@oriro/orirocli 0.1.11 → 0.1.12

package/skills/healthcare-systems/health-sys-navigation/SKILL.md

@@ -1,60 +1,60 @@
----
-watermark: ORIRO
-disable-model-invocation: true
-name: health-sys-navigation
-provider: ORIRO.ai
-copyright: Copyright (c) 2026 ORIRO.ai
-description: >
-  Healthcare navigation — insurance, billing, patient rights, prior authorization, and getting the most from the healthcare system.
-
-
-
-  Sources: CMS, CDC, WHO, AAMC, AHA health system resources.
----
-
-# Healthcare Navigation
-
-## Understanding your health insurance
-
-**Premium:** Monthly cost you pay whether you use healthcare or not.
-**Deductible:** Amount you pay out-of-pocket before insurance starts paying.
-**Copayment:** Fixed amount for a service ($25 for primary care visit).
-**Coinsurance:** Your share (%) after deductible is met (80/20 means insurer pays 80%, you pay 20%).
-**Out-of-pocket maximum:** The most you'll ever pay in a plan year. After this, insurance pays 100%.
-**In-network vs. out-of-network:** Providers who have contracted rates with your insurer vs. those who haven't. Out-of-network costs significantly more (sometimes all billed charges).
-
-**Calculating your real exposure:** Add deductible + coinsurance until out-of-pocket max. That's your maximum annual risk.
-
-## Prior authorization
-
-Many services require insurer approval before receiving care.
-**Common requirements:** Specialty drugs, elective surgeries, MRI/CT scans, specialist referrals (HMO), mental health inpatient.
-**Process:** Provider submits request with clinical justification. Insurer reviews.
-**Denial:** You can appeal. Request peer-to-peer review between your doctor and insurer's medical director. External review if internal appeal fails.
-**Emergency care:** Prior auth not required for true emergencies. Insurer must cover stabilization regardless of network.
-
-## Medical billing
-
-**EOB (Explanation of Benefits):** Not a bill. Summary of what insurer paid and what you owe.
-**Billed vs. allowed amount:** Provider bills $500. Insurance's contracted rate: $200. Insurance pays $160 (80% of $200 after deductible met). You owe $40.
-**Surprise billing:** Federal No Surprises Act (2022) largely prohibits surprise out-of-network bills for emergency care and certain non-emergency services at in-network facilities.
-**Medical debt:** Negotiate! Medical debt is often negotiable. Many hospitals have charity care programs. Ask for itemized bill and dispute errors (30%+ of medical bills contain errors).
-
-## Patient rights
-
-**HIPAA:** Your health information is protected. Providers cannot share without your consent (with exceptions for treatment, payment, operations, public health, law enforcement).
-**Right to access your records:** Get your medical records within 30 days of request (HIPAA). Free or nominal charge.
-**Informed consent:** Right to understand and consent to treatment. Right to refuse treatment.
-**Non-discrimination:** Cannot be discriminated against in healthcare based on race, sex, disability, etc. (ACA, Section 1557).
-**Second opinion:** Right to get a second opinion. Insurance often covers it.
-
-## How to get the most from healthcare
-
-**Be prepared for appointments:** Bring list of all medications (including OTC/supplements), bring your questions written down, ask for written instructions.
-**The most important question:** "What happens if I do nothing?" Know your options.
-**Ask about costs:** "Is this test/procedure necessary? What does it cost? Is there a less expensive alternative?"
-**Follow up on abnormal results:** Don't assume "no call = everything fine."
-**Preventive care:** Fully covered under ACA (no deductible) — annual exam, recommended screenings, immunizations.
-
-Sources: CMS (cms.gov), ACA No Surprises Act guidance, HIPAA guidance (hhs.gov/hipaa),
-CFPB medical billing resources (consumerfinance.gov), Patient Advocate Foundation (patientadvocate.org)
+---
+watermark: ORIRO
+disable-model-invocation: true
+name: health-sys-navigation
+provider: ORIRO.ai
+copyright: Copyright (c) 2026 ORIRO.ai
+description: >
+  Healthcare navigation — insurance, billing, patient rights, prior authorization, and getting the most from the healthcare system.
+
+
+
+  Sources: CMS, CDC, WHO, AAMC, AHA health system resources.
+---
+
+# Healthcare Navigation
+
+## Understanding your health insurance
+
+**Premium:** Monthly cost you pay whether you use healthcare or not.
