{"task":"Use Ward","agent":"codex","constraints":{"max_risk":"medium","needs_install_command":true,"min_stars":0},"feedback":{"event_id":"resolve_6f5fff48-d5a4-4484-be26-99d340fa8ea6","outcome_api":"https://www.openagentskill.com/api/agent/outcome","method":"POST","selected_skill_slug":"nexu-io-clinical-case-report","selected_skill_name":"clinical-case-report","alternative_skill_slugs":["eljakani-ward"],"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_6f5fff48-d5a4-4484-be26-99d340fa8ea6","skill_slug":"nexu-io-clinical-case-report","task":"Use Ward","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_6f5fff48-d5a4-4484-be26-99d340fa8ea6\" --skill \"nexu-io-clinical-case-report\" --task \"Use Ward\" --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_6f5fff48-d5a4-4484-be26-99d340fa8ea6","selected_skill_slug":"nexu-io-clinical-case-report","selected_skill_name":"clinical-case-report","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_6f5fff48-d5a4-4484-be26-99d340fa8ea6","skill_slug":"nexu-io-clinical-case-report","task":"Use Ward","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_6f5fff48-d5a4-4484-be26-99d340fa8ea6\" --skill \"nexu-io-clinical-case-report\" --task \"Use Ward\" --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_6f5fff48-d5a4-4484-be26-99d340fa8ea6","resolve_event_id":"resolve_6f5fff48-d5a4-4484-be26-99d340fa8ea6","generated_at":"2026-08-22T23:01:38.962Z","task":"Use Ward","agent":"codex","constraints":{"max_risk":"medium","needs_install_command":true,"min_stars":0},"urls":{"web":"https://www.openagentskill.com/resolve?task=Use+Ward&agent=codex&max_risk=medium","json":"https://www.openagentskill.com/api/agent/receipt?task=Use+Ward&agent=codex&max_risk=medium","text":"https://www.openagentskill.com/api/agent/receipt?task=Use+Ward&agent=codex&max_risk=medium&format=text","resolve_json":"https://www.openagentskill.com/api/agent/resolve?task=Use+Ward&agent=codex&max_risk=medium","resolve_text":"https://www.openagentskill.com/api/agent/resolve?task=Use+Ward&agent=codex&max_risk=medium&format=text"},"selected_skill":{"slug":"nexu-io-clinical-case-report","name":"clinical-case-report","description":"Structured medical case presentation for clinical rounds, conferences,\nand documentation. Generates SOAP-format or narrative case reports\nwith physiologically accurate vitals, labs, and evidence-based plans.\nUse when the brief mentions \"case report\", \"case presentation\", \"SOAP note\",\n\"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\".","category":"design-creative","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","api_url":"https://www.openagentskill.com/api/agent/skills/nexu-io-clinical-case-report","audit_url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit","eval_url":"https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Use%20Ward&max_risk=medium","install_api_url":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report"},"install":{"command":"npx skills add nexu-io/open-design --skill clinical-case-report","target":"codex","label":"Codex install prompt","kind":"agent-prompt","value":"Install the \"clinical-case-report\" agent skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Read its SKILL.md or equivalent instructions first, install only the files needed for this workspace, and summarize any required setup before using it. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"codex\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes.","ready":true,"policy":"review","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"blocked":false},"decision":{"recommendation":"Review the audit page, then allow agent install in a sandboxed workflow.","why_selected":["Matches task terms: ward","Strong GitHub adoption: 89,595 stars","Install handoff is available","Repository freshness signal is available","Registry match score 30","Primary pick for Design and creative","80/100 Trust Score","0/100 Agent Proven Score"],"suited_tasks":["Design and creative workflows","Claude Code teams","teams that value GitHub adoption signals","Inspect visual requirements","Generate reusable assets","Package output for review","Search sources","Extract claims"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"]},"trust":{"score":80,"label":"Review then install","version":"trust-score-v5","base_score":85,"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":"Ask for approval or run a sandbox-only trial before installing.","reasoning":["80/100 Trust Score v5","85/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Low metadata risk"],"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":"Safe to try","safety_tier":"Reviewed","safety_score":79,"audit_score":91,"notes":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Safe-to-try audit","79/100 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","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","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"],"minimum_review_before_use":["Trust: 85/100 Strong shortlist","Audit: 91/100 Safe to try","Safety: 79/100 Review before install","Review repository, license, install command, and permission surface before production use."]},"alternatives":[{"slug":"eljakani-ward","name":"Ward","url":"https://www.openagentskill.com/skills/eljakani-ward","audit_url":"https://www.openagentskill.com/skills/eljakani-ward/audit","install_command":"npx skills add Eljakani/ward","trust_score":73,"audit_score":76,"safety_score":52,"reason":"Matches task terms: ward","policy":"review"}],"outcome_feedback":{"event_id":"resolve_6f5fff48-d5a4-4484-be26-99d340fa8ea6","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_6f5fff48-d5a4-4484-be26-99d340fa8ea6","skill_slug":"nexu-io-clinical-case-report","task":"Use Ward","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_6f5fff48-d5a4-4484-be26-99d340fa8ea6","skill_slug":"nexu-io-clinical-case-report","task":"Use Ward","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_6f5fff48-d5a4-4484-be26-99d340fa8ea6\" --skill \"nexu-io-clinical-case-report\" --task \"Use Ward\" --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/nexu-io-clinical-case-report/audit","Fetch the pre-install eval: https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Use%20Ward&max_risk=medium","Do not auto-install yet. Ask for human review before running: npx skills add nexu-io/open-design --skill clinical-case-report","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_6f5fff48-d5a4-4484-be26-99d340fa8ea6."],"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 Ward","agent":"codex","best_skill":{"slug":"nexu-io-clinical-case-report","name":"clinical-case-report","description":"Structured medical case presentation for clinical rounds, conferences,\nand documentation. Generates SOAP-format or narrative case reports\nwith physiologically accurate vitals, labs, and evidence-based plans.\nUse when the brief mentions \"case report\", \"case presentation\", \"SOAP note\",\n\"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\".","category":"design-creative","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","api_url":"https://www.openagentskill.com/api/agent/skills/nexu-io-clinical-case-report","audit_url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit","eval_url":"https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Use%20Ward&max_risk=medium","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report"},"install":{"command":"npx skills add nexu-io/open-design --skill clinical-case-report","target":"codex","label":"Codex install prompt","kind":"agent-prompt","value":"Install the \"clinical-case-report\" agent skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Read its SKILL.md or equivalent instructions first, install only the files needed for this workspace, and summarize any required setup before using it. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"codex\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes.","install_api":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install","ready":true,"review_required":true,"auto_install_allowed":false,"policy":"review"},"why_recommended":["Matches task terms: ward","Strong GitHub adoption: 89,595 stars","Install handoff is available","Repository freshness signal is available","Registry match score 30","Primary pick for Design and creative","80/100 OpenAgentSkill Trust Score v5","91/100 audit score"],"trust_score_v5":{"score":80,"base_score":85,"outcome_confidence":0,"tier":"strong","label":"Review then install","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":"Ask for approval or run a sandbox-only trial before installing.","reasoning":["80/100 Trust Score v5","85/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Low metadata risk"],"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":"90K GitHub stars","repoActivity":"90K stars, 10K forks","lastPushed":"2d since push","license":"Apache-2.0","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","install":"npx skills add nexu-io/open-design --skill clinical-case-report","installSafety":"standard package or runtime install path","permissionSurface":"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":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"risk":{"level":"low","label":"Low metadata risk","notes":["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":"Ask for approval or run a sandbox-only trial 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":["design-creative","agent-skill"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add nexu-io/open-design --skill clinical-case-report","trust_score":80,"trust_version":"trust-score-v5","risk_level":"low","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":["design-creative","agent-skill"],"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":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":85,"tier":"strong","label":"Strong shortlist","summary":"Good trust signals with a few areas worth checking before rollout."}}},"trust_score_v4":{"score":85,"tier":"strong","label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"90K GitHub stars","repoActivity":"90K stars, 10K forks","lastPushed":"2d since push","license":"Apache-2.0","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","install":"npx skills add nexu-io/open-design --skill clinical-case-report","installSafety":"standard package or runtime install path","permissionSurface":"no high-risk permission surface in public metadata","documentation":"Thin public metadata","agentOutcomes":"No agent outcome data yet"},"agent_compatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"risk":{"level":"low","label":"Low metadata risk","notes":["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":["design-creative","agent-skill"],"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":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"trust_score_v3":{"score":85,"tier":"strong","label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"90K GitHub stars","repoActivity":"90K stars, 10K forks","lastPushed":"2d since push","license":"Apache-2.0","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","install":"npx skills add nexu-io/open-design --skill clinical-case-report","installSafety":"standard package or runtime install path","permissionSurface":"no high-risk permission surface in public metadata","documentation":"Thin public metadata","agentOutcomes":"No agent outcome data yet"},"agent_compatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"risk":{"level":"low","label":"Low metadata risk","notes":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},"trust_score_v2":{"score":85,"tier":"strong","label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"90K GitHub stars","repoActivity":"90K stars, 10K forks","lastPushed":"2d since push","license":"Apache-2.0","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","install":"npx skills add nexu-io/open-design --skill clinical-case-report","installSafety":"standard package or runtime install path","permissionSurface":"no high-risk permission surface in public metadata","documentation":"Thin public metadata","agentOutcomes":"No agent outcome data yet"},"agent_compatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"risk":{"level":"low","label":"Low metadata risk","notes":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},"risk":{"level":"Safe to try","safety_tier":"Reviewed","safety":"79/100 Review before install","trust":"85/100 Strong shortlist","notes":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed","badge":"REVIEWED","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Review the audit page, then allow agent install in a sandboxed workflow.","reasons":["Safe-to-try audit","79/100 agent safety score"]},"machine_metadata":{"version":"openagentskill-agent-metadata-v2","skill":{"slug":"nexu-io-clinical-case-report","name":"clinical-case-report","description":"Structured medical case presentation for clinical rounds, conferences,\nand documentation. Generates SOAP-format or narrative case reports\nwith physiologically accurate vitals, labs, and evidence-based plans.