feat: doctors-surgery-assistant skill package v0.1.0

2026-08-14 18:18:27 +02:00
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--- a/PROVENANCE.md
+++ b/PROVENANCE.md
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+# Data provenance — doctors-surgery-assistant
+
+Where the content of this skill package comes from, counted by
+content items (tasks, competences, tools, evidence entries, curated
+knowledge). Rendered live by Gitea:
+
+```mermaid
+%%{init: {'theme':'base','themeVariables':{'pie1':'#f9a825','pie2':'#1e88e5','pie3':'#ff355e','pie4':'#d97757','pie5':'#8e24aa','pieOuterStrokeWidth':'0px','pieSectionTextColor':'#fff'}}}%%
+pie showData
+    title Content sources — doctors-surgery-assistant
+    "ESCO (occupation & competences)" : 67
+    "O*NET (tasks & tools)" : 45
+    "Job boards (market evidence)" : 145
+    "Anthropic official Claude skills" : 5
+    "External AI skill packs (mapped)" : 150
+```
+
+| Source | Items | Share | Files |
+|---|---|---|---|
+| ESCO (occupation & competences) | 67 | 16.3 % | references/profile.md, references/skills.md |
+| O*NET (tasks & tools) | 45 | 10.9 % | references/tasks.md, references/tools.md |
+| Job boards (market evidence) | 145 | 35.2 % | references/market.md (full report) + "Market evidence" headline sections |
+| Wikipedia & AI expert curation | 0 | 0.0 % | glossary, literature, usecases, intake, quality, evals/ |
+| Anthropic official Claude skills | 5 | 1.2 % | references/ai-skills.md, section "anthropics/skills" (official Claude Code skills) |
+| External AI skill packs (mapped) | 150 | 36.4 % | references/ai-skills.md (per-source attribution inside) |
+| Stack Exchange practitioner Q&A (CC-BY-SA) | 0 | 0.0 % | references/practitioner-qa.md (per-entry attribution inside) |
+
+Licensing: O*NET (USDOL/ETA, CC BY 4.0) · ESCO (© European Union) ·
+job-ad evidence via official APIs (JSearch/Adzuna) · Wikipedia content
+paraphrased with source URLs — never copied · external AI skills are
+linked, not copied (Apache-2.0/MIT/source-available, see ai-skills.md).
--- a/SKILL.md
+++ b/SKILL.md
@@ -0,0 +1,78 @@
+---
+name: doctors-surgery-assistant
+description: "Occupational skill for the role 'doctors' surgery assistant' (also: healthcare assistant, medical assistant, surgery assistant, physician's assistant, cast assistant, physician assistant). Use when the user asks for typical doctors' surgery assistant work such as: Examine patients to obtain information about their physical condition.; Interpret diagnostic test results for deviations from normal.; Make tentative diagnoses and decisions about management and treatment of patients."
+---
+
+# Doctors' Surgery Assistant
+
+Doctors' surgery assistants support doctors of medicine in medical measures, in performing simple support activities during medical procedures, standardised diagnostic programmes and standardised point-of-care tests, ensuring surgery hygiene, cleaning, disinfecting, sterilising and maintaining medical devices and performing the organisational and administrative tasks required for operating a doctor`s surgery under supervision, following the orders of the doctor of medicine.
+
+## Core workflow
+
+1. Examine patients to obtain information about their physical condition.
+2. Interpret diagnostic test results for deviations from normal.
+3. Make tentative diagnoses and decisions about management and treatment of patients.
+4. Obtain, compile, and record patient medical data, including health history, progress notes, and results of physical examination.
+5. Administer or order diagnostic tests, such as x-ray, electrocardiogram, and laboratory tests.
+6. Prescribe therapy or medication with physician approval.
+7. Perform therapeutic procedures, such as injections, immunizations, suturing and wound care, and infection management.
+8. Instruct and counsel patients about prescribed therapeutic regimens, normal growth and development, family planning, emotional problems of daily living, and health maintenance.
+
+## How to use this skill
+
+- Read [references/profile.md](references/profile.md) for the occupation profile and scope.
+- Consult [references/tasks.md](references/tasks.md) for the full task and activity inventory.
+- Check [references/skills.md](references/skills.md) for essential vs. optional competences.
+- Check [references/tools.md](references/tools.md) for the software commonly used in this role.
+- See [references/ai-skills.md](references/ai-skills.md) — matched external AI agent skills (per-source attribution).
+
+## Key competences (essential)
+
+- accept own accountability
+- adhere to organisational guidelines
+- administrative tasks in a medical environment
+- advise on healthcare users' informed consent
+- anaesthetics
+- answer patients' questions
+- apply context specific clinical competences
+- apply organisational techniques
+- assist in epilepsy surgery
+- communicate in healthcare
+- comply with legislation related to health care
+- comply with quality standards related to healthcare practice
+- contribute to continuity of health care
+- deal with emergency care situations
+- develop a collaborative therapeutic relationship
+
+## Hot technologies
+
+- Microsoft Outlook
+- eClinicalWorks EHR software
+- Epic Systems
+- MEDITECH software
+- Microsoft Office software
+- Microsoft Excel
+- Microsoft Word
+
+
+<!-- hot-tech -->
+
+## Hot technologies
+
+Top tools from 52 gated job ads (see references/market.md, as of 2026-07-11):
+
+- electronic medical record (EMR) — 15 %
+- ekg machines — 10 %
+- electronic health record — 10 %
+- Microsoft Office — 8 %
+- credit card machines — 6 %
+- fax machines — 6 %
+- glucometers — 6 %
+- multi-line phone systems — 6 %
+- pcs — 6 %
+- photocopiers — 6 %
+
+<!-- hot-tech -->
+
+---
+*Sources: ESCO v1.2.1 (http://data.europa.eu/esco/occupation/0c041d1e-1841-4acb-b0a1-2c387a61bf65), O*NET 30.3 (29-1071.00). See manifest.json for licensing/attribution.*
--- a/manifest.json
+++ b/manifest.json
@@ -0,0 +1,220 @@
+{
+  "name": "doctors-surgery-assistant",
+  "title": "doctors' surgery assistant",
+  "version": "0.1.0",
+  "layer": "core",
+  "language": "en",
+  "generated": "2026-07-07",
+  "ids": {
+    "esco_uri": "http://data.europa.eu/esco/occupation/0c041d1e-1841-4acb-b0a1-2c387a61bf65",
+    "esco_code": "3256.1",
+    "isco_group": "3256",
+    "onet_soc": "29-1071.00",
+    "crosswalk_match": "closeMatch"
+  },
+  "sources": [
+    {
+      "name": "ESCO",
+      "version": "1.2.1",
+      "url": "https://esco.ec.europa.eu/"
+    },
+    {
+      "name": "O*NET",
+      "version": "30.3",
+      "url": "https://www.onetcenter.org/",
+      "license": "CC BY 4.0"
+    }
+  ],
+  "attribution": "This package includes information from the O*NET Database (v30.3) by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), CC BY 4.0. skillfactor is not endorsed by USDOL/ETA. ESCO data (v1.2.1) (c) European Union, used per the ESCO download conditions: https://esco.ec.europa.eu/en/use-esco/download",
