{"task":"Use clinical-variant-prioritizer","agent":"codex","constraints":{"max_risk":"medium","needs_install_command":true,"min_stars":0},"feedback":{"event_id":"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270","outcome_api":"https://www.openagentskill.com/api/agent/outcome","method":"POST","selected_skill_slug":"clawbio-clinical-variant-prioritizer","selected_skill_name":"clinical-variant-prioritizer","alternative_skill_slugs":["nexu-io-clinical-case-report","k-dense-ai-clinical-reports","clawbio-clinical-trial-finder","jakubkrehel-variant"],"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_de4f66b2-7502-49a9-99ac-96c5346ce270","skill_slug":"clawbio-clinical-variant-prioritizer","task":"Use clinical-variant-prioritizer","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.","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"912a95f77f9dfa5f1cc86856ed024ce84b27e2268c0031c9a6e5e7d7fd517db2","ref":"main","path":"skills/clinical-variant-prioritizer/SKILL.md","sync_status":"current"}},"cli_example":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz outcome \"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270\" --skill \"clawbio-clinical-variant-prioritizer\" --task \"Use clinical-variant-prioritizer\" --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_de4f66b2-7502-49a9-99ac-96c5346ce270","selected_skill_slug":"clawbio-clinical-variant-prioritizer","selected_skill_name":"clinical-variant-prioritizer","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_de4f66b2-7502-49a9-99ac-96c5346ce270","skill_slug":"clawbio-clinical-variant-prioritizer","task":"Use clinical-variant-prioritizer","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.","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"912a95f77f9dfa5f1cc86856ed024ce84b27e2268c0031c9a6e5e7d7fd517db2","ref":"main","path":"skills/clinical-variant-prioritizer/SKILL.md","sync_status":"current"}},"cli_example":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz outcome \"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270\" --skill \"clawbio-clinical-variant-prioritizer\" --task \"Use clinical-variant-prioritizer\" --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-v2","receipt_id":"receipt_de4f66b2-7502-49a9-99ac-96c5346ce270","resolve_event_id":"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270","generated_at":"2026-09-06T06:44:01.972Z","task":"Use clinical-variant-prioritizer","agent":"codex","constraints":{"max_risk":"medium","needs_install_command":true,"min_stars":0},"urls":{"web":"https://www.openagentskill.com/resolve?task=Use+clinical-variant-prioritizer&agent=codex&max_risk=medium","json":"https://www.openagentskill.com/api/agent/receipt?task=Use+clinical-variant-prioritizer&agent=codex&max_risk=medium","text":"https://www.openagentskill.com/api/agent/receipt?task=Use+clinical-variant-prioritizer&agent=codex&max_risk=medium&format=text","resolve_json":"https://www.openagentskill.com/api/agent/resolve?task=Use+clinical-variant-prioritizer&agent=codex&max_risk=medium","resolve_text":"https://www.openagentskill.com/api/agent/resolve?task=Use+clinical-variant-prioritizer&agent=codex&max_risk=medium&format=text"},"selected_skill":{"slug":"clawbio-clinical-variant-prioritizer","name":"clinical-variant-prioritizer","description":"Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five).","category":"automation","url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer","api_url":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-variant-prioritizer","audit_url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit","eval_url":"https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-variant-prioritizer&task=Use%20clinical-variant-prioritizer&max_risk=medium","install_api_url":"https://www.openagentskill.com/api/skills/clawbio-clinical-variant-prioritizer/install","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"912a95f77f9dfa5f1cc86856ed024ce84b27e2268c0031c9a6e5e7d7fd517db2","ref":"main","path":"skills/clinical-variant-prioritizer/SKILL.md","sync_status":"current"}},"install":{"command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","target":"codex","label":"Codex install prompt","kind":"agent-prompt","value":"Install the \"clinical-variant-prioritizer\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer. 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"agent\":\"codex\",\"outcome\":\"success\",\"install_used\":true}. Replace event_id with a unique value and outcome with success or failed. Report success only after the skill is installed and a minimal verification passes.","ready":true,"policy":"review","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"blocked":false},"decision":{"recommendation":"Require human approval before installing into a real workspace.","why_selected":["Matches task terms: clinical, variant, prioritizer","Useful GitHub adoption: 1,125 stars","Install handoff is available","Repository freshness signal is available","Registry match score 54","Primary pick for Browser automation","67/100 Trust Score","0/100 Agent Proven Score"],"suited_tasks":["Browser automation workflows","Claude Code teams","teams that value GitHub adoption signals","Navigate pages","Click and type safely","Check visual and DOM state","Move data between tools","Transform files"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"]},"trust":{"score":67,"label":"Sandbox only","version":"trust-score-v5","base_score":75,"outcome_confidence":0,"outcome_signal":"No agent outcome data yet","outcome_total":0,"outcome_success_rate":null,"decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Compare alternatives before installing.","reasoning":["67/100 Trust Score v5","75/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Review before production"],"review_required_when":["The workspace contains production secrets, payments, private customer data, or irreversible actions.","The install command requests shell, network, credential, database, or broad filesystem access.","Outcome evidence is missing, recently failed, or required human review.","Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"]},"outcome_loop":{"version":"openagentskill-agent-outcome-v4","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","source_version"],"ranking_inputs_updated":["Trust Score v5 outcome confidence","Agent Proven Score","Resolve ranking task-fit evidence","Skill detail machine-readable metadata","Outcome leaderboard"]}},"agent_proven":{"score":0,"label":"Needs first agent run","summary":"No agent outcome reports yet. Use Resolve, run one narrow sandbox task, then report the result.","metrics":{"totalOutcomes":0,"successRate":null,"recentSuccessRate":null,"recentFailureRate":null,"installAttempts":0,"installSuccessRate":null,"riskBlocked":0,"setupRequired":0,"avgOutputQuality":null,"productionOutcomes":0}},"risk":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety_score":71,"audit_score":83,"notes":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","71/100 agent safety score"],"do_not_use_when":["teams that need a vendor-supported SLA","production agents without a repository review","The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","No OpenAgentSkill engagement data yet","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Production credentials, payments, or irreversible account changes without explicit human review"],"minimum_review_before_use":["Trust: 75/100 Strong shortlist","Audit: 83/100 Needs review","Safety: 71/100 Review before install","Review repository, license, install command, and permission surface before production use."]},"alternatives":[{"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","install_command":"npx skills add nexu-io/open-design --skill clinical-case-report","trust_score":85,"audit_score":91,"safety_score":79,"reason":"Matches task terms: clinical","policy":"review"},{"slug":"k-dense-ai-clinical-reports","name":"clinical-reports","url":"https://www.openagentskill.com/skills/k-dense-ai-clinical-reports","audit_url":"https://www.openagentskill.com/skills/k-dense-ai-clinical-reports/audit","install_command":"npx skills add K-Dense-AI/scientific-agent-skills --skill clinical-reports","trust_score":78,"audit_score":88,"safety_score":76,"reason":"Matches task terms: clinical","policy":"review"},{"slug":"clawbio-clinical-trial-finder","name":"clinical-trial-finder","url":"https://www.openagentskill.com/skills/clawbio-clinical-trial-finder","audit_url":"https://www.openagentskill.com/skills/clawbio-clinical-trial-finder/audit","install_command":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","trust_score":75,"audit_score":80,"safety_score":68,"reason":"Matches task terms: clinical, variant","policy":"review"},{"slug":"jakubkrehel-variant","name":"variant","url":"https://www.openagentskill.com/skills/jakubkrehel-variant","audit_url":"https://www.openagentskill.com/skills/jakubkrehel-variant/audit","install_command":"npx skills add jakubkrehel/skills --skill variant","trust_score":82,"audit_score":85,"safety_score":73,"reason":"Matches task terms: variant","policy":"review"}],"outcome_feedback":{"event_id":"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270","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_de4f66b2-7502-49a9-99ac-96c5346ce270","skill_slug":"clawbio-clinical-variant-prioritizer","task":"Use clinical-variant-prioritizer","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.","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"912a95f77f9dfa5f1cc86856ed024ce84b27e2268c0031c9a6e5e7d7fd517db2","ref":"main","path":"skills/clinical-variant-prioritizer/SKILL.md","sync_status":"current"}},"dry_run_payload":{"event_id":"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270","skill_slug":"clawbio-clinical-variant-prioritizer","task":"Use clinical-variant-prioritizer","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.","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"912a95f77f9dfa5f1cc86856ed024ce84b27e2268c0031c9a6e5e7d7fd517db2","ref":"main","path":"skills/clinical-variant-prioritizer/SKILL.md","sync_status":"current"},"dry_run":true},"cli_example":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz outcome \"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270\" --skill \"clawbio-clinical-variant-prioritizer\" --task \"Use clinical-variant-prioritizer\" --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/clawbio-clinical-variant-prioritizer/audit","Fetch the pre-install eval: https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-variant-prioritizer&task=Use%20clinical-variant-prioritizer&max_risk=medium","Do not auto-install yet. Ask for human review before running: npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","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_de4f66b2-7502-49a9-99ac-96c5346ce270."],"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 clinical-variant-prioritizer","agent":"codex","best_skill":{"slug":"clawbio-clinical-variant-prioritizer","name":"clinical-variant-prioritizer","description":"Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five).","category":"automation","url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer","api_url":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-variant-prioritizer","audit_url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit","eval_url":"https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-variant-prioritizer&task=Use%20clinical-variant-prioritizer&max_risk=medium","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"912a95f77f9dfa5f1cc86856ed024ce84b27e2268c0031c9a6e5e7d7fd517db2","ref":"main","path":"skills/clinical-variant-prioritizer/SKILL.md","sync_status":"current"}},"install":{"command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","target":"codex","label":"Codex install prompt","kind":"agent-prompt","value":"Install the \"clinical-variant-prioritizer\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer. 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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/clawbio-clinical-variant-prioritizer/install","ready":true,"review_required":true,"auto_install_allowed":false,"policy":"review"},"why_recommended":["Matches task terms: clinical, variant, prioritizer","Useful GitHub adoption: 1,125 stars","Install handoff is available","Repository freshness signal is available","Registry match score 54","Primary pick for Browser automation","67/100 OpenAgentSkill Trust Score v5","83/100 audit score"],"trust_score_v5":{"score":67,"base_score":75,"outcome_confidence":0,"tier":"review","label":"Sandbox only","version":"trust-score-v5","install_policy":"human_review_before_install","decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Compare alternatives before installing.","reasoning":["67/100 Trust Score v5","75/100 Trust Score v4 baseline","Needs more real agent outcomes before unattended install","Install path is available","Review before production"],"review_required_when":["The workspace contains production secrets, payments, private customer data, or irreversible actions.","The install command requests shell, network, credential, database, or broad filesystem access.","Outcome evidence is missing, recently failed, or required human review.","Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"]},"evidence":{"stars":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","install":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","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":"medium","label":"Review before production","notes":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomes":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"auto_install":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Compare alternatives before installing."},"outcome_loop":{"version":"openagentskill-agent-outcome-v4","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","source_version"],"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":["automation","agent-skill"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","trust_score":67,"trust_version":"trust-score-v5","risk_level":"medium","do_not_use_when":["Production credentials, payments, or irreversible account changes without explicit human review","Sensitive private data before reviewing repository code, license, and permission surface","Automatic installation in a production workspace"],"before_install":["Read the audit page and machine-readable metadata.","Confirm the install command, license, and permission surface fit the workspace.","Get explicit human approval or choose an alternative before installing."],"after_run":["Report the outcome to /api/agent/outcome using the resolve event id.","Include output_quality, workspace, human_review_required, and evidence_url when available.","Re-resolve before broad production rollout."]},"best_for":["automation","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":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":75,"tier":"strong","label":"Strong shortlist","summary":"Good trust signals with a few areas worth checking before rollout."}}},"trust_score_v4":{"score":75,"tier":"strong","label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","install":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","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":"medium","label":"Review before production","notes":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","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":["automation","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":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"trust_score_v3":{"score":75,"tier":"strong","label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","install":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","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":"medium","label":"Review before production","notes":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},"trust_score_v2":{"score":75,"tier":"strong","label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","install":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","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":"medium","label":"Review before production","notes":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},"risk":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety":"71/100 Review before install","trust":"75/100 Strong shortlist","notes":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace.","reasons":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","71/100 agent safety score"]},"machine_metadata":{"version":"openagentskill-agent-metadata-v2","skill":{"slug":"clawbio-clinical-variant-prioritizer","name":"clinical-variant-prioritizer","description":"Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five).","category":"automation","url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","github_repo":"ClawBio/ClawBio"},"suited_tasks":["Browser automation workflows","Claude Code teams","teams that value GitHub adoption signals","Navigate pages","Click and type safely","Check visual and DOM state","Move data between tools","Transform files"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","ready":true,"targets":[{"id":"openagentskill-cli","label":"CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz add clawbio-clinical-variant-prioritizer"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"clinical-variant-prioritizer\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer. 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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-variant-prioritizer\" as a Claude Code skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer. 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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-variant-prioritizer\" from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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/clawbio-clinical-variant-prioritizer/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/clawbio-clinical-variant-prioritizer"},"trust":{"score":75,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","install":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","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":["automation","agent-skill"],"known_risks":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","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":83,"risk_level":"needs_review","risk_label":"Needs review","warnings":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace."},"quality":{"score":78,"label":"Strong"},"supply":{"track":"Coding and developer agents","scenario":"GitHub automation","maintenance":"1d since push","risk":"Needs review"},"alternative_skills":[],"do_not_use_when":["teams that need a vendor-supported SLA","production agents without a repository review","The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","No OpenAgentSkill engagement data yet","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Production credentials, payments, or irreversible account changes without explicit human review"],"agent_contract":{"task_input":"Use clinical-variant-prioritizer","recommended_action":"Require human approval before installing into a real workspace.","install_policy":"review","minimum_review_before_use":["Trust: 75/100 Strong shortlist","Audit: 83/100 Needs review","Safety: 71/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"clawbio-clinical-variant-prioritizer (clinical-variant-prioritizer)","install_command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","risk_summary":"Needs review; Reviewed with permission notes; Review before production","verification_result":"Report the smallest successful task, files touched, warnings, and any missing setup."}},"outcome_feedback":{"endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","requires_resolve_event_id":true,"event_id_source":"Use install_receipt.outcome_feedback.event_id or feedback.event_id returned by /api/agent/resolve for the current task.","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"payload_template":{"event_id":"","skill_slug":"clawbio-clinical-variant-prioritizer","task":"Use clinical-variant-prioritizer","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/clawbio-clinical-variant-prioritizer","api":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-variant-prioritizer","audit":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-variant-prioritizer&task=Use%20clinical-variant-prioritizer&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/clawbio-clinical-variant-prioritizer/install","manifest":"https://www.openagentskill.com/api/registry/manifest/clawbio-clinical-variant-prioritizer"}},"agent_contract":{"version":"openagentskill-resolve-contract-v2","input_task":"Use clinical-variant-prioritizer","recommended_skill_slug":"clawbio-clinical-variant-prioritizer","recommended_skill_name":"clinical-variant-prioritizer","install_command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","install_policy":"review","auto_install_allowed":false,"human_review_required":true,"audit_url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit","eval_url":"https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-variant-prioritizer&task=Use%20clinical-variant-prioritizer&max_risk=medium","skill_api_url":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-variant-prioritizer","do_not_use_when":["teams that need a vendor-supported SLA","production agents without a repository review","The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","No OpenAgentSkill engagement data yet","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Production credentials, payments, or irreversible account changes without explicit human review"],"minimum_review_before_use":["Trust: 75/100 Strong shortlist","Audit: 83/100 Needs review","Safety: 71/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"clawbio-clinical-variant-prioritizer (clinical-variant-prioritizer)","install_command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","risk_summary":"Needs review; Reviewed with permission notes; Review before production","verification_result":"Report the smallest successful task, files touched, warnings, and any missing setup."