feat: prosthetic-orthotics-technician skill package v0.1.0

2026-08-14 17:08:17 +02:00
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--- a/PROVENANCE.md
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+# Data provenance — prosthetic-orthotics-technician
+
+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 — prosthetic-orthotics-technician
+    "ESCO (occupation & competences)" : 30
+    "O*NET (tasks & tools)" : 44
+    "Job boards (market evidence)" : 105
+    "Anthropic official Claude skills" : 5
+    "External AI skill packs (mapped)" : 144
+```
+
+| Source | Items | Share | Files |
+|---|---|---|---|
+| ESCO (occupation & competences) | 30 | 9.1 % | references/profile.md, references/skills.md |
+| O*NET (tasks & tools) | 44 | 13.4 % | references/tasks.md, references/tools.md |
+| Job boards (market evidence) | 105 | 32.0 % | 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 | 1.5 % | references/ai-skills.md, section "anthropics/skills" (official Claude Code skills) |
+| External AI skill packs (mapped) | 144 | 43.9 % | 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 +1,73 @@
+---
+name: prosthetic-orthotics-technician
+description: "Occupational skill for the role 'prosthetic-orthotics technician' (also: orthopaedic appliance maker, prosthetics maker, prosthetic brace maker, prosthetic devices maker, orthopaedic technician, orthotic and prosthetic technician). Use when the user asks for typical prosthetic-orthotics technician work such as: Fit appliances onto patients, and make any necessary adjustments.; Make orthotic or prosthetic devices, using materials such as thermoplastic and thermosetting materials, metal alloys and leather, and hand or power tools.; Read prescriptions or specifications to determine the type of product or device to be fabricated and the materials and tools required."
+---
+
+# Prosthetic-Orthotics Technician
+
+Prosthetic-orthotics technicians design, create, fit and repair supportive devices, such as braces, joints, arch supports, and other surgical and medical appliances.
+
+## Core workflow
+
+1. Fit appliances onto patients, and make any necessary adjustments.
+2. Make orthotic or prosthetic devices, using materials such as thermoplastic and thermosetting materials, metal alloys and leather, and hand or power tools.
+3. Read prescriptions or specifications to determine the type of product or device to be fabricated and the materials and tools required.
+4. Repair, modify, or maintain medical supportive devices, such as artificial limbs, braces, or surgical supports, according to specifications.
+5. Instruct patients in use of prosthetic or orthotic devices.
+6. Take patients' body or limb measurements for use in device construction.
+7. Construct or receive casts or impressions of patients' torsos or limbs for use as cutting and fabrication patterns.
+8. Bend, form, and shape fabric or material to conform to prescribed contours of structural components.
+
+## 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)
+
+- biomedical engineering
+- finish prosthetic-orthotic devices
+- human anatomy
+- interpret prescriptions
+- maintain prosthetic-orthotic devices
+- manipulate metal
+- manipulate plastic
+- manipulate wood
+- manufacture prosthetic-orthotic devices
+- orthotic devices
+- prosthetic devices
+- prosthetic-orthotic device materials
+- repair orthopedic goods
+- repair prosthetic-orthotic devices
+- test prosthetic-orthotic devices
+
+## Hot technologies
+
+- Autodesk AutoCAD
+- Microsoft Outlook
+- Microsoft Office software
+- Microsoft Excel
+- Microsoft Word
+
+
+<!-- hot-tech -->
+
+## Hot technologies
+
+Top tools from 42 gated job ads (see references/market.md, as of 2026-07-19):
+
+- hand tools — 14 %
+- band saws — 10 %
+- drill presses — 10 %
+- heat guns — 10 %
+- power tools — 7 %
+- speed routers — 7 %
+- vacuum systems — 7 %
+
+<!-- hot-tech -->
+
+---
+*Sources: ESCO v1.2.1 (http://data.europa.eu/esco/occupation/500b7b14-507c-4c49-816d-c1d0b05b85e4), O*NET 30.3 (51-9082.00). See manifest.json for licensing/attribution.*
--- a/manifest.json
+++ b/manifest.json
@@ -0,0 +1,208 @@
+{
+  "name": "prosthetic-orthotics-technician",
+  "title": "prosthetic-orthotics technician",
+  "version": "0.1.0",
+  "layer": "core",
+  "language": "en",
+  "generated": "2026-07-07",
+  "ids": {
+    "esco_uri": "http://data.europa.eu/esco/occupation/500b7b14-507c-4c49-816d-c1d0b05b85e4",
+    "esco_code": "2269.15",
+    "isco_group": "2269",
+    "onet_soc": "51-9082.00",
+    "crosswalk_match": "exactMatch"
+  },
+  "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": 15,
+    "dwas": 16,
+    "skills_essential": 17,
+    "skills_optional": 12,
+    "software": 12
+  },
+  "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
+      },
+      "alirezarezvani/claude-skills": {
+        "repo": "https://github.com/alirezarezvani/claude-skills",
+        "commit": "0241f43",
+        "license": "MIT",
+        "skills": 9
+      },
+      "davila7/claude-code-templates": {
+        "repo": "https://github.com/davila7/claude-code-templates",
+        "commit": "fa79251",
+        "license": "MIT",
+        "skills": 10
+      },
+      "a5c-ai/babysitter": {
+        "repo": "https://github.com/a5c-ai/babysitter",
+        "commit": "44a5d58b",
+        "license": "MIT",
+        "skills": 12
+      },
+      "mohitagw15856/pm-claude-skills": {
+        "repo": "https://github.com/mohitagw15856/pm-claude-skills",
+        "commit": "876fa30",
+        "license": "MIT",
+        "skills": 3
+      },
+      "jeremylongshore/claude-code-plugins-plus-skills": {
+        "repo": "https://github.com/jeremylongshore/claude-code-plugins-plus-skills",
+        "commit": "e112938a",
+        "license": "MIT",
+        "skills": 10
+      },
+      "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": 6
+      },
+      "K-Dense-AI/scientific-agent-skills": {
+        "repo": "https://github.com/K-Dense-AI/scientific-agent-skills",
+        "commit": "4d97e29",
+        "license": "MIT",
+        "skills": 4
+      },
+      "ahacker-1/cre-agent-skills": {
+        "repo": "https://github.com/ahacker-1/cre-agent-skills",
+        "commit": "618734e",