\nUse when the brief mentions \"case report\", \"case presentation\", \"SOAP note\",\n\"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\".","category":"design-creative","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","github_repo":"nexu-io/open-design"},"suited_tasks":["Design and creative workflows","Claude Code teams","teams that value GitHub adoption signals","Inspect visual requirements","Generate reusable assets","Package output for review","Search sources","Extract claims"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add nexu-io/open-design --skill clinical-case-report","ready":true,"targets":[{"id":"openagentskill-cli","label":"CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz install nexu-io-clinical-case-report"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"clinical-case-report\" agent skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Read its SKILL.md or equivalent instructions first, install only the files needed for this workspace, and summarize any required setup before using it. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"codex\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes."},{"id":"claude-code","label":"Claude Code","kind":"agent-prompt","value":"Add \"clinical-case-report\" as a Claude Code skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Inspect the skill instructions, place the reusable skill files in the appropriate local skills location for this project, and report the activation steps. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"claude-code\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes."},{"id":"cursor","label":"Cursor","kind":"agent-prompt","value":"Turn \"clinical-case-report\" from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report into a reusable Cursor project rule or agent instruction. Preserve the core workflow, adapt paths to this repo, and keep the rule scoped to tasks where it is relevant. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"cursor\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes."}],"handoff_url":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/nexu-io-clinical-case-report"},"trust":{"score":85,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"90K GitHub stars","repoActivity":"90K stars, 10K forks","lastPushed":"2d since push","license":"Apache-2.0","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","install":"npx skills add nexu-io/open-design --skill clinical-case-report","installSafety":"standard package or runtime install path","permissionSurface":"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":["design-creative","agent-skill"],"known_risks":["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":91,"risk_level":"safe_to_try","risk_label":"Safe to try","warnings":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Review the audit page, then allow agent install in a sandboxed workflow."},"quality":{"score":95,"label":"Excellent"},"supply":{"track":"Research and knowledge work","scenario":"Research agents","maintenance":"2d since push","risk":"Safe to try"},"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","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","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"],"agent_contract":{"task_input":"Use Ward","recommended_action":"Review the audit page, then allow agent install in a sandboxed workflow.","install_policy":"review","minimum_review_before_use":["Trust: 85/100 Strong shortlist","Audit: 91/100 Safe to try","Safety: 79/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"nexu-io-clinical-case-report (clinical-case-report)","install_command":"npx skills add nexu-io/open-design --skill clinical-case-report","risk_summary":"Safe to try; Reviewed; Low metadata risk","verification_result":"Report the smallest successful task, files touched, warnings, and any missing setup."}},"outcome_feedback":{"endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","requires_resolve_event_id":true,"event_id_source":"Use install_receipt.outcome_feedback.event_id or feedback.event_id returned by /api/agent/resolve for the current task.","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"payload_template":{"event_id":"<install_receipt.outcome_feedback.event_id or feedback.event_id from /api/agent/resolve>","skill_slug":"nexu-io-clinical-case-report","task":"Use Ward","agent":"codex","outcome":"success","install_used":true,"risk_blocked":false,"setup_required":false,"task_success":true,"output_quality":4,"error_type":null,"human_review_required":false,"workspace":"sandbox","time_to_useful_ms":120000,"notes":"Report the smallest successful task, setup friction, files touched, and risk notes."}},"endpoints":{"web":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","api":"https://www.openagentskill.com/api/agent/skills/nexu-io-clinical-case-report","audit":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Use%20Ward&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20Ward&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20Ward&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install","manifest":"https://www.openagentskill.com/api/registry/manifest/nexu-io-clinical-case-report"}},"agent_contract":{"version":"openagentskill-resolve-contract-v2","input_task":"Use Ward","recommended_skill_slug":"nexu-io-clinical-case-report","recommended_skill_name":"clinical-case-report","install_command":"npx skills add nexu-io/open-design --skill clinical-case-report","install_policy":"review","auto_install_allowed":false,"human_review_required":true,"audit_url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit","eval_url":"https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Use%20Ward&max_risk=medium","skill_api_url":"https://www.openagentskill.com/api/agent/skills/nexu-io-clinical-case-report","do_not_use_when":["teams that need a vendor-supported SLA","high-compliance environments without internal security review","No OpenAgentSkill engagement data yet","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","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"],"minimum_review_before_use":["Trust: 85/100 Strong shortlist","Audit: 91/100 Safe to try","Safety: 79/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"nexu-io-clinical-case-report (clinical-case-report)","install_command":"npx skills add nexu-io/open-design --skill clinical-case-report","risk_summary":"Safe to try; Reviewed; Low metadata risk","verification_result":"Report the smallest successful task, files touched, warnings, and any missing setup."}},"supply_asset":{"track":{"slug":"research","label":"Research and knowledge work","shortLabel":"Research","description":"Deep research, source comparison, literature review, RAG, knowledge search, and reports."},"scenario":{"label":"Research agents","description":"I need my agent to research a topic, compare sources, and produce a concise report.","useCases":[{"slug":"design-creative","title":"Design and creative"},{"slug":"research-agents","title":"Research agents"},{"slug":"rag-knowledge","title":"RAG and knowledge"}]},"maintenance":{"status":"fresh","label":"2d since push","daysSincePush":2,"lastPushedAt":"2026-08-20T13:18:14+00:00"},"github_quality":{"stars":89595,"starsLabel":"90K","forks":10329,"license":"Apache-2.0","qualityScore":95,"trustScore":85,"auditScore":91},"coverage_tags":["Research","Research agents","design-creative","agent-skill"]},"alternatives":[{"slug":"eljakani-ward","name":"Ward","url":"https://www.openagentskill.com/skills/eljakani-ward","install_command":"npx skills add Eljakani/ward","trust_score":73,"audit_score":76,"safety_score":52,"why_consider":"Matches task terms: ward","risk":{"level":"Needs review","safety_tier":"Experimental","safety":"52/100 Avoid automatic install","trust":"73/100 Strong shortlist","notes":["High-risk permission hints: Shell or command execution","Documentation summary is thin","Quality score needs review","Stars/forks activity: 323 stars, 18 forks; issue activity unavailable in current metadata"]}}],"decision_packet":{"version":"openagentskill-agent-decision-packet-v1","task":"Use Ward","agent":"codex","selected_skill":{"slug":"nexu-io-clinical-case-report","name":"clinical-case-report","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","api_url":"https://www.openagentskill.com/api/agent/skills/nexu-io-clinical-case-report","audit_url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report"},"suited_tasks":["Design and creative workflows","Claude Code teams","teams that value GitHub adoption signals","Inspect visual requirements","Generate reusable assets","Package output for review","Search sources","Extract claims"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add nexu-io/open-design --skill clinical-case-report","target":"codex","label":"Codex install prompt","policy":"review","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true},"trust":{"score":80,"label":"Review then install","version":"trust-score-v5","base_score":85,"outcome_confidence":0,"decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Ask for approval or run a sandbox-only trial before installing.","reasoning":["80/100 Trust Score v5","85/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Low metadata risk"],"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":100,"status":"pass","detail":"90K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":100,"status":"pass","detail":"90K stars, 10K forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"status":"pass","detail":"2d since push"},{"id":"license","label":"License clarity","score":86,"status":"pass","detail":"Apache-2.0"},{"id":"documentation","label":"README/SKILL.md completeness","score":52,"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 nexu-io/open-design --skill clinical-case-report"},{"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/nexu-io/open-design/tree/main/design-templates/clinical-case-report"},{"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":"Safe to try","audit_label":"Safe to try","safety":"79/100 Review before install","trust":"85/100 Strong shortlist","safety_tier":"Reviewed","notes":["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","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","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"],"minimum_review_before_use":["Trust: 85/100 Strong shortlist","Audit: 91/100 Safe to try","Safety: 79/100 Review before install","Review repository, license, install command, and permission surface before production use."]},"alternatives":[{"slug":"eljakani-ward","name":"Ward","url":"https://www.openagentskill.com/skills/eljakani-ward","install_command":"npx skills add Eljakani/ward","trust_score":73,"audit_score":76,"safety_score":52,"why_consider":"Matches task terms: ward","risk":{"level":"Needs review","safety_tier":"Experimental","safety":"52/100 Avoid automatic install","trust":"73/100 Strong shortlist","notes":["High-risk permission hints: Shell or command execution","Documentation summary is thin","Quality score needs review","Stars/forks activity: 323 stars, 18 forks; issue activity unavailable in current metadata"]}}],"outcome_feedback":{"event_id":"resolve_6f5fff48-d5a4-4484-be26-99d340fa8ea6","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_6f5fff48-d5a4-4484-be26-99d340fa8ea6","skill_slug":"nexu-io-clinical-case-report","task":"Use Ward","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_6f5fff48-d5a4-4484-be26-99d340fa8ea6\" --skill \"nexu-io-clinical-case-report\" --task \"Use Ward\" --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 clinical-case-report for: Use Ward\nReview audit: https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit\nAsk for human approval before installing: npx skills add nexu-io/open-design --skill clinical-case-report\nIf the audit or policy warnings are unacceptable, choose one of the alternatives."},"recommendation_lanes":{"best_match":{"rank":2,"match_score":30,"raw_match_score":44.5,"semantic_relevance":30,"skill":{"slug":"nexu-io-clinical-case-report","name":"clinical-case-report","description":"Structured medical case presentation for clinical rounds, conferences,\nand documentation. Generates SOAP-format or narrative case reports\nwith physiologically accurate vitals, labs, and evidence-based plans.