}},"supply_asset":{"track":{"slug":"coding","label":"Coding and developer agents","shortLabel":"Coding","description":"Code review, repo analysis, testing, CI, GitHub, DevOps, and developer workflow skills."},"scenario":{"label":"GitHub automation","description":"I need my agent to triage GitHub issues, review pull requests, and summarize repository changes.","useCases":[{"slug":"browser-automation","title":"Browser automation"},{"slug":"workflow-automation","title":"Workflow automation"},{"slug":"github-automation","title":"GitHub automation"}]},"maintenance":{"status":"fresh","label":"1d since push","daysSincePush":1,"lastPushedAt":"2026-09-04T10:49:46+00:00"},"github_quality":{"stars":1125,"starsLabel":"1.1K","forks":259,"license":"MIT","qualityScore":78,"trustScore":75,"auditScore":83},"coverage_tags":["Coding","GitHub automation","automation","agent-skill"]},"alternatives":[{"slug":"nexu-io-clinical-case-report","name":"clinical-case-report","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","install_command":"npx skills add nexu-io/open-design --skill clinical-case-report","trust_score":85,"audit_score":91,"safety_score":79,"why_consider":"Matches task terms: clinical","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"]}},{"slug":"k-dense-ai-clinical-reports","name":"clinical-reports","url":"https://www.openagentskill.com/skills/k-dense-ai-clinical-reports","install_command":"npx skills add K-Dense-AI/scientific-agent-skills --skill clinical-reports","trust_score":78,"audit_score":88,"safety_score":76,"why_consider":"Matches task terms: clinical","risk":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety":"76/100 Review before install","trust":"78/100 Strong shortlist","notes":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","The SKILL.md excerpt is truncated; full documentation is assumed to be complete and consistent with the provided sections.","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},{"slug":"clawbio-clinical-trial-finder","name":"clinical-trial-finder","url":"https://www.openagentskill.com/skills/clawbio-clinical-trial-finder","install_command":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","trust_score":75,"audit_score":80,"safety_score":68,"why_consider":"Matches task terms: clinical, variant","risk":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety":"68/100 Review before install","trust":"75/100 Strong shortlist","notes":["Documentation summary is thin","Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","External dependencies (OpenTargets, GWAS Catalog) are not listed in the dependencies section; they are used but not declared.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},{"slug":"jakubkrehel-variant","name":"variant","url":"https://www.openagentskill.com/skills/jakubkrehel-variant","install_command":"npx skills add jakubkrehel/skills --skill variant","trust_score":82,"audit_score":85,"safety_score":73,"why_consider":"Matches task terms: variant","risk":{"level":"Safe to try","safety_tier":"Reviewed","safety":"73/100 Review before install","trust":"82/100 Strong shortlist","notes":["Documentation summary is thin","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}}],"decision_packet":{"version":"openagentskill-agent-decision-packet-v1","task":"Use clinical-variant-prioritizer","agent":"codex","selected_skill":{"slug":"clawbio-clinical-variant-prioritizer","name":"clinical-variant-prioritizer","url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer","api_url":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-variant-prioritizer","audit_url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"912a95f77f9dfa5f1cc86856ed024ce84b27e2268c0031c9a6e5e7d7fd517db2","ref":"main","path":"skills/clinical-variant-prioritizer/SKILL.md","sync_status":"current"}},"suited_tasks":["Browser automation workflows","Claude Code teams","teams that value GitHub adoption signals","Navigate pages","Click and type safely","Check visual and DOM state","Move data between tools","Transform files"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","target":"codex","label":"Codex install prompt","policy":"review","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true},"trust":{"score":67,"label":"Sandbox only","version":"trust-score-v5","base_score":75,"outcome_confidence":0,"decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Compare alternatives before installing.","reasoning":["67/100 Trust Score v5","75/100 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":86,"status":"pass","detail":"1.1K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":83,"status":"pass","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"status":"pass","detail":"1d since push"},{"id":"license","label":"License clarity","score":86,"status":"pass","detail":"MIT"},{"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 ClawBio/ClawBio --skill clinical-variant-prioritizer"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer"},{"id":"review_status","label":"Review status","score":66,"status":"info","detail":"AI review data available"},{"id":"agent_outcomes","label":"Agent Proven outcomes","score":54,"status":"info","detail":"No agent outcome data yet"}]},"risk":{"level":"Needs review","audit_label":"Needs review","safety":"71/100 Review before install","trust":"75/100 Strong shortlist","safety_tier":"Reviewed with permission notes","notes":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"do_not_use_when":["teams that need a vendor-supported SLA","production agents without a repository review","The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","No OpenAgentSkill engagement data yet","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Production credentials, payments, or irreversible account changes without explicit human review"],"minimum_review_before_use":["Trust: 75/100 Strong shortlist","Audit: 83/100 Needs review","Safety: 71/100 Review before install","Review repository, license, install command, and permission surface before production use."]},"alternatives":[{"slug":"nexu-io-clinical-case-report","name":"clinical-case-report","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","install_command":"npx skills add nexu-io/open-design --skill clinical-case-report","trust_score":85,"audit_score":91,"safety_score":79,"why_consider":"Matches task terms: clinical","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"]}},{"slug":"k-dense-ai-clinical-reports","name":"clinical-reports","url":"https://www.openagentskill.com/skills/k-dense-ai-clinical-reports","install_command":"npx skills add K-Dense-AI/scientific-agent-skills --skill clinical-reports","trust_score":78,"audit_score":88,"safety_score":76,"why_consider":"Matches task terms: clinical","risk":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety":"76/100 Review before install","trust":"78/100 Strong shortlist","notes":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","The SKILL.md excerpt is truncated; full documentation is assumed to be complete and consistent with the provided sections.","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},{"slug":"clawbio-clinical-trial-finder","name":"clinical-trial-finder","url":"https://www.openagentskill.com/skills/clawbio-clinical-trial-finder","install_command":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","trust_score":75,"audit_score":80,"safety_score":68,"why_consider":"Matches task terms: clinical, variant","risk":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety":"68/100 Review before install","trust":"75/100 Strong shortlist","notes":["Documentation summary is thin","Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","External dependencies (OpenTargets, GWAS Catalog) are not listed in the dependencies section; they are used but not declared.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},{"slug":"jakubkrehel-variant","name":"variant","url":"https://www.openagentskill.com/skills/jakubkrehel-variant","install_command":"npx skills add jakubkrehel/skills --skill variant","trust_score":82,"audit_score":85,"safety_score":73,"why_consider":"Matches task terms: variant","risk":{"level":"Safe to try","safety_tier":"Reviewed","safety":"73/100 Review before install","trust":"82/100 Strong shortlist","notes":["Documentation summary is thin","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}}],"outcome_feedback":{"event_id":"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270","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_de4f66b2-7502-49a9-99ac-96c5346ce270","skill_slug":"clawbio-clinical-variant-prioritizer","task":"Use clinical-variant-prioritizer","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.","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"912a95f77f9dfa5f1cc86856ed024ce84b27e2268c0031c9a6e5e7d7fd517db2","ref":"main","path":"skills/clinical-variant-prioritizer/SKILL.md","sync_status":"current"}},"cli_example":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz outcome \"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270\" --skill \"clawbio-clinical-variant-prioritizer\" --task \"Use clinical-variant-prioritizer\" --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-variant-prioritizer for: Use clinical-variant-prioritizer\nReview audit: https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit\nAsk for human approval before installing: npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer\nIf the audit or policy warnings are unacceptable, choose one of the alternatives."},"recommendation_lanes":{"best_match":{"rank":1,"match_score":54,"raw_match_score":218.5,"semantic_relevance":54,"registry_source":{"kind":"live_registry","live":true,"auto_install_eligible":true,"warning":null},"skill":{"slug":"clawbio-clinical-variant-prioritizer","name":"clinical-variant-prioritizer","description":"Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five).","category":"automation","github_stars":1125,"created_at":"2026-09-04T14:05:48.910784+00:00","updated_at":"2026-09-04T10:49:46+00:00","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","github_repo":"ClawBio/ClawBio","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"912a95f77f9dfa5f1cc86856ed024ce84b27e2268c0031c9a6e5e7d7fd517db2","ref":"main","path":"skills/clinical-variant-prioritizer/SKILL.md","sync_status":"current"}},"recommendation_reasons":["Matches task terms: clinical, variant, prioritizer","Useful GitHub adoption: 1,125 stars","Install handoff is available","Repository freshness signal is available","Registry match score 54"],"supply_profile":{"track":{"slug":"coding","label":"Coding and developer agents","shortLabel":"Coding","description":"Code review, repo analysis, testing, CI, GitHub, DevOps, and developer workflow skills."},"scenario":{"label":"GitHub automation","description":"I need my agent to triage GitHub issues, review pull requests, and summarize repository changes.","useCases":[{"slug":"browser-automation","title":"Browser automation"},{"slug":"workflow-automation","title":"Workflow automation"},{"slug":"github-automation","title":"GitHub automation"}]},"applicableAgents":["Claude Code","CLI","Codex","Cursor"],"install":{"ready":true,"command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":1125,"starsLabel":"1.1K","forks":259,"license":"MIT","qualityScore":78,"trustScore":75,"auditScore":83},"maintenance":{"status":"fresh","label":"1d since push","daysSincePush":1,"lastPushedAt":"2026-09-04T10:49:46+00:00"},"risk":{"level":"needs_review","label":"Needs review","requiresReview":true,"notes":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Needs review"]},"coverageTags":["Coding","GitHub automation","automation","agent-skill"]},"quality":{"score":78,"tier":"strong","label":"Strong","summary":"Solid option that is likely worth shortlisting for production workflows.","signals":[{"label":"GitHub stars","value":"1.1K","tone":"positive"},{"label":"Freshness","value":"1d ago","tone":"positive"},{"label":"Install ready","value":"Yes","tone":"positive"},{"label":"License","value":"MIT","tone":"neutral"}],"warnings":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it."]},"trust":{"version":"trust-score-v4","score":75,"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":86,"weight":0.13,"status":"pass","detail":"1.1K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":83,"weight":0.08,"status":"pass","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"1d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"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 ClawBio/ClawBio --skill clinical-variant-prioritizer"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer"},{"id":"review_status","label":"Review status","score":66,"weight":0.05,"status":"info","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":"1.1K GitHub stars"},{"status":"pass","label":"Stars/forks activity","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"1d since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer"},{"status":"info","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","Meaningful GitHub adoption signal","Install command has no obvious high-risk pattern"],"warnings":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"evidence":{"stars":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","install":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","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 ClawBio/ClawBio --skill clinical-variant-prioritizer","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","1d since push"]},"agentCompatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","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":["automation","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":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"trust_v5":{"version":"trust-score-v5","score":67,"base_score":75,"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":["67/100 Trust Score v5","75/100 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":86,"weight":0.13,"status":"pass","detail":"1.1K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":83,"weight":0.08,"status":"pass","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"1d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"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 ClawBio/ClawBio --skill clinical-variant-prioritizer"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer"},{"id":"review_status","label":"Review status","score":66,"weight":0.05,"status":"info","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":"1.1K GitHub stars"},{"status":"pass","label":"Stars/forks activity","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"1d since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer"},{"status":"info","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","Meaningful GitHub adoption signal","Install command has no obvious high-risk pattern","Outcome loop is ready but needs first real agent run"],"warnings":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","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":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","install":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","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 ClawBio/ClawBio --skill clinical-variant-prioritizer","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","1d since push","Trust Score v5 requires review or sandbox-only use before install."]},"agentCompatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Compare alternatives before installing."},"outcome_loop":{"version":"openagentskill-agent-outcome-v4","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","source_version"],"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":["automation","agent-skill"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","trust_score":67,"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":["automation","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":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":75,"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":83,"risk_level":"needs_review","risk_label":"Needs review","warnings":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety":{"score":71,"level":"review_before_install","label":"Review before install","safety_tier":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","summary":"Usable candidate, but the agent should surface permission and audit notes before installation.","recommended_action":"Require human approval before installing into a real workspace.","auto_install_policy":"review","reasons":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","71/100 agent safety score"]},"auto_install_allowed":false,"human_review_required":true,"blocked":false,"audit_risk":"needs_review","permission_hints":[{"id":"network","label":"Network access","reason":"Skill likely fetches remote pages, APIs, repositories, or external services.","severity":"medium"}],"policy_warnings":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it."],"constraints_applied":{"max_risk":"medium","needs_install_command":true,"min_stars":0}},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace.","reasons":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","71/100 agent safety score"]},"decision":{"readiness_score":89,"readiness_label":"Production-ready","headline":"Primary pick for Browser automation","role":"Primary pick","best_for":["Browser automation workflows","Claude Code teams","teams that value GitHub adoption signals"],"risks":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","No OpenAgentSkill engagement data yet"],"next_steps":["Install it in a sandbox agent and run one Browser automation task end to end.","Compare output quality, latency, and failure behavior against at least one alternative.","Promote it into production only after reviewing repository permissions, license, and maintenance signals."]},"install_plan":{"target":"codex","label":"Codex install prompt","command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","value":"Install the \"clinical-variant-prioritizer\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer. 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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-variant-prioritizer 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-v0.3.0/openagentskill-0.3.0.tgz add clawbio-clinical-variant-prioritizer","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-variant-prioritizer\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer. 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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-variant-prioritizer\" as a Claude Code skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer. 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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-variant-prioritizer\" from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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":"clawbio-clinical-variant-prioritizer","name":"clinical-variant-prioritizer","description":"Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five).","category":"automation","url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","github_repo":"ClawBio/ClawBio"},"suited_tasks":["Browser automation workflows","Claude Code teams","teams that value GitHub adoption signals","Navigate pages","Click and type safely","Check visual and DOM state","Move data between tools","Transform files"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","ready":true,"targets":[{"id":"openagentskill-cli","label":"CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz add clawbio-clinical-variant-prioritizer"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"clinical-variant-prioritizer\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer. 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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-variant-prioritizer\" as a Claude Code skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer. 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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-variant-prioritizer\" from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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/clawbio-clinical-variant-prioritizer/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/clawbio-clinical-variant-prioritizer"},"trust":{"score":75,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","install":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","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":["automation","agent-skill"],"known_risks":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","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":83,"risk_level":"needs_review","risk_label":"Needs review","warnings":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace."},"quality":{"score":78,"label":"Strong"},"supply":{"track":"Coding and developer agents","scenario":"GitHub automation","maintenance":"1d since push","risk":"Needs review"},"alternative_skills":[],"do_not_use_when":["teams that need a vendor-supported SLA","production agents without a repository review","The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","No OpenAgentSkill engagement data yet","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Production credentials, payments, or irreversible account changes without explicit human review"],"agent_contract":{"task_input":"Use clinical-variant-prioritizer","recommended_action":"Require human approval before installing into a real workspace.","install_policy":"review","minimum_review_before_use":["Trust: 75/100 Strong shortlist","Audit: 83/100 Needs review","Safety: 71/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"clawbio-clinical-variant-prioritizer (clinical-variant-prioritizer)","install_command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","risk_summary":"Needs review; Reviewed with permission notes; Review before production","verification_result":"Report the smallest successful task, files touched, warnings, and any missing setup."