+        "license": "Apache-2.0",
+        "skills": 1
+      },
+      "mukul975/Anthropic-Cybersecurity-Skills": {
+        "repo": "https://github.com/mukul975/Anthropic-Cybersecurity-Skills",
+        "commit": "673da1f",
+        "license": "Apache-2.0",
+        "skills": 2
+      },
+      "Sushegaad/Claude-Skills-Governance-Risk-and-Compliance": {
+        "repo": "https://github.com/Sushegaad/Claude-Skills-Governance-Risk-and-Compliance",
+        "commit": "71d8920",
+        "license": "MIT",
+        "skills": 1
+      },
+      "HeshamFS/materials-simulation-skills": {
+        "repo": "https://github.com/HeshamFS/materials-simulation-skills",
+        "commit": "fa1ce8d",
+        "license": "Apache-2.0",
+        "skills": 1
+      },
+      "zebbern/claude-code-guide": {
+        "repo": "https://github.com/zebbern/claude-code-guide",
+        "commit": "d2c5280",
+        "license": "MIT",
+        "skills": 1
+      },
+      "AgriciDaniel/claude-ads": {
+        "repo": "https://github.com/AgriciDaniel/claude-ads",
+        "commit": "669c760",
+        "license": "MIT",
+        "skills": 1
+      },
+      "affaan-m/everything-claude-code": {
+        "repo": "https://github.com/affaan-m/everything-claude-code",
+        "commit": "ed38744",
+        "license": "MIT",
+        "skills": 3
+      },
+      "nexscope-ai/eCommerce-Skills": {
+        "repo": "https://github.com/nexscope-ai/eCommerce-Skills",
+        "commit": "56f3288",
+        "license": "MIT",
+        "skills": 1
+      },
+      "nexu-io/open-design": {
+        "repo": "https://github.com/nexu-io/open-design",
+        "commit": "4b66023",
+        "license": "Apache-2.0",
+        "skills": 1
+      },
+      "silverstein/minutes": {
+        "repo": "https://github.com/silverstein/minutes",
+        "commit": "3fb2e83",
+        "license": "MIT",
+        "skills": 1
+      },
+      "brycewang-stanford/Auto-Empirical-Research-Skills": {
+        "repo": "https://github.com/brycewang-stanford/Auto-Empirical-Research-Skills",
+        "commit": "85bf545",
+        "license": "CC-BY-4.0",
+        "skills": 4
+      },
+      "giuseppe-trisciuoglio/developer-kit": {
+        "repo": "https://github.com/giuseppe-trisciuoglio/developer-kit",
+        "commit": "306f428",
+        "license": "MIT",
+        "skills": 1
+      },
+      "jabrena/plinth": {
+        "repo": "https://github.com/jabrena/plinth",
+        "commit": "065eae8",
+        "license": "Apache-2.0",
+        "skills": 1
+      },
+      "microsoft/power-platform-skills": {
+        "repo": "https://github.com/microsoft/power-platform-skills",
+        "commit": "0d7ed9a",
+        "license": "MIT",
+        "skills": 1
+      }
+    },
+    "total_skills": 80,
+    "tiers": {
+      "core": 28,
+      "adjacent": 52
+    }
+  },
+  "provenance": {
+    "items": {
+      "esco": 30,
+      "onet": 44,
+      "jobads": 105,
+      "wiki_ai": 0,
+      "anthropic": 5,
+      "ai_skills": 144,
+      "stackx": 0
+    },
+    "share_percent": {
+      "esco": 9.1,
+      "onet": 13.4,
+      "jobads": 32.0,
+      "wiki_ai": 0.0,
+      "anthropic": 1.5,
+      "ai_skills": 43.9,
+      "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 +1,282 @@
+# External AI agent skills — prosthetic-orthotics-technician
+
+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: 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 |
+|---|---|---|---|
+| `accreditation-tracer-simulation` | core | 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) |
+| `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) |
+| `clinvar-querier` | core | ClinVar database query skill for clinical variant interpretation and pathogenicity lookup | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/domains/science/bioinformatics/skills/clinvar-querier) |
+| `gas-optimization` | core | Advanced gas optimization techniques for EVM smart contracts. Covers storage packing, memory vs calldata optimization, assembly/Yul, efficient data structures, batch operations, and benchmark-driven optimization strategies. | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/cryptography-blockchain/skills/gas-optimization) |
+| `clinical-study-designer` | adjacent | Clinical study design skill for medical device trials including IDE studies and post-market studies | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/domains/science/biomedical-engineering/skills/clinical-study-designer) |
+| `cybersecurity-risk-assessor` | adjacent | Medical device cybersecurity risk assessment skill per FDA premarket and postmarket guidance | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/domains/science/biomedical-engineering/skills/cybersecurity-risk-assessor) |
+| `iec62304-lifecycle-manager` | adjacent | Medical device software lifecycle management skill implementing IEC 62304 requirements | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/domains/science/biomedical-engineering/skills/iec62304-lifecycle-manager) |
+| `iso-standards-compliance-checker` | adjacent | 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) |
+| `software-vv-test-generator` | adjacent | 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) |
+| `biocompatibility-test-selector` | adjacent | Biocompatibility test selection and protocol recommendation skill based on device categorization | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/domains/science/biomedical-engineering/skills/biocompatibility-test-selector) |
+| `extractables-leachables-analyzer` | adjacent | E&L study design and data analysis skill for chemical characterization of medical devices | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/domains/science/biomedical-engineering/skills/extractables-leachables-analyzer) |
+| `iso14971-risk-analyzer` | adjacent | Comprehensive risk management skill implementing ISO 14971:2019 methodology for medical device risk analysis | [source](https://github.com/a5c-ai/babysitter/tree/44a5d58b/library/specializations/domains/science/biomedical-engineering/skills/iso14971-risk-analyzer) |
+
+## 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 |
+|---|---|---|---|
