{"task":"Use Ecg Fm","agent":"codex","constraints":{"max_risk":"medium","needs_install_command":true,"min_stars":0},"feedback":{"event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","outcome_api":"https://www.openagentskill.com/api/agent/outcome","method":"POST","selected_skill_slug":"bowang-lab-ecg-fm","selected_skill_name":"Ecg Fm","alternative_skill_slugs":["marcodebe-dicom-ecg-plot","ismorphism-deepecg"],"expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"report_after":["After trying the selected skill, report whether it solved the task.","Mark blocked_by_risk when audit, license, credentials, shell, or network risk prevents safe use.","Mark setup_required when the skill looks relevant but needs missing keys, data, or manual configuration.","Mark not_relevant when the selected skill does not match the task after inspection.","Include output_quality, error_type, workspace, human_review_required, evidence_url, and time_to_useful_ms when available."],"json_example":{"event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","skill_slug":"bowang-lab-ecg-fm","task":"Use Ecg Fm","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":"Solved the task in a sandbox workflow."},"cli_example":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz outcome \"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b\" --skill \"bowang-lab-ecg-fm\" --task \"Use Ecg Fm\" --agent \"codex\" --outcome success"},"agent_feedback_loop":{"version":"openagentskill-agent-feedback-loop-v3","status":"active","purpose":"Report the result of one resolved skill run so Trust Score v5 and future Resolve rankings learn from real use.","event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","selected_skill_slug":"bowang-lab-ecg-fm","selected_skill_name":"Ecg Fm","endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","idempotency":"Retrying the same event_id updates the previous outcome.","dry_run":{"supported":true,"instruction":"Set dry_run=true to validate a payload before wiring a new agent integration."},"expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"error_types":["install_failed","runtime_error","not_relevant","permission_blocked","risk_blocked","setup_required","low_quality_output","missing_dependency","timeout","other"],"workspaces":["sandbox","local","ci","production","unknown"],"quality_fields":["task_success","output_quality","error_type","human_review_required","used_in_production","workspace","evidence_url"],"payload_template":{"event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","skill_slug":"bowang-lab-ecg-fm","task":"Use Ecg Fm","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":"Solved the task in a sandbox workflow."},"cli_example":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz outcome \"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b\" --skill \"bowang-lab-ecg-fm\" --task \"Use Ecg Fm\" --agent \"codex\" --outcome success","ranking_inputs_updated":["Trust Score v5 outcome confidence","Resolve ranking outcome evidence","Skill detail outcome signal block","Outcome leaderboard"]},"install_receipt":{"version":"openagentskill-install-receipt-v1","receipt_id":"receipt_81ff47e0-14f0-41d1-8625-a31f303e848b","resolve_event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","generated_at":"2026-08-23T07:45:23.528Z","task":"Use Ecg Fm","agent":"codex","constraints":{"max_risk":"medium","needs_install_command":true,"min_stars":0},"urls":{"web":"https://www.openagentskill.com/resolve?task=Use+Ecg+Fm&agent=codex&max_risk=medium","json":"https://www.openagentskill.com/api/agent/receipt?task=Use+Ecg+Fm&agent=codex&max_risk=medium","text":"https://www.openagentskill.com/api/agent/receipt?task=Use+Ecg+Fm&agent=codex&max_risk=medium&format=text","resolve_json":"https://www.openagentskill.com/api/agent/resolve?task=Use+Ecg+Fm&agent=codex&max_risk=medium","resolve_text":"https://www.openagentskill.com/api/agent/resolve?task=Use+Ecg+Fm&agent=codex&max_risk=medium&format=text"},"selected_skill":{"slug":"bowang-lab-ecg-fm","name":"Ecg Fm","description":"An electrocardiogram analysis foundation model.","category":"ml-automation","url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm","api_url":"https://www.openagentskill.com/api/agent/skills/bowang-lab-ecg-fm","audit_url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit","eval_url":"https://www.openagentskill.com/api/agent/evals?slug=bowang-lab-ecg-fm&task=Use%20Ecg%20Fm&max_risk=medium","install_api_url":"https://www.openagentskill.com/api/skills/bowang-lab-ecg-fm/install","repository":"https://github.com/bowang-lab/ecg-fm"},"install":{"command":"npx skills add bowang-lab/ecg-fm","target":"codex","label":"Codex install prompt","kind":"agent-prompt","value":"Install the \"Ecg Fm\" agent skill from https://github.com/bowang-lab/ecg-fm. 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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.","ready":true,"policy":"review","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"blocked":false},"decision":{"recommendation":"Require human approval before installing into a real workspace.","why_selected":["Matches task terms: ecg","Install handoff is available","Repository freshness signal is available","Registry match score 30","Needs validation for Browser automation","65/100 Trust Score","0/100 Agent Proven Score","71/100 audit score"],"suited_tasks":["Browser automation workflows","general agent builders","builders willing to evaluate younger projects","Navigate pages","Click and type safely","Check visual and DOM state","Search sources","Extract claims"],"suited_agents":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"]},"trust":{"score":65,"label":"Sandbox only","version":"trust-score-v5","base_score":73,"outcome_confidence":0,"outcome_signal":"No agent outcome data yet","outcome_total":0,"outcome_success_rate":null,"decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Compare alternatives before installing.","reasoning":["65/100 Trust Score v5","73/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Review before production"],"review_required_when":["The workspace contains production secrets, payments, private customer data, or irreversible actions.","The install command requests shell, network, credential, database, or broad filesystem access.","Outcome evidence is missing, recently failed, or required human review.","Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"]},"outcome_loop":{"version":"openagentskill-agent-outcome-v3","required_after_install":true,"endpoint":"/api/agent/outcome","method":"POST","event_id_source":"feedback.event_id, install_receipt.resolve_event_id, or decision_packet.outcome_feedback.event_id","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"required_fields":["event_id","skill_slug","task"],"quality_fields":["task_success","output_quality","error_type","human_review_required","used_in_production","workspace","evidence_url","time_to_useful_ms"],"ranking_inputs_updated":["Trust Score v5 outcome confidence","Agent Proven Score","Resolve ranking task-fit evidence","Skill detail machine-readable metadata","Outcome leaderboard"]}},"agent_proven":{"score":0,"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,"successRate":null,"recentSuccessRate":null,"recentFailureRate":null,"installAttempts":0,"installSuccessRate":null,"riskBlocked":0,"setupRequired":0,"avgOutputQuality":null,"productionOutcomes":0}},"risk":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety_score":59,"audit_score":71,"notes":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","59/100 agent safety score"],"do_not_use_when":["teams that need a vendor-supported SLA","high-compliance environments without internal security review","No OpenAgentSkill engagement data yet","Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Production credentials, payments, or irreversible account changes without explicit human review"],"minimum_review_before_use":["Trust: 73/100 Strong shortlist","Audit: 71/100 Needs review","Safety: 59/100 Review before install","Review repository, license, install command, and permission surface before production use."]},"alternatives":[{"slug":"marcodebe-dicom-ecg-plot","name":"Dicom Ecg Plot","url":"https://www.openagentskill.com/skills/marcodebe-dicom-ecg-plot","audit_url":"https://www.openagentskill.com/skills/marcodebe-dicom-ecg-plot/audit","install_command":"npx skills add marcodebe/dicom-ecg-plot","trust_score":74,"audit_score":75,"safety_score":59,"reason":"Matches task terms: ecg","policy":"review"},{"slug":"ismorphism-deepecg","name":"DeepECG","url":"https://www.openagentskill.com/skills/ismorphism-deepecg","audit_url":"https://www.openagentskill.com/skills/ismorphism-deepecg/audit","install_command":"npx skills add ismorphism/DeepECG","trust_score":71,"audit_score":64,"safety_score":52,"reason":"Matches task terms: ecg","policy":"review"}],"outcome_feedback":{"event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"payload_template":{"event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","skill_slug":"bowang-lab-ecg-fm","task":"Use Ecg Fm","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":"Solved the task in a sandbox workflow."},"dry_run_payload":{"event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","skill_slug":"bowang-lab-ecg-fm","task":"Use Ecg Fm","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":"Solved the task in a sandbox workflow.","dry_run":true},"cli_example":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz outcome \"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b\" --skill \"bowang-lab-ecg-fm\" --task \"Use Ecg Fm\" --agent \"codex\" --outcome success","instruction":"After one narrow sandbox run, report success, failed, not_relevant, blocked_by_risk, or setup_required so Trust Score v5 and future agent rankings learn from real usage."},"next_steps":["Read the audit page: https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit","Fetch the pre-install eval: https://www.openagentskill.com/api/agent/evals?slug=bowang-lab-ecg-fm&task=Use%20Ecg%20Fm&max_risk=medium","Do not auto-install yet. Ask for human review before running: npx skills add bowang-lab/ecg-fm","Run one narrow task with no production secrets or irreversible side effects.","Report the result to https://www.openagentskill.com/api/agent/outcome using event_id resolve_81ff47e0-14f0-41d1-8625-a31f303e848b."],"stable_fields":["receipt_id","selected_skill","install","trust","risk","alternatives","outcome_feedback","next_steps"],"freshness_policy":"Re-resolve before production use or after 24 hours to refresh trust, audit, and outcome signals."},"recommendation":{"task":"Use Ecg Fm","agent":"codex","best_skill":{"slug":"bowang-lab-ecg-fm","name":"Ecg Fm","description":"An electrocardiogram analysis foundation model.","category":"ml-automation","url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm","api_url":"https://www.openagentskill.com/api/agent/skills/bowang-lab-ecg-fm","audit_url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit","eval_url":"https://www.openagentskill.com/api/agent/evals?slug=bowang-lab-ecg-fm&task=Use%20Ecg%20Fm&max_risk=medium","repository":"https://github.com/bowang-lab/ecg-fm"},"install":{"command":"npx skills add bowang-lab/ecg-fm","target":"codex","label":"Codex install prompt","kind":"agent-prompt","value":"Install the \"Ecg Fm\" agent skill from https://github.com/bowang-lab/ecg-fm. 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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.","install_api":"https://www.openagentskill.com/api/skills/bowang-lab-ecg-fm/install","ready":true,"review_required":true,"auto_install_allowed":false,"policy":"review"},"why_recommended":["Matches task terms: ecg","Install handoff is available","Repository freshness signal is available","Registry match score 30","Needs validation for Browser automation","65/100 OpenAgentSkill Trust Score v5","71/100 audit score","59/100 safety score"],"trust_score_v5":{"score":65,"base_score":73,"outcome_confidence":0,"tier":"review","label":"Sandbox only","version":"trust-score-v5","install_policy":"human_review_before_install","decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Compare alternatives before installing.","reasoning":["65/100 Trust Score v5","73/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Review before production"],"review_required_when":["The workspace contains production secrets, payments, private customer data, or irreversible actions.","The install command requests shell, network, credential, database, or broad filesystem access.","Outcome evidence is missing, recently failed, or required human review.","Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"]},"evidence":{"stars":"291 GitHub stars","repoActivity":"291 stars, 32 forks","lastPushed":"7mo since push","license":"MIT","repository":"https://github.com/bowang-lab/ecg-fm","install":"npx skills add bowang-lab/ecg-fm","installSafety":"standard package or runtime install path","permissionSurface":"no high-risk permission surface in public metadata","documentation":"Thin public metadata","agentOutcomes":"No agent outcome data yet","agentProvenScore":0,"outcomeConfidence":"0%","installPolicy":"human_review_before_install"},"agent_compatibility":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"risk":{"level":"medium","label":"Review before production","notes":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomes":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"auto_install":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Compare alternatives before installing."},"outcome_loop":{"version":"openagentskill-agent-outcome-v3","required_after_install":true,"endpoint":"/api/agent/outcome","method":"POST","event_id_source":"feedback.event_id, install_receipt.resolve_event_id, or decision_packet.outcome_feedback.event_id","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"required_fields":["event_id","skill_slug","task"],"quality_fields":["task_success","output_quality","error_type","human_review_required","used_in_production","workspace","evidence_url","time_to_useful_ms"],"ranking_inputs_updated":["Trust Score v5 outcome confidence","Agent Proven Score","Resolve ranking task-fit evidence","Skill detail machine-readable metadata","Outcome leaderboard"]},"agent_contract":{"suited_tasks":["ml-automation","machine-learning","automation","ml-media","electrocardiogram","foundation-models"],"suited_agents":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add bowang-lab/ecg-fm","trust_score":65,"trust_version":"trust-score-v5","risk_level":"medium","do_not_use_when":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"before_install":["Read the audit page and machine-readable metadata.","Confirm the install command, license, and permission surface fit the workspace.","Get explicit human approval or choose an alternative before installing."],"after_run":["Report the outcome to /api/agent/outcome using the resolve event id.","Include output_quality, workspace, human_review_required, and evidence_url when available.","Re-resolve before broad production rollout."]},"best_for":["ml-automation","machine-learning","automation","ml-media","electrocardiogram","foundation-models"],"do_not_use_for":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"known_risks":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":73,"tier":"strong","label":"Strong shortlist","summary":"Good trust signals with a few areas worth checking before rollout."}}},"trust_score_v4":{"score":73,"tier":"strong","label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"291 GitHub stars","repoActivity":"291 stars, 32 forks","lastPushed":"7mo since push","license":"MIT","repository":"https://github.com/bowang-lab/ecg-fm","install":"npx skills add bowang-lab/ecg-fm","installSafety":"standard package or runtime install path","permissionSurface":"no high-risk permission surface in public metadata","documentation":"Thin public metadata","agentOutcomes":"No agent outcome data yet"},"agent_compatibility":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"risk":{"level":"medium","label":"Review before production","notes":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomes":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"auto_install":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Human review or sandbox validation is required before automatic installation."},"best_for":["ml-automation","machine-learning","automation","ml-media","electrocardiogram","foundation-models"],"do_not_use_for":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"known_risks":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"trust_score_v3":{"score":73,"tier":"strong","label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"291 GitHub stars","repoActivity":"291 stars, 32 forks","lastPushed":"7mo since push","license":"MIT","repository":"https://github.com/bowang-lab/ecg-fm","install":"npx skills add bowang-lab/ecg-fm","installSafety":"standard package or runtime install path","permissionSurface":"no high-risk permission surface in public metadata","documentation":"Thin public metadata","agentOutcomes":"No agent outcome data yet"},"agent_compatibility":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"risk":{"level":"medium","label":"Review before production","notes":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},"trust_score_v2":{"score":73,"tier":"strong","label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"291 GitHub stars","repoActivity":"291 stars, 32 forks","lastPushed":"7mo since push","license":"MIT","repository":"https://github.com/bowang-lab/ecg-fm","install":"npx skills add bowang-lab/ecg-fm","installSafety":"standard package or runtime install path","permissionSurface":"no high-risk permission surface in public metadata","documentation":"Thin public metadata","agentOutcomes":"No agent outcome data yet"},"agent_compatibility":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"risk":{"level":"medium","label":"Review before production","notes":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},"risk":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety":"59/100 Review before install","trust":"73/100 Strong shortlist","notes":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace.","reasons":["Documentation summary is thin","59/100 agent safety score"]},"machine_metadata":{"version":"openagentskill-agent-metadata-v2","skill":{"slug":"bowang-lab-ecg-fm","name":"Ecg Fm","description":"An electrocardiogram analysis foundation model.","category":"ml-automation","url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm","repository":"https://github.com/bowang-lab/ecg-fm","github_repo":"bowang-lab/ecg-fm"},"suited_tasks":["Browser automation workflows","general agent builders","builders willing to evaluate younger projects","Navigate pages","Click and type safely","Check visual and DOM state","Search sources","Extract claims"],"suited_agents":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add bowang-lab/ecg-fm","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 bowang-lab-ecg-fm"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"Ecg Fm\" agent skill from https://github.com/bowang-lab/ecg-fm. 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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 \"Ecg Fm\" as a Claude Code skill from https://github.com/bowang-lab/ecg-fm. 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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 \"Ecg Fm\" from https://github.com/bowang-lab/ecg-fm 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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/bowang-lab-ecg-fm/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/bowang-lab-ecg-fm"},"trust":{"score":73,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"291 GitHub stars","repoActivity":"291 stars, 32 forks","lastPushed":"7mo since push","license":"MIT","repository":"https://github.com/bowang-lab/ecg-fm","install":"npx skills add bowang-lab/ecg-fm","installSafety":"standard package or runtime install path","permissionSurface":"no high-risk permission surface in public metadata","documentation":"Thin public metadata","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":false,"sandbox_required":true,"reason":"Human review or sandbox validation is required before automatic installation."},"best_for":["ml-automation","machine-learning","automation","ml-media","electrocardiogram","foundation-models"],"known_risks":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"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":71,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace."