{"slug":"foryourhealth111-pixel-clinical-reports","name":"clinical-reports","description":"Write comprehensive clinical reports including case reports (CARE guidelines), diagnostic reports (radiology/pathology/lab), clinical trial reports (ICH-E3, SAE, CSR), and patient documentation (SOAP, H&P, discharge summaries). Full support with templates, regulatory compliance (HIPAA, FDA, ICH-GCP), and validation tools.","long_description":"---\nname: clinical-reports\ndescription: Write comprehensive clinical reports including case reports (CARE guidelines), diagnostic reports (radiology/pathology/lab), clinical trial reports (ICH-E3, SAE, CSR), and patient documentation (SOAP, H&P, discharge summaries). Full support with templates, regulatory compliance (HIPAA, FDA, ICH-GCP), and validation tools.\nallowed-tools: Read Write Edit Bash\nlicense: MIT License\nmetadata:\n    skill-author: K-Dense Inc.\n---\n\n# Clinical Report Writing\n\n## Overview\n\nClinical report writing is the process of documenting medical information with precision, accuracy, and compliance with regulatory standards. This skill covers four major categories of clinical reports: case reports for journal publication, diagnostic reports for clinical practice, clinical trial reports for regulatory submission, and patient documentation for medical records. Apply this skill for healthcare documentation, research dissemination, and regulatory compliance.\n\n**Critical Principle: Clinical reports must be accurate, complete, objective, and compliant with applicable regulations (HIPAA, FDA, ICH-GCP).** Patient privacy and data integrity are paramount. All clinical documentation must support evidence-based decision-making and meet professional standards.\n\n## When to Use This Skill\n\nThis skill should be used when:\n- Writing clinical case reports for journal submission (CARE guidelines)\n- Creating diagnostic reports (radiology, pathology, laboratory)\n- Documenting clinical trial data and adverse events\n- Preparing clinical study reports (CSR) for regulatory submission\n- Writing patient progress notes, SOAP notes, and clinical summaries\n- Drafting discharge summaries, H&P documents, or consultation notes\n- Ensuring HIPAA compliance and proper de-identification\n- Validating clinical documentation for completeness and accuracy\n- Preparing serious adverse event (SAE) reports\n- Creating data safety monitoring board (DSMB) reports\n\n## Visual Enhancement with Scientific Schematics\n\n**⚠️ MANDATORY: Every clinical report MUST include at least 1 AI-generated figure using the scientific-schematics skill.**\n\nThis is not optional. Clinical reports benefit greatly from visual elements. Before finalizing any document:\n1. Generate at minimum ONE schematic or diagram (e.g., patient timeline, diagnostic algorithm, or treatment workflow)\n2. For case reports: include clinical progression timeline\n3. For trial reports: include CONSORT flow diagram\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- Patient case timelines and clinical progression diagrams\n- Diagnostic algorithm flowcharts\n- Treatment protocol workflows\n- Anatomical diagrams for case reports\n- Clinical trial participant flow diagrams (CONSORT)\n- Adverse event classification trees\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## Core Capabilities\n\n### 1. Clinical Case Reports for Journal Publication\n\nClinical case reports describe unusual clinical presentations, novel diagnoses, or rare complications. They contribute to medical knowledge and are published in peer-reviewed journals.\n\n#### CARE Guidelines Compliance\n\nThe CARE (CAse REport) guidelines provide a standardized framework for case report writing. All case reports should follow this checklist:\n\n**Title**\n- Include the words \"case report\" or \"case study\"\n- Indicate the area of focus\n- Example: \"Unusual Presentation of Acute Myocardial Infarction in a Young Patient: A Case Report\"\n\n**Keywords**\n- 2-5 keywords for indexing and searchability\n- Use MeSH (Medical Subject Headings) terms when possible\n\n**Abstract** (structured or unstructured, 150-250 words)\n- Introduction: What is unique or novel about the case?\n- Patient concerns: Primary symptoms and key medical history\n- Diagnoses: Primary and secondary diagnoses\n- Interventions: Key treatments and procedures\n- Outcomes: Clinical outcome and follow-up\n- Conclusions: Main takeaway or clinical lesson\n\n**Introduction**\n- Brief background on the medical condition\n- Why this case is novel or important\n- Literature review of similar cases (brief)\n- What makes this case worth reporting\n\n**Patient Information**\n- Demographics (age, sex, race/ethnicity if relevant)\n- Medical history, family history, social history\n- Relevant comorbidities\n- **De-identification**: Remove or alter 18 HIPAA identifiers\n- **Patient consent**: Document informed consent for publication\n\n**Clinical Findings**\n- Chief