Agent skill

International

by hh-health-AI in hh-health-AI/healthcare-equity

This skill should be used when the user says "map the EU HTA pathway", "NICE/AMNOG read for [asset]", "Japan price revision exposure", "China biotech licensing", "BIOSECURE exposure", "UK/VPAG…

MITAuto-check passedBusiness, Finance & HR

Install International

skills CLI

$ npx skills add hh-health-AI/healthcare-equity --skill international -a claude-code

Project install by default; add -g for ~/.claude/skills/.

GitHub CLI

$ gh skill install hh-health-AI/healthcare-equity international --agent claude-code

Project scope by default; add --scope user for a personal install. Needs GitHub CLI 2.90.0 or later (public preview).

Manual copy

$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .claude/skills && cp -r skills-src/skills/international .claude/skills/international && rm -rf skills-src

Use ~/.claude/skills/ instead of .claude/skills for a personal install. The folder must contain SKILL.md.

Claude Code skills documentation · loads skills from .claude/skills/

Paste into Claude Code

Install the "international" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/skills/international into .claude/skills/international/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "international", then confirm the skill loads.

Claude Code copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.

$skill-installer

$skill-installer install https://github.com/hh-health-AI/healthcare-equity/tree/main/skills/international

Type this inside Codex. $skill-installer <name> installs a curated skill from openai/skills. The installer writes to $CODEX_HOME/skills (default ~/.codex/skills). Restart Codex if the skill does not show up.

skills CLI

$ npx skills add hh-health-AI/healthcare-equity --skill international -a codex

Project install goes to .agents/skills/; add -g for ~/.codex/skills/.

GitHub CLI

$ gh skill install hh-health-AI/healthcare-equity international --agent codex

Project scope by default (.agents/skills/); add --scope user for a personal install.

Manual copy

$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .agents/skills && cp -r skills-src/skills/international .agents/skills/international && rm -rf skills-src

Use ~/.agents/skills/ instead of .agents/skills for a personal install.

Codex skills documentation · loads skills from .agents/skills/

Paste into Codex

Install the "international" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/skills/international into .agents/skills/international/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "international", then confirm the skill loads.

Codex copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.

skills CLI

$ npx skills add hh-health-AI/healthcare-equity --skill international -a cursor

Project install goes to .agents/skills/; add -g for ~/.cursor/skills/.

GitHub CLI

$ gh skill install hh-health-AI/healthcare-equity international --agent cursor

Project scope by default (.agents/skills/); add --scope user for a personal install.

Manual copy

$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .cursor/skills && cp -r skills-src/skills/international .cursor/skills/international && rm -rf skills-src

Use ~/.cursor/skills/ instead of .cursor/skills for a personal install.

Cursor skills documentation · loads skills from .cursor/skills/, .agents/skills/, .claude/skills/, .codex/skills/

Paste into Cursor

Install the "international" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/skills/international into .cursor/skills/international/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "international", then confirm the skill loads.

Cursor copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.

gemini skills install

$ gemini skills install https://github.com/hh-health-AI/healthcare-equity.git --path skills/international

--scope user (default) or --scope workspace; --path is the subfolder of the repo that holds the skill; --consent skips the security confirmation prompt.

skills CLI

$ npx skills add hh-health-AI/healthcare-equity --skill international -a gemini-cli

Project install goes to .agents/skills/; add -g for ~/.gemini/skills/.

GitHub CLI

$ gh skill install hh-health-AI/healthcare-equity international --agent gemini-cli

Project scope by default (.agents/skills/); add --scope user for a personal install.

Manual copy

$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .gemini/skills && cp -r skills-src/skills/international .gemini/skills/international && rm -rf skills-src

Use ~/.gemini/skills/ instead of .gemini/skills for a personal install, then run /skills reload.

Gemini CLI skills documentation · loads skills from .gemini/skills/, .agents/skills/

Paste into Gemini CLI

Install the "international" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/skills/international into .gemini/skills/international/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "international", then confirm the skill loads.

Gemini CLI copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.