},"quality":{"score":58,"label":"Promising"},"supply":{"track":"Design and creative production","scenario":"Multimodal media","maintenance":"7mo since push","risk":"Needs review"},"alternative_skills":[],"do_not_use_when":["teams that need a vendor-supported SLA","high-compliance environments without internal security review","No OpenAgentSkill engagement data yet","Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Production credentials, payments, or irreversible account changes without explicit human review"],"agent_contract":{"task_input":"Use Ecg Fm","recommended_action":"Require human approval before installing into a real workspace.","install_policy":"review","minimum_review_before_use":["Trust: 73/100 Strong shortlist","Audit: 71/100 Needs review","Safety: 59/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"bowang-lab-ecg-fm (Ecg Fm)","install_command":"npx skills add bowang-lab/ecg-fm","risk_summary":"Needs review; Reviewed with permission notes; Review before production","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":"bowang-lab-ecg-fm","task":"Use Ecg Fm","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/bowang-lab-ecg-fm","api":"https://www.openagentskill.com/api/agent/skills/bowang-lab-ecg-fm","audit":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=bowang-lab-ecg-fm&task=Use%20Ecg%20Fm&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20Ecg%20Fm&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20Ecg%20Fm&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/bowang-lab-ecg-fm/install","manifest":"https://www.openagentskill.com/api/registry/manifest/bowang-lab-ecg-fm"}},"agent_contract":{"version":"openagentskill-resolve-contract-v2","input_task":"Use Ecg Fm","recommended_skill_slug":"bowang-lab-ecg-fm","recommended_skill_name":"Ecg Fm","install_command":"npx skills add bowang-lab/ecg-fm","install_policy":"review","auto_install_allowed":false,"human_review_required":true,"audit_url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit","eval_url":"https://www.openagentskill.com/api/agent/evals?slug=bowang-lab-ecg-fm&task=Use%20Ecg%20Fm&max_risk=medium","skill_api_url":"https://www.openagentskill.com/api/agent/skills/bowang-lab-ecg-fm","do_not_use_when":["teams that need a vendor-supported SLA","high-compliance environments without internal security review","No OpenAgentSkill engagement data yet","Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Production credentials, payments, or irreversible account changes without explicit human review"],"minimum_review_before_use":["Trust: 73/100 Strong shortlist","Audit: 71/100 Needs review","Safety: 59/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"bowang-lab-ecg-fm (Ecg Fm)","install_command":"npx skills add bowang-lab/ecg-fm","risk_summary":"Needs review; Reviewed with permission notes; Review before production","verification_result":"Report the smallest successful task, files touched, warnings, and any missing setup."}},"supply_asset":{"track":{"slug":"design","label":"Design and creative production","shortLabel":"Design","description":"Design assets, images, video, audio, multimodal media, presentation, and creative production skills."},"scenario":{"label":"Multimodal media","description":"I need my agent to process images, video, or audio and extract useful information.","useCases":[{"slug":"browser-automation","title":"Browser automation"},{"slug":"research-agents","title":"Research agents"},{"slug":"workflow-automation","title":"Workflow automation"}]},"maintenance":{"status":"stable","label":"7mo since push","daysSincePush":220,"lastPushedAt":"2026-01-14T23:25:07+00:00"},"github_quality":{"stars":291,"starsLabel":"291","forks":32,"license":"MIT","qualityScore":58,"trustScore":73,"auditScore":71},"coverage_tags":["Design","Multimodal media","ml-automation","machine-learning","automation","ml-media","electrocardiogram","foundation-models"]},"alternatives":[{"slug":"marcodebe-dicom-ecg-plot","name":"Dicom Ecg Plot","url":"https://www.openagentskill.com/skills/marcodebe-dicom-ecg-plot","install_command":"npx skills add marcodebe/dicom-ecg-plot","trust_score":74,"audit_score":75,"safety_score":59,"why_consider":"Matches task terms: ecg","risk":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety":"59/100 Review before install","trust":"74/100 Strong shortlist","notes":["Documentation summary is thin","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},{"slug":"ismorphism-deepecg","name":"DeepECG","url":"https://www.openagentskill.com/skills/ismorphism-deepecg","install_command":"npx skills add ismorphism/DeepECG","trust_score":71,"audit_score":64,"safety_score":52,"why_consider":"Matches task terms: ecg","risk":{"level":"Needs review","safety_tier":"Experimental","safety":"52/100 Avoid automatic install","trust":"71/100 Manual review","notes":["Documentation summary is thin","Repository appears stale","Repository looks stale","Quality score needs review","Recent maintenance: 2y since push"]}}],"decision_packet":{"version":"openagentskill-agent-decision-packet-v1","task":"Use Ecg Fm","agent":"codex","selected_skill":{"slug":"bowang-lab-ecg-fm","name":"Ecg Fm","url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm","api_url":"https://www.openagentskill.com/api/agent/skills/bowang-lab-ecg-fm","audit_url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit","repository":"https://github.com/bowang-lab/ecg-fm"},"suited_tasks":["Browser automation workflows","general agent builders","builders willing to evaluate younger projects","Navigate pages","Click and type safely","Check visual and DOM state","Search sources","Extract claims"],"suited_agents":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add bowang-lab/ecg-fm","target":"codex","label":"Codex install prompt","policy":"review","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true},"trust":{"score":65,"label":"Sandbox only","version":"trust-score-v5","base_score":73,"outcome_confidence":0,"decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Compare alternatives before installing.","reasoning":["65/100 Trust Score v5","73/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Review before production"],"review_required_when":["The workspace contains production secrets, payments, private customer data, or irreversible actions.","The install command requests shell, network, credential, database, or broad filesystem access.","Outcome evidence is missing, recently failed, or required human review.","Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"]},"dimensions":[{"id":"github_adoption","label":"GitHub adoption","score":62,"status":"info","detail":"291 GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":57,"status":"warn","detail":"291 stars, 32 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":62,"status":"info","detail":"7mo since push"},{"id":"license","label":"License clarity","score":86,"status":"pass","detail":"MIT"},{"id":"documentation","label":"README/SKILL.md completeness","score":50,"status":"warn","detail":"Public metadata needs stronger README/SKILL.md context"},{"id":"dependency_risk","label":"Dependency/runtime risk","score":90,"status":"pass","detail":"no major dependency risk hints in public metadata"},{"id":"installability","label":"Install availability","score":92,"status":"pass","detail":"npx skills add bowang-lab/ecg-fm"},{"id":"install_safety","label":"Install command safety","score":92,"status":"pass","detail":"standard package or runtime install path"},{"id":"permission_surface","label":"Permission surface","score":100,"status":"pass","detail":"no high-risk permission surface in public metadata"},{"id":"repository","label":"Repository evidence","score":86,"status":"pass","detail":"https://github.com/bowang-lab/ecg-fm"},{"id":"review_status","label":"Review status","score":88,"status":"pass","detail":"AI review data available"},{"id":"agent_outcomes","label":"Agent Proven outcomes","score":54,"status":"info","detail":"No agent outcome data yet"}]},"risk":{"level":"Needs review","audit_label":"Needs review","safety":"59/100 Review before install","trust":"73/100 Strong shortlist","safety_tier":"Reviewed with permission notes","notes":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"do_not_use_when":["teams that need a vendor-supported SLA","high-compliance environments without internal security review","No OpenAgentSkill engagement data yet","Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Production credentials, payments, or irreversible account changes without explicit human review"],"minimum_review_before_use":["Trust: 73/100 Strong shortlist","Audit: 71/100 Needs review","Safety: 59/100 Review before install","Review repository, license, install command, and permission surface before production use."]},"alternatives":[{"slug":"marcodebe-dicom-ecg-plot","name":"Dicom Ecg Plot","url":"https://www.openagentskill.com/skills/marcodebe-dicom-ecg-plot","install_command":"npx skills add marcodebe/dicom-ecg-plot","trust_score":74,"audit_score":75,"safety_score":59,"why_consider":"Matches task terms: ecg","risk":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety":"59/100 Review before install","trust":"74/100 Strong shortlist","notes":["Documentation summary is thin","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},{"slug":"ismorphism-deepecg","name":"DeepECG","url":"https://www.openagentskill.com/skills/ismorphism-deepecg","install_command":"npx skills add ismorphism/DeepECG","trust_score":71,"audit_score":64,"safety_score":52,"why_consider":"Matches task terms: ecg","risk":{"level":"Needs review","safety_tier":"Experimental","safety":"52/100 Avoid automatic install","trust":"71/100 Manual review","notes":["Documentation summary is thin","Repository appears stale","Repository looks stale","Quality score needs review","Recent maintenance: 2y since push"]}}],"outcome_feedback":{"event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"payload_template":{"event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","skill_slug":"bowang-lab-ecg-fm","task":"Use Ecg Fm","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":"Solved the task in a sandbox workflow."},"cli_example":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz outcome \"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b\" --skill \"bowang-lab-ecg-fm\" --task \"Use Ecg Fm\" --agent \"codex\" --outcome success"},"next_agent_action":"Ask for human approval or choose a safer alternative before installing.","stable_fields":["decision_packet.selected_skill","decision_packet.install","decision_packet.risk.do_not_use_when","decision_packet.alternatives","decision_packet.outcome_feedback","decision_packet.trust.decision"]},"agent_instruction":"Use Ecg Fm for: Use Ecg Fm\nReview audit: https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit\nAsk for human approval before installing: npx skills add bowang-lab/ecg-fm\nIf the audit or policy warnings are unacceptable, choose one of the alternatives."},"recommendation_lanes":{"best_match":{"rank":1,"match_score":30,"raw_match_score":110.3,"semantic_relevance":30,"skill":{"slug":"bowang-lab-ecg-fm","name":"Ecg Fm","description":"An electrocardiogram analysis foundation model.","category":"ml-automation","github_stars":291,"created_at":"2026-06-21T00:02:51.256912+00:00","updated_at":"2026-01-14T23:25:07+00:00","repository":"https://github.com/bowang-lab/ecg-fm","github_repo":"bowang-lab/ecg-fm"},"recommendation_reasons":["Matches task terms: ecg","Install handoff is available","Repository freshness signal is available","Registry match score 30"],"supply_profile":{"track":{"slug":"design","label":"Design and creative production","shortLabel":"Design","description":"Design assets, images, video, audio, multimodal media, presentation, and creative production skills."},"scenario":{"label":"Multimodal media","description":"I need my agent to process images, video, or audio and extract useful information.","useCases":[{"slug":"browser-automation","title":"Browser automation"},{"slug":"research-agents","title":"Research agents"},{"slug":"workflow-automation","title":"Workflow automation"}]},"applicableAgents":["CLI","Codex","Claude Code","Cursor","Python"],"install":{"ready":true,"command":"npx skills add bowang-lab/ecg-fm","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":291,"starsLabel":"291","forks":32,"license":"MIT","qualityScore":58,"trustScore":73,"auditScore":71},"maintenance":{"status":"stable","label":"7mo since push","daysSincePush":220,"lastPushedAt":"2026-01-14T23:25:07+00:00"},"risk":{"level":"needs_review","label":"Needs review","requiresReview":true,"notes":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Needs review"]},"coverageTags":["Design","Multimodal media","ml-automation","machine-learning","automation","ml-media","electrocardiogram","foundation-models"]},"quality":{"score":58,"tier":"promising","label":"Promising","summary":"Useful candidate, but compare it with alternatives before adopting.","signals":[{"label":"GitHub stars","value":"291","tone":"neutral"},{"label":"Freshness","value":"7mo ago","tone":"positive"},{"label":"Install ready","value":"Yes","tone":"positive"},{"label":"License","value":"MIT","tone":"neutral"}],"warnings":[]},"trust":{"version":"trust-score-v4","score":73,"tier":"strong","label":"Strong shortlist","summary":"Good trust signals with a few areas worth checking before rollout.","recommendedAction":"Test in a sandbox workflow and compare its install path with close alternatives.","dimensions":[{"id":"github_adoption","label":"GitHub adoption","score":62,"weight":0.13,"status":"info","detail":"291 GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":57,"weight":0.08,"status":"warn","detail":"291 stars, 32 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":62,"weight":0.14,"status":"info","detail":"7mo since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"id":"documentation","label":"README/SKILL.md completeness","score":50,"weight":0.14,"status":"warn","detail":"Public metadata needs stronger README/SKILL.md context"},{"id":"dependency_risk","label":"Dependency/runtime risk","score":90,"weight":0.12,"status":"pass","detail":"no major dependency risk hints in public metadata"},{"id":"installability","label":"Install availability","score":92,"weight":0.1,"status":"pass","detail":"npx skills add bowang-lab/ecg-fm"},{"id":"install_safety","label":"Install command safety","score":92,"weight":0.1,"status":"pass","detail":"standard package or runtime install path"},{"id":"permission_surface","label":"Permission surface","score":100,"weight":0.07,"status":"pass","detail":"no high-risk permission surface in public metadata"},{"id":"repository","label":"Repository evidence","score":86,"weight":0.04,"status":"pass","detail":"https://github.com/bowang-lab/ecg-fm"},{"id":"review_status","label":"Review status","score":88,"weight":0.05,"status":"pass","detail":"AI review data available"},{"id":"agent_outcomes","label":"Agent Proven outcomes","score":54,"weight":0.13,"status":"info","detail":"No agent outcome data yet"}],"checks":[{"status":"info","label":"GitHub adoption","detail":"291 GitHub stars"},{"status":"warn","label":"Stars/forks activity","detail":"291 stars, 32 forks; issue activity unavailable in current metadata"},{"status":"info","label":"Recent maintenance","detail":"7mo since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add bowang-lab/ecg-fm"},{"status":"pass","label":"Install command safety","detail":"standard package or runtime install path"},{"status":"pass","label":"Permission surface","detail":"no high-risk permission surface in public metadata"},{"status":"pass","label":"Repository evidence","detail":"https://github.com/bowang-lab/ecg-fm"},{"status":"pass","label":"Review status","detail":"AI review data available"},{"status":"info","label":"Agent Proven outcomes","detail":"No agent outcome data yet"},{"status":"warn","label":"Ownership","detail":"No approved owner claim yet"},{"status":"info","label":"OpenAgentSkill usage","detail":"No local usage activity yet"},{"status":"info","label":"Agent outcomes","detail":"No agent outcome data yet"}],"strengths":["AI review approved","Install path is available","Repository evidence is available","Install command has no obvious high-risk pattern"],"warnings":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"evidence":{"stars":"291 GitHub stars","repoActivity":"291 stars, 32 forks","lastPushed":"7mo since push","license":"MIT","repository":"https://github.com/bowang-lab/ecg-fm","install":"npx skills add bowang-lab/ecg-fm","installSafety":"standard package or runtime install path","permissionSurface":"no high-risk permission surface in public metadata","documentation":"Thin public metadata","agentOutcomes":"No agent outcome data yet"},"installReadiness":{"ready":true,"command":"npx skills add bowang-lab/ecg-fm","policy":"human_review_before_install","label":"Human review before install","notes":["Install path is available","Repository evidence is available","License is declared","No Agent Proven outcome evidence yet","7mo since push"]},"agentCompatibility":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Human review or sandbox validation is required before automatic installation."},"bestFor":["ml-automation","machine-learning","automation","ml-media","electrocardiogram","foundation-models"],"doNotUseFor":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"knownRisks":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"trust_v5":{"version":"trust-score-v5","score":65,"base_score":73,"outcome_confidence":0,"tier":"review","label":"Sandbox only","summary":"Useful candidate with missing or mixed trust signals. Keep it in an isolated workspace until the outcome loop proves task fit.","recommendedAction":"Run only in a sandbox and compare close alternatives before using it for real work.","decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Compare alternatives before installing.","reasoning":["65/100 Trust Score v5","73/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Review before production"],"review_required_when":["The workspace contains production secrets, payments, private customer data, or irreversible actions.","The install command requests shell, network, credential, database, or broad filesystem access.","Outcome evidence is missing, recently failed, or required human review.","Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"]},"dimensions":[{"id":"github_adoption","label":"GitHub adoption","score":62,"weight":0.13,"status":"info","detail":"291 GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":57,"weight":0.08,"status":"warn","detail":"291 stars, 32 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":62,"weight":0.14,"status":"info","detail":"7mo since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"id":"documentation","label":"README/SKILL.md completeness","score":50,"weight":0.14,"status":"warn","detail":"Public metadata needs stronger README/SKILL.md context"},{"id":"dependency_risk","label":"Dependency/runtime risk","score":90,"weight":0.12,"status":"pass","detail":"no major dependency risk hints in public metadata"},{"id":"installability","label":"Install availability","score":92,"weight":0.1,"status":"pass","detail":"npx skills add bowang-lab/ecg-fm"},{"id":"install_safety","label":"Install command safety","score":92,"weight":0.1,"status":"pass","detail":"standard package or runtime install path"},{"id":"permission_surface","label":"Permission surface","score":100,"weight":0.07,"status":"pass","detail":"no high-risk permission surface in public metadata"},{"id":"repository","label":"Repository evidence","score":86,"weight":0.04,"status":"pass","detail":"https://github.com/bowang-lab/ecg-fm"},{"id":"review_status","label":"Review status","score":88,"weight":0.05,"status":"pass","detail":"AI review data available"},{"id":"agent_outcomes","label":"Agent Proven outcomes","score":54,"weight":0.13,"status":"info","detail":"No agent outcome data yet"}],"checks":[{"status":"info","label":"GitHub adoption","detail":"291 GitHub stars"},{"status":"warn","label":"Stars/forks activity","detail":"291 stars, 32 forks; issue activity unavailable in current metadata"},{"status":"info","label":"Recent maintenance","detail":"7mo since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add bowang-lab/ecg-fm"},{"status":"pass","label":"Install command safety","detail":"standard package or runtime install path"},{"status":"pass","label":"Permission surface","detail":"no high-risk permission surface in public metadata"},{"status":"pass","label":"Repository evidence","detail":"https://github.com/bowang-lab/ecg-fm"},{"status":"pass","label":"Review status","detail":"AI review data available"},{"status":"info","label":"Agent Proven outcomes","detail":"No agent outcome data yet"},{"status":"warn","label":"Ownership","detail":"No approved owner claim yet"},{"status":"info","label":"OpenAgentSkill usage","detail":"No local usage activity yet"},{"status":"info","label":"Agent outcomes","detail":"No agent outcome data yet"}],"strengths":["AI review approved","Install path is available","Repository evidence is available","Install command has no obvious high-risk pattern","Outcome loop is ready but needs first real agent run"],"warnings":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","No real agent outcome reports yet","Human review required before unattended installation"],"evidence":{"stars":"291 GitHub stars","repoActivity":"291 stars, 32 forks","lastPushed":"7mo since push","license":"MIT","repository":"https://github.com/bowang-lab/ecg-fm","install":"npx skills add bowang-lab/ecg-fm","installSafety":"standard package or runtime install path","permissionSurface":"no high-risk permission surface in public metadata","documentation":"Thin public metadata","agentOutcomes":"No agent outcome data yet","agentProvenScore":0,"outcomeConfidence":"0%","installPolicy":"human_review_before_install"},"installReadiness":{"ready":true,"command":"npx skills add bowang-lab/ecg-fm","policy":"human_review_before_install","label":"Human review before install","notes":["Install path is available","Repository evidence is available","License is declared","No Agent Proven outcome evidence yet","7mo since push","Trust Score v5 requires review or sandbox-only use before install."]},"agentCompatibility":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Compare alternatives before installing."