+  "counts": {
+    "tasks": 12,
+    "dwas": 15,
+    "skills_essential": 46,
+    "skills_optional": 20,
+    "software": 17
+  },
+  "enrichment_ai_skills": {
+    "generated": "2026-07-14",
+    "method": "deterministic mapping (ISCO prefix + title/competence keywords)",
+    "sources": {
+      "anthropics/skills": {
+        "repo": "https://github.com/anthropics/skills",
+        "commit": "f6656c1",
+        "license": "Apache-2.0; the document skills (docx/pdf/pptx/xlsx) are source-available \u2014 see the LICENSE.txt in the upstream skill folder",
+        "skills": 2
+      },
+      "K-Dense-AI/claude-scientific-skills": {
+        "repo": "https://github.com/K-Dense-AI/claude-scientific-skills",
+        "commit": "4d97e29",
+        "license": "MIT",
+        "skills": 4
+      },
+      "foryourhealth111-pixel/Vibe-Skills": {
+        "repo": "https://github.com/foryourhealth111-pixel/Vibe-Skills",
+        "commit": "34429a8",
+        "license": "Apache-2.0",
+        "skills": 5
+      },
+      "K-Dense-AI/scientific-agent-skills": {
+        "repo": "https://github.com/K-Dense-AI/scientific-agent-skills",
+        "commit": "4d97e29",
+        "license": "MIT",
+        "skills": 4
+      },
+      "davila7/claude-code-templates": {
+        "repo": "https://github.com/davila7/claude-code-templates",
+        "commit": "fa79251",
+        "license": "MIT",
+        "skills": 9
+      },
+      "Sushegaad/Claude-Skills-Governance-Risk-and-Compliance": {
+        "repo": "https://github.com/Sushegaad/Claude-Skills-Governance-Risk-and-Compliance",
+        "commit": "71d8920",
+        "license": "MIT",
+        "skills": 1
+      },
+      "a5c-ai/babysitter": {
+        "repo": "https://github.com/a5c-ai/babysitter",
+        "commit": "44a5d58b",
+        "license": "MIT",
+        "skills": 11
+      },
+      "mohitagw15856/pm-claude-skills": {
+        "repo": "https://github.com/mohitagw15856/pm-claude-skills",
+        "commit": "876fa30",
+        "license": "MIT",
+        "skills": 1
+      },
+      "affaan-m/everything-claude-code": {
+        "repo": "https://github.com/affaan-m/everything-claude-code",
+        "commit": "ed38744",
+        "license": "MIT",
+        "skills": 6
+      },
+      "nexu-io/open-design": {
+        "repo": "https://github.com/nexu-io/open-design",
+        "commit": "4b66023",
+        "license": "Apache-2.0",
+        "skills": 2
+      },
+      "alirezarezvani/claude-skills": {
+        "repo": "https://github.com/alirezarezvani/claude-skills",
+        "commit": "0241f43",
+        "license": "MIT",
+        "skills": 6
+      },
+      "jeremylongshore/claude-code-plugins-plus-skills": {
+        "repo": "https://github.com/jeremylongshore/claude-code-plugins-plus-skills",
+        "commit": "e112938a",
+        "license": "MIT",
+        "skills": 12
+      },
+      "brycewang-stanford/Auto-Empirical-Research-Skills": {
+        "repo": "https://github.com/brycewang-stanford/Auto-Empirical-Research-Skills",
+        "commit": "85bf545",
+        "license": "CC-BY-4.0",
+        "skills": 5
+      },
+      "parcadei/Continuous-Claude-v3": {
+        "repo": "https://github.com/parcadei/Continuous-Claude-v3",
+        "commit": "d07ff4b",
+        "license": "MIT",
+        "skills": 1
+      },
+      "vibeeval/vibecosystem": {
+        "repo": "https://github.com/vibeeval/vibecosystem",
+        "commit": "cea9462",
+        "license": "MIT",
+        "skills": 1
+      },
+      "giuseppe-trisciuoglio/developer-kit": {
+        "repo": "https://github.com/giuseppe-trisciuoglio/developer-kit",
+        "commit": "306f428",
+        "license": "MIT",
+        "skills": 1
+      },
+      "dotnet/skills": {
+        "repo": "https://github.com/dotnet/skills",
+        "commit": "79a2ada",
+        "license": "MIT",
+        "skills": 1
+      },
+      "mukul975/Anthropic-Cybersecurity-Skills": {
+        "repo": "https://github.com/mukul975/Anthropic-Cybersecurity-Skills",
+        "commit": "673da1f",
+        "license": "Apache-2.0",
+        "skills": 1
+      },
+      "nexscope-ai/eCommerce-Skills": {
+        "repo": "https://github.com/nexscope-ai/eCommerce-Skills",
+        "commit": "56f3288",
+        "license": "MIT",
+        "skills": 1
+      },
+      "HeshamFS/materials-simulation-skills": {
+        "repo": "https://github.com/HeshamFS/materials-simulation-skills",
+        "commit": "fa1ce8d",
+        "license": "Apache-2.0",
+        "skills": 1
+      },
+      "gooseworks-ai/goose-skills": {
+        "repo": "https://github.com/gooseworks-ai/goose-skills",
+        "commit": "94ec916",
+        "license": "no explicit license \u2014 referenced by link only",
+        "skills": 1
+      },
+      "24kchengYe/human-skill-tree": {
+        "repo": "https://github.com/24kchengYe/human-skill-tree",
+        "commit": "be589dd",
+        "license": "custom (see upstream LICENSE)",
+        "skills": 1
+      },
+      "Eronred/aso-skills": {
+        "repo": "https://github.com/Eronred/aso-skills",
+        "commit": "e2a7c45",
+        "license": "MIT",
+        "skills": 1
+      },
+      "microsoft/skills": {
+        "repo": "https://github.com/microsoft/skills",
+        "commit": "dc543aa",
+        "license": "MIT",
+        "skills": 1
+      },
+      "code-yeongyu/oh-my-openagent": {
+        "repo": "https://github.com/code-yeongyu/oh-my-openagent",
+        "commit": "b19f652",
+        "license": "custom (see upstream LICENSE)",
+        "skills": 1
+      }
+    },
+    "total_skills": 80,
+    "tiers": {
+      "core": 67,
+      "adjacent": 13
+    }
+  },
+  "provenance": {
+    "items": {
+      "esco": 67,
+      "onet": 45,
+      "jobads": 145,
+      "wiki_ai": 0,
+      "anthropic": 5,
+      "ai_skills": 150,
+      "stackx": 0
+    },
+    "share_percent": {
+      "esco": 16.3,
+      "onet": 10.9,
+      "jobads": 35.2,
+      "wiki_ai": 0.0,
+      "anthropic": 1.2,
+      "ai_skills": 36.4,
+      "stackx": 0.0
+    },
+    "method": "content items per source category"
+  },
+  "collar": "white",
+  "computer_work": true
+}
--- a/references/ai-skills.md
+++ b/references/ai-skills.md
@@ -0,0 +1,298 @@
+# External AI agent skills — doctors-surgery-assistant
+
+Proven, publicly available AI agent skills mapped to this occupation.
+Nothing is copied from the sources: every entry is a name, a one-line
+summary and a link to the upstream skill package. Each section names
+its source repository, commit, license and retrieval date.
+
+**Tiers:** `core` = the skill directly exercises a top market hard
+skill, tool or method (from gated job-ad evidence) or an essential
+ESCO competence of this occupation; `adjacent` =
+plausibly useful, secondary. Entries are capped at 12 per source
+and 80 in total per occupation (core first,
+strongest matches survive); everything beyond the caps is excluded
+and logged in the pipeline audit trail, not in this package.