complaint and presenting symptoms\n- Physical examination findings\n- Timeline of symptoms (consider timeline figure or table)\n- Relevant clinical observations\n\n**Timeline**\n- Chronological summary of key events\n- Dates of symptoms, diagnosis, interventions, outcomes\n- Can be presented as a table or figure\n- Example format:\n  - Day 0: Initial presentation with symptoms X, Y, Z\n  - Day 2: Diagnostic test A performed, revealed finding B\n  - Day 5: Treatment initiated with drug C\n  - Day 14: Clinical improvement noted\n  - Month 3: Follow-up examination shows complete resolution\n\n**Diagnostic Assessment**\n- Diagnostic tests performed (labs, imaging, procedures)\n- Results and interpretation\n- Differential diagnosis considered\n- Rationale for final diagnosis\n- Challenges in diagnosis\n\n**Therapeutic Interventions**\n- Medications (names, dosages, routes, duration)\n- Procedures or surgeries performed\n- Non-pharmacological interventions\n- Reasoning for treatment choices\n- Alternative treatments considered\n\n**Follow-up and Outcomes**\n- Clinical outcome (resolution, improvement, unchanged, worsened)\n- Follow-up duration and frequency\n- Long-term outcomes if available\n- Patient-reported outcomes\n- Adherence to treatment\n\n**Discussion**\n- Strengths and novelty of the case\n- How this case compares to existing literature\n- Limitations of the case report\n- Potential mechanisms or explanations\n- Clinical implications and lessons learned\n- Unanswered questions or areas for future research\n\n**Patient Perspective** (optional but encouraged)\n- Patient's experience and viewpoint\n- Impact on quality of life\n- Patient-reported outcomes\n- Quote from patient if appropriate\n\n**Informed Consent**\n- Statement documenting patient consent for publication\n- If patient deceased or unable to consent, describe proxy consent\n- For pediatric cases, parental/guardian consent\n- Example: \"Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.\"\n\nFor detailed CARE guidelines, refer to `references/case_report_guidelines.md`.\n\n#### Journal-Specific Requirements\n\nDifferent journals have specific formatting requirements:\n- Word count limits (typically 1500-3000 words)\n- Number of figures/tables allowed\n- Reference style (AMA, Vancouver, APA)\n- Structured vs. unstructured abstract\n- Supplementary materials policies\n\nCheck journal instructions for authors before submission.\n\n#### De-identification and Privacy\n\n**18 HIPAA Identifiers to Remove or Alter:**\n1. Names\n2. Geographic subdivisions smaller than state\n3. Dates (except year)\n4. Telephone numbers\n5. Fax numbers\n6. Email addresses\n7. Social Security numbers\n8. Medical record numbers\n9. Health plan beneficiary numbers\n10. Account numbers\n11. Certificate/license numbers\n12. Vehicle identifiers and serial numbers\n13. Device identifiers and serial numbers\n14. Web URLs\n15. IP addresses\n16. Biometric identifiers\n17. Full-face photographs\n18. Any other unique identifying characteristic\n\n**Best Practices:**\n- Use \"the patient\" instead of names\n- Report age ranges (e.g., \"a woman in her 60s\") or exact age if relevant\n- Use approximate dates or time intervals (e.g., \"3 months prior\")\n- Remove institution names unless necessary\n- Blur or crop identifying features in images\n- Obtain explicit consent for any potentially identifying information\n\n### 2. Clinical Diagnostic Reports\n\nDiagnostic reports communicate findings from imaging studies, pathological examinations, and laboratory tests. They must be clear, accurate, and actionable.\n\n#### Radiology Reports\n\nRadiology reports follow a standardized structure to ensure clarity and completeness.\n\n**Standard Structure:**\n\n**1. Patient Demographics**\n- Patient name (or ID in research contexts)\n- Date of birth or age\n- Medical record number\n- Examination date and time\n\n**2. Clinical Indication**\n- Reason for examination\n- Relevant clinical history\n- Specific clinical question to be answered\n- Example: \"Rule out pulmonary embolism in patient with acute dyspnea\"\n\n**3. Technique**\n- Imaging modality (X-ray, CT, MRI, ultrasound, PET, etc.)\n- Anatomical region examined\n- Contrast administration (type, route, volume)\n- Protocol or sequence used\n- Technical quality and limitations\n- Example: \"Contrast-enhanced CT of the chest, abdomen, and pelvis was performed using 100 mL of intravenous iodinated contrast. Oral contrast was not administered.\"\n\n**4. Comparison**\n- Prior imaging studies available for comparison\n- Dates of prior studies\n- Stability or change from prior imaging\n- Example: \"Comparison: CT chest from [date]\"\n\n**5. Findings**\n- Systematic description of imaging findings\n- Organ-by-organ or region-by-region approach\n- Positive findings first, then pertinent negatives\n- Measurements of lesions or abnormalities\n- Use of standardized terminology (ACR lexicon, RadLex)\n- Example:\n  - Lungs: Bilateral ground-glass opacities, predominant in the lower lobes. No consolidation or pleural effusion.