\nUse when the brief mentions \"case report\", \"case presentation\", \"SOAP note\",\n\"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\".","category":"design-creative","github_stars":89595,"created_at":"2026-08-20T13:21:37.865215+00:00","updated_at":"2026-08-20T13:18:14+00:00","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","github_repo":"nexu-io/open-design"},"recommendation_reasons":["Matches task terms: ward","Strong GitHub adoption: 89,595 stars","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":"Research agents","description":"I need my agent to research a topic, compare sources, and produce a concise report.","useCases":[{"slug":"design-creative","title":"Design and creative"},{"slug":"research-agents","title":"Research agents"},{"slug":"rag-knowledge","title":"RAG and knowledge"}]},"applicableAgents":["Claude Code","CLI","Codex","Cursor"],"install":{"ready":true,"command":"npx skills add nexu-io/open-design --skill clinical-case-report","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":89595,"starsLabel":"90K","forks":10329,"license":"Apache-2.0","qualityScore":95,"trustScore":85,"auditScore":91},"maintenance":{"status":"fresh","label":"2d since push","daysSincePush":2,"lastPushedAt":"2026-08-20T13:18:14+00:00"},"risk":{"level":"safe_to_try","label":"Safe to try","requiresReview":true,"notes":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"coverageTags":["Research","Research agents","design-creative","agent-skill"]},"quality":{"score":95,"tier":"excellent","label":"Excellent","summary":"High-confidence pick with strong adoption and healthy maintenance signals.","signals":[{"label":"GitHub stars","value":"90K","tone":"positive"},{"label":"Freshness","value":"2d ago","tone":"positive"},{"label":"Install ready","value":"Yes","tone":"positive"},{"label":"License","value":"Apache-2.0","tone":"neutral"}],"warnings":[]},"trust":{"version":"trust-score-v4","score":85,"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":100,"weight":0.13,"status":"pass","detail":"90K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":100,"weight":0.08,"status":"pass","detail":"90K stars, 10K forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"2d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"Apache-2.0"},{"id":"documentation","label":"README/SKILL.md completeness","score":52,"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 nexu-io/open-design --skill clinical-case-report"},{"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/nexu-io/open-design/tree/main/design-templates/clinical-case-report"},{"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":"pass","label":"GitHub adoption","detail":"90K GitHub stars"},{"status":"pass","label":"Stars/forks activity","detail":"90K stars, 10K forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"2d since push"},{"status":"pass","label":"License clarity","detail":"Apache-2.0"},{"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 nexu-io/open-design --skill clinical-case-report"},{"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/nexu-io/open-design/tree/main/design-templates/clinical-case-report"},{"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","Recently maintained repository","Large GitHub adoption signal","Install command has no obvious high-risk pattern"],"warnings":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"evidence":{"stars":"90K GitHub stars","repoActivity":"90K stars, 10K forks","lastPushed":"2d since push","license":"Apache-2.0","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","install":"npx skills add nexu-io/open-design --skill clinical-case-report","installSafety":"standard package or runtime install path","permissionSurface":"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 nexu-io/open-design --skill clinical-case-report","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","2d since push"]},"agentCompatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"low","label":"Low metadata risk","notes":["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":["design-creative","agent-skill"],"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":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"trust_v5":{"version":"trust-score-v5","score":80,"base_score":85,"outcome_confidence":0,"tier":"strong","label":"Review then install","summary":"Good shortlist signal, but the agent should review audit notes, install policy, and outcome evidence before running it.","recommendedAction":"Use as the primary candidate after human or sandbox review.","decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Ask for approval or run a sandbox-only trial before installing.","reasoning":["80/100 Trust Score v5","85/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Low metadata risk"],"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":100,"weight":0.13,"status":"pass","detail":"90K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":100,"weight":0.08,"status":"pass","detail":"90K stars, 10K forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"2d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"Apache-2.0"},{"id":"documentation","label":"README/SKILL.md completeness","score":52,"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 nexu-io/open-design --skill clinical-case-report"},{"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/nexu-io/open-design/tree/main/design-templates/clinical-case-report"},{"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":"pass","label":"GitHub adoption","detail":"90K GitHub stars"},{"status":"pass","label":"Stars/forks activity","detail":"90K stars, 10K forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"2d since push"},{"status":"pass","label":"License clarity","detail":"Apache-2.0"},{"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 nexu-io/open-design --skill clinical-case-report"},{"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/nexu-io/open-design/tree/main/design-templates/clinical-case-report"},{"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","Recently maintained repository","Large GitHub adoption signal","Install command has no obvious high-risk pattern","Outcome loop is ready but needs first real agent run"],"warnings":["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":"90K GitHub stars","repoActivity":"90K stars, 10K forks","lastPushed":"2d since push","license":"Apache-2.0","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","install":"npx skills add nexu-io/open-design --skill clinical-case-report","installSafety":"standard package or runtime install path","permissionSurface":"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 nexu-io/open-design --skill clinical-case-report","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","2d since push","Trust Score v5 requires review or sandbox-only use before install."]},"agentCompatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"low","label":"Low metadata risk","notes":["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":"Ask for approval or run a sandbox-only trial 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":["design-creative","agent-skill"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add nexu-io/open-design --skill clinical-case-report","trust_score":80,"trust_version":"trust-score-v5","risk_level":"low","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":["design-creative","agent-skill"],"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":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":85,"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":91,"risk_level":"safe_to_try","risk_label":"Safe to try","warnings":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety":{"score":79,"level":"review_before_install","label":"Review before install","safety_tier":{"tier":"reviewed","label":"Reviewed","badge":"REVIEWED","summary":"Good audit and safety signals with no high-risk permission hints in public metadata.","recommended_action":"Review the audit page, then allow agent install in a sandboxed workflow.","auto_install_policy":"review","reasons":["Safe-to-try audit","79/100 agent safety score"]},"auto_install_allowed":false,"human_review_required":true,"blocked":false,"audit_risk":"safe_to_try","permission_hints":[{"id":"network","label":"Network access","reason":"Skill likely fetches remote pages, APIs, repositories, or external services.","severity":"medium"}],"policy_warnings":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"constraints_applied":{"max_risk":"medium","needs_install_command":true,"min_stars":0}},"safety_gate":{"tier":"reviewed","label":"Reviewed","badge":"REVIEWED","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Review the audit page, then allow agent install in a sandboxed workflow.","reasons":["Safe-to-try audit","79/100 agent safety score"]},"decision":{"readiness_score":100,"readiness_label":"Production-ready","headline":"Primary pick for Design and creative","role":"Primary pick","best_for":["Design and creative workflows","Claude Code teams","teams that value GitHub adoption signals"],"risks":["No OpenAgentSkill engagement data yet"],"next_steps":["Install it in a sandbox agent and run one Design and creative 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 nexu-io/open-design --skill clinical-case-report","value":"Install the \"clinical-case-report\" agent skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Read its SKILL.md or equivalent instructions first, install only the files needed for this workspace, and summarize any required setup before using it. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"codex\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes.","kind":"agent-prompt","steps":["Review clinical-case-report 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 nexu-io-clinical-case-report","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 \"clinical-case-report\" agent skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Read its SKILL.md or equivalent instructions first, install only the files needed for this workspace, and summarize any required setup before using it. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"codex\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes.","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 \"clinical-case-report\" as a Claude Code skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Inspect the skill instructions, place the reusable skill files in the appropriate local skills location for this project, and report the activation steps. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"claude-code\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes.","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 \"clinical-case-report\" from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report into a reusable Cursor project rule or agent instruction. Preserve the core workflow, adapt paths to this repo, and keep the rule scoped to tasks where it is relevant. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"cursor\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes.","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":"nexu-io-clinical-case-report","name":"clinical-case-report","description":"Structured medical case presentation for clinical rounds, conferences,\nand documentation. Generates SOAP-format or narrative case reports\nwith physiologically accurate vitals, labs, and evidence-based plans.\nUse when the brief mentions \"case report\", \"case presentation\", \"SOAP note\",\n\"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\".","category":"design-creative","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","github_repo":"nexu-io/open-design"},"suited_tasks":["Design and creative workflows","Claude Code teams","teams that value GitHub adoption signals","Inspect visual requirements","Generate reusable assets","Package output for review","Search sources","Extract claims"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add nexu-io/open-design --skill clinical-case-report","ready":true,"targets":[{"id":"openagentskill-cli","label":"CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz install nexu-io-clinical-case-report"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"clinical-case-report\" agent skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Read its SKILL.md or equivalent instructions first, install only the files needed for this workspace, and summarize any required setup before using it. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"codex\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes."},{"id":"claude-code","label":"Claude Code","kind":"agent-prompt","value":"Add \"clinical-case-report\" as a Claude Code skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Inspect the skill instructions, place the reusable skill files in the appropriate local skills location for this project, and report the activation steps. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"claude-code\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes."},{"id":"cursor","label":"Cursor","kind":"agent-prompt","value":"Turn \"clinical-case-report\" from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report into a reusable Cursor project rule or agent instruction. Preserve the core workflow, adapt paths to this repo, and keep the rule scoped to tasks where it is relevant. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"cursor\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes."}],"handoff_url":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/nexu-io-clinical-case-report"},"trust":{"score":85,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"90K GitHub stars","repoActivity":"90K stars, 10K forks","lastPushed":"2d since push","license":"Apache-2.0","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","install":"npx skills add nexu-io/open-design --skill clinical-case-report","installSafety":"standard package or runtime install path","permissionSurface":"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":["design-creative","agent-skill"],"known_risks":["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":91,"risk_level":"safe_to_try","risk_label":"Safe to try","warnings":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Review the audit page, then allow agent install in a sandboxed workflow."},"quality":{"score":95,"label":"Excellent"},"supply":{"track":"Research and knowledge work","scenario":"Research agents","maintenance":"2d since push","risk":"Safe to try"},"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","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","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"],"agent_contract":{"task_input":"Use Ward","recommended_action":"Review the audit page, then allow agent install in a sandboxed workflow.","install_policy":"review","minimum_review_before_use":["Trust: 85/100 Strong shortlist","Audit: 91/100 Safe to try","Safety: 79/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"nexu-io-clinical-case-report (clinical-case-report)","install_command":"npx skills add nexu-io/open-design --skill clinical-case-report","risk_summary":"Safe to try; Reviewed; Low metadata risk","verification_result":"Report the smallest successful task, files touched, warnings, and any missing setup."}},"outcome_feedback":{"endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","requires_resolve_event_id":true,"event_id_source":"Use install_receipt.outcome_feedback.event_id or feedback.event_id returned by /api/agent/resolve for the current task.","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"payload_template":{"event_id":"<install_receipt.outcome_feedback.event_id or feedback.event_id from /api/agent/resolve>","skill_slug":"nexu-io-clinical-case-report","task":"Use Ward","agent":"codex","outcome":"success","install_used":true,"risk_blocked":false,"setup_required":false,"task_success":true,"output_quality":4,"error_type":null,"human_review_required":false,"workspace":"sandbox","time_to_useful_ms":120000,"notes":"Report the smallest successful task, setup friction, files touched, and risk notes."}},"endpoints":{"web":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","api":"https://www.openagentskill.com/api/agent/skills/nexu-io-clinical-case-report","audit":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Use%20Ward&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20Ward&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20Ward&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install","manifest":"https://www.openagentskill.com/api/registry/manifest/nexu-io-clinical-case-report"}},"use_cases":[{"slug":"design-creative","title":"Design and creative","url":"https://www.openagentskill.com/use-cases/design-creative"},{"slug":"research-agents","title":"Research agents","url":"https://www.openagentskill.com/use-cases/research-agents"},{"slug":"rag-knowledge","title":"RAG and knowledge","url":"https://www.openagentskill.com/use-cases/rag-knowledge"}],"urls":{"web":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","api":"https://www.openagentskill.com/api/agent/skills/nexu-io-clinical-case-report","install_api":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install","audit":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Use%20Ward&max_risk=medium","badge":"https://www.openagentskill.com/api/badge/nexu-io-clinical-case-report?metric=audit","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report"}},"safer_alternative":{"rank":1,"match_score":30,"raw_match_score":88.6,"semantic_relevance":30,"skill":{"slug":"eljakani-ward","name":"Ward","description":"Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI.","category":"security","github_stars":323,"created_at":"2026-06-21T06:42:52.710737+00:00","updated_at":"2026-05-22T10:46:52+00:00","repository":"https://github.com/Eljakani/ward","github_repo":"Eljakani/ward"},"recommendation_reasons":["Matches task terms: ward","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":"Research agents","description":"I need my agent to research a topic, compare sources, and produce a concise report.","useCases":[{"slug":"security-compliance","title":"Security and compliance"},{"slug":"browser-automation","title":"Browser automation"},{"slug":"research-agents","title":"Research agents"}]},"applicableAgents":["CLI","Codex","Claude Code","Cursor","Go"],"install":{"ready":true,"command":"npx skills add Eljakani/ward","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":323,"starsLabel":"323","forks":18,"license":"MIT","qualityScore":70,"trustScore":73,"auditScore":76},"maintenance":{"status":"active","label":"3mo since push","daysSincePush":92,"lastPushedAt":"2026-05-22T10:46:52+00:00"},"risk":{"level":"needs_review","label":"Needs review","requiresReview":true,"notes":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 323 stars, 18 forks; issue activity unavailable in current metadata","Needs review"]},"coverageTags":["Research","Research agents","security","vulnerability-scanner","cli","cve","golang","laravel"]},"quality":{"score":70,"tier":"strong","label":"Strong","summary":"Solid option that is likely worth shortlisting for production workflows.","signals":[{"label":"GitHub stars","value":"323","tone":"neutral"},{"label":"Freshness","value":"3mo 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":"323 GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":57,"weight":0.08,"status":"warn","detail":"323 stars, 18 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":76,"weight":0.14,"status":"info","detail":"3mo since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"id":"documentation","label":"README/SKILL.md completeness","score":66,"weight":0.14,"status":"info","detail":"Public metadata needs stronger README/SKILL.md context"},{"id":"dependency_risk","label":"Dependency/runtime risk","score":72,"weight":0.12,"status":"info","detail":"command execution surface"},{"id":"installability","label":"Install availability","score":92,"weight":0.1,"status":"pass","detail":"npx skills add Eljakani/ward"},{"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":76,"weight":0.07,"status":"info","detail":"shell or command execution"},{"id":"repository","label":"Repository evidence","score":86,"weight":0.04,"status":"pass","detail":"https://github.com/Eljakani/ward"},{"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":"323 GitHub stars"},{"status":"warn","label":"Stars/forks activity","detail":"323 stars, 18 forks; issue activity unavailable in current metadata"},{"status":"info","label":"Recent maintenance","detail":"3mo since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"info","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"info","label":"Dependency/runtime risk","detail":"command execution surface"},{"status":"pass","label":"Install availability","detail":"npx skills add Eljakani/ward"},{"status":"pass","label":"Install command safety","detail":"standard package or runtime install path"},{"status":"info","label":"Permission surface","detail":"shell or command execution"},{"status":"pass","label":"Repository evidence","detail":"https://github.com/Eljakani/ward"},{"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: 323 stars, 18 forks; issue activity unavailable in current metadata"],"evidence":{"stars":"323 GitHub stars","repoActivity":"323 stars, 18 forks","lastPushed":"3mo since push","license":"MIT","repository":"https://github.com/Eljakani/ward","install":"npx skills add Eljakani/ward","installSafety":"standard package or runtime install path","permissionSurface":"shell or command execution","documentation":"Usable metadata, review docs","agentOutcomes":"No agent outcome data yet"},"installReadiness":{"ready":true,"command":"npx skills add Eljakani/ward","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","3mo since push"]},"agentCompatibility":["Go","Security","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: 323 stars, 18 forks; issue activity unavailable in current metadata"]},"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":["security","vulnerability-scanner","cli","cve","golang","laravel"],"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: 323 stars, 18 forks; issue activity unavailable in current metadata"]},"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":"323 GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":57,"weight":0.08,"status":"warn","detail":"323 stars, 18 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":76,"weight":0.14,"status":"info","detail":"3mo since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"id":"documentation","label":"README/SKILL.md completeness","score":66,"weight":0.14,"status":"info","detail":"Public metadata needs stronger README/SKILL.md context"},{"id":"dependency_risk","label":"Dependency/runtime risk","score":72,"weight":0.12,"status":"info","detail":"command execution surface"},{"id":"installability","label":"Install availability","score":92,"weight":0.1,"status":"pass","detail":"npx skills add Eljakani/ward"},{"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":76,"weight":0.07,"status":"info","detail":"shell or command execution"},{"id":"repository","label":"Repository evidence","score":86,"weight":0.04,"status":"pass","detail":"https://github.com/Eljakani/ward"},{"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":"323 GitHub stars"},{"status":"warn","label":"Stars/forks activity","detail":"323 stars, 18 forks; issue activity unavailable in current metadata"},{"status":"info","label":"Recent maintenance","detail":"3mo since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"info","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"info","label":"Dependency/runtime risk","detail":"command execution surface"},{"status":"pass","label":"Install availability","detail":"npx skills add Eljakani/ward"},{"status":"pass","label":"Install command safety","detail":"standard package or runtime install path"},{"status":"info","label":"Permission surface","detail":"shell or command execution"},{"status":"pass","label":"Repository evidence","detail":"https://github.com/Eljakani/ward"},{"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: 323 stars, 18 forks; issue activity unavailable in current metadata","No real agent outcome reports yet","Human review required before unattended installation"],"evidence":{"stars":"323 GitHub stars","repoActivity":"323 stars, 18 forks","lastPushed":"3mo since push","license":"MIT","repository":"https://github.com/Eljakani/ward","install":"npx skills add Eljakani/ward","installSafety":"standard package or runtime install path","permissionSurface":"shell or command execution","documentation":"Usable metadata, review docs","agentOutcomes":"No agent outcome data yet","agentProvenScore":0,"outcomeConfidence":"0%","installPolicy":"human_review_before_install"},"installReadiness":{"ready":true,"command":"npx skills add Eljakani/ward","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","3mo since push","Trust Score v5 requires review or sandbox-only use before install."]