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 agentmods add skills/monarch-initiative/dismech/create-modulenpx skills add monarch-initiative/dismech --skill create-modulegit 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.svg" alt="Measured on agentmods" 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 | $0.00102 | $0.01909 |
| Opus 5 | $0.00051 | $0.00955 |
| Sonnet 5 | $0.00020 | $0.00382 |
| Haiku 4.5 | $0.00010 | $0.00191 |
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 3d 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 — 150 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:treatments,mechanistic_hypotheses,discussions. - 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.
- 3d 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 (56 stars, last pushed 3d ago), licensed BSD-3-Clause. It adds 102 tokens to every session and 1,909 once invoked, about $0.0005 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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