\n  - Mediastinum: No lymphadenopathy. Heart size normal.\n  - Abdomen: Liver, spleen, pancreas unremarkable. No free fluid.\n\n**6. Impression/Conclusion**\n- Concise summary of key findings\n- Answers to the clinical question\n- Differential diagnosis if applicable\n- Recommendations for follow-up or additional studies\n- Level of suspicion or diagnostic certainty\n- Example:\n  - \"1. Bilateral ground-glass opacities consistent with viral pneumonia or atypical infection. COVID-19 cannot be excluded. Clinical correlation recommended.\n  - 2. No evidence of pulmonary embolism.\n  - 3. Recommend follow-up imaging in 4-6 weeks to assess resolution.\"\n\n**Structured Reporting:**\n\nMany radiology departments use structured reporting templates for common examinations:\n- Lung nodule reporting (Lung-RADS)\n- Breast imaging (BI-RADS)\n- Liver imaging (LI-RADS)\n- Prostate imaging (PI-RADS)\n- CT colonography (C-RADS)\n\nStructured reports improve consistency, reduce ambiguity, and facilitate data extraction.\n\nFor radiology reporting standards, see `references/diagnostic_reports_standards.md`.\n\n#### Pathology Reports\n\nPathology reports document microscopic findings from tissue specimens and provide diagnostic conclusions.\n\n**Surgical Pathology Report Structure:**\n\n**1. Patient Information**\n- Patient name and identifiers\n- Date of birth, age, sex\n- Ordering physician\n- Medical record number\n- Specimen received date\n\n**2. Specimen Information**\n- Specimen type (biopsy, excision, resection)\n- Anatomical site\n- Laterality if applicable\n- Number of specimens/blocks/slides\n- Example: \"Skin, left forearm, excisional biopsy\"\n\n**3. Clinical History**\n- Relevant clinical information\n- Indication for biopsy\n- Prior diagnoses\n- Example: \"History of melanoma. New pigmented lesion, rule out ","tagline":"Write comprehensive clinical reports including case reports (CARE guidelines), diagnostic reports (radiology/pathology/lab), clinical trial reports (ICH-E3, SAE, CSR), and patient documentation (SOAP, H&P, discharge summaries). Full support with templates, regulatory compliance (","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-reports","indexedBy":"OpenAgentSkill community index","claimUrl":"https://www.openagentskill.com/skills/foryourhealth111-pixel-clinical-reports#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":3130,"forks":260,"verified_installs":0,"successful_runs":0,"total_outcomes":0,"rating":0,"review_count":0,"quality_score":47.27},"quality":{"score":81,"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":"7d ago","tone":"positive"},{"label":"Install ready","value":"Yes","tone":"positive"},{"label":"License","value":"MIT License","tone":"neutral"}],"warnings":["The skill allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics)."]},"trust":{"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":"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":"7d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT License"},{"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-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":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-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":"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":"7d since push"},{"status":"pass","label":"License clarity","detail":"MIT License"},{"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-reports"},{"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-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","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 allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. 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Keep it in an isolated workspace until the outcome loop proves task fit.","recommendedAction":"Run only in a sandbox and compare close alternatives before using it for real work.","decision":{"install_policy":"human_review_before_install","auto_install_allowed":false,"human_review_required":true,"sandbox_first":true,"agent_action":"Compare alternatives before installing.","reasoning":["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":"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":"7d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT License"},{"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-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":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-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":"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":"7d since push"},{"status":"pass","label":"License clarity","detail":"MIT License"},{"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-reports"},{"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-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","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 allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics).","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":"7d since push","license":"MIT License","repository":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-reports","install":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-reports","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-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","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":["The skill allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics).","Quality score needs review"]},"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":["security","agent-skill"],"suited_agents":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"install_command":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-reports","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":["security","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 allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics).","Quality score needs review"],"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":{"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":"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":"7d since push"},{"id":"license","label":"License clarity","score":86,"weight":0.09,"status":"pass","detail":"MIT License"},{"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-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":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-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":"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":"7d since push"},{"status":"pass","label":"License clarity","detail":"MIT License"},{"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-reports"},{"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-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","Meaningful GitHub adoption signal","Install command has no obvious high-risk pattern"],"warnings":["The skill allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics).","Quality score needs review"],"evidence":{"stars":"3.1K GitHub stars","repoActivity":"3.1K stars, 260 forks","lastPushed":"7d since push","license":"MIT License","repository":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-reports","install":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-reports","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"},"installReadiness":{"ready":true,"command":"npx skills add foryourhealth111-pixel/Vibe-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","7d since push"]},"agentCompatibility":["Codex","Claude Code","Cursor","OpenAgentSkill CLI"],"riskSummary":{"level":"medium","label":"Review before production","notes":["The skill allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics).","Quality score needs review"]},"outcomeEvidence":{"total":0,"successes":0,"failures":0,"notRelevant":0,"successRate":null,"installAttempts":0,"riskBlocked":0,"setupRequired":0,"installSuccessRate":null,"avgOutputQuality":null,"avgTimeToUsefulMs":null,"productionOutcomes":0,"humanReviewRequired":0,"recentSuccessRate":null,"recentFailureRate":null,"uniqueAgents":0,"agentProvenScore":0,"agentProvenLabel":"Needs first agent run","lastOutcomeAt":null,"label":"No agent outcome data yet"},"autoInstall":{"allowed":false,"sandboxRequired":true,"policy":"human_review_before_install","reason":"Human review or sandbox validation is required before automatic installation."},"bestFor":["security","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 allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics).","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":54,"level":"avoid_auto_install","label":"Avoid automatic install","safety_tier":{"tier":"experimental","label":"Experimental","badge":"EXPERIMENTAL","summary":"Sparse or mixed signals. Useful for discovery, but not for autonomous installation.","recommended_action":"Test manually in an isolated workspace and compare against safer alternatives.","auto_install_policy":"review","reasons":["High-risk permission hints: Shell or command execution","54/100 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","The skill allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics)."],"constraints_applied":{"max_risk":"medium","needs_install_command":true,"min_stars":0}},"safety_gate":{"tier":"experimental","label":"Experimental","badge":"EXPERIMENTAL","auto_install_policy":"review","auto_install_allowed":false,"blocked":false,"human_review_required":true,"recommended_action":"Test manually in an isolated workspace and compare against safer alternatives.","reasons":["High-risk permission hints: Shell or command execution","54/100 agent safety score"]},"eval":{"version":"openagentskill-skill-eval-v1","status":"review","score":74,"risk_level":"medium","decision":{"recommendation":"manual_review","reason":"Test manually in an isolated workspace and compare against safer