GitHub CLI

$ gh skill install hh-health-AI/healthcare-equity international

Installs for Copilot at project scope by default; add --scope user for a personal install. Preview a skill first with gh skill preview. Needs GitHub CLI 2.90.0 or later (public preview).

skills CLI

$ npx skills add hh-health-AI/healthcare-equity --skill international -a github-copilot

Project install goes to .agents/skills/; add -g for ~/.copilot/skills/.

Manual copy

$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .github/skills && cp -r skills-src/skills/international .github/skills/international && rm -rf skills-src

Use ~/.copilot/skills/ instead of .github/skills for a personal install. Commit .github/skills so cloud agent and code review can use it.

GitHub Copilot skills documentation · loads skills from .github/skills/, .claude/skills/, .agents/skills/

Paste into GitHub Copilot

Install the "international" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/skills/international into .github/skills/international/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "international", then confirm the skill loads.

GitHub Copilot copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.

skills CLI

$ npx skills add hh-health-AI/healthcare-equity --skill international -a opencode

OpenCode documents no install command of its own. Project install goes to .agents/skills/; add -g for ~/.config/opencode/skills/.

GitHub CLI

$ gh skill install hh-health-AI/healthcare-equity international --agent opencode

Project scope by default (.agents/skills/); add --scope user for a personal install.

Manual copy

$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .opencode/skills && cp -r skills-src/skills/international .opencode/skills/international && rm -rf skills-src

Use ~/.config/opencode/skills/ instead of .opencode/skills for a personal install.

OpenCode skills documentation · loads skills from .opencode/skills/, .claude/skills/, .agents/skills/

Paste into OpenCode

Install the "international" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/skills/international into .opencode/skills/international/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "international", then confirm the skill loads.

OpenCode copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.

Facts

Skill name: international
GitHub stars: 101
Token cost: ~976 tokens
SKILL.md length: 418 words
Files: 2 (incl. references)
Skills in repo: 72
Repo updated: Oct 8, 2026
First seen: Oct 7, 2026
Licence: MIT

At a glance

This skill should be used when the user says "map the EU HTA pathway", "NICE/AMNOG read for [asset]", "Japan price revision exposure", "China biotech licensing", "BIOSECURE exposure", "UK/VPAG…

Works in 5 steps: Primary sources by geography via web… → The analytical spine of all four prompts… → Key regime facts embedded in the prompts… → …
Says map the EU HTA pathway
SKILL.md covers Route by geography, Execution rules and Added regime specifics (v0.2 —…
Instructions only: no scripts, shell commands, URLs or credentials in SKILL.md

What it does

International is an agent skill from hh-health-AI/healthcare-equity. This skill should be used when the user says "map the EU HTA pathway", "NICE/AMNOG read for [asset]", "Japan price revision exposure", "China biotech licensing", "BIOSECURE exposure", "UK/VPAG dynamics", or any ex-US regulatory, HTA, or reimbursement question for a global healthcare mandate.

Its SKILL.md is about 980 tokens, which your agent loads only when the skill is triggered. The skill folder holds 2 other files, including reference files (for example `references/prompts.md`).

It sits in Business, Finance & HR, covering Accounting and bookkeeping. The repository describes itself as: Synthesis engine for buy-side healthcare equity research. The licence is MIT.

When your agent uses it

Says map the EU HTA pathway
NICE/AMNOG read for [asset]
Japan price revision exposure
China biotech licensing

Example prompts

“map the EU HTA pathway”
“NICE/AMNOG read for [asset]”
“Japan price revision exposure”
“/international”

Workflow steps

5 steps, taken from the first numbered list in SKILL.md.

Primary sources by geography via web research: EMA EPARs and JCA materials, national HTA bodies (NICE, G-BA/IQWiG, HAS, AIFA), PMDA/NHI…
The analytical spine of all four prompts is the same: regulatory access ≠ reimbursed access ≠ realized price — the ex-US mirror of the US…
Key regime facts embedded in the prompts (verify current status when invoked): EU JCA scope phase-in (oncology/ATMPs from 2025 → orphans…
Route the outputs: launch-timing and label differences → clinical-catalysts catalysts; revenue bridges and Europe/Japan share-of-total…
End with the EVIDENCE BRIEF block (layer: regulatory or commercial as applicable) and the confidence score.

