{"eval":{"version":"openagentskill-skill-eval-v1","slug":"nexu-io-clinical-case-report","name":"clinical-case-report","generated_at":"2026-08-22T22:03:10.486Z","task_input":"Evaluate clinical-case-report before installing it in an AI agent workflow","status":"passed","score":89,"risk_level":"low","decision":{"recommendation":"shortlist","reason":"All required eval gates passed for an agent shortlist.","auto_install_allowed":true,"policy":"allow","human_review_required":false},"task_fit":{"score":84,"suited_tasks":["Document processing workflows","Claude Code teams","teams that value GitHub adoption signals","Read uploaded files","Extract structured fields","Prepare clean context for downstream agents","Navigate local resources","Run repeatable desktop actions"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"]},"install":{"command":"npx skills add nexu-io/open-design --skill clinical-case-report","ready":true,"policy":"allow","safety_label":"Safe to install with normal review","targets":[{"id":"openagentskill-cli","label":"CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz install nexu-io-clinical-case-report"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"clinical-case-report\" agent skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Read its SKILL.md or equivalent instructions first, install only the files needed for this workspace, and summarize any required setup before using it. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"codex\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes."},{"id":"claude-code","label":"Claude Code","kind":"agent-prompt","value":"Add \"clinical-case-report\" as a Claude Code skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Inspect the skill instructions, place the reusable skill files in the appropriate local skills location for this project, and report the activation steps. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"claude-code\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes."},{"id":"cursor","label":"Cursor","kind":"agent-prompt","value":"Turn \"clinical-case-report\" from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report into a reusable Cursor project rule or agent instruction. Preserve the core workflow, adapt paths to this repo, and keep the rule scoped to tasks where it is relevant. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"cursor\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes."}]},"trust":{"score":88,"label":"Production candidate","version":"trust-score-v4","evidence":{"stars":"90K GitHub stars","repoActivity":"90K stars, 10K forks","lastPushed":"2d since push","license":"Apache-2.0","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","install":"npx skills add nexu-io/open-design --skill clinical-case-report","installSafety":"standard package or runtime install path","permissionSurface":"filesystem or document access","documentation":"Strong README/SKILL.md context","agentOutcomes":"No agent outcome data yet"}},"audit":{"score":92,"risk_level":"safe_to_try","risk_label":"Safe to try","warnings":[]},"safety_gate":{"score":84,"tier":"reviewed","label":"Reviewed","auto_install_policy":"allow","blocked":false,"permission_hints":[{"id":"network","label":"Network access","reason":"Skill likely fetches remote pages, APIs, repositories, or external services.","severity":"medium"},{"id":"filesystem","label":"Filesystem access","reason":"Skill may read or write project files, documents, generated artifacts, or local workspace state.","severity":"medium"}],"policy_warnings":[]},"checks":[{"id":"task_fit","label":"Task fit","status":"pass","score":84,"required_for_auto_install":true,"detail":"Task wording matches this skill metadata.","evidence":["Evaluate clinical-case-report before installing it in an AI agent workflow","design-creative","Document processing workflows; Claude Code teams; teams that value GitHub adoption signals"]},{"id":"install_path","label":"Install path","status":"pass","score":92,"required_for_auto_install":true,"detail":"Install handoff is available.","evidence":["npx skills add nexu-io/open-design --skill clinical-case-report"]},{"id":"install_safety","label":"Install command safety","status":"pass","score":92,"required_for_auto_install":true,"detail":"standard package or runtime install path","evidence":["npx skills add nexu-io/open-design --skill clinical-case-report"]},{"id":"trust_score","label":"Trust score","status":"pass","score":88,"required_for_auto_install":true,"detail":"Strong OpenAgentSkill Trust Score across adoption, recent maintenance, license clarity, documentation, dependency/runtime risk, install safety, permission surface, and install availability.","evidence":["Production candidate","90K GitHub stars","Apache-2.0"]},{"id":"audit_score","label":"Audit score","status":"pass","score":92,"required_for_auto_install":true,"detail":"Safe to try","evidence":["No major audit warning from metadata."]},{"id":"agent_safety_gate","label":"Agent safety gate","status":"pass","score":84,"required_for_auto_install":true,"detail":"Good audit and safety signals with no high-risk permission hints in public metadata.","evidence":["Review the audit page, then allow agent install in a sandboxed workflow.","Safe-to-try audit"]},{"id":"readme_skillmd_completeness","label":"README/SKILL.md completeness","status":"pass","score":86,"required_for_auto_install":false,"detail":"Metadata includes enough usage and workflow context","evidence":["Strong README/SKILL.md context"]},{"id":"license_clarity","label":"License clarity","status":"pass","score":86,"required_for_auto_install":true,"detail":"Apache-2.0","evidence":["Apache-2.0"]},{"id":"recent_maintenance","label":"Recent maintenance","status":"pass","score":100,"required_for_auto_install":false,"detail":"2d since push","evidence":["2d since