alternatives.","auto_install_allowed":false,"policy":"review","human_review_required":true},"blockers":[],"warnings":["Trust score: Good trust signals with a few areas worth checking before rollout.","Agent safety gate: Sparse or mixed signals. Useful for discovery, but not for autonomous installation.","Permission surface: shell or command execution, filesystem or document access","High-risk permission hints: Shell or command execution","The skill allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics).","The skill mandates the use of the scientific-schematics skill for every report, which may create a hard dependency on another skill that might not be available in all environments.","Quality score needs review"],"validation_plan":["Inspect repository, README/SKILL.md, license, and recent commits before production use.","Install in an isolated workspace or sandbox with no production secrets available.","Run the smallest representative task and record files touched, commands run, network access, and outputs.","Compare the selected skill against at least one alternative when the eval status is review or failed.","Promote only after the agent reports a successful verification result and unresolved warnings are accepted."],"checks":[{"id":"task_fit","label":"Task fit","status":"pass","score":84,"required_for_auto_install":true,"detail":"Task wording matches this skill metadata.","evidence":["Evaluate clinical-reports before installing it in an agent workflow","security","Research agents workflows; Claude Code teams; teams that value GitHub adoption signals"]},{"id":"install_path","label":"Install path","status":"pass","score":92,"required_for_auto_install":true,"detail":"Install handoff is available.","evidence":["npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-reports"]},{"id":"install_safety","label":"Install command safety","status":"pass","score":92,"required_for_auto_install":true,"detail":"standard package or runtime install path","evidence":["npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-reports"]},{"id":"trust_score","label":"Trust score","status":"warn","score":75,"required_for_auto_install":true,"detail":"Good trust signals with a few areas worth checking before rollout.","evidence":["Strong shortlist","3.1K GitHub stars","MIT License"]},{"id":"audit_score","label":"Audit score","status":"pass","score":82,"required_for_auto_install":true,"detail":"Safe to try","evidence":["The skill allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics)."]},{"id":"agent_safety_gate","label":"Agent safety gate","status":"warn","score":54,"required_for_auto_install":true,"detail":"Sparse or mixed signals. Useful for discovery, but not for autonomous installation.","evidence":["Test manually in an isolated workspace and compare against safer alternatives.","High-risk permission hints: Shell or command execution"]},{"id":"readme_skillmd_completeness","label":"README/SKILL.md completeness","status":"pass","score":86,"required_for_auto_install":false,"detail":"Metadata includes enough usage and workflow context","evidence":["Strong README/SKILL.md context"]},{"id":"license_clarity","label":"License clarity","status":"pass","score":86,"required_for_auto_install":true,"detail":"MIT License","evidence":["MIT License"]},{"id":"recent_maintenance","label":"Recent maintenance","status":"pass","score":100,"required_for_auto_install":false,"detail":"7d since push","evidence":["7d since push"]},{"id":"permission_surface","label":"Permission surface","status":"warn","score":62,"required_for_auto_install":true,"detail":"shell or command execution, filesystem or document access","evidence":["Shell or command execution: high","Network access: medium","Filesystem access: medium"]},{"id":"alternatives","label":"Alternatives available","status":"info","score":55,"required_for_auto_install":false,"detail":"No close alternatives were found in the current shortlist.","evidence":[]}],"endpoints":{"web":"https://www.openagentskill.com/skills/foryourhealth111-pixel-clinical-reports/evals","api":"/api/agent/evals?slug=foryourhealth111-pixel-clinical-reports","text":"/api/agent/evals?slug=foryourhealth111-pixel-clinical-reports&format=text"}},"agent_readable_metadata":{"version":"openagentskill-agent-metadata-v2","skill":{"slug":"foryourhealth111-pixel-clinical-reports","name":"clinical-reports","description":"Write comprehensive clinical reports including case reports (CARE guidelines), diagnostic reports (radiology/pathology/lab), clinical trial reports (ICH-E3, SAE, CSR), and patient documentation (SOAP, H&P, discharge summaries). Full support with templates, regulatory compliance (HIPAA, FDA, ICH-GCP), and validation tools.","category":"security","url":"https://www.openagentskill.com/skills/foryourhealth111-pixel-clinical-reports","repository":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-reports","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-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 foryourhealth111-pixel-clinical-reports"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"clinical-reports\" agent skill from https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/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: Write comprehensive clinical reports including case reports (CARE guidelines), diagnostic reports (radiology/pathology/lab), clinical trial reports (ICH-E3, SAE, CSR), and patient documentation (SOAP, H&P, discharge summaries). Full support with templates, regulatory compliance (HIPAA, FDA, ICH-GCP), and validation tools. 