What it can do on your machine

Read from SKILL.md and the folder at commit 6c7bda8. It shows what the files ask for, not the result of running them.

Tool permissions
Pre-approves nothing: there is no allowed-tools line, so your agent's usual permission prompts apply.
From allowed-tools in the SKILL.md frontmatter.
Runs code
No scripts in the folder and no shell commands in SKILL.md.
From the folder's file list and the shell code blocks in SKILL.md.
Network
No URLs in SKILL.md.
From URLs in SKILL.md, links to its own repository left out.
Credentials
Names no API keys, tokens, secrets or passwords.
From names ending in _API_KEY, _TOKEN, _SECRET, _KEY or _PASSWORD in SKILL.md.

Context cost

International loads about 976 tokens when it runs, and up to ~3.6k if it reads all its reference files. Until then it costs about 77 tokens; SKILL.md has 418 words of instructions outside code blocks.

Always · name and description, kept in context so the agent knows when to use it: ~77
When it runs · the whole SKILL.md, loaded when a task matches: ~976
With references · SKILL.md plus every file in references/, read only if the agent opens them: ~3.6k

Estimates: characters ÷ 4, the usual rule of thumb; real counts depend on the model's tokenizer. Scripts and assets cost tokens only if the agent reads them.

Safety

Auto-check passed

The automated check found no risky patterns in SKILL.md.

Automated static check — not a guarantee. Review scripts before installing. It scans the text of SKILL.md for risky patterns (piping downloads into a shell, reading credential files, hidden Unicode, destructive commands); files beside SKILL.md are not scanned.

SKILL.md

The full file from hh-health-AI/healthcare-equity at commit 6c7bda8, republished under its MIT licence (© hh-health-AI). 418 words, ~976 tokens.

Download SKILL.mdSave it as .claude/skills/international/SKILL.md (or your agent's skills folder). This skill also uses 1 other file; get the full folder from GitHub.

name: international
description: This skill should be used when the user says "map the EU HTA pathway", "NICE/AMNOG read for [asset]", "Japan price revision exposure", "China biotech licensing", "BIOSECURE exposure", "UK/VPAG dynamics", or any ex-US regulatory, HTA, or reimbursement question for a global healthcare mandate.
metadata.version: 0.1.0

International Coverage

The ex-US dynamics a global mandate requires: European HTA, Japanese price revisions, Chinese licensing/BIOSECURE, and UK-specific considerations. Prompts in ${CLAUDE_PLUGIN_ROOT}/skills/international/references/prompts.md.

Route by geography

Question	Prompt
European launch potential — JCA, NICE, G-BA/AMNOG, HAS	INTL-01
Japan revenue trajectory — biennial revisions, market-expansion redetermination	INTL-02
China — licensing economics, NMPA data acceptance, BIOSECURE, NRDL	INTL-03
UK — MHRA/IRP, NICE/SMC, VPAG rebates, NHS dynamics, listing effects	INTL-04

Execution rules

Primary sources by geography via web research: EMA EPARs and JCA materials, national HTA bodies (NICE, G-BA/IQWiG, HAS, AIFA), PMDA/NHI price lists and Chuikyo materials, NMPA/NRDL announcements, MHRA and NHS England publications. Time-stamp and version every HTA decision and price-list reference; these regimes move on fixed cycles.
The analytical spine of all four prompts is the same: regulatory access ≠ reimbursed access ≠ realized price — the ex-US mirror of the US coverage/coding/payment triad. Model country-level price × volume × time-to-reimbursement explicitly, and let HTA outcomes cluster (one restrictive major-market outcome propagates).
Key regime facts embedded in the prompts (verify current status when invoked): EU JCA scope phase-in (oncology/ATMPs from 2025 → orphans 2028 → all new medicines 2030); AMNOG additional-benefit categories driving German price; NICE thresholds (£20–30k/QALY base, higher end-of-life/HST) and international reference effects; Japan's biennial April revisions, market-expansion redetermination, and G1/G2 long-list decay; China NRDL's typical 50–70% discount for volume; BIOSECURE's procurement-restriction mechanism; UK VPAG's ~2% growth cap with rebates.
Route the outputs: launch-timing and label differences → clinical-catalysts catalysts; revenue bridges and Europe/Japan share-of-total deltas → model-valuation; UK/EU ESG-linked procurement (net-zero NHS, CSRD) → esg-stewardship.
End with the EVIDENCE BRIEF block (layer: regulatory or commercial as applicable) and the confidence score.