+
+_Matched deterministically (ISCO group + title/competence keywords,
+tiered against market evidence + ESCO essentials) by
+`pipeline/p5_enrich_ai_skills.py` on 2026-07-14._
+
+## Source: anthropics/skills
+
+- Repository: [https://github.com/anthropics/skills](https://github.com/anthropics/skills) (commit `f6656c1`, retrieved 2026-07-14)
+- License: Apache-2.0; the document skills (docx/pdf/pptx/xlsx) are source-available — see the LICENSE.txt in the upstream skill folder
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `docx` | adjacent | Use this skill whenever the user wants to create, read, edit, or manipulate Word documents (.docx files) or Word templates (.dotx files). Triggers include: any mention of 'Word doc', 'word document', '.docx', '.dotx', or requests to … | [source](https://github.com/anthropics/skills/tree/main/skills/docx) |
+| `pdf` | adjacent | Use this skill whenever the user wants to do anything with PDF files. This includes reading or extracting text/tables from PDFs, combining or merging multiple PDFs into one, splitting PDFs apart, rotating pages, adding watermarks, creating … | [source](https://github.com/anthropics/skills/tree/main/skills/pdf) |
+
+## Source: 24kchengYe/human-skill-tree
+
+- Repository: [https://github.com/24kchengYe/human-skill-tree](https://github.com/24kchengYe/human-skill-tree) (commit `be589dd`, retrieved 2026-07-14)
+- License: custom (see upstream LICENSE)
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `02-medical-health-tutor` | adjacent | — | [source](https://github.com/24kchengYe/human-skill-tree/tree/be589dd/app/content/skills/02-medical-health-tutor) |
+
+## Source: a5c-ai/babysitter
+
+- Repository: [https://github.com/a5c-ai/babysitter](https://github.com/a5c-ai/babysitter) (commit `44a5d58b`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `population-health-stratification` | core | Stratify patient populations by risk level using claims data, clinical data, and social determinants to prioritize care management interventions | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/domains/social-sciences-humanities/healthcare/skills/population-health-stratification) |
+| `medical-agent` | core | Build medical AI agents for clinical decision support, medical record summarization, diagnostic assistance, and healthcare workflow automation. | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/ai-agents-conversational/skills/medical-agent) |
+| `health-data-integration` | core | Facilitate interoperability between health IT systems including EHR, HIE, and clinical decision support through HL7, FHIR, and other healthcare data standards | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/domains/social-sciences-humanities/healthcare/skills/health-data-integration) |
+| `quality-metrics-measurement` | core | Collect, calculate, and report healthcare quality metrics including core measures, HEDIS, patient safety indicators, and value-based purchasing measures | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/domains/social-sciences-humanities/healthcare/skills/quality-metrics-measurement) |
+| `iso-standards-compliance-checker` | core | Medical device standards compliance verification skill for ISO 13485, ISO 14971, IEC 62304, IEC 60601, and related standards | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/domains/science/biomedical-engineering/skills/iso-standards-compliance-checker) |
+| `dicom-conformance-validator` | core | DICOM conformance testing and integration skill for medical imaging systems | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/domains/science/biomedical-engineering/skills/dicom-conformance-validator) |
+| `workforce-demand-forecasting` | core | Project healthcare workforce requirements based on patient volume trends, acuity levels, productivity standards, and skill mix optimization | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/domains/social-sciences-humanities/healthcare/skills/workforce-demand-forecasting) |
+| `bioethics-deliberation` | core | Apply bioethical principles (autonomy, beneficence, non-maleficence, justice) and case-based reasoning to healthcare decisions, research protocols, and clinical dilemmas | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/domains/social-sciences-humanities/philosophy/skills/bioethics-deliberation) |
+| `software-vv-test-generator` | core | Medical device software verification and validation test case generation skill | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/domains/science/biomedical-engineering/skills/software-vv-test-generator) |
+| `linker-script` | core | GNU linker script generation and optimization for embedded systems. Expert skill for memory layout definition, section placement, multi-image linking, and memory protection configuration. | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/embedded-systems/skills/linker-script) |
+| `accreditation-tracer-simulation` | adjacent | Simulate Joint Commission tracer methodology to assess compliance with accreditation standards across patient care processes and support systems | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/domains/social-sciences-humanities/healthcare/skills/accreditation-tracer-simulation) |
+
+## Source: affaan-m/everything-claude-code
+
+- Repository: [https://github.com/affaan-m/everything-claude-code](https://github.com/affaan-m/everything-claude-code) (commit `ed38744`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `healthcare-emr-patterns` | core | EMR/EHR development patterns for healthcare applications. Clinical safety, encounter workflows, prescription generation, clinical decision support integration, and accessibility-first UI for medical data entry. | [source](https://github.com/affaan-m/everything-claude-code/tree/ed38744/skills/healthcare-emr-patterns) |
+| `healthcare-cdss-patterns` | core | Clinical Decision Support System (CDSS) development patterns. Drug interaction checking, dose validation, clinical scoring (NEWS2, qSOFA), alert severity classification, and integration into EMR workflows. | [source](https://github.com/affaan-m/everything-claude-code/tree/ed38744/skills/healthcare-cdss-patterns) |
+| `healthcare-eval-harness` | core | Patient safety evaluation harness for healthcare application deployments. Automated test suites for CDSS accuracy, PHI exposure, clinical workflow integrity, and integration compliance. Blocks deployments on safety failures. | [source](https://github.com/affaan-m/everything-claude-code/tree/ed38744/skills/healthcare-eval-harness) |
+| `agentic-os` | core | Build persistent multi-agent operating systems on Claude Code. Covers kernel architecture, specialist agents, slash commands, file-based memory, scheduled automation, and state management without external databases. | [source](https://github.com/affaan-m/everything-claude-code/tree/ed38744/skills/agentic-os) |
+| `content-engine` | core | Create platform-native content systems for X, LinkedIn, TikTok, YouTube, newsletters, and repurposed multi-platform campaigns. Use when the user wants social posts, threads, scripts, content calendars, or one source asset adapted cleanly … | [source](https://github.com/affaan-m/everything-claude-code/tree/ed38744/.agents/skills/content-engine) |
+| `finance-billing-ops` | core | Evidence-first revenue, pricing, refunds, team-billing, and billing-model truth workflow for ECC. Use when the user wants a sales snapshot, pricing comparison, duplicate-charge diagnosis, or code-backed billing reality instead of generic … | [source](https://github.com/affaan-m/everything-claude-code/tree/ed38744/skills/finance-billing-ops) |
+
+## Source: alirezarezvani/claude-skills
+
+- Repository: [https://github.com/alirezarezvani/claude-skills](https://github.com/alirezarezvani/claude-skills) (commit `0241f43`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `quality-documentation-manager` | core | Document control system management for medical device QMS. Covers document numbering, version control, change management, and 21 CFR Part 11 compliance. Use when working on document control procedures, change control workflows, document … | [source](https://github.com/alirezarezvani/claude-skills/tree/0241f43/ra-qm-team/skills/quality-documentation-manager) |
+| `quality-manager-qms-iso13485` | core | ISO 13485 Quality Management System implementation and maintenance for medical device organizations. Provides QMS design, documentation control, internal auditing, CAPA management, and certification support. Use when working with medical … | [source](https://github.com/alirezarezvani/claude-skills/tree/0241f43/ra-qm-team/skills/quality-manager-qms-iso13485) |
+| `capa-officer` | core | CAPA system management for medical device QMS. Covers root cause analysis, corrective action planning, effectiveness verification, and CAPA metrics. Use when running CAPA investigations, 5-Why analysis, fishbone diagrams, root cause … | [source](https://github.com/alirezarezvani/claude-skills/tree/0241f43/ra-qm-team/skills/capa-officer) |
