monarch-initiative/dismech/.claude/skills/dismech-references/SKILL.md
dismech-references
Add, validate, repair, or review evidence references and exact-quote snippets in dismech KB YAML and deep-research reports. Use for PMID, DOI, NCT, ICTRP, or structured-source evidence; reference-cache generation; snippet failures; title snippets; bracket normalization; deep-research citation validation; Named Entity Confusion preflight; evidence_source classification; and final evidence checks before a PR.
- Source repository stars
- 56
- Declared platforms
- 0
- Static risk flags
- 0
- Last source update
- 2026-08-28
- Source checked
- 2026-08-28
Decision brief
What it does: where it fits
Use this workflow whenever evidence or its cited source changes.
Not for
- Tasks that require unconfirmed production actions or broad system permissions.
- Environments where the pinned source and install steps cannot be inspected.
Compatibility matrix
Platform support, with evidence labels
| Platform | Status | Evidence | What to check |
|---|---|---|---|
| Codex | Not declared | No explicit evidence | Portability before use |
| Claude Code | Not declared | No explicit evidence | Portability before use |
| Cursor | Not declared | No explicit evidence | Portability before use |
| Gemini CLI | Not declared | No explicit evidence | Portability before use |
Installation
Inspect first. Install second.
The source command is displayed only when detected. A safe inspection prompt is always available so your agent can explain every action before execution.
npx skills add https://github.com/monarch-initiative/dismech --skill ".claude/skills/dismech-references"Inspect the Agent Skill "dismech-references" from https://github.com/monarch-initiative/dismech/blob/8fd58adcb26220902c524da7be9d8aa7fc215e18/.claude/skills/dismech-references/SKILL.md at commit 8fd58adcb26220902c524da7be9d8aa7fc215e18. List every install step, command, network request, credential, file read/write, external action, and rollback step. Explain whether it fits my task. Do not install or execute anything until I approve.
Workflow
What the source asks the agent to do
- 01
Workflow
If evidence came from research/, first read the report's referencevalidation, unresolvedreferences, needsreview, and offtopicreferences results. Do not curate an unresolved identifier. An off-topic flag is a reason to inspect the paper, not an automatic rejection.
PASS: proceed to normal source, snippet, and term verification.WARN: resolve the reported conflict or degraded lookup, then manually checkFAIL: discard the report. Do not cherry-pick from it. - 02
Non-negotiable rules
Quote an exact substring of the cited source. Do not paraphrase or fabricate a
Quote an exact substring of the cited source. Do not paraphrase or fabricate aConfirm that the quote substantively supports the precise claim. A matchingPrefer a result sentence from the abstract or authoritative source record. - 03
Evidence shape
Use supports: SUPPORT, REFUTE, or the value allowed by the schema. Make the explanation connect the quote to the claim without adding conclusions the quote does not establish.
HUMANCLINICAL: patients, cohorts, clinical observations, or trialsMODELORGANISM: in vivo non-human animal or organism workINVITRO: cells, organoids, explants, or biochemical assays - 04
1. Screen deep-research sources
If evidence came from research/, first read the report's referencevalidation, unresolvedreferences, needsreview, and offtopicreferences results. Do not curate an unresolved identifier. An off-topic flag is a reason to inspect the paper, not an automatic rejection.
PASS: proceed to normal source, snippet, and term verification.WARN: resolve the reported conflict or degraded lookup, then manually checkFAIL: discard the report. Do not cherry-pick from it. - 05
2. Fetch each new reference
Use the actual identifier for other supported reference types. Read the fetched record and confirm its identity, topic, and quoted passage. A successful fetch does not prove that the source supports the claim.
Use the actual identifier for other supported reference types. Read the fetched record and confirm its identity, topic, and quoted passage. A successful fetch does not prove that the source supports the claim.
Permission review
Static risk signals and limitations
No configured static risk pattern was detected
This is not proof of safety. Runtime behavior, indirect dependencies, and hidden external systems are outside the static scan.