}},"outcome_feedback":{"endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","requires_resolve_event_id":true,"event_id_source":"Use install_receipt.outcome_feedback.event_id or feedback.event_id returned by /api/agent/resolve for the current task.","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"payload_template":{"event_id":"","skill_slug":"clawbio-clinical-variant-prioritizer","task":"Use clinical-variant-prioritizer","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/clawbio-clinical-variant-prioritizer","api":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-variant-prioritizer","audit":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-variant-prioritizer&task=Use%20clinical-variant-prioritizer&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/clawbio-clinical-variant-prioritizer/install","manifest":"https://www.openagentskill.com/api/registry/manifest/clawbio-clinical-variant-prioritizer"}},"use_cases":[{"slug":"browser-automation","title":"Browser automation","url":"https://www.openagentskill.com/use-cases/browser-automation"},{"slug":"workflow-automation","title":"Workflow automation","url":"https://www.openagentskill.com/use-cases/workflow-automation"},{"slug":"github-automation","title":"GitHub automation","url":"https://www.openagentskill.com/use-cases/github-automation"}],"urls":{"web":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer","api":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-variant-prioritizer","install_api":"https://www.openagentskill.com/api/skills/clawbio-clinical-variant-prioritizer/install","audit":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-variant-prioritizer&task=Use%20clinical-variant-prioritizer&max_risk=medium","badge":"https://www.openagentskill.com/api/badge/clawbio-clinical-variant-prioritizer?metric=audit","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer"}},"safer_alternative":{"rank":2,"match_score":30,"raw_match_score":100.5,"semantic_relevance":30,"registry_source":{"kind":"live_registry","live":true,"auto_install_eligible":true,"warning":null},"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","source_version":{"version":"1.0.0","commit_sha":null,"content_hash":null,"ref":null,"path":null,"sync_status":"untracked"}},"recommendation_reasons":["Matches task terms: clinical","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":"16d since push","daysSincePush":16,"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":"16d 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":"16d 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":"16d 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":"16d 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","16d 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":"16d 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":"16d 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":"16d 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","16d 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-v4","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","source_version"],"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_\",\"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-v0.3.0/openagentskill-0.3.0.tgz add 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_\",\"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_\",\"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_\",\"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-v0.3.0/openagentskill-0.3.0.tgz add 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_\",\"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_\",\"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_\",\"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":"16d 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":"16d 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 clinical-variant-prioritizer","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":"","skill_slug":"nexu-io-clinical-case-report","task":"Use clinical-variant-prioritizer","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%20clinical-variant-prioritizer&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20clinical-variant-prioritizer&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%20clinical-variant-prioritizer&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"}},"popular_alternative":{"rank":12,"match_score":20,"raw_match_score":43.9,"semantic_relevance":30,"registry_source":{"kind":"live_registry","live":true,"auto_install_eligible":true,"warning":null},"skill":{"slug":"coreyhaines31-ab-testing","name":"ab-testing","description":"When the user wants to plan, design, or implement an A/B test or experiment, or build a growth experimentation program. Also use when the user mentions \"A/B test,\" \"split test,\" \"experiment,\" \"test this change,\" \"variant copy,\" \"multivariate test,\" \"hypothesis,\" \"should I test this,\" \"which version is better,\" \"test two versions,\" \"statistical significance,\" \"how long should I run this test,\" \"growth experiments,\" \"experiment velocity,\" \"experiment backlog,\" \"ICE score,\" \"experimentation program,\" or \"experiment playbook.\" Use this whenever someone is comparing two approaches and wants to measure which performs better, or when they want to build a systematic experimentation practice. For tracking implementation, see analytics. For page-level conversion optimization, see cro.","category":"design-creative","github_stars":46626,"created_at":"2026-09-02T22:25:13.348858+00:00","updated_at":"2026-09-02T07:43:12+00:00","repository":"https://github.com/coreyhaines31/marketingskills/tree/main/skills/ab-testing","github_repo":"coreyhaines31/marketingskills","source_version":{"version":"1.0.0","commit_sha":"d4ff28a9c8d56c06809860bf2800d4f5224b52db","content_hash":"1fd229160f6014f3f2d7c92cc7d2f991fbf8dc9ed68aac9793c71b408a6d1144","ref":"main","path":"skills/ab-testing/SKILL.md","sync_status":"current"}},"recommendation_reasons":["Matches task terms: variant","Strong GitHub adoption: 46,626 stars","Install handoff is available","Repository freshness signal is available","Registry match score 20"],"supply_profile":{"track":{"slug":"design","label":"Design and creative production","shortLabel":"Design","description":"Design assets, images, video, audio, multimodal media, presentation, and creative production skills."},"scenario":{"label":"Design and creative","description":"I need my agent to produce design assets, UI directions, presentations, or creative media workflows.","useCases":[{"slug":"browser-automation","title":"Browser automation"},{"slug":"testing-qa","title":"Testing and QA"},{"slug":"marketing-growth","title":"Marketing and growth"}]},"applicableAgents":["Claude Code","CLI","Codex","Cursor"],"install":{"ready":true,"command":"npx skills add coreyhaines31/marketingskills --skill ab-testing","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":46626,"starsLabel":"47K","forks":7268,"license":"MIT","qualityScore":93,"trustScore":85,"auditScore":91},"maintenance":{"status":"fresh","label":"3d since push","daysSincePush":3,"lastPushedAt":"2026-09-02T07:43:12+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":["Design","Design and creative","design-creative","agent-skill"]},"quality":{"score":93,"tier":"excellent","label":"Excellent","summary":"High-confidence pick with strong adoption and healthy maintenance signals.","signals":[{"label":"GitHub stars","value":"47K","tone":"positive"},{"label":"Freshness","value":"3d ago","tone":"positive"},{"label":"Install ready","value":"Yes","tone":"positive"},{"label":"License","value":"MIT","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":"47K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":100,"weight":0.08,"status":"pass","detail":"47K stars, 7.3K forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"3d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"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 coreyhaines31/marketingskills --skill ab-testing"},{"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/coreyhaines31/marketingskills/tree/main/skills/ab-testing"},{"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":"47K GitHub stars"},{"status":"pass","label":"Stars/forks activity","detail":"47K stars, 7.3K forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"3d since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add coreyhaines31/marketingskills --skill ab-testing"},{"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/coreyhaines31/marketingskills/tree/main/skills/ab-testing"},{"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":"47K GitHub stars","repoActivity":"47K stars, 7.3K forks","lastPushed":"3d since push","license":"MIT","repository":"https://github.com/coreyhaines31/marketingskills/tree/main/skills/ab-testing","install":"npx skills add coreyhaines31/marketingskills --skill ab-testing","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 coreyhaines31/marketingskills --skill ab-testing","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","3d 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":"47K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":100,"weight":0.08,"status":"pass","detail":"47K stars, 7.3K forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"3d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"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 coreyhaines31/marketingskills --skill ab-testing"},{"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/coreyhaines31/marketingskills/tree/main/skills/ab-testing"},{"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":"47K GitHub stars"},{"status":"pass","label":"Stars/forks activity","detail":"47K stars, 7.3K forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"3d since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add coreyhaines31/marketingskills --skill ab-testing"},{"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/coreyhaines31/marketingskills/tree/main/skills/ab-testing"},{"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":"47K GitHub stars","repoActivity":"47K stars, 7.3K forks","lastPushed":"3d since push","license":"MIT","repository":"https://github.com/coreyhaines31/marketingskills/tree/main/skills/ab-testing","install":"npx skills add coreyhaines31/marketingskills --skill ab-testing","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 coreyhaines31/marketingskills --skill ab-testing","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","3d 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-v4","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","source_version"],"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 coreyhaines31/marketingskills --skill ab-testing","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 Browser automation","role":"Primary pick","best_for":["Browser automation 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 Browser automation task end to end.","Compare output quality, latency, and failure behavior against at least one alternative.","Promote it into production only after reviewing repository permissions, license, and maintenance signals."]},"install_plan":{"target":"codex","label":"Codex install prompt","command":"npx skills add coreyhaines31/marketingskills --skill ab-testing","value":"Install the \"ab-testing\" agent skill from https://github.com/coreyhaines31/marketingskills/tree/main/skills/ab-testing. 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: When the user wants to plan, design, or implement an A/B test or experiment, or build a growth experimentation program. Also use when the user mentions \"A/B test,\" \"split test,\" \"experiment,\" \"test this change,\" \"variant copy,\" \"multivariate test,\" \"hypothesis,\" \"should I test this,\" \"which version is better,\" \"test two versions,\" \"statistical significance,\" \"how long should I run this test,\" \"growth experiments,\" \"experiment velocity,\" \"experiment backlog,\" \"ICE score,\" \"experimentation program,\" or \"experiment playbook.\" Use this whenever someone is comparing two approaches and wants to measure which performs better, or when they want to build a systematic experimentation practice. For tracking implementation, see analytics. For page-level conversion optimization, see cro. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"coreyhaines31-ab-testing\",\"task\":\"Install ab-testing\",\"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 ab-testing 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-v0.3.0/openagentskill-0.3.0.tgz add coreyhaines31-ab-testing","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 \"ab-testing\" agent skill from https://github.com/coreyhaines31/marketingskills/tree/main/skills/ab-testing. 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: When the user wants to plan, design, or implement an A/B test or experiment, or build a growth experimentation program. Also use when the user mentions \"A/B test,\" \"split test,\" \"experiment,\" \"test this change,\" \"variant copy,\" \"multivariate test,\" \"hypothesis,\" \"should I test this,\" \"which version is better,\" \"test two versions,\" \"statistical significance,\" \"how long should I run this test,\" \"growth experiments,\" \"experiment velocity,\" \"experiment backlog,\" \"ICE score,\" \"experimentation program,\" or \"experiment playbook.\" Use this whenever someone is comparing two approaches and wants to measure which performs better, or when they want to build a systematic experimentation practice. For tracking implementation, see analytics. For page-level conversion optimization, see cro. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"coreyhaines31-ab-testing\",\"task\":\"Install ab-testing\",\"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 \"ab-testing\" as a Claude Code skill from https://github.com/coreyhaines31/marketingskills/tree/main/skills/ab-testing. 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: When the user wants to plan, design, or implement an A/B test or experiment, or build a growth experimentation program. Also use when the user mentions \"A/B test,\" \"split test,\" \"experiment,\" \"test this change,\" \"variant copy,\" \"multivariate test,\" \"hypothesis,\" \"should I test this,\" \"which version is better,\" \"test two versions,\" \"statistical significance,\" \"how long should I run this test,\" \"growth experiments,\" \"experiment velocity,\" \"experiment backlog,\" \"ICE score,\" \"experimentation program,\" or \"experiment playbook.\" Use this whenever someone is comparing two approaches and wants to measure which performs better, or when they want to build a systematic experimentation practice. For tracking implementation, see analytics. For page-level conversion optimization, see cro. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"coreyhaines31-ab-testing\",\"task\":\"Install ab-testing\",\"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 \"ab-testing\" from https://github.com/coreyhaines31/marketingskills/tree/main/skills/ab-testing 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: When the user wants to plan, design, or implement an A/B test or experiment, or build a growth experimentation program. Also use when the user mentions \"A/B test,\" \"split test,\" \"experiment,\" \"test this change,\" \"variant copy,\" \"multivariate test,\" \"hypothesis,\" \"should I test this,\" \"which version is better,\" \"test two versions,\" \"statistical significance,\" \"how long should I run this test,\" \"growth experiments,\" \"experiment velocity,\" \"experiment backlog,\" \"ICE score,\" \"experimentation program,\" or \"experiment playbook.\" Use this whenever someone is comparing two approaches and wants to measure which performs better, or when they want to build a systematic experimentation practice. For tracking implementation, see analytics. For page-level conversion optimization, see cro. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"coreyhaines31-ab-testing\",\"task\":\"Install ab-testing\",\"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":"coreyhaines31-ab-testing","name":"ab-testing","description":"When the user wants to plan, design, or implement an A/B test or experiment, or build a growth experimentation program. Also use when the user mentions \"A/B test,\" \"split test,\" \"experiment,\" \"test this change,\" \"variant copy,\" \"multivariate test,\" \"hypothesis,\" \"should I test this,\" \"which version is better,\" \"test two versions,\" \"statistical significance,\" \"how long should I run this test,\" \"growth experiments,\" \"experiment velocity,\" \"experiment backlog,\" \"ICE score,\" \"experimentation program,\" or \"experiment playbook.\" Use this whenever someone is comparing two approaches and wants to measure which performs better, or when they want to build a systematic experimentation practice. For tracking implementation, see analytics. For page-level conversion optimization, see cro.","category":"design-creative","url":"https://www.openagentskill.com/skills/coreyhaines31-ab-testing","repository":"https://github.com/coreyhaines31/marketingskills/tree/main/skills/ab-testing","github_repo":"coreyhaines31/marketingskills"},"suited_tasks":["Browser automation workflows","Claude Code teams","teams that value GitHub adoption signals","Navigate pages","Click and type safely","Check visual and DOM state","Run test suites","Capture failures"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add coreyhaines31/marketingskills --skill ab-testing","ready":true,"targets":[{"id":"openagentskill-cli","label":"CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz add coreyhaines31-ab-testing"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"ab-testing\" agent skill from https://github.com/coreyhaines31/marketingskills/tree/main/skills/ab-testing. 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: When the user wants to plan, design, or implement an A/B test or experiment, or build a growth experimentation program. Also use when the user mentions \"A/B test,\" \"split test,\" \"experiment,\" \"test this change,\" \"variant copy,\" \"multivariate test,\" \"hypothesis,\" \"should I test this,\" \"which version is better,\" \"test two versions,\" \"statistical significance,\" \"how long should I run this test,\" \"growth experiments,\" \"experiment velocity,\" \"experiment backlog,\" \"ICE score,\" \"experimentation program,\" or \"experiment playbook.\" Use this whenever someone is comparing two approaches and wants to measure which performs better, or when they want to build a systematic experimentation practice. For tracking implementation, see analytics. For page-level conversion optimization, see cro. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"coreyhaines31-ab-testing\",\"task\":\"Install ab-testing\",\"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 \"ab-testing\" as a Claude Code skill from https://github.com/coreyhaines31/marketingskills/tree/main/skills/ab-testing. 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: When the user wants to plan, design, or implement an A/B test or experiment, or build a growth experimentation program. Also use when the user mentions \"A/B test,\" \"split test,\" \"experiment,\" \"test this change,\" \"variant copy,\" \"multivariate test,\" \"hypothesis,\" \"should I test this,\" \"which version is better,\" \"test two versions,\" \"statistical significance,\" \"how long should I run this test,\" \"growth experiments,\" \"experiment velocity,\" \"experiment backlog,\" \"ICE score,\" \"experimentation program,\" or \"experiment playbook.\" Use this whenever someone is comparing two approaches and wants to measure which performs better, or when they want to build a systematic experimentation practice. For tracking implementation, see analytics. For page-level conversion optimization, see cro. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"coreyhaines31-ab-testing\",\"task\":\"Install ab-testing\",\"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 \"ab-testing\" from https://github.com/coreyhaines31/marketingskills/tree/main/skills/ab-testing 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: When the user wants to plan, design, or implement an A/B test or experiment, or build a growth experimentation program. Also use when the user mentions \"A/B test,\" \"split test,\" \"experiment,\" \"test this change,\" \"variant copy,\" \"multivariate test,\" \"hypothesis,\" \"should I test this,\" \"which version is better,\" \"test two versions,\" \"statistical significance,\" \"how long should I run this test,\" \"growth experiments,\" \"experiment velocity,\" \"experiment backlog,\" \"ICE score,\" \"experimentation program,\" or \"experiment playbook.\" Use this whenever someone is comparing two approaches and wants to measure which performs better, or when they want to build a systematic experimentation practice. For tracking implementation, see analytics. For page-level conversion optimization, see cro. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"coreyhaines31-ab-testing\",\"task\":\"Install ab-testing\",\"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/coreyhaines31-ab-testing/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/coreyhaines31-ab-testing"},"trust":{"score":85,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"47K GitHub stars","repoActivity":"47K stars, 7.3K forks","lastPushed":"3d since push","license":"MIT","repository":"https://github.com/coreyhaines31/marketingskills/tree/main/skills/ab-testing","install":"npx skills add coreyhaines31/marketingskills --skill ab-testing","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":93,"label":"Excellent"},"supply":{"track":"Design and creative production","scenario":"Design and creative","maintenance":"3d 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 clinical-variant-prioritizer","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":"coreyhaines31-ab-testing (ab-testing)","install_command":"npx skills add coreyhaines31/marketingskills --skill ab-testing","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":"","skill_slug":"coreyhaines31-ab-testing","task":"Use clinical-variant-prioritizer","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/coreyhaines31-ab-testing","api":"https://www.openagentskill.com/api/agent/skills/coreyhaines31-ab-testing","audit":"https://www.openagentskill.com/skills/coreyhaines31-ab-testing/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=coreyhaines31-ab-testing&task=Use%20clinical-variant-prioritizer&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/coreyhaines31-ab-testing/install","manifest":"https://www.openagentskill.com/api/registry/manifest/coreyhaines31-ab-testing"}},"use_cases":[{"slug":"browser-automation","title":"Browser automation","url":"https://www.openagentskill.com/use-cases/browser-automation"},{"slug":"testing-qa","title":"Testing and QA","url":"https://www.openagentskill.com/use-cases/testing-qa"},{"slug":"marketing-growth","title":"Marketing and growth","url":"https://www.openagentskill.com/use-cases/marketing-growth"}],"urls":{"web":"https://www.openagentskill.com/skills/coreyhaines31-ab-testing","api":"https://www.openagentskill.com/api/agent/skills/coreyhaines31-ab-testing","install_api":"https://www.openagentskill.com/api/skills/coreyhaines31-ab-testing/install","audit":"https://www.openagentskill.com/skills/coreyhaines31-ab-testing/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=coreyhaines31-ab-testing&task=Use%20clinical-variant-prioritizer&max_risk=medium","badge":"https://www.openagentskill.com/api/badge/coreyhaines31-ab-testing?metric=audit","repository":"https://github.com/coreyhaines31/marketingskills/tree/main/skills/ab-testing"}},"new_contender":{"rank":4,"match_score":42,"raw_match_score":98.5,"semantic_relevance":42,"registry_source":{"kind":"live_registry","live":true,"auto_install_eligible":true,"warning":null},"skill":{"slug":"clawbio-clinical-trial-finder","name":"clinical-trial-finder","description":"Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output","category":"automation","github_stars":1125,"created_at":"2026-09-04T15:55:27.016912+00:00","updated_at":"2026-09-04T10:49:46+00:00","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder","github_repo":"ClawBio/ClawBio","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"259988a502c786e73a421460fc7dae54a5644fccbe92dc0866bd34e6840b7533","ref":"main","path":"skills/clinical-trial-finder/SKILL.md","sync_status":"current"}},"recommendation_reasons":["Matches task terms: clinical, variant","Useful GitHub adoption: 1,125 stars","Install handoff is available","Repository freshness signal is available","Registry match score 42"],"supply_profile":{"track":{"slug":"coding","label":"Coding and developer agents","shortLabel":"Coding","description":"Code review, repo analysis, testing, CI, GitHub, DevOps, and developer workflow skills."},"scenario":{"label":"Coding agents","description":"I need a coding agent that can understand a repository, edit code, and review pull requests.","useCases":[{"slug":"browser-automation","title":"Browser automation"},{"slug":"workflow-automation","title":"Workflow automation"},{"slug":"local-desktop","title":"Local desktop"}]},"applicableAgents":["Claude Code","CLI","Codex","Cursor"],"install":{"ready":true,"command":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":1125,"starsLabel":"1.1K","forks":259,"license":"MIT","qualityScore":72,"trustScore":75,"auditScore":80},"maintenance":{"status":"fresh","label":"1d since push","daysSincePush":1,"lastPushedAt":"2026-09-04T10:49:46+00:00"},"risk":{"level":"needs_review","label":"Needs review","requiresReview":true,"notes":["Documentation summary is thin","Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","External dependencies (OpenTargets, GWAS Catalog) are not listed in the dependencies section; they are used but not declared.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"coverageTags":["Coding","Coding agents","automation","agent-skill"]},"quality":{"score":72,"tier":"strong","label":"Strong","summary":"Solid option that is likely worth shortlisting for production workflows.","signals":[{"label":"GitHub stars","value":"1.1K","tone":"positive"},{"label":"Freshness","value":"1d ago","tone":"positive"},{"label":"Install ready","value":"Yes","tone":"positive"},{"label":"License","value":"MIT","tone":"neutral"}],"warnings":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference."]},"trust":{"version":"trust-score-v4","score":75,"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":86,"weight":0.13,"status":"pass","detail":"1.1K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":83,"weight":0.08,"status":"pass","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"1d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"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 ClawBio/ClawBio --skill clinical-trial-finder"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder"},{"id":"review_status","label":"Review status","score":66,"weight":0.05,"status":"info","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":"1.1K GitHub stars"},{"status":"pass","label":"Stars/forks activity","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"1d since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder"},{"status":"info","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","Meaningful GitHub adoption signal","Install command has no obvious high-risk pattern"],"warnings":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"evidence":{"stars":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder","install":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","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 ClawBio/ClawBio --skill clinical-trial-finder","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","1d since push"]},"agentCompatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Human review or sandbox validation is required before automatic installation."},"bestFor":["automation","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":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"trust_v5":{"version":"trust-score-v5","score":67,"base_score":75,"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":["67/100 Trust Score v5","75/100 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":86,"weight":0.13,"status":"pass","detail":"1.1K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":83,"weight":0.08,"status":"pass","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"1d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"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 ClawBio/ClawBio --skill clinical-trial-finder"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder"},{"id":"review_status","label":"Review status","score":66,"weight":0.05,"status":"info","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":"1.1K GitHub stars"},{"status":"pass","label":"Stars/forks activity","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"1d since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder"},{"status":"info","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","Meaningful GitHub adoption signal","Install command has no obvious high-risk pattern","Outcome loop is ready but needs first real agent run"],"warnings":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","No real agent outcome reports yet","Human review required before unattended installation"],"evidence":{"stars":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder","install":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","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 ClawBio/ClawBio --skill clinical-trial-finder","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","1d since push","Trust Score v5 requires review or sandbox-only use before install."]},"agentCompatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Compare alternatives before installing."},"outcome_loop":{"version":"openagentskill-agent-outcome-v4","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","source_version"],"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":["automation","agent-skill"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","trust_score":67,"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":["automation","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":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":75,"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":80,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","External dependencies (OpenTargets, GWAS Catalog) are not listed in the dependencies section; they are used but not declared.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety":{"score":68,"level":"review_before_install","label":"Review before install","safety_tier":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","summary":"Usable candidate, but the agent should surface permission and audit notes before installation.","recommended_action":"Require human approval before installing into a real workspace.","auto_install_policy":"review","reasons":["Documentation summary is thin","68/100 agent safety score"]},"auto_install_allowed":false,"human_review_required":true,"blocked":false,"audit_risk":"needs_review","permission_hints":[{"id":"network","label":"Network access","reason":"Skill likely fetches remote pages, APIs, repositories, or external services.","severity":"medium"}],"policy_warnings":["Documentation summary is thin"],"constraints_applied":{"max_risk":"medium","needs_install_command":true,"min_stars":0}},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace.","reasons":["Documentation summary is thin","68/100 agent safety score"]},"decision":{"readiness_score":83,"readiness_label":"Strong shortlist","headline":"Companion skill for Browser automation","role":"Companion skill","best_for":["Browser automation workflows","Claude Code teams","teams that value GitHub adoption signals"],"risks":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","No OpenAgentSkill engagement data yet"],"next_steps":["Install it in a sandbox agent and run one Browser automation task end to end.","Compare output quality, latency, and failure behavior against at least one alternative.","Promote it into production only after reviewing repository permissions, license, and maintenance signals."]},"install_plan":{"target":"codex","label":"Codex install prompt","command":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","value":"Install the \"clinical-trial-finder\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder. 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: Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-trial-finder\",\"task\":\"Install clinical-trial-finder\",\"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-trial-finder 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-v0.3.0/openagentskill-0.3.0.tgz add clawbio-clinical-trial-finder","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-trial-finder\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder. 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: Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-trial-finder\",\"task\":\"Install clinical-trial-finder\",\"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-trial-finder\" as a Claude Code skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder. 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: Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-trial-finder\",\"task\":\"Install clinical-trial-finder\",\"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-trial-finder\" from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder 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: Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-trial-finder\",\"task\":\"Install clinical-trial-finder\",\"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":"clawbio-clinical-trial-finder","name":"clinical-trial-finder","description":"Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output","category":"automation","url":"https://www.openagentskill.com/skills/clawbio-clinical-trial-finder","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder","github_repo":"ClawBio/ClawBio"},"suited_tasks":["Browser automation workflows","Claude Code teams","teams that value GitHub adoption signals","Navigate pages","Click and type safely","Check visual and DOM state","Move data between tools","Transform files"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","ready":true,"targets":[{"id":"openagentskill-cli","label":"CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz add clawbio-clinical-trial-finder"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"clinical-trial-finder\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder. 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: Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-trial-finder\",\"task\":\"Install clinical-trial-finder\",\"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-trial-finder\" as a Claude Code skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder. 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: Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-trial-finder\",\"task\":\"Install clinical-trial-finder\",\"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-trial-finder\" from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder 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: Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-trial-finder\",\"task\":\"Install clinical-trial-finder\",\"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/clawbio-clinical-trial-finder/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/clawbio-clinical-trial-finder"},"trust":{"score":75,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder","install":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","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":["automation","agent-skill"],"known_risks":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"agent_proven":{"version":"agent-proven-v1","score":0,"tier":"unproven","label":"Needs first agent run","summary":"No agent outcome reports yet. Use Resolve, run one narrow sandbox task, then report the result.","metrics":{"totalOutcomes":0,"successfulOutcomes":0,"failedOutcomes":0,"installAttempts":0,"installSuccessRate":null,"successRate":null,"recentSuccessRate":null,"recentFailureRate":null,"riskBlocked":0,"setupRequired":0,"notRelevant":0,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"uniqueAgents":0,"lastOutcomeAt":null},"signals":[],"penalties":["No real agent outcome evidence yet"]},"audit":{"score":80,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","External dependencies (OpenTargets, GWAS Catalog) are not listed in the dependencies section; they are used but not declared.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace."},"quality":{"score":72,"label":"Strong"},"supply":{"track":"Coding and developer agents","scenario":"Coding agents","maintenance":"1d since push","risk":"Needs review"},"alternative_skills":[],"do_not_use_when":["teams that need a vendor-supported SLA","production agents without a repository review","Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","No OpenAgentSkill engagement data yet","Documentation summary is thin","External dependencies (OpenTargets, GWAS Catalog) are not listed in the dependencies section; they are used but not declared.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"agent_contract":{"task_input":"Use clinical-variant-prioritizer","recommended_action":"Require human approval before installing into a real workspace.","install_policy":"review","minimum_review_before_use":["Trust: 75/100 Strong shortlist","Audit: 80/100 Needs review","Safety: 68/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"clawbio-clinical-trial-finder (clinical-trial-finder)","install_command":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","risk_summary":"Needs review; Reviewed with permission notes; Review before production","verification_result":"Report the smallest successful task, files touched, warnings, and any missing setup."}},"outcome_feedback":{"endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","requires_resolve_event_id":true,"event_id_source":"Use install_receipt.outcome_feedback.event_id or feedback.event_id returned by /api/agent/resolve for the current task.","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"payload_template":{"event_id":"","skill_slug":"clawbio-clinical-trial-finder","task":"Use clinical-variant-prioritizer","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/clawbio-clinical-trial-finder","api":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-trial-finder","audit":"https://www.openagentskill.com/skills/clawbio-clinical-trial-finder/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-trial-finder&task=Use%20clinical-variant-prioritizer&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/clawbio-clinical-trial-finder/install","manifest":"https://www.openagentskill.com/api/registry/manifest/clawbio-clinical-trial-finder"}},"use_cases":[{"slug":"browser-automation","title":"Browser automation","url":"https://www.openagentskill.com/use-cases/browser-automation"},{"slug":"workflow-automation","title":"Workflow automation","url":"https://www.openagentskill.com/use-cases/workflow-automation"},{"slug":"local-desktop","title":"Local desktop","url":"https://www.openagentskill.com/use-cases/local-desktop"}],"urls":{"web":"https://www.openagentskill.com/skills/clawbio-clinical-trial-finder","api":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-trial-finder","install_api":"https://www.openagentskill.com/api/skills/clawbio-clinical-trial-finder/install","audit":"https://www.openagentskill.com/skills/clawbio-clinical-trial-finder/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-trial-finder&task=Use%20clinical-variant-prioritizer&max_risk=medium","badge":"https://www.openagentskill.com/api/badge/clawbio-clinical-trial-finder?metric=audit","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder"}},"no_skill_option":{"recommended":true,"label":"Build without a third-party skill","reason":"Use a native agent workflow when the third-party permission or maintenance surface is not acceptable.","action":"Use the agent’s built-in tools for one narrow run, then reconsider a skill only if the workflow repeats."}},"selected":{"rank":1,"match_score":54,"raw_match_score":218.5,"semantic_relevance":54,"registry_source":{"kind":"live_registry","live":true,"auto_install_eligible":true,"warning":null},"skill":{"slug":"clawbio-clinical-variant-prioritizer","name":"clinical-variant-prioritizer","description":"Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five).","category":"automation","github_stars":1125,"created_at":"2026-09-04T14:05:48.910784+00:00","updated_at":"2026-09-04T10:49:46+00:00","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","github_repo":"ClawBio/ClawBio","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"912a95f77f9dfa5f1cc86856ed024ce84b27e2268c0031c9a6e5e7d7fd517db2","ref":"main","path":"skills/clinical-variant-prioritizer/SKILL.md","sync_status":"current"}},"recommendation_reasons":["Matches task terms: clinical, variant, prioritizer","Useful GitHub adoption: 1,125 stars","Install handoff is available","Repository freshness signal is available","Registry match score 54"],"supply_profile":{"track":{"slug":"coding","label":"Coding and developer agents","shortLabel":"Coding","description":"Code review, repo analysis, testing, CI, GitHub, DevOps, and developer workflow skills."},"scenario":{"label":"GitHub automation","description":"I need my agent to triage GitHub issues, review pull requests, and summarize repository changes.","useCases":[{"slug":"browser-automation","title":"Browser automation"},{"slug":"workflow-automation","title":"Workflow automation"},{"slug":"github-automation","title":"GitHub automation"}]},"applicableAgents":["Claude Code","CLI","Codex","Cursor"],"install":{"ready":true,"command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":1125,"starsLabel":"1.1K","forks":259,"license":"MIT","qualityScore":78,"trustScore":75,"auditScore":83},"maintenance":{"status":"fresh","label":"1d since push","daysSincePush":1,"lastPushedAt":"2026-09-04T10:49:46+00:00"},"risk":{"level":"needs_review","label":"Needs review","requiresReview":true,"notes":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Needs review"]},"coverageTags":["Coding","GitHub automation","automation","agent-skill"]},"quality":{"score":78,"tier":"strong","label":"Strong","summary":"Solid option that is likely worth shortlisting for production workflows.","signals":[{"label":"GitHub stars","value":"1.1K","tone":"positive"},{"label":"Freshness","value":"1d ago","tone":"positive"},{"label":"Install ready","value":"Yes","tone":"positive"},{"label":"License","value":"MIT","tone":"neutral"}],"warnings":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it."]