},"outcome_loop":{"version":"openagentskill-agent-outcome-v3","required_after_install":true,"endpoint":"/api/agent/outcome","method":"POST","event_id_source":"feedback.event_id, install_receipt.resolve_event_id, or decision_packet.outcome_feedback.event_id","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"required_fields":["event_id","skill_slug","task"],"quality_fields":["task_success","output_quality","error_type","human_review_required","used_in_production","workspace","evidence_url","time_to_useful_ms"],"ranking_inputs_updated":["Trust Score v5 outcome confidence","Agent Proven Score","Resolve ranking task-fit evidence","Skill detail machine-readable metadata","Outcome leaderboard"]},"agent_contract":{"suited_tasks":["ml-automation","machine-learning","automation","ml-media","electrocardiogram","foundation-models"],"suited_agents":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add bowang-lab/ecg-fm","trust_score":65,"trust_version":"trust-score-v5","risk_level":"medium","do_not_use_when":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"before_install":["Read the audit page and machine-readable metadata.","Confirm the install command, license, and permission surface fit the workspace.","Get explicit human approval or choose an alternative before installing."],"after_run":["Report the outcome to /api/agent/outcome using the resolve event id.","Include output_quality, workspace, human_review_required, and evidence_url when available.","Re-resolve before broad production rollout."]},"bestFor":["ml-automation","machine-learning","automation","ml-media","electrocardiogram","foundation-models"],"doNotUseFor":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"knownRisks":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":73,"tier":"strong","label":"Strong shortlist","summary":"Good trust signals with a few areas worth checking before rollout."}}},"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":{"audit_score":71,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety":{"score":59,"level":"review_before_install","label":"Review before install","safety_tier":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","summary":"Usable candidate, but the agent should surface permission and audit notes before installation.","recommended_action":"Require human approval before installing into a real workspace.","auto_install_policy":"review","reasons":["Documentation summary is thin","59/100 agent safety score"]},"auto_install_allowed":false,"human_review_required":true,"blocked":false,"audit_risk":"needs_review","permission_hints":[{"id":"network","label":"Network access","reason":"Skill likely fetches remote pages, APIs, repositories, or external services.","severity":"medium"}],"policy_warnings":["Documentation summary is thin"],"constraints_applied":{"max_risk":"medium","needs_install_command":true,"min_stars":0}},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace.","reasons":["Documentation summary is thin","59/100 agent safety score"]},"decision":{"readiness_score":48,"readiness_label":"Needs manual review","headline":"Needs validation for Browser automation","role":"Needs validation","best_for":["Browser automation workflows","general agent builders","builders willing to evaluate younger projects"],"risks":["No OpenAgentSkill engagement data yet"],"next_steps":["Install it in a sandbox agent and run one Browser automation task end to end.","Compare output quality, latency, and failure behavior against at least one alternative.","Promote it into production only after reviewing repository permissions, license, and maintenance signals."]},"install_plan":{"target":"codex","label":"Codex install prompt","command":"npx skills add bowang-lab/ecg-fm","value":"Install the \"Ecg Fm\" agent skill from https://github.com/bowang-lab/ecg-fm. 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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.","kind":"agent-prompt","steps":["Review Ecg Fm trust and audit signals before installing.","Send the install prompt to the target agent.","Install in a sandbox or low-risk workspace first.","Pin the repository source and re-check the audit before production use."],"targets":[{"id":"openagentskill-cli","label":"CLI","title":"OpenAgentSkill CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz install bowang-lab-ecg-fm","description":"Resolve policy, run the source installer safely, and report a verified install receipt.","copyLabel":"Copy command"},{"id":"codex","label":"Codex","title":"Codex install prompt","kind":"agent-prompt","value":"Install the \"Ecg Fm\" agent skill from https://github.com/bowang-lab/ecg-fm. 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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.","description":"Give Codex a repo-aware install prompt when the skill is not available through a local CLI.","copyLabel":"Copy prompt"},{"id":"claude-code","label":"Claude Code","title":"Claude Code skill prompt","kind":"agent-prompt","value":"Add \"Ecg Fm\" as a Claude Code skill from https://github.com/bowang-lab/ecg-fm. 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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.","description":"Use this prompt to ask Claude Code to add the skill and explain the local activation steps.","copyLabel":"Copy prompt"},{"id":"cursor","label":"Cursor","title":"Cursor rule prompt","kind":"agent-prompt","value":"Turn \"Ecg Fm\" from https://github.com/bowang-lab/ecg-fm 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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.","description":"Use this when installing as Cursor project rules or reusable agent instructions.","copyLabel":"Copy prompt"}]},"machine_metadata":{"version":"openagentskill-agent-metadata-v2","skill":{"slug":"bowang-lab-ecg-fm","name":"Ecg Fm","description":"An electrocardiogram analysis foundation model.","category":"ml-automation","url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm","repository":"https://github.com/bowang-lab/ecg-fm","github_repo":"bowang-lab/ecg-fm"},"suited_tasks":["Browser automation workflows","general agent builders","builders willing to evaluate younger projects","Navigate pages","Click and type safely","Check visual and DOM state","Search sources","Extract claims"],"suited_agents":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add bowang-lab/ecg-fm","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 bowang-lab-ecg-fm"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"Ecg Fm\" agent skill from https://github.com/bowang-lab/ecg-fm. 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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 \"Ecg Fm\" as a Claude Code skill from https://github.com/bowang-lab/ecg-fm. 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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 \"Ecg Fm\" from https://github.com/bowang-lab/ecg-fm 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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/bowang-lab-ecg-fm/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/bowang-lab-ecg-fm"},"trust":{"score":73,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"291 GitHub stars","repoActivity":"291 stars, 32 forks","lastPushed":"7mo since push","license":"MIT","repository":"https://github.com/bowang-lab/ecg-fm","install":"npx skills add bowang-lab/ecg-fm","installSafety":"standard package or runtime install path","permissionSurface":"no high-risk permission surface in public metadata","documentation":"Thin public metadata","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":false,"sandbox_required":true,"reason":"Human review or sandbox validation is required before automatic installation."},"best_for":["ml-automation","machine-learning","automation","ml-media","electrocardiogram","foundation-models"],"known_risks":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"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":71,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace."},"quality":{"score":58,"label":"Promising"},"supply":{"track":"Design and creative production","scenario":"Multimodal media","maintenance":"7mo since push","risk":"Needs review"},"alternative_skills":[],"do_not_use_when":["teams that need a vendor-supported SLA","high-compliance environments without internal security review","No OpenAgentSkill engagement data yet","Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Production credentials, payments, or irreversible account changes without explicit human review"],"agent_contract":{"task_input":"Use Ecg Fm","recommended_action":"Require human approval before installing into a real workspace.","install_policy":"review","minimum_review_before_use":["Trust: 73/100 Strong shortlist","Audit: 71/100 Needs review","Safety: 59/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"bowang-lab-ecg-fm (Ecg Fm)","install_command":"npx skills add bowang-lab/ecg-fm","risk_summary":"Needs review; Reviewed with permission notes; Review before production","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":"bowang-lab-ecg-fm","task":"Use Ecg Fm","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/bowang-lab-ecg-fm","api":"https://www.openagentskill.com/api/agent/skills/bowang-lab-ecg-fm","audit":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=bowang-lab-ecg-fm&task=Use%20Ecg%20Fm&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20Ecg%20Fm&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20Ecg%20Fm&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/bowang-lab-ecg-fm/install","manifest":"https://www.openagentskill.com/api/registry/manifest/bowang-lab-ecg-fm"}},"use_cases":[{"slug":"browser-automation","title":"Browser automation","url":"https://www.openagentskill.com/use-cases/browser-automation"},{"slug":"research-agents","title":"Research agents","url":"https://www.openagentskill.com/use-cases/research-agents"},{"slug":"workflow-automation","title":"Workflow automation","url":"https://www.openagentskill.com/use-cases/workflow-automation"}],"urls":{"web":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm","api":"https://www.openagentskill.com/api/agent/skills/bowang-lab-ecg-fm","install_api":"https://www.openagentskill.com/api/skills/bowang-lab-ecg-fm/install","audit":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=bowang-lab-ecg-fm&task=Use%20Ecg%20Fm&max_risk=medium","badge":"https://www.openagentskill.com/api/badge/bowang-lab-ecg-fm?metric=audit","repository":"https://github.com/bowang-lab/ecg-fm"}},"safer_alternative":{"rank":3,"match_score":30,"raw_match_score":109.6,"semantic_relevance":30,"skill":{"slug":"marcodebe-dicom-ecg-plot","name":"Dicom Ecg Plot","description":"Dicom ECG Viewer and Converter. Convert to PDF, PNG, JPG, SVG, ...","category":"document-processing","github_stars":160,"created_at":"2026-06-20T21:26:39.547343+00:00","updated_at":"2026-04-28T08:34:14+00:00","repository":"https://github.com/marcodebe/dicom-ecg-plot","github_repo":"marcodebe/dicom-ecg-plot"},"recommendation_reasons":["Matches task terms: ecg","Install handoff is available","Repository freshness signal is available","Registry match score 30"],"supply_profile":{"track":{"slug":"research","label":"Research and knowledge work","shortLabel":"Research","description":"Deep research, source comparison, literature review, RAG, knowledge search, and reports."},"scenario":{"label":"Document processing","description":"I need my agent to read PDFs, extract tables, and turn documents into structured data.","useCases":[{"slug":"document-processing","title":"Document processing"},{"slug":"rag-knowledge","title":"RAG and knowledge"},{"slug":"web-scraping","title":"Web scraping"}]},"applicableAgents":["CLI","Codex","Claude Code","Cursor","Python"],"install":{"ready":true,"command":"npx skills add marcodebe/dicom-ecg-plot","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":160,"starsLabel":"160","forks":75,"license":"MIT","qualityScore":63,"trustScore":74,"auditScore":75},"maintenance":{"status":"active","label":"4mo since push","daysSincePush":116,"lastPushedAt":"2026-04-28T08:34:14+00:00"},"risk":{"level":"needs_review","label":"Needs review","requiresReview":true,"notes":["Documentation summary is thin","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Needs review"]},"coverageTags":["Research","Document processing","document-processing","pdf","documents","extraction","dicom","ecg"]},"quality":{"score":63,"tier":"promising","label":"Promising","summary":"Useful candidate, but compare it with alternatives before adopting.","signals":[{"label":"GitHub stars","value":"160","tone":"neutral"},{"label":"Freshness","value":"4mo ago","tone":"positive"},{"label":"Install ready","value":"Yes","tone":"positive"},{"label":"License","value":"MIT","tone":"neutral"}],"warnings":[]},"trust":{"version":"trust-score-v4","score":74,"tier":"strong","label":"Strong shortlist","summary":"Good trust signals with a few areas worth checking before rollout.","recommendedAction":"Test in a sandbox workflow and compare its install path with close alternatives.","dimensions":[{"id":"github_adoption","label":"GitHub adoption","score":62,"weight":0.13,"status":"info","detail":"160 GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":62,"weight":0.08,"status":"info","detail":"160 stars, 75 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":76,"weight":0.14,"status":"info","detail":"4mo since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"id":"documentation","label":"README/SKILL.md completeness","score":50,"weight":0.14,"status":"warn","detail":"Public metadata needs stronger README/SKILL.md context"},{"id":"dependency_risk","label":"Dependency/runtime risk","score":90,"weight":0.12,"status":"pass","detail":"no major dependency risk hints in public metadata"},{"id":"installability","label":"Install availability","score":92,"weight":0.1,"status":"pass","detail":"npx skills add marcodebe/dicom-ecg-plot"},{"id":"install_safety","label":"Install command safety","score":92,"weight":0.1,"status":"pass","detail":"standard package or runtime install path"},{"id":"permission_surface","label":"Permission surface","score":86,"weight":0.07,"status":"pass","detail":"filesystem or document access"},{"id":"repository","label":"Repository evidence","score":86,"weight":0.04,"status":"pass","detail":"https://github.com/marcodebe/dicom-ecg-plot"},{"id":"review_status","label":"Review status","score":88,"weight":0.05,"status":"pass","detail":"AI review data available"},{"id":"agent_outcomes","label":"Agent Proven outcomes","score":54,"weight":0.13,"status":"info","detail":"No agent outcome data yet"}],"checks":[{"status":"info","label":"GitHub adoption","detail":"160 GitHub stars"},{"status":"info","label":"Stars/forks activity","detail":"160 stars, 75 forks; issue activity unavailable in current metadata"},{"status":"info","label":"Recent maintenance","detail":"4mo since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add marcodebe/dicom-ecg-plot"},{"status":"pass","label":"Install command safety","detail":"standard package or runtime install path"},{"status":"pass","label":"Permission surface","detail":"filesystem or document access"},{"status":"pass","label":"Repository evidence","detail":"https://github.com/marcodebe/dicom-ecg-plot"},{"status":"pass","label":"Review status","detail":"AI review data available"},{"status":"info","label":"Agent Proven outcomes","detail":"No agent outcome data yet"},{"status":"warn","label":"Ownership","detail":"No approved owner claim yet"},{"status":"info","label":"OpenAgentSkill usage","detail":"No local usage activity yet"},{"status":"info","label":"Agent outcomes","detail":"No agent outcome data yet"}],"strengths":["AI review approved","Install path is available","Repository evidence is available","Install command has no obvious high-risk pattern"],"warnings":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"evidence":{"stars":"160 GitHub stars","repoActivity":"160 stars, 75 forks","lastPushed":"4mo since push","license":"MIT","repository":"https://github.com/marcodebe/dicom-ecg-plot","install":"npx skills add marcodebe/dicom-ecg-plot","installSafety":"standard package or runtime install path","permissionSurface":"filesystem or document access","documentation":"Thin public metadata","agentOutcomes":"No agent outcome data yet"},"installReadiness":{"ready":true,"command":"npx skills add marcodebe/dicom-ecg-plot","policy":"human_review_before_install","label":"Human review before install","notes":["Install path is available","Repository evidence is available","License is declared","No Agent Proven outcome evidence yet","4mo since push"]},"agentCompatibility":["Python","PDF","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Human review or sandbox validation is required before automatic installation."},"bestFor":["document-processing","pdf","documents","extraction","dicom","ecg"],"doNotUseFor":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"knownRisks":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"trust_v5":{"version":"trust-score-v5","score":66,"base_score":74,"outcome_confidence":0,"tier":"review","label":"Sandbox only","summary":"Useful candidate with missing or mixed trust signals. Keep it in an isolated workspace until the outcome loop proves task fit.","recommendedAction":"Run only in a sandbox and compare close alternatives before using it for real work.","decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Compare alternatives before installing.","reasoning":["66/100 Trust Score v5","74/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Review before production"],"review_required_when":["The workspace contains production secrets, payments, private customer data, or irreversible actions.","The install command requests shell, network, credential, database, or broad filesystem access.","Outcome evidence is missing, recently failed, or required human review.","Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"]},"dimensions":[{"id":"github_adoption","label":"GitHub adoption","score":62,"weight":0.13,"status":"info","detail":"160 GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":62,"weight":0.08,"status":"info","detail":"160 stars, 75 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":76,"weight":0.14,"status":"info","detail":"4mo since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"id":"documentation","label":"README/SKILL.md completeness","score":50,"weight":0.14,"status":"warn","detail":"Public metadata needs stronger README/SKILL.md context"},{"id":"dependency_risk","label":"Dependency/runtime risk","score":90,"weight":0.12,"status":"pass","detail":"no major dependency risk hints in public metadata"},{"id":"installability","label":"Install availability","score":92,"weight":0.1,"status":"pass","detail":"npx skills add marcodebe/dicom-ecg-plot"},{"id":"install_safety","label":"Install command safety","score":92,"weight":0.1,"status":"pass","detail":"standard package or runtime install path"},{"id":"permission_surface","label":"Permission surface","score":86,"weight":0.07,"status":"pass","detail":"filesystem or document access"},{"id":"repository","label":"Repository evidence","score":86,"weight":0.04,"status":"pass","detail":"https://github.com/marcodebe/dicom-ecg-plot"},{"id":"review_status","label":"Review status","score":88,"weight":0.05,"status":"pass","detail":"AI review data available"},{"id":"agent_outcomes","label":"Agent Proven outcomes","score":54,"weight":0.13,"status":"info","detail":"No agent outcome data yet"}],"checks":[{"status":"info","label":"GitHub adoption","detail":"160 GitHub stars"},{"status":"info","label":"Stars/forks activity","detail":"160 stars, 75 forks; issue activity unavailable in current metadata"},{"status":"info","label":"Recent maintenance","detail":"4mo since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add marcodebe/dicom-ecg-plot"},{"status":"pass","label":"Install command safety","detail":"standard package or runtime install path"},{"status":"pass","label":"Permission surface","detail":"filesystem or document access"},{"status":"pass","label":"Repository evidence","detail":"https://github.com/marcodebe/dicom-ecg-plot"},{"status":"pass","label":"Review status","detail":"AI review data available"},{"status":"info","label":"Agent Proven outcomes","detail":"No agent outcome data yet"},{"status":"warn","label":"Ownership","detail":"No approved owner claim yet"},{"status":"info","label":"OpenAgentSkill usage","detail":"No local usage activity yet"},{"status":"info","label":"Agent outcomes","detail":"No agent outcome data yet"}],"strengths":["AI review approved","Install path is available","Repository evidence is available","Install command has no obvious high-risk pattern","Outcome loop is ready but needs first real agent run"],"warnings":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","No real agent outcome reports yet","Human review required before unattended installation"],"evidence":{"stars":"160 GitHub stars","repoActivity":"160 stars, 75 forks","lastPushed":"4mo since push","license":"MIT","repository":"https://github.com/marcodebe/dicom-ecg-plot","install":"npx skills add marcodebe/dicom-ecg-plot","installSafety":"standard package or runtime install path","permissionSurface":"filesystem or document access","documentation":"Thin public metadata","agentOutcomes":"No agent outcome data yet","agentProvenScore":0,"outcomeConfidence":"0%","installPolicy":"human_review_before_install"},"installReadiness":{"ready":true,"command":"npx skills add marcodebe/dicom-ecg-plot","policy":"human_review_before_install","label":"Human review before install","notes":["Install path is available","Repository evidence is available","License is declared","No Agent Proven outcome evidence yet","4mo since push","Trust Score v5 requires review or sandbox-only use before install."]},"agentCompatibility":["Python","PDF","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Compare alternatives before installing."