},"agentCompatibility":["Go","Security","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: 323 stars, 18 forks; issue activity unavailable in current metadata"]},"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":["security","vulnerability-scanner","cli","cve","golang","laravel"],"suited_agents":["Go","Security","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add Eljakani/ward","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":["security","vulnerability-scanner","cli","cve","golang","laravel"],"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: 323 stars, 18 forks; issue activity unavailable in current metadata"],"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":76,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 323 stars, 18 forks; issue activity unavailable in current metadata"]},"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":["High-risk permission hints: Shell or command execution","52/100 agent safety score"]},"auto_install_allowed":false,"human_review_required":true,"blocked":false,"audit_risk":"needs_review","permission_hints":[{"id":"shell","label":"Shell or command execution","reason":"Skill metadata references terminal, CLI, shell, subprocess, or command execution workflows.","severity":"high"},{"id":"network","label":"Network access","reason":"Skill likely fetches remote pages, APIs, repositories, or external services.","severity":"medium"}],"policy_warnings":["High-risk permission hints: Shell or command execution","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":["High-risk permission hints: Shell or command execution","52/100 agent safety score"]},"decision":{"readiness_score":69,"readiness_label":"Prototype first","headline":"Fallback candidate for Security and compliance","role":"Fallback candidate","best_for":["Security and compliance 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 Security and compliance 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 Eljakani/ward","value":"Install the \"Ward\" agent skill from https://github.com/Eljakani/ward. 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: Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI. 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\":\"eljakani-ward\",\"task\":\"Install Ward\",\"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 Ward 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 eljakani-ward","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 \"Ward\" agent skill from https://github.com/Eljakani/ward. 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: Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI. 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\":\"eljakani-ward\",\"task\":\"Install Ward\",\"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 \"Ward\" as a Claude Code skill from https://github.com/Eljakani/ward. 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: Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI. 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\":\"eljakani-ward\",\"task\":\"Install Ward\",\"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 \"Ward\" from https://github.com/Eljakani/ward 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: Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI. 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\":\"eljakani-ward\",\"task\":\"Install Ward\",\"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":"eljakani-ward","name":"Ward","description":"Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI.","category":"security","url":"https://www.openagentskill.com/skills/eljakani-ward","repository":"https://github.com/Eljakani/ward","github_repo":"Eljakani/ward"},"suited_tasks":["Security and compliance workflows","general agent builders","builders willing to evaluate younger projects","Inspect risky files","Prioritize findings","Explain remediation steps","Navigate pages","Click and type safely"],"suited_agents":["Go","Security","Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add Eljakani/ward","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 eljakani-ward"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"Ward\" agent skill from https://github.com/Eljakani/ward. 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: Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI. 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\":\"eljakani-ward\",\"task\":\"Install Ward\",\"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 \"Ward\" as a Claude Code skill from https://github.com/Eljakani/ward. 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: Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI. 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\":\"eljakani-ward\",\"task\":\"Install Ward\",\"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 \"Ward\" from https://github.com/Eljakani/ward 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: Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI. 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\":\"eljakani-ward\",\"task\":\"Install Ward\",\"agent\":\"cursor\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. 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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":{"score":76,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 323 stars, 18 forks; issue activity unavailable in current metadata"]},"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":70,"label":"Strong"},"supply":{"track":"Research and knowledge work","scenario":"Research agents","maintenance":"3mo 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","High-risk permission hints: Shell or command execution","Documentation summary is thin","Quality score needs review","Stars/forks activity: 323 stars, 18 forks; issue activity unavailable in current metadata","Production credentials, payments, or irreversible account changes without explicit human review"],"agent_contract":{"task_input":"Use Ward","recommended_action":"Test manually in an isolated workspace and compare against safer alternatives.","install_policy":"review","minimum_review_before_use":["Trust: 73/100 Strong shortlist","Audit: 76/100 Needs review","Safety: 52/100 Avoid automatic install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"eljakani-ward (Ward)","install_command":"npx skills add Eljakani/ward","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":"eljakani-ward","task":"Use Ward","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/eljakani-ward","api":"https://www.openagentskill.com/api/agent/skills/eljakani-ward","audit":"https://www.openagentskill.com/skills/eljakani-ward/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=eljakani-ward&task=Use%20Ward&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20Ward&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20Ward&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/eljakani-ward/install","manifest":"https://www.openagentskill.com/api/registry/manifest/eljakani-ward"}},"use_cases":[{"slug":"security-compliance","title":"Security and compliance","url":"https://www.openagentskill.com/use-cases/security-compliance"},{"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"}],"urls":{"web":"https://www.openagentskill.com/skills/eljakani-ward","api":"https://www.openagentskill.com/api/agent/skills/eljakani-ward","install_api":"https://www.openagentskill.com/api/skills/eljakani-ward/install","audit":"https://www.openagentskill.com/skills/eljakani-ward/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=eljakani-ward&task=Use%20Ward&max_risk=medium","badge":"https://www.openagentskill.com/api/badge/eljakani-ward?metric=audit","repository":"https://github.com/Eljakani/ward"}},"popular_alternative":null,"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":2,"match_score":30,"raw_match_score":44.5,"semantic_relevance":30,"skill":{"slug":"nexu-io-clinical-case-report","name":"clinical-case-report","description":"Structured medical case presentation for clinical rounds, conferences,\nand documentation. Generates SOAP-format or narrative case reports\nwith physiologically accurate vitals, labs, and evidence-based plans.\nUse when the brief mentions \"case report\", \"case presentation\", \"SOAP note\",\n\"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\".","category":"design-creative","github_stars":89595,"created_at":"2026-08-20T13:21:37.865215+00:00","updated_at":"2026-08-20T13:18:14+00:00","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","github_repo":"nexu-io/open-design"},"recommendation_reasons":["Matches task terms: ward","Strong GitHub adoption: 89,595 stars","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":"Research agents","description":"I need my agent to research a topic, compare sources, and produce a concise report.","useCases":[{"slug":"design-creative","title":"Design and creative"},{"slug":"research-agents","title":"Research agents"},{"slug":"rag-knowledge","title":"RAG and knowledge"}]},"applicableAgents":["Claude Code","CLI","Codex","Cursor"],"install":{"ready":true,"command":"npx skills add nexu-io/open-design --skill clinical-case-report","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":89595,"starsLabel":"90K","forks":10329,"license":"Apache-2.0","qualityScore":95,"trustScore":85,"auditScore":91},"maintenance":{"status":"fresh","label":"2d since push","daysSincePush":2,"lastPushedAt":"2026-08-20T13:18:14+00:00"},"risk":{"level":"safe_to_try","label":"Safe to try","requiresReview":true,"notes":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"coverageTags":["Research","Research agents","design-creative","agent-skill"]},"quality":{"score":95,"tier":"excellent","label":"Excellent","summary":"High-confidence pick with strong adoption and healthy maintenance signals.","signals":[{"label":"GitHub stars","value":"90K","tone":"positive"},{"label":"Freshness","value":"2d ago","tone":"positive"},{"label":"Install ready","value":"Yes","tone":"positive"},{"label":"License","value":"Apache-2.0","tone":"neutral"}],"warnings":[]},"trust":{"version":"trust-score-v4","score":85,"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":100,"weight":0.13,"status":"pass","detail":"90K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":100,"weight":0.08,"status":"pass","detail":"90K stars, 10K forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"2d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"Apache-2.0"},{"id":"documentation","label":"README/SKILL.md completeness","score":52,"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 nexu-io/open-design --skill clinical-case-report"},{"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 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skills add nexu-io/open-design --skill clinical-case-report","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 nexu-io/open-design --skill clinical-case-report","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","2d since push","Trust Score v5 requires review or sandbox-only use before install."]},"agentCompatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"low","label":"Low metadata risk","notes":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md 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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":["design-creative","agent-skill"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add nexu-io/open-design --skill clinical-case-report","trust_score":80,"trust_version":"trust-score-v5","risk_level":"low","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":["design-creative","agent-skill"],"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":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":85,"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":91,"risk_level":"safe_to_try","risk_label":"Safe to try","warnings":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety":{"score":79,"level":"review_before_install","label":"Review before install","safety_tier":{"tier":"reviewed","label":"Reviewed","badge":"REVIEWED","summary":"Good audit and safety signals with no high-risk permission hints in public metadata.","recommended_action":"Review the audit page, then allow agent install in a sandboxed workflow.","auto_install_policy":"review","reasons":["Safe-to-try audit","79/100 agent safety score"]},"auto_install_allowed":false,"human_review_required":true,"blocked":false,"audit_risk":"safe_to_try","permission_hints":[{"id":"network","label":"Network access","reason":"Skill likely fetches remote pages, APIs, repositories, or external services.","severity":"medium"}],"policy_warnings":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"constraints_applied":{"max_risk":"medium","needs_install_command":true,"min_stars":0}},"safety_gate":{"tier":"reviewed","label":"Reviewed","badge":"REVIEWED","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Review the audit page, then allow agent install in a sandboxed workflow.","reasons":["Safe-to-try audit","79/100 agent safety score"]},"decision":{"readiness_score":100,"readiness_label":"Production-ready","headline":"Primary pick for Design and creative","role":"Primary pick","best_for":["Design and creative workflows","Claude Code teams","teams that value GitHub adoption signals"],"risks":["No OpenAgentSkill engagement data yet"],"next_steps":["Install it in a sandbox agent and run one Design and creative 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 nexu-io/open-design --skill clinical-case-report","value":"Install the \"clinical-case-report\" agent skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Read its SKILL.md or equivalent instructions first, install only the files needed for this workspace, and summarize any required setup before using it. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"codex\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes.","kind":"agent-prompt","steps":["Review clinical-case-report 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 nexu-io-clinical-case-report","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 \"clinical-case-report\" agent skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Read its SKILL.md or equivalent instructions first, install only the files needed for this workspace, and summarize any required setup before using it. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"codex\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes.","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 \"clinical-case-report\" as a Claude Code skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Inspect the skill instructions, place the reusable skill files in the appropriate local skills location for this project, and report the activation steps. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"claude-code\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes.","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 \"clinical-case-report\" from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report into a reusable Cursor project rule or agent instruction. Preserve the core workflow, adapt paths to this repo, and keep the rule scoped to tasks where it is relevant. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"cursor\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes.","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":"nexu-io-clinical-case-report","name":"clinical-case-report","description":"Structured medical case presentation for clinical rounds, conferences,\nand documentation. Generates SOAP-format or narrative case reports\nwith physiologically accurate vitals, labs, and evidence-based plans.\nUse when the brief mentions \"case report\", \"case presentation\", \"SOAP note\",\n\"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\".","category":"design-creative","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","github_repo":"nexu-io/open-design"},"suited_tasks":["Design and creative workflows","Claude Code teams","teams that value GitHub adoption signals","Inspect visual requirements","Generate reusable assets","Package output for review","Search sources","Extract claims"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add nexu-io/open-design --skill clinical-case-report","ready":true,"targets":[{"id":"openagentskill-cli","label":"CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.2.1/openagentskill-0.2.1.tgz install nexu-io-clinical-case-report"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"clinical-case-report\" agent skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Read its SKILL.md or equivalent instructions first, install only the files needed for this workspace, and summarize any required setup before using it. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"codex\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes."},{"id":"claude-code","label":"Claude Code","kind":"agent-prompt","value":"Add \"clinical-case-report\" as a Claude Code skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Inspect the skill instructions, place the reusable skill files in the appropriate local skills location for this project, and report the activation steps. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"claude-code\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes."},{"id":"cursor","label":"Cursor","kind":"agent-prompt","value":"Turn \"clinical-case-report\" from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report into a reusable Cursor project rule or agent instruction. Preserve the core workflow, adapt paths to this repo, and keep the rule scoped to tasks where it is relevant. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"cursor\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes."}],"handoff_url":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/nexu-io-clinical-case-report"},"trust":{"score":85,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"90K GitHub stars","repoActivity":"90K stars, 10K forks","lastPushed":"2d since push","license":"Apache-2.0","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","install":"npx skills add nexu-io/open-design --skill clinical-case-report","installSafety":"standard package or runtime install path","permissionSurface":"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":["design-creative","agent-skill"],"known_risks":["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":91,"risk_level":"safe_to_try","risk_label":"Safe to try","warnings":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Review the audit page, then allow agent install in a sandboxed workflow."},"quality":{"score":95,"label":"Excellent"},"supply":{"track":"Research and knowledge work","scenario":"Research agents","maintenance":"2d since push","risk":"Safe to try"},"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","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","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"],"agent_contract":{"task_input":"Use Ward","recommended_action":"Review the audit page, then allow agent install in a sandboxed workflow.","install_policy":"review","minimum_review_before_use":["Trust: 85/100 Strong shortlist","Audit: 91/100 Safe to try","Safety: 79/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"nexu-io-clinical-case-report (clinical-case-report)","install_command":"npx skills add nexu-io/open-design --skill clinical-case-report","risk_summary":"Safe to try; Reviewed; Low metadata risk","verification_result":"Report the smallest successful task, files touched, warnings, and any missing setup."}},"outcome_feedback":{"endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","requires_resolve_event_id":true,"event_id_source":"Use install_receipt.outcome_feedback.event_id or feedback.event_id returned by /api/agent/resolve for the current task.","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"payload_template":{"event_id":"<install_receipt.outcome_feedback.event_id or feedback.event_id from /api/agent/resolve>","skill_slug":"nexu-io-clinical-case-report","task":"Use Ward","agent":"codex","outcome":"success","install_used":true,"risk_blocked":false,"setup_required":false,"task_success":true,"output_quality":4,"error_type":null,"human_review_required":false,"workspace":"sandbox","time_to_useful_ms":120000,"notes":"Report the smallest successful task, setup friction, files touched, and risk notes."}},"endpoints":{"web":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","api":"https://www.openagentskill.com/api/agent/skills/nexu-io-clinical-case-report","audit":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Use%20Ward&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20Ward&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20Ward&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install","manifest":"https://www.openagentskill.com/api/registry/manifest/nexu-io-clinical-case-report"}},"use_cases":[{"slug":"design-creative","title":"Design and creative","url":"https://www.openagentskill.com/use-cases/design-creative"},{"slug":"research-agents","title":"Research agents","url":"https://www.openagentskill.com/use-cases/research-agents"},{"slug":"rag-knowledge","title":"RAG and knowledge","url":"https://www.openagentskill.com/use-cases/rag-knowledge"}],"urls":{"web":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","api":"https://www.openagentskill.com/api/agent/skills/nexu-io-clinical-case-report","install_api":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install","audit":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Use%20Ward&max_risk=medium","badge":"https://www.openagentskill.com/api/badge/nexu-io-clinical-case-report?metric=audit","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report"}},"alternatives":[{"rank":1,"match_score":30,"raw_match_score":88.6,"semantic_relevance":30,"skill":{"slug":"eljakani-ward","name":"Ward","description":"Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI.","category":"security","github_stars":323,"created_at":"2026-06-21T06:42:52.710737+00:00","updated_at":"2026-05-22T10:46:52+00:00","repository":"https://github.com/Eljakani/ward","github_repo":"Eljakani/ward"},"recommendation_reasons":["Matches task terms: ward","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":"Research agents","description":"I need my agent to research a topic, compare sources, and produce a concise report.","useCases":[{"slug":"security-compliance","title":"Security and compliance"},{"slug":"browser-automation","title":"Browser automation"},{"slug":"research-agents","title":"Research agents"}]},"applicableAgents":["CLI","Codex","Claude Code","Cursor","Go"],"install":{"ready":true,"command":"npx skills add Eljakani/ward","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":323,"starsLabel":"323","forks":18,"license":"MIT","qualityScore":70,"trustScore":73,"auditScore":76},"maintenance":{"status":"active","label":"3mo since push","daysSincePush":92,"lastPushedAt":"2026-05-22T10:46:52+00:00"},"risk":{"level":"needs_review","label":"Needs review","requiresReview":true,"notes":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 323 stars, 18 forks; issue activity unavailable in current metadata","Needs review"]},"coverageTags":["Research","Research agents","security","vulnerability-scanner","cli","cve","golang","laravel"]},"quality":{"score":70,"tier":"strong","label":"Strong","summary":"Solid option that is likely worth shortlisting for production workflows.","signals":[{"label":"GitHub stars","value":"323","tone":"neutral"},{"label":"Freshness","value":"3mo 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":"323 GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":57,"weight":0.08,"status":"warn","detail":"323 stars, 18 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":76,"weight":0.14,"status":"info","detail":"3mo since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"id":"documentation","label":"README/SKILL.md completeness","score":66,"weight":0.14,"status":"info","detail":"Public metadata needs stronger README/SKILL.md context"},{"id":"dependency_risk","label":"Dependency/runtime risk","score":72,"weight":0.12,"status":"info","detail":"command execution surface"},{"id":"installability","label":"Install availability","score":92,"weight":0.1,"status":"pass","detail":"npx skills add Eljakani/ward"},{"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":76,"weight":0.07,"status":"info","detail":"shell or command execution"},{"id":"repository","label":"Repository evidence","score":86,"weight":0.04,"status":"pass","detail":"https://github.com/Eljakani/ward"},{"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":"323 GitHub stars"},{"status":"warn","label":"Stars/forks activity","detail":"323 stars, 18 forks; issue activity unavailable in current metadata"},{"status":"info","label":"Recent maintenance","detail":"3mo since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"info","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"info","label":"Dependency/runtime risk","detail":"command execution surface"},{"status":"pass","label":"Install availability","detail":"npx skills add Eljakani/ward"},{"status":"pass","label":"Install command safety","detail":"standard package or runtime install path"},{"status":"info","label":"Permission surface","detail":"shell or command execution"},{"status":"pass","label":"Repository evidence","detail":"https://github.com/Eljakani/ward"},{"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: 323 stars, 18 forks; issue activity unavailable in current metadata"],"evidence":{"stars":"323 GitHub stars","repoActivity":"323 stars, 18 forks","lastPushed":"3mo since push","license":"MIT","repository":"https://github.com/Eljakani/ward","install":"npx skills add Eljakani/ward","installSafety":"standard package or runtime install path","permissionSurface":"shell or command execution","documentation":"Usable metadata, review docs","agentOutcomes":"No agent outcome data yet"},"installReadiness":{"ready":true,"command":"npx skills add Eljakani/ward","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","3mo since push"]},"agentCompatibility":["Go","Security","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: 323 stars, 18 forks; issue activity unavailable in current metadata"]},"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":["security","vulnerability-scanner","cli","cve","golang","laravel"],"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: 323 stars, 18 forks; issue activity unavailable in current metadata"]},"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":"323 GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":57,"weight":0.08,"status":"warn","detail":"323 stars, 18 