+**Deductible:** Amount you pay out-of-pocket before insurance starts paying.
+**Copayment:** Fixed amount for a service ($25 for primary care visit).
+**Coinsurance:** Your share (%) after deductible is met (80/20 means insurer pays 80%, you pay 20%).
+**Out-of-pocket maximum:** The most you'll ever pay in a plan year. After this, insurance pays 100%.
+**In-network vs. out-of-network:** Providers who have contracted rates with your insurer vs. those who haven't. Out-of-network costs significantly more (sometimes all billed charges).
+
+**Calculating your real exposure:** Add deductible + coinsurance until out-of-pocket max. That's your maximum annual risk.
+
+## Prior authorization
+
+Many services require insurer approval before receiving care.
+**Common requirements:** Specialty drugs, elective surgeries, MRI/CT scans, specialist referrals (HMO), mental health inpatient.
+**Process:** Provider submits request with clinical justification. Insurer reviews.
+**Denial:** You can appeal. Request peer-to-peer review between your doctor and insurer's medical director. External review if internal appeal fails.
+**Emergency care:** Prior auth not required for true emergencies. Insurer must cover stabilization regardless of network.
+
+## Medical billing
+
+**EOB (Explanation of Benefits):** Not a bill. Summary of what insurer paid and what you owe.
+**Billed vs. allowed amount:** Provider bills $500. Insurance's contracted rate: $200. Insurance pays $160 (80% of $200 after deductible met). You owe $40.
+**Surprise billing:** Federal No Surprises Act (2022) largely prohibits surprise out-of-network bills for emergency care and certain non-emergency services at in-network facilities.
+**Medical debt:** Negotiate! Medical debt is often negotiable. Many hospitals have charity care programs. Ask for itemized bill and dispute errors (30%+ of medical bills contain errors).
+
+## Patient rights
+
+**HIPAA:** Your health information is protected. Providers cannot share without your consent (with exceptions for treatment, payment, operations, public health, law enforcement).
+**Right to access your records:** Get your medical records within 30 days of request (HIPAA). Free or nominal charge.
+**Informed consent:** Right to understand and consent to treatment. Right to refuse treatment.
+**Non-discrimination:** Cannot be discriminated against in healthcare based on race, sex, disability, etc. (ACA, Section 1557).
+**Second opinion:** Right to get a second opinion. Insurance often covers it.
+
+## How to get the most from healthcare
+
+**Be prepared for appointments:** Bring list of all medications (including OTC/supplements), bring your questions written down, ask for written instructions.
+**The most important question:** "What happens if I do nothing?" Know your options.
+**Ask about costs:** "Is this test/procedure necessary? What does it cost? Is there a less expensive alternative?"
+**Follow up on abnormal results:** Don't assume "no call = everything fine."
+**Preventive care:** Fully covered under ACA (no deductible) — annual exam, recommended screenings, immunizations.
+
+Sources: CMS (cms.gov), ACA No Surprises Act guidance, HIPAA guidance (hhs.gov/hipaa),
+CFPB medical billing resources (consumerfinance.gov), Patient Advocate Foundation (patientadvocate.org)

package/skills/healthcare-systems/health-sys-public/LICENSE

@@ -1,21 +1,21 @@
-MIT License
-
-Copyright (c) 2026 ORIRO.ai
-
-Permission is hereby granted, free of charge, to any person obtaining a copy
-of this software and associated documentation files (the "Software"), to deal
-in the Software without restriction, including without limitation the rights
-to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
-copies of the Software, and to permit persons to whom the Software is
-furnished to do so, subject to the following conditions:
-
-The above copyright notice and this permission notice shall be included in all
-copies or substantial portions of the Software.
-
-THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
-IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
-FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
-AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
-LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
-OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN THE
-SOFTWARE.
+MIT License
+
+Copyright (c) 2026 ORIRO.ai
+
+Permission is hereby granted, free of charge, to any person obtaining a copy
+of this software and associated documentation files (the "Software"), to deal
+in the Software without restriction, including without limitation the rights
+to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
+copies of the Software, and to permit persons to whom the Software is
+furnished to do so, subject to the following conditions:
+
+The above copyright notice and this permission notice shall be included in all
+copies or substantial portions of the Software.
+
+THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
+IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
+FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
+AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
+LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
+OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN THE
+SOFTWARE.

