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/disease-classification/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/disease-classification)<a href="https://agentmods.dev/skills/monarch-initiative/dismech/disease-classification"><img src="https://agentmods.dev/badge/skills/monarch-initiative/dismech/disease-classification/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/disease-classification"><img src="https://agentmods.dev/badge/skills/monarch-initiative/dismech/disease-classification.svg" alt="Reviewed on agentmods" width="80" height="20"></a>- NVIDIA SkillSpector warn
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 Prompt Injection · line 449 Large whitespace padding was detected (a block of blank lines or a long run of spaces). This can push injected instructions below or to the right of the visible area so a human reviewer never sees them while the agent still reads them. Manual review of the hidden content is recommended.Fix: Remove the large whitespace padding (blank-line blocks or long space runs) and review any content hidden below or to the right of it. Keep skill files compact and reviewable so no instructions can be
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 | $0.00070 | $0.07237 |
| Opus 5.5 | $0.00028 | $0.02895 |
| Sonnet 5.5 | $0.00014 | $0.01447 |
| Haiku 4.5 | $0.00007 | $0.00724 |
Grade A, and why
disease-classification 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 2d 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 — 541 lines — stays where its author put it; the contents beside it link to each section on GitHub.
Adding classifications
The classifications block carries multiple disease-taxonomy assignments,
each ranged by its own enum. Curators populate the slot(s) most relevant
to the disease — most entries will set harrisons_chapter plus zero or
more of the more specific category slots (mechanistic_category,
lysosomal_storage_category, etc.).
classifications:
harrisons_chapter:
- classification_value: ENDOCRINOLOGY_METABOLISM
- classification_value: GENETICS_ENVIRONMENT_DISEASE
mechanistic_category:
- classification_value: tauopathy
All classification_value slots are enum-typed: free-text values will
fail schema validation. Use the controlled keys below.
Every slot in DiseaseClassifications renders on the disorder page
automatically — the Classifications card is generated from the schema,
labelled by each slot's LinkML title, and grouped by slot_group. You
do not need to touch the template when curating, and a slot you populate
will never silently fail to appear.
Harrison's Part (harrisons_chapter)
Despite the slot name, the controlled vocabulary lives at the Part
level of Harrison's Principles of Internal Medicine (21st edition), not
at individual chapter granularity. The full enum is defined in
src/dismech/schema/dismech.yaml as HarrisonsChapterEnum. The slot is
multivalued — assign every Part that contains a relevant chapter.
Lookup table (common phrasings → enum key)
Use this table to translate the natural-language category you want to express into the right enum key.
| You want to say… | Use this key |
|---|---|
| cancer / solid tumor / leukemia / lymphoma / sarcoma | ONCOLOGY_HEMATOLOGY |
| hematologic malignancy / anemia / coagulation disorder | ONCOLOGY_HEMATOLOGY |
| bacterial / viral / fungal / parasitic / infectious disease | INFECTIOUS_DISEASES |
| cardiomyopathy / coronary / vascular / cardiac channelopathy | CARDIOVASCULAR |
| asthma / COPD / lung / allergic respiratory disease | RESPIRATORY |
| sepsis / ARDS / critical illness | CRITICAL_CARE |
| kidney / glomerular / electrolyte / urinary tract | KIDNEY_URINARY_TRACT |
| GI / hepatic / pancreatic / IBD / peptic | GASTROINTESTINAL |
| autoimmune / connective tissue / rheumatology / arthritis | IMMUNE_RHEUMATOLOGIC |
| musculoskeletal | IMMUNE_RHEUMATOLOGIC |
| diabetes / thyroid / adrenal / pituitary / metabolic | ENDOCRINOLOGY_METABOLISM |
| inborn error of metabolism (general) | ENDOCRINOLOGY_METABOLISM |
| neurodegenerative / movement disorder / epilepsy / stroke | NEUROLOGIC |
| psychiatric / demyelinating / neuromuscular | NEUROLOGIC |
| skin disorder | DERMATOLOGY |
| poisoning / overdose / envenomation | POISONING_ENVENOMATION |
| environmental exposure (altitude, radiation, hypothermia) | ENVIRONMENTAL_EXPOSURES |
| hereditary / RASopathy / ciliopathy / mitochondrial disease | GENETICS_ENVIRONMENT_DISEASE |
| hearing loss / vestibular disorder | DISORDER_OF_EAR |
| symptom-defined entry (e.g., chronic pain, fatigue) | CARDINAL_MANIFESTATIONS |
| does not fit any Part | OTHER |
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.
- 2d ago Changed · +5 lines dbece023d2c0
- 1mo ago Changed · +52 lines 34410deace9b
- 1mo ago First seen · 484 lines · 70 tokens per session scan A 299cb6ad5288
disease-classification is a skill published in the GitHub repository monarch-initiative/dismech (69 stars, last pushed today), licensed BSD-3-Clause. It adds 70 tokens to every session and 7,237 once invoked, about $0.0003 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.
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