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-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/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/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: Write comprehensive clinical reports including case reports (CARE guidelines), diagnostic reports (radiology/pathology/lab), clinical trial reports (ICH-E3, SAE, CSR), and patient documentation (SOAP, H&P, discharge summaries). Full support with templates, regulatory compliance (HIPAA, FDA, ICH-GCP), and validation tools. 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-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/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/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: Write comprehensive clinical reports including case reports (CARE guidelines), diagnostic reports (radiology/pathology/lab), clinical trial reports (ICH-E3, SAE, CSR), and patient documentation (SOAP, H&P, discharge summaries). Full support with templates, regulatory compliance (HIPAA, FDA, ICH-GCP), and validation tools. 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-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/foryourhealth111-pixel-clinical-reports/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/foryourhealth111-pixel-clinical-reports"},"trust":{"score":75,"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":"7d since push","license":"MIT License","repository":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-reports","install":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-reports","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":["The skill allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics).","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":82,"risk_level":"safe_to_try","risk_label":"Safe to try","warnings":["The skill allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics).","The skill mandates the use of the scientific-schematics skill for every report, which may create a hard dependency on another skill that might not be available in all environments.","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":81,"label":"Strong"},"supply":{"track":"Research and knowledge work","scenario":"Research agents","maintenance":"7d 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","The skill allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics).","No OpenAgentSkill engagement data yet","High-risk permission hints: Shell or command execution","The skill mandates the use of the scientific-schematics skill for every report, which may create a hard dependency on another skill that might not be available in all environments.","Quality score needs review","Production credentials, payments, or irreversible account changes without explicit human review"],"agent_contract":{"task_input":"Use clinical-reports 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: 75/100 Strong shortlist","Audit: 82/100 Safe to try","Safety: 54/100 Avoid automatic install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"foryourhealth111-pixel-clinical-reports (clinical-reports)","install_command":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-reports","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-reports","task":"Use clinical-reports 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-reports","api":"https://www.openagentskill.com/api/agent/skills/foryourhealth111-pixel-clinical-reports","audit":"https://www.openagentskill.com/skills/foryourhealth111-pixel-clinical-reports/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=foryourhealth111-pixel-clinical-reports&task=Use%20clinical-reports%20in%20an%20agent%20workflow&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20clinical-reports%20in%20an%20agent%20workflow&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20clinical-reports%20in%20an%20agent%20workflow&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/foryourhealth111-pixel-clinical-reports/install","manifest":"https://www.openagentskill.com/api/registry/manifest/foryourhealth111-pixel-clinical-reports"}},"machine_metadata":{"version":"openagentskill-agent-metadata-v2","skill":{"slug":"foryourhealth111-pixel-clinical-reports","name":"clinical-reports","description":"Write comprehensive clinical reports including case reports (CARE guidelines), diagnostic