+| `network-interface-health` | core | Diagnose interface errors, drops, CRCs, duplex mismatches, flapping, speed negotiation issues, and counter trends on routers, switches, and Linux hosts. | [source](https://github.com/affaan-m/everything-claude-code/tree/ed38744/skills/network-interface-health) |
+| `healthcare-eval-harness` | adjacent | 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) |
+| `agent-architecture-audit` | adjacent | Full-stack diagnostic for agent and LLM applications. Audits the 12-layer agent stack for wrapper regression, memory pollution, tool discipline failures, hidden repair loops, and rendering corruption. Produces severity-ranked findings with … | [source](https://github.com/affaan-m/everything-claude-code/tree/ed38744/skills/agent-architecture-audit) |
+
+## Source: AgriciDaniel/claude-ads
+
+- Repository: [https://github.com/AgriciDaniel/claude-ads](https://github.com/AgriciDaniel/claude-ads) (commit `669c760`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `ads-audit` | core | Run a source-grounded paid-advertising audit for one or more of Google, Meta, YouTube, LinkedIn, TikTok, Microsoft, Apple, Amazon, Reddit, Pinterest, Snapchat, and X. Use for full ad checks, account health reviews, paid-media diagnostics, … | [source](https://github.com/AgriciDaniel/claude-ads/tree/669c760/skills/ads-audit) |
+
+## Source: ahacker-1/cre-agent-skills
+
+- Repository: [https://github.com/ahacker-1/cre-agent-skills](https://github.com/ahacker-1/cre-agent-skills) (commit `618734e`, retrieved 2026-07-14)
+- License: Apache-2.0
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `cre-office` | core | CRE Office analysis suite - 8 specialist skills for U.S. office acquisitions, refinancings, lease-up, tenant credit, TI/LC underwriting, financing fit, and investment committee memo writing. | [source](https://github.com/ahacker-1/cre-agent-skills/tree/618734e/claude-code-plugins/cre-office) |
+
+## 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) |
+| `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) |
+| `mdr-745-specialist` | adjacent | EU MDR 2017/745 compliance specialist for medical device classification, technical documentation, clinical evidence, and post-market surveillance. Covers Annex VIII classification rules, Annex II/III technical files, Annex XIV clinical … | [source](https://github.com/alirezarezvani/claude-skills/tree/0241f43/ra-qm-team/skills/mdr-745-specialist) |
+| `capa-officer` | adjacent | 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) |
+| `qms-audit-expert` | adjacent | ISO 13485 internal audit expertise for medical device QMS. Covers audit planning, execution, nonconformity classification, and CAPA verification. Use when planning internal audits, executing audits, classifying findings, preparing for … | [source](https://github.com/alirezarezvani/claude-skills/tree/0241f43/ra-qm-team/skills/qms-audit-expert) |
+| `regulatory-affairs-head` | adjacent | Senior Regulatory Affairs Manager for HealthTech and MedTech companies. Prepares FDA 510(k), De Novo, and PMA submission packages; analyzes regulatory pathways for new medical devices; drafts responses to FDA deficiency letters and … | [source](https://github.com/alirezarezvani/claude-skills/tree/0241f43/ra-qm-team/skills/regulatory-affairs-head) |
+| `boardroom` | adjacent | /cs:boardroom <brief> — 6-phase multi-role deliberation across the C-suite with Phase 2 isolation, critic pre-screen, and synthesis. Outputs a board memo. Use when a decision spans multiple executive domains — e.g. a pricing change … | [source](https://github.com/alirezarezvani/claude-skills/tree/0241f43/c-level-advisor/c-level-agents/skills/boardroom) |
+
+## 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 |
+|---|---|---|---|
+| `biomedical-skills` | adjacent | 24 biomedical research skills. Trigger: medical research, clinical trials, genomics, bioinformatics. Design: domain databases, wet-lab/dry-lab methods, and ethical compliance guides. | [source](https://github.com/brycewang-stanford/Auto-Empirical-Research-Skills/tree/85bf545/skills/43-wentorai-research-plugins/skills/domains/biomedical) |
+| `clinical-pharmacology-guide` | adjacent | Clinical pharmacology principles for dosing, drug interactions, and patient s... | [source](https://github.com/brycewang-stanford/Auto-Empirical-Research-Skills/tree/85bf545/skills/43-wentorai-research-plugins/skills/domains/pharma/clinical-pharmacology-guide) |
+| `clinical-research-guide` | adjacent | 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) |
+| `clinical-trial-design-guide` | adjacent | Clinical trial methodology, biostatistics, and study design guidance | [source](https://github.com/brycewang-stanford/Auto-Empirical-Research-Skills/tree/85bf545/skills/43-wentorai-research-plugins/skills/domains/pharma/clinical-trial-design-guide) |
+
+## 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 |
+|---|---|---|---|
+| `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) |
+| `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) |
+| `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) |
+| `clinicaltrials-database` | core | Query ClinicalTrials.gov via API v2. Search trials by condition, drug, location, status, or phase. Retrieve trial details by NCT ID, export data, for clinical research and patient matching. | [source](https://github.com/davila7/claude-code-templates/tree/fa79251/cli-tool/components/skills/scientific/clinicaltrials-database) |
+| `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) |
+| `clinical-decision-support` | adjacent | Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based … | [source](https://github.com/davila7/claude-code-templates/tree/fa79251/cli-tool/components/skills/scientific/clinical-decision-support) |
+| `clinvar-database` | adjacent | Query NCBI ClinVar for variant clinical significance. Search by gene/position, interpret pathogenicity classifications, access via E-utilities API or FTP, annotate VCFs, for genomic medicine. | [source](https://github.com/davila7/claude-code-templates/tree/fa79251/cli-tool/components/skills/scientific/clinvar-database) |
+| `treatment-plans` | adjacent | 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) |