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":76,"weight":0.14,"status":"info","detail":"3mo since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"id":"documentation","label":"README/SKILL.md completeness","score":66,"weight":0.14,"status":"info","detail":"Public metadata needs stronger README/SKILL.md context"},{"id":"dependency_risk","label":"Dependency/runtime risk","score":72,"weight":0.12,"status":"info","detail":"command execution surface"},{"id":"installability","label":"Install availability","score":92,"weight":0.1,"status":"pass","detail":"npx skills add Eljakani/ward"},{"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":76,"weight":0.07,"status":"info","detail":"shell or command execution"},{"id":"repository","label":"Repository evidence","score":86,"weight":0.04,"status":"pass","detail":"https://github.com/Eljakani/ward"},{"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":"323 GitHub stars"},{"status":"warn","label":"Stars/forks activity","detail":"323 stars, 18 forks; issue activity unavailable in current metadata"},{"status":"info","label":"Recent maintenance","detail":"3mo since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"info","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"info","label":"Dependency/runtime risk","detail":"command execution surface"},{"status":"pass","label":"Install availability","detail":"npx skills add Eljakani/ward"},{"status":"pass","label":"Install command safety","detail":"standard package or runtime install path"},{"status":"info","label":"Permission surface","detail":"shell or command execution"},{"status":"pass","label":"Repository evidence","detail":"https://github.com/Eljakani/ward"},{"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: 323 stars, 18 forks; issue activity unavailable in current metadata","No real agent outcome reports yet","Human review required before unattended installation"],"evidence":{"stars":"323 GitHub stars","repoActivity":"323 stars, 18 forks","lastPushed":"3mo since push","license":"MIT","repository":"https://github.com/Eljakani/ward","install":"npx skills add Eljakani/ward","installSafety":"standard package or runtime install path","permissionSurface":"shell or command execution","documentation":"Usable metadata, review docs","agentOutcomes":"No agent outcome data yet","agentProvenScore":0,"outcomeConfidence":"0%","installPolicy":"human_review_before_install"},"installReadiness":{"ready":true,"command":"npx skills add Eljakani/ward","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","3mo since push","Trust Score v5 requires review or sandbox-only use before install."]},"agentCompatibility":["Go","Security","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: 323 stars, 18 forks; issue activity unavailable in current metadata"]},"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":["security","vulnerability-scanner","cli","cve","golang","laravel"],"suited_agents":["Go","Security","Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add Eljakani/ward","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":["security","vulnerability-scanner","cli","cve","golang","laravel"],"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: 323 stars, 18 forks; issue activity unavailable in current metadata"],"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":76,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 323 stars, 18 forks; issue activity unavailable in current metadata"]},"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":["High-risk permission hints: Shell or command execution","52/100 agent safety score"]},"auto_install_allowed":false,"human_review_required":true,"blocked":false,"audit_risk":"needs_review","permission_hints":[{"id":"shell","label":"Shell or command execution","reason":"Skill metadata references terminal, CLI, shell, subprocess, or command execution workflows.","severity":"high"},{"id":"network","label":"Network access","reason":"Skill likely fetches remote pages, APIs, repositories, or external services.","severity":"medium"}],"policy_warnings":["High-risk permission hints: Shell or command execution","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":["High-risk permission hints: Shell or command execution","52/100 agent safety score"]},"decision":{"readiness_score":69,"readiness_label":"Prototype first","headline":"Fallback candidate for Security and compliance","role":"Fallback candidate","best_for":["Security and compliance 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 Security and compliance 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 Eljakani/ward","value":"Install the \"Ward\" agent skill from https://github.com/Eljakani/ward. 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: Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI. 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\":\"eljakani-ward\",\"task\":\"Install Ward\",\"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 Ward 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 eljakani-ward","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 \"Ward\" agent skill from https://github.com/Eljakani/ward. 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: Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI. 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\":\"eljakani-ward\",\"task\":\"Install Ward\",\"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 \"Ward\" as a Claude Code skill from https://github.com/Eljakani/ward. 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: Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI. 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\":\"eljakani-ward\",\"task\":\"Install Ward\",\"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 \"Ward\" from https://github.com/Eljakani/ward 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: Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI. 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\":\"eljakani-ward\",\"task\":\"Install Ward\",\"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":"eljakani-ward","name":"Ward","description":"Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI.","category":"security","url":"https://www.openagentskill.com/skills/eljakani-ward","repository":"https://github.com/Eljakani/ward","github_repo":"Eljakani/ward"},"suited_tasks":["Security and compliance workflows","general agent builders","builders willing to evaluate younger projects","Inspect risky files","Prioritize findings","Explain remediation steps","Navigate pages","Click and type safely"],"suited_agents":["Go","Security","Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add Eljakani/ward","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 eljakani-ward"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"Ward\" agent skill from https://github.com/Eljakani/ward. 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: Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI. 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\":\"eljakani-ward\",\"task\":\"Install Ward\",\"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 \"Ward\" as a Claude Code skill from https://github.com/Eljakani/ward. 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: Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI. 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\":\"eljakani-ward\",\"task\":\"Install Ward\",\"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 \"Ward\" from https://github.com/Eljakani/ward 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: Security scanner built for Laravel, detects misconfigurations, vulnerabilities, and exposed secrets with a beautiful TUI. 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\":\"eljakani-ward\",\"task\":\"Install Ward\",\"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/eljakani-ward/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/eljakani-ward"},"trust":{"score":73,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"323 GitHub stars","repoActivity":"323 stars, 18 forks","lastPushed":"3mo since push","license":"MIT","repository":"https://github.com/Eljakani/ward","install":"npx skills add Eljakani/ward","installSafety":"standard package or runtime install path","permissionSurface":"shell or command execution","documentation":"Usable metadata, review docs","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":["security","vulnerability-scanner","cli","cve","golang","laravel"],"known_risks":["Quality score needs review","Documentation summary is thin","Stars/forks activity: 323 stars, 18 forks; issue activity unavailable in current metadata"]},"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":76,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Quality score needs review","Stars/forks activity: 323 stars, 18 forks; issue activity unavailable in current metadata"]},"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":70,"label":"Strong"},"supply":{"track":"Research and knowledge work","scenario":"Research agents","maintenance":"3mo 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","High-risk permission hints: Shell or command execution","Documentation summary is thin","Quality score needs review","Stars/forks activity: 323 stars, 18 forks; issue activity unavailable in current metadata","Production credentials, payments, or irreversible account changes without explicit human review"],"agent_contract":{"task_input":"Use Ward","recommended_action":"Test manually in an isolated workspace and compare against safer alternatives.","install_policy":"review","minimum_review_before_use":["Trust: 73/100 Strong shortlist","Audit: 76/100 Needs review","Safety: 52/100 Avoid automatic install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"eljakani-ward (Ward)","install_command":"npx skills add Eljakani/ward","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":"eljakani-ward","task":"Use Ward","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/eljakani-ward","api":"https://www.openagentskill.com/api/agent/skills/eljakani-ward","audit":"https://www.openagentskill.com/skills/eljakani-ward/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=eljakani-ward&task=Use%20Ward&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20Ward&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20Ward&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/eljakani-ward/install","manifest":"https://www.openagentskill.com/api/registry/manifest/eljakani-ward"}},"use_cases":[{"slug":"security-compliance","title":"Security and compliance","url":"https://www.openagentskill.com/use-cases/security-compliance"},{"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"}],"urls":{"web":"https://www.openagentskill.com/skills/eljakani-ward","api":"https://www.openagentskill.com/api/agent/skills/eljakani-ward","install_api":"https://www.openagentskill.com/api/skills/eljakani-ward/install","audit":"https://www.openagentskill.com/skills/eljakani-ward/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=eljakani-ward&task=Use%20Ward&max_risk=medium","badge":"https://www.openagentskill.com/api/badge/eljakani-ward?metric=audit","repository":"https://github.com/Eljakani/ward"}}],"blocked_candidates":[],"agent_workflow":{"mode":"resolve_review_install","recommended_action":"Review the audit page, then allow agent install in a sandboxed workflow.","selected_skill":{"slug":"nexu-io-clinical-case-report","name":"clinical-case-report","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report"},"install":{"target":"codex","label":"Codex install prompt","kind":"agent-prompt","command":"npx skills add nexu-io/open-design --skill clinical-case-report","value":"Install the \"clinical-case-report\" agent skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Read its SKILL.md or equivalent instructions first, install only the files needed for this workspace, and summarize any required setup before using it. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"codex\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes.","api":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install"},"copy_paste_prompt":"Task: Use Ward\nUse clinical-case-report from https://www.openagentskill.com/skills/nexu-io-clinical-case-report.