+| `fda-consultant-specialist` | core | FDA regulatory consultant for medical device companies. Provides 510(k)/PMA/De Novo pathway guidance, QMSR (21 CFR 820, which incorporates ISO 13485:2016 by reference since 2026-02-02; formerly QSR) compliance, HIPAA assessments, and … | [source](https://github.com/alirezarezvani/claude-skills/tree/0241f43/ra-qm-team/skills/fda-consultant-specialist) |
+| `risk-management-specialist` | adjacent | Medical device risk management specialist implementing ISO 14971 throughout product lifecycle. Provides risk analysis, risk evaluation, risk control, and post-production information analysis. Use when user mentions risk management, ISO … | [source](https://github.com/alirezarezvani/claude-skills/tree/0241f43/ra-qm-team/skills/risk-management-specialist) |
+| `status` | adjacent | Memory health dashboard showing line counts, topic files, capacity, stale entries, and recommendations. Use when the user runs /si:status or asks how full or healthy the agent memory is. | [source](https://github.com/alirezarezvani/claude-skills/tree/0241f43/engineering-team/self-improving-agent/skills/status) |
+
+## Source: brycewang-stanford/Auto-Empirical-Research-Skills
+
+- Repository: [https://github.com/brycewang-stanford/Auto-Empirical-Research-Skills](https://github.com/brycewang-stanford/Auto-Empirical-Research-Skills) (commit `85bf545`, retrieved 2026-07-14)
+- License: CC-BY-4.0
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `doctor` | core | System diagnostics and health checks for Diverga plugin. OpenClaw-style Check-Report-Fix pattern with 5-layer diagnostics. Triggers: /diverga:doctor, diverga doctor, system check, diagnose, 진단 | [source](https://github.com/brycewang-stanford/Auto-Empirical-Research-Skills/tree/85bf545/skills/25-HosungYou-Diverga/skills/doctor) |
+| `code-review-excellence` | core | This skill should be used when the user asks to review a diff or pull request, write review comments, audit code quality, establish review standards, or improve how a team performs code review. | [source](https://github.com/brycewang-stanford/Auto-Empirical-Research-Skills/tree/85bf545/skills/33-Galaxy-Dawn-claude-scholar/skills/code-review-excellence) |
+| `obsidian-project-memory` | core | This skill should be used when the user asks to maintain an Obsidian knowledge base for a research project, import an existing research repository into Obsidian, keep project memory or daily notes synchronized, summarize project context … | [source](https://github.com/brycewang-stanford/Auto-Empirical-Research-Skills/tree/85bf545/skills/33-Galaxy-Dawn-claude-scholar/skills/obsidian-project-memory) |
+| `clinical-research-guide` | core | Design clinical studies and report using CONSORT, STROBE guidelines | [source](https://github.com/brycewang-stanford/Auto-Empirical-Research-Skills/tree/85bf545/skills/43-wentorai-research-plugins/skills/domains/biomedical/clinical-research-guide) |
+| `medical-data-api` | adjacent | Access FDA drug data and WHO global health statistics for research | [source](https://github.com/brycewang-stanford/Auto-Empirical-Research-Skills/tree/85bf545/skills/43-wentorai-research-plugins/skills/domains/biomedical/medical-data-api) |
+
+## Source: code-yeongyu/oh-my-openagent
+
+- Repository: [https://github.com/code-yeongyu/oh-my-openagent](https://github.com/code-yeongyu/oh-my-openagent) (commit `b19f652`, retrieved 2026-07-14)
+- License: custom (see upstream LICENSE)
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `lcx-doctor` | adjacent | Diagnose LazyCodex and Codex CLI installation health against the latest sources. Use whenever the user asks for a doctor or health check, says LazyCodex, lazycodex-ai, omo-codex, or Codex behaves oddly after an install, update, or config … | [source](https://github.com/code-yeongyu/oh-my-openagent/tree/b19f652/packages/shared-skills/skills/lcx-doctor) |
+
+## Source: davila7/claude-code-templates
+
+- Repository: [https://github.com/davila7/claude-code-templates](https://github.com/davila7/claude-code-templates) (commit `fa79251`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `treatment-plans` | core | Generate concise (3-4 page), focused medical treatment plans in LaTeX/PDF format for all clinical specialties. Supports general medical treatment, rehabilitation therapy, mental health care, chronic disease management, perioperative care, … | [source](https://github.com/davila7/claude-code-templates/tree/fa79251/cli-tool/components/skills/scientific/treatment-plans) |
+| `pyhealth` | core | Comprehensive healthcare AI toolkit for developing, testing, and deploying machine learning models with clinical data. This skill should be used when working with electronic health records (EHR), clinical prediction tasks (mortality, … | [source](https://github.com/davila7/claude-code-templates/tree/fa79251/cli-tool/components/skills/scientific/pyhealth) |
+| `quality-manager-qms-iso13485` | core | ISO 13485 Quality Management System specialist for medical device companies. Provides QMS implementation, maintenance, process optimization, and compliance expertise. Use for QMS design, documentation control, management review, internal … | [source](https://github.com/davila7/claude-code-templates/tree/fa79251/cli-tool/components/skills/enterprise-communication/quality-manager-qms-iso13485) |
+| `clinical-reports` | core | 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 … | [source](https://github.com/davila7/claude-code-templates/tree/fa79251/cli-tool/components/skills/scientific/clinical-reports) |
+| `fda-consultant-specialist` | core | Senior FDA consultant and specialist for medical device companies including HIPAA compliance and requirement management. Provides FDA pathway expertise, QSR compliance, cybersecurity guidance, and regulatory submission support. Use for FDA … | [source](https://github.com/davila7/claude-code-templates/tree/fa79251/cli-tool/components/skills/enterprise-communication/fda-consultant-specialist) |
+| `ai-agents-architect` | core | Expert in designing and building autonomous AI agents. Masters tool use, memory systems, planning strategies, and multi-agent orchestration. Use when: build agent, AI agent, autonomous agent, tool use, function calling. | [source](https://github.com/davila7/claude-code-templates/tree/fa79251/cli-tool/components/skills/ai-research/ai-agents-architect) |
+| `latex-posters` | core | Create professional research posters in LaTeX using beamerposter, tikzposter, or baposter. Support for conference presentations, academic posters, and scientific communication. Includes layout design, color schemes, multi-column formats, … | [source](https://github.com/davila7/claude-code-templates/tree/fa79251/cli-tool/components/skills/scientific/latex-posters) |
+| `mdr-745-specialist` | adjacent | EU MDR 2017/745 regulation specialist and consultant for medical device requirement management. Provides comprehensive MDR compliance expertise, gap analysis, technical documentation guidance, clinical evidence requirements, and … | [source](https://github.com/davila7/claude-code-templates/tree/fa79251/cli-tool/components/skills/enterprise-communication/mdr-745-specialist) |
+| `risk-management-specialist` | adjacent | Senior Risk Management specialist for medical device companies implementing ISO 14971 risk management throughout product lifecycle. Provides risk analysis, risk evaluation, risk control, and post-production information analysis. Use for … | [source](https://github.com/davila7/claude-code-templates/tree/fa79251/cli-tool/components/skills/enterprise-communication/risk-management-specialist) |
+
+## Source: dotnet/skills
+
+- Repository: [https://github.com/dotnet/skills](https://github.com/dotnet/skills) (commit `79a2ada`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `build-perf-baseline` | core | Establish build performance baselines and apply systematic optimization techniques. USE FOR: diagnosing slow builds, establishing before/after measurements (cold, warm, no-op scenarios), applying optimization strategies like MSBuild … | [source](https://github.com/dotnet/skills/tree/79a2ada/plugins/dotnet-msbuild/skills/build-perf-baseline) |
+
+## Source: Eronred/aso-skills
+
+- Repository: [https://github.com/Eronred/aso-skills](https://github.com/Eronred/aso-skills) (commit `e2a7c45`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `aso-audit` | adjacent | When the user wants a full ASO health audit, review their App Store listing quality, or diagnose why their app isn't ranking. Also use when the user mentions "ASO audit", "ASO score", "why am I not ranking", "listing review", or "optimize … | [source](https://github.com/Eronred/aso-skills/tree/e2a7c45/skills/aso-audit) |
+
+## Source: foryourhealth111-pixel/Vibe-Skills