+| `biomni` | adjacent | Autonomous biomedical AI agent framework for executing complex research tasks across genomics, drug discovery, molecular biology, and clinical analysis. Use this skill when conducting multi-step biomedical research including CRISPR … | [source](https://github.com/davila7/claude-code-templates/tree/fa79251/cli-tool/components/skills/scientific/biomni) |
+
+## 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 |
+|---|---|---|---|
+| `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) |
+| `clinicaltrials-database` | core | Query ClinicalTrials.gov via API v2. Search trials by condition, drug, location, status, or phase. Retrieve trial details by NCT ID, export data, for clinical research and patient matching. | [source](https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/34429a8/bundled/skills/clinicaltrials-database) |
+| `iso-13485-certification` | adjacent | 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-decision-support` | adjacent | Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based … | [source](https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/34429a8/bundled/skills/clinical-decision-support) |
+| `treatment-plans` | adjacent | 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) |
+| `bio-database-evidence` | adjacent | Unified biological database evidence owner. Use for gene annotation, variant clinical significance, cancer mutation evidence, GWAS trait associations, pathway mapping, target-disease evidence, protein structures, protein interaction … | [source](https://github.com/foryourhealth111-pixel/Vibe-Skills/tree/34429a8/bundled/skills/bio-database-evidence) |
+
+## 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` | adjacent | 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: 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 |
+|---|---|---|---|
+| `performance-profiling` | core | Identify computational bottlenecks, analyze parallel scaling, estimate memory requirements, and generate optimization recommendations for materials simulations — parse timing logs to find dominant phases (solver, assembly, I/O), evaluate … | [source](https://github.com/HeshamFS/materials-simulation-skills/tree/fa1ce8d/skills/simulation-workflow/performance-profiling) |
+
+## Source: jabrena/plinth
+
+- Repository: [https://github.com/jabrena/plinth](https://github.com/jabrena/plinth) (commit `065eae8`, retrieved 2026-07-14)
+- License: Apache-2.0
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `145-java-refactoring-high-performance` | adjacent | Use when you need to refactor Java code for high performance — including memory/allocation reduction, CPU hot-path optimization, and syntax/API/control-flow improvements. This should trigger for requests such as Review Java code for high … | [source](https://github.com/jabrena/plinth/tree/065eae8/skills/145-java-refactoring-high-performance) |
+
+## 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-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-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-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) |
+| `abridge-core-workflow-b` | adjacent | Implement Abridge patient-facing documentation and after-visit summary generation. Use when building patient portal integration, generating plain-language summaries, multi-language translations, or after-visit instructions from clinical … | [source](https://github.com/jeremylongshore/claude-code-plugins-plus-skills/tree/e112938a/plugins/saas-packs/abridge-pack/skills/abridge-core-workflow-b) |
+| `abridge-upgrade-migration` | adjacent | Plan and execute Abridge integration upgrades and EHR migration procedures. Use when upgrading Abridge API versions, migrating between EHR systems, or handling breaking changes in clinical documentation workflows. Trigger: "abridge … | [source](https://github.com/jeremylongshore/claude-code-plugins-plus-skills/tree/e112938a/plugins/saas-packs/abridge-pack/skills/abridge-upgrade-migration) |
+| `abridge-cost-tuning` | adjacent | 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-performance-tuning` | adjacent | 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-security-basics` | adjacent | 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) |
+| `abridge-webhooks-events` | adjacent | Implement Abridge webhook handling for clinical documentation events. Use when receiving note completion notifications, encounter status changes, provider enrollment events, or quality alert callbacks from Abridge. Trigger: "abridge … | [source](https://github.com/jeremylongshore/claude-code-plugins-plus-skills/tree/e112938a/plugins/saas-packs/abridge-pack/skills/abridge-webhooks-events) |
+
+## 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 |
+|---|---|---|---|
+| `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) |
+| `iso-13485-certification` | adjacent | 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-decision-support` | adjacent | Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based … | [source](https://github.com/K-Dense-AI/claude-scientific-skills/tree/4d97e29/skills/clinical-decision-support) |
+| `treatment-plans` | adjacent | 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) |
+
+## 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 |
+|---|---|---|---|
+| `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) |
+| `iso-13485-certification` | adjacent | 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-decision-support` | adjacent | Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based … | [source](https://github.com/K-Dense-AI/scientific-agent-skills/tree/4d97e29/skills/clinical-decision-support) |
+| `treatment-plans` | adjacent | 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) |
+
+## Source: microsoft/power-platform-skills
+
+- Repository: [https://github.com/microsoft/power-platform-skills](https://github.com/microsoft/power-platform-skills) (commit `0d7ed9a`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `add-office365` | adjacent | Adds Office 365 Outlook connector to a Power Apps code app. Use when accessing calendars, sending emails, reading inbox, or managing Outlook events. | [source](https://github.com/microsoft/power-platform-skills/tree/0d7ed9a/plugins/code-apps/skills/add-office365) |
