{"slug":"foryourhealth111-pixel-clinical-decision-support","name":"clinical-decision-support","description":"Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based guidelines with decision algorithms). Supports GRADE evidence grading, statistical analysis (hazard ratios, survival curves, waterfall plots), biomarker integration, and regulatory compliance. Outputs publication-ready LaTeX/PDF format optimized for drug development, clinical research, and evidence synthesis.","long_description":"---\nname: clinical-decision-support\ndescription: \"Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based guidelines with decision algorithms). Supports GRADE evidence grading, statistical analysis (hazard ratios, survival curves, waterfall plots), biomarker integration, and regulatory compliance. Outputs publication-ready LaTeX/PDF format optimized for drug development, clinical research, and evidence synthesis.\"\nallowed-tools: [Read, Write, Edit, Bash]\n---\n\n# Clinical Decision Support Documents\n\n## Description\n\nGenerate professional clinical decision support (CDS) documents for pharmaceutical companies, clinical researchers, and medical decision-makers. This skill specializes in analytical, evidence-based documents that inform treatment strategies and drug development:\n\n1. **Patient Cohort Analysis** - Biomarker-stratified group analyses with statistical outcome comparisons\n2. **Treatment Recommendation Reports** - Evidence-based clinical guidelines with GRADE grading and decision algorithms\n\nAll documents are generated as publication-ready LaTeX/PDF files optimized for pharmaceutical research, regulatory submissions, and clinical guideline development.\n\n**Note:** For individual patient treatment plans at the bedside, use the `treatment-plans` skill instead. This skill focuses on group-level analyses and evidence synthesis for pharmaceutical/research settings.\n\n## Capabilities\n\n### Document Types\n\n**Patient Cohort Analysis**\n- Biomarker-based patient stratification (molecular subtypes, gene expression, IHC)\n- Molecular subtype classification (e.g., GBM mesenchymal-immune-active vs proneural, breast cancer subtypes)\n- Outcome metrics with statistical analysis (OS, PFS, ORR, DOR, DCR)\n- Statistical comparisons between subgroups (hazard ratios, p-values, 95% CI)\n- Survival analysis with Kaplan-Meier curves and log-rank tests\n- Efficacy tables and waterfall plots\n- Comparative effectiveness analyses\n- Pharmaceutical cohort reporting (trial subgroups, real-world evidence)\n\n**Treatment Recommendation Reports**\n- Evidence-based treatment guidelines for specific disease states\n- Strength of recommendation grading (GRADE system: 1A, 1B, 2A, 2B, 2C)\n- Quality of evidence assessment (high, moderate, low, very low)\n- Treatment algorithm flowcharts with TikZ diagrams\n- Line-of-therapy sequencing based on biomarkers\n- Decision pathways with clinical and molecular criteria\n- Pharmaceutical strategy documents\n- Clinical guideline development for medical societies\n\n### Clinical Features\n\n- **Biomarker Integration**: Genomic alterations (mutations, CNV, fusions), gene expression signatures, IHC markers, PD-L1 scoring\n- **Statistical Analysis**: Hazard ratios, p-values, confidence intervals, survival curves, Cox regression, log-rank tests\n- **Evidence Grading**: GRADE system (1A/1B/2A/2B/2C), Oxford CEBM levels, quality of evidence assessment\n- **Clinical Terminology**: SNOMED-CT, LOINC, proper medical nomenclature, trial nomenclature\n- **Regulatory Compliance**: HIPAA de-identification, confidentiality headers, ICH-GCP alignment\n- **Professional Formatting**: Compact 0.5in margins, color-coded recommendations, publication-ready, suitable for regulatory submissions\n\n## Pharmaceutical and Research Use Cases\n\nThis skill is specifically designed for pharmaceutical and clinical research applications:\n\n**Drug Development**\n- **Phase 2/3 Trial Analyses**: Biomarker-stratified efficacy and safety analyses\n- **Subgroup Analyses**: Forest plots showing treatment effects across patient subgroups\n- **Companion Diagnostic Development**: Linking biomarkers to drug response\n- **Regulatory Submissions**: IND/NDA documentation with evidence summaries\n\n**Medical Affairs**\n- **KOL Education Materials**: Evidence-based treatment algorithms for thought leaders\n- **Medical Strategy Documents**: Competitive landscape and positioning strategies\n- **Advisory Board Materials**: Cohort analyses and treatment recommendation frameworks\n- **Publication Planning**: Manuscript-ready analyses for peer-reviewed journals\n\n**Clinical Guidelines**\n- **Guideline Development**: Evidence synthesis with GRADE methodology for specialty societies\n- **Consensus Recommendations**: Multi-stakeholder treatment algorithm development\n- **Practice Standards**: Biomarker-based treatment selection criteria\n- **Quality Measures**: Evidence-based performance metrics\n\n**Real-World Evidence**\n- **RWE Cohort Studies**: Retrospective analyses of patient cohorts from EMR data\n- **Comparative Effectiveness**: Head-to-head treatment comparisons in real-world settings\n- **Outcomes Research**: Long-term survival and safety in clinical practice\n- **Health Economics**: Cost-effectiveness analyses by biomarker subgroup\n\n## When to Use\n\nUse this skill when