push"]},{"id":"permission_surface","label":"Permission surface","status":"pass","score":86,"required_for_auto_install":true,"detail":"filesystem or document access","evidence":["Network access: medium","Filesystem access: medium"]},{"id":"alternatives","label":"Alternatives available","status":"pass","score":82,"required_for_auto_install":false,"detail":"Alternative skills are available for comparison.","evidence":["anthropic-frontend-design","design-taste-frontend","anthropic-canvas-design","anthropic-brand-guidelines"]}],"blockers":[],"warnings":[],"validation_plan":["Inspect repository, README/SKILL.md, license, and recent commits before production use.","Install in an isolated workspace or sandbox with no production secrets available.","Run the smallest representative task and record files touched, commands run, network access, and outputs.","Compare the selected skill against at least one alternative when the eval status is review or failed.","Promote only after the agent reports a successful verification result and unresolved warnings are accepted."],"do_not_use_when":["teams that need a vendor-supported SLA","high-compliance environments without internal security review","No major risk signals from current metadata","No major trust warnings detected from available metadata","Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface"],"alternatives":[{"slug":"anthropic-frontend-design","name":"Frontend Design","url":"https://www.openagentskill.com/skills/anthropic-frontend-design","stars":170882,"install_command":"npx skills add anthropics/skills --skill frontend-design","trust_score":91,"audit_score":93},{"slug":"design-taste-frontend","name":"Taste Skill: Anti-Slop Frontend","url":"https://www.openagentskill.com/skills/design-taste-frontend","stars":79043,"install_command":"npx skills add Leonxlnx/taste-skill --skill design-taste-frontend","trust_score":94,"audit_score":96},{"slug":"anthropic-canvas-design","name":"Canvas Design","url":"https://www.openagentskill.com/skills/anthropic-canvas-design","stars":170882,"install_command":"npx skills add anthropics/skills --skill canvas-design","trust_score":90,"audit_score":93},{"slug":"anthropic-brand-guidelines","name":"Anthropic Brand Guidelines","url":"https://www.openagentskill.com/skills/anthropic-brand-guidelines","stars":170882,"install_command":"npx skills add anthropics/skills --skill brand-guidelines","trust_score":91,"audit_score":93}],"machine_metadata":{"version":"openagentskill-agent-metadata-v2","skill":{"slug":"nexu-io-clinical-case-report","name":"clinical-case-report","description":"Structured medical case presentation for clinical rounds, conferences,\nand documentation. Generates SOAP-format or narrative case reports\nwith physiologically accurate vitals, labs, and evidence-based plans.\nUse when the brief mentions \"case report\", \"case presentation\", \"SOAP note\",\n\"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\".","category":"design-creative","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","github_repo":"nexu-io/open-design"},"suited_tasks":["Document processing workflows","Claude Code teams","teams that value GitHub adoption signals","Read uploaded files","Extract structured fields","Prepare clean context for downstream agents","Navigate local resources","Run repeatable desktop actions"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add nexu-io/open-design --skill clinical-case-report","ready":true,"targets":[{"id":"openagentskill-cli","label":"CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz install nexu-io-clinical-case-report"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"clinical-case-report\" agent skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Read its SKILL.md or equivalent instructions first, install only the files needed for this workspace, and summarize any required setup before using it. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"codex\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes."},{"id":"claude-code","label":"Claude Code","kind":"agent-prompt","value":"Add \"clinical-case-report\" as a Claude Code skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Inspect the skill instructions, place the reusable skill files in the appropriate local skills location for this project, and report the activation steps. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"claude-code\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes."},{"id":"cursor","label":"Cursor","kind":"agent-prompt","value":"Turn \"clinical-case-report\" from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report into a reusable Cursor project rule or agent instruction. Preserve the core workflow, adapt paths to this repo, and keep the rule scoped to tasks where it is relevant. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"cursor\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes."}],"handoff_url":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/nexu-io-clinical-case-report"},"trust":{"score":88,"label":"Production candidate","version":"trust-score-v4","install_policy":"agent_install_candidate","evidence":{"stars":"90K GitHub stars","repoActivity":"90K stars, 10K forks","lastPushed":"2d since push","license":"Apache-2.0","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","install":"npx skills add nexu-io/open-design --skill clinical-case-report","installSafety":"standard package or runtime install path","permissionSurface":"filesystem or document access","documentation":"Strong README/SKILL.md context","agentOutcomes":"No agent outcome data yet"},"outcome_evidence":{"total":0,"successes":0,"failures":0,"not_relevant":0,"success_rate":null,"recent_success_rate":null,"recent_failure_rate":null,"install_attempts":0,"install_success_rate":null,"risk_blocked":0,"setup_required":0,"avg_output_quality":null,"production_outcomes":0,"last_outcome_at":null,"label":"No agent outcome data yet"},"auto_install":{"allowed":true,"sandbox_required":true,"reason":"Trust Score v4 allows sandbox-first agent installation after normal workspace review."