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 jxoesneon/Ciel --skill healthcare-systemsgit clone --depth 1 https://github.com/jxoesneon/CielWrote 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/jxoesneon/ciel/healthcare-systems)<a href="https://agentmods.dev/skills/jxoesneon/ciel/healthcare-systems"><img src="https://agentmods.dev/badge/skills/jxoesneon/ciel/healthcare-systems/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/jxoesneon/ciel/healthcare-systems"><img src="https://agentmods.dev/badge/skills/jxoesneon/ciel/healthcare-systems.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 | $0.00022 | $0.00496 |
| Opus 5 | $0.00011 | $0.00248 |
| Sonnet 5 | $0.00004 | $0.00099 |
| Haiku 4.5 | $0.00002 | $0.00050 |
Grade A, and why
healthcare-systems 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 8d 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.
What it actually says
CIEL ADAPTATION: Healthcare Systems (Safety & Workflows)
This skill formalizes the development of patient-critical healthcare software. It mandates fail-safe logic and accessibility-first UI.
Encounter Flow (Vertical Stack)
The clinical encounter MUST be a single-page vertical scroll to prevent context loss:
- Sticky Header: Allergies and active meds ALWAYS visible.
- Structured Entry: Complaint -> History -> Exam -> Vitals.
- CDSS Gate: Interaction and Dose checks before signing.
- Sign & Lock: Edits prohibited after signing; use Addendums only.
CDSS Engine (Pure Functions)
The Decision Support engine MUST be a side-effect-free library:
- Interactions: Bidirectional checks (Drug A vs B AND B vs A).
- Dosing: Block (not pass) if weight is missing for mg/kg drugs.
- Scoring: Exact implementation of clinical scales (e.g., NEWS2).
Alert Severity & UI
- Critical: Non-dismissable modal. Must document override reason in audit trail.
- Major: Inline orange banner. Acknowledge required.
- Standard: No auto-dismissing toasts for clinical data.
Anti-Patterns
- Silent Failures: Allowing a drug search to pass if the interaction DB is unreachable.
- Amnesiac Overrides: Overriding a critical block without storing the reason in the audit trail.
- LocalStorage PHI: Storing patient data in browser storage (creates HIPAA/GDPR risk).
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.
- 8d ago First seen · 55 lines · 22 tokens per session scan A 8bcba53139fc
healthcare-systems is a skill published in the GitHub repository jxoesneon/Ciel (1 stars, last pushed 5d ago), licensed Apache-2.0. It adds 22 tokens to every session and 496 once invoked, about $0.0001 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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