medical-evidence-grading SKILL.md skillA

medical-evidence-grading from ethanyoq/skill-hub is an agent skill: a SKILL.md folder an AI agent loads when a task calls for it.

Install it, pinned
mdr add ethanyoq/skill-hub/medical-evidence-grading@git:20260912.c74de71

Pins git:20260912.c74de71 in mdr.lock. Pin the fingerprint instead.

Audit grade
A, 17 of 17 checks passed
Kind
SKILL.md skill
Repository
ethanyoq/skill-hub
Path
archives/user-installed-skills/medical-evidence-grading/5c342d58013a59c8/medical-evidence-grading/SKILL.md
Versions recorded
1
Latest version
git:20260912.c74de71, committed Sep 12, 2026
Size
14,529 bytes
Repository stars
11
License
MIT

医学证据等级排序与编排层 skill - evidence grading orchestrator. 当用户请求"证据等级 / GRADE / 证据排序 / 医学证据评估 / 系统评价排序 / 临床证据排序 / 证据金字塔 / 给 PMID 打分 / Practice Guideline 优先 / Cochrane 优先 / 反向证据交叉验证 / evidence grading / quality of evidence / evidence pyramid / GRADE assessment / Cochrane review ranking / clinical evidence ranking"时,**调用本 skill 进行医学证据自动分级,自动选择最佳信息源**。本 skill 是编排层(L2)·不直接打 NCBI/Europe PMC/ClinicalTrials API,而是编排 6 个底层原子 skill(pubmed-eutils / europepmc-search / clinical-trials-v2 / aact-bulk-trials /…

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

# medical-evidence-grading · 医学证据等级排序与编排层(L2)

## 一句话定义

对底层 6 个原子 skill 召回的医学文献做"证据金字塔排序",输出带 GRADE A/B/C/D 评级的文献集与汇总报告;同时充当智能调度器,根据问题类型(疗效/诊断/病因/预后/不良反应/预测/指南/SR)自动选择最佳原子 skill 与 PubMed Clinical Queries filter。

---

## Iron Law(不可违反)

> **GRADE 评级前必须调用 `pubmed-eutils.efetch_pubmed()` 拿真实 publication_type。不可仅凭 title/abstract 关键词推断。**

理由:title 含"randomized"未必是 RCT(可能是综述讨论 RCT);只有 NLM MeSH 索引员人工标注的 publication_type 才是权威依据。仅当 efetch 返回为空(发表 < 6 个月新文献)才允许启发式推断,且必须给 grade 加 `_inferred` 后缀。

完整规则见 `references/grade-rules.md`。

---

## 何时调用(Auto-trigger)

**调用本 skill (✅)**:
- "评估这个临床声明的证据强度" → ✅ `cross_validate_evidence(claim=...)`
- "找血液 IFI 最新指南级证据" → ✅ `evidence_search(query=..., target_grade='guideline_only')`
- "对比这些 PMID 的 GRADE 等级" → ✅ `grade_pmid_list(pmid_list=[...])`
- "我要给附录 C 重新分级" → ✅ `grade_pmid_list` + `evidence_summary`
- "venetoclax AML 高质量 RCT" → ✅ `evidence_search(target_grade='rct_or_above')`

**不调用本 skill (❌,直接调原子 skill)**:
- "检索 PubMed" → ❌ 直接调 `pubmed-eutils`
- "找 NCT 试验" → ❌ 直接调 `clinical-trials-v2`
- "拿全文段落" → ❌ 直接调 `bioc-fulltext-fetch`
- "全库批量分析" → ❌ 直接调 `aact-bulk-trials`

---

## 与其他 skill 协作矩阵(关键 · 编排核心)

| 协作方向 | Skill | 调用的具体函数 | 用途 |
…

Read the whole file at its exact version.

How to install

The exact contents, by fingerprint
mdr add ethanyoq/skill-hub/medical-evidence-grading@sha256:2d386010fecd5ffa

The line at the top of this page pins the label git:20260912.c74de71, 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_ovevbce5gkz2levw.svg)](https://markdownregistry.com/a/art_ovevbce5gkz2levw)

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

Versions

The registry has recorded 1 version of this file, committed on Sep 12, 2026.

versioncommittedcommitsizeaudit
git:20260912.c74de71 latest2026-09-12 c74de71 14,529 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 (14529 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

ethanyoq/skill-hub · 11 stars · license MIT · pushed 2026-11-07 · branch mine

API

GET https://markdownregistry.com/api/v1/artifacts/art_ovevbce5gkz2levw
GET https://markdownregistry.com/api/v1/resolve?ref=ethanyoq/skill-hub/medical-evidence-grading
GET https://markdownregistry.com/api/v1/blob/2d386010fecd5ffafe8f4a82d60fc1b36edc7846284e9509f75bd70c7340e9fa

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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