+
+## 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 |
+|---|---|---|---|
+| `soap-note` | core | Structure a clinical encounter into a clean SOAP note. Use when asked to write a SOAP note, document a patient encounter, turn visit notes into clinical documentation, or structure subjective/objective/assessment/plan. Produces a … | [source](https://github.com/mohitagw15856/pm-claude-skills/tree/876fa30/plugins/pm-health/skills/soap-note) |
+| `clinical-case-summary` | adjacent | Write a structured clinical case summary or case presentation. Use when asked to write a clinical case summary, case presentation, patient case report, or clinical handover. Produces a structured summary using SBAR or SOAP format. For … | [source](https://github.com/mohitagw15856/pm-claude-skills/tree/876fa30/plugins/pm-research/skills/clinical-case-summary) |
+| `clinical-trial-protocol` | adjacent | Draft a clinical trial protocol synopsis with the elements regulators and IRBs expect. Use when asked to write a clinical trial protocol, a study protocol synopsis, a trial design, or to structure endpoints/eligibility/statistics for an … | [source](https://github.com/mohitagw15856/pm-claude-skills/tree/876fa30/plugins/pm-health/skills/clinical-trial-protocol) |
+
+## 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) |
+| `implementing-memory-protection-with-dep-aslr` | adjacent | Implements memory protection mechanisms including DEP (Data Execution Prevention), ASLR (Address Space Layout Randomization), CFG (Control Flow Guard), and other exploit mitigations to prevent memory corruption attacks. Use when hardening … | [source](https://github.com/mukul975/Anthropic-Cybersecurity-Skills/tree/673da1f/skills/implementing-memory-protection-with-dep-aslr) |
+
+## 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` | adjacent | 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) |
+
+## Source: silverstein/minutes
+
+- Repository: [https://github.com/silverstein/minutes](https://github.com/silverstein/minutes) (commit `3fb2e83`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `minutes-ideas` | adjacent | Surface recent voice memos and ideas captured from any device. Use when the user asks "what ideas did I have?", "what were my recent memos?", "what did I record while walking?", or wants to recall a captured thought. | [source](https://github.com/silverstein/minutes/tree/3fb2e83/.agents/skills/minutes/minutes-ideas) |
+
+## 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: zebbern/claude-code-guide
+
+- Repository: [https://github.com/zebbern/claude-code-guide](https://github.com/zebbern/claude-code-guide) (commit `d2c5280`, retrieved 2026-07-14)
+- License: MIT
+
+| Skill | Tier | What it adds | Upstream |
+|---|---|---|---|
+| `regression-modeler` | core | Run regression analysis (OLS or logistic) on uploaded CSV/Excel data, generating coefficients, R², p-values, VIF, and plain-language interpretation. Triggered by requests for regression modeling, fitting data, testing significance, … | [source](https://github.com/zebbern/claude-code-guide/tree/d2c5280/skills/regression-modeler) |
--- a/references/berufsbild-de.md
+++ b/references/berufsbild-de.md
@@ -0,0 +1,75 @@
+# Berufsbild (Deutschland) — Orthopädietechnik-Mechaniker/in
+
+> **Quelle:** BERUFENET, Bundesagentur für Arbeit — Beruf-ID 122351,
+> KldB 2010: B 82512 · via öffentliche BERUFENET-API,
+> abgerufen 2026-07-12. Automatisches Label-Matching
+> (Score 1.00); Inhalte paraphrasiert/gekürzt, Volltext beim
+> Original: https://web.arbeitsagentur.de/berufenet/beruf/122351
+
+## Steckbrief
+
+Berufstyp
+Anerkannter Ausbildungsberuf
+Ausbildungsart
+Duale Ausbildung im Handwerk (geregelt durch Ausbildungsverordnung)
+Ausbildungsdauer
+3 Jahre 
+Lernorte
+Ausbildungsbetrieb und Berufsschule (duale Ausbildung)
+Was macht man in diesem Beruf?Orthopädietechnik-Mechaniker/innen stellen die verschiedensten orthopädietechnischen Hilfsmittel her und passen sie den Bedürfnissen der Patienten an. Je nach Schwerpunkt fertigen sie vor allem künstliche Gliedmaßen (Prothesen), Konstruktionen zur Unterstützung von Rumpf, Armen und Beinen (Orthesen) sowie spezielle Bandagen oder Erzeugnisse der Rehatechnik wie Rollstühle oder Krankenbetten an. Sie beurteilen die Krankheitsbilder und beraten Patienten bei der Wahl des passenden Hilfsmittels, nehmen Maß, erstellen Konstruktionszeichnungen und Modelle. Dabei verarbeiten sie Materialien wie Metall, Kunststoff, Holz, Gießharze oder Textilien maschinell und von Hand. Schließlich justieren sie die orthopädischen Hilfsmittel und erklären den Patienten die Bedienung oder Handhabung.
+Wo arbeitet man?Beschäftigungsbetriebe:Orthopädietechnik-Mechaniker/innen finden Beschäftigung
+in Betrieben des Orthopädietechniker-Handwerks
+
+bei Herstellern orthopädietech
+
+## Die Ausbildung im Überblick
+
+Orthopädietechnik-Mechaniker/in ist ein 3-jähriger anerkannter Ausbildungsberuf im Handwerk.
+
+## Abschluss-/Berufsbezeichnungen
+
+AbschlussbezeichnungOrthopädietechnik-Mechaniker/Orthopädietechnik-Mechanikerin
+
+## Entwicklung der Ausbildung
+
+1934:Erstmals Eintrag des Berufs Orthopädiemechaniker/in im Verzeichnis der Gewerbe, die als Handwerk betrieben werden können
+1938/39:Anerkennung eines industriellen Berufs Orthopädiemechaniker/in
+1969:Ausbildungsordnung nach dem Berufsbildungsgesetz für den Handwerksberuf Orthopädiemechaniker/in tritt in Kraft
+1972:Aufhebung der industriellen Ausbildung 
+1996:Ausbildungsordnung nach dem Berufsbildungsgesetz für den Ausbildungsberuf Orthopädiemechaniker/in und Bandagist/in tritt in Kraft (Zusammenfassung der Vorläuferberufe Orthopädiemechaniker/in und Bandagist/in)
+2013:Ausbildungsordnung für den Beruf Orthopädietechnik-Mechaniker/in tritt in Kraft
+Ausbildung in drei Schwerpunkten (Individuelle Orthetik, Individuelle Rehabilitationstechnik, Prothetik)
+Aufhebung des Vorläuferberufs Orthopädiemechaniker und Bandagist/Orthopädiemechanikerin und Bandagistin
+2020:Novellierung des Berufsbildungsgesetzes (BBiG) und der Handwerksordnung (HWO): u.a. Einführung einer Mindestausbildungsvergütung; Erweiterung der Möglichkeit, Ausbildungen in Teilzeit zu absolvieren.