},"outcome_loop":{"version":"openagentskill-agent-outcome-v3","required_after_install":true,"endpoint":"/api/agent/outcome","method":"POST","event_id_source":"feedback.event_id, install_receipt.resolve_event_id, or decision_packet.outcome_feedback.event_id","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"required_fields":["event_id","skill_slug","task"],"quality_fields":["task_success","output_quality","error_type","human_review_required","used_in_production","workspace","evidence_url","time_to_useful_ms"],"ranking_inputs_updated":["Trust Score v5 outcome confidence","Agent Proven Score","Resolve ranking task-fit evidence","Skill detail machine-readable metadata","Outcome leaderboard"]},"agent_contract":{"suited_tasks":["document-processing","pdf","documents","extraction","dicom","ecg"],"suited_agents":["Python","PDF","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add marcodebe/dicom-ecg-plot","trust_score":66,"trust_version":"trust-score-v5","risk_level":"medium","do_not_use_when":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"before_install":["Read the audit page and machine-readable metadata.","Confirm the install command, license, and permission surface fit the workspace.","Get explicit human approval or choose an alternative before installing."],"after_run":["Report the outcome to /api/agent/outcome using the resolve event id.","Include output_quality, workspace, human_review_required, and evidence_url when available.","Re-resolve before broad production rollout."]},"bestFor":["document-processing","pdf","documents","extraction","dicom","ecg"],"doNotUseFor":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"knownRisks":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":74,"tier":"strong","label":"Strong shortlist","summary":"Good trust signals with a few areas worth checking before rollout."}}},"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":{"audit_score":75,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety":{"score":59,"level":"review_before_install","label":"Review before install","safety_tier":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","summary":"Usable candidate, but the agent should surface permission and audit notes before installation.","recommended_action":"Require human approval before installing into a real workspace.","auto_install_policy":"review","reasons":["Documentation summary is thin","59/100 agent safety score"]},"auto_install_allowed":false,"human_review_required":true,"blocked":false,"audit_risk":"needs_review","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":["Documentation summary is thin"],"constraints_applied":{"max_risk":"medium","needs_install_command":true,"min_stars":0}},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace.","reasons":["Documentation summary is thin","59/100 agent safety score"]},"decision":{"readiness_score":62,"readiness_label":"Prototype first","headline":"Fallback candidate for Document processing","role":"Fallback candidate","best_for":["Document processing workflows","general agent builders","builders willing to evaluate younger projects"],"risks":["No OpenAgentSkill engagement data yet"],"next_steps":["Install it in a sandbox agent and run one Document processing task end to end.","Compare output quality, latency, and failure behavior against at least one alternative.","Promote it into production only after reviewing repository permissions, license, and maintenance signals."]},"install_plan":{"target":"codex","label":"Codex install prompt","command":"npx skills add marcodebe/dicom-ecg-plot","value":"Install the \"Dicom Ecg Plot\" agent skill from https://github.com/marcodebe/dicom-ecg-plot. 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: Dicom ECG Viewer and Converter. Convert to PDF, PNG, JPG, SVG, ... 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\":\"marcodebe-dicom-ecg-plot\",\"task\":\"Install Dicom Ecg Plot\",\"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.","kind":"agent-prompt","steps":["Review Dicom Ecg Plot trust and audit signals before installing.","Send the install prompt to the target agent.","Install in a sandbox or low-risk workspace first.","Pin the repository source and re-check the audit before production use."],"targets":[{"id":"openagentskill-cli","label":"CLI","title":"OpenAgentSkill CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz install marcodebe-dicom-ecg-plot","description":"Resolve policy, run the source installer safely, and report a verified install receipt.","copyLabel":"Copy command"},{"id":"codex","label":"Codex","title":"Codex install prompt","kind":"agent-prompt","value":"Install the \"Dicom Ecg Plot\" agent skill from https://github.com/marcodebe/dicom-ecg-plot. 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: Dicom ECG Viewer and Converter. Convert to PDF, PNG, JPG, SVG, ... 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\":\"marcodebe-dicom-ecg-plot\",\"task\":\"Install Dicom Ecg Plot\",\"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.","description":"Give Codex a repo-aware install prompt when the skill is not available through a local CLI.","copyLabel":"Copy prompt"},{"id":"claude-code","label":"Claude Code","title":"Claude Code skill prompt","kind":"agent-prompt","value":"Add \"Dicom Ecg Plot\" as a Claude Code skill from https://github.com/marcodebe/dicom-ecg-plot. 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: Dicom ECG Viewer and Converter. Convert to PDF, PNG, JPG, SVG, ... 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\":\"marcodebe-dicom-ecg-plot\",\"task\":\"Install Dicom Ecg Plot\",\"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.","description":"Use this prompt to ask Claude Code to add the skill and explain the local activation steps.","copyLabel":"Copy prompt"},{"id":"cursor","label":"Cursor","title":"Cursor rule prompt","kind":"agent-prompt","value":"Turn \"Dicom Ecg Plot\" from https://github.com/marcodebe/dicom-ecg-plot 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: Dicom ECG Viewer and Converter. Convert to PDF, PNG, JPG, SVG, ... 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\":\"marcodebe-dicom-ecg-plot\",\"task\":\"Install Dicom Ecg Plot\",\"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.","description":"Use this when installing as Cursor project rules or reusable agent instructions.","copyLabel":"Copy prompt"}]},"machine_metadata":{"version":"openagentskill-agent-metadata-v2","skill":{"slug":"marcodebe-dicom-ecg-plot","name":"Dicom Ecg Plot","description":"Dicom ECG Viewer and Converter. Convert to PDF, PNG, JPG, SVG, ...","category":"document-processing","url":"https://www.openagentskill.com/skills/marcodebe-dicom-ecg-plot","repository":"https://github.com/marcodebe/dicom-ecg-plot","github_repo":"marcodebe/dicom-ecg-plot"},"suited_tasks":["Document processing workflows","general agent builders","builders willing to evaluate younger projects","Read uploaded files","Extract structured fields","Prepare clean context for downstream agents","Chunk documents","Create embeddings"],"suited_agents":["Python","PDF","Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add marcodebe/dicom-ecg-plot","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 marcodebe-dicom-ecg-plot"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"Dicom Ecg Plot\" agent skill from https://github.com/marcodebe/dicom-ecg-plot. 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: Dicom ECG Viewer and Converter. Convert to PDF, PNG, JPG, SVG, ... 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\":\"marcodebe-dicom-ecg-plot\",\"task\":\"Install Dicom Ecg Plot\",\"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 \"Dicom Ecg Plot\" as a Claude Code skill from https://github.com/marcodebe/dicom-ecg-plot. 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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":{"audit_score":64,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Repository appears stale","Repository looks stale","Quality score needs review","Recent maintenance: 2y since push"]},"safety":{"score":52,"level":"avoid_auto_install","label":"Avoid automatic install","safety_tier":{"tier":"experimental","label":"Experimental","badge":"EXPERIMENTAL","summary":"Sparse or mixed signals. Useful for discovery, but not for autonomous installation.","recommended_action":"Test manually in an isolated workspace and compare against safer alternatives.","auto_install_policy":"review","reasons":["Documentation summary is thin","52/100 agent safety score"]},"auto_install_allowed":false,"human_review_required":true,"blocked":false,"audit_risk":"needs_review","permission_hints":[{"id":"network","label":"Network access","reason":"Skill likely fetches remote pages, APIs, repositories, or external services.","severity":"medium"}],"policy_warnings":["Documentation summary is thin"],"constraints_applied":{"max_risk":"medium","needs_install_command":true,"min_stars":0}},"safety_gate":{"tier":"experimental","label":"Experimental","badge":"EXPERIMENTAL","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Test manually in an isolated workspace and compare against safer alternatives.","reasons":["Documentation summary is thin","52/100 agent safety score"]},"decision":{"readiness_score":35,"readiness_label":"Needs manual review","headline":"Needs validation for Browser automation","role":"Needs validation","best_for":["Browser automation workflows","general agent builders","builders willing to evaluate younger projects"],"risks":["Repository looks stale","No OpenAgentSkill engagement data yet"],"next_steps":["Install it in a sandbox agent and run one Browser automation task end to end.","Compare output quality, latency, and failure behavior against at least one alternative.","Promote it into production only after reviewing repository permissions, license, and maintenance signals."]},"install_plan":{"target":"codex","label":"Codex install prompt","command":"npx skills add ismorphism/DeepECG","value":"Install the \"DeepECG\" agent skill from https://github.com/ismorphism/DeepECG. 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: ECG classification programs based on ML/DL methods 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\":\"ismorphism-deepecg\",\"task\":\"Install DeepECG\",\"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.","kind":"agent-prompt","steps":["Review DeepECG trust and audit signals before installing.","Send the install prompt to the target agent.","Install in a sandbox or low-risk workspace first.","Pin the repository source and re-check the audit before production use."],"targets":[{"id":"openagentskill-cli","label":"CLI","title":"OpenAgentSkill CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz install ismorphism-deepecg","description":"Resolve policy, run the source installer safely, and report a verified install receipt.","copyLabel":"Copy command"},{"id":"codex","label":"Codex","title":"Codex install prompt","kind":"agent-prompt","value":"Install the \"DeepECG\" agent skill from https://github.com/ismorphism/DeepECG. 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: ECG classification programs based on ML/DL methods 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\":\"ismorphism-deepecg\",\"task\":\"Install DeepECG\",\"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.","description":"Give Codex a repo-aware install prompt when the skill is not available through a local CLI.","copyLabel":"Copy prompt"},{"id":"claude-code","label":"Claude Code","title":"Claude Code skill prompt","kind":"agent-prompt","value":"Add \"DeepECG\" as a Claude Code skill from https://github.com/ismorphism/DeepECG. 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: ECG classification programs based on ML/DL methods 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\":\"ismorphism-deepecg\",\"task\":\"Install DeepECG\",\"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.","description":"Use this prompt to ask Claude Code to add the skill and explain the local activation steps.","copyLabel":"Copy prompt"},{"id":"cursor","label":"Cursor","title":"Cursor rule prompt","kind":"agent-prompt","value":"Turn \"DeepECG\" from https://github.com/ismorphism/DeepECG 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: ECG classification programs based on ML/DL methods 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\":\"ismorphism-deepecg\",\"task\":\"Install DeepECG\",\"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.","description":"Use this when installing as Cursor project rules or reusable agent instructions.","copyLabel":"Copy prompt"}]},"machine_metadata":{"version":"openagentskill-agent-metadata-v2","skill":{"slug":"ismorphism-deepecg","name":"DeepECG","description":"ECG classification programs based on ML/DL methods","category":"geo-science","url":"https://www.openagentskill.com/skills/ismorphism-deepecg","repository":"https://github.com/ismorphism/DeepECG","github_repo":"ismorphism/DeepECG"},"suited_tasks":["Browser automation workflows","general agent builders","builders willing to evaluate younger projects","Navigate pages","Click and type safely","Check visual and DOM state","Search sources","Extract claims"],"suited_agents":["Python","Bioinformatics","Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add ismorphism/DeepECG","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 ismorphism-deepecg"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"DeepECG\" agent skill from https://github.com/ismorphism/DeepECG. 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: ECG classification programs based on ML/DL methods 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\":\"ismorphism-deepecg\",\"task\":\"Install DeepECG\",\"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 \"DeepECG\" as a Claude Code skill from https://github.com/ismorphism/DeepECG. 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: ECG classification programs based on ML/DL methods 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\":\"ismorphism-deepecg\",\"task\":\"Install DeepECG\",\"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 \"DeepECG\" from https://github.com/ismorphism/DeepECG 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: ECG classification programs based on ML/DL methods 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\":\"ismorphism-deepecg\",\"task\":\"Install DeepECG\",\"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/ismorphism-deepecg/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/ismorphism-deepecg"},"trust":{"score":71,"label":"Manual review","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"286 GitHub stars","repoActivity":"286 stars, 85 forks","lastPushed":"2y since push","license":"MIT","repository":"https://github.com/ismorphism/DeepECG","install":"npx skills add ismorphism/DeepECG","installSafety":"standard package or runtime install path","permissionSurface":"no high-risk permission surface in public metadata","documentation":"Thin public metadata","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":false,"sandbox_required":true,"reason":"Human review or sandbox validation is required before automatic installation."},"best_for":["geo-science","bioinformatics","analysis","cardio","chemoinformatics","cinc-challenge"],"known_risks":["Repository looks stale","Quality score needs review","Documentation summary is thin","Recent maintenance: 2y since push","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"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":64,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Repository appears stale","Repository looks stale","Quality score needs review","Recent maintenance: 2y since push","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"experimental","label":"Experimental","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Test manually in an isolated workspace and compare against safer alternatives."},"quality":{"score":45,"label":"Needs review"},"supply":{"track":"Coding and developer agents","scenario":"GitHub automation","maintenance":"2y since push","risk":"Needs review"},"alternative_skills":[],"do_not_use_when":["teams that require actively maintained dependencies","production agents without a repository review","Repository looks stale","No OpenAgentSkill engagement data yet","Documentation summary is thin","Repository appears stale","Quality score needs review","Recent maintenance: 2y since push"],"agent_contract":{"task_input":"Use Ecg Fm","recommended_action":"Test manually in an isolated workspace and compare against safer alternatives.","install_policy":"review","minimum_review_before_use":["Trust: 71/100 Manual review","Audit: 64/100 Needs review","Safety: 52/100 Avoid automatic install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"ismorphism-deepecg (DeepECG)","install_command":"npx skills add ismorphism/DeepECG","risk_summary":"Needs review; Experimental; Review before production","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":"ismorphism-deepecg","task":"Use Ecg Fm","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/ismorphism-deepecg","api":"https://www.openagentskill.com/api/agent/skills/ismorphism-deepecg","audit":"https://www.openagentskill.com/skills/ismorphism-deepecg/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=ismorphism-deepecg&task=Use%20Ecg%20Fm&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20Ecg%20Fm&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20Ecg%20Fm&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/ismorphism-deepecg/install","manifest":"https://www.openagentskill.com/api/registry/manifest/ismorphism-deepecg"}},"use_cases":[{"slug":"browser-automation","title":"Browser automation","url":"https://www.openagentskill.com/use-cases/browser-automation"},{"slug":"research-agents","title":"Research agents","url":"https://www.openagentskill.com/use-cases/research-agents"},{"slug":"github-automation","title":"GitHub automation","url":"https://www.openagentskill.com/use-cases/github-automation"}],"urls":{"web":"https://www.openagentskill.com/skills/ismorphism-deepecg","api":"https://www.openagentskill.com/api/agent/skills/ismorphism-deepecg","install_api":"https://www.openagentskill.com/api/skills/ismorphism-deepecg/install","audit":"https://www.openagentskill.com/skills/ismorphism-deepecg/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=ismorphism-deepecg&task=Use%20Ecg%20Fm&max_risk=medium","badge":"https://www.openagentskill.com/api/badge/ismorphism-deepecg?metric=audit","repository":"https://github.com/ismorphism/DeepECG"}},"new_contender":null,"no_skill_option":{"recommended":true,"label":"Build without a third-party skill","reason":"Use a native agent workflow when the third-party permission or maintenance surface is not acceptable.","action":"Use the agent’s built-in tools for one narrow run, then reconsider a skill only if the workflow repeats."}},"selected":{"rank":1,"match_score":30,"raw_match_score":110.3,"semantic_relevance":30,"skill":{"slug":"bowang-lab-ecg-fm","name":"Ecg Fm","description":"An electrocardiogram analysis foundation model.","category":"ml-automation","github_stars":291,"created_at":"2026-06-21T00:02:51.256912+00:00","updated_at":"2026-01-14T23:25:07+00:00","repository":"https://github.com/bowang-lab/ecg-fm","github_repo":"bowang-lab/ecg-fm"},"recommendation_reasons":["Matches task terms: ecg","Install handoff is available","Repository freshness signal is available","Registry match score 30"],"supply_profile":{"track":{"slug":"design","label":"Design and creative production","shortLabel":"Design","description":"Design assets, images, video, audio, multimodal media, presentation, and creative production skills."