Show full SKILL.md (155 more words)Show less

Added regime specifics (v0.2 — as of Aug 2026, verify at use)

China conditional approvals (INTL-03): ~36% of 2021 priority-review applications met conditional-approval criteria; 2026 revisions tighten post-approval obligations — a sponsor filing a 3-month confirmatory-trial extension is the revocation early-warning. Single-arm ORR or randomized PFS accepted with the confirmatory OS trial agreed/underway.
CHMP qualification opinions (INTL-01): SAWP qualification of novel methodologies/biomarkers has three outcome tiers — binding Qualification Opinion (for a stated context of use) > Qualification Advice > Letter of Support. A binding opinion de-risks an endpoint strategy for the whole class; "context of use is everything."
EU CTR transparency (competitive intelligence): Article 81 defaults trial data public; commercial-confidentiality deferrals collapse at marketing authorization — CSR-level disclosure at approval is a scheduled competitive-intelligence unlock for multi-indication molecules. Phase-I deferrals are longest; PIP trials cannot defer.
EPAR Annex II obligations: conditional-approval specific obligations (named confirmatory studies with hard deadlines, annual renewals) are dated catalysts — feed them to the clinical-catalysts catalyst-calendar.

Files

SKILL.md and 1 other file (references) in skills/international of hh-health-AI/healthcare-equity.

SKILL.md
references/prompts.md

Open the folder on GitHubat commit 6c7bda8

Compare with similar skills

International next to the 5 skills that share the most tags, products or categories with it. Stars are the repository's; “used in” counts other GitHub owners with a copy.

International compared with similar skills
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International this skillhh-health-AI/healthcare-equity	101	—	~976	Automated safety check: Pass	MIT	3 days ago
Sync Upstreamnyaruka/phonenumbers	1.6k	—	~2.8k	Automated safety check: Pass	MIT	8 days ago
Radiology Tablehuang-sir1/radiology-skills	1.9k	—	~1.3k	Automated safety check: Pass	Custom licence	20 days ago
ERPClaw ERP Controlleravansaber/erpclaw	116	—	~18k	Automated safety check: Pass	GPL-3.0	yesterday
Odoo Agency Fleet Reviewerpipe-org/mcp-odoo	421	—	~699	Automated safety check: Pass	MIT	1 mo ago
Beancount Closebex-co/beancount-io	297	—	~1.4k	Automated safety check: Pass	MIT	today

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More from hh-health-AI/healthcare-equity