Evidence record
Why each signal appears
| Signal | Value | Evidence type | Meaning |
|---|---|---|---|
| Quality score | 91/100 | Computed | Documentation, specificity, maintenance, and trust rules |
| Repository stars | 56 | Source | Repository attention, not individual Skill quality |
| Compatibility | 0 platforms | Source | Declared in the catalog source record |
| Usage guide | automated source guide | Editorial | Generated or reviewed according to the visible evidence level |
Pinned source
Provenance and original SKILL.md
- Repository
- monarch-initiative/dismech
- Skill path
- .claude/skills/dismech-references/SKILL.md
- Commit
- 8fd58adcb26220902c524da7be9d8aa7fc215e18
- License
- BSD-3-Clause
- Collected
- 2026-08-28
- Default branch
- main
View the original SKILL.md
Curate Evidence and References
Use this workflow whenever evidence or its cited source changes.
Non-negotiable rules
- Quote an exact substring of the cited source. Do not paraphrase or fabricate a
snippet. - Confirm that the quote substantively supports the precise claim. A matching string from the wrong paper, or an unrelated sentence from the right paper, is not evidence.
- Prefer a result sentence from the abstract or authoritative source record. A paper title usually establishes only that a topic was studied.
- Never create or hand-edit
references_cache/*.md. Generate or regenerate a cache entry withjust fetch-reference <ID>. - Never use fuzzy auto-repair to rewrite snippets. Read the source and copy the exact passage, choose another source, or remove the evidence.
- Treat deep-research output as leads, not ground truth.
Evidence shape
evidence:
- reference: PMID:12345678
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Exact text copied from the cited source."
explanation: "How this passage supports the specific KB claim."
Use supports: SUPPORT, REFUTE, or the value allowed by the schema. Make the
explanation connect the quote to the claim without adding conclusions the
quote does not establish.
Classify evidence_source by the cited study, not by the curator or the claim:
HUMAN_CLINICAL: patients, cohorts, clinical observations, or trialsMODEL_ORGANISM: in vivo non-human animal or organism workIN_VITRO: cells, organoids, explants, or biochemical assaysCOMPUTATIONAL: modeling, simulation, or in-silico analysisOTHER: evidence that does not fit the categories above
Inspect the schema and nearby current entries if a field or enum is uncertain.
Workflow
1. Screen deep-research sources
If evidence came from research/, first read the report's
reference_validation, unresolved_references, needs_review, and
off_topic_references results. Do not curate an unresolved identifier. An
off-topic flag is a reason to inspect the paper, not an automatic rejection.
For an older report without validation output, run:
just validate-research-reference research/My_Disease-deep-research-falcon.md
The same recipes also check the report's ontology terms (term_validation
in the frontmatter, ## Term Validation at the end of the body). That is a
different check from the citations one and catches a different error: a report
can have every citation verified and still name the wrong MONDO term for the
disease. Never bind a CURIE listed under unresolved_terms. For an older report,
just validate-research-terms <report> adds the section; see
docs/deep-research-term-validation.md.
Before using any report content, check that the report describes the intended disease:
just preflight-dr research/My_Disease-deep-research-falcon.md MONDO:XXXXXXX
Interpret the result as follows:
PASS: proceed to normal source, snippet, and term verification.WARN: resolve the reported conflict or degraded lookup, then manually check the causal gene, OMIM xref, and synonyms.FAIL: discard the report. Do not cherry-pick from it.SKIP: the automated check cannot discriminate; manually check disease identity before proceeding.
For a WARN or SKIP, inspect the intended MONDO record directly:
uv run runoak -i sqlite:obo:mondo info MONDO:XXXXXXX -O obo
Compare its causal-gene relationship (RO:0004003), OMIM xref, and synonyms
with the report. Look specifically for synonym aliasing, eponymic collision,
abbreviation ambiguity, or conflation with a closely related disease. On any
identity mismatch, discard the report rather than cherry-picking from it.
See docs/deep-research-reference-validation.md and
research/nec_risk_disease_classes.md for uncommon cases.
2. Fetch each new reference
just fetch-reference PMID:12345678
Use the actual identifier for other supported reference types. Read the fetched record and confirm its identity, topic, and quoted passage. A successful fetch does not prove that the source supports the claim.
3. Run the fast edit loop
After each disorder-file edit, run:
just validate kb/disorders/MyDisease.yaml
just count-verified-snippets kb/disorders/MyDisease.yaml
just validate-terms kb/disorders/MyDisease.yaml
All three commands accept the files supported by their recipes; batch files
where practical. count-verified-snippets is fast and offline, but advisory.
It reports missing cache entries and skipped prefixes rather than resolving
them.