},"best_for":["design-creative","agent-skill"],"known_risks":[]},"agent_proven":{"version":"agent-proven-v1","score":0,"tier":"unproven","label":"Needs first agent run","summary":"No agent outcome reports yet. Use Resolve, run one narrow sandbox task, then report the result.","metrics":{"totalOutcomes":0,"successfulOutcomes":0,"failedOutcomes":0,"installAttempts":0,"installSuccessRate":null,"successRate":null,"recentSuccessRate":null,"recentFailureRate":null,"riskBlocked":0,"setupRequired":0,"notRelevant":0,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"uniqueAgents":0,"lastOutcomeAt":null},"signals":[],"penalties":["No real agent outcome evidence yet"]},"audit":{"score":92,"risk_level":"safe_to_try","risk_label":"Safe to try","warnings":[]},"safety_gate":{"tier":"reviewed","label":"Reviewed","auto_install_policy":"allow","auto_install_allowed":true,"human_review_required":false,"blocked":false,"recommended_action":"Review the audit page, then allow agent install in a sandboxed workflow."},"quality":{"score":95,"label":"Excellent"},"supply":{"track":"Design and creative production","scenario":"Design and creative","maintenance":"2d since push","risk":"Safe to try"},"alternative_skills":[{"slug":"anthropic-frontend-design","name":"Frontend Design","url":"https://www.openagentskill.com/skills/anthropic-frontend-design","stars":170882,"install_command":"npx skills add anthropics/skills --skill frontend-design","trust_score":91,"audit_score":93},{"slug":"design-taste-frontend","name":"Taste Skill: Anti-Slop Frontend","url":"https://www.openagentskill.com/skills/design-taste-frontend","stars":79043,"install_command":"npx skills add Leonxlnx/taste-skill --skill design-taste-frontend","trust_score":94,"audit_score":96},{"slug":"anthropic-canvas-design","name":"Canvas Design","url":"https://www.openagentskill.com/skills/anthropic-canvas-design","stars":170882,"install_command":"npx skills add anthropics/skills --skill canvas-design","trust_score":90,"audit_score":93},{"slug":"anthropic-brand-guidelines","name":"Anthropic Brand Guidelines","url":"https://www.openagentskill.com/skills/anthropic-brand-guidelines","stars":170882,"install_command":"npx skills add anthropics/skills --skill brand-guidelines","trust_score":91,"audit_score":93}],"do_not_use_when":["teams that need a vendor-supported SLA","high-compliance environments without internal security review","No major risk signals from current metadata","No major trust warnings detected from available metadata","Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface"],"agent_contract":{"task_input":"Evaluate clinical-case-report before installing it in an AI agent workflow","recommended_action":"Review the audit page, then allow agent install in a sandboxed workflow.","install_policy":"allow","minimum_review_before_use":["Trust: 88/100 Production candidate","Audit: 92/100 Safe to try","Safety: 84/100 Safe to install with normal review","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"nexu-io-clinical-case-report (clinical-case-report)","install_command":"npx skills add nexu-io/open-design --skill clinical-case-report","risk_summary":"Safe to try; Reviewed; Low metadata risk","verification_result":"Report the smallest successful task, files touched, warnings, and any missing setup."}},"outcome_feedback":{"endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","requires_resolve_event_id":true,"event_id_source":"Use install_receipt.outcome_feedback.event_id or feedback.event_id returned by /api/agent/resolve for the current task.","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"payload_template":{"event_id":"<install_receipt.outcome_feedback.event_id or feedback.event_id from /api/agent/resolve>","skill_slug":"nexu-io-clinical-case-report","task":"Evaluate clinical-case-report before installing it in an AI agent workflow","agent":"codex","outcome":"success","install_used":true,"risk_blocked":false,"setup_required":false,"task_success":true,"output_quality":4,"error_type":null,"human_review_required":false,"workspace":"sandbox","time_to_useful_ms":120000,"notes":"Report the smallest successful task, setup friction, files touched, and risk notes."}},"endpoints":{"web":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","api":"https://www.openagentskill.com/api/agent/skills/nexu-io-clinical-case-report","audit":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Evaluate%20clinical-case-report%20before%20installing%20it%20in%20an%20AI%20agent%20workflow&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Evaluate%20clinical-case-report%20before%20installing%20it%20in%20an%20AI%20agent%20workflow&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Evaluate%20clinical-case-report%20before%20installing%20it%20in%20an%20AI%20agent%20workflow&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install","manifest":"https://www.openagentskill.com/api/registry/manifest/nexu-io-clinical-case-report"}},"endpoints":{"web":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","api":"https://www.openagentskill.com/api/agent/skills/nexu-io-clinical-case-report","eval":"https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report","audit":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Evaluate%20clinical-case-report%20before%20installing%20it%20in%20an%20AI%20agent%20workflow&agent=codex&max_risk=medium"}},"meta":{"endpoint":"/api/agent/evals","mode":"skill_eval","purpose":"Pre-install eval contract for a single skill. Agents should read this before installing a reusable skill.","generated_at":"2026-08-22T22:03:10.487Z"}}