you need to:\n\n- **Analyze patient cohorts** stratified by biomarkers, molecular subtypes, or clinical characteristics\n- **Generate treatment recommendation reports** with evidence grading for clinical guidelines or pharmaceutical strategies\n- **Compare outcomes** between patient subgroups with statistical analysis (survival, response rates, hazard ratios)\n- **Produce pharmaceutical research documents** for drug development, clinical trials, or regulatory submissions\n- **Develop clinical practice guidelines** with GRADE evidence grading and decision algorithms\n- **Document biomarker-guided therapy selection** at the population level (not individual patients)\n- **Synthesize evidence** from multiple trials or real-world data sources\n- **Create clinical decision algorithms** with flowcharts for treatment sequencing\n\n**Do NOT use this skill for:**\n- Individual patient treatment plans (use `treatment-plans` skill)\n- Bedside clinical care documentation (use `treatment-plans` skill)\n- Simple patient-specific treatment protocols (use `treatment-plans` skill)\n\n## Visual Enhancement with Scientific Schematics\n\n**⚠️ MANDATORY: Every clinical decision support document MUST include at least 1-2 AI-generated figures using the scientific-schematics skill.**\n\nThis is not optional. Clinical decision documents require clear visual algorithms. Before finalizing any document:\n1. Generate at minimum ONE schematic or diagram (e.g., clinical decision algorithm, treatment pathway, or biomarker stratification tree)\n2. For cohort analyses: include patient flow diagram\n3. For treatment recommendations: include decision flowchart\n\n**How to generate figures:**\n- Use the **scientific-schematics** skill to generate AI-powered publication-quality diagrams\n- Simply describe your desired diagram in natural language\n- Nano Banana Pro will automatically generate, review, and refine the schematic\n\n**How to generate schematics:**\n```bash\npython scripts/generate_schematic.py \"your diagram description\" -o figures/output.png\n```\n\nThe AI will automatically:\n- Create publication-quality images with proper formatting\n- Review and refine through multiple iterations\n- Ensure accessibility (colorblind-friendly, high contrast)\n- Save outputs in the figures/ directory\n\n**When to add schematics:**\n- Clinical decision algorithm flowcharts\n- Treatment pathway diagrams\n- Biomarker stratification trees\n- Patient cohort flow diagrams (CONSORT-style)\n- Survival curve visualizations\n- Molecular mechanism diagrams\n- Any complex concept that benefits from visualization\n\nFor detailed guidance on creating schematics, refer to the scientific-schematics skill documentation.\n\n---\n\n## Document Structure\n\n**CRITICAL REQUIREMENT: All clinical decision support documents MUST begin with a complete executive summary on page 1 that spans the entire first page before any table of contents or detailed sections.**\n\n### Page 1 Executive Summary Structure\n\nThe first page of every CDS document should contain ONLY the executive summary with the following components:\n\n**Required Elements (all on page 1):**\n1. **Document Title and Type**\n   - Main title (e.g., \"Biomarker-Stratified Cohort Analysis\" or \"Evidence-Based Treatment Recommendations\")\n   - Subtitle with disease state and focus\n   \n2. **Report Information Box** (using colored tcolorbox)\n   - Document type and purpose\n   - Date of analysis/report\n   - Disease state and patient population\n   - Author/institution (if applicable)\n   - Analysis framework or methodology\n   \n3. **Key Findings Boxes** (3-5 colored boxes using tcolorbox)\n   - **Primary Results** (blue box): Main efficacy/outcome findings\n   - **Biomarker Insights** (green box): Key molecular subtype findings\n   - **Clinical Implications** (yellow/orange box): Actionable treatment implications\n   - **Statistical Summary** (gray box): Hazard ratios, p-values, key statistics\n   - **Safety Highlights** (red box, if applicable): Critical adverse events or warnings\n\n**Visual Requirements:**\n- Use `\\thispagestyle{empty}` to remove page numbers from page 1\n- All content must fit on page 1 (before `\\newpage`)\n- Use colored tcolorbox environments with different colors for visual hierarchy\n- Boxes should be scannable and highlight most critical information\n- Use bullet points, not narrative paragraphs\n- End page 1 with `\\newpage` before table of contents or detailed sections\n\n**Example First Page LaTeX Structure:**\n```latex\n\\maketitle\n\\thispagestyle{empty}\n\n% Report Information Box\n\\begin{tcolorbox}[colback=blue!5!white, colframe=blue!75!black, title=Report Information]\n\\textbf{Document Type:} Patient Cohort Analysis\\\\\n\\textbf{Disease State:} HER2-Positive Metastatic Breast Cancer\\\\\n\\textbf{Analysis Date:} \\today\\\\\n\\textbf{Population:} 60 patients, biomarker-stratified by HR status\n\\end{tcolorbox}\n\n\\vspace{0.3cm}\n\n% Key Finding #1: Primary Results\n\\begin{tcolorbox}[colback=blue!5!white, colframe=blue!75!black, title=Primary Efficacy Results]\n\\begin{itemize}\n    \\item Overall ORR: 72\\% (95\\% CI: 59-83\\%)\n    \\item Median PFS: 18.5 months (95\\% CI: 14.2-22.8)\n    \\item Median OS: 35.2 months (95\\% CI: 28.1-NR)\n\\end{itemize}\n\\end{tcolorbox}\n\n\\vspace{0.3cm}\n\n% Key Finding #2: Biomarker Insights\n\\begin{tcolorbox}[colback=green!5!white, colframe=green!75!black, title=Biomarker Stratification Findings]\n\\begin{itemize}\n    \\item HR+/HER2+: ORR 68\\%, median PFS 16.2 months\n    \\item HR-/HER2+: ORR 78\\%, median PFS 22.1 months\n    \\item HR status significantly associated with outcomes (p=0.041)\n\\end{itemize}\n\\end{tcolorbox}\n\n\\vspace{0.3cm}\n\n% Key Finding #3: Clinical Implications\n\\begin{tcolorbox}[colback=orange!5!white, colframe=orange!75!black, title=Clinical Recommendations]\n\\begin{itemize}\n    \\item Strong efficacy observed regardless of HR status (Grade 1A)\n    \\item HR-/HER2+ patients showed numerically superior outcomes\n    \\item Treatment recommended for all HER2+ MBC patients\n\\end{itemize}\n\\end{tcolorbox}\n\n\\newpage\n\\tableofcontents  % TOC on page 2\n\\newpage  % Detailed content starts page 3\n```\n\n### Patient Cohort Analysis (Detailed Sections - Page 3+)\n- **Cohort Characteristics**: Demographics, baseline features, patient selection criteria\n- **Biomarker Stratification**: Molecular subtypes, genomic alterations, IHC profiles\n- **Treatment Exposure**: Therapies received, dosing, treatment duration by subgroup\n- **Outcome Analysis**: Response rates (ORR, DCR), survival data (OS, PFS), DOR\n- **Statistical Methods**: Kaplan-Meier survival curves, hazard ratios, log-rank tests, Cox regression\n- **Subgroup Comparisons**: Biomarker-stratified efficacy, forest plots, statistical significance\n- **Safety Profile**: Adverse events by subgroup, dose modifications, discontinuations\n- **Clinical Recommendations**: Treatment implications based on biomarker profiles\n- **Figures**: Waterfall plots, swimmer plots, survival curves, forest plots\n- **Tables**: Demographics table, biomarker frequency, outcomes by subgroup\n\n### Treatment Recommendation Reports (Detailed Sections - Page 3+)\n\n**Page 1 Executive Summary","tagline":"Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based guidelines with decision algorithms). Sup","category":"security","tags":["agent-skill"],"author":"foryourhealth111-pixel","verified":false,"attribution":{"status":"registry_indexed","statusLabel":"Registry indexed","shortLabel":"REGISTRY INDEXED","sourceLabel":"github candidate review","sourceDetail":"foryourhealth111-pixel/Vibe-Skills","creatorName":"foryourhealth111-pixel","creatorUrl":"https://github.com/foryourhealth111-pixel","sourceUrl":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support","indexedBy":"OpenAgentSkill community index","claimUrl":"https://www.openagentskill.com/skills/foryourhealth111-pixel-clinical-decision-support#claim-this-skill","claimCta":"Claim this skill","trustNote":"This listing was indexed from public sources and is not marked official until a maintainer claim is approved.","publicNote":"Attribution links to the public repository or creator profile. Creators can claim the listing to update ownership signals."},"stats":{"stars":3127,"forks":260,"verified_installs":0,"successful_runs":0,"total_outcomes":0,"rating":0,"review_count":0,"quality_score":47.72},"quality":{"score":82,"tier":"strong","label":"Strong","summary":"Solid option that is likely worth shortlisting for production workflows.","signals":[{"label":"GitHub stars","value":"3.1K","tone":"positive"},{"label":"Freshness","value":"5d ago","tone":"positive"},{"label":"Install ready","value":"Yes","tone":"positive"},{"label":"License","value":"Apache-2.0","tone":"neutral"}],"warnings":["Minor inconsistency: SKILL.md focuses on group-level analyses and explicitly excludes individual treatment plans, but README.md lists 'Individual Patient Treatment Plans' as a document type. This could confuse users."]},"trust":{"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":86,"weight":0.13,"status":"pass","detail":"3.1K GitHub stars"},{"id":"repo_activity","label":"Stars/forks activity","score":83,"weight":0.08,"status":"pass","detail":"3.1K stars, 260 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":"Apache-2.0"},{"id":"documentation","label":"README/SKILL.md completeness","score":86,"weight":0.14,"status":"pass","detail":"Metadata includes enough usage and workflow context"},{"id":"dependency_risk","label":"Dependency/runtime risk","score":72,"weight":0.12,"status":"info","detail":"command execution surface"},{"id":"installability","label":"Install availability","score":92,"weight":0.1,"status":"pass","detail":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-decision-support"},{"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":62,"weight":0.07,"status":"info","detail":"shell or command execution, filesystem or document access"},{"id":"repository","label":"Repository evidence","score":86,"weight":0.04,"status":"pass","detail":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support"},{"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":"3.1K GitHub stars"},{"status":"pass","label":"Stars/forks activity","detail":"3.1K stars, 260 forks; issue activity unavailable in current metadata"},{"status":"pass","label":"Recent maintenance","detail":"5d since push"},{"status":"pass","label":"License clarity","detail":"Apache-2.0"},{"status":"pass","label":"README/SKILL.md completeness","detail":"Metadata includes enough usage and workflow context"},{"status":"info","label":"Dependency/runtime