dismech: Skill for Claude Code

.claude/skills/curate-grouping/SKILL.md

curate-grouping is a skill for Claude Code, Codex from monarch-initiative/dismech. It costs 91 tokens per session (1,388 once invoked), scanned A, original, BSD-3-Clause.

A curation guide for disease groupings in the DisMech knowledge base. A grouping is a named collection of already separate diseases or other groupings, linked by explicit membership rules.

In plain words
What is it for?
Use it to create, edit, review, or audit grouping files, membership criteria, grouping rationale, disease links, and ontology-closure checks.
Why use it?
It helps keep related diseases together without incorrectly replacing them with one broad disease record. It also makes the reason for grouping and the boundary between included and excluded members explicit.

Skill for Claude CodeCodex

Written for Claude Code and Codex: installed under .claude/, but also agents/openai.yaml present.

This is monarch-initiative/dismech's own configuration. It tells Claude Code and Codex 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/curate-grouping/SKILL.md
Clone the repo
git clone --depth 1 https://github.com/monarch-initiative/dismech

Made for: Claude Code, Codex.

Wrote this? Show the measurements

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agentmods badge for curate-grouping

README.md
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agentmods 80×15 button for curate-grouping

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Per session 91 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 1,388 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 $0.00091 $0.01388
Opus 5 $0.00046 $0.00694
Sonnet 5 $0.00018 $0.00278
Haiku 4.5 $0.00009 $0.00139

Measured 6d ago against content hash 784b39ee2b14, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-09, from the pricing page.

Security

Grade A, and why

curate-grouping 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 6d 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.

.claude/skills/curate-grouping/SKILL.md · 123 lines

How it starts

The opening of the file, as written. The whole thing — 123 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Curate a Disease Grouping

Treat kb/groupings/ as the source of truth. A grouping is an explicit curated union of already-distinct diseases, modules, or other groupings. It validates against Grouping, not Disease, and points down by listing members; it does not recreate the MONDO hierarchy.

Discover relevant examples

rg --files kb/groupings -g "*.yaml" | sort
rg -il "<disease family or mechanism>" kb/groupings
sed -n "1,160p" kb/groupings/Mucopolysaccharidoses.yaml

Use Mucopolysaccharidoses for a NECESSARY criteria example and Inherited_Arrhythmia_Syndromes for nested boolean logic with NECESSARY_AND_SUFFICIENT criteria. Inspect the current YAML rather than copying a static catalog.

Define the boundary

  • Set name, optional display_name, creation_date, description, grouping_basis, grouping_rationale, membership_criteria, and members.
  • Use grouping_basis to record why the members belong together; inspect the schema for current enum values rather than inventing one.
  • Explain the lump/keep-split boundary in grouping_rationale. A grouping sits over distinct entities, so do not put a LUMP flag on it.
  • An optional MONDO mapping is a cross-reference, not the source of membership.

Model membership criteria

Each membership_criteria block needs a human-readable description. Its optional logic is a LogicalCriterion tree:

  • Branch nodes use operator: AND, OR, or NOT with operands.
  • Leaf nodes use criterion_predicate and the matching payload: HAS_PHENOTYPE, HAS_GENE, CONFORMS_TO_MODULE, HAS_BIOLOGICAL_PROCESS, HAS_CLASSIFICATION, HAS_INHERITANCE, HAS_MAPPING, or OTHER.
  • Use negated: true to negate a leaf when clearer than a NOT branch.

Choose criteria_semantics deliberately:

  • NECESSARY: member => criteria. Audit listed members for contradictions.
  • SUFFICIENT: criteria => member. Discover candidate additions.
  • NECESSARY_AND_SUFFICIENT: both directions; the criteria define membership.

Read the full file on GitHub · 123 lines

Files

What ships with it

1 file 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. 6d ago Changed · +32 lines 784b39ee2b14
  2. 10d ago First seen · 91 lines · 91 tokens per session scan A d7afdaaa4454

Subscribe to this mod's changes

curate-grouping is a skill published in the GitHub repository monarch-initiative/dismech (60 stars, last pushed today), licensed BSD-3-Clause. It adds 91 tokens to every session and 1,388 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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