4. Run the authoritative pre-PR sweep
Once, after the tranche is complete, name every changed disorder file:
just validate-disorders \
kb/disorders/FirstDisease.yaml \
kb/disorders/SecondDisease.yaml
This batched command mirrors CI's schema, term, and reference checks and uses
--no-full-text. It is the authoritative evidence gate for disorder files.
Use just validate-references <file> only when a non-disorder target or a
full-text-permitting diagnostic requires it.
Never report a validation command as passing unless it finished and you read its output.
Resolve failures
When a snippet is not found:
- Read the fetched source record.
- Confirm the identifier belongs to the intended paper or record.
- Copy an exact, substantively relevant passage.
- If no such passage exists, cite a better source or remove the evidence.
If the claim is useful but no quotable evidence is available, move it to a
notes field where appropriate, keep an unevidenced description only where the
schema and curation policy permit it, or remove the claim. Never manufacture a
quote to preserve an evidence block.
Total checks: 0 in reference-validator output means zero issues were counted;
it does not mean no evidence was examined. Use the wrapper's affirmative
Snippets checked: N/N verified summary to describe cache-backed coverage.
Reference prefixes in skip_prefixes within
conf/reference_validator_config.yaml, including DOI:, are not
snippet-checked. Treat a skipped reference as unverified by these commands.
Titles and brackets
Run just check-title-snippets when adding or repairing evidence. Quote a title
only in the rare case that the title itself states a result; explain why it is
probative. If the cached record has no abstract, cite the underlying study or a
different source instead of treating a topic-shaped title as a finding. Do not
manually regenerate tests/title_snippet_baseline.txt when fixing an existing
title snippet.
Snippet matching applies literal_bracket_patterns from
conf/reference_validator_config.yaml:
- all-caps abbreviations and spans containing a percent sign remain literal and must be quoted exactly;
- numeric citation markers and curator glosses are stripped before matching.
If a verbatim quote fails near brackets, read the reason printed by
count-verified-snippets. Do not change the global patterns to accommodate one
snippet without replaying validation across the KB.
Read the title off the cache, never from memory
reference_title (on an EvidenceItem) and title (on a top-level
references: entry) name the paper you cited, and until #9138 nothing checked
them. The failure mode that exposed is specific: correct PMID, verified
snippet, invented title. Each gate reads a different field — linkml-validate
confirms the slot is a string, count-verified-snippets and
validate-references check the snippet, validate-terms checks ontology
terms, and check_title_snippets (despite the name) asks whether a snippet
quotes a title. None of them reads the title.
On PR #9111 three of twenty (reference, reference_title) pairs named papers
that do not exist. Two were written by an agent that had just verified the
adjacent snippets as exact substrings of the cached text, then wrote the titles
beside them from memory. Being rigorous about the quote and careless about the
citation attached to it is a distinct failure mode, and these values are not
inert — they render on the disorder page and flow into the cx2 and SEPIO
exports.
The correct title is already on disk, in the reference's cache frontmatter:
head -5 references_cache/PMID_34081534.md
# ---
# reference_id: PMID:34081534
# title: Axonal Growth Abnormalities Underlying Ocular Cranial Nerve Disorders.
Copy it from there. just check-reference-titles gates new mismatches (offline,
similarity-based, so punctuation, dashes, diacritics and source-XML markup do
not trip it) and prints the cached title in the failure message, so the fix is a
copy-paste. just list-reference-title-mismatches is the triage view;
scripts/find_missing_reference_titles.py is the complementary check for
absent titles.
Frequency claims
A phenotype frequency: value is a separate quantitative claim from the
disease-phenotype association. Give it evidence that supports the frequency
band or omit it. Follow docs/frequency-evidence-guidelines.md for acceptable
quantitative, derived, qualitative, and clinical-estimate evidence.
Reference-cache integrity
Check the derived cache structure with:
just check-reference-cache-frontmatter
If an entry is malformed or incorrect, regenerate it with
just fetch-reference <ID>; never patch its filename, frontmatter, or content.
Frequently asked questions
What to verify before installation and use
What does the dismech-references source document cover?
Use this workflow whenever evidence or its cited source changes.
How do I install dismech-references?
The source record exposes this install command: npx skills add https://github.com/monarch-initiative/dismech --skill ".claude/skills/dismech-references". Inspect the command and pinned source before running it.
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