What is dismech-references?

A workflow for adding and checking evidence references in a medical or scientific knowledge base. It works with identifiers such as PMID, DOI, and clinical-trial registration numbers, and requires quoted text copied exactly from the cited source.

Use it when adding, reviewing, repairing, or validating references in knowledge-base YAML or research reports. It helps check evidence snippets, normalize citation formatting, and regenerate reference caches from source records.

It reduces unsupported claims, incorrect citations, and quotations that do not actually prove the statement they accompany. It also prevents manually editing cached reference files in ways that could hide errors.

How monarch-initiative/dismech configures Claude Code

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/dismech-references/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.

README.md

[![agentmods](https://agentmods.dev/badge/skills/monarch-initiative/dismech/dismech-references/github.svg)](https://agentmods.dev/skills/monarch-initiative/dismech/dismech-references)

Your own site

<a href="https://agentmods.dev/skills/monarch-initiative/dismech/dismech-references"><img src="https://agentmods.dev/badge/skills/monarch-initiative/dismech/dismech-references/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.

Your own site · 80×15

<a href="https://agentmods.dev/skills/monarch-initiative/dismech/dismech-references"><img src="https://agentmods.dev/badge/skills/monarch-initiative/dismech/dismech-references.svg" alt="Reviewed on agentmods" width="80" height="20"></a>

Per session 88 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.

When invoked 8,421 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.

Model	Per session	Once invoked
Fable 5.1	$0.00088	$0.08421
Opus 5.5	$0.00035	$0.03368
Sonnet 5.5	$0.00018	$0.01684
Haiku 4.5	$0.00009	$0.00842

Measured 3d ago against content hash c6b3bafe3a79, method: parsed. Prices are Anthropic first-party input rates as of 2026-10-07, from the pricing page.

Security

Grade A, and why

dismech-references 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.

.claude/skills/dismech-references/SKILL.md · 707 lines

How it starts

The opening of the file, as written. The whole thing — 707 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Curate Evidence and References

Use this workflow whenever evidence or its cited source changes.

Non-negotiable rules

Quote an exact substring of the cited source. Do not paraphrase or fabricate a snippet.
Confirm that the quote substantively supports the precise claim. A matching string from the wrong paper, or an unrelated sentence from the right paper, is not evidence.
Prefer a result sentence from the abstract or authoritative source record. A paper title usually establishes only that a topic was studied.
Never create or hand-edit references_cache/*.md. Generate or regenerate a cache entry with just fetch-reference <ID>.
Never use fuzzy auto-repair to rewrite snippets. Read the source and copy the exact passage, choose another source, or remove the evidence.
Treat deep-research output as leads, not ground truth.

Evidence shape

evidence:
  - reference: PMID:12345678
    supports: SUPPORT
    evidence_source: HUMAN_CLINICAL
    snippet: "Exact text copied from the cited source."
    explanation: "How this passage supports the specific KB claim."

Use supports: SUPPORT, REFUTE, or the value allowed by the schema. Make the explanation connect the quote to the claim without adding conclusions the quote does not establish.

Classify evidence_source by the cited study, not by the curator or the claim:

HUMAN_CLINICAL: patients, cohorts, clinical observations, or trials
MODEL_ORGANISM: in vivo non-human animal or organism work
IN_VITRO: cells, organoids, explants, or biochemical assays
COMPUTATIONAL: modeling, simulation, or in-silico analysis
OTHER: evidence that does not fit the categories above

Inspect the schema and nearby current entries if a field or enum is uncertain.

Workflow

1. Screen deep-research sources

If evidence came from research/, first read the report's reference_validation, unresolved_references, needs_review, and off_topic_references results. Do not curate an unresolved identifier. An off-topic flag is a reason to inspect the paper, not an automatic rejection.

Read the full file on GitHub · 707 lines

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.

3d ago Changed · +34 lines c6b3bafe3a79
5d ago Changed · +127 lines b5732953ca6a
16d ago Changed · +7 lines 7c854fb2cec8
19d ago Changed · -1 lines 0a3c52899497
28d ago Changed · +9 lines d30fbbb9804f
29d ago Changed · +4 lines 33c588913477
1mo ago Changed · +96 lines 19a20fff565b
1mo ago Changed · +54 lines cf2fd643c75f
1mo ago Changed · +65 lines 186d05ef6de1
1mo ago First seen · 312 lines · 88 tokens per session scan A 18733b67f005

Subscribe to this mod's changes

dismech-references is a skill published in the GitHub repository monarch-initiative/dismech (69 stars, last pushed today), licensed BSD-3-Clause. It adds 88 tokens to every session and 8,421 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.

Research Scientific agentic-ai disease-mechanisms kozahub-ingest linkml monarchinitiative obofoundry

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dismech: Skill for Claude Code