic/{topicId}/graded-recommendations— extracted recommendation statements with grade and evidence levelGET /topic/{topicId}/related— linked topics and related guidelines
Notes
- Access requires an active institutional UpToDate license; individual clinician keys cannot be used for agent/system integrations.
- API responses include a
lastReviewedDatefield; surface this to clinicians so they can assess currency. - Rate limit: 60 requests/min per API key; cache topic responses for repeated queries within a session.
- Content is licensed; do not store or redistribute full topic text outside the agent session context.
- UpToDate content is copyright Wolters Kluwer; display attribution in any output surfaced to end users.
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 · 37 lines · 39 tokens per session scan A 98015c932294
uptodate is a skill published in the GitHub repository iblai/medical-healthcare-agents (10 stars, last pushed 3mo ago), licensed MIT. It adds 39 tokens to every session and 593 once invoked, about $0.0002 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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