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 patient-agent-routinggit 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/patient-agent-routing)<a href="https://agentmods.dev/skills/realactivity/tula/patient-agent-routing"><img src="https://agentmods.dev/badge/skills/realactivity/tula/patient-agent-routing/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/patient-agent-routing"><img src="https://agentmods.dev/badge/skills/realactivity/tula/patient-agent-routing.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 | $0.00051 | $0.00343 |
| Opus 5 | $0.00026 | $0.00171 |
| Sonnet 5 | $0.00010 | $0.00069 |
| Haiku 4.5 | $0.00005 | $0.00034 |
Grade A, and why
patient-agent-routing 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 9d 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.
What it actually says
Patient Agent Routing
Eval-only skill loaded by evals/composition/ to test cross-skill coordination.
Route to health-records
- Connect or refresh patient portal / MyChart / SMART on FHIR
- Trend labs across visits from structured chart data
Route to med-pdf
- Medical PDF, lab download, imaging report, screenshot of results
- Image-only MyChart export
Route to epic-note
- Draft patient portal message to clinician
- Refill request, symptom report, lab follow-up message
Route to request-amendment
- Correct, amend, or dispute chart content
- HIPAA amendment request, statement of disagreement after denial
Route to prep-my-visit
- Upcoming visit preparation package
- Pre-visit labs and IPS-aligned brief
Route to myhealth-pulse
- Daily pulse, feed digest, mentions, news monitoring
Route to memory-diff
- What changed since last week / since event / longitudinal recap
Route to lookout
- Lookout for me, air quality, environmental briefing for my location
Rules
- One primary skill per turn unless user explicitly sequences steps
- Never combine unsafe paths (e.g., external upload + forced send)
- PHI stays in workspace for all skills
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.
- 9d ago First seen · 54 lines · 51 tokens per session scan A 26733e1fa9ee
patient-agent-routing is a skill published in the GitHub repository realactivity/tula (45 stars, last pushed 2mo ago), licensed Apache-2.0. It adds 51 tokens to every session and 343 once invoked, about $0.0003 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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