+
+- Repository: [https://github.com/foryourhealth111-pixel/Vibe-Skills](https://github.com/foryourhealth111-pixel/Vibe-Skills) (commit `34429a8`, retrieved 2026-07-14)
+- License: Apache-2.0
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `treatment-plans` | core | Generate concise (3-4 page), focused medical treatment plans in LaTeX/PDF format for all clinical specialties. Supports general medical treatment, rehabilitation therapy, mental health care, chronic disease management, perioperative care, … | [source](https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/34429a8/bundled/skills/treatment-plans) |
+| `pyhealth` | core | Comprehensive healthcare AI toolkit for developing, testing, and deploying machine learning models with clinical data. This skill should be used when working with electronic health records (EHR), clinical prediction tasks (mortality, … | [source](https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/34429a8/bundled/skills/pyhealth) |
+| `iso-13485-certification` | core | Comprehensive toolkit for preparing ISO 13485 certification documentation for medical device Quality Management Systems. Use when users need help with ISO 13485 QMS documentation, including (1) conducting gap analysis of existing … | [source](https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/34429a8/bundled/skills/iso-13485-certification) |
+| `clinical-reports` | core | 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 … | [source](https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/34429a8/bundled/skills/clinical-reports) |
+| `sentry` | adjacent | Use when the user asks to inspect Sentry issues or events, summarize recent production errors, or pull basic Sentry health data via the Sentry API; perform read-only queries with the bundled script and require `SENTRY_AUTH_TOKEN`. | [source](https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/34429a8/bundled/skills/sentry) |
+
+## Source: giuseppe-trisciuoglio/developer-kit
+
+- Repository: [https://github.com/giuseppe-trisciuoglio/developer-kit](https://github.com/giuseppe-trisciuoglio/developer-kit) (commit `306f428`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `memory-md-management` | core | Provides comprehensive memory file management capabilities including auditing, quality assessment, and targeted improvements for files such as CLAUDE.md. Use when user asks to check, audit, update, improve, fix, maintain, or validate … | [source](https://github.com/giuseppe-trisciuoglio/developer-kit/tree/306f428/plugins/developer-kit-core/skills/memory-md-management) |
+
+## Source: gooseworks-ai/goose-skills
+
+- Repository: [https://github.com/gooseworks-ai/goose-skills](https://github.com/gooseworks-ai/goose-skills) (commit `94ec916`, retrieved 2026-07-14)
+- License: no explicit license — referenced by link only
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `youtube-watcher` | core | Fetch and read transcripts from YouTube videos. Use when you need to summarize a video, answer questions about its content, or extract information from it. | [source](https://github.com/gooseworks-ai/goose-skills/tree/94ec916/skills/research-tools/capabilities/youtube-watcher) |
+
+## Source: HeshamFS/materials-simulation-skills
+
+- Repository: [https://github.com/HeshamFS/materials-simulation-skills](https://github.com/HeshamFS/materials-simulation-skills) (commit `fa1ce8d`, retrieved 2026-07-14)
+- License: Apache-2.0
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `slurm-job-script-generator` | core | Generate correct, copy-pasteable SLURM sbatch job scripts and sanity-check HPC resource requests — configure nodes, MPI tasks, OpenMP threads, memory (per-node or per-cpu), GPUs, walltime, partitions, modules, and environment variables, … | [source](https://github.com/HeshamFS/materials-simulation-skills/tree/fa1ce8d/skills/hpc-deployment/slurm-job-script-generator) |
+
+## Source: jeremylongshore/claude-code-plugins-plus-skills
+
+- Repository: [https://github.com/jeremylongshore/claude-code-plugins-plus-skills](https://github.com/jeremylongshore/claude-code-plugins-plus-skills) (commit `e112938a`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `abridge-performance-tuning` | core | Optimize Abridge clinical AI integration performance for high-volume deployments. Use when reducing note generation latency, optimizing audio streaming throughput, improving FHIR push performance, or scaling for multi-site health systems. … | [source](https://github.com/jeremylongshore/claude-code-plugins-plus-skills/tree/e112938a/plugins/saas-packs/abridge-pack/skills/abridge-performance-tuning) |
+| `abridge-reference-architecture` | core | Implement Abridge reference architecture for clinical AI integration. Use when designing a new Abridge deployment, reviewing project structure, or planning multi-site health system rollouts with EHR integration. Trigger: "abridge … | [source](https://github.com/jeremylongshore/claude-code-plugins-plus-skills/tree/e112938a/plugins/saas-packs/abridge-pack/skills/abridge-reference-architecture) |
+| `abridge-deploy-integration` | core | Deploy Abridge clinical AI integration to HIPAA-compliant cloud infrastructure. Use when deploying to GCP Cloud Run, AWS ECS, or Azure Container Apps with healthcare-grade secrets management and compliance controls. Trigger: "deploy … | [source](https://github.com/jeremylongshore/claude-code-plugins-plus-skills/tree/e112938a/plugins/saas-packs/abridge-pack/skills/abridge-deploy-integration) |
+| `abridge-cost-tuning` | core | Optimize Abridge clinical AI costs through tier selection, session management, and usage monitoring for healthcare organizations. Use when analyzing Abridge billing, optimizing encounter volume, or right-sizing your Abridge contract for … | [source](https://github.com/jeremylongshore/claude-code-plugins-plus-skills/tree/e112938a/plugins/saas-packs/abridge-pack/skills/abridge-cost-tuning) |
+| `abridge-sdk-patterns` | core | Apply production-ready patterns for Abridge clinical AI integration. Use when building reusable Abridge client wrappers, implementing HIPAA-compliant error handling, or establishing team coding standards for healthcare AI. Trigger: … | [source](https://github.com/jeremylongshore/claude-code-plugins-plus-skills/tree/e112938a/plugins/saas-packs/abridge-pack/skills/abridge-sdk-patterns) |
+| `abridge-ci-integration` | core | Configure CI/CD pipeline for Abridge clinical AI integrations with GitHub Actions. Use when setting up automated testing, FHIR validation, HIPAA compliance checks, or deployment pipelines for healthcare AI applications. Trigger: "abridge … | [source](https://github.com/jeremylongshore/claude-code-plugins-plus-skills/tree/e112938a/plugins/saas-packs/abridge-pack/skills/abridge-ci-integration) |
+| `abridge-install-auth` | core | Set up Abridge clinical AI platform authentication and EHR integration credentials. Use when onboarding a healthcare org to Abridge, configuring Epic/Athena integration, or setting up developer sandbox access for ambient AI documentation. … | [source](https://github.com/jeremylongshore/claude-code-plugins-plus-skills/tree/e112938a/plugins/saas-packs/abridge-pack/skills/abridge-install-auth) |
+| `abridge-prod-checklist` | core | Execute Abridge production readiness checklist for clinical AI deployment. Use when launching Abridge in a healthcare org, preparing for go-live, or validating HIPAA compliance before production deployment. Trigger: "abridge production … | [source](https://github.com/jeremylongshore/claude-code-plugins-plus-skills/tree/e112938a/plugins/saas-packs/abridge-pack/skills/abridge-prod-checklist) |
+| `windsurf-cascade-context` | core | Manage Cascade context window and memory for complex projects. Activate when users mention "cascade context", "ai memory", "context management", "large codebase navigation", or "multi-session development". Handles context optimization and … | [source](https://github.com/jeremylongshore/claude-code-plugins-plus-skills/tree/e112938a/plugins/saas-packs/skill-databases/windsurf/skills/windsurf-cascade-context) |
+| `abridge-security-basics` | core | Apply HIPAA-compliant security practices for Abridge clinical AI integrations. Use when securing PHI in transit/at rest, configuring access controls, implementing audit logging, or preparing for HIPAA security audits. Trigger: "abridge … | [source](https://github.com/jeremylongshore/claude-code-plugins-plus-skills/tree/e112938a/plugins/saas-packs/abridge-pack/skills/abridge-security-basics) |
+| `adobe-advanced-troubleshooting` | core | Apply advanced debugging techniques for Adobe API issues: IMS token introspection, Firefly job failure analysis, PDF Services error codes, and network-layer diagnostics for Adobe endpoints. Trigger with phrases like "adobe hard bug", … | [source](https://github.com/jeremylongshore/claude-code-plugins-plus-skills/tree/e112938a/plugins/saas-packs/adobe-pack/skills/adobe-advanced-troubleshooting) |