package/skills/healthcare-systems/health-sys-public/SKILL.md

@@ -1,71 +1,71 @@
----
-watermark: ORIRO
-disable-model-invocation: true
-name: health-sys-public
-provider: ORIRO.ai
-copyright: Copyright (c) 2026 ORIRO.ai
-description: >
-
-  Public health — epidemiology, disease prevention, health promotion, and population health.
-
-
-  Sources: CMS, CDC, WHO, AAMC, AHA health system resources.
----
-
-# Public Health
-
-## Core public health functions (Institute of Medicine)
-
-**Assessment:** Monitor community health. Investigate hazards and health effects.
-**Policy development:** Mobilize partnerships. Develop policies and plans.
-**Assurance:** Enforce laws and regulations. Link people to services. Ensure competent workforce.
-
-**10 Essential Public Health Services (updated 2020):**
-Assess and monitor health, investigate and diagnose, communicate, strengthen communities, create equitable policies, enforce laws, enable access, build a diverse workforce, improve and innovate, build and maintain infrastructure.
-
-## Epidemiology fundamentals
-
-### Disease measurement
-
-**Incidence rate:** New cases per population per time period. Measures risk of developing disease.
-**Prevalence:** Existing cases per population at a point in time. Measures disease burden.
-**Mortality rate:** Deaths per population. Crude, age-specific, cause-specific.
-**CFR (Case Fatality Rate):** Deaths / Confirmed cases. Measures severity.
-**R₀ (Basic Reproduction Number):** Average number infected by one case in fully susceptible population.
-R₀ > 1: Epidemic grows. R₀ < 1: Epidemic shrinks. R₀ = 1: Endemic equilibrium.
-COVID-19 original: ~2-3. Measles: 12-18 (highly transmissible). Flu: ~1.3.
-
-### Disease transmission
-
-**Direct:** Physical contact, respiratory droplets, fomites.
-**Vector-borne:** Mosquitoes (malaria, dengue, Zika), ticks (Lyme), fleas (plague).
-**Foodborne/waterborne:** Contaminated food or water.
-**Airborne:** Particles remain suspended (TB, measles, SARS-CoV-2 aerosols).
-
-### Outbreak investigation steps
-
-1. Verify diagnosis
-2. Establish case definition
-3. Find cases, count and characterize (person-place-time)
-4. Develop hypothesis
-5. Test hypothesis (analytic epidemiology)
-6. Implement control measures
-7. Communicate findings
-
-## Disease prevention
-
-**Primary prevention:** Prevent disease onset. Vaccination, health promotion, environmental controls, behavior change.
-**Secondary prevention:** Early detection. Screening programs catch disease before symptoms.
-**Tertiary prevention:** Reduce disease burden after diagnosis. Rehabilitation, disease management.
-
-**Immunization:** Most cost-effective public health intervention. Herd immunity threshold: Depends on R₀. Measles: 95% vaccination rate needed. Polio: 80-85%.
-**Eradicated diseases:** Smallpox (1980). Rinderpest (2011). Near-eradicated: Polio, guinea worm.
-
-## Social determinants of health
-
-Health is 80% determined by factors outside healthcare: income, education, housing, employment, food access, social support, safety, built environment, discrimination.
-**Health inequity:** Preventable, unjust differences in health between populations.
-**Health equity:** When everyone has a fair opportunity to attain full health potential.
-Addressing SDH requires cross-sectoral action: housing, education, employment, transportation.
-
-Sources: CDC (cdc.gov), USDHHS Office of Disease Prevention and Health Promotion (health.gov), WHO public health resources, APHA (apha.org — free resources)
+---
+watermark: ORIRO
+disable-model-invocation: true
+name: health-sys-public
+provider: ORIRO.ai
+copyright: Copyright (c) 2026 ORIRO.ai
+description: >
+
+  Public health — epidemiology, disease prevention, health promotion, and population health.
+
+
+  Sources: CMS, CDC, WHO, AAMC, AHA health system resources.
+---
+
+# Public Health
+
+## Core public health functions (Institute of Medicine)
+
+**Assessment:** Monitor community health. Investigate hazards and health effects.
+**Policy development:** Mobilize partnerships. Develop policies and plans.
+**Assurance:** Enforce laws and regulations. Link people to services. Ensure competent workforce.
+
+**10 Essential Public Health Services (updated 2020):**
+Assess and monitor health, investigate and diagnose, communicate, strengthen communities, create equitable policies, enforce laws, enable access, build a diverse workforce, improve and innovate, build and maintain infrastructure.