risk","detail":"command execution surface"},{"status":"pass","label":"Install availability","detail":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-decision-support"},{"status":"pass","label":"Install command safety","detail":"standard package or runtime install path"},{"status":"info","label":"Permission surface","detail":"shell or command execution, filesystem or document access"},{"status":"pass","label":"Repository evidence","detail":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support"},{"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":["Minor inconsistency: SKILL.md focuses on group-level analyses and explicitly excludes individual treatment plans, but README.md lists 'Individual Patient Treatment Plans' as a document type. This could confuse users.","Quality score needs review","No real agent outcome reports yet","Human review required before unattended installation"],"evidence":{"stars":"3.1K GitHub stars","repoActivity":"3.1K stars, 260 forks","lastPushed":"5d since push","license":"Apache-2.0","repository":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support","install":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-decision-support","installSafety":"standard package or runtime install path","permissionSurface":"shell or command execution, filesystem or document access","documentation":"Strong README/SKILL.md context","agentOutcomes":"No agent outcome data yet","agentProvenScore":0,"outcomeConfidence":"0%","installPolicy":"human_review_before_install"},"installReadiness":{"ready":true,"command":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-decision-support","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":["Minor inconsistency: SKILL.md focuses on group-level analyses and explicitly excludes individual treatment plans, but README.md lists 'Individual Patient Treatment Plans' as a document type. 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This could confuse users.","Quality score needs review"],"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."}}},"trust_score_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. 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This could confuse users.","Quality score needs review"]},"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"]},"outcome_stats":null,"safety":{"score":56,"level":"review_before_install","label":"Review before install","safety_tier":{"tier":"experimental","label":"Experimental","badge":"EXPERIMENTAL","summary":"Sparse or mixed signals. Useful for discovery, but not for autonomous installation.","recommended_action":"Test manually in an isolated workspace and compare against safer alternatives.","auto_install_policy":"review","reasons":["High-risk permission hints: Shell or command execution","56/100 agent safety score"]},"auto_install_allowed":false,"human_review_required":true,"blocked":false,"audit_risk":"safe_to_try","permission_hints":[{"id":"shell","label":"Shell or command execution","reason":"Skill metadata references terminal, CLI, shell, subprocess, or command execution workflows.","severity":"high"},{"id":"network","label":"Network access","reason":"Skill likely fetches remote pages, APIs, repositories, or external services.","severity":"medium"},{"id":"filesystem","label":"Filesystem access","reason":"Skill may read or write project files, documents, generated artifacts, or local workspace state.","severity":"medium"}],"policy_warnings":["High-risk permission hints: Shell or command execution","Minor inconsistency: SKILL.md focuses on group-level analyses and explicitly excludes individual treatment plans, but README.md lists 'Individual Patient Treatment Plans' as a document type. 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Supports GRADE evidence grading, statistical analysis (hazard ratios, survival curves, waterfall plots), biomarker integration, and regulatory compliance. Outputs publication-ready LaTeX/PDF format optimized for drug development, clinical research, and evidence synthesis.","category":"security","url":"https://www.openagentskill.com/skills/foryourhealth111-pixel-clinical-decision-support","repository":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support","github_repo":"foryourhealth111-pixel/Vibe-Skills"},"suited_tasks":["Research agents workflows","Claude Code teams","teams that value GitHub adoption signals","Search sources","Extract claims","Synthesize findings","Chunk documents","Create embeddings"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-decision-support","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 foryourhealth111-pixel-clinical-decision-support"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"clinical-decision-support\" agent skill from https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support. 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: Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based guidelines with decision algorithms). Supports GRADE evidence grading, statistical analysis (hazard ratios, survival curves, waterfall plots), biomarker integration, and regulatory compliance. Outputs publication-ready LaTeX/PDF format optimized for drug development, clinical research, and evidence synthesis. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"foryourhealth111-pixel-clinical-decision-support\",\"task\":\"Install clinical-decision-support\",\"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-decision-support\" as a Claude Code skill from https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support. 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: Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based guidelines with decision algorithms). Supports GRADE evidence grading, statistical analysis (hazard ratios, survival curves, waterfall plots), biomarker integration, and regulatory compliance. Outputs publication-ready LaTeX/PDF format optimized for drug development, clinical research, and evidence synthesis. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"foryourhealth111-pixel-clinical-decision-support\",\"task\":\"Install clinical-decision-support\",\"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-decision-support\" from https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support 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: Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based guidelines with decision algorithms). Supports GRADE evidence grading, statistical analysis (hazard ratios, survival curves, waterfall plots), biomarker integration, and regulatory compliance. Outputs publication-ready LaTeX/PDF format optimized for drug development, clinical research, and evidence synthesis. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"foryourhealth111-pixel-clinical-decision-support\",\"task\":\"Install clinical-decision-support\",\"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/foryourhealth111-pixel-clinical-decision-support/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/foryourhealth111-pixel-clinical-decision-support"},"trust":{"score":78,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"3.1K GitHub stars","repoActivity":"3.1K stars, 260 forks","lastPushed":"5d since push","license":"Apache-2.0","repository":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support","install":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-decision-support","installSafety":"standard package or runtime install path","permissionSurface":"shell or command execution, filesystem or document access","documentation":"Strong README/SKILL.md context","agentOutcomes":"No agent outcome data yet"},"outcome_evidence":{"total":0,"successes":0,"failures":0,"not_relevant":0,"success_rate":null,"recent_success_rate":null,"recent_failure_rate":null,"install_attempts":0,"install_success_rate":null,"risk_blocked":0,"setup_required":0,"avg_output_quality":null,"production_outcomes":0,"last_outcome_at":null,"label":"No agent outcome data yet"},"auto_install":{"allowed":false,"sandbox_required":true,"reason":"Human review or sandbox validation is required before automatic installation."},"best_for":["security","agent-skill"],"known_risks":["Minor inconsistency: SKILL.md focuses on group-level analyses and explicitly excludes individual treatment plans, but README.md lists 'Individual Patient Treatment Plans' as a document type. This could confuse users.","Quality score needs review"]},"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":84,"risk_level":"safe_to_try","risk_label":"Safe to try","warnings":["Minor inconsistency: SKILL.md focuses on group-level analyses and explicitly excludes individual treatment plans, but README.md lists 'Individual Patient Treatment Plans' as a document type. This could confuse users.","Quality score needs review"]},"safety_gate":{"tier":"experimental","label":"Experimental","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Test manually in an isolated workspace and compare against safer alternatives."},"quality":{"score":82,"label":"Strong"},"supply":{"track":"Research and knowledge work","scenario":"Research agents","maintenance":"5d since push","risk":"Safe to try"},"alternative_skills":[],"do_not_use_when":["teams that need a vendor-supported SLA","production agents without a repository review","Minor inconsistency: SKILL.md focuses on group-level analyses and explicitly excludes individual treatment plans, but README.md lists 'Individual Patient Treatment Plans' as a document type. This could confuse users.","No OpenAgentSkill engagement data yet","High-risk permission hints: Shell or command execution","Quality score needs review","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-decision-support in an agent workflow","recommended_action":"Test manually in an isolated workspace and compare against safer alternatives.","install_policy":"review","minimum_review_before_use":["Trust: 78/100 Strong shortlist","Audit: 84/100 Safe to try","Safety: 56/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"foryourhealth111-pixel-clinical-decision-support (clinical-decision-support)","install_command":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-decision-support","risk_summary":"Safe to try; Experimental; Review before production","verification_result":"Report the smallest successful task, files touched, warnings, and any missing setup."