reports (radiology/pathology/lab), clinical trial reports (ICH-E3, SAE, CSR), and patient documentation (SOAP, H&P, discharge summaries). Full support with templates, regulatory compliance (HIPAA, FDA, ICH-GCP), and validation tools.","category":"security","url":"https://www.openagentskill.com/skills/foryourhealth111-pixel-clinical-reports","repository":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-reports","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-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 foryourhealth111-pixel-clinical-reports"},{"id":"codex","label":"Codex","kind":"agent-prompt","value":"Install the \"clinical-reports\" agent skill from https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/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: Write comprehensive clinical reports including case reports (CARE guidelines), diagnostic reports (radiology/pathology/lab), clinical trial reports (ICH-E3, SAE, CSR), and patient documentation (SOAP, H&P, discharge summaries). Full support with templates, regulatory compliance (HIPAA, FDA, ICH-GCP), and validation tools. 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-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/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/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: Write comprehensive clinical reports including case reports (CARE guidelines), diagnostic reports (radiology/pathology/lab), clinical trial reports (ICH-E3, SAE, CSR), and patient documentation (SOAP, H&P, discharge summaries). Full support with templates, regulatory compliance (HIPAA, FDA, ICH-GCP), and validation tools. 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-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/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/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: Write comprehensive clinical reports including case reports (CARE guidelines), diagnostic reports (radiology/pathology/lab), clinical trial reports (ICH-E3, SAE, CSR), and patient documentation (SOAP, H&P, discharge summaries). Full support with templates, regulatory compliance (HIPAA, FDA, ICH-GCP), and validation tools. 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-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/foryourhealth111-pixel-clinical-reports/install","manifest_url":"https://www.openagentskill.com/api/registry/manifest/foryourhealth111-pixel-clinical-reports"},"trust":{"score":75,"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":"7d since push","license":"MIT License","repository":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-reports","install":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-reports","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":["The skill allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics).","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":82,"risk_level":"safe_to_try","risk_label":"Safe to try","warnings":["The skill allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics).","The skill mandates the use of the scientific-schematics skill for every report, which may create a hard dependency on another skill that might not be available in all environments.","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":81,"label":"Strong"},"supply":{"track":"Research and knowledge work","scenario":"Research agents","maintenance":"7d 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","The skill allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics).","No OpenAgentSkill engagement data yet","High-risk permission hints: Shell or command execution","The skill mandates the use of the scientific-schematics skill for every report, which may create a hard dependency on another skill that might not be available in all environments.","Quality score needs review","Production credentials, payments, or irreversible account changes without explicit human review"],"agent_contract":{"task_input":"Use clinical-reports 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: 75/100 Strong shortlist","Audit: 82/100 Safe to try","Safety: 54/100 Avoid automatic install","Review repository, license, install command, and permission surface before production use."],"expected_agent_output":{"selected_skill":"foryourhealth111-pixel-clinical-reports (clinical-reports)","install_command":"npx skills add foryourhealth111-pixel/Vibe-Skills --skill clinical-reports","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-reports","task":"Use clinical-reports 