+
+## Epidemiology fundamentals
+
+### Disease measurement
+
+**Incidence rate:** New cases per population per time period. Measures risk of developing disease.
+**Prevalence:** Existing cases per population at a point in time. Measures disease burden.
+**Mortality rate:** Deaths per population. Crude, age-specific, cause-specific.
+**CFR (Case Fatality Rate):** Deaths / Confirmed cases. Measures severity.
+**R₀ (Basic Reproduction Number):** Average number infected by one case in fully susceptible population.
+R₀ > 1: Epidemic grows. R₀ < 1: Epidemic shrinks. R₀ = 1: Endemic equilibrium.
+COVID-19 original: ~2-3. Measles: 12-18 (highly transmissible). Flu: ~1.3.
+
+### Disease transmission
+
+**Direct:** Physical contact, respiratory droplets, fomites.
+**Vector-borne:** Mosquitoes (malaria, dengue, Zika), ticks (Lyme), fleas (plague).
+**Foodborne/waterborne:** Contaminated food or water.
+**Airborne:** Particles remain suspended (TB, measles, SARS-CoV-2 aerosols).
+
+### Outbreak investigation steps
+
+1. Verify diagnosis
+2. Establish case definition
+3. Find cases, count and characterize (person-place-time)
+4. Develop hypothesis
+5. Test hypothesis (analytic epidemiology)
+6. Implement control measures
+7. Communicate findings
+
+## Disease prevention
+
+**Primary prevention:** Prevent disease onset. Vaccination, health promotion, environmental controls, behavior change.
+**Secondary prevention:** Early detection. Screening programs catch disease before symptoms.
+**Tertiary prevention:** Reduce disease burden after diagnosis. Rehabilitation, disease management.
+
+**Immunization:** Most cost-effective public health intervention. Herd immunity threshold: Depends on R₀. Measles: 95% vaccination rate needed. Polio: 80-85%.
+**Eradicated diseases:** Smallpox (1980). Rinderpest (2011). Near-eradicated: Polio, guinea worm.
+
+## Social determinants of health
+
+Health is 80% determined by factors outside healthcare: income, education, housing, employment, food access, social support, safety, built environment, discrimination.
+**Health inequity:** Preventable, unjust differences in health between populations.
+**Health equity:** When everyone has a fair opportunity to attain full health potential.
+Addressing SDH requires cross-sectoral action: housing, education, employment, transportation.
+
+Sources: CDC (cdc.gov), USDHHS Office of Disease Prevention and Health Promotion (health.gov), WHO public health resources, APHA (apha.org — free resources)

package/skills/healthcheck/SKILL.md

@@ -1,109 +1,109 @@
----
-provider: ORIRO.ai
-copyright: Copyright (c) 2026 ORIRO.ai
-watermark: ORIRO
-disable-model-invocation: true
-name: healthcheck
-description: "Audit/harden ORIRO hosts: SSH, firewall, updates, exposure, backups, disk encryption, gateway security."
----
-
-# Oriro host healthcheck
-
-Goal: assess host risk, run read-only checks, then propose staged hardening without breaking access.
-
-## Rules
-
-- Ask before state-changing actions.
-- Do not change SSH/firewall/remote access until access path is confirmed.
-- Prefer reversible steps and rollback notes.
-- Never claim Oriro manages OS firewall, SSH, or updates.
-- If identity/role unknown, recommend only.
-- User choices: numbered list.
-- Never print secrets.
-
-## Context to infer first
-
-- OS/version, container vs host.
-- Privilege level.
-- Access path: local, SSH, RDP, tailnet.
-- Network exposure: public IP, reverse proxy, tunnel, LAN only.
-- Oriro gateway status, bind, auth.
-- Backup status.
-- Disk encryption.
-- Automatic security updates.
-- Usage mode: personal workstation, local assistant box, remote server, other.
-
-Ask only for missing facts. Simple phrasing preferred.
-
-## Read-only checks
-
-Ask once for permission to run read-only checks. Then run relevant commands.