}},"outcome_feedback":{"endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","requires_resolve_event_id":true,"event_id_source":"Use install_receipt.outcome_feedback.event_id or feedback.event_id returned by /api/agent/resolve for the current task.","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"payload_template":{"event_id":"<install_receipt.outcome_feedback.event_id or feedback.event_id from /api/agent/resolve>","skill_slug":"foryourhealth111-pixel-clinical-decision-support","task":"Use clinical-decision-support in an agent workflow","agent":"codex","outcome":"success","install_used":true,"risk_blocked":false,"setup_required":false,"task_success":true,"output_quality":4,"error_type":null,"human_review_required":false,"workspace":"sandbox","time_to_useful_ms":120000,"notes":"Report the smallest successful task, setup friction, files touched, and risk notes."}},"endpoints":{"web":"https://www.openagentskill.com/skills/foryourhealth111-pixel-clinical-decision-support","api":"https://www.openagentskill.com/api/agent/skills/foryourhealth111-pixel-clinical-decision-support","audit":"https://www.openagentskill.com/skills/foryourhealth111-pixel-clinical-decision-support/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=foryourhealth111-pixel-clinical-decision-support&task=Use%20clinical-decision-support%20in%20an%20agent%20workflow&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20clinical-decision-support%20in%20an%20agent%20workflow&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20clinical-decision-support%20in%20an%20agent%20workflow&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/foryourhealth111-pixel-clinical-decision-support/install","manifest":"https://www.openagentskill.com/api/registry/manifest/foryourhealth111-pixel-clinical-decision-support"}},"machine_metadata":{"version":"openagentskill-agent-metadata-v2","skill":{"slug":"foryourhealth111-pixel-clinical-decision-support","name":"clinical-decision-support","description":"Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based guidelines with decision algorithms). Supports GRADE evidence grading, statistical analysis (hazard ratios, survival curves, waterfall plots), biomarker integration, and regulatory compliance. Outputs publication-ready LaTeX/PDF format optimized for drug development, clinical research, and evidence synthesis.","category":"security","url":"https://www.openagentskill.com/skills/foryourhealth111-pixel-clinical-decision-support","repository":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support","github_repo":"foryourhealth111-pixel/Vibe-Skills"},"suited_tasks":["Research agents workflows","Claude Code teams","teams that value GitHub adoption signals","Search sources","Extract claims","Synthesize findings","Chunk documents","Create embeddings"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI","CLI"],"install":{"command":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-decision-support","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 foryourhealth111-pixel-clinical-decision-support"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"clinical-decision-support\" agent skill from https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support. 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: Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based guidelines with decision algorithms). Supports GRADE evidence grading, statistical analysis (hazard ratios, survival curves, waterfall plots), biomarker integration, and regulatory compliance. Outputs publication-ready LaTeX/PDF format optimized for drug development, clinical research, and evidence synthesis. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"foryourhealth111-pixel-clinical-decision-support\",\"task\":\"Install clinical-decision-support\",\"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-decision-support\" as a Claude Code skill from https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support. 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: Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based guidelines with decision algorithms). Supports GRADE evidence grading, statistical analysis (hazard ratios, survival curves, waterfall plots), biomarker integration, and regulatory compliance. Outputs publication-ready LaTeX/PDF format optimized for drug development, clinical research, and evidence synthesis. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"foryourhealth111-pixel-clinical-decision-support\",\"task\":\"Install clinical-decision-support\",\"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-decision-support\" from https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support 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: Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based guidelines with decision algorithms). Supports GRADE evidence grading, statistical analysis (hazard ratios, survival curves, waterfall plots), biomarker integration, and regulatory compliance. Outputs publication-ready LaTeX/PDF format optimized for drug development, clinical research, and evidence synthesis. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"foryourhealth111-pixel-clinical-decision-support\",\"task\":\"Install clinical-decision-support\",\"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/foryourhealth111-pixel-clinical-decision-support/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/foryourhealth111-pixel-clinical-decision-support"},"trust":{"score":78,"label":"Strong shortlist","version":"trust-score-v4","install_policy":"human_review_before_install","evidence":{"stars":"3.1K GitHub stars","repoActivity":"3.1K stars, 260 forks","lastPushed":"5d since push","license":"Apache-2.0","repository":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support","install":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-decision-support","installSafety":"standard package or runtime install path","permissionSurface":"shell or command execution, filesystem or document access","documentation":"Strong README/SKILL.md context","agentOutcomes":"No agent outcome data yet"},"outcome_evidence":{"total":0,"successes":0,"failures":0,"not_relevant":0,"success_rate":null,"recent_success_rate":null,"recent_failure_rate":null,"install_attempts":0,"install_success_rate":null,"risk_blocked":0,"setup_required":0,"avg_output_quality":null,"production_outcomes":0,"last_outcome_at":null,"label":"No agent outcome data yet"},"auto_install":{"allowed":false,"sandbox_required":true,"reason":"Human review or sandbox validation is required before automatic installation."},"best_for":["security","agent-skill"],"known_risks":["Minor inconsistency: SKILL.md focuses on group-level analyses and explicitly excludes individual treatment plans, but README.md lists 'Individual Patient Treatment Plans' as a document type. This could confuse users.","Quality score needs review"]},"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":84,"risk_level":"safe_to_try","risk_label":"Safe to try","warnings":["Minor inconsistency: SKILL.md focuses on group-level analyses and explicitly excludes individual treatment plans, but README.md lists 'Individual Patient Treatment Plans' as a document type. This could confuse users.","Quality score needs review"]},"safety_gate":{"tier":"experimental","label":"Experimental","auto_install_policy":"review","auto_install_allowed":false,"human_review_required":true,"blocked":false,"recommended_action":"Test manually in an isolated workspace and compare against safer alternatives."},"quality":{"score":82,"label":"Strong"},"supply":{"track":"Research and knowledge work","scenario":"Research agents","maintenance":"5d since push","risk":"Safe to try"},"alternative_skills":[],"do_not_use_when":["teams that need a vendor-supported SLA","production agents without a repository review","Minor inconsistency: SKILL.md focuses on group-level analyses and explicitly excludes individual treatment plans, but README.md lists 'Individual Patient Treatment Plans' as a document type. This could confuse users.","No OpenAgentSkill engagement data yet","High-risk permission hints: Shell or command execution","Quality score needs review","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-decision-support in an agent workflow","recommended_action":"Test manually in an isolated workspace and compare against safer alternatives.","install_policy":"review","minimum_review_before_use":["Trust: 78/100 Strong shortlist","Audit: 84/100 Safe to try","Safety: 56/100 Review before install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"foryourhealth111-pixel-clinical-decision-support (clinical-decision-support)","install_command":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-decision-support","risk_summary":"Safe to try; Experimental; Review before production","verification_result":"Report the smallest successful task, files touched, warnings, and any missing setup."}},"outcome_feedback":{"endpoint":"https://www.openagentskill.com/api/agent/outcome","method":"POST","requires_resolve_event_id":true,"event_id_source":"Use install_receipt.outcome_feedback.event_id or feedback.event_id returned by /api/agent/resolve for the current task.","expected_outcomes":["success","failed","not_relevant","blocked_by_risk","setup_required"],"payload_template":{"event_id":"<install_receipt.outcome_feedback.event_id or feedback.event_id from /api/agent/resolve>","skill_slug":"foryourhealth111-pixel-clinical-decision-support","task":"Use clinical-decision-support in an agent workflow","agent":"codex","outcome":"success","install_used":true,"risk_blocked":false,"setup_required":false,"task_success":true,"output_quality":4,"error_type":null,"human_review_required":false,"workspace":"sandbox","time_to_useful_ms":120000,"notes":"Report the smallest successful task, setup friction, files touched, and risk notes."}},"endpoints":{"web":"https://www.openagentskill.com/skills/foryourhealth111-pixel-clinical-decision-support","api":"https://www.openagentskill.com/api/agent/skills/foryourhealth111-pixel-clinical-decision-support","audit":"https://www.openagentskill.com/skills/foryourhealth111-pixel-clinical-decision-support/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=foryourhealth111-pixel-clinical-decision-support&task=Use%20clinical-decision-support%20in%20an%20agent%20workflow&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20clinical-decision-support%20in%20an%20agent%20workflow&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20clinical-decision-support%20in%20an%20agent%20workflow&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/foryourhealth111-pixel-clinical-decision-support/install","manifest":"https://www.openagentskill.com/api/registry/manifest/foryourhealth111-pixel-clinical-decision-support"}},"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":"rag-knowledge","title":"RAG and knowledge"},{"slug":"document-processing","title":"Document processing"}]},"applicableAgents":["Claude