+2024:Inkrafttreten des Berufsbildungsvalidierungs- und -digitalisierungsgesetzes mit Anpassungen im Berufsbildungsgesetz (BBiG) und der Handwerksordnung (HWO): u.a. gesetzliche Verankerung der Möglichkeit des Vermittlung von Ausbildungsinhalten ohne gleichzeitige Anwesenheit der Auszubildenden und der Ausbildenden; dazu werden digitale Informationstechniken sowie Lern- und Kommunikationsmittel genutzt; im Berufsbildungsgesetz (BBiG) bzw. in der Handwerksordnung (HWO) gesetzlich festgehalten
+" name="Digitales mobiles Ausbilden">digitalen mobilen Ausbildens; Einführung eines Feststellungs- und Bescheinigungsverfahrens (Berufsvalidierung) der individuellen beruflichen Handlungsfähigkeit am Maßstab eines anerkannten Ausbildungsberufs unabhängig von einem formalen Berufsausbildungsabschluss.
+
+## Ausbildung im Ausland
+
+Auszubildende können Teile der Ausbildung im Ausland absolvieren, z.B.:
+Verschiedene europäische Länder
+Auslandspraktikum im Rahmen der Zusatzqualifikation "Europaassistent/in"
+Dauer: mindestens 3 Wochen
+Zugangsvoraussetzung: mittlerer Bildungsabschluss
+ Weitere Informationen zur Zusatzqualifikation Europaassistent/in
+
+## Zusatzqualifikationen
+
+Die Zusatzqualifikation "Betriebsassistent/in im Handwerk" richtet sich an Auszubildende mit Mittlerer Bildungsabschluss, der an allgemeinbildenden Schulen im Sekundarbereich I am Ende der 10. Jahrgangsstufe sowie im Sekundarbereich II an Berufsaufbauschulen erworben werden kann; Voraussetzung für den Eintritt in die Fachoberschule
+" name="Fachoberschulreife">Fachoberschul- oder Schulabschluss und Zugangsberechtigung zum Studium an Hochschulen oder Berufsakademien, kann bspw. an Gymnasien, Oberschulen oder nachträglich z.B. an Abendschulen erworben werden; Allgemeine Hochschulreife (auch: Abitur) berechtigt zum Studium aller Fächer an allen Hochschulen; Fachgebundene Hochschulreife (auch: Fachabitur) berechtigt zum Studium von Fächern, auf die der Schulabschluss inhaltlich vorbereitet hat
+" name="Hochschulreife">Hochschulreife. Die Auszubildenden erwerben parallel zur handwerklichen Ausbildung kaufmännische Kenntnisse. Sie besuchen zusätzlichen Berufsschulunterricht, z.B. in Rechnungswesen oder Wirtschaftslehre. Zudem legen sie die Prüfung zum Fachmann bzw. zur Fachfrau für kaufmännische Betriebsführung (HwO) ab und weisen den erfolgreichen Besuch des Fremdsprachenunterrichts nach. Die zuständige Handwerkskammer erteilt weitere Informationen, z.B.:
+HWK Düsseldorf – Betriebsassistent/in im Handwerk
+
+Die Zusatzqualifikation "Europaassistent/in" richtet sich an Auszubildende mit mindestens einem auch: Realschulabschluss, Mittlerer Schulabschluss (an der Mittelschule), Mittlere Reife, Fachoberschulreife, Sekundarabschluss I - Realschulabschluss, Qualifizierter Sekundarabschluss I, Mittlerer Abschluss
+ Schulabschluss, der mit Abschluss der 10. Klasse z.B. an einer Realschule (plus), Sekundarschule oder Regelschule erworben wird (die Regelungen zum Erwerb können sich je nach Bundesland untetscheiden); berechtigt zum Besuch weiterführender allgemeinbildender oder beruflicher Schulen; ein nachträglicher Erwerb ist an der Abendschule möglich
+" name="Mittlerer Bildungsabschluss">mittleren Bildungsabschluss. Sie erweitert die Erstausbildung um interkulturelle Kompetenzen und bietet den Auszubildenden die Möglichkeit, Fremdsprachenkenntnisse zu verbessern. Dazu besuchen die Auszubildenden zusätzlichen Berufsschulunterricht, z.B. im Europäischen Waren- und Wirtschaftsrecht, und absolvieren ein mehrwöchiges Praktikum im Ausland. Die zuständige Kammer erteilt weitere Informationen, z.B.:
+Europaassistent/in
+
+## Spezialisierung während der Ausbildung
+
+Die Ausbildung erfolgt in einem der Schwerpunkte
+Individuelle Orthetik
+
+Individuelle Rehabilitationstechnik
+
+Prothetik
--- a/references/market.md
+++ b/references/market.md
@@ -0,0 +1,153 @@
+# Market evidence report — prosthetic-orthotics-technician
+
+Source: **42 real job ads** (JSearch API, countries: us 42), extracted into the MSSQL evidence store; as of 2026-07-19.
+This report contains extracted, aggregated facts only — no ad text is
+reproduced (copyright / platform terms).
