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 skills add realactivity/tula --skill epic-notegit clone --depth 1 https://github.com/realactivity/tulaWrote 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/realactivity/tula/epic-note)<a href="https://agentmods.dev/skills/realactivity/tula/epic-note"><img src="https://agentmods.dev/badge/skills/realactivity/tula/epic-note/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/realactivity/tula/epic-note"><img src="https://agentmods.dev/badge/skills/realactivity/tula/epic-note.svg" alt="Reviewed on agentmods" width="80" 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 5.1 | $0.00097 | $0.00821 |
| Opus 5.5 | $0.00039 | $0.00328 |
| Sonnet 5.5 | $0.00019 | $0.00164 |
| Haiku 4.5 | $0.00010 | $0.00082 |
Grade A, and why
epic-note 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 1mo 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 — 91 lines — stays where its author put it; the contents beside it link to each section on GitHub.
epic-note
When to Use
✅ Use when:
- The user asks for help drafting a message to their PCP or specialist
- Reporting a new or worsening symptom
- Asking about a recent test or lab result
- Requesting a medication refill
- Following up after a visit, procedure, or referral
When NOT to Use
❌ Don't use when:
- Symptoms suggest an emergency - return the 911 redirect from
references/triage-rules.md, don't draft - Generating a clinician-facing note (SOAP, discharge, dictation)
- Drafting non-clinical letters (insurance, billing)
- The user is asking a medical question for advice - that's answered directly, not in a portal message
Setup
Profile. Resolve from the precedence in
references/profile-schema.md
(skill config -> env var -> ~/.openclaw/workspace/memory/profile.yaml).
Use care_team.pcp.display_name as the default greeting recipient when
the user doesn't name a clinician. The skill never contains the profile.
Workflow
-
Triage first. Scan input for red-flag symptoms. If present, do NOT draft - return the 911 redirect text from
references/triage-rules.md. -
Identify the single ask. If multiple unrelated topics exist, propose separate messages and ask the user which to send first.
-
Draft using the canonical format in
references/portal-message-format.md:Subject:line with urgency, greeting, one-sentence ask, 2-4 sentences of context, optional bullet data, sign-off. -
Word budget. Aim for ≤150 words; hard cap 220. Front-load the ask. Plain language. No self-diagnosis, no filler praise, no PHI of others.
-
Output is copy-paste ready. No explanations or meta-commentary wrapped around the message - just the message itself.
Examples
See references/examples.md for worked
input/output pairs (medication side effect, lab follow-up, refill request,
multi-topic split).
What ships with it
5 files 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.
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.
- 1mo ago First seen · 91 lines · 97 tokens per session scan A 433e9965cc05
epic-note is a skill published in the GitHub repository realactivity/tula (46 stars, last pushed 4d ago), licensed Apache-2.0. It adds 97 tokens to every session and 821 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.
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