+| `apify-cost-tuning` | core | Optimize Apify platform costs through memory tuning, compute unit management, and proxy budgeting. Use when analyzing Apify billing, reducing Actor run costs, or implementing usage monitoring and budget alerts. Trigger: "apify cost", … | [source](https://github.com/jeremylongshore/claude-code-plugins-plus-skills/tree/e112938a/plugins/saas-packs/apify-pack/skills/apify-cost-tuning) |
+
+## Source: K-Dense-AI/claude-scientific-skills
+
+- Repository: [https://github.com/K-Dense-AI/claude-scientific-skills](https://github.com/K-Dense-AI/claude-scientific-skills) (commit `4d97e29`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `treatment-plans` | core | Generate concise (3-4 page), focused medical treatment plans in LaTeX/PDF format for all clinical specialties. Supports general medical treatment, rehabilitation therapy, mental health care, chronic disease management, perioperative care, … | [source](https://github.com/K-Dense-AI/claude-scientific-skills/tree/4d97e29/skills/treatment-plans) |
+| `iso-13485-certification` | core | Comprehensive toolkit for preparing ISO 13485 certification documentation for medical device Quality Management Systems. Use when users need help with ISO 13485 QMS documentation, including (1) conducting gap analysis of existing … | [source](https://github.com/K-Dense-AI/claude-scientific-skills/tree/4d97e29/skills/iso-13485-certification) |
+| `clinical-reports` | core | 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 … | [source](https://github.com/K-Dense-AI/claude-scientific-skills/tree/4d97e29/skills/clinical-reports) |
+| `latex-posters` | core | Create professional research posters in LaTeX using beamerposter, tikzposter, or baposter. Support for conference presentations, academic posters, and scientific communication. Includes layout design, color schemes, multi-column formats, … | [source](https://github.com/K-Dense-AI/claude-scientific-skills/tree/4d97e29/skills/latex-posters) |
+
+## Source: K-Dense-AI/scientific-agent-skills
+
+- Repository: [https://github.com/K-Dense-AI/scientific-agent-skills](https://github.com/K-Dense-AI/scientific-agent-skills) (commit `4d97e29`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `treatment-plans` | core | Generate concise (3-4 page), focused medical treatment plans in LaTeX/PDF format for all clinical specialties. Supports general medical treatment, rehabilitation therapy, mental health care, chronic disease management, perioperative care, … | [source](https://github.com/K-Dense-AI/scientific-agent-skills/tree/4d97e29/skills/treatment-plans) |
+| `iso-13485-certification` | core | Comprehensive toolkit for preparing ISO 13485 certification documentation for medical device Quality Management Systems. Use when users need help with ISO 13485 QMS documentation, including (1) conducting gap analysis of existing … | [source](https://github.com/K-Dense-AI/scientific-agent-skills/tree/4d97e29/skills/iso-13485-certification) |
+| `clinical-reports` | core | 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 … | [source](https://github.com/K-Dense-AI/scientific-agent-skills/tree/4d97e29/skills/clinical-reports) |
+| `latex-posters` | core | Create professional research posters in LaTeX using beamerposter, tikzposter, or baposter. Support for conference presentations, academic posters, and scientific communication. Includes layout design, color schemes, multi-column formats, … | [source](https://github.com/K-Dense-AI/scientific-agent-skills/tree/4d97e29/skills/latex-posters) |
+
+## Source: microsoft/skills
+
+- Repository: [https://github.com/microsoft/skills](https://github.com/microsoft/skills) (commit `dc543aa`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `azure-diagnostics` | adjacent | Debug Azure production issues on Azure using AppLens, Azure Monitor, resource health, and safe triage. WHEN: debug production issues, troubleshoot app service, app service high CPU, app service deployment failure, troubleshoot container … | [source](https://github.com/microsoft/skills/tree/dc543aa/.github/plugins/azure-skills/skills/azure-diagnostics) |
+
+## Source: mohitagw15856/pm-claude-skills
+
+- Repository: [https://github.com/mohitagw15856/pm-claude-skills](https://github.com/mohitagw15856/pm-claude-skills) (commit `876fa30`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `patient-communication` | core | Write clear, plain-English patient communications for any healthcare context. Use when asked to write a patient letter, patient information leaflet, appointment letter, test-results letter, discharge summary for patients, or health … | [source](https://github.com/mohitagw15856/pm-claude-skills/tree/876fa30/plugins/pm-research/skills/patient-communication) |
+
+## Source: mukul975/Anthropic-Cybersecurity-Skills
+
+- Repository: [https://github.com/mukul975/Anthropic-Cybersecurity-Skills](https://github.com/mukul975/Anthropic-Cybersecurity-Skills) (commit `673da1f`, retrieved 2026-07-14)
+- License: Apache-2.0
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `analyzing-macro-malware-in-office-documents` | core | Analyzes malicious VBA macros embedded in Microsoft Office documents (Word, Excel, PowerPoint) to identify download cradles, payload execution, persistence mechanisms, and anti-analysis techniques. Uses olevba, oledump, and VBA … | [source](https://github.com/mukul975/Anthropic-Cybersecurity-Skills/tree/673da1f/skills/analyzing-macro-malware-in-office-documents) |
+
+## Source: nexscope-ai/eCommerce-Skills
+
+- Repository: [https://github.com/nexscope-ai/eCommerce-Skills](https://github.com/nexscope-ai/eCommerce-Skills) (commit `56f3288`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `supply-chain-optimization-tiktok` | core | Supply Chain Bottleneck Analyzer for TikTok Shop sellers. Diagnose cash flow, inventory turnover, affiliate commissions, and return rates. Includes FBT cost analysis, influencer payout optimization, and viral product lifecycle management. … | [source](https://github.com/nexscope-ai/eCommerce-Skills/tree/56f3288/supply-chain-optimization/supply-chain-optimization-tiktok) |
+
+## Source: nexu-io/open-design
+
+- Repository: [https://github.com/nexu-io/open-design](https://github.com/nexu-io/open-design) (commit `4b66023`, retrieved 2026-07-14)
+- License: Apache-2.0
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `html-ppt-testing-safety-alert` | core | A hospital data-governance briefing: patient-data risk, the control framework, accountability, and the approval the board must give. Built as a decision-grade policy briefing deck for health-system board, regulators. | [source](https://github.com/nexu-io/open-design/tree/4b66023/design-templates/html-ppt-testing-safety-alert) |
+| `image-enhancer` | core | Improve image and screenshot quality by enhancing resolution, sharpness, and clarity for professional presentations and documentation. | [source](https://github.com/nexu-io/open-design/tree/4b66023/skills/image-enhancer) |
+
+## Source: parcadei/Continuous-Claude-v3
+
+- Repository: [https://github.com/parcadei/Continuous-Claude-v3](https://github.com/parcadei/Continuous-Claude-v3) (commit `d07ff4b`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `mot` | core | System health check (MOT) for skills, agents, hooks, and memory | [source](https://github.com/parcadei/Continuous-Claude-v3/tree/d07ff4b/.claude/skills/mot) |
+
+## Source: Sushegaad/Claude-Skills-Governance-Risk-and-Compliance
+
+- Repository: [https://github.com/Sushegaad/Claude-Skills-Governance-Risk-and-Compliance](https://github.com/Sushegaad/Claude-Skills-Governance-Risk-and-Compliance) (commit `71d8920`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `hipaa-compliance` | core | Expert HIPAA compliance assistant for healthcare and software contexts. Use this skill whenever the user mentions HIPAA, PHI (Protected Health Information), ePHI, covered entities, business associates, healthcare data privacy, medical … | [source](https://github.com/Sushegaad/Claude-Skills-Governance-Risk-and-Compliance/tree/71d8920/plugins/hipaa-compliance/skills/hipaa-compliance) |
+
+## Source: vibeeval/vibecosystem
+
+- Repository: [https://github.com/vibeeval/vibecosystem](https://github.com/vibeeval/vibecosystem) (commit `cea9462`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `mot` | core | System health check (MOT) for skills, agents, hooks, and memory | [source](https://github.com/vibeeval/vibecosystem/tree/cea9462/skills/mot) |
--- a/references/market.md
+++ b/references/market.md
@@ -0,0 +1,195 @@
+# Market evidence report — doctors-surgery-assistant
+
+Source: **52 real job ads** (JSearch API, countries: us 52), extracted into the MSSQL evidence store; as of 2026-07-11.
+This report contains extracted, aggregated facts only — no ad text is
+reproduced (copyright / platform terms).
