dismech: Skill for Claude Code

.claude/skills/collect-care-guidelines/SKILL.md

collect-care-guidelines is a skill for Claude Code from monarch-initiative/dismech. It costs 87 tokens per session (1,652 once invoked), scanned A, original, BSD-3-Clause.

A workflow for finding recent clinical practice-guideline citations in PubMed for disorders in the dismech knowledge base. Practice guidelines are evidence-based recommendations for managing a medical condition.

In plain words
What is it for?
Use it to collect recent guideline citations, create a citation table, discover relevant evidence, and rank disorders by the amount of guideline material available.
Why use it?
It narrows literature searches to likely care guidelines instead of relying on broad keyword searches.

Skill for Claude Code

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

This is monarch-initiative/dismech's own configuration. It tells Claude Code how to work on dismech 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 dismech configures →

Reuse

Borrowing it

Nothing to install: this file belongs to monarch-initiative/dismech. 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/monarch-initiative/dismech/main/.claude/skills/collect-care-guidelines/SKILL.md
Clone the repo
git clone --depth 1 https://github.com/monarch-initiative/dismech

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 collect-care-guidelines

README.md
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Your own site
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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 collect-care-guidelines

Your own site · 80×15
<a href="https://agentmods.dev/skills/monarch-initiative/dismech/collect-care-guidelines"><img src="https://agentmods.dev/badge/skills/monarch-initiative/dismech/collect-care-guidelines.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 87 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 1,652 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 $0.00087 $0.01652
Opus 5 $0.00044 $0.00826
Sonnet 5 $0.00017 $0.00330
Haiku 4.5 $0.00009 $0.00165

Measured 8d ago against content hash 40b608b03c52, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-12, from the pricing page.

Security

Grade A, and why

collect-care-guidelines 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.

The scan reads SKILL.md. This mod also ships 2 executable files (scripts/collect_guidelines.py, scripts/therapy_specific_search.py), listed below but not scanned — reading those needs a real analyzer, not pattern matching.

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/collect-care-guidelines/SKILL.md · 145 lines

How it starts

The opening of the file, as written. The whole thing — 145 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Collect Clinical Care Guidelines Skill

Overview

This skill finds the clinical care guidelines that describe the management of a dismech disorder, so their phenotype and treatment content can be mined against the existing knowledge-base entry (the workflow first used for the Fanconi anemia gap analysis, issue #4878).

A "clinical care description" here is operationalized as a PubMed citation whose Publication Type is Practice Guideline, published within the last 10 years (configurable). PubMed's Practice Guideline publication type is a curated NLM tag applied to society/consensus management guidelines, which makes it a high-precision filter for care descriptions — far better than free-text searching for the word "guideline".

The output is a tab-delimited citation table (one row per disorder × PMID) plus a JSONL discovery record that doubles as a prioritization ranking.

When to use

  • Building an initial care-guideline citation set for a batch of disorders.
  • Refreshing an existing set with newly published guidelines.
  • Prioritizing which disorders have the richest recent guideline evidence to mine for phenotype/treatment gaps.

The workflow (two steps)

The helper script scripts/collect_guidelines.py uses NCBI E-utilities (esearch + esummary) with only the standard library plus PyYAML. Run it from the repo root.

Step 1 — search

For each disorder, it builds a clean search term (the top-level MONDO mapping label when present, else the name field with underscores as spaces) and runs:

esearch  db=pubmed
         term=("<disease name>"[MeSH Terms] OR "<disease name>"[Title/Abstract])
               AND "Practice Guideline"[Publication Type]
         datetype=pdat  reldate=3650   # last 10 years

The disease phrase must be field-tagged ([MeSH Terms] / [Title/Abstract]). A bare quoted phrase lets PubMed's Automatic Term Mapping shatter an unmatched name into individual all-fields words — e.g. "Alsahan-Harris syndrome" collapses to Harris + syndrome and falsely returns dozens of unrelated guidelines. Field-tagging makes an unmatched disorder correctly return zero.

Read the full file on GitHub · 145 lines

Files

What ships with it

2 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. 8d ago Changed 40b608b03c52
  2. 12d ago First seen · 145 lines · 87 tokens per session scan A e53fa72753a1

Subscribe to this mod's changes

collect-care-guidelines is a skill published in the GitHub repository monarch-initiative/dismech (61 stars, last pushed today), licensed BSD-3-Clause. It adds 87 tokens to every session and 1,652 once invoked, about $0.0004 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 2026-08-30.

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