},"trust":{"version":"trust-score-v4","score":75,"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":86,"weight":0.13,"status":"pass","detail":"1.1K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":83,"weight":0.08,"status":"pass","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"1d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"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 ClawBio/ClawBio --skill clinical-variant-prioritizer"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer"},{"id":"review_status","label":"Review status","score":66,"weight":0.05,"status":"info","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":"1.1K GitHub stars"},{"status":"pass","label":"Stars/forks activity","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"1d since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer"},{"status":"info","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","Meaningful GitHub adoption signal","Install command has no obvious high-risk pattern"],"warnings":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"evidence":{"stars":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","install":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","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 ClawBio/ClawBio --skill clinical-variant-prioritizer","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","1d since push"]},"agentCompatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","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":["automation","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":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"trust_v5":{"version":"trust-score-v5","score":67,"base_score":75,"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":["67/100 Trust Score v5","75/100 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":86,"weight":0.13,"status":"pass","detail":"1.1K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":83,"weight":0.08,"status":"pass","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"1d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"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 ClawBio/ClawBio --skill clinical-variant-prioritizer"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer"},{"id":"review_status","label":"Review status","score":66,"weight":0.05,"status":"info","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":"1.1K GitHub stars"},{"status":"pass","label":"Stars/forks activity","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"1d since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer"},{"status":"info","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","Meaningful GitHub adoption signal","Install command has no obvious high-risk pattern","Outcome loop is ready but needs first real agent run"],"warnings":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","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":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","install":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","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 ClawBio/ClawBio --skill clinical-variant-prioritizer","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","1d since push","Trust Score v5 requires review or sandbox-only use before install."]},"agentCompatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Compare alternatives before installing."},"outcome_loop":{"version":"openagentskill-agent-outcome-v4","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","source_version"],"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":["automation","agent-skill"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","trust_score":67,"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":["automation","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":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":75,"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":83,"risk_level":"needs_review","risk_label":"Needs review","warnings":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety":{"score":71,"level":"review_before_install","label":"Review before install","safety_tier":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","summary":"Usable candidate, but the agent should surface permission and audit notes before installation.","recommended_action":"Require human approval before installing into a real workspace.","auto_install_policy":"review","reasons":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","71/100 agent safety score"]},"auto_install_allowed":false,"human_review_required":true,"blocked":false,"audit_risk":"needs_review","permission_hints":[{"id":"network","label":"Network access","reason":"Skill likely fetches remote pages, APIs, repositories, or external services.","severity":"medium"}],"policy_warnings":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it."],"constraints_applied":{"max_risk":"medium","needs_install_command":true,"min_stars":0}},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace.","reasons":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","71/100 agent safety score"]},"decision":{"readiness_score":89,"readiness_label":"Production-ready","headline":"Primary pick for Browser automation","role":"Primary pick","best_for":["Browser automation workflows","Claude Code teams","teams that value GitHub adoption signals"],"risks":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","No OpenAgentSkill engagement data yet"],"next_steps":["Install it in a sandbox agent and run one Browser automation task end to end.","Compare output quality, latency, and failure behavior against at least one alternative.","Promote it into production only after reviewing repository permissions, license, and maintenance signals."]},"install_plan":{"target":"codex","label":"Codex install prompt","command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","value":"Install the \"clinical-variant-prioritizer\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer. 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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-variant-prioritizer 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-v0.3.0/openagentskill-0.3.0.tgz add clawbio-clinical-variant-prioritizer","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-variant-prioritizer\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer. 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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-variant-prioritizer\" as a Claude Code skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer. 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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-variant-prioritizer\" from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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":"clawbio-clinical-variant-prioritizer","name":"clinical-variant-prioritizer","description":"Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five).","category":"automation","url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","github_repo":"ClawBio/ClawBio"},"suited_tasks":["Browser automation workflows","Claude Code teams","teams that value GitHub adoption signals","Navigate pages","Click and type safely","Check visual and DOM state","Move data between tools","Transform files"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","ready":true,"targets":[{"id":"openagentskill-cli","label":"CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz add clawbio-clinical-variant-prioritizer"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"clinical-variant-prioritizer\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer. 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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-variant-prioritizer\" as a Claude Code skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer. 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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-variant-prioritizer\" from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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/clawbio-clinical-variant-prioritizer/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/clawbio-clinical-variant-prioritizer"},"trust":{"score":75,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","install":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","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":["automation","agent-skill"],"known_risks":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Quality score needs review","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":83,"risk_level":"needs_review","risk_label":"Needs review","warnings":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace."},"quality":{"score":78,"label":"Strong"},"supply":{"track":"Coding and developer agents","scenario":"GitHub automation","maintenance":"1d since push","risk":"Needs review"},"alternative_skills":[],"do_not_use_when":["teams that need a vendor-supported SLA","production agents without a repository review","The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","No OpenAgentSkill engagement data yet","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Production credentials, payments, or irreversible account changes without explicit human review"],"agent_contract":{"task_input":"Use clinical-variant-prioritizer","recommended_action":"Require human approval before installing into a real workspace.","install_policy":"review","minimum_review_before_use":["Trust: 75/100 Strong shortlist","Audit: 83/100 Needs review","Safety: 71/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"clawbio-clinical-variant-prioritizer (clinical-variant-prioritizer)","install_command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","risk_summary":"Needs review; Reviewed with permission notes; Review before production","verification_result":"Report the smallest successful task, files touched, warnings, and any missing setup."}},"outcome_feedback":{"endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","requires_resolve_event_id":true,"event_id_source":"Use install_receipt.outcome_feedback.event_id or feedback.event_id returned by /api/agent/resolve for the current task.","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"payload_template":{"event_id":"","skill_slug":"clawbio-clinical-variant-prioritizer","task":"Use clinical-variant-prioritizer","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/clawbio-clinical-variant-prioritizer","api":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-variant-prioritizer","audit":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-variant-prioritizer&task=Use%20clinical-variant-prioritizer&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/clawbio-clinical-variant-prioritizer/install","manifest":"https://www.openagentskill.com/api/registry/manifest/clawbio-clinical-variant-prioritizer"}},"use_cases":[{"slug":"browser-automation","title":"Browser automation","url":"https://www.openagentskill.com/use-cases/browser-automation"},{"slug":"workflow-automation","title":"Workflow automation","url":"https://www.openagentskill.com/use-cases/workflow-automation"},{"slug":"github-automation","title":"GitHub automation","url":"https://www.openagentskill.com/use-cases/github-automation"}],"urls":{"web":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer","api":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-variant-prioritizer","install_api":"https://www.openagentskill.com/api/skills/clawbio-clinical-variant-prioritizer/install","audit":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-variant-prioritizer&task=Use%20clinical-variant-prioritizer&max_risk=medium","badge":"https://www.openagentskill.com/api/badge/clawbio-clinical-variant-prioritizer?metric=audit","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer"}},"alternatives":[{"rank":2,"match_score":30,"raw_match_score":100.5,"semantic_relevance":30,"registry_source":{"kind":"live_registry","live":true,"auto_install_eligible":true,"warning":null},"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","source_version":{"version":"1.0.0","commit_sha":null,"content_hash":null,"ref":null,"path":null,"sync_status":"untracked"}},"recommendation_reasons":["Matches task terms: clinical","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":"16d since push","daysSincePush":16,"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":"16d 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":"16d 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 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metadata"},{"status":"pass","label":"Recent maintenance","detail":"16d 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 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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":"16d 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 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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":"16d 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":"16d 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","16d 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-v4","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","source_version"],"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_\",\"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-v0.3.0/openagentskill-0.3.0.tgz add 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_\",\"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_\",\"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_\",\"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-v0.3.0/openagentskill-0.3.0.tgz add 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_\",\"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_\",\"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_\",\"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":"16d 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":"16d 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 clinical-variant-prioritizer","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":"","skill_slug":"nexu-io-clinical-case-report","task":"Use clinical-variant-prioritizer","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%20clinical-variant-prioritizer&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20clinical-variant-prioritizer&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%20clinical-variant-prioritizer&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"}},{"rank":3,"match_score":30,"raw_match_score":99.9,"semantic_relevance":30,"registry_source":{"kind":"live_registry","live":true,"auto_install_eligible":true,"warning":null},"skill":{"slug":"k-dense-ai-clinical-reports","name":"clinical-reports","description":"Create safety-bounded draft structures and run local deterministic checks for clinical case, diagnostic, trial, safety, and aggregate research reports. Use only with synthetic, de-identified, or aggregate inputs and verified source-fact manifests; every output requires qualified review.","category":"research","github_stars":41395,"created_at":"2026-09-01T17:41:01.522021+00:00","updated_at":"2026-08-31T17:14:03+00:00","repository":"https://github.com/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports","github_repo":"K-Dense-AI/scientific-agent-skills","source_version":{"version":"1.0.0","commit_sha":"1dd0fccf46fc3c9855c4a0c313a0c57fe4319883","content_hash":"f1da8ce1a00f77c9205f0763bb2be8d9bdc7a0c09f819290811578a9b9472849","ref":"main","path":"skills/clinical-reports/SKILL.md","sync_status":"current"}},"recommendation_reasons":["Matches task terms: clinical","Strong GitHub adoption: 41,395 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":"research-agents","title":"Research agents"},{"slug":"github-automation","title":"GitHub automation"},{"slug":"coding-agents","title":"Coding agents"}]},"applicableAgents":["Claude Code","CLI","Codex","Cursor"],"install":{"ready":true,"command":"npx skills add K-Dense-AI/scientific-agent-skills --skill clinical-reports","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":41395,"starsLabel":"41K","forks":3816,"license":"MIT","qualityScore":93,"trustScore":78,"auditScore":88},"maintenance":{"status":"fresh","label":"5d since push","daysSincePush":5,"lastPushedAt":"2026-08-31T17:14:03+00:00"},"risk":{"level":"needs_review","label":"Needs review","requiresReview":true,"notes":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","The SKILL.md excerpt is truncated; full documentation is assumed to be complete and consistent with the provided sections.","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Needs review"]},"coverageTags":["Research","Research agents","agent-skill"]},"quality":{"score":93,"tier":"excellent","label":"Excellent","summary":"High-confidence pick with strong adoption and healthy maintenance signals.","signals":[{"label":"GitHub stars","value":"41K","tone":"positive"},{"label":"Freshness","value":"5d ago","tone":"positive"},{"label":"Install ready","value":"Yes","tone":"positive"},{"label":"License","value":"MIT","tone":"neutral"}],"warnings":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect."]},"trust":{"version":"trust-score-v4","score":78,"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":"41K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":97,"weight":0.08,"status":"pass","detail":"41K stars, 3.8K forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"5d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"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 K-Dense-AI/scientific-agent-skills --skill clinical-reports"},{"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/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports"},{"id":"review_status","label":"Review status","score":66,"weight":0.05,"status":"info","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":"41K GitHub stars"},{"status":"pass","label":"Stars/forks activity","detail":"41K stars, 3.8K forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"5d since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add K-Dense-AI/scientific-agent-skills --skill clinical-reports"},{"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/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports"},{"status":"info","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":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"evidence":{"stars":"41K GitHub stars","repoActivity":"41K stars, 3.8K forks","lastPushed":"5d since push","license":"MIT","repository":"https://github.com/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports","install":"npx skills add K-Dense-AI/scientific-agent-skills --skill clinical-reports","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 K-Dense-AI/scientific-agent-skills --skill clinical-reports","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","5d since push"]},"agentCompatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Human review or sandbox validation is required before automatic installation."},"bestFor":["research","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":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"trust_v5":{"version":"trust-score-v5","score":70,"base_score":78,"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":["70/100 Trust Score v5","78/100 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":100,"weight":0.13,"status":"pass","detail":"41K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":97,"weight":0.08,"status":"pass","detail":"41K stars, 3.8K forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"5d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"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 K-Dense-AI/scientific-agent-skills --skill clinical-reports"},{"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/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports"},{"id":"review_status","label":"Review status","score":66,"weight":0.05,"status":"info","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":"41K GitHub stars"},{"status":"pass","label":"Stars/forks activity","detail":"41K stars, 3.8K forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"5d since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add K-Dense-AI/scientific-agent-skills --skill clinical-reports"},{"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/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports"},{"status":"info","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":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","No real agent outcome reports yet","Human review required before unattended installation"],"evidence":{"stars":"41K GitHub stars","repoActivity":"41K stars, 3.8K forks","lastPushed":"5d since push","license":"MIT","repository":"https://github.com/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports","install":"npx skills add K-Dense-AI/scientific-agent-skills --skill clinical-reports","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 K-Dense-AI/scientific-agent-skills --skill clinical-reports","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","5d since push","Trust Score v5 requires review or sandbox-only use before install."]},"agentCompatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Compare alternatives before installing."},"outcome_loop":{"version":"openagentskill-agent-outcome-v4","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","source_version"],"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":["research","agent-skill"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add K-Dense-AI/scientific-agent-skills --skill clinical-reports","trust_score":70,"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":["research","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":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":78,"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":88,"risk_level":"needs_review","risk_label":"Needs review","warnings":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","The SKILL.md excerpt is truncated; full documentation is assumed to be complete and consistent with the provided sections.","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety":{"score":76,"level":"review_before_install","label":"Review before install","safety_tier":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","summary":"Usable candidate, but the agent should surface permission and audit notes before installation.","recommended_action":"Require human approval before installing into a real workspace.","auto_install_policy":"review","reasons":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","76/100 agent safety score"]},"auto_install_allowed":false,"human_review_required":true,"blocked":false,"audit_risk":"needs_review","permission_hints":[{"id":"network","label":"Network access","reason":"Skill likely fetches remote pages, APIs, repositories, or external services.","severity":"medium"}],"policy_warnings":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect."],"constraints_applied":{"max_risk":"medium","needs_install_command":true,"min_stars":0}},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace.","reasons":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","76/100 agent safety score"]},"decision":{"readiness_score":100,"readiness_label":"Production-ready","headline":"Primary pick for Research agents","role":"Primary pick","best_for":["Research agents workflows","Claude Code teams","teams that value GitHub adoption signals"],"risks":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","No OpenAgentSkill engagement data yet"],"next_steps":["Install it in a sandbox agent and run one Research agents 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 K-Dense-AI/scientific-agent-skills --skill clinical-reports","value":"Install the \"clinical-reports\" agent skill from https://github.com/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports. 