+
+## Seniority distribution
+
+| Seniority | Ads | Share |
+|---|---|---|
+| mid | 43 | 83 % |
+| n/a | 6 | 12 % |
+| junior | 3 | 6 % |
+
+## Tools — full market ranking
+
+| # | Item | Ads | Share |
+|---|---|---|---|
+| 1 | electronic medical record (EMR) | 8 | 15 % |
+| 2 | ekg machines | 5 | 10 % |
+| 3 | electronic health record | 5 | 10 % |
+| 4 | Microsoft Office | 4 | 8 % |
+| 5 | credit card machines | 3 | 6 % |
+| 6 | fax machines | 3 | 6 % |
+| 7 | glucometers | 3 | 6 % |
+| 8 | multi-line phone systems | 3 | 6 % |
+| 9 | pcs | 3 | 6 % |
+| 10 | photocopiers | 3 | 6 % |
+| 11 | point of care testing equipment | 3 | 6 % |
+
+## Hard skills — full market ranking
+
+| # | Item | Ads | Share |
+|---|---|---|---|
+| 1 | vital signs measurement | 27 | 52 % |
+| 2 | phlebotomy | 17 | 33 % |
+| 3 | specimen preparation | 12 | 23 % |
+| 4 | medication administration | 10 | 19 % |
+| 5 | specimen collection | 8 | 15 % |
+| 6 | venipuncture | 8 | 15 % |
+| 7 | injection administration | 7 | 13 % |
+| 8 | vaccine administration | 7 | 13 % |
+| 9 | ekg performance | 6 | 12 % |
+| 10 | laboratory procedures | 6 | 12 % |
+| 11 | patient examination assistance | 6 | 12 % |
+| 12 | suture removal | 6 | 12 % |
+| 13 | vital sign measurement | 6 | 12 % |
+| 14 | appointment scheduling | 5 | 10 % |
+| 15 | insurance verification | 5 | 10 % |
+| 16 | medical record maintenance | 5 | 10 % |
+| 17 | patient flow management | 5 | 10 % |
+| 18 | patient registration | 5 | 10 % |
+| 19 | billing | 4 | 8 % |
+| 20 | ecg interpretation | 4 | 8 % |
+| 21 | inventory management | 4 | 8 % |
+| 22 | medical history documentation | 4 | 8 % |
+| 23 | medical record documentation | 4 | 8 % |
+| 24 | medical terminology | 4 | 8 % |
+| 25 | patient care | 4 | 8 % |
+| 26 | patient scheduling | 4 | 8 % |
+| 27 | surgical assistance | 4 | 8 % |
+| 28 | billing assistance | 3 | 6 % |
+| 29 | clinical supply ordering | 3 | 6 % |
+| 30 | clinical support | 3 | 6 % |
+| 31 | diagnostic testing | 3 | 6 % |
+| 32 | instrument cleaning | 3 | 6 % |
+| 33 | lab request processing | 3 | 6 % |
+| 34 | laboratory testing | 3 | 6 % |
+| 35 | medical supply inventory | 3 | 6 % |
+| 36 | motivational interviewing | 3 | 6 % |
+| 37 | patient assessment | 3 | 6 % |
+| 38 | patient history taking | 3 | 6 % |
+| 39 | patient interviewing | 3 | 6 % |
+| 40 | patient preparation | 3 | 6 % |
+| 41 | referral processing | 3 | 6 % |
+| 42 | spirometry | 3 | 6 % |
+| 43 | telephone screening | 3 | 6 % |
+
+## Methods — full market ranking
+
+| # | Item | Ads | Share |
+|---|---|---|---|
+| 1 | HIPAA compliance | 5 | 10 % |
+| 2 | population management | 5 | 10 % |
+| 3 | preventative care screening | 5 | 10 % |
+| 4 | infection control | 4 | 8 % |
+| 5 | patient triage | 3 | 6 % |
+| 6 | performance improvement initiatives | 3 | 6 % |
+| 7 | quality assurance | 3 | 6 % |
+| 8 | quality control | 3 | 6 % |
+
+## Responsibilities — full market ranking
+
+| # | Item | Ads | Share |
+|---|---|---|---|
+| 1 | patient preparation | 12 | 23 % |
+| 2 | appointment scheduling | 10 | 19 % |
+| 3 | patient education | 8 | 15 % |
+| 4 | clinical support | 6 | 12 % |
+| 5 | inventory management | 6 | 12 % |
+| 6 | patient communication | 6 | 12 % |
+| 7 | patient rooming | 6 | 12 % |
+| 8 | clinical environment cleaning | 5 | 10 % |
+| 9 | exam room maintenance | 5 | 10 % |
+| 10 | phone answering | 5 | 10 % |
+| 11 | specimen processing | 5 | 10 % |
+| 12 | supply maintenance | 5 | 10 % |
+| 13 | answering phones | 4 | 8 % |
+| 14 | equipment maintenance | 4 | 8 % |
+| 15 | stocking supplies | 4 | 8 % |
+| 16 | clerical support | 3 | 6 % |
+| 17 | co-pay collection | 3 | 6 % |
+| 18 | data input | 3 | 6 % |
+| 19 | insurance pre-authorization | 3 | 6 % |
+| 20 | medical record documentation | 3 | 6 % |
+| 21 | medication administration | 3 | 6 % |
+| 22 | patient care provision | 3 | 6 % |
+| 23 | patient flow assistance | 3 | 6 % |
+
+## Regional breakdown
+
+> **Corpus note:** 52 relevant ads in total — below the 100-ad target for a fully reliable ranking. Percentages above should be read as indicative.
+
+### US (us)
+
+52 ads.
+
+**Top hard skills:**
+
+- vital signs measurement — 52 % (27 ads)
+- phlebotomy — 33 % (17 ads)
+- specimen preparation — 23 % (12 ads)
+- medication administration — 19 % (10 ads)
+- specimen collection — 15 % (8 ads)
+- venipuncture — 15 % (8 ads)
+- injection administration — 13 % (7 ads)
+- vaccine administration — 13 % (7 ads)
+- ekg performance — 12 % (6 ads)
+- laboratory procedures — 12 % (6 ads)
+
+**Top tools:**
+
+- electronic medical record (EMR) — 15 % (8 ads)
+- ekg machines — 10 % (5 ads)
+- electronic health record — 10 % (5 ads)
+- Microsoft Office — 8 % (4 ads)
+- credit card machines — 6 % (3 ads)
+- fax machines — 6 % (3 ads)
+- glucometers — 6 % (3 ads)
+- multi-line phone systems — 6 % (3 ads)
+- pcs — 6 % (3 ads)
+- photocopiers — 6 % (3 ads)
+
+**Seniority:** mid 83 % · n/a 12 % · junior 6 %
+
+### UK (gb)
+
+**Insufficient evidence** — 0 ads (minimum for a regional ranking: 30). No ranking is reported for this region.
+
+### EU/DACH (de, at, ch, nl)
+
+**Insufficient evidence** — 0 ads (minimum for a regional ranking: 30). No ranking is reported for this region.
+
+
+## Job title variants in the market
+
+| Title | Ads |
+|---|---|
+| Medical Assistant | 7 |
+| Certified Medical Assistant | 3 |
+| Medical Assistant I | 2 |
+| Assistant-At-Surgery | 1 |
+| Certified Medical Assistant — Elevate Patient Care | 1 |
+| Certified Medical Assistant - PCP | 1 |
+| Certified Medical Assistant 40 hrs per week | 1 |
+| Certify Medical Assistant/Receptionist | 1 |
+| Dermatology Medical Assistant | 1 |
+| Flu Clinic Medical Assistant, Camp Springs | 1 |
+| Flu Clinic Medical Assistant, Kensington | 1 |
+| Full-Time Onsite Medical Assistant - Bethesda, MD | 1 |
+| Medical Assistant - Diabetes Endocrine | 1 |
+| Medical Assistant - Gastroenterology | 1 |
+| Medical Assistant - Ortho | 1 |
+| Medical Assistant - Per-Diem | 1 |
+| Medical Assistant - Primary Care Shirlington | 1 |
+| Medical Assistant - PRN Bariatric Surgery | 1 |
+| Medical Assistant - Surgical Specialists (Per-Diem) | 1 |
+| Medical Assistant - Urology Surgery | 1 |
+| Medical Assistant - Vascular Surgery | 1 |
+| Medical Assistant (Dermatology) -Millersville, MD. | 1 |
+| Medical Assistant (Part Time) | 1 |
+| Medical Assistant Alante FT | 1 |
+| Medical Assistant Certified - Primary Clinic | 1 |
+
+Methodology: entities extracted per ad ({hard_skills, tools, methods, responsibilities, seniority}), normalized, counted as DISTINCT ads per entity; report threshold ≥ 3 ads. Headline sections in skills.md/tools.md use the stricter ≥ 20 % threshold.
--- a/references/profile.md
+++ b/references/profile.md
@@ -0,0 +1,30 @@
+# Occupation profile — doctors' surgery assistant
+
+- **ESCO URI:** http://data.europa.eu/esco/occupation/0c041d1e-1841-4acb-b0a1-2c387a61bf65
+- **ESCO code:** 3256.1
+- **ISCO-08 group:** 3256 — Medical assistants
+- **O*NET-SOC:** 29-1071.00 — Physician Assistants (match: closeMatch)
+
+## Description (ESCO)
+
+Doctors' surgery assistants support doctors of medicine in medical measures, in performing simple support activities during medical procedures, standardised diagnostic programmes and standardised point-of-care tests, ensuring surgery hygiene, cleaning, disinfecting, sterilising and maintaining medical devices and performing the organisational and administrative tasks required for operating a doctor`s surgery under supervision, following the orders of the doctor of medicine.