-
-Common:
-
-```bash
-oriro security audit --deep
-oriro gateway status --deep
-oriro doctor
-```
-
-macOS:
-
-```bash
-sw_vers
-lsof -nP -iTCP -sTCP:LISTEN
-/usr/libexec/ApplicationFirewall/socketfilterfw --getglobalstate
-pfctl -s info
-tmutil status
-fdesetup status
-softwareupdate --schedule
-```
-
-Linux:
-
-```bash
-cat /etc/os-release
-ss -ltnup || ss -ltnp
-ufw status || firewall-cmd --state || nft list ruleset
-systemctl status ssh sshd
-lsblk -f
-```
-
-Windows:
-
-```powershell
-systeminfo
-Get-NetFirewallProfile
-Get-BitLockerVolume
-```
-
-## Risk profile
-
-After context is known, ask desired posture:
-
-1. Convenience: local/private, minimal prompts.
-2. Balanced: secure defaults, low friction.
-3. Strict: remote/public/sensitive data, more lock-down.
-
-## Report shape
-
-- Current posture: one paragraph.
-- Findings: severity + evidence + why it matters.
-- Recommended plan: staged, reversible.
-- Commands: read-only first; write actions only after approval.
-- Gaps: what could not be checked.
-
-## Hardening menu
-
-Offer only relevant items:
-
-- Bind gateway to loopback/LAN/tailnet intentionally.
-- Require auth for remote access.
-- Close public ports or restrict by firewall.
-- Enable OS security updates.
-- Enable disk encryption.
-- Verify backups and restore path.
-- Disable password SSH or require keys/MFA where appropriate.
-- Add scheduled `oriro security audit --deep`.
-
-Confirm exact action before applying.
+---
+provider: ORIRO.ai
+copyright: Copyright (c) 2026 ORIRO.ai
+watermark: ORIRO
+disable-model-invocation: true
+name: healthcheck
+description: "Audit/harden ORIRO hosts: SSH, firewall, updates, exposure, backups, disk encryption, gateway security."
+---
+
+# Oriro host healthcheck
+
+Goal: assess host risk, run read-only checks, then propose staged hardening without breaking access.
+
+## Rules
+
+- Ask before state-changing actions.
+- Do not change SSH/firewall/remote access until access path is confirmed.
+- Prefer reversible steps and rollback notes.
+- Never claim Oriro manages OS firewall, SSH, or updates.
+- If identity/role unknown, recommend only.
+- User choices: numbered list.
+- Never print secrets.
+
+## Context to infer first
+
+- OS/version, container vs host.
+- Privilege level.
+- Access path: local, SSH, RDP, tailnet.
+- Network exposure: public IP, reverse proxy, tunnel, LAN only.
+- Oriro gateway status, bind, auth.
+- Backup status.
+- Disk encryption.
+- Automatic security updates.
+- Usage mode: personal workstation, local assistant box, remote server, other.
+
+Ask only for missing facts. Simple phrasing preferred.
+
+## Read-only checks
+
+Ask once for permission to run read-only checks. Then run relevant commands.
+
+Common:
+
+```bash
+oriro security audit --deep
+oriro gateway status --deep
+oriro doctor
+```
+
+macOS:
+
+```bash
+sw_vers
+lsof -nP -iTCP -sTCP:LISTEN
+/usr/libexec/ApplicationFirewall/socketfilterfw --getglobalstate
+pfctl -s info
+tmutil status
+fdesetup status
+softwareupdate --schedule
+```
+
+Linux:
+
+```bash
+cat /etc/os-release
+ss -ltnup || ss -ltnp
+ufw status || firewall-cmd --state || nft list ruleset
+systemctl status ssh sshd
+lsblk -f
+```
+
+Windows:
+
+```powershell
+systeminfo
+Get-NetFirewallProfile
+Get-BitLockerVolume
+```
+
+## Risk profile
+
+After context is known, ask desired posture:
+
+1. Convenience: local/private, minimal prompts.
+2. Balanced: secure defaults, low friction.
+3. Strict: remote/public/sensitive data, more lock-down.
+
+## Report shape
+
+- Current posture: one paragraph.
+- Findings: severity + evidence + why it matters.
+- Recommended plan: staged, reversible.
+- Commands: read-only first; write actions only after approval.
+- Gaps: what could not be checked.
+
+## Hardening menu
+
+Offer only relevant items:
+
+- Bind gateway to loopback/LAN/tailnet intentionally.
+- Require auth for remote access.
+- Close public ports or restrict by firewall.
+- Enable OS security updates.
+- Enable disk encryption.
+- Verify backups and restore path.
+- Disable password SSH or require keys/MFA where appropriate.
+- Add scheduled `oriro security audit --deep`.
+
+Confirm exact action before applying.