+
+## Seniority distribution
+
+| Seniority | Ads | Share |
+|---|---|---|
+| mid | 29 | 69 % |
+| n/a | 8 | 19 % |
+| junior | 5 | 12 % |
+
+## Tools — full market ranking
+
+| # | Item | Ads | Share |
+|---|---|---|---|
+| 1 | hand tools | 6 | 14 % |
+| 2 | band saws | 4 | 10 % |
+| 3 | drill presses | 4 | 10 % |
+| 4 | heat guns | 4 | 10 % |
+| 5 | power tools | 3 | 7 % |
+| 6 | speed routers | 3 | 7 % |
+| 7 | vacuum systems | 3 | 7 % |
+
+## Hard skills — full market ranking
+
+| # | Item | Ads | Share |
+|---|---|---|---|
+| 1 | prosthetic fabrication | 18 | 43 % |
+| 2 | device repair | 17 | 40 % |
+| 3 | orthotic fabrication | 17 | 40 % |
+| 4 | inventory management | 9 | 21 % |
+| 5 | quality control | 9 | 21 % |
+| 6 | device fabrication | 8 | 19 % |
+| 7 | device assembly | 5 | 12 % |
+| 8 | assembly | 4 | 10 % |
+| 9 | device adjustment | 4 | 10 % |
+| 10 | material shaping | 4 | 10 % |
+| 11 | patient care | 4 | 10 % |
+| 12 | prosthetic design | 4 | 10 % |
+| 13 | clinical assessment | 3 | 7 % |
+| 14 | data interpretation | 3 | 7 % |
+| 15 | device fitting | 3 | 7 % |
+| 16 | device modification | 3 | 7 % |
+| 17 | dme education | 3 | 7 % |
+| 18 | lamination | 3 | 7 % |
+| 19 | molding | 3 | 7 % |
+| 20 | orthotic fitting | 3 | 7 % |
+| 21 | patient assessment | 3 | 7 % |
+| 22 | patient evaluation | 3 | 7 % |
+| 23 | shaping | 3 | 7 % |
+| 24 | static alignment | 3 | 7 % |
+
+## Methods — full market ranking
+
+| # | Item | Ads | Share |
+|---|---|---|---|
+| 1 | HIPAA compliance | 3 | 7 % |
+
+## Responsibilities — full market ranking
+
+| # | Item | Ads | Share |
+|---|---|---|---|
+| 1 | device fabrication | 15 | 36 % |
+| 2 | device repair | 8 | 19 % |
+| 3 | lab maintenance | 5 | 12 % |
+| 4 | patient education | 5 | 12 % |
+| 5 | device fitting | 4 | 10 % |
+| 6 | patient care | 4 | 10 % |
+| 7 | device maintenance | 3 | 7 % |
+| 8 | material ordering | 3 | 7 % |
+| 9 | material quality checks | 3 | 7 % |
+| 10 | work completion | 3 | 7 % |
+| 11 | work order delivery | 3 | 7 % |
+
+## Regional breakdown
+
+> **Corpus note:** 42 relevant ads in total — below the 100-ad target for a fully reliable ranking. Percentages above should be read as indicative.
+
+### US (us)
+
+42 ads.
+
+**Top hard skills:**
+
+- prosthetic fabrication — 43 % (18 ads)
+- device repair — 40 % (17 ads)
+- orthotic fabrication — 40 % (17 ads)
+- inventory management — 21 % (9 ads)
+- quality control — 21 % (9 ads)
+- device fabrication — 19 % (8 ads)
+- device assembly — 12 % (5 ads)
+- assembly — 10 % (4 ads)
+- device adjustment — 10 % (4 ads)
+- material shaping — 10 % (4 ads)
+
+**Top tools:**
+
+- hand tools — 14 % (6 ads)
+- band saws — 10 % (4 ads)
+- drill presses — 10 % (4 ads)
+- heat guns — 10 % (4 ads)
+- power tools — 7 % (3 ads)
+- speed routers — 7 % (3 ads)
+- vacuum systems — 7 % (3 ads)
+- 3D printing equipment — 5 % (2 ads)
+- CPRS — 5 % (2 ads)
+- DSS — 5 % (2 ads)
+
+**Seniority:** mid 69 % · n/a 19 % · junior 12 %
+
+### 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 |
+|---|---|
+| O and P technician | 2 |
+| Orthotics & Prosthetics Fabrication | 2 |
+| Orthotics & Prosthetics Lab Technician | 2 |
+| Orthotics & Prosthetics Technician | 2 |
+| Technician role, Orthotics and Prosthetics | 2 |
+| Certified Prosthetist Orthotist (CPO) | 1 |
+| Certified Prosthetist Orthotist: Design, Fit & Care | 1 |
+| Certified Prosthetist/Orthotist - Lancaster Clinic | 1 |
+| Certified Prosthetist-Orthotist | 1 |
+| CPO/CO | 1 |
+| Delaware Certified Orthotist or Prosthetist Practitioner | 1 |
+| Fabrication / Medical Equipment Technician - Full-time | 1 |
+| Harrisburg, PA- Prosthetic Technician | 1 |
+| On-Site Prosthetist-Orthotist: Patient-Focused Device Expert | 1 |
+| Orthotic & Prosthetic Assistant Trainee | 1 |
+| Orthotic & Prosthetic Technician | 1 |
+| Orthotic and Prosthetic Fabrication Technician | 1 |
+| Orthotic and Prosthetic Technician | 1 |
+| Orthotic Fitter Custom Prosthetics Lab Technician | 1 |
+| Orthotic Technician | 1 |
+| Orthotics & Prosthetics Fabrication Specialist | 1 |
+| Orthotics & Prosthetics Lab Technician: Precision Fabrication | 1 |
+| Orthotics & Prosthetics Technician (North Chesterfield, VA) | 1 |
+| Orthotics and Prosthetics Fitter | 1 |
+| Orthotics and Prosthetics Technician | 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 +1,32 @@
+# Occupation profile — prosthetic-orthotics technician
+
+- **ESCO URI:** http://data.europa.eu/esco/occupation/500b7b14-507c-4c49-816d-c1d0b05b85e4
+- **ESCO code:** 2269.15
+- **ISCO-08 group:** 2269 — Health professionals not elsewhere classified
+- **O*NET-SOC:** 51-9082.00 — Medical Appliance Technicians (match: exactMatch)
+
+## Description (ESCO)
+
+Prosthetic-orthotics technicians design, create, fit and repair supportive devices, such as braces, joints, arch supports, and other surgical and medical appliances.
+
+## Definition
+
+nan
+
+## Alternative labels
+
+- orthopaedic appliance maker
+- prosthetics maker
+- prosthetic brace maker
+- prosthetic devices maker
+- orthopaedic technician
+- orthotic and prosthetic technician
+- prosthetics assembler
+- O&P technician
+- orthotic appliance maker
+- prosthetic appliance maker
+- orthotic technician
+- prosthetic support maker
+- surgical appliance technician
+- surgical appliance maker
+- orthotics technician
--- a/references/skills.md
+++ b/references/skills.md
@@ -0,0 +1,60 @@
+# Competences — prosthetic-orthotics technician
+
+Source: ESCO v1.2.1 occupation-skill relations (http://data.europa.eu/esco/occupation/500b7b14-507c-4c49-816d-c1d0b05b85e4).
