tooluniverse-variant-interpretation

tooluniverse-variant-interpretation is a skill for Claude Code from mims-harvard/ToolUniverse. It costs 143 tokens per session (6,494 once invoked), scanned A, original, Apache-2.0.

A clinical genetics workflow that assesses variants and assigns classifications using ACMG guidelines, a standard framework for judging whether a variant is likely harmless or disease-causing. It can combine database evidence with protein-structure and population information.

In plain words
What is it for?
Use it to interpret VCF files, investigate uncertain variants, assess pathogenicity, review missense structure effects, and produce ACMG-based clinical recommendations.
Why use it?
It organizes the evidence needed for variant interpretation and records the reasoning behind the classification. This is more complete than simply listing a variant's frequency or predicted effect.

Skill for Claude Code

Written for Claude Code: disable-model-invocation in frontmatter.

Part of the tooluniverse plugin — 162 skills, 8 commands, 1 agent, 1 hook, 1 MCP server shipped together

Good fit Use it to interpret VCF files, investigate uncertain variants, assess pathogenicity, review missense structure effects, and produce ACMG-based clinical recommendations.

Compare 6 skills from other repositories ↓
Install with agentmods
npx agentmods add skills/mims-harvard/tooluniverse/tooluniverse-variant-interpretation
About the project

ToolUniverse is a collection of tools, interfaces, and supporting components for building AI systems that perform scientific work. It is for developers creating AI scientist agents that use APIs, databases, machine-learning tools, and domain-specific utilities. The catalogue includes skills, commands, an MCP server, an agent, and a hook for working with the ecosystem.

mims-harvard/ToolUniverse · 1,744 stars · on GitHub · aiscientist.tools

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 mims-harvard/ToolUniverse --skill tooluniverse-variant-interpretation
Clone the repo
git clone --depth 1 https://github.com/mims-harvard/ToolUniverse

Made for: Claude Code.

Or install tooluniverse, the plugin that ships this one along with the rest of its 162 skills, 8 commands, 1 agent, 1 hook, 1 MCP server.

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-variant-interpretation

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

Your own site · 80×15
<a href="https://agentmods.dev/skills/mims-harvard/tooluniverse/tooluniverse-variant-interpretation"><img src="https://agentmods.dev/badge/skills/mims-harvard/tooluniverse/tooluniverse-variant-interpretation.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 143 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 6,494 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 warn 7 Sept 2026
SkillSpector: 1 finding, up to medium

These are SkillSpector’s own severities. On a checked sample its high-severity flags on skills were ~96% false positives — a documented command, a public API, a “never do X” rule — so we show them as a caution to read, not a verdict. Why →

  • medium Excessive Agency · line 31
    Skill enables autonomous high-impact decisions without human-in-the-loop verification. Critical operations (destructive commands, financial transactions, data deletion) should require explicit user confirmation.
    Fix: Add human-in-the-loop confirmation for destructive, irreversible, or high-impact operations. Never auto-execute commands that modify files, send data, or alter system state.
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 $0.00143 $0.06494
Opus 5.5 $0.00057 $0.02598
Sonnet 5.5 $0.00029 $0.01299
Haiku 4.5 $0.00014 $0.00649

Measured 10d ago against content hash 8e0bf88af7fe, method: parsed. Prices are Anthropic first-party input rates as of 2026-10-07, from the pricing page.

Security

Grade A, and why

tooluniverse-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.

plugin/skills/tooluniverse-variant-interpretation/SKILL.md · 380 lines

How it starts

The opening of the file, as written. The whole thing — 380 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Clinical Variant Interpreter

Systematic variant interpretation using ToolUniverse - from raw variant calls to ACMG-classified clinical recommendations with structural impact analysis.

Triggers

Use this skill when users:

  • Ask about variant interpretation, classification, or pathogenicity
  • Have VCF data needing clinical annotation
  • Need ACMG classification for variants
  • Want structural impact analysis for missense variants

Key Principles

  1. ACMG-Guided - Follow ACMG/AMP 2015 guidelines with explicit evidence codes
  2. Structural Evidence - Use AlphaFold2 for novel structural impact analysis
  3. Population Context - gnomAD frequencies with ancestry-specific data
  4. Actionable Output - Clear recommendations, not just classifications
  5. English-first queries - Always use English terms in tool calls; respond in user's language

LOOK UP, DON'T GUESS

When asked about a variant's significance, query ClinVar/gnomAD/CIViC FIRST. Never classify a variant without checking databases. When you're not sure about a fact, your first instinct should be to SEARCH for it using tools, not to reason harder from memory.


Workflow Overview

Phase 1: VARIANT IDENTITY        → Normalize HGVS, map gene/transcript/consequence, resolve ClinGen CA ID
Phase 2: CLINICAL DATABASES       → ClinVar, gnomAD, OMIM, ClinGen, COSMIC, SpliceAI
Phase 2.5: REGULATORY CONTEXT     → ChIPAtlas/ENCODE annotation + DL variant-effect (AlphaGenome/Enformer/Borzoi/ChromBPNet/Evo2) (non-coding only)
Phase 3: COMPUTATIONAL PREDICTIONS → CADD, AlphaMissense, EVE, SIFT/PolyPhen
Phase 4: STRUCTURAL ANALYSIS      → PDB/AlphaFold2, domains, functional sites (VUS/novel)
Phase 4.5: EXPRESSION CONTEXT     → CELLxGENE, GTEx tissue expression
Phase 5: LITERATURE EVIDENCE      → PubMed, EuropePMC, BioRxiv, MedRxiv
Phase 6: ACMG CLASSIFICATION      → Evidence codes, classification, recommendations

Phase 1: Variant Identity

Tools: MyVariant_query_variants, EnsemblVar_get_variant_consequences, NCBIGene_search, VariantValidator_gene2transcripts, VariantValidator_validate_variant, Tark_get_mane_transcripts, Tark_get_transcript, ClinGenAllele_lookup_hgvs, ClinGenAllele_get_allele

Read the full file on GitHub · 380 lines

Files

What ships with it

5 files 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 Changed · +2 lines 8e0bf88af7fe
  2. 1mo ago Changed 94b2d37a1b88
  3. 1mo ago Changed · +1 lines 524bbf340c8c
  4. 1mo ago First seen · 377 lines · 143 tokens per session scan A 1fe218575329

Subscribe to this mod's changes

tooluniverse-variant-interpretation is a skill published in the GitHub repository mims-harvard/ToolUniverse (1,744 stars, last pushed yesterday), licensed Apache-2.0. It adds 143 tokens to every session and 6,494 once invoked, about $0.0006 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 2026-09-03.

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