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.
curl -O https://raw.githubusercontent.com/monarch-initiative/dismech/main/.claude/skills/create-module/SKILL.mdgit clone --depth 1 https://github.com/monarch-initiative/dismechWrote 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/monarch-initiative/dismech/create-module)<a href="https://agentmods.dev/skills/monarch-initiative/dismech/create-module"><img src="https://agentmods.dev/badge/skills/monarch-initiative/dismech/create-module/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/monarch-initiative/dismech/create-module"><img src="https://agentmods.dev/badge/skills/monarch-initiative/dismech/create-module.svg" alt="Reviewed on agentmods" width="80" height="20"></a>- NVIDIA SkillSpector pass
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 | $0.00102 | $0.02121 |
| Opus 5.5 | $0.00041 | $0.00848 |
| Sonnet 5.5 | $0.00020 | $0.00424 |
| Haiku 4.5 | $0.00010 | $0.00212 |
Grade A, and why
create-module 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 today.
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 — 162 lines — stays where its author put it; the contents beside it link to each section on GitHub.
Create a Mechanism Module
When to use
- The user asks to create a new
kb/modules/*.yamlmodule. - A conserved mechanism (a final-common pathway, a recurrent downstream
convergence point, a shared drug-target pattern) recurs across ≥2 disorders and
is worth checking for consistency via
conforms_to. - The user asks for an Xogenesis module — the formation of a pathological material anatomical entity (cyst, calculus, granuloma, thrombus, amyloid deposit, atheroma, neoplasm, fibrous scar).
Read docs/primers/modules-and-conformance.md first for the conformance mental
model (conformance is a consistency check, not DRY inheritance).
Does it clear the module bar?
Only create a module when there is one conserved mechanism reducible to a
short linear causal chain with one rate-limiting "key conformance target"
node that every conformer funnels through. If the candidate is mechanistically
heterogeneous (many unrelated pathways to the same label), it is not a
module — consider a Grouping (SHARED_PHENOTYPE) instead.
Module shape
- Validates against the
Diseaseclass withcategory: Module. - Top-level:
name,description,category: Module,creation_date,notes,pathophysiology. Optional:module_categories,treatments,mechanistic_hypotheses,discussions. module_categoriestags the areas of study the module is relevant to (ModuleCategoryEnum— TOXICOLOGY, PHARMACOLOGY, ONCOLOGY, INFECTIOUS_DISEASE, IMMUNOLOGY, NEUROSCIENCE, DEVELOPMENTAL_BIOLOGY, METABOLISM, AGING) and renders as coloured pills on the module pages. It is a browsing aid, so tag every area that genuinely applies and leave it off when none fits — a wrong pill is worse than no pill. See the Module categories section ofCLAUDE.md.- Nodes bind GO and CL terms only (plus UBERON
locations, GOcellular_components). No CHEBI/MONDO term bindings in nodes — describe chemistry/disease in prose. (Exception: atreatmentsblock'stherapeutic_agentcarries a CHEBI/NCIT id per the treatment schema.) - Chain of ~5 nodes, each with a
role:trigger → amplifier → central_effector → effector → consequence. Thecentral_effectoris normally the key conformance target — the disorder-agnostic, rate-limiting step. Every node carriesevidenceanddownstreamedges; thenotesspell out the disorder-specific substitutions conforming entries make. - Treatment drug-target pattern (optional but preferred when a drug acts on
a specific node): a
treatments[]entry usestarget_mechanismswith atreatment_effect(INHIBITS/ACTIVATES) pointing at the node name it acts on. Model aftercellular_senescence(senolytic) orrenal_cystogenesis(tolvaptan).
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.
- today Changed · +2 lines aa9966d861f7
- 1mo ago Changed · +10 lines 1684bd7ba218
- 1mo ago First seen · 150 lines · 102 tokens per session scan A ca739947c513
create-module is a skill published in the GitHub repository monarch-initiative/dismech (69 stars, last pushed today), licensed BSD-3-Clause. It adds 102 tokens to every session and 2,121 once invoked, about $0.0004 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 2026-08-30.
Other skills, from other repositories
aql-authoring
This skill should be used when the user asks to "write an AQL query", "optimize an AQL query", "review AQL", or "query openEHR data" — the multi-step authoring/optimization workflow for AQL (Archetype Query Language) over openEHR clinical data. For a one-off explanation of an existing query or a single AQL…
mike-model
Inspect a MIKE+ .sqlite model via the mike-plus MCP server — active simulation/scenario/model type, unit system, the list of simulation setups and scenarios, element counts — and switch the active scenario. Use when an agent needs to understand a MIKE+ model before running or editing it, or must run a scenario…
dosdp-design-patterns
Skills for understanding and applying DOSDP (Dead Simple Ontology Design Patterns) to ensure consistent ontology term creation and maintenance. This skill is about recognizing patterns and ensuring consistency, not using dosdp-tools directly.
robot-obo-tool
Skills for using ROBOT, the OBO ontology command-line toolkit for reasoning, template-based term creation, quality control, format conversion, and ontology manipulation. Use this when working with OWL/OBO ontologies that need automated processing.
editing-obo-ontologies
Skills and tools for editing OBO format ontologies, including querying terms, checking out/checking in individual terms, and following OBO format conventions. Do not use this if the source for the ontology you are editing is not in obo format (e.g. ofn).
ontology-access-kit
Skills for querying ontologies using the Ontology Access Kit (OAK). This should only be used for complex ontology operations, for basic external ontology searching use the OLS MCP.