},"scenario":{"label":"Multimodal media","description":"I need my agent to process images, video, or audio and extract useful information.","useCases":[{"slug":"browser-automation","title":"Browser automation"},{"slug":"research-agents","title":"Research agents"},{"slug":"workflow-automation","title":"Workflow automation"}]},"applicableAgents":["CLI","Codex","Claude Code","Cursor","Python"],"install":{"ready":true,"command":"npx skills add bowang-lab/ecg-fm","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":291,"starsLabel":"291","forks":32,"license":"MIT","qualityScore":58,"trustScore":73,"auditScore":71},"maintenance":{"status":"stable","label":"7mo since push","daysSincePush":220,"lastPushedAt":"2026-01-14T23:25:07+00:00"},"risk":{"level":"needs_review","label":"Needs review","requiresReview":true,"notes":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Needs review"]},"coverageTags":["Design","Multimodal media","ml-automation","machine-learning","automation","ml-media","electrocardiogram","foundation-models"]},"quality":{"score":58,"tier":"promising","label":"Promising","summary":"Useful candidate, but compare it with alternatives before adopting.","signals":[{"label":"GitHub stars","value":"291","tone":"neutral"},{"label":"Freshness","value":"7mo ago","tone":"positive"},{"label":"Install ready","value":"Yes","tone":"positive"},{"label":"License","value":"MIT","tone":"neutral"}],"warnings":[]},"trust":{"version":"trust-score-v4","score":73,"tier":"strong","label":"Strong shortlist","summary":"Good trust signals with a few areas worth checking before rollout.","recommendedAction":"Test in a sandbox workflow and compare its install path with close alternatives.","dimensions":[{"id":"github_adoption","label":"GitHub adoption","score":62,"weight":0.13,"status":"info","detail":"291 GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":57,"weight":0.08,"status":"warn","detail":"291 stars, 32 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":62,"weight":0.14,"status":"info","detail":"7mo since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"id":"documentation","label":"README/SKILL.md completeness","score":50,"weight":0.14,"status":"warn","detail":"Public metadata needs stronger README/SKILL.md context"},{"id":"dependency_risk","label":"Dependency/runtime risk","score":90,"weight":0.12,"status":"pass","detail":"no major dependency risk hints in public metadata"},{"id":"installability","label":"Install availability","score":92,"weight":0.1,"status":"pass","detail":"npx skills add bowang-lab/ecg-fm"},{"id":"install_safety","label":"Install command safety","score":92,"weight":0.1,"status":"pass","detail":"standard package or runtime install path"},{"id":"permission_surface","label":"Permission surface","score":100,"weight":0.07,"status":"pass","detail":"no high-risk permission surface in public metadata"},{"id":"repository","label":"Repository evidence","score":86,"weight":0.04,"status":"pass","detail":"https://github.com/bowang-lab/ecg-fm"},{"id":"review_status","label":"Review status","score":88,"weight":0.05,"status":"pass","detail":"AI review data available"},{"id":"agent_outcomes","label":"Agent Proven outcomes","score":54,"weight":0.13,"status":"info","detail":"No agent outcome data yet"}],"checks":[{"status":"info","label":"GitHub adoption","detail":"291 GitHub stars"},{"status":"warn","label":"Stars/forks activity","detail":"291 stars, 32 forks; issue activity unavailable in current metadata"},{"status":"info","label":"Recent maintenance","detail":"7mo since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add bowang-lab/ecg-fm"},{"status":"pass","label":"Install command safety","detail":"standard package or runtime install path"},{"status":"pass","label":"Permission surface","detail":"no high-risk permission surface in public metadata"},{"status":"pass","label":"Repository evidence","detail":"https://github.com/bowang-lab/ecg-fm"},{"status":"pass","label":"Review status","detail":"AI review data available"},{"status":"info","label":"Agent Proven outcomes","detail":"No agent outcome data yet"},{"status":"warn","label":"Ownership","detail":"No approved owner claim yet"},{"status":"info","label":"OpenAgentSkill usage","detail":"No local usage activity yet"},{"status":"info","label":"Agent outcomes","detail":"No agent outcome data yet"}],"strengths":["AI review approved","Install path is available","Repository evidence is available","Install command has no obvious high-risk pattern"],"warnings":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"evidence":{"stars":"291 GitHub stars","repoActivity":"291 stars, 32 forks","lastPushed":"7mo since push","license":"MIT","repository":"https://github.com/bowang-lab/ecg-fm","install":"npx skills add bowang-lab/ecg-fm","installSafety":"standard package or runtime install path","permissionSurface":"no high-risk permission surface in public metadata","documentation":"Thin public metadata","agentOutcomes":"No agent outcome data yet"},"installReadiness":{"ready":true,"command":"npx skills add bowang-lab/ecg-fm","policy":"human_review_before_install","label":"Human review before install","notes":["Install path is available","Repository evidence is available","License is declared","No Agent Proven outcome evidence yet","7mo since push"]},"agentCompatibility":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Human review or sandbox validation is required before automatic installation."},"bestFor":["ml-automation","machine-learning","automation","ml-media","electrocardiogram","foundation-models"],"doNotUseFor":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"knownRisks":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"trust_v5":{"version":"trust-score-v5","score":65,"base_score":73,"outcome_confidence":0,"tier":"review","label":"Sandbox only","summary":"Useful candidate with missing or mixed trust signals. Keep it in an isolated workspace until the outcome loop proves task fit.","recommendedAction":"Run only in a sandbox and compare close alternatives before using it for real work.","decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Compare alternatives before installing.","reasoning":["65/100 Trust Score v5","73/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Review before production"],"review_required_when":["The workspace contains production secrets, payments, private customer data, or irreversible actions.","The install command requests shell, network, credential, database, or broad filesystem access.","Outcome evidence is missing, recently failed, or required human review.","Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"]},"dimensions":[{"id":"github_adoption","label":"GitHub adoption","score":62,"weight":0.13,"status":"info","detail":"291 GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":57,"weight":0.08,"status":"warn","detail":"291 stars, 32 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":62,"weight":0.14,"status":"info","detail":"7mo since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"id":"documentation","label":"README/SKILL.md completeness","score":50,"weight":0.14,"status":"warn","detail":"Public metadata needs stronger README/SKILL.md context"},{"id":"dependency_risk","label":"Dependency/runtime risk","score":90,"weight":0.12,"status":"pass","detail":"no major dependency risk hints in public metadata"},{"id":"installability","label":"Install availability","score":92,"weight":0.1,"status":"pass","detail":"npx skills add bowang-lab/ecg-fm"},{"id":"install_safety","label":"Install command safety","score":92,"weight":0.1,"status":"pass","detail":"standard package or runtime install path"},{"id":"permission_surface","label":"Permission surface","score":100,"weight":0.07,"status":"pass","detail":"no high-risk permission surface in public metadata"},{"id":"repository","label":"Repository evidence","score":86,"weight":0.04,"status":"pass","detail":"https://github.com/bowang-lab/ecg-fm"},{"id":"review_status","label":"Review status","score":88,"weight":0.05,"status":"pass","detail":"AI review data available"},{"id":"agent_outcomes","label":"Agent Proven outcomes","score":54,"weight":0.13,"status":"info","detail":"No agent outcome data yet"}],"checks":[{"status":"info","label":"GitHub adoption","detail":"291 GitHub stars"},{"status":"warn","label":"Stars/forks activity","detail":"291 stars, 32 forks; issue activity unavailable in current metadata"},{"status":"info","label":"Recent maintenance","detail":"7mo since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add bowang-lab/ecg-fm"},{"status":"pass","label":"Install command safety","detail":"standard package or runtime install path"},{"status":"pass","label":"Permission surface","detail":"no high-risk permission surface in public metadata"},{"status":"pass","label":"Repository evidence","detail":"https://github.com/bowang-lab/ecg-fm"},{"status":"pass","label":"Review status","detail":"AI review data available"},{"status":"info","label":"Agent Proven outcomes","detail":"No agent outcome data yet"},{"status":"warn","label":"Ownership","detail":"No approved owner claim yet"},{"status":"info","label":"OpenAgentSkill usage","detail":"No local usage activity yet"},{"status":"info","label":"Agent outcomes","detail":"No agent outcome data yet"}],"strengths":["AI review approved","Install path is available","Repository evidence is available","Install command has no obvious high-risk pattern","Outcome loop is ready but needs first real agent run"],"warnings":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","No real agent outcome reports yet","Human review required before unattended installation"],"evidence":{"stars":"291 GitHub stars","repoActivity":"291 stars, 32 forks","lastPushed":"7mo since push","license":"MIT","repository":"https://github.com/bowang-lab/ecg-fm","install":"npx skills add bowang-lab/ecg-fm","installSafety":"standard package or runtime install path","permissionSurface":"no high-risk permission surface in public metadata","documentation":"Thin public metadata","agentOutcomes":"No agent outcome data yet","agentProvenScore":0,"outcomeConfidence":"0%","installPolicy":"human_review_before_install"},"installReadiness":{"ready":true,"command":"npx skills add bowang-lab/ecg-fm","policy":"human_review_before_install","label":"Human review before install","notes":["Install path is available","Repository evidence is available","License is declared","No Agent Proven outcome evidence yet","7mo since push","Trust Score v5 requires review or sandbox-only use before install."]},"agentCompatibility":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Compare alternatives before installing."},"outcome_loop":{"version":"openagentskill-agent-outcome-v3","required_after_install":true,"endpoint":"/api/agent/outcome","method":"POST","event_id_source":"feedback.event_id, install_receipt.resolve_event_id, or decision_packet.outcome_feedback.event_id","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"required_fields":["event_id","skill_slug","task"],"quality_fields":["task_success","output_quality","error_type","human_review_required","used_in_production","workspace","evidence_url","time_to_useful_ms"],"ranking_inputs_updated":["Trust Score v5 outcome confidence","Agent Proven Score","Resolve ranking task-fit evidence","Skill detail machine-readable metadata","Outcome leaderboard"]},"agent_contract":{"suited_tasks":["ml-automation","machine-learning","automation","ml-media","electrocardiogram","foundation-models"],"suited_agents":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add bowang-lab/ecg-fm","trust_score":65,"trust_version":"trust-score-v5","risk_level":"medium","do_not_use_when":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"before_install":["Read the audit page and machine-readable metadata.","Confirm the install command, license, and permission surface fit the workspace.","Get explicit human approval or choose an alternative before installing."],"after_run":["Report the outcome to /api/agent/outcome using the resolve event id.","Include output_quality, workspace, human_review_required, and evidence_url when available.","Re-resolve before broad production rollout."]},"bestFor":["ml-automation","machine-learning","automation","ml-media","electrocardiogram","foundation-models"],"doNotUseFor":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"knownRisks":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":73,"tier":"strong","label":"Strong shortlist","summary":"Good trust signals with a few areas worth checking before rollout."}}},"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":{"audit_score":71,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety":{"score":59,"level":"review_before_install","label":"Review before install","safety_tier":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","summary":"Usable candidate, but the agent should surface permission and audit notes before installation.","recommended_action":"Require human approval before installing into a real workspace.","auto_install_policy":"review","reasons":["Documentation summary is thin","59/100 agent safety score"]},"auto_install_allowed":false,"human_review_required":true,"blocked":false,"audit_risk":"needs_review","permission_hints":[{"id":"network","label":"Network access","reason":"Skill likely fetches remote pages, APIs, repositories, or external services.","severity":"medium"}],"policy_warnings":["Documentation summary is thin"],"constraints_applied":{"max_risk":"medium","needs_install_command":true,"min_stars":0}},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace.","reasons":["Documentation summary is thin","59/100 agent safety score"]},"decision":{"readiness_score":48,"readiness_label":"Needs manual review","headline":"Needs validation for Browser automation","role":"Needs validation","best_for":["Browser automation workflows","general agent builders","builders willing to evaluate younger projects"],"risks":["No OpenAgentSkill engagement data yet"],"next_steps":["Install it in a sandbox agent and run one Browser automation task end to end.","Compare output quality, latency, and failure behavior against at least one alternative.","Promote it into production only after reviewing repository permissions, license, and maintenance signals."]},"install_plan":{"target":"codex","label":"Codex install prompt","command":"npx skills add bowang-lab/ecg-fm","value":"Install the \"Ecg Fm\" agent skill from https://github.com/bowang-lab/ecg-fm. 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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.","kind":"agent-prompt","steps":["Review Ecg Fm trust and audit signals before installing.","Send the install prompt to the target agent.","Install in a sandbox or low-risk workspace first.","Pin the repository source and re-check the audit before production use."],"targets":[{"id":"openagentskill-cli","label":"CLI","title":"OpenAgentSkill CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz install bowang-lab-ecg-fm","description":"Resolve policy, run the source installer safely, and report a verified install receipt.","copyLabel":"Copy command"},{"id":"codex","label":"Codex","title":"Codex install prompt","kind":"agent-prompt","value":"Install the \"Ecg Fm\" agent skill from https://github.com/bowang-lab/ecg-fm. 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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.","description":"Give Codex a repo-aware install prompt when the skill is not available through a local CLI.","copyLabel":"Copy prompt"},{"id":"claude-code","label":"Claude Code","title":"Claude Code skill prompt","kind":"agent-prompt","value":"Add \"Ecg Fm\" as a Claude Code skill from https://github.com/bowang-lab/ecg-fm. 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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.","description":"Use this prompt to ask Claude Code to add the skill and explain the local activation steps.","copyLabel":"Copy prompt"},{"id":"cursor","label":"Cursor","title":"Cursor rule prompt","kind":"agent-prompt","value":"Turn \"Ecg Fm\" from https://github.com/bowang-lab/ecg-fm 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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.","description":"Use this when installing as Cursor project rules or reusable agent instructions.","copyLabel":"Copy prompt"}]},"machine_metadata":{"version":"openagentskill-agent-metadata-v2","skill":{"slug":"bowang-lab-ecg-fm","name":"Ecg Fm","description":"An electrocardiogram analysis foundation model.","category":"ml-automation","url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm","repository":"https://github.com/bowang-lab/ecg-fm","github_repo":"bowang-lab/ecg-fm"},"suited_tasks":["Browser automation workflows","general agent builders","builders willing to evaluate younger projects","Navigate pages","Click and type safely","Check visual and DOM state","Search sources","Extract claims"],"suited_agents":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add bowang-lab/ecg-fm","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 bowang-lab-ecg-fm"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"Ecg Fm\" agent skill from https://github.com/bowang-lab/ecg-fm. 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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 \"Ecg Fm\" as a Claude Code skill from https://github.com/bowang-lab/ecg-fm. 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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 \"Ecg Fm\" from https://github.com/bowang-lab/ecg-fm 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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/bowang-lab-ecg-fm/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/bowang-lab-ecg-fm"},"trust":{"score":73,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"291 GitHub stars","repoActivity":"291 stars, 32 forks","lastPushed":"7mo since push","license":"MIT","repository":"https://github.com/bowang-lab/ecg-fm","install":"npx skills add bowang-lab/ecg-fm","installSafety":"standard package or runtime install path","permissionSurface":"no high-risk permission surface in public metadata","documentation":"Thin public metadata","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":false,"sandbox_required":true,"reason":"Human review or sandbox validation is required before automatic installation."},"best_for":["ml-automation","machine-learning","automation","ml-media","electrocardiogram","foundation-models"],"known_risks":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"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":71,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace."},"quality":{"score":58,"label":"Promising"},"supply":{"track":"Design and creative production","scenario":"Multimodal media","maintenance":"7mo since push","risk":"Needs review"},"alternative_skills":[],"do_not_use_when":["teams that need a vendor-supported SLA","high-compliance environments without internal security review","No OpenAgentSkill engagement data yet","Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Production credentials, payments, or irreversible account changes without explicit human review"],"agent_contract":{"task_input":"Use Ecg Fm","recommended_action":"Require human approval before installing into a real workspace.","install_policy":"review","minimum_review_before_use":["Trust: 73/100 Strong shortlist","Audit: 71/100 Needs review","Safety: 59/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"bowang-lab-ecg-fm (Ecg Fm)","install_command":"npx skills add bowang-lab/ecg-fm","risk_summary":"Needs review; Reviewed with permission notes; Review before production","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":"bowang-lab-ecg-fm","task":"Use Ecg Fm","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/bowang-lab-ecg-fm","api":"https://www.openagentskill.com/api/agent/skills/bowang-lab-ecg-fm","audit":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=bowang-lab-ecg-fm&task=Use%20Ecg%20Fm&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20Ecg%20Fm&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20Ecg%20Fm&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/bowang-lab-ecg-fm/install","manifest":"https://www.openagentskill.com/api/registry/manifest/bowang-lab-ecg-fm"}},"use_cases":[{"slug":"browser-automation","title":"Browser automation","url":"https://www.openagentskill.com/use-cases/browser-automation"},{"slug":"research-agents","title":"Research agents","url":"https://www.openagentskill.com/use-cases/research-agents"},{"slug":"workflow-automation","title":"Workflow automation","url":"https://www.openagentskill.com/use-cases/workflow-automation"}],"urls":{"web":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm","api":"https://www.openagentskill.com/api/agent/skills/bowang-lab-ecg-fm","install_api":"https://www.openagentskill.com/api/skills/bowang-lab-ecg-fm/install","audit":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=bowang-lab-ecg-fm&task=Use%20Ecg%20Fm&max_risk=medium","badge":"https://www.openagentskill.com/api/badge/bowang-lab-ecg-fm?metric=audit","repository":"https://github.com/bowang-lab/ecg-fm"}},"alternatives":[{"rank":3,"match_score":30,"raw_match_score":109.6,"semantic_relevance":30,"skill":{"slug":"marcodebe-dicom-ecg-plot","name":"Dicom Ecg Plot","description":"Dicom ECG Viewer and Converter. Convert to PDF, PNG, JPG, SVG, ...","category":"document-processing","github_stars":160,"created_at":"2026-06-20T21:26:39.547343+00:00","updated_at":"2026-04-28T08:34:14+00:00","repository":"https://github.com/marcodebe/dicom-ecg-plot","github_repo":"marcodebe/dicom-ecg-plot"},"recommendation_reasons":["Matches task terms: ecg","Install handoff is available","Repository freshness signal is available","Registry match score 30"],"supply_profile":{"track":{"slug":"research","label":"Research and knowledge work","shortLabel":"Research","description":"Deep research, source comparison, literature review, RAG, knowledge search, and reports."