+
+## Essential
+
+- **biomedical engineering** (knowledge)
+- **finish prosthetic-orthotic devices** (skill/competence)
+- **human anatomy** (knowledge)
+- **interpret prescriptions** (skill/competence)
+- **maintain prosthetic-orthotic devices** (skill/competence)
+- **manipulate metal** (skill/competence)
+- **manipulate plastic** (skill/competence)
+- **manipulate wood** (skill/competence)
+- **manufacture prosthetic-orthotic devices** (skill/competence)
+- **orthotic devices** (knowledge)
+- **prosthetic devices** (knowledge)
+- **prosthetic-orthotic device materials** (knowledge)
+- **repair orthopedic goods** (skill/competence)
+- **repair prosthetic-orthotic devices** (skill/competence)
+- **test prosthetic-orthotic devices** (skill/competence)
+- **types of orthopedic supplies** (knowledge)
+- **use technical drawing software** (skill/competence)
+
+## Optional
+
+- advise on medical device features (skill/competence)
+- biomedical techniques (knowledge)
+- comply with legislation related to health care (skill/competence)
+- design objects to be crafted (skill/competence)
+- maintain prosthetic-orthotic laboratory equipment (skill/competence)
+- musculoskeletal anatomy (knowledge)
+- order supplies (skill/competence)
+- orthopaedic goods industry (knowledge)
+- prosthetic-orthotic examination (knowledge)
+- recommend orthopedic goods to customers depending on their condition (skill/competence)
+- use casts of body parts (skill/competence)
+- use of special equipment for daily activities (knowledge)
+
+<!-- market-evidence -->
+
+## Market evidence (job-ad analysis, 42 ads, as of 2026-07-19)
+
+Share of analyzed job ads mentioning the item (threshold ≥ 20 %). Source: JSearch/Adzuna APIs.
+
+### Hard skills
+
+- prosthetic fabrication — **43 %**
+- orthotic fabrication — **40 %**
+- device repair — **40 %**
+- inventory management — **21 %**
+- quality control — **21 %**
+- device fabrication — **19 %**
+
+### Responsibilities
+
+- device fabrication — **36 %**
+- device repair — **19 %**
+
+<!-- market-evidence -->
--- a/references/tasks.md
+++ b/references/tasks.md
@@ -0,0 +1,40 @@
+# Tasks & work activities — prosthetic-orthotics technician
+
+Source: O*NET 30.3, occupation 51-9082.00 (Medical Appliance Technicians).
+
+## Task statements
+
+- **[Core]** Fit appliances onto patients, and make any necessary adjustments.
+- **[Core]** Make orthotic or prosthetic devices, using materials such as thermoplastic and thermosetting materials, metal alloys and leather, and hand or power tools.
+- **[Core]** Read prescriptions or specifications to determine the type of product or device to be fabricated and the materials and tools required.
+- **[Core]** Repair, modify, or maintain medical supportive devices, such as artificial limbs, braces, or surgical supports, according to specifications.
+- **[Core]** Instruct patients in use of prosthetic or orthotic devices.
+- **[Core]** Take patients' body or limb measurements for use in device construction.
+- **[Core]** Construct or receive casts or impressions of patients' torsos or limbs for use as cutting and fabrication patterns.
+- **[Core]** Bend, form, and shape fabric or material to conform to prescribed contours of structural components.
+- **[Core]** Drill and tap holes for rivets, and glue, weld, bolt, or rivet parts together to form prosthetic or orthotic devices.
+- **[Core]** Lay out and mark dimensions of parts, using templates and precision measuring instruments.
+- **[Core]** Test medical supportive devices for proper alignment, movement, or biomechanical stability, using meters and alignment fixtures.
+- **[Core]** Cover or pad metal or plastic structures or devices, using coverings such as rubber, leather, felt, plastic, or fiberglass.
+- **[Core]** Polish artificial limbs, braces, or supports, using grinding and buffing wheels.
+- **[Core]** Service or repair machinery used in the fabrication of appliances.
+- **[Supplemental]** Mix pigments to match patients' skin coloring, according to formulas, and apply mixtures to orthotic or prosthetic devices.
+
+## Detailed work activities
+
+- Adjust fabrics or other materials during garment production.
+- Apply protective or decorative finishes to workpieces or products.
+- Cast molds of patient anatomies to create medical or dental devices.
+- Construct customized assistive medical or dental devices.
+- Draw guide lines or markings on materials or workpieces using patterns or other references.
+- Drill holes in parts, equipment, or materials.
+- Inspect medical or dental assistive devices.
+- Instruct patients in the use of assistive equipment.
+- Measure clients to ensure proper product fit.
+- Mix ingredients to create specific finishes.
+- Operate grinding equipment.
+- Operate welding equipment.
+- Polish materials, workpieces, or finished products.
+- Read work orders or other instructions to determine product specifications or materials requirements.
+- Repair medical or dental assistive devices.
+- Repair production equipment or tools.
--- a/references/tools.md
+++ b/references/tools.md
@@ -0,0 +1,18 @@
+# Tools & technology — prosthetic-orthotics technician
+
+Source: O*NET 30.3 'Software Skills' for 51-9082.00.
+
+| Software | Category | Hot technology |
+|---|---|---|
+| Autodesk AutoCAD | Computer aided design CAD software | yes |
+| Microsoft Outlook | Electronic mail software | yes |
+| Microsoft Office software | Office suite software | yes |
+| Microsoft Excel | Spreadsheet software | yes |
+| Microsoft Word | Word processing software | yes |
+| Ohio Willow Wood OMEGA Tracer System | Computer aided design CAD software |  |
+| Seattle Systems Shapemaker | Computer aided design CAD software |  |
+| SoftSource CADview | Computer aided design CAD software |  |
+| Vorum Research Corporation CANFIT-PLUS | Computer aided design CAD software |  |
+| Orthotic fabrication software | Computer aided manufacturing CAM software |  |
+| Footmaxx Metascan software | Medical software |  |
+| Gait analysis software | Medical software |  |