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: Create safety-bounded draft structures and run local deterministic checks for clinical case, diagnostic, trial, safety, and aggregate research reports. Use only with synthetic, de-identified, or aggregate inputs and verified source-fact manifests; every output requires qualified review. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"k-dense-ai-clinical-reports\",\"task\":\"Install clinical-reports\",\"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-reports 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-v0.3.0/openagentskill-0.3.0.tgz add k-dense-ai-clinical-reports","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-reports\" agent skill from https://github.com/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports. 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: Create safety-bounded draft structures and run local deterministic checks for clinical case, diagnostic, trial, safety, and aggregate research reports. Use only with synthetic, de-identified, or aggregate inputs and verified source-fact manifests; every output requires qualified review. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"k-dense-ai-clinical-reports\",\"task\":\"Install clinical-reports\",\"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-reports\" as a Claude Code skill from https://github.com/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports. 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: Create safety-bounded draft structures and run local deterministic checks for clinical case, diagnostic, trial, safety, and aggregate research reports. Use only with synthetic, de-identified, or aggregate inputs and verified source-fact manifests; every output requires qualified review. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"k-dense-ai-clinical-reports\",\"task\":\"Install clinical-reports\",\"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-reports\" from https://github.com/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports 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: Create safety-bounded draft structures and run local deterministic checks for clinical case, diagnostic, trial, safety, and aggregate research reports. Use only with synthetic, de-identified, or aggregate inputs and verified source-fact manifests; every output requires qualified review. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"k-dense-ai-clinical-reports\",\"task\":\"Install clinical-reports\",\"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":"k-dense-ai-clinical-reports","name":"clinical-reports","description":"Create safety-bounded draft structures and run local deterministic checks for clinical case, diagnostic, trial, safety, and aggregate research reports. Use only with synthetic, de-identified, or aggregate inputs and verified source-fact manifests; every output requires qualified review.","category":"research","url":"https://www.openagentskill.com/skills/k-dense-ai-clinical-reports","repository":"https://github.com/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports","github_repo":"K-Dense-AI/scientific-agent-skills"},"suited_tasks":["Research agents workflows","Claude Code teams","teams that value GitHub adoption signals","Search sources","Extract claims","Synthesize findings","Inspect repository metadata","Compare code changes"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add K-Dense-AI/scientific-agent-skills --skill clinical-reports","ready":true,"targets":[{"id":"openagentskill-cli","label":"CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz add k-dense-ai-clinical-reports"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"clinical-reports\" agent skill from https://github.com/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports. 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: Create safety-bounded draft structures and run local deterministic checks for clinical case, diagnostic, trial, safety, and aggregate research reports. Use only with synthetic, de-identified, or aggregate inputs and verified source-fact manifests; every output requires qualified review. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"k-dense-ai-clinical-reports\",\"task\":\"Install clinical-reports\",\"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-reports\" as a Claude Code skill from https://github.com/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports. 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: Create safety-bounded draft structures and run local deterministic checks for clinical case, diagnostic, trial, safety, and aggregate research reports. Use only with synthetic, de-identified, or aggregate inputs and verified source-fact manifests; every output requires qualified review. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"k-dense-ai-clinical-reports\",\"task\":\"Install clinical-reports\",\"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-reports\" from https://github.com/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports 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: Create safety-bounded draft structures and run local deterministic checks for clinical case, diagnostic, trial, safety, and aggregate research reports. Use only with synthetic, de-identified, or aggregate inputs and verified source-fact manifests; every output requires qualified review. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"k-dense-ai-clinical-reports\",\"task\":\"Install clinical-reports\",\"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/k-dense-ai-clinical-reports/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/k-dense-ai-clinical-reports"},"trust":{"score":78,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"41K GitHub stars","repoActivity":"41K stars, 3.8K forks","lastPushed":"5d since push","license":"MIT","repository":"https://github.com/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports","install":"npx skills add K-Dense-AI/scientific-agent-skills --skill clinical-reports","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":["research","agent-skill"],"known_risks":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"agent_proven":{"version":"agent-proven-v1","score":0,"tier":"unproven","label":"Needs first agent run","summary":"No agent outcome reports yet. Use Resolve, run one narrow sandbox task, then report the result.","metrics":{"totalOutcomes":0,"successfulOutcomes":0,"failedOutcomes":0,"installAttempts":0,"installSuccessRate":null,"successRate":null,"recentSuccessRate":null,"recentFailureRate":null,"riskBlocked":0,"setupRequired":0,"notRelevant":0,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"uniqueAgents":0,"lastOutcomeAt":null},"signals":[],"penalties":["No real agent outcome evidence yet"]},"audit":{"score":88,"risk_level":"needs_review","risk_label":"Needs review","warnings":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","The SKILL.md excerpt is truncated; full documentation is assumed to be complete and consistent with the provided sections.","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace."},"quality":{"score":93,"label":"Excellent"},"supply":{"track":"Research and knowledge work","scenario":"Research agents","maintenance":"5d since push","risk":"Needs review"},"alternative_skills":[],"do_not_use_when":["teams that need a vendor-supported SLA","production agents without a repository review","The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","No OpenAgentSkill engagement data yet","The SKILL.md excerpt is truncated; full documentation is assumed to be complete and consistent with the provided sections.","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Production credentials, payments, or irreversible account changes without explicit human review"],"agent_contract":{"task_input":"Use clinical-variant-prioritizer","recommended_action":"Require human approval before installing into a real workspace.","install_policy":"review","minimum_review_before_use":["Trust: 78/100 Strong shortlist","Audit: 88/100 Needs review","Safety: 76/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"k-dense-ai-clinical-reports (clinical-reports)","install_command":"npx skills add K-Dense-AI/scientific-agent-skills --skill clinical-reports","risk_summary":"Needs review; Reviewed with permission notes; Review before production","verification_result":"Report the smallest successful task, files touched, warnings, and any missing setup."}},"outcome_feedback":{"endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","requires_resolve_event_id":true,"event_id_source":"Use install_receipt.outcome_feedback.event_id or feedback.event_id returned by /api/agent/resolve for the current task.","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"payload_template":{"event_id":"","skill_slug":"k-dense-ai-clinical-reports","task":"Use clinical-variant-prioritizer","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/k-dense-ai-clinical-reports","api":"https://www.openagentskill.com/api/agent/skills/k-dense-ai-clinical-reports","audit":"https://www.openagentskill.com/skills/k-dense-ai-clinical-reports/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=k-dense-ai-clinical-reports&task=Use%20clinical-variant-prioritizer&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/k-dense-ai-clinical-reports/install","manifest":"https://www.openagentskill.com/api/registry/manifest/k-dense-ai-clinical-reports"}},"use_cases":[{"slug":"research-agents","title":"Research agents","url":"https://www.openagentskill.com/use-cases/research-agents"},{"slug":"github-automation","title":"GitHub automation","url":"https://www.openagentskill.com/use-cases/github-automation"},{"slug":"coding-agents","title":"Coding agents","url":"https://www.openagentskill.com/use-cases/coding-agents"}],"urls":{"web":"https://www.openagentskill.com/skills/k-dense-ai-clinical-reports","api":"https://www.openagentskill.com/api/agent/skills/k-dense-ai-clinical-reports","install_api":"https://www.openagentskill.com/api/skills/k-dense-ai-clinical-reports/install","audit":"https://www.openagentskill.com/skills/k-dense-ai-clinical-reports/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=k-dense-ai-clinical-reports&task=Use%20clinical-variant-prioritizer&max_risk=medium","badge":"https://www.openagentskill.com/api/badge/k-dense-ai-clinical-reports?metric=audit","repository":"https://github.com/K-Dense-AI/scientific-agent-skills/tree/main/skills/clinical-reports"}},{"rank":4,"match_score":42,"raw_match_score":98.5,"semantic_relevance":42,"registry_source":{"kind":"live_registry","live":true,"auto_install_eligible":true,"warning":null},"skill":{"slug":"clawbio-clinical-trial-finder","name":"clinical-trial-finder","description":"Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output","category":"automation","github_stars":1125,"created_at":"2026-09-04T15:55:27.016912+00:00","updated_at":"2026-09-04T10:49:46+00:00","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder","github_repo":"ClawBio/ClawBio","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"259988a502c786e73a421460fc7dae54a5644fccbe92dc0866bd34e6840b7533","ref":"main","path":"skills/clinical-trial-finder/SKILL.md","sync_status":"current"}},"recommendation_reasons":["Matches task terms: clinical, variant","Useful GitHub adoption: 1,125 stars","Install handoff is available","Repository freshness signal is available","Registry match score 42"],"supply_profile":{"track":{"slug":"coding","label":"Coding and developer agents","shortLabel":"Coding","description":"Code review, repo analysis, testing, CI, GitHub, DevOps, and developer workflow skills."},"scenario":{"label":"Coding agents","description":"I need a coding agent that can understand a repository, edit code, and review pull requests.","useCases":[{"slug":"browser-automation","title":"Browser automation"},{"slug":"workflow-automation","title":"Workflow automation"},{"slug":"local-desktop","title":"Local desktop"}]},"applicableAgents":["Claude Code","CLI","Codex","Cursor"],"install":{"ready":true,"command":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":1125,"starsLabel":"1.1K","forks":259,"license":"MIT","qualityScore":72,"trustScore":75,"auditScore":80},"maintenance":{"status":"fresh","label":"1d since push","daysSincePush":1,"lastPushedAt":"2026-09-04T10:49:46+00:00"},"risk":{"level":"needs_review","label":"Needs review","requiresReview":true,"notes":["Documentation summary is thin","Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","External dependencies (OpenTargets, GWAS Catalog) are not listed in the dependencies section; they are used but not declared.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"coverageTags":["Coding","Coding agents","automation","agent-skill"]},"quality":{"score":72,"tier":"strong","label":"Strong","summary":"Solid option that is likely worth shortlisting for production workflows.","signals":[{"label":"GitHub stars","value":"1.1K","tone":"positive"},{"label":"Freshness","value":"1d ago","tone":"positive"},{"label":"Install ready","value":"Yes","tone":"positive"},{"label":"License","value":"MIT","tone":"neutral"}],"warnings":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference."]},"trust":{"version":"trust-score-v4","score":75,"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":86,"weight":0.13,"status":"pass","detail":"1.1K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":83,"weight":0.08,"status":"pass","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"1d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"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 ClawBio/ClawBio --skill clinical-trial-finder"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder"},{"id":"review_status","label":"Review status","score":66,"weight":0.05,"status":"info","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":"1.1K GitHub stars"},{"status":"pass","label":"Stars/forks activity","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"1d since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder"},{"status":"info","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","Meaningful GitHub adoption signal","Install command has no obvious high-risk pattern"],"warnings":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"evidence":{"stars":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder","install":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","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 ClawBio/ClawBio --skill clinical-trial-finder","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","1d since push"]},"agentCompatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Human review or sandbox validation is required before automatic installation."},"bestFor":["automation","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":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"trust_v5":{"version":"trust-score-v5","score":67,"base_score":75,"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":["67/100 Trust Score v5","75/100 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":86,"weight":0.13,"status":"pass","detail":"1.1K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":83,"weight":0.08,"status":"pass","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"1d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"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 ClawBio/ClawBio --skill clinical-trial-finder"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder"},{"id":"review_status","label":"Review status","score":66,"weight":0.05,"status":"info","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":"1.1K GitHub stars"},{"status":"pass","label":"Stars/forks activity","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"1d since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder"},{"status":"info","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","Meaningful GitHub adoption signal","Install command has no obvious high-risk pattern","Outcome loop is ready but needs first real agent run"],"warnings":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","No real agent outcome reports yet","Human review required before unattended installation"],"evidence":{"stars":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder","install":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","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 ClawBio/ClawBio --skill clinical-trial-finder","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","1d since push","Trust Score v5 requires review or sandbox-only use before install."]},"agentCompatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Compare alternatives before installing."},"outcome_loop":{"version":"openagentskill-agent-outcome-v4","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","source_version"],"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":["automation","agent-skill"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","trust_score":67,"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":["automation","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":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":75,"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":80,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","External dependencies (OpenTargets, GWAS Catalog) are not listed in the dependencies section; they are used but not declared.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety":{"score":68,"level":"review_before_install","label":"Review before install","safety_tier":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","summary":"Usable candidate, but the agent should surface permission and audit notes before installation.","recommended_action":"Require human approval before installing into a real workspace.","auto_install_policy":"review","reasons":["Documentation summary is thin","68/100 agent safety score"]},"auto_install_allowed":false,"human_review_required":true,"blocked":false,"audit_risk":"needs_review","permission_hints":[{"id":"network","label":"Network access","reason":"Skill likely fetches remote pages, APIs, repositories, or external services.","severity":"medium"}],"policy_warnings":["Documentation summary is thin"],"constraints_applied":{"max_risk":"medium","needs_install_command":true,"min_stars":0}},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","badge":"REVIEWED","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace.","reasons":["Documentation summary is thin","68/100 agent safety score"]},"decision":{"readiness_score":83,"readiness_label":"Strong shortlist","headline":"Companion skill for Browser automation","role":"Companion skill","best_for":["Browser automation workflows","Claude Code teams","teams that value GitHub adoption signals"],"risks":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","No OpenAgentSkill engagement data yet"],"next_steps":["Install it in a sandbox agent and run one Browser automation task end to end.","Compare output quality, latency, and failure behavior against at least one alternative.","Promote it into production only after reviewing repository permissions, license, and maintenance signals."]},"install_plan":{"target":"codex","label":"Codex install prompt","command":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","value":"Install the \"clinical-trial-finder\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder. 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: Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-trial-finder\",\"task\":\"Install clinical-trial-finder\",\"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-trial-finder 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-v0.3.0/openagentskill-0.3.0.tgz add clawbio-clinical-trial-finder","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-trial-finder\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder. 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: Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-trial-finder\",\"task\":\"Install clinical-trial-finder\",\"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-trial-finder\" as a Claude Code skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder. 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: Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-trial-finder\",\"task\":\"Install clinical-trial-finder\",\"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-trial-finder\" from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder 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: Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-trial-finder\",\"task\":\"Install clinical-trial-finder\",\"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":"clawbio-clinical-trial-finder","name":"clinical-trial-finder","description":"Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output","category":"automation","url":"https://www.openagentskill.com/skills/clawbio-clinical-trial-finder","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder","github_repo":"ClawBio/ClawBio"},"suited_tasks":["Browser automation workflows","Claude Code teams","teams that value GitHub adoption signals","Navigate pages","Click and type safely","Check visual and DOM state","Move data between tools","Transform files"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","ready":true,"targets":[{"id":"openagentskill-cli","label":"CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz add clawbio-clinical-trial-finder"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"clinical-trial-finder\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder. 