},"scenario":{"label":"Document processing","description":"I need my agent to read PDFs, extract tables, and turn documents into structured data.","useCases":[{"slug":"document-processing","title":"Document processing"},{"slug":"rag-knowledge","title":"RAG and knowledge"},{"slug":"web-scraping","title":"Web scraping"}]},"applicableAgents":["CLI","Codex","Claude Code","Cursor","Python"],"install":{"ready":true,"command":"npx skills add marcodebe/dicom-ecg-plot","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":160,"starsLabel":"160","forks":75,"license":"MIT","qualityScore":63,"trustScore":74,"auditScore":75},"maintenance":{"status":"active","label":"4mo since push","daysSincePush":116,"lastPushedAt":"2026-04-28T08:34:14+00:00"},"risk":{"level":"needs_review","label":"Needs review","requiresReview":true,"notes":["Documentation summary is thin","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Needs review"]},"coverageTags":["Research","Document processing","document-processing","pdf","documents","extraction","dicom","ecg"]},"quality":{"score":63,"tier":"promising","label":"Promising","summary":"Useful candidate, but compare it with alternatives before adopting.","signals":[{"label":"GitHub stars","value":"160","tone":"neutral"},{"label":"Freshness","value":"4mo ago","tone":"positive"},{"label":"Install ready","value":"Yes","tone":"positive"},{"label":"License","value":"MIT","tone":"neutral"}],"warnings":[]},"trust":{"version":"trust-score-v4","score":74,"tier":"strong","label":"Strong shortlist","summary":"Good trust signals with a few areas worth checking before rollout.","recommendedAction":"Test in a sandbox workflow and compare its install path with close alternatives.","dimensions":[{"id":"github_adoption","label":"GitHub adoption","score":62,"weight":0.13,"status":"info","detail":"160 GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":62,"weight":0.08,"status":"info","detail":"160 stars, 75 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":76,"weight":0.14,"status":"info","detail":"4mo since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"id":"documentation","label":"README/SKILL.md completeness","score":50,"weight":0.14,"status":"warn","detail":"Public metadata needs stronger README/SKILL.md context"},{"id":"dependency_risk","label":"Dependency/runtime risk","score":90,"weight":0.12,"status":"pass","detail":"no major dependency risk hints in public metadata"},{"id":"installability","label":"Install availability","score":92,"weight":0.1,"status":"pass","detail":"npx skills add marcodebe/dicom-ecg-plot"},{"id":"install_safety","label":"Install command safety","score":92,"weight":0.1,"status":"pass","detail":"standard package or runtime install path"},{"id":"permission_surface","label":"Permission surface","score":86,"weight":0.07,"status":"pass","detail":"filesystem or document access"},{"id":"repository","label":"Repository evidence","score":86,"weight":0.04,"status":"pass","detail":"https://github.com/marcodebe/dicom-ecg-plot"},{"id":"review_status","label":"Review status","score":88,"weight":0.05,"status":"pass","detail":"AI review data available"},{"id":"agent_outcomes","label":"Agent Proven outcomes","score":54,"weight":0.13,"status":"info","detail":"No agent outcome data yet"}],"checks":[{"status":"info","label":"GitHub adoption","detail":"160 GitHub stars"},{"status":"info","label":"Stars/forks activity","detail":"160 stars, 75 forks; issue activity unavailable in current metadata"},{"status":"info","label":"Recent maintenance","detail":"4mo since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add marcodebe/dicom-ecg-plot"},{"status":"pass","label":"Install command safety","detail":"standard package or runtime install path"},{"status":"pass","label":"Permission surface","detail":"filesystem or document access"},{"status":"pass","label":"Repository evidence","detail":"https://github.com/marcodebe/dicom-ecg-plot"},{"status":"pass","label":"Review status","detail":"AI review data available"},{"status":"info","label":"Agent Proven outcomes","detail":"No agent outcome data yet"},{"status":"warn","label":"Ownership","detail":"No approved owner claim yet"},{"status":"info","label":"OpenAgentSkill usage","detail":"No local usage activity yet"},{"status":"info","label":"Agent outcomes","detail":"No agent outcome data yet"}],"strengths":["AI review approved","Install path is available","Repository evidence is available","Install command has no obvious high-risk pattern"],"warnings":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"evidence":{"stars":"160 GitHub stars","repoActivity":"160 stars, 75 forks","lastPushed":"4mo since push","license":"MIT","repository":"https://github.com/marcodebe/dicom-ecg-plot","install":"npx skills add marcodebe/dicom-ecg-plot","installSafety":"standard package or runtime install path","permissionSurface":"filesystem or document access","documentation":"Thin public metadata","agentOutcomes":"No agent outcome data yet"},"installReadiness":{"ready":true,"command":"npx skills add marcodebe/dicom-ecg-plot","policy":"human_review_before_install","label":"Human review before install","notes":["Install path is available","Repository evidence is available","License is declared","No Agent Proven outcome evidence yet","4mo since push"]},"agentCompatibility":["Python","PDF","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Human review or sandbox validation is required before automatic installation."},"bestFor":["document-processing","pdf","documents","extraction","dicom","ecg"],"doNotUseFor":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"knownRisks":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"trust_v5":{"version":"trust-score-v5","score":66,"base_score":74,"outcome_confidence":0,"tier":"review","label":"Sandbox only","summary":"Useful candidate with missing or mixed trust signals. Keep it in an isolated workspace until the outcome loop proves task fit.","recommendedAction":"Run only in a sandbox and compare close alternatives before using it for real work.","decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Compare alternatives before installing.","reasoning":["66/100 Trust Score v5","74/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Review before production"],"review_required_when":["The workspace contains production secrets, payments, private customer data, or irreversible actions.","The install command requests shell, network, credential, database, or broad filesystem access.","Outcome evidence is missing, recently failed, or required human review.","Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"]},"dimensions":[{"id":"github_adoption","label":"GitHub adoption","score":62,"weight":0.13,"status":"info","detail":"160 GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":62,"weight":0.08,"status":"info","detail":"160 stars, 75 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":76,"weight":0.14,"status":"info","detail":"4mo since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"id":"documentation","label":"README/SKILL.md completeness","score":50,"weight":0.14,"status":"warn","detail":"Public metadata needs stronger README/SKILL.md context"},{"id":"dependency_risk","label":"Dependency/runtime risk","score":90,"weight":0.12,"status":"pass","detail":"no major dependency risk hints in public metadata"},{"id":"installability","label":"Install availability","score":92,"weight":0.1,"status":"pass","detail":"npx skills add marcodebe/dicom-ecg-plot"},{"id":"install_safety","label":"Install command safety","score":92,"weight":0.1,"status":"pass","detail":"standard package or runtime install path"},{"id":"permission_surface","label":"Permission surface","score":86,"weight":0.07,"status":"pass","detail":"filesystem or document access"},{"id":"repository","label":"Repository evidence","score":86,"weight":0.04,"status":"pass","detail":"https://github.com/marcodebe/dicom-ecg-plot"},{"id":"review_status","label":"Review status","score":88,"weight":0.05,"status":"pass","detail":"AI review data available"},{"id":"agent_outcomes","label":"Agent Proven outcomes","score":54,"weight":0.13,"status":"info","detail":"No agent outcome data yet"}],"checks":[{"status":"info","label":"GitHub adoption","detail":"160 GitHub stars"},{"status":"info","label":"Stars/forks activity","detail":"160 stars, 75 forks; issue activity unavailable in current metadata"},{"status":"info","label":"Recent maintenance","detail":"4mo since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add marcodebe/dicom-ecg-plot"},{"status":"pass","label":"Install command safety","detail":"standard package or runtime install path"},{"status":"pass","label":"Permission surface","detail":"filesystem or document access"},{"status":"pass","label":"Repository evidence","detail":"https://github.com/marcodebe/dicom-ecg-plot"},{"status":"pass","label":"Review status","detail":"AI review data available"},{"status":"info","label":"Agent Proven outcomes","detail":"No agent outcome data yet"},{"status":"warn","label":"Ownership","detail":"No approved owner claim yet"},{"status":"info","label":"OpenAgentSkill usage","detail":"No local usage activity yet"},{"status":"info","label":"Agent outcomes","detail":"No agent outcome data yet"}],"strengths":["AI review approved","Install path is available","Repository evidence is available","Install command has no obvious high-risk pattern","Outcome loop is ready but needs first real agent run"],"warnings":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","No real agent outcome reports yet","Human review required before unattended installation"],"evidence":{"stars":"160 GitHub stars","repoActivity":"160 stars, 75 forks","lastPushed":"4mo since push","license":"MIT","repository":"https://github.com/marcodebe/dicom-ecg-plot","install":"npx skills add marcodebe/dicom-ecg-plot","installSafety":"standard package or runtime install path","permissionSurface":"filesystem or document access","documentation":"Thin public metadata","agentOutcomes":"No agent outcome data yet","agentProvenScore":0,"outcomeConfidence":"0%","installPolicy":"human_review_before_install"},"installReadiness":{"ready":true,"command":"npx skills add marcodebe/dicom-ecg-plot","policy":"human_review_before_install","label":"Human review before install","notes":["Install path is available","Repository evidence is available","License is declared","No Agent Proven outcome evidence yet","4mo since push","Trust Score v5 requires review or sandbox-only use before install."]},"agentCompatibility":["Python","PDF","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Compare alternatives before installing."},"outcome_loop":{"version":"openagentskill-agent-outcome-v3","required_after_install":true,"endpoint":"/api/agent/outcome","method":"POST","event_id_source":"feedback.event_id, install_receipt.resolve_event_id, or decision_packet.outcome_feedback.event_id","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"required_fields":["event_id","skill_slug","task"],"quality_fields":["task_success","output_quality","error_type","human_review_required","used_in_production","workspace","evidence_url","time_to_useful_ms"],"ranking_inputs_updated":["Trust Score v5 outcome confidence","Agent Proven Score","Resolve ranking task-fit evidence","Skill detail machine-readable metadata","Outcome leaderboard"]},"agent_contract":{"suited_tasks":["document-processing","pdf","documents","extraction","dicom","ecg"],"suited_agents":["Python","PDF","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add marcodebe/dicom-ecg-plot","trust_score":66,"trust_version":"trust-score-v5","risk_level":"medium","do_not_use_when":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"before_install":["Read the audit page and machine-readable metadata.","Confirm the install command, license, and permission surface fit the workspace.","Get explicit human approval or choose an alternative before installing."],"after_run":["Report the outcome to /api/agent/outcome using the resolve event id.","Include output_quality, workspace, human_review_required, and evidence_url when available.","Re-resolve before broad production rollout."]},"bestFor":["document-processing","pdf","documents","extraction","dicom","ecg"],"doNotUseFor":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"knownRisks":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":74,"tier":"strong","label":"Strong shortlist","summary":"Good trust signals with a few areas worth checking before rollout."}}},"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":{"audit_score":75,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety":{"score":59,"level":"review_before_install","label":"Review before install","safety_tier":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","summary":"Usable candidate, but the agent should surface permission and audit notes before installation.","recommended_action":"Require human approval before installing into a real workspace.","auto_install_policy":"review","reasons":["Documentation summary is thin","59/100 agent safety score"]},"auto_install_allowed":false,"human_review_required":true,"blocked":false,"audit_risk":"needs_review","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":["Documentation summary is thin"],"constraints_applied":{"max_risk":"medium","needs_install_command":true,"min_stars":0}},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace.","reasons":["Documentation summary is thin","59/100 agent safety score"]},"decision":{"readiness_score":62,"readiness_label":"Prototype first","headline":"Fallback candidate for Document processing","role":"Fallback candidate","best_for":["Document processing workflows","general agent builders","builders willing to evaluate younger projects"],"risks":["No OpenAgentSkill engagement data yet"],"next_steps":["Install it in a sandbox agent and run one Document processing task end to end.","Compare output quality, latency, and failure behavior against at least one alternative.","Promote it into production only after reviewing repository permissions, license, and maintenance signals."]},"install_plan":{"target":"codex","label":"Codex install prompt","command":"npx skills add marcodebe/dicom-ecg-plot","value":"Install the \"Dicom Ecg Plot\" agent skill from https://github.com/marcodebe/dicom-ecg-plot. 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: Dicom ECG Viewer and Converter. Convert to PDF, PNG, JPG, SVG, ... 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\":\"marcodebe-dicom-ecg-plot\",\"task\":\"Install Dicom Ecg Plot\",\"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.","kind":"agent-prompt","steps":["Review Dicom Ecg Plot trust and audit signals before installing.","Send the install prompt to the target agent.","Install in a sandbox or low-risk workspace first.","Pin the repository source and re-check the audit before production use."],"targets":[{"id":"openagentskill-cli","label":"CLI","title":"OpenAgentSkill CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz install marcodebe-dicom-ecg-plot","description":"Resolve policy, run the source installer safely, and report a verified install receipt.","copyLabel":"Copy command"},{"id":"codex","label":"Codex","title":"Codex install prompt","kind":"agent-prompt","value":"Install the \"Dicom Ecg Plot\" agent skill from https://github.com/marcodebe/dicom-ecg-plot. 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: Dicom ECG Viewer and Converter. Convert to PDF, PNG, JPG, SVG, ... 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\":\"marcodebe-dicom-ecg-plot\",\"task\":\"Install Dicom Ecg Plot\",\"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.","description":"Give Codex a repo-aware install prompt when the skill is not available through a local CLI.","copyLabel":"Copy prompt"},{"id":"claude-code","label":"Claude Code","title":"Claude Code skill prompt","kind":"agent-prompt","value":"Add \"Dicom Ecg Plot\" as a Claude Code skill from https://github.com/marcodebe/dicom-ecg-plot. 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: Dicom ECG Viewer and Converter. Convert to PDF, PNG, JPG, SVG, ... 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\":\"marcodebe-dicom-ecg-plot\",\"task\":\"Install Dicom Ecg Plot\",\"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.","description":"Use this prompt to ask Claude Code to add the skill and explain the local activation steps.","copyLabel":"Copy prompt"},{"id":"cursor","label":"Cursor","title":"Cursor rule prompt","kind":"agent-prompt","value":"Turn \"Dicom Ecg Plot\" from https://github.com/marcodebe/dicom-ecg-plot 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: Dicom ECG Viewer and Converter. Convert to PDF, PNG, JPG, SVG, ... 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\":\"marcodebe-dicom-ecg-plot\",\"task\":\"Install Dicom Ecg Plot\",\"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.","description":"Use this when installing as Cursor project rules or reusable agent instructions.","copyLabel":"Copy prompt"}]},"machine_metadata":{"version":"openagentskill-agent-metadata-v2","skill":{"slug":"marcodebe-dicom-ecg-plot","name":"Dicom Ecg Plot","description":"Dicom ECG Viewer and Converter. Convert to PDF, PNG, JPG, SVG, ...","category":"document-processing","url":"https://www.openagentskill.com/skills/marcodebe-dicom-ecg-plot","repository":"https://github.com/marcodebe/dicom-ecg-plot","github_repo":"marcodebe/dicom-ecg-plot"},"suited_tasks":["Document processing workflows","general agent builders","builders willing to evaluate younger projects","Read uploaded files","Extract structured fields","Prepare clean context for downstream agents","Chunk documents","Create embeddings"],"suited_agents":["Python","PDF","Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add marcodebe/dicom-ecg-plot","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 marcodebe-dicom-ecg-plot"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"Dicom Ecg Plot\" agent skill from https://github.com/marcodebe/dicom-ecg-plot. 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: Dicom ECG Viewer and Converter. Convert to PDF, PNG, JPG, SVG, ... 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\":\"marcodebe-dicom-ecg-plot\",\"task\":\"Install Dicom Ecg Plot\",\"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 \"Dicom Ecg Plot\" as a Claude Code skill from https://github.com/marcodebe/dicom-ecg-plot. 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: Dicom ECG Viewer and Converter. Convert to PDF, PNG, JPG, SVG, ... 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\":\"marcodebe-dicom-ecg-plot\",\"task\":\"Install Dicom Ecg Plot\",\"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 \"Dicom Ecg Plot\" from https://github.com/marcodebe/dicom-ecg-plot 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: Dicom ECG Viewer and Converter. Convert to PDF, PNG, JPG, SVG, ... 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\":\"marcodebe-dicom-ecg-plot\",\"task\":\"Install Dicom Ecg Plot\",\"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/marcodebe-dicom-ecg-plot/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/marcodebe-dicom-ecg-plot"},"trust":{"score":74,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"160 GitHub stars","repoActivity":"160 stars, 75 forks","lastPushed":"4mo since push","license":"MIT","repository":"https://github.com/marcodebe/dicom-ecg-plot","install":"npx skills add marcodebe/dicom-ecg-plot","installSafety":"standard package or runtime install path","permissionSurface":"filesystem or document access","documentation":"Thin public metadata","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":false,"sandbox_required":true,"reason":"Human review or sandbox validation is required before automatic installation."},"best_for":["document-processing","pdf","documents","extraction","dicom","ecg"],"known_risks":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"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":75,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real 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Keep it in an isolated workspace until the outcome loop proves task fit.","recommendedAction":"Run only in a sandbox and compare close alternatives before using it for real work.","decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Compare alternatives before installing.","reasoning":["63/100 Trust Score v5","71/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Review before production"],"review_required_when":["The workspace contains production secrets, payments, private customer data, or irreversible actions.","The install command requests shell, network, credential, database, or broad filesystem access.","Outcome evidence is missing, recently failed, or required human review.","Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing 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private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"before_install":["Read the audit page and machine-readable metadata.","Confirm the install command, license, and permission surface fit the workspace.","Get explicit human approval or choose an alternative before installing."],"after_run":["Report the outcome to /api/agent/outcome using the resolve event id.","Include output_quality, workspace, human_review_required, and evidence_url when available.","Re-resolve before broad production rollout."]},"bestFor":["geo-science","bioinformatics","analysis","cardio","chemoinformatics","cinc-challenge"],"doNotUseFor":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"knownRisks":["Repository looks stale","Quality score needs review","Documentation summary is thin","Recent maintenance: 2y since push","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":71,"tier":"review","label":"Manual review","summary":"Potentially useful, but at least one trust signal needs human inspection."}}},"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":{"audit_score":64,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Repository appears stale","Repository looks stale","Quality score needs review","Recent maintenance: 2y since push"]},"safety":{"score":52,"level":"avoid_auto_install","label":"Avoid automatic install","safety_tier":{"tier":"experimental","label":"Experimental","badge":"EXPERIMENTAL","summary":"Sparse or mixed signals. Useful for discovery, but not for autonomous installation.","recommended_action":"Test manually in an isolated workspace and compare against safer alternatives.","auto_install_policy":"review","reasons":["Documentation summary is thin","52/100 agent safety score"]},"auto_install_allowed":false,"human_review_required":true,"blocked":false,"audit_risk":"needs_review","permission_hints":[{"id":"network","label":"Network access","reason":"Skill likely fetches remote pages, APIs, repositories, or external services.","severity":"medium"}],"policy_warnings":["Documentation summary is thin"],"constraints_applied":{"max_risk":"medium","needs_install_command":true,"min_stars":0}},"safety_gate":{"tier":"experimental","label":"Experimental","badge":"EXPERIMENTAL","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Test manually in an isolated workspace and compare against safer alternatives.","reasons":["Documentation summary is thin","52/100 agent safety score"]},"decision":{"readiness_score":35,"readiness_label":"Needs manual review","headline":"Needs validation for Browser automation","role":"Needs validation","best_for":["Browser automation workflows","general agent builders","builders willing to evaluate younger projects"],"risks":["Repository looks stale","No OpenAgentSkill engagement data yet"],"next_steps":["Install it in a sandbox agent and run one Browser automation task end to end.","Compare output quality, latency, and failure behavior against at least one alternative.","Promote it into production only after reviewing repository permissions, license, and maintenance signals."]