\nReview the audit first: https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit\nReview the eval first: https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Use%20Ward&max_risk=medium\nInstall handoff: https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install\nInstall command: npx skills add nexu-io/open-design --skill clinical-case-report\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%20Ward&agent=codex&max_risk=medium"},{"step":2,"label":"Fetch pre-install eval","method":"GET","url":"https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Use%20Ward&max_risk=medium"},{"step":3,"label":"Fetch selected skill profile","method":"GET","url":"https://www.openagentskill.com/api/agent/skills/nexu-io-clinical-case-report"},{"step":4,"label":"Fetch install handoff","method":"GET","url":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install"},{"step":5,"label":"Review audit","method":"GET","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit"},{"step":6,"label":"Report outcome","method":"POST","url":"https://www.openagentskill.com/api/agent/outcome","body":{"event_id":"resolve_6f5fff48-d5a4-4484-be26-99d340fa8ea6","skill_slug":"nexu-io-clinical-case-report","task":"Use Ward","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","Safety score: 79/100 Review before install","Audit score: 91/100 Safe to try","Trust score: 80/100 Review then install","Readiness: 100/100 Production-ready","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"fallback_strategy":[{"slug":"eljakani-ward","name":"Ward","reason":"Matches task terms: ward","url":"https://www.openagentskill.com/skills/eljakani-ward","install_api":"https://www.openagentskill.com/api/skills/eljakani-ward/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_6f5fff48-d5a4-4484-be26-99d340fa8ea6"}},"agent_handoff":{"version":"openagentskill-agent-handoff-v1","mode":"resolve_compare_review_install","task":"Use Ward","agent":"codex","selected_skill":{"slug":"nexu-io-clinical-case-report","name":"clinical-case-report","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","api_url":"https://www.openagentskill.com/api/agent/skills/nexu-io-clinical-case-report","audit_url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit","eval_url":"https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Use%20Ward&max_risk=medium","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report"},"install_plan":{"command":"npx skills add nexu-io/open-design --skill clinical-case-report","target":"codex","label":"Codex install prompt","kind":"agent-prompt","value":"Install the \"clinical-case-report\" agent skill from https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report. Read its SKILL.md or equivalent instructions first, install only the files needed for this workspace, and summarize any required setup before using it. Skill purpose: Structured medical case presentation for clinical rounds, conferences, and documentation. Generates SOAP-format or narrative case reports with physiologically accurate vitals, labs, and evidence-based plans. Use when the brief mentions \"case report\", \"case presentation\", \"SOAP note\", \"clinical case\", \"ward rounds\", \"case summary\", or \"patient presentation\". After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"nexu-io-clinical-case-report\",\"task\":\"Install clinical-case-report\",\"agent\":\"codex\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes.","install_api":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/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%20Ward&agent=codex&max_risk=medium"},{"step":2,"label":"Fetch pre-install eval","method":"GET","url":"https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Use%20Ward&max_risk=medium"},{"step":3,"label":"Fetch selected skill profile","method":"GET","url":"https://www.openagentskill.com/api/agent/skills/nexu-io-clinical-case-report"},{"step":4,"label":"Fetch install handoff","method":"GET","url":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install"},{"step":5,"label":"Review audit","method":"GET","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit"},{"step":6,"label":"Report outcome","method":"POST","url":"https://www.openagentskill.com/api/agent/outcome","body":{"event_id":"resolve_6f5fff48-d5a4-4484-be26-99d340fa8ea6","skill_slug":"nexu-io-clinical-case-report","task":"Use Ward","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 Ward\nSelected skill: clinical-case-report (nexu-io-clinical-case-report)\nSkill URL: https://www.openagentskill.com/skills/nexu-io-clinical-case-report\nAudit URL: https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit\nEval URL: https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Use%20Ward&max_risk=medium\nInstall handoff: https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install\nInstall command: npx skills add nexu-io/open-design --skill clinical-case-report\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- Ward (eljakani-ward): https://www.openagentskill.com/skills/eljakani-ward\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 Ward\nSelected skill: clinical-case-report (nexu-io-clinical-case-report)\nSkill URL: https://www.openagentskill.com/skills/nexu-io-clinical-case-report\nAudit URL: https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit\nEval URL: https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Use%20Ward&max_risk=medium\nInstall handoff: https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install\nInstall command: npx skills add nexu-io/open-design --skill clinical-case-report\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- Ward (eljakani-ward): https://www.openagentskill.com/skills/eljakani-ward\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 Ward\nSelected skill: clinical-case-report (nexu-io-clinical-case-report)\nSkill URL: https://www.openagentskill.com/skills/nexu-io-clinical-case-report\nAudit URL: https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit\nEval URL: https://www.openagentskill.com/api/agent/evals?slug=nexu-io-clinical-case-report&task=Use%20Ward&max_risk=medium\nInstall handoff: https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install\nInstall command: npx skills add nexu-io/open-design --skill clinical-case-report\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- Ward (eljakani-ward): https://www.openagentskill.com/skills/eljakani-ward\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","Safety score: 79/100 Review before install","Audit score: 91/100 Safe to try","Trust score: 80/100 Review then install","Readiness: 100/100 Production-ready","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"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_6f5fff48-d5a4-4484-be26-99d340fa8ea6"},"feedback":{"event_id":"resolve_6f5fff48-d5a4-4484-be26-99d340fa8ea6","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_6f5fff48-d5a4-4484-be26-99d340fa8ea6\" --skill \"nexu-io-clinical-case-report\" --task \"Use Ward\" --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":"Review the audit page, then allow agent install in a sandboxed workflow."},"agent_decision":{"input_task":"Use Ward","recommended_skill":{"slug":"nexu-io-clinical-case-report","name":"clinical-case-report","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","audit_url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report","safety_tier":"Reviewed","auto_install_policy":"review"},"alternative_skills":[{"slug":"eljakani-ward","name":"Ward","url":"https://www.openagentskill.com/skills/eljakani-ward","install_command":"npx skills add Eljakani/ward","why_consider":"Matches task terms: ward","risk":{"level":"Needs review","safety_tier":"Experimental","safety":"52/100 Avoid automatic install","trust":"73/100 Strong shortlist","notes":["High-risk permission hints: Shell or command execution","Documentation summary is thin","Quality score needs review","Stars/forks activity: 323 stars, 18 forks; issue activity unavailable in current metadata"]}}],"install_command":"npx skills add nexu-io/open-design --skill clinical-case-report","install_target":"Codex install prompt","why_recommended":["Matches task terms: ward","Strong GitHub adoption: 89,595 stars","Install handoff is available","Repository freshness signal is available","Registry match score 30","Primary pick for Design and creative"],"risk_summary":{"level":"Safe to try","safety_tier":"Reviewed","safety":"79/100 Review before install","trust":"85/100 Strong shortlist","notes":["README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed","auto_install_policy":"review","action":"Review the audit page, then allow agent install in a sandboxed workflow."},"feedback":{"event_id":"resolve_6f5fff48-d5a4-4484-be26-99d340fa8ea6","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_6f5fff48-d5a4-4484-be26-99d340fa8ea6\" --skill \"nexu-io-clinical-case-report\" --task \"Use Ward\" --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_6f5fff48-d5a4-4484-be26-99d340fa8ea6","selected_skill_slug":"nexu-io-clinical-case-report","selected_skill_name":"clinical-case-report","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_6f5fff48-d5a4-4484-be26-99d340fa8ea6","skill_slug":"nexu-io-clinical-case-report","task":"Use Ward","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_6f5fff48-d5a4-4484-be26-99d340fa8ea6\" --skill \"nexu-io-clinical-case-report\" --task \"Use Ward\" --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 nexu-io/open-design --skill clinical-case-report","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_6f5fff48-d5a4-4484-be26-99d340fa8ea6\" --skill \"nexu-io-clinical-case-report\" --task \"Use Ward\" --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 Ward","agent":"codex","selected_skill":{"slug":"nexu-io-clinical-case-report","name":"clinical-case-report","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","api_url":"https://www.openagentskill.com/api/agent/skills/nexu-io-clinical-case-report","audit_url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report/audit","repository":"https://github.com/nexu-io/open-design/tree/main/design-templates/clinical-case-report"},"suited_tasks":["Design and creative workflows","Claude Code teams","teams that value GitHub adoption signals","Inspect visual requirements","Generate reusable assets","Package output for review","Search sources","Extract claims"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add nexu-io/open-design --skill clinical-case-report","target":"codex","label":"Codex install prompt","policy":"review","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true},"trust":{"score":80,"label":"Review then install","version":"trust-score-v5","base_score":85,"outcome_confidence":0,"decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Ask for approval or run a sandbox-only trial before installing.","reasoning":["80/100 Trust Score v5","85/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Low metadata risk"],"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":100,"status":"pass","detail":"90K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":100,"status":"pass","detail":"90K stars, 10K forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"status":"pass","detail":"2d since push"},{"id":"license","label":"License clarity","score":86,"status":"pass","detail":"Apache-2.0"},{"id":"documentation","label":"README/SKILL.md completeness","score":52,"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 nexu-io/open-design --skill clinical-case-report"},{"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/nexu-io/open-design/tree/main/design-templates/clinical-case-report"},{"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":"Safe to try","audit_label":"Safe to try","safety":"79/100 Review before install","trust":"85/100 Strong shortlist","safety_tier":"Reviewed","notes":["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","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","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"],"minimum_review_before_use":["Trust: 85/100 Strong shortlist","Audit: 91/100 Safe to try","Safety: 79/100 Review before install","Review repository, license, install command, and permission surface before production use."]},"alternatives":[{"slug":"eljakani-ward","name":"Ward","url":"https://www.openagentskill.com/skills/eljakani-ward","install_command":"npx skills add Eljakani/ward","trust_score":73,"audit_score":76,"safety_score":52,"why_consider":"Matches task terms: ward","risk":{"level":"Needs review","safety_tier":"Experimental","safety":"52/100 Avoid automatic install","trust":"73/100 Strong shortlist","notes":["High-risk permission hints: Shell or command execution","Documentation summary is thin","Quality score needs review","Stars/forks activity: 323 stars, 18 forks; issue activity unavailable in current metadata"]}}],"outcome_feedback":{"event_id":"resolve_6f5fff48-d5a4-4484-be26-99d340fa8ea6","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_6f5fff48-d5a4-4484-be26-99d340fa8ea6","skill_slug":"nexu-io-clinical-case-report","task":"Use Ward","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_6f5fff48-d5a4-4484-be26-99d340fa8ea6\" --skill \"nexu-io-clinical-case-report\" --task \"Use Ward\" --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":"2026-08-22T23:01:38.962Z","total_skills_searched":800,"total_candidates":2,"candidate_pool":{"sort":"quality","size":800,"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"}}}