getting-started SKILL.md skillA

getting-started from aks129/healthclawguardrails is an agent skill: a SKILL.md folder an AI agent loads when a task calls for it.

Install it, pinned
mdr add aks129/healthclawguardrails/getting-started@v1.0.0

Pins v1.0.0 in mdr.lock. Pin the fingerprint instead.

Audit grade
A, 17 of 17 checks passed
Kind
SKILL.md skill
Repository
aks129/healthclawguardrails
Path
skills/getting-started/SKILL.md
Versions recorded
4
Latest version
v1.0.0, committed Sep 24, 2026
First version recorded
May 5, 2026
Size
22,505 bytes
Repository stars
31
License
MIT

End-to-end onboarding for the HealthClaw + OpenClaw personal-health-agent stack. Walks anyone — not just developers — through (1) installing OpenClaw as the local AI gateway, (2) standing up an open-source FHIR server (HAPI or Medplum) on their machine, (3) connecting their EHR records via HealthEx, Josh Mandel's fhir-skills, Flexpa, or any patient-right-of-access / TEFCA IAS service, (4) installing HealthClaw Guardrails with the OpenClaw personas pre-wired, and (5) pulling + reviewing health…

Collected from public GitHub. Every version is saved exactly as it was and never changes. Install it at an exact version with the mdr tool, and every file is checked before it reaches your agent. The main file is checked against the SHA-256 fingerprint recorded here, and the others against the fingerprints GitHub keeps for its source commit. The automatic checks below grade the latest version, and the same checks always give the same file the same grade.

What the file says

# Getting started — HealthClaw + OpenClaw + your health data

The goal: a fully local, private, agent-mediated view of your own clinical
records. Nothing leaves your machine unless you explicitly send it. By the
end of this guide you'll have:

- An **OpenClaw gateway** (your local AI assistant runtime — Telegram /
  WhatsApp / iMessage / Slack / web)
- An **open-source FHIR server** holding your records (HAPI or Medplum)
- Your real **EHR records** pulled in via a patient-right-of-access
  service of your choice
- **HealthClaw Guardrails** sitting between any agent and that data,
  enforcing PHI redaction, audit trails, step-up auth, and tenant isolation
- **OpenClaw agent personas** (Sally-PCP, Mary-pharmacy, Dom-fitness,
  Kristy-scheduler) already wired to the slash-command surface and aware
  of every HealthClaw tool

If you already have one or more of these, the guide will tell you how to
verify and skip ahead — don't reinstall what's working.

> **Privacy guarantee.** Steps 1–4 keep your raw clinical data on your
> machine. The only network calls are to your chosen EHR connector
> (HealthEx, Flexpa, etc.) and that traffic is OAuth/SMART-on-FHIR with
…

Read the whole file at its exact version.

How to install

The exact contents, by fingerprint
mdr add aks129/healthclawguardrails/getting-started@sha256:185f1c7ba15165fc

The line at the top of this page pins the label v1.0.0, which is what most people want. This one pins the sha256 fingerprint of the contents instead, so it survives a label being moved. Either way the exact version is written to mdr.lock, and mdr install downloads and checks those contents again, so it installs them exactly or stops with an error.

Badge

mdr badge

[![mdr](https://markdownregistry.com/badge/art_elpn7q3t6zwap7dl.svg)](https://markdownregistry.com/a/art_elpn7q3t6zwap7dl)

4 badge image fetches in 30 days. What the badge shows.

Versions

The registry has recorded 4 versions of this file, between May 5, 2026 and Sep 24, 2026, about one every 47 days.

versioncommittedcommitsizeaudit
v1.0.0 latest2026-09-24 b9d26a3 22,505 BA view · diff
v1.0.02026-09-12 1101483 22,466 BA view · diff
v1.0.02026-07-08 c482592 22,281 BA view · diff
v1.0.02026-05-05 d5f3429 22,273 BA view

Audit of the latest version

A  17 of 17 checks passed. Fixed automatic checks with no AI involved, so the same checks give the same answer every run.
  • pass: Frontmatter block present
  • pass: Frontmatter declares a name
  • pass: Frontmatter declares a description
  • pass: Size between 200 bytes and 200 KB (22505 bytes)
  • pass: No zero-width or bidi control characters
  • pass: No instruction hidden inside an HTML comment
  • pass: No link to an exfiltration or paste host
  • pass: No credential-shaped string
  • pass: No instruction to send local credentials anywhere
  • pass: No text hidden with inline styles
  • pass: No prompt-injection phrasing
  • pass: No curl or wget piped into a shell
  • pass: No recursive delete of root, home or parent
  • pass: No instruction to read or print local credentials
  • pass: No base64 blob over 200 characters
  • pass: No link to a raw IP address
  • pass: No script tag

Source

GitHub

aks129/healthclawguardrails · 31 stars · license MIT · pushed 2026-10-20 · branch main

API

GET https://markdownregistry.com/api/v1/artifacts/art_elpn7q3t6zwap7dl
GET https://markdownregistry.com/api/v1/resolve?ref=aks129/healthclawguardrails/getting-started
GET https://markdownregistry.com/api/v1/blob/185f1c7ba15165fc255d33a803696e6ea1a4674cb987092efe6480655c3b9dc6

Your AI assistant does the legwork. You hear about the deals worth your word. Hand yours the standing instructions at modelranch.com and it joins the network that reads files like this one.

Guides: the SKILL.md format and its required fields · what to check before you install a skill · how to pin a skill to an exact version · where to find agent skills · keeping a team on the same skills · which agent file does what.

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