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: Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-trial-finder\",\"task\":\"Install clinical-trial-finder\",\"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-trial-finder\" as a Claude Code skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder. 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: Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-trial-finder\",\"task\":\"Install clinical-trial-finder\",\"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-trial-finder\" from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder 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: Find clinical trials for a gene, variant, or condition from ClinicalTrials.gov + EUCTR, with FHIR R4 output After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-trial-finder\",\"task\":\"Install clinical-trial-finder\",\"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/clawbio-clinical-trial-finder/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/clawbio-clinical-trial-finder"},"trust":{"score":75,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"1.1K GitHub stars","repoActivity":"1.1K stars, 259 forks","lastPushed":"1d since push","license":"MIT","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder","install":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","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":["automation","agent-skill"],"known_risks":["Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"agent_proven":{"version":"agent-proven-v1","score":0,"tier":"unproven","label":"Needs first agent run","summary":"No agent outcome reports yet. Use Resolve, run one narrow sandbox task, then report the result.","metrics":{"totalOutcomes":0,"successfulOutcomes":0,"failedOutcomes":0,"installAttempts":0,"installSuccessRate":null,"successRate":null,"recentSuccessRate":null,"recentFailureRate":null,"riskBlocked":0,"setupRequired":0,"notRelevant":0,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"uniqueAgents":0,"lastOutcomeAt":null},"signals":[],"penalties":["No real agent outcome evidence yet"]},"audit":{"score":80,"risk_level":"needs_review","risk_label":"Needs review","warnings":["Documentation summary is thin","Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","External dependencies (OpenTargets, GWAS Catalog) are not listed in the dependencies section; they are used but not declared.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Require human approval before installing into a real workspace."},"quality":{"score":72,"label":"Strong"},"supply":{"track":"Coding and developer agents","scenario":"Coding agents","maintenance":"1d since push","risk":"Needs review"},"alternative_skills":[],"do_not_use_when":["teams that need a vendor-supported SLA","production agents without a repository review","Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","No OpenAgentSkill engagement data yet","Documentation summary is thin","External dependencies (OpenTargets, GWAS Catalog) are not listed in the dependencies section; they are used but not declared.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"agent_contract":{"task_input":"Use clinical-variant-prioritizer","recommended_action":"Require human approval before installing into a real workspace.","install_policy":"review","minimum_review_before_use":["Trust: 75/100 Strong shortlist","Audit: 80/100 Needs review","Safety: 68/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"clawbio-clinical-trial-finder (clinical-trial-finder)","install_command":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","risk_summary":"Needs review; Reviewed with permission notes; Review before production","verification_result":"Report the smallest successful task, files touched, warnings, and any missing setup."}},"outcome_feedback":{"endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","requires_resolve_event_id":true,"event_id_source":"Use install_receipt.outcome_feedback.event_id or feedback.event_id returned by /api/agent/resolve for the current task.","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"payload_template":{"event_id":"","skill_slug":"clawbio-clinical-trial-finder","task":"Use clinical-variant-prioritizer","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/clawbio-clinical-trial-finder","api":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-trial-finder","audit":"https://www.openagentskill.com/skills/clawbio-clinical-trial-finder/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-trial-finder&task=Use%20clinical-variant-prioritizer&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/clawbio-clinical-trial-finder/install","manifest":"https://www.openagentskill.com/api/registry/manifest/clawbio-clinical-trial-finder"}},"use_cases":[{"slug":"browser-automation","title":"Browser automation","url":"https://www.openagentskill.com/use-cases/browser-automation"},{"slug":"workflow-automation","title":"Workflow automation","url":"https://www.openagentskill.com/use-cases/workflow-automation"},{"slug":"local-desktop","title":"Local desktop","url":"https://www.openagentskill.com/use-cases/local-desktop"}],"urls":{"web":"https://www.openagentskill.com/skills/clawbio-clinical-trial-finder","api":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-trial-finder","install_api":"https://www.openagentskill.com/api/skills/clawbio-clinical-trial-finder/install","audit":"https://www.openagentskill.com/skills/clawbio-clinical-trial-finder/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-trial-finder&task=Use%20clinical-variant-prioritizer&max_risk=medium","badge":"https://www.openagentskill.com/api/badge/clawbio-clinical-trial-finder?metric=audit","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-trial-finder"}},{"rank":5,"match_score":30,"raw_match_score":94.6,"semantic_relevance":30,"registry_source":{"kind":"live_registry","live":true,"auto_install_eligible":true,"warning":null},"skill":{"slug":"jakubkrehel-variant","name":"variant","description":"Builds multiple variants of a component you're working on and helps you iterate and pick one.","category":"design-creative","github_stars":4732,"created_at":"2026-09-01T21:12:43.63693+00:00","updated_at":"2026-08-29T17:01:49+00:00","repository":"https://github.com/jakubkrehel/skills/tree/main/skills/variant","github_repo":"jakubkrehel/skills","source_version":{"version":"1.0.0","commit_sha":"267330e1adfc66a718fb65fa6918c1f06d0a689e","content_hash":"0cb89389c0423ff46e8a5a07bda894b43619366210fa3bc98beb39908cbc1635","ref":"main","path":"skills/variant/SKILL.md","sync_status":"current"}},"recommendation_reasons":["Matches task terms: variant","Useful GitHub adoption: 4,732 stars","Install handoff is available","Repository freshness signal is available","Registry match score 30"],"supply_profile":{"track":{"slug":"design","label":"Design and creative production","shortLabel":"Design","description":"Design assets, images, video, audio, multimodal media, presentation, and creative production skills."},"scenario":{"label":"Design and creative","description":"I need my agent to produce design assets, UI directions, presentations, or creative media workflows.","useCases":[{"slug":"design-creative","title":"Design and creative"},{"slug":"browser-automation","title":"Browser automation"},{"slug":"web-scraping","title":"Web scraping"}]},"applicableAgents":["Claude Code","CLI","Codex","Cursor"],"install":{"ready":true,"command":"npx skills add jakubkrehel/skills --skill variant","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":4732,"starsLabel":"4.7K","forks":159,"license":"MIT","qualityScore":78,"trustScore":82,"auditScore":85},"maintenance":{"status":"fresh","label":"7d since push","daysSincePush":7,"lastPushedAt":"2026-08-29T17:01:49+00:00"},"risk":{"level":"safe_to_try","label":"Safe to try","requiresReview":true,"notes":["Documentation summary is thin","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"coverageTags":["Design","Design and creative","design-creative","agent-skill"]},"quality":{"score":78,"tier":"strong","label":"Strong","summary":"Solid option that is likely worth shortlisting for production workflows.","signals":[{"label":"GitHub stars","value":"4.7K","tone":"positive"},{"label":"Freshness","value":"7d ago","tone":"positive"},{"label":"Install ready","value":"Yes","tone":"positive"},{"label":"License","value":"MIT","tone":"neutral"}],"warnings":[]},"trust":{"version":"trust-score-v4","score":82,"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":86,"weight":0.13,"status":"pass","detail":"4.7K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":77,"weight":0.08,"status":"info","detail":"4.7K stars, 159 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"7d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"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 jakubkrehel/skills --skill variant"},{"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/jakubkrehel/skills/tree/main/skills/variant"},{"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":"4.7K GitHub stars"},{"status":"info","label":"Stars/forks activity","detail":"4.7K stars, 159 forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"7d since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add jakubkrehel/skills --skill variant"},{"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/jakubkrehel/skills/tree/main/skills/variant"},{"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","Meaningful GitHub adoption signal","Install command has no obvious high-risk pattern"],"warnings":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"evidence":{"stars":"4.7K GitHub stars","repoActivity":"4.7K stars, 159 forks","lastPushed":"7d since push","license":"MIT","repository":"https://github.com/jakubkrehel/skills/tree/main/skills/variant","install":"npx skills add jakubkrehel/skills --skill variant","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 jakubkrehel/skills --skill variant","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","7d since push"]},"agentCompatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Human review or sandbox validation is required before automatic installation."},"bestFor":["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":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"trust_v5":{"version":"trust-score-v5","score":74,"base_score":82,"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":["74/100 Trust Score v5","82/100 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":86,"weight":0.13,"status":"pass","detail":"4.7K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":77,"weight":0.08,"status":"info","detail":"4.7K stars, 159 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"weight":0.14,"status":"pass","detail":"7d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT"},{"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 jakubkrehel/skills --skill variant"},{"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/jakubkrehel/skills/tree/main/skills/variant"},{"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":"4.7K GitHub stars"},{"status":"info","label":"Stars/forks activity","detail":"4.7K stars, 159 forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"7d since push"},{"status":"pass","label":"License clarity","detail":"MIT"},{"status":"warn","label":"README/SKILL.md completeness","detail":"Public metadata needs stronger README/SKILL.md context"},{"status":"pass","label":"Dependency/runtime risk","detail":"no major dependency risk hints in public metadata"},{"status":"pass","label":"Install availability","detail":"npx skills add jakubkrehel/skills --skill variant"},{"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/jakubkrehel/skills/tree/main/skills/variant"},{"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","Meaningful GitHub adoption signal","Install command has no obvious high-risk pattern","Outcome loop is ready but needs first real agent run"],"warnings":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","No real agent outcome reports yet","Human review required before unattended installation"],"evidence":{"stars":"4.7K GitHub stars","repoActivity":"4.7K stars, 159 forks","lastPushed":"7d since push","license":"MIT","repository":"https://github.com/jakubkrehel/skills/tree/main/skills/variant","install":"npx skills add jakubkrehel/skills --skill variant","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 jakubkrehel/skills --skill variant","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","7d since push","Trust Score v5 requires review or sandbox-only use before install."]},"agentCompatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Compare alternatives before installing."},"outcome_loop":{"version":"openagentskill-agent-outcome-v4","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","source_version"],"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 jakubkrehel/skills --skill variant","trust_score":74,"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":["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":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"backward_compatible":{"trust_score_v4":{"version":"trust-score-v4","score":82,"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":85,"risk_level":"safe_to_try","risk_label":"Safe to try","warnings":["Documentation summary is thin","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety":{"score":73,"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","73/100 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":["Documentation summary is thin"],"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","73/100 agent safety score"]},"decision":{"readiness_score":89,"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 jakubkrehel/skills --skill variant","value":"Install the \"variant\" agent skill from https://github.com/jakubkrehel/skills/tree/main/skills/variant. 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: Builds multiple variants of a component you're working on and helps you iterate and pick one. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"jakubkrehel-variant\",\"task\":\"Install variant\",\"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 variant 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-v0.3.0/openagentskill-0.3.0.tgz add jakubkrehel-variant","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 \"variant\" agent skill from https://github.com/jakubkrehel/skills/tree/main/skills/variant. 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: Builds multiple variants of a component you're working on and helps you iterate and pick one. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"jakubkrehel-variant\",\"task\":\"Install variant\",\"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 \"variant\" as a Claude Code skill from https://github.com/jakubkrehel/skills/tree/main/skills/variant. 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: Builds multiple variants of a component you're working on and helps you iterate and pick one. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"jakubkrehel-variant\",\"task\":\"Install variant\",\"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 \"variant\" from https://github.com/jakubkrehel/skills/tree/main/skills/variant 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: Builds multiple variants of a component you're working on and helps you iterate and pick one. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"jakubkrehel-variant\",\"task\":\"Install variant\",\"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":"jakubkrehel-variant","name":"variant","description":"Builds multiple variants of a component you're working on and helps you iterate and pick one.","category":"design-creative","url":"https://www.openagentskill.com/skills/jakubkrehel-variant","repository":"https://github.com/jakubkrehel/skills/tree/main/skills/variant","github_repo":"jakubkrehel/skills"},"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","Navigate pages","Click and type safely"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add jakubkrehel/skills --skill variant","ready":true,"targets":[{"id":"openagentskill-cli","label":"CLI","kind":"command","value":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz add jakubkrehel-variant"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"variant\" agent skill from https://github.com/jakubkrehel/skills/tree/main/skills/variant. 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: Builds multiple variants of a component you're working on and helps you iterate and pick one. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"jakubkrehel-variant\",\"task\":\"Install variant\",\"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 \"variant\" as a Claude Code skill from https://github.com/jakubkrehel/skills/tree/main/skills/variant. 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: Builds multiple variants of a component you're working on and helps you iterate and pick one. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"jakubkrehel-variant\",\"task\":\"Install variant\",\"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 \"variant\" from https://github.com/jakubkrehel/skills/tree/main/skills/variant 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: Builds multiple variants of a component you're working on and helps you iterate and pick one. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"jakubkrehel-variant\",\"task\":\"Install variant\",\"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/jakubkrehel-variant/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/jakubkrehel-variant"},"trust":{"score":82,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"4.7K GitHub stars","repoActivity":"4.7K stars, 159 forks","lastPushed":"7d since push","license":"MIT","repository":"https://github.com/jakubkrehel/skills/tree/main/skills/variant","install":"npx skills add jakubkrehel/skills --skill variant","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":["Quality score needs review","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"agent_proven":{"version":"agent-proven-v1","score":0,"tier":"unproven","label":"Needs first agent run","summary":"No agent outcome reports yet. Use Resolve, run one narrow sandbox task, then report the result.","metrics":{"totalOutcomes":0,"successfulOutcomes":0,"failedOutcomes":0,"installAttempts":0,"installSuccessRate":null,"successRate":null,"recentSuccessRate":null,"recentFailureRate":null,"riskBlocked":0,"setupRequired":0,"notRelevant":0,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"uniqueAgents":0,"lastOutcomeAt":null},"signals":[],"penalties":["No real agent outcome evidence yet"]},"audit":{"score":85,"risk_level":"safe_to_try","risk_label":"Safe to try","warnings":["Documentation summary is thin","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed","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":78,"label":"Strong"},"supply":{"track":"Design and creative production","scenario":"Design and creative","maintenance":"7d 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","Documentation summary is thin","Quality score needs review","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"],"agent_contract":{"task_input":"Use clinical-variant-prioritizer","recommended_action":"Review the audit page, then allow agent install in a sandboxed workflow.","install_policy":"review","minimum_review_before_use":["Trust: 82/100 Strong shortlist","Audit: 85/100 Safe to try","Safety: 73/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"jakubkrehel-variant (variant)","install_command":"npx skills add jakubkrehel/skills --skill variant","risk_summary":"Safe to try; Reviewed; 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":"","skill_slug":"jakubkrehel-variant","task":"Use clinical-variant-prioritizer","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/jakubkrehel-variant","api":"https://www.openagentskill.com/api/agent/skills/jakubkrehel-variant","audit":"https://www.openagentskill.com/skills/jakubkrehel-variant/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=jakubkrehel-variant&task=Use%20clinical-variant-prioritizer&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20clinical-variant-prioritizer&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/jakubkrehel-variant/install","manifest":"https://www.openagentskill.com/api/registry/manifest/jakubkrehel-variant"}},"use_cases":[{"slug":"design-creative","title":"Design and creative","url":"https://www.openagentskill.com/use-cases/design-creative"},{"slug":"browser-automation","title":"Browser automation","url":"https://www.openagentskill.com/use-cases/browser-automation"},{"slug":"web-scraping","title":"Web scraping","url":"https://www.openagentskill.com/use-cases/web-scraping"}],"urls":{"web":"https://www.openagentskill.com/skills/jakubkrehel-variant","api":"https://www.openagentskill.com/api/agent/skills/jakubkrehel-variant","install_api":"https://www.openagentskill.com/api/skills/jakubkrehel-variant/install","audit":"https://www.openagentskill.com/skills/jakubkrehel-variant/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=jakubkrehel-variant&task=Use%20clinical-variant-prioritizer&max_risk=medium","badge":"https://www.openagentskill.com/api/badge/jakubkrehel-variant?metric=audit","repository":"https://github.com/jakubkrehel/skills/tree/main/skills/variant"}}],"blocked_candidates":[],"agent_workflow":{"mode":"resolve_review_install","recommended_action":"Require human approval before installing into a real workspace.","selected_skill":{"slug":"clawbio-clinical-variant-prioritizer","name":"clinical-variant-prioritizer","url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer"},"install":{"target":"codex","label":"Codex install prompt","kind":"agent-prompt","command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","value":"Install the \"clinical-variant-prioritizer\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer. 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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/clawbio-clinical-variant-prioritizer/install"},"copy_paste_prompt":"Task: Use clinical-variant-prioritizer\nUse clinical-variant-prioritizer from https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer.\nReview the audit first: https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit\nReview the eval first: https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-variant-prioritizer&task=Use%20clinical-variant-prioritizer&max_risk=medium\nInstall handoff: https://www.openagentskill.com/api/skills/clawbio-clinical-variant-prioritizer/install\nInstall command: npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer\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%20clinical-variant-prioritizer&agent=codex&max_risk=medium"},{"step":2,"label":"Fetch pre-install eval","method":"GET","url":"https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-variant-prioritizer&task=Use%20clinical-variant-prioritizer&max_risk=medium"},{"step":3,"label":"Fetch selected skill profile","method":"GET","url":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-variant-prioritizer"},{"step":4,"label":"Fetch install handoff","method":"GET","url":"https://www.openagentskill.com/api/skills/clawbio-clinical-variant-prioritizer/install"},{"step":5,"label":"Review audit","method":"GET","url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit"},{"step":6,"label":"Report outcome","method":"POST","url":"https://www.openagentskill.com/api/agent/outcome","body":{"event_id":"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270","skill_slug":"clawbio-clinical-variant-prioritizer","task":"Use clinical-variant-prioritizer","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.","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"912a95f77f9dfa5f1cc86856ed024ce84b27e2268c0031c9a6e5e7d7fd517db2","ref":"main","path":"skills/clinical-variant-prioritizer/SKILL.md","sync_status":"current"}}}],"review_checklist":["Safety tier: Reviewed with permission notes","Safety score: 71/100 Review before install","Audit score: 83/100 Needs review","Trust score: 67/100 Sandbox only","Readiness: 89/100 Production-ready","The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review"],"fallback_strategy":[{"slug":"nexu-io-clinical-case-report","name":"clinical-case-report","reason":"Matches task terms: clinical","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","install_api":"https://www.openagentskill.com/api/skills/nexu-io-clinical-case-report/install"},{"slug":"k-dense-ai-clinical-reports","name":"clinical-reports","reason":"Matches task terms: clinical","url":"https://www.openagentskill.com/skills/k-dense-ai-clinical-reports","install_api":"https://www.openagentskill.com/api/skills/k-dense-ai-clinical-reports/install"},{"slug":"clawbio-clinical-trial-finder","name":"clinical-trial-finder","reason":"Matches task terms: clinical, variant","url":"https://www.openagentskill.com/skills/clawbio-clinical-trial-finder","install_api":"https://www.openagentskill.com/api/skills/clawbio-clinical-trial-finder/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_de4f66b2-7502-49a9-99ac-96c5346ce270"}},"agent_handoff":{"version":"openagentskill-agent-handoff-v1","mode":"resolve_compare_review_install","task":"Use clinical-variant-prioritizer","agent":"codex","selected_skill":{"slug":"clawbio-clinical-variant-prioritizer","name":"clinical-variant-prioritizer","url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer","api_url":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-variant-prioritizer","audit_url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit","eval_url":"https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-variant-prioritizer&task=Use%20clinical-variant-prioritizer&max_risk=medium","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer"},"install_plan":{"command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","target":"codex","label":"Codex install prompt","kind":"agent-prompt","value":"Install the \"clinical-variant-prioritizer\" agent skill from https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer. 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: Screen a genotype set (array or WGS-derived) against OMIM-morbid, ACMG-SF and Hereditary-Cancer gene panels and prioritise carried variants by ClinVar significance, gnomAD frequency, inheritance model and zygosity, following the pathogenicity-screening method of Corpas et al. 2021 (Whole Genome Interpretation for a Family of Five). After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_\",\"skill_slug\":\"clawbio-clinical-variant-prioritizer\",\"task\":\"Install clinical-variant-prioritizer\",\"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/clawbio-clinical-variant-prioritizer/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%20clinical-variant-prioritizer&agent=codex&max_risk=medium"},{"step":2,"label":"Fetch pre-install eval","method":"GET","url":"https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-variant-prioritizer&task=Use%20clinical-variant-prioritizer&max_risk=medium"},{"step":3,"label":"Fetch selected skill profile","method":"GET","url":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-variant-prioritizer"},{"step":4,"label":"Fetch install handoff","method":"GET","url":"https://www.openagentskill.com/api/skills/clawbio-clinical-variant-prioritizer/install"},{"step":5,"label":"Review audit","method":"GET","url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit"},{"step":6,"label":"Report outcome","method":"POST","url":"https://www.openagentskill.com/api/agent/outcome","body":{"event_id":"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270","skill_slug":"clawbio-clinical-variant-prioritizer","task":"Use clinical-variant-prioritizer","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.","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"912a95f77f9dfa5f1cc86856ed024ce84b27e2268c0031c9a6e5e7d7fd517db2","ref":"main","path":"skills/clinical-variant-prioritizer/SKILL.md","sync_status":"current"}}}],"platform_templates":[{"id":"codex","name":"Codex","surface":"Coding agent / local workspace","copy_prompt":"Task: Use clinical-variant-prioritizer\nSelected skill: clinical-variant-prioritizer (clawbio-clinical-variant-prioritizer)\nSkill URL: https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer\nAudit URL: https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit\nEval URL: https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-variant-prioritizer&task=Use%20clinical-variant-prioritizer&max_risk=medium\nInstall handoff: https://www.openagentskill.com/api/skills/clawbio-clinical-variant-prioritizer/install\nInstall command: npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer\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- clinical-case-report (nexu-io-clinical-case-report): https://www.openagentskill.com/skills/nexu-io-clinical-case-report\n- clinical-reports (k-dense-ai-clinical-reports): https://www.openagentskill.com/skills/k-dense-ai-clinical-reports\n- clinical-trial-finder (clawbio-clinical-trial-finder): https://www.openagentskill.com/skills/clawbio-clinical-trial-finder\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 clinical-variant-prioritizer\nSelected skill: clinical-variant-prioritizer (clawbio-clinical-variant-prioritizer)\nSkill URL: https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer\nAudit URL: https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit\nEval URL: https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-variant-prioritizer&task=Use%20clinical-variant-prioritizer&max_risk=medium\nInstall handoff: https://www.openagentskill.com/api/skills/clawbio-clinical-variant-prioritizer/install\nInstall command: npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer\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- clinical-case-report (nexu-io-clinical-case-report): https://www.openagentskill.com/skills/nexu-io-clinical-case-report\n- clinical-reports (k-dense-ai-clinical-reports): https://www.openagentskill.com/skills/k-dense-ai-clinical-reports\n- clinical-trial-finder (clawbio-clinical-trial-finder): https://www.openagentskill.com/skills/clawbio-clinical-trial-finder\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 clinical-variant-prioritizer\nSelected skill: clinical-variant-prioritizer (clawbio-clinical-variant-prioritizer)\nSkill URL: https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer\nAudit URL: https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit\nEval URL: https://www.openagentskill.com/api/agent/evals?slug=clawbio-clinical-variant-prioritizer&task=Use%20clinical-variant-prioritizer&max_risk=medium\nInstall handoff: https://www.openagentskill.com/api/skills/clawbio-clinical-variant-prioritizer/install\nInstall command: npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer\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- clinical-case-report (nexu-io-clinical-case-report): https://www.openagentskill.com/skills/nexu-io-clinical-case-report\n- clinical-reports (k-dense-ai-clinical-reports): https://www.openagentskill.com/skills/k-dense-ai-clinical-reports\n- clinical-trial-finder (clawbio-clinical-trial-finder): https://www.openagentskill.com/skills/clawbio-clinical-trial-finder\n\nExpected Cursor output:\n- selected_skill\n- cursor_rule_or_prompt\n- install_command\n- risk_summary\n- outcome_event_id\n- when_to_use\n- when_not_to_use"}],"review_checklist":["Safety tier: Reviewed with permission notes","Safety score: 71/100 Review before install","Audit score: 83/100 Needs review","Trust score: 67/100 Sandbox only","Readiness: 89/100 Production-ready","The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review"],"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_de4f66b2-7502-49a9-99ac-96c5346ce270"},"feedback":{"event_id":"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270","outcome_api":"https://www.openagentskill.com/api/agent/outcome","cli_example":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz outcome \"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270\" --skill \"clawbio-clinical-variant-prioritizer\" --task \"Use clinical-variant-prioritizer\" --agent \"codex\" --outcome success","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"]},"blocked_actions":["Do not install when safety_gate.blocked is true.","Do not install when the audit or eval reports unacceptable workspace risk.","Do not execute shell commands, access secrets, or call external services without user approval.","Do not keep the skill as an always-on instruction if it only fits a narrow task."]},"policy_decision":{"status":"human_review_required","summary":"Require human approval before installing into a real workspace."},"agent_decision":{"input_task":"Use clinical-variant-prioritizer","recommended_skill":{"slug":"clawbio-clinical-variant-prioritizer","name":"clinical-variant-prioritizer","url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer","audit_url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","safety_tier":"Reviewed with permission notes","auto_install_policy":"review"},"alternative_skills":[{"slug":"nexu-io-clinical-case-report","name":"clinical-case-report","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","install_command":"npx skills add nexu-io/open-design --skill clinical-case-report","why_consider":"Matches task terms: clinical","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"]}},{"slug":"k-dense-ai-clinical-reports","name":"clinical-reports","url":"https://www.openagentskill.com/skills/k-dense-ai-clinical-reports","install_command":"npx skills add K-Dense-AI/scientific-agent-skills --skill clinical-reports","why_consider":"Matches task terms: clinical","risk":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety":"76/100 Review before install","trust":"78/100 Strong shortlist","notes":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","The SKILL.md excerpt is truncated; full documentation is assumed to be complete and consistent with the provided sections.","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},{"slug":"clawbio-clinical-trial-finder","name":"clinical-trial-finder","url":"https://www.openagentskill.com/skills/clawbio-clinical-trial-finder","install_command":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","why_consider":"Matches task terms: clinical, variant","risk":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety":"68/100 Review before install","trust":"75/100 Strong shortlist","notes":["Documentation summary is thin","Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","External dependencies (OpenTargets, GWAS Catalog) are not listed in the dependencies section; they are used but not declared.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}}],"install_command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","install_target":"Codex install prompt","why_recommended":["Matches task terms: clinical, variant, prioritizer","Useful GitHub adoption: 1,125 stars","Install handoff is available","Repository freshness signal is available","Registry match score 54","Primary pick for Browser automation"],"risk_summary":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety":"71/100 Review before install","trust":"75/100 Strong shortlist","notes":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]},"safety_gate":{"tier":"reviewed","label":"Reviewed with permission notes","auto_install_policy":"review","action":"Require human approval before installing into a real workspace."},"feedback":{"event_id":"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270","outcome_api":"https://www.openagentskill.com/api/agent/outcome","cli_example":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz outcome \"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270\" --skill \"clawbio-clinical-variant-prioritizer\" --task \"Use clinical-variant-prioritizer\" --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_de4f66b2-7502-49a9-99ac-96c5346ce270","selected_skill_slug":"clawbio-clinical-variant-prioritizer","selected_skill_name":"clinical-variant-prioritizer","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_de4f66b2-7502-49a9-99ac-96c5346ce270","skill_slug":"clawbio-clinical-variant-prioritizer","task":"Use clinical-variant-prioritizer","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.","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"912a95f77f9dfa5f1cc86856ed024ce84b27e2268c0031c9a6e5e7d7fd517db2","ref":"main","path":"skills/clinical-variant-prioritizer/SKILL.md","sync_status":"current"}},"cli_example":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz outcome \"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270\" --skill \"clawbio-clinical-variant-prioritizer\" --task \"Use clinical-variant-prioritizer\" --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 ClawBio/ClawBio --skill clinical-variant-prioritizer","After one narrow task, report the outcome with: npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz outcome \"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270\" --skill \"clawbio-clinical-variant-prioritizer\" --task \"Use clinical-variant-prioritizer\" --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 clinical-variant-prioritizer","agent":"codex","selected_skill":{"slug":"clawbio-clinical-variant-prioritizer","name":"clinical-variant-prioritizer","url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer","api_url":"https://www.openagentskill.com/api/agent/skills/clawbio-clinical-variant-prioritizer","audit_url":"https://www.openagentskill.com/skills/clawbio-clinical-variant-prioritizer/audit","repository":"https://github.com/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"912a95f77f9dfa5f1cc86856ed024ce84b27e2268c0031c9a6e5e7d7fd517db2","ref":"main","path":"skills/clinical-variant-prioritizer/SKILL.md","sync_status":"current"}},"suited_tasks":["Browser automation workflows","Claude Code teams","teams that value GitHub adoption signals","Navigate pages","Click and type safely","Check visual and DOM state","Move data between tools","Transform files"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add ClawBio/ClawBio --skill clinical-variant-prioritizer","target":"codex","label":"Codex install prompt","policy":"review","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true},"trust":{"score":67,"label":"Sandbox only","version":"trust-score-v5","base_score":75,"outcome_confidence":0,"decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Compare alternatives before installing.","reasoning":["67/100 Trust Score v5","75/100 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":86,"status":"pass","detail":"1.1K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":83,"status":"pass","detail":"1.1K stars, 259 forks; issue activity unavailable in current metadata"},{"id":"maintenance","label":"Recent maintenance","score":100,"status":"pass","detail":"1d since push"},{"id":"license","label":"License clarity","score":86,"status":"pass","detail":"MIT"},{"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 ClawBio/ClawBio --skill clinical-variant-prioritizer"},{"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/ClawBio/ClawBio/tree/main/skills/clinical-variant-prioritizer"},{"id":"review_status","label":"Review status","score":66,"status":"info","detail":"AI review data available"},{"id":"agent_outcomes","label":"Agent Proven outcomes","score":54,"status":"info","detail":"No agent outcome data yet"}]},"risk":{"level":"Needs review","audit_label":"Needs review","safety":"71/100 Review before install","trust":"75/100 Strong shortlist","safety_tier":"Reviewed with permission notes","notes":["The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"],"do_not_use_when":["teams that need a vendor-supported SLA","production agents without a repository review","The skill relies on a static curated panel that may become outdated; consider a mechanism to update it or document how to refresh it.","No OpenAgentSkill engagement data yet","Input genotypes are not strictly validated beyond basic checks; malformed input (e.g., non-allelic characters) may cause unexpected behavior.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context","Production credentials, payments, or irreversible account changes without explicit human review"],"minimum_review_before_use":["Trust: 75/100 Strong shortlist","Audit: 83/100 Needs review","Safety: 71/100 Review before install","Review repository, license, install command, and permission surface before production use."]},"alternatives":[{"slug":"nexu-io-clinical-case-report","name":"clinical-case-report","url":"https://www.openagentskill.com/skills/nexu-io-clinical-case-report","install_command":"npx skills add nexu-io/open-design --skill clinical-case-report","trust_score":85,"audit_score":91,"safety_score":79,"why_consider":"Matches task terms: clinical","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"]}},{"slug":"k-dense-ai-clinical-reports","name":"clinical-reports","url":"https://www.openagentskill.com/skills/k-dense-ai-clinical-reports","install_command":"npx skills add K-Dense-AI/scientific-agent-skills --skill clinical-reports","trust_score":78,"audit_score":88,"safety_score":76,"why_consider":"Matches task terms: clinical","risk":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety":"76/100 Review before install","trust":"78/100 Strong shortlist","notes":["The skill is highly specialized and may not be broadly applicable outside clinical research contexts, but this is not a defect.","The SKILL.md excerpt is truncated; full documentation is assumed to be complete and consistent with the provided sections.","Documentation summary is thin","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},{"slug":"clawbio-clinical-trial-finder","name":"clinical-trial-finder","url":"https://www.openagentskill.com/skills/clawbio-clinical-trial-finder","install_command":"npx skills add ClawBio/ClawBio --skill clinical-trial-finder","trust_score":75,"audit_score":80,"safety_score":68,"why_consider":"Matches task terms: clinical, variant","risk":{"level":"Needs review","safety_tier":"Reviewed with permission notes","safety":"68/100 Review before install","trust":"75/100 Strong shortlist","notes":["Documentation summary is thin","Description mentions EUCTR but implementation only uses ClinicalTrials.gov; clarify or remove EUCTR reference.","External dependencies (OpenTargets, GWAS Catalog) are not listed in the dependencies section; they are used but not declared.","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}},{"slug":"jakubkrehel-variant","name":"variant","url":"https://www.openagentskill.com/skills/jakubkrehel-variant","install_command":"npx skills add jakubkrehel/skills --skill variant","trust_score":82,"audit_score":85,"safety_score":73,"why_consider":"Matches task terms: variant","risk":{"level":"Safe to try","safety_tier":"Reviewed","safety":"73/100 Review before install","trust":"82/100 Strong shortlist","notes":["Documentation summary is thin","Quality score needs review","README/SKILL.md completeness: Public metadata needs stronger README/SKILL.md context"]}}],"outcome_feedback":{"event_id":"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270","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_de4f66b2-7502-49a9-99ac-96c5346ce270","skill_slug":"clawbio-clinical-variant-prioritizer","task":"Use clinical-variant-prioritizer","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.","source_version":{"version":"1.0.0","commit_sha":"c57fe788368f7f9486cbc37f9c0b3d466e89447a","content_hash":"912a95f77f9dfa5f1cc86856ed024ce84b27e2268c0031c9a6e5e7d7fd517db2","ref":"main","path":"skills/clinical-variant-prioritizer/SKILL.md","sync_status":"current"}},"cli_example":"npx --yes https://github.com/Leon-Drq/openagentskill/releases/download/cli-v0.3.0/openagentskill-0.3.0.tgz outcome \"resolve_de4f66b2-7502-49a9-99ac-96c5346ce270\" --skill \"clawbio-clinical-variant-prioritizer\" --task \"Use clinical-variant-prioritizer\" --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":"2026-09-06T06:44:01.972Z","total_skills_searched":909,"total_candidates":15,"candidate_pool":{"sort":"quality","size":909,"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"}}}