},"install_plan":{"target":"codex","label":"Codex install prompt","command":"npx skills add ismorphism/DeepECG","value":"Install the \"DeepECG\" agent skill from https://github.com/ismorphism/DeepECG. 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: ECG classification programs based on ML/DL methods 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\":\"ismorphism-deepecg\",\"task\":\"Install DeepECG\",\"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.","kind":"agent-prompt","steps":["Review DeepECG trust and audit signals before installing.","Send the install prompt to the target agent.","Install in a sandbox or low-risk workspace first.","Pin the repository source and re-check the audit before production use."],"targets":[{"id":"openagentskill-cli","label":"CLI","title":"OpenAgentSkill CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz install ismorphism-deepecg","description":"Resolve policy, run the source installer safely, and report a verified install receipt.","copyLabel":"Copy command"},{"id":"codex","label":"Codex","title":"Codex install prompt","kind":"agent-prompt","value":"Install the \"DeepECG\" agent skill from https://github.com/ismorphism/DeepECG. 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: ECG classification programs based on ML/DL methods 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\":\"ismorphism-deepecg\",\"task\":\"Install DeepECG\",\"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.","description":"Give Codex a repo-aware install prompt when the skill is not available through a local CLI.","copyLabel":"Copy prompt"},{"id":"claude-code","label":"Claude Code","title":"Claude Code skill prompt","kind":"agent-prompt","value":"Add \"DeepECG\" as a Claude Code skill from https://github.com/ismorphism/DeepECG. 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: ECG classification programs based on ML/DL methods 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\":\"ismorphism-deepecg\",\"task\":\"Install DeepECG\",\"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.","description":"Use this prompt to ask Claude Code to add the skill and explain the local activation steps.","copyLabel":"Copy prompt"},{"id":"cursor","label":"Cursor","title":"Cursor rule prompt","kind":"agent-prompt","value":"Turn \"DeepECG\" from https://github.com/ismorphism/DeepECG 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: ECG classification programs based on ML/DL methods 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\":\"ismorphism-deepecg\",\"task\":\"Install DeepECG\",\"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.","description":"Use this when installing as Cursor project rules or reusable agent instructions.","copyLabel":"Copy prompt"}]},"machine_metadata":{"version":"openagentskill-agent-metadata-v2","skill":{"slug":"ismorphism-deepecg","name":"DeepECG","description":"ECG classification programs based on ML/DL methods","category":"geo-science","url":"https://www.openagentskill.com/skills/ismorphism-deepecg","repository":"https://github.com/ismorphism/DeepECG","github_repo":"ismorphism/DeepECG"},"suited_tasks":["Browser automation workflows","general agent builders","builders willing to evaluate younger projects","Navigate pages","Click and type safely","Check visual and DOM state","Search sources","Extract claims"],"suited_agents":["Python","Bioinformatics","Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add ismorphism/DeepECG","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 ismorphism-deepecg"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"DeepECG\" agent skill from https://github.com/ismorphism/DeepECG. 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: ECG classification programs based on ML/DL methods 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\":\"ismorphism-deepecg\",\"task\":\"Install DeepECG\",\"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 \"DeepECG\" as a Claude Code skill from https://github.com/ismorphism/DeepECG. 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: ECG classification programs based on ML/DL methods 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\":\"ismorphism-deepecg\",\"task\":\"Install DeepECG\",\"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 \"DeepECG\" from https://github.com/ismorphism/DeepECG 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: ECG classification programs based on ML/DL methods 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\":\"ismorphism-deepecg\",\"task\":\"Install DeepECG\",\"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/ismorphism-deepecg/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/ismorphism-deepecg"},"trust":{"score":71,"label":"Manual review","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"286 GitHub stars","repoActivity":"286 stars, 85 forks","lastPushed":"2y since push","license":"MIT","repository":"https://github.com/ismorphism/DeepECG","install":"npx skills add ismorphism/DeepECG","installSafety":"standard package or runtime install path","permissionSurface":"no high-risk permission surface in public metadata","documentation":"Thin public metadata","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":false,"sandbox_required":true,"reason":"Human review or sandbox validation is required before automatic installation."},"best_for":["geo-science","bioinformatics","analysis","cardio","chemoinformatics","cinc-challenge"],"known_risks":["Repository looks stale","Quality score needs review","Documentation summary is thin","Recent maintenance: 2y since push","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"agent_proven":{"version":"agent-proven-v1","score":0,"tier":"unproven","label":"Needs first agent run","summary":"No agent outcome reports yet. 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Treat this as discovery material, not an executable recommendation.","recommendedAction":"Choose a stronger alternative or inspect the source manually before any install attempt.","decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Compare alternatives before installing.","reasoning":["57/100 Trust Score v5","65/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Review before production"],"review_required_when":["The workspace contains production secrets, payments, private customer data, or irreversible actions.","The install command requests shell, network, credential, database, or broad filesystem access.","Outcome evidence is missing, recently failed, or required human review.","Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing 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installation in a production workspace","Commercial reuse before clarifying license terms"],"knownRisks":["License is unclear","Repository looks stale","Quality score needs review","Documentation summary is thin","Recent maintenance: 7y since push","License clarity: Unknown","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":65,"tier":"review","label":"Manual review","summary":"Potentially useful, but at least one trust signal needs human inspection."}}},"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":{"audit_score":57,"risk_level":"risky","risk_label":"Risky","warnings":["License is unclear","Documentation summary is thin","Repository appears stale","Repository looks stale","Quality score needs review"]},"safety":{"score":45,"level":"avoid_auto_install","label":"Avoid automatic install","safety_tier":{"tier":"blocked","label":"Blocked for auto-install","badge":"BLOCKED","summary":"This skill should not be selected by an agent without explicit human security review.","recommended_action":"Do not auto-install. Inspect the source, dependencies, and permission surface first.","auto_install_policy":"block","reasons":["Audit risk exceeds the requested agent policy","Audit classified this skill as risky","Audit risk risky exceeds max_risk=medium"]},"auto_install_allowed":false,"human_review_required":true,"blocked":true,"audit_risk":"risky","permission_hints":[{"id":"network","label":"Network access","reason":"Skill likely fetches remote pages, APIs, repositories, or external services.","severity":"medium"}],"policy_warnings":["Audit risk risky exceeds max_risk=medium","License is unclear"],"constraints_applied":{"max_risk":"medium","needs_install_command":true,"min_stars":0}},"safety_gate":{"tier":"blocked","label":"Blocked for auto-install","badge":"BLOCKED","auto_install_policy":"block","auto_install_allowed":false,"human_review_required":true,"blocked":true,"recommended_action":"Do not auto-install. Inspect the source, dependencies, and permission surface first.","reasons":["Audit risk exceeds the requested agent policy","Audit classified this skill as risky","Audit risk risky exceeds max_risk=medium"]},"decision":{"readiness_score":30,"readiness_label":"Needs manual review","headline":"Needs validation for Browser automation","role":"Needs validation","best_for":["Browser automation workflows","general agent builders","builders willing to evaluate younger projects"],"risks":["Repository looks stale","No OpenAgentSkill engagement data yet"],"next_steps":["Install it in a sandbox agent and run one Browser automation task end to end.","Compare output quality, latency, and failure behavior against at least one alternative.","Promote it into production only after reviewing repository permissions, license, and maintenance signals."]},"install_plan":{"target":"codex","label":"Codex install prompt","command":"npx skills add ankur219/ECG-Arrhythmia-classification","value":"Install the \"ECG Arrhythmia Classification\" agent skill from https://github.com/ankur219/ECG-Arrhythmia-classification. 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: ECG arrhythmia classification using a 2-D convolutional neural network 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\":\"ankur219-ecg-arrhythmia-classification\",\"task\":\"Install ECG Arrhythmia Classification\",\"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.","kind":"agent-prompt","steps":["Review ECG Arrhythmia Classification trust and audit signals before installing.","Send the install prompt to the target agent.","Install in a sandbox or low-risk workspace first.","Pin the repository source and re-check the audit before production use."],"targets":[{"id":"openagentskill-cli","label":"CLI","title":"OpenAgentSkill CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz install ankur219-ecg-arrhythmia-classification","description":"Resolve policy, run the source installer safely, and report a verified install receipt.","copyLabel":"Copy command"},{"id":"codex","label":"Codex","title":"Codex install prompt","kind":"agent-prompt","value":"Install the \"ECG Arrhythmia Classification\" agent skill from https://github.com/ankur219/ECG-Arrhythmia-classification. 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: ECG arrhythmia classification using a 2-D convolutional neural network 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\":\"ankur219-ecg-arrhythmia-classification\",\"task\":\"Install ECG Arrhythmia Classification\",\"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.","description":"Give Codex a repo-aware install prompt when the skill is not available through a local CLI.","copyLabel":"Copy prompt"},{"id":"claude-code","label":"Claude Code","title":"Claude Code skill prompt","kind":"agent-prompt","value":"Add \"ECG Arrhythmia Classification\" as a Claude Code skill from https://github.com/ankur219/ECG-Arrhythmia-classification. 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: ECG arrhythmia classification using a 2-D convolutional neural network 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\":\"ankur219-ecg-arrhythmia-classification\",\"task\":\"Install ECG Arrhythmia Classification\",\"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.","description":"Use this prompt to ask Claude Code to add the skill and explain the local activation steps.","copyLabel":"Copy prompt"},{"id":"cursor","label":"Cursor","title":"Cursor rule prompt","kind":"agent-prompt","value":"Turn \"ECG Arrhythmia Classification\" from https://github.com/ankur219/ECG-Arrhythmia-classification 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: ECG arrhythmia classification using a 2-D convolutional neural network 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\":\"ankur219-ecg-arrhythmia-classification\",\"task\":\"Install ECG Arrhythmia Classification\",\"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.","description":"Use this when installing as Cursor project rules or reusable agent instructions.","copyLabel":"Copy prompt"}]},"machine_metadata":{"version":"openagentskill-agent-metadata-v2","skill":{"slug":"ankur219-ecg-arrhythmia-classification","name":"ECG Arrhythmia Classification","description":"ECG arrhythmia classification using a 2-D convolutional neural network","category":"ml-automation","url":"https://www.openagentskill.com/skills/ankur219-ecg-arrhythmia-classification","repository":"https://github.com/ankur219/ECG-Arrhythmia-classification","github_repo":"ankur219/ECG-Arrhythmia-classification"},"suited_tasks":["Browser automation workflows","general agent builders","builders willing to evaluate younger projects","Navigate pages","Click and type safely","Check visual and DOM state","Move data between tools","Transform files"],"suited_agents":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add ankur219/ECG-Arrhythmia-classification","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 ankur219-ecg-arrhythmia-classification"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"ECG Arrhythmia Classification\" agent skill from https://github.com/ankur219/ECG-Arrhythmia-classification. 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: ECG arrhythmia classification using a 2-D convolutional neural network 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\":\"ankur219-ecg-arrhythmia-classification\",\"task\":\"Install ECG Arrhythmia Classification\",\"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 \"ECG Arrhythmia Classification\" as a Claude Code skill from https://github.com/ankur219/ECG-Arrhythmia-classification. 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: ECG arrhythmia classification using a 2-D convolutional neural network 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\":\"ankur219-ecg-arrhythmia-classification\",\"task\":\"Install ECG Arrhythmia Classification\",\"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 \"ECG Arrhythmia Classification\" from https://github.com/ankur219/ECG-Arrhythmia-classification 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: ECG arrhythmia classification using a 2-D convolutional neural network 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\":\"ankur219-ecg-arrhythmia-classification\",\"task\":\"Install ECG Arrhythmia Classification\",\"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/ankur219-ecg-arrhythmia-classification/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/ankur219-ecg-arrhythmia-classification"},"trust":{"score":65,"label":"Manual review","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"337 GitHub stars","repoActivity":"337 stars, 113 forks","lastPushed":"7y since push","license":"Unknown","repository":"https://github.com/ankur219/ECG-Arrhythmia-classification","install":"npx skills add ankur219/ECG-Arrhythmia-classification","installSafety":"standard package or runtime install path","permissionSurface":"network or browser access","documentation":"Thin public metadata","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":false,"sandbox_required":true,"reason":"Human review or sandbox validation is required before automatic installation."},"best_for":["ml-automation","machine-learning","automation","ml-media","artificial-intelligence","deep-learning"],"known_risks":["License is unclear","Repository looks stale","Quality score needs review","Documentation summary is thin","Recent maintenance: 7y since push","License clarity: Unknown","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"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":57,"risk_level":"risky","risk_label":"Risky","warnings":["License is unclear","Documentation summary is thin","Repository appears stale","Repository looks stale","Quality score needs review","Recent maintenance: 7y since push","License clarity: Unknown","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"blocked","label":"Blocked for auto-install","auto_install_policy":"block","auto_install_allowed":false,"human_review_required":true,"blocked":true,"recommended_action":"Do not auto-install. Inspect the source, dependencies, and permission surface first."},"quality":{"score":40,"label":"Needs review"},"supply":{"track":"Design and creative production","scenario":"Multimodal media","maintenance":"7y since push","risk":"Risky"},"alternative_skills":[],"do_not_use_when":["teams that require actively maintained dependencies","production agents without a repository review","Repository looks stale","No OpenAgentSkill engagement data yet","Audit risk risky exceeds max_risk=medium","License is unclear","Documentation summary is thin","Repository appears stale"],"agent_contract":{"task_input":"Use Ecg Fm","recommended_action":"Do not auto-install. Inspect the source, dependencies, and permission surface first.","install_policy":"block","minimum_review_before_use":["Trust: 65/100 Manual review","Audit: 57/100 Risky","Safety: 45/100 Avoid automatic install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"ankur219-ecg-arrhythmia-classification (ECG Arrhythmia Classification)","install_command":"npx skills add ankur219/ECG-Arrhythmia-classification","risk_summary":"Risky; Blocked for auto-install; Review before production","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":"ankur219-ecg-arrhythmia-classification","task":"Use Ecg Fm","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/ankur219-ecg-arrhythmia-classification","api":"https://www.openagentskill.com/api/agent/skills/ankur219-ecg-arrhythmia-classification","audit":"https://www.openagentskill.com/skills/ankur219-ecg-arrhythmia-classification/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=ankur219-ecg-arrhythmia-classification&task=Use%20Ecg%20Fm&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20Ecg%20Fm&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20Ecg%20Fm&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/ankur219-ecg-arrhythmia-classification/install","manifest":"https://www.openagentskill.com/api/registry/manifest/ankur219-ecg-arrhythmia-classification"}},"use_cases":[{"slug":"browser-automation","title":"Browser automation","url":"https://www.openagentskill.com/use-cases/browser-automation"},{"slug":"workflow-automation","title":"Workflow automation","url":"https://www.openagentskill.com/use-cases/workflow-automation"},{"slug":"github-automation","title":"GitHub automation","url":"https://www.openagentskill.com/use-cases/github-automation"}],"urls":{"web":"https://www.openagentskill.com/skills/ankur219-ecg-arrhythmia-classification","api":"https://www.openagentskill.com/api/agent/skills/ankur219-ecg-arrhythmia-classification","install_api":"https://www.openagentskill.com/api/skills/ankur219-ecg-arrhythmia-classification/install","audit":"https://www.openagentskill.com/skills/ankur219-ecg-arrhythmia-classification/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=ankur219-ecg-arrhythmia-classification&task=Use%20Ecg%20Fm&max_risk=medium","badge":"https://www.openagentskill.com/api/badge/ankur219-ecg-arrhythmia-classification?metric=audit","repository":"https://github.com/ankur219/ECG-Arrhythmia-classification"}}],"agent_workflow":{"mode":"resolve_review_install","recommended_action":"Require human approval before installing into a real workspace.","selected_skill":{"slug":"bowang-lab-ecg-fm","name":"Ecg Fm","url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm","repository":"https://github.com/bowang-lab/ecg-fm"},"install":{"target":"codex","label":"Codex install prompt","kind":"agent-prompt","command":"npx skills add bowang-lab/ecg-fm","value":"Install the \"Ecg Fm\" agent skill from https://github.com/bowang-lab/ecg-fm. 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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.","api":"https://www.openagentskill.com/api/skills/bowang-lab-ecg-fm/install"},"copy_paste_prompt":"Task: Use Ecg Fm\nUse Ecg Fm from https://www.openagentskill.com/skills/bowang-lab-ecg-fm.