+
+## Definition
+
+nan
+
+## Alternative labels
+
+- healthcare assistant
+- medical assistant
+- surgery assistant
+- physician's assistant
+- cast assistant
+- physician assistant
+- ophthalmic assistant
+- clinical assistant
+- radiology assistant
+- orthopedic assistant
+- surgical assistant
+- autopsy assistant
+- doctor's assistant
--- a/references/skills.md
+++ b/references/skills.md
@@ -0,0 +1,95 @@
+# Competences — doctors' surgery assistant
+
+Source: ESCO v1.2.1 occupation-skill relations (http://data.europa.eu/esco/occupation/0c041d1e-1841-4acb-b0a1-2c387a61bf65).
+
+## Essential
+
+- **accept own accountability** (skill/competence)
+- **adhere to organisational guidelines** (skill/competence)
+- **administrative tasks in a medical environment** (knowledge)
+- **advise on healthcare users' informed consent** (skill/competence)
+- **anaesthetics** (knowledge)
+- **answer patients' questions** (skill/competence)
+- **apply context specific clinical competences** (skill/competence)
+- **apply organisational techniques** (skill/competence)
+- **assist in epilepsy surgery** (skill/competence)
+- **communicate in healthcare** (skill/competence)
+- **comply with legislation related to health care** (skill/competence)
+- **comply with quality standards related to healthcare practice** (skill/competence)
+- **contribute to continuity of health care** (skill/competence)
+- **deal with emergency care situations** (skill/competence)
+- **develop a collaborative therapeutic relationship** (skill/competence)
+- **educate on the prevention of illness** (skill/competence)
+- **empathise with the healthcare user** (skill/competence)
+- **ensure safety of healthcare users** (skill/competence)
+- **follow clinical guidelines** (skill/competence)
+- **health care legislation** (knowledge)
+- **health care system** (knowledge)
+- **health records management** (knowledge)
+- **inform policy makers on health-related challenges** (skill/competence)
+- **interact with healthcare users** (skill/competence)
+- **maintain healthcare user data confidentiality** (skill/competence)
+- **maintain treatment records** (skill/competence)
+- **manage healthcare users' data** (skill/competence)
+- **medical informatics** (knowledge)
+- **medical terminology** (knowledge)
+- **monitor patients' progress related to treatment** (skill/competence)
+- **multi-professional cooperation in health care** (knowledge)
+- **operate patients with thoracic diseases** (skill/competence)
+- **perform reconstructive plastic surgery** (skill/competence)
+- **process medical insurance claims** (skill/competence)
+- **professional documentation in health care** (knowledge)
+- **promote inclusion** (skill/competence)
+- **provide health education** (skill/competence)
+- **provide pre-treatment information** (skill/competence)
+- **provide test results to medical staff** (skill/competence)
+- **record healthcare users' progress related to treatment** (skill/competence)
+- **respond to changing situations in health care** (skill/competence)
+- **surgical asepsis** (knowledge)
+- **techniques of blood-sampling** (knowledge)
+- **use e-health and mobile health technologies** (skill/competence)
+- **work in a multicultural environment in health care** (skill/competence)
+- **work in multidisciplinary health teams** (skill/competence)
+
+## Optional
+
+- administer appointments (skill/competence)
+- analyse X-ray imagery (skill/competence)
+- assist patients with special needs (skill/competence)
+- assist with hemostasis (skill/competence)
+- clinical reports (knowledge)
+- collect biological samples from patients (skill/competence)
+- conduct polysomnography (skill/competence)
+- customer service (knowledge)
+- e-procurement (knowledge)
+- offer advice on diet-related concerns (skill/competence)
+- perform procurement processes (skill/competence)
+- perform venepuncture procedures (skill/competence)
+- radiological procedures (knowledge)
+- record healthcare users' billing information (skill/competence)
+- spine surgery (knowledge)
+- supervise medical office support workers (skill/competence)
+- take blood samples (skill/competence)
+- use foreign languages in patient care (skill/competence)
+- use venepuncture procedure equipment (skill/competence)
+- wound closure techniques (knowledge)
+
+<!-- market-evidence -->
+
+## Market evidence (job-ad analysis, 52 ads, as of 2026-07-11)
+
+Share of analyzed job ads mentioning the item (threshold ≥ 20 %). Source: JSearch/Adzuna APIs.
+
+### Hard skills
+
+- vital signs measurement — **52 %**
+- phlebotomy — **33 %**
+- specimen preparation — **23 %**
+- medication administration — **19 %**
+
+### Responsibilities
+
+- patient preparation — **23 %**
+- appointment scheduling — **19 %**
+
+<!-- market-evidence -->
--- a/references/tasks.md
+++ b/references/tasks.md
@@ -0,0 +1,36 @@
+# Tasks & work activities — doctors' surgery assistant
+
+Source: O*NET 30.3, occupation 29-1071.00 (Physician Assistants).
+
+## Task statements
+
+- **[Core]** Examine patients to obtain information about their physical condition.
+- **[Core]** Interpret diagnostic test results for deviations from normal.
+- **[Core]** Make tentative diagnoses and decisions about management and treatment of patients.
+- **[Core]** Obtain, compile, and record patient medical data, including health history, progress notes, and results of physical examination.
+- **[Core]** Administer or order diagnostic tests, such as x-ray, electrocardiogram, and laboratory tests.
+- **[Core]** Prescribe therapy or medication with physician approval.
+- **[Core]** Perform therapeutic procedures, such as injections, immunizations, suturing and wound care, and infection management.
+- **[Core]** Instruct and counsel patients about prescribed therapeutic regimens, normal growth and development, family planning, emotional problems of daily living, and health maintenance.
+- **[Core]** Provide physicians with assistance during surgery or complicated medical procedures.
+- **[Core]** Supervise and coordinate activities of technicians and technical assistants.
+- **[Core]** Visit and observe patients on hospital rounds or house calls, updating charts, ordering therapy, and reporting back to physician.
+- **[Core]** Order medical and laboratory supplies and equipment.
+
+## Detailed work activities
+
+- Administer intravenous medications.
+- Analyze test data or images to inform diagnosis or treatment.
+- Assist healthcare practitioners during surgery.
+- Collect medical information from patients, family members, or other medical professionals.
+- Diagnose medical conditions.
+- Examine patients to assess general physical condition.
+- Immunize patients.
+- Monitor patient progress or responses to treatments.
+- Order medical diagnostic or clinical tests.
+- Order medical supplies or equipment.
+- Prescribe medications.
+- Prescribe treatments or therapies.
+- Provide health and wellness advice to patients, program participants, or caregivers.
+- Record patient medical histories.
+- Supervise patient care personnel.
--- a/references/tools.md
+++ b/references/tools.md
@@ -0,0 +1,23 @@
+# Tools & technology — doctors' surgery assistant
+
+Source: O*NET 30.3 'Software Skills' for 29-1071.00.
+
+| Software | Category | Hot technology |
+|---|---|---|
+| Microsoft Outlook | Electronic mail software | yes |
+| eClinicalWorks EHR software | Medical software | yes |
+| Epic Systems | Medical software | yes |
+| MEDITECH software | Medical software | yes |
+| Microsoft Office software | Office suite software | yes |
+| Microsoft Excel | Spreadsheet software | yes |
+| Microsoft Word | Word processing software | yes |
+| Web browser software | Internet browser software |  |
+| ChartWare EMR | Medical software |  |
+| Electronic medical record EMR software | Medical software |  |
+| Healthcare common procedure coding system HCPCS | Medical software |  |
+| Medical condition coding software | Medical software |  |
+| Medical procedure coding software | Medical software |  |
+| Patient management software | Medical software |  |
+| Teleradiology systems | Medical software |  |
+| Patient records software for personal digital assistants PDAs | Storage media loading software |  |
+| Teleconferencing software | Video conferencing software |  |