Code","CLI","Codex","Cursor"],"install":{"ready":true,"command":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-decision-support","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":3127,"starsLabel":"3.1K","forks":260,"license":"Apache-2.0","qualityScore":82,"trustScore":78,"auditScore":84},"maintenance":{"status":"fresh","label":"5d since push","daysSincePush":5,"lastPushedAt":"2026-08-31T13:52:09+00:00"},"risk":{"level":"safe_to_try","label":"Safe to try","requiresReview":true,"notes":["Minor inconsistency: SKILL.md focuses on group-level analyses and explicitly excludes individual treatment plans, but README.md lists 'Individual Patient Treatment Plans' as a document type. This could confuse users.","Quality score needs review"]},"coverageTags":["Research","Research agents","security","agent-skill"]},"audit":{"audit_score":84,"risk_level":"safe_to_try","risk_label":"Safe to try","quality_score":82,"trust_score":78,"maintenance_score":100,"security_score":78,"install_score":92,"warnings":["Minor inconsistency: SKILL.md focuses on group-level analyses and explicitly excludes individual treatment plans, but README.md lists 'Individual Patient Treatment Plans' as a document type. This could confuse users.","Quality score needs review"]},"quality_signals":{"model":"v2","star_score":24.47,"usage_score":0,"review_score":5.25,"metadata_score":3,"freshness_score":15},"platforms":["Claude Code"],"use_cases":[{"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"},{"slug":"document-processing","title":"Document processing","url":"https://www.openagentskill.com/use-cases/document-processing"},{"slug":"browser-automation","title":"Browser automation","url":"https://www.openagentskill.com/use-cases/browser-automation"}],"stacks":[{"slug":"research-report-agent","title":"Research report agent","url":"https://www.openagentskill.com/collections/research-report-agent"},{"slug":"rag-knowledge-base","title":"RAG knowledge base","url":"https://www.openagentskill.com/collections/rag-knowledge-base"},{"slug":"browser-qa-agent","title":"Browser QA agent","url":"https://www.openagentskill.com/collections/browser-qa-agent"}],"install":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-decision-support","install_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 foryourhealth111-pixel-clinical-decision-support","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-decision-support\" agent skill from https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support. 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: Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based guidelines with decision algorithms). Supports GRADE evidence grading, statistical analysis (hazard ratios, survival curves, waterfall plots), biomarker integration, and regulatory compliance. Outputs publication-ready LaTeX/PDF format optimized for drug development, clinical research, and evidence synthesis. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"foryourhealth111-pixel-clinical-decision-support\",\"task\":\"Install clinical-decision-support\",\"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-decision-support\" as a Claude Code skill from https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support. 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: Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based guidelines with decision algorithms). Supports GRADE evidence grading, statistical analysis (hazard ratios, survival curves, waterfall plots), biomarker integration, and regulatory compliance. Outputs publication-ready LaTeX/PDF format optimized for drug development, clinical research, and evidence synthesis. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"foryourhealth111-pixel-clinical-decision-support\",\"task\":\"Install clinical-decision-support\",\"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-decision-support\" from https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support 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: Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based guidelines with decision algorithms). Supports GRADE evidence grading, statistical analysis (hazard ratios, survival curves, waterfall plots), biomarker integration, and regulatory compliance. Outputs publication-ready LaTeX/PDF format optimized for drug development, clinical research, and evidence synthesis. After the install attempt, report the result to https://www.openagentskill.com/api/agent/outcome with POST JSON {\"event_id\":\"install_<unique-id>\",\"skill_slug\":\"foryourhealth111-pixel-clinical-decision-support\",\"task\":\"Install clinical-decision-support\",\"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"}],"repository":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support","github_repo":"foryourhealth111-pixel/Vibe-Skills","version":"1.0.0","license":"Apache-2.0","urls":{"web":"https://www.openagentskill.com/skills/foryourhealth111-pixel-clinical-decision-support","repository":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-decision-support","api":"/api/agent/skills/foryourhealth111-pixel-clinical-decision-support","install_api":"/api/skills/foryourhealth111-pixel-clinical-decision-support/install"},"meta":{"created_at":"2026-09-02T13:13:04.032582+00:00","updated_at":"2026-09-02T13:13:04.254132+00:00","agent_friendly":true}}