\nReview the audit first: https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit\nReview the eval first: https://www.openagentskill.com/api/agent/evals?slug=bowang-lab-ecg-fm&task=Use%20Ecg%20Fm&max_risk=medium\nInstall handoff: https://www.openagentskill.com/api/skills/bowang-lab-ecg-fm/install\nInstall command: npx skills add bowang-lab/ecg-fm\nIf audit or policy warnings look unsafe for this workspace, use one of the alternatives instead.","api_sequence":[{"step":1,"label":"Resolve task","method":"GET","url":"https://www.openagentskill.com/api/agent/resolve?task=Use%20Ecg%20Fm&agent=codex&max_risk=medium"},{"step":2,"label":"Fetch pre-install eval","method":"GET","url":"https://www.openagentskill.com/api/agent/evals?slug=bowang-lab-ecg-fm&task=Use%20Ecg%20Fm&max_risk=medium"},{"step":3,"label":"Fetch selected skill profile","method":"GET","url":"https://www.openagentskill.com/api/agent/skills/bowang-lab-ecg-fm"},{"step":4,"label":"Fetch install handoff","method":"GET","url":"https://www.openagentskill.com/api/skills/bowang-lab-ecg-fm/install"},{"step":5,"label":"Review audit","method":"GET","url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit"},{"step":6,"label":"Report outcome","method":"POST","url":"https://www.openagentskill.com/api/agent/outcome","body":{"event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","skill_slug":"bowang-lab-ecg-fm","task":"Use Ecg Fm","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":"Solved the task in a sandbox workflow."}}],"review_checklist":["Safety tier: Reviewed with permission notes","Safety score: 59/100 Review before install","Audit score: 71/100 Needs review","Trust score: 65/100 Sandbox only","Readiness: 48/100 Needs manual review","Documentation summary is thin","Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata"],"fallback_strategy":[{"slug":"marcodebe-dicom-ecg-plot","name":"Dicom Ecg Plot","reason":"Matches task terms: ecg","url":"https://www.openagentskill.com/skills/marcodebe-dicom-ecg-plot","install_api":"https://www.openagentskill.com/api/skills/marcodebe-dicom-ecg-plot/install"},{"slug":"ismorphism-deepecg","name":"DeepECG","reason":"Matches task terms: ecg","url":"https://www.openagentskill.com/skills/ismorphism-deepecg","install_api":"https://www.openagentskill.com/api/skills/ismorphism-deepecg/install"}],"expected_agent_output":{"selected_skill":"slug and name","install_command":"command or agent prompt used","risk_summary":"audit, trust, and policy notes","next_step":"what the agent will do after install","outcome_event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b"}},"agent_handoff":{"version":"openagentskill-agent-handoff-v1","mode":"resolve_compare_review_install","task":"Use Ecg Fm","agent":"codex","selected_skill":{"slug":"bowang-lab-ecg-fm","name":"Ecg Fm","url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm","api_url":"https://www.openagentskill.com/api/agent/skills/bowang-lab-ecg-fm","audit_url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit","eval_url":"https://www.openagentskill.com/api/agent/evals?slug=bowang-lab-ecg-fm&task=Use%20Ecg%20Fm&max_risk=medium","repository":"https://github.com/bowang-lab/ecg-fm"},"install_plan":{"command":"npx skills add bowang-lab/ecg-fm","target":"codex","label":"Codex install prompt","kind":"agent-prompt","value":"Install the \"Ecg Fm\" agent skill from https://github.com/bowang-lab/ecg-fm. 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: An electrocardiogram analysis foundation model. 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\":\"bowang-lab-ecg-fm\",\"task\":\"Install Ecg Fm\",\"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.","install_api":"https://www.openagentskill.com/api/skills/bowang-lab-ecg-fm/install","auto_install_allowed":false,"human_review_required":true,"policy":"review"},"api_sequence":[{"step":1,"label":"Resolve task","method":"GET","url":"https://www.openagentskill.com/api/agent/resolve?task=Use%20Ecg%20Fm&agent=codex&max_risk=medium"},{"step":2,"label":"Fetch pre-install eval","method":"GET","url":"https://www.openagentskill.com/api/agent/evals?slug=bowang-lab-ecg-fm&task=Use%20Ecg%20Fm&max_risk=medium"},{"step":3,"label":"Fetch selected skill profile","method":"GET","url":"https://www.openagentskill.com/api/agent/skills/bowang-lab-ecg-fm"},{"step":4,"label":"Fetch install handoff","method":"GET","url":"https://www.openagentskill.com/api/skills/bowang-lab-ecg-fm/install"},{"step":5,"label":"Review audit","method":"GET","url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit"},{"step":6,"label":"Report outcome","method":"POST","url":"https://www.openagentskill.com/api/agent/outcome","body":{"event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","skill_slug":"bowang-lab-ecg-fm","task":"Use Ecg Fm","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":"Solved the task in a sandbox workflow."}}],"platform_templates":[{"id":"codex","name":"Codex","surface":"Coding agent / local workspace","copy_prompt":"Task: Use Ecg Fm\nSelected skill: Ecg Fm (bowang-lab-ecg-fm)\nSkill URL: https://www.openagentskill.com/skills/bowang-lab-ecg-fm\nAudit URL: https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit\nEval URL: https://www.openagentskill.com/api/agent/evals?slug=bowang-lab-ecg-fm&task=Use%20Ecg%20Fm&max_risk=medium\nInstall handoff: https://www.openagentskill.com/api/skills/bowang-lab-ecg-fm/install\nInstall command: npx skills add bowang-lab/ecg-fm\nInstall policy: Human review is required before install.\nOutcome feedback: use install_receipt.outcome_feedback.event_id or feedback.event_id from the Resolve API and report the result to /api/agent/outcome after one narrow run. Include outcome, install_used, task_success, output_quality, workspace, error_type, and human_review_required when known.\n\nBefore installing:\n1. Read the audit and eval result.\n2. Report risk notes and files or commands that will be touched.\n3. Install only in a sandbox or low-risk workspace first.\n4. If risk is unacceptable, use an alternative.\n\nAlternatives:\n- Dicom Ecg Plot (marcodebe-dicom-ecg-plot): https://www.openagentskill.com/skills/marcodebe-dicom-ecg-plot\n- DeepECG (ismorphism-deepecg): https://www.openagentskill.com/skills/ismorphism-deepecg\n\nExpected Codex output:\n- selected_skill\n- install_command\n- risk_summary\n- outcome_event_id\n- alternatives\n- files_or_commands_to_touch\n- next_action"},{"id":"claude-code","name":"Claude Code","surface":"Claude Code skill workflow","copy_prompt":"Task: Use Ecg Fm\nSelected skill: Ecg Fm (bowang-lab-ecg-fm)\nSkill URL: https://www.openagentskill.com/skills/bowang-lab-ecg-fm\nAudit URL: https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit\nEval URL: https://www.openagentskill.com/api/agent/evals?slug=bowang-lab-ecg-fm&task=Use%20Ecg%20Fm&max_risk=medium\nInstall handoff: https://www.openagentskill.com/api/skills/bowang-lab-ecg-fm/install\nInstall command: npx skills add bowang-lab/ecg-fm\nInstall policy: Human review is required before install.\nOutcome feedback: use install_receipt.outcome_feedback.event_id or feedback.event_id from the Resolve API and report the result to /api/agent/outcome after one narrow run. Include outcome, install_used, task_success, output_quality, workspace, error_type, and human_review_required when known.\n\nBefore installing:\n1. Read the audit and eval result.\n2. Report risk notes and files or commands that will be touched.\n3. Install only in a sandbox or low-risk workspace first.\n4. If risk is unacceptable, use an alternative.\n\nAlternatives:\n- Dicom Ecg Plot (marcodebe-dicom-ecg-plot): https://www.openagentskill.com/skills/marcodebe-dicom-ecg-plot\n- DeepECG (ismorphism-deepecg): https://www.openagentskill.com/skills/ismorphism-deepecg\n\nExpected Claude Code output:\n- selected_skill\n- skill_files_or_instructions\n- install_prompt\n- risk_summary\n- outcome_event_id\n- activation_steps\n- fallback_skill"},{"id":"cursor","name":"Cursor","surface":"Cursor rules / agent instructions","copy_prompt":"Task: Use Ecg Fm\nSelected skill: Ecg Fm (bowang-lab-ecg-fm)\nSkill URL: https://www.openagentskill.com/skills/bowang-lab-ecg-fm\nAudit URL: https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit\nEval URL: https://www.openagentskill.com/api/agent/evals?slug=bowang-lab-ecg-fm&task=Use%20Ecg%20Fm&max_risk=medium\nInstall handoff: https://www.openagentskill.com/api/skills/bowang-lab-ecg-fm/install\nInstall command: npx skills add bowang-lab/ecg-fm\nInstall policy: Human review is required before install.\nOutcome feedback: use install_receipt.outcome_feedback.event_id or feedback.event_id from the Resolve API and report the result to /api/agent/outcome after one narrow run. Include outcome, install_used, task_success, output_quality, workspace, error_type, and human_review_required when known.\n\nBefore installing:\n1. Read the audit and eval result.\n2. Report risk notes and files or commands that will be touched.\n3. Install only in a sandbox or low-risk workspace first.\n4. If risk is unacceptable, use an alternative.\n\nAlternatives:\n- Dicom Ecg Plot (marcodebe-dicom-ecg-plot): https://www.openagentskill.com/skills/marcodebe-dicom-ecg-plot\n- DeepECG (ismorphism-deepecg): https://www.openagentskill.com/skills/ismorphism-deepecg\n\nExpected Cursor output:\n- selected_skill\n- cursor_rule_or_prompt\n- install_command\n- risk_summary\n- outcome_event_id\n- when_to_use\n- when_not_to_use"}],"review_checklist":["Safety tier: Reviewed with permission notes","Safety score: 59/100 Review before install","Audit score: 71/100 Needs review","Trust score: 65/100 Sandbox only","Readiness: 48/100 Needs manual review","Documentation summary is thin","Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata"],"expected_output":{"selected_skill":"slug and name","install_command":"command or agent prompt used","risk_summary":"audit, trust, and policy notes","next_step":"what the agent will do after install","outcome_event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b"},"feedback":{"event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","outcome_api":"https://www.openagentskill.com/api/agent/outcome","cli_example":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz outcome \"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b\" --skill \"bowang-lab-ecg-fm\" --task \"Use Ecg Fm\" --agent \"codex\" --outcome success","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"]},"blocked_actions":["Do not install when safety_gate.blocked is true.","Do not install when the audit or eval reports unacceptable workspace risk.","Do not execute shell commands, access secrets, or call external services without user approval.","Do not keep the skill as an always-on instruction if it only fits a narrow task."]},"policy_decision":{"status":"human_review_required","summary":"Require human approval before installing into a real workspace."},"agent_decision":{"input_task":"Use Ecg Fm","recommended_skill":{"slug":"bowang-lab-ecg-fm","name":"Ecg Fm","url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm","audit_url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit","repository":"https://github.com/bowang-lab/ecg-fm","safety_tier":"Reviewed with permission notes","auto_install_policy":"review"},"alternative_skills":[{"slug":"marcodebe-dicom-ecg-plot","name":"Dicom Ecg Plot","url":"https://www.openagentskill.com/skills/marcodebe-dicom-ecg-plot","install_command":"npx skills add marcodebe/dicom-ecg-plot","why_consider":"Matches task terms: ecg","risk":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety":"59/100 Review before install","trust":"74/100 Strong shortlist","notes":["Documentation summary is thin","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},{"slug":"ismorphism-deepecg","name":"DeepECG","url":"https://www.openagentskill.com/skills/ismorphism-deepecg","install_command":"npx skills add ismorphism/DeepECG","why_consider":"Matches task terms: ecg","risk":{"level":"Needs review","safety_tier":"Experimental","safety":"52/100 Avoid automatic install","trust":"71/100 Manual review","notes":["Documentation summary is thin","Repository appears stale","Repository looks stale","Quality score needs review","Recent maintenance: 2y since push"]}}],"install_command":"npx skills add bowang-lab/ecg-fm","install_target":"Codex install prompt","why_recommended":["Matches task terms: ecg","Install handoff is available","Repository freshness signal is available","Registry match score 30","Needs validation for Browser automation","65/100 OpenAgentSkill Trust Score v5"],"risk_summary":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety":"59/100 Review before install","trust":"73/100 Strong shortlist","notes":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","auto_install_policy":"review","action":"Require human approval before installing into a real workspace."},"feedback":{"event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","outcome_api":"https://www.openagentskill.com/api/agent/outcome","cli_example":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz outcome \"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b\" --skill \"bowang-lab-ecg-fm\" --task \"Use Ecg Fm\" --agent \"codex\" --outcome success","contract":{"version":"openagentskill-agent-feedback-loop-v3","status":"active","purpose":"Report the result of one resolved skill run so Trust Score v5 and future Resolve rankings learn from real use.","event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","selected_skill_slug":"bowang-lab-ecg-fm","selected_skill_name":"Ecg Fm","endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","idempotency":"Retrying the same event_id updates the previous outcome.","dry_run":{"supported":true,"instruction":"Set dry_run=true to validate a payload before wiring a new agent integration."},"expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"error_types":["install_failed","runtime_error","not_relevant","permission_blocked","risk_blocked","setup_required","low_quality_output","missing_dependency","timeout","other"],"workspaces":["sandbox","local","ci","production","unknown"],"quality_fields":["task_success","output_quality","error_type","human_review_required","used_in_production","workspace","evidence_url"],"payload_template":{"event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","skill_slug":"bowang-lab-ecg-fm","task":"Use Ecg Fm","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":"Solved the task in a sandbox workflow."},"cli_example":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz outcome \"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b\" --skill \"bowang-lab-ecg-fm\" --task \"Use Ecg Fm\" --agent \"codex\" --outcome success","ranking_inputs_updated":["Trust Score v5 outcome confidence","Resolve ranking outcome evidence","Skill detail outcome signal block","Outcome leaderboard"]}},"agent_next_steps":["Read the audit URL before installing.","Ask for human approval before installing.","Use install command: npx skills add bowang-lab/ecg-fm","After one narrow task, report the outcome with: npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz outcome \"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b\" --skill \"bowang-lab-ecg-fm\" --task \"Use Ecg Fm\" --agent \"codex\" --outcome success","Summarize output, warnings, files touched, and whether setup or human review was required."]},"decision_packet":{"version":"openagentskill-agent-decision-packet-v1","task":"Use Ecg Fm","agent":"codex","selected_skill":{"slug":"bowang-lab-ecg-fm","name":"Ecg Fm","url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm","api_url":"https://www.openagentskill.com/api/agent/skills/bowang-lab-ecg-fm","audit_url":"https://www.openagentskill.com/skills/bowang-lab-ecg-fm/audit","repository":"https://github.com/bowang-lab/ecg-fm"},"suited_tasks":["Browser automation workflows","general agent builders","builders willing to evaluate younger projects","Navigate pages","Click and type safely","Check visual and DOM state","Search sources","Extract claims"],"suited_agents":["Python","Machine Learning","Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add bowang-lab/ecg-fm","target":"codex","label":"Codex install prompt","policy":"review","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true},"trust":{"score":65,"label":"Sandbox only","version":"trust-score-v5","base_score":73,"outcome_confidence":0,"decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Compare alternatives before installing.","reasoning":["65/100 Trust Score v5","73/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Review before production"],"review_required_when":["The workspace contains production secrets, payments, private customer data, or irreversible actions.","The install command requests shell, network, credential, database, or broad filesystem access.","Outcome evidence is missing, recently failed, or required human review.","Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"]},"dimensions":[{"id":"github_adoption","label":"GitHub adoption","score":62,"status":"info","detail":"291 GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":57,"status":"warn","detail":"291 stars, 32 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":62,"status":"info","detail":"7mo since push"},{"id":"license","label":"License clarity","score":86,"status":"pass","detail":"MIT"},{"id":"documentation","label":"README/SKILL.md completeness","score":50,"status":"warn","detail":"Public metadata needs stronger README/SKILL.md context"},{"id":"dependency_risk","label":"Dependency/runtime risk","score":90,"status":"pass","detail":"no major dependency risk hints in public metadata"},{"id":"installability","label":"Install availability","score":92,"status":"pass","detail":"npx skills add bowang-lab/ecg-fm"},{"id":"install_safety","label":"Install command safety","score":92,"status":"pass","detail":"standard package or runtime install path"},{"id":"permission_surface","label":"Permission surface","score":100,"status":"pass","detail":"no high-risk permission surface in public metadata"},{"id":"repository","label":"Repository evidence","score":86,"status":"pass","detail":"https://github.com/bowang-lab/ecg-fm"},{"id":"review_status","label":"Review status","score":88,"status":"pass","detail":"AI review data available"},{"id":"agent_outcomes","label":"Agent Proven outcomes","score":54,"status":"info","detail":"No agent outcome data yet"}]},"risk":{"level":"Needs review","audit_label":"Needs review","safety":"59/100 Review before install","trust":"73/100 Strong shortlist","safety_tier":"Reviewed with permission notes","notes":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"do_not_use_when":["teams that need a vendor-supported SLA","high-compliance environments without internal security review","No OpenAgentSkill engagement data yet","Documentation summary is thin","Quality score needs review","Stars/forks activity: 291 stars, 32 forks; issue activity unavailable in current metadata","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Production credentials, payments, or irreversible account changes without explicit human review"],"minimum_review_before_use":["Trust: 73/100 Strong shortlist","Audit: 71/100 Needs review","Safety: 59/100 Review before install","Review repository, license, install command, and permission surface before production use."]},"alternatives":[{"slug":"marcodebe-dicom-ecg-plot","name":"Dicom Ecg Plot","url":"https://www.openagentskill.com/skills/marcodebe-dicom-ecg-plot","install_command":"npx skills add marcodebe/dicom-ecg-plot","trust_score":74,"audit_score":75,"safety_score":59,"why_consider":"Matches task terms: ecg","risk":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety":"59/100 Review before install","trust":"74/100 Strong shortlist","notes":["Documentation summary is thin","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},{"slug":"ismorphism-deepecg","name":"DeepECG","url":"https://www.openagentskill.com/skills/ismorphism-deepecg","install_command":"npx skills add ismorphism/DeepECG","trust_score":71,"audit_score":64,"safety_score":52,"why_consider":"Matches task terms: ecg","risk":{"level":"Needs review","safety_tier":"Experimental","safety":"52/100 Avoid automatic install","trust":"71/100 Manual review","notes":["Documentation summary is thin","Repository appears stale","Repository looks stale","Quality score needs review","Recent maintenance: 2y since push"]}}],"outcome_feedback":{"event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"payload_template":{"event_id":"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b","skill_slug":"bowang-lab-ecg-fm","task":"Use Ecg Fm","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":"Solved the task in a sandbox workflow."},"cli_example":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz outcome \"resolve_81ff47e0-14f0-41d1-8625-a31f303e848b\" --skill \"bowang-lab-ecg-fm\" --task \"Use Ecg Fm\" --agent \"codex\" --outcome success"},"next_agent_action":"Ask for human approval or choose a safer alternative before installing.","stable_fields":["decision_packet.selected_skill","decision_packet.install","decision_packet.risk.do_not_use_when","decision_packet.alternatives","decision_packet.outcome_feedback","decision_packet.trust.decision"]},"benchmark":{"endpoint":"https://www.openagentskill.com/api/agent/evals","note":"Use the evals endpoint to regression-test recommendation quality before changing ranking logic."},"meta":{"endpoint":"/api/agent/resolve","api_version":"2.0","generated_at":"2026-08-23T07:45:23.528Z","total_skills_searched":805,"total_candidates":4,"candidate_pool":{"sort":"quality","size":805,"note":"Resolver searches the highest-quality candidate pool for low-latency agent use. Browse /skills for the full public index."},"contract":{"best_skill":"recommendation.best_skill","install":"recommendation.install","why":"recommendation.why_recommended","risk":"recommendation.risk","alternatives":"recommendation.alternatives","agent_handoff":"agent_handoff.platform_templates + agent_handoff.review_checklist","decision_packet":"decision_packet","install_receipt":"install_receipt","recommendation_lanes":"recommendation_lanes"}}}