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-reports","api":"https://www.openagentskill.com/api/agent/skills/foryourhealth111-pixel-clinical-reports","audit":"https://www.openagentskill.com/skills/foryourhealth111-pixel-clinical-reports/audit","eval":"https://www.openagentskill.com/api/agent/evals?slug=foryourhealth111-pixel-clinical-reports&task=Use%20clinical-reports%20in%20an%20agent%20workflow&max_risk=medium","resolve":"https://www.openagentskill.com/api/agent/resolve?task=Use%20clinical-reports%20in%20an%20agent%20workflow&agent=codex&max_risk=medium","receipt":"https://www.openagentskill.com/api/agent/receipt?task=Use%20clinical-reports%20in%20an%20agent%20workflow&agent=codex&max_risk=medium&format=text","install":"https://www.openagentskill.com/api/skills/foryourhealth111-pixel-clinical-reports/install","manifest":"https://www.openagentskill.com/api/registry/manifest/foryourhealth111-pixel-clinical-reports"}},"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-reports","primaryTarget":"CLI","targetCount":4},"githubQuality":{"stars":3130,"starsLabel":"3.1K","forks":260,"license":"MIT License","qualityScore":81,"trustScore":75,"auditScore":82},"maintenance":{"status":"fresh","label":"7d since push","daysSincePush":7,"lastPushedAt":"2026-08-31T13:52:09+00:00"},"risk":{"level":"safe_to_try","label":"Safe to try","requiresReview":true,"notes":["The skill allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics).","The skill mandates the use of the scientific-schematics skill for every report, which may create a hard dependency on another skill that might not be available in all environments.","Quality score needs review"]},"coverageTags":["Research","Research agents","security","agent-skill"]},"audit":{"audit_score":82,"risk_level":"safe_to_try","risk_label":"Safe to try","quality_score":81,"trust_score":75,"maintenance_score":100,"security_score":78,"install_score":92,"warnings":["The skill allows Bash execution, which could be a security risk if the skill is used to run arbitrary commands. However, the skill content does not appear to exploit this, and it is used for legitimate script execution (e.g., generating schematics).","The skill mandates the use of the scientific-schematics skill for every report, which may create a hard dependency on another skill that might not be available in all environments.","Quality score needs review"]},"quality_signals":{"model":"v2","star_score":24.47,"usage_score":0,"review_score":4.8,"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":"multimodal-media","title":"Multimodal media","url":"https://www.openagentskill.com/use-cases/multimodal-media"}],"stacks":[{"slug":"rag-knowledge-base","title":"RAG knowledge base","url":"https://www.openagentskill.com/collections/rag-knowledge-base"},{"slug":"research-report-agent","title":"Research report agent","url":"https://www.openagentskill.com/collections/research-report-agent"},{"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-reports","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-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/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/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: Write comprehensive clinical reports including case reports (CARE guidelines), diagnostic reports (radiology/pathology/lab), clinical trial reports (ICH-E3, SAE, CSR), and patient documentation (SOAP, H&P, discharge summaries). Full support with templates, regulatory compliance (HIPAA, FDA, ICH-GCP), and validation tools. 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-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/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/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: Write comprehensive clinical reports including case reports (CARE guidelines), diagnostic reports (radiology/pathology/lab), clinical trial reports (ICH-E3, SAE, CSR), and patient documentation (SOAP, H&P, discharge summaries). Full support with templates, regulatory compliance (HIPAA, FDA, ICH-GCP), and validation tools. 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-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/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/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: Write comprehensive clinical reports including case reports (CARE guidelines), diagnostic reports (radiology/pathology/lab), clinical trial reports (ICH-E3, SAE, CSR), and patient documentation (SOAP, H&P, discharge summaries). Full support with templates, regulatory compliance (HIPAA, FDA, ICH-GCP), and validation tools. 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-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"}],"repository":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-reports","github_repo":"foryourhealth111-pixel/Vibe-Skills","version":"1.0.0","license":"MIT License","urls":{"web":"https://www.openagentskill.com/skills/foryourhealth111-pixel-clinical-reports","repository":"https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/main/bundled/skills/clinical-reports","api":"/api/agent/skills/foryourhealth111-pixel-clinical-reports","install_api":"/api/skills/foryourhealth111-pixel-clinical-reports/install"},"meta":{"created_at":"2026-09-02T18:26:34.928223+00:00","updated_at":"2026-09-02T18:26:35.034438+00:00","agent_friendly":true}}