All 72 skills in this repo

Adcom Label
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This skill should be used when the user says "prep the AdCom for [asset]", "what will the advisory committee vote", "analyze the approved label", "label delta vs expectations", or within 48 hours of…
101 GitHub stars~1.1k tokensUpdated 3 days ago
Auto-check passed
Biomedical Claim Checker
hh-health-AI/healthcare-equity
A skill your agent uses to audit whether medical or scientific claims are supported by their citations, verify references, assess AI-generated biomedical text or identify overstatement in a press…
101 GitHub stars~741 tokensUpdated 3 days ago
Auto-check passed
Biomedical Claim Checker
hh-health-AI/healthcare-equity
A skill your agent uses when checking whether a medical or scientific claim is supported by its cited paper, verifying references, auditing an AI-generated biomedical answer or examining…
101 GitHub stars~816 tokensUpdated 3 days ago
Auto-check passed
Biosimilar Erosion
hh-health-AI/healthcare-equity
This skill should be used when the user asks about "biosimilar erosion", "Purple Book", "biologic exclusivity", "interchangeability", "how fast will [biologic] erode", "erosion curve", or needs the…
101 GitHub stars~753 tokensUpdated 3 days ago
Auto-check passed
Biotech Catalyst Radar
hh-health-AI/healthcare-equity
A skill your agent uses for a defined biotech trial watchlist, registry-version comparisons, catalyst calendars or changed enrollment, status and completion estimates.
101 GitHub stars~760 tokensUpdated 3 days ago
Auto-check passed
Biotech Catalyst Radar
hh-health-AI/healthcare-equity
A skill your agent uses to monitor a defined biotech trial watchlist, compare registry versions, build a catalyst calendar or explain changed enrollment, status or completion estimates.
101 GitHub stars~846 tokensUpdated 3 days ago
Auto-check passed

Questions about International

What does International do?

This skill should be used when the user says "map the EU HTA pathway", "NICE/AMNOG read for [asset]", "Japan price revision exposure", "China biotech licensing", "BIOSECURE exposure", "UK/VPAG…. International is an agent skill from hh-health-AI/healthcare-equity. This skill should be used when the user says "map the EU HTA pathway", "NICE/AMNOG read for [asset]", "Japan price revision exposure", "China biotech licensing", "BIOSECURE exposure", "UK/VPAG dynamics", or any ex-US regulatory, HTA, or reimbursement question for a global healthcare mandate.

When should I use International?

International fits situations like: says map the EU HTA pathway; NICE/AMNOG read for [asset]; japan price revision exposure; china biotech licensing.

How do I install International in Claude Code?

Run `npx skills add hh-health-AI/healthcare-equity --skill international -a claude-code`. Or copy the skill folder (skills/international in hh-health-AI/healthcare-equity) into .claude/skills/international in your project. Claude Code loads it when a task matches its description.

How do I install International in Codex?

Run `npx skills add hh-health-AI/healthcare-equity --skill international -a codex`. Or copy the skill folder (skills/international in hh-health-AI/healthcare-equity) into .agents/skills/international in your project. Codex loads it when a task matches its description.

Can I use International in Cursor, Gemini CLI or GitHub Copilot?

Cursor, Gemini CLI, GitHub Copilot and OpenCode also load SKILL.md folders. With the skills CLI, run `npx skills add hh-health-AI/healthcare-equity --skill international -a cursor` (or -a gemini-cli, github-copilot or opencode for the others). To copy it by hand, put the folder in .cursor/skills/international, .gemini/skills/international, .github/skills/international and .opencode/skills/international in your project.

What does International need to run?

SKILL.md names no scripts, command-line tools or credentials: International is instructions for the agent only.

Does International access the network?

SKILL.md contains no URLs. Any network use would come from the scripts or tools the agent runs. This is read from the text; nothing was executed.

Is International safe to install?

Our automated static check of SKILL.md found no risky patterns, such as piping downloads into a shell, reading credential files or hidden Unicode. It is not a guarantee. Review the folder before installing.

What licence does International use?

International is published under the MIT licence (the repository's licence). It allows redistribution, so the full SKILL.md is shown on this page.

How many tokens does International use?

About 976 tokens (SKILL.md is roughly 3.9k characters). Agents keep only the skill's name and description in context until a task matches; then they load SKILL.md in full. Its references folder adds about 2.7k tokens, read only when the agent opens those files.

What are the alternatives to International?

Skills that share tags, products or a category with International: Sync Upstream (nyaruka/phonenumbers, 1.6k stars), Radiology Table (huang-sir1/radiology-skills, 1.9k stars), ERPClaw ERP Controller (avansaber/erpclaw, 116 stars) and Odoo Agency Fleet Review (erpipe-org/mcp-odoo, 421 stars). The comparison table on this page puts their stars, adoption, token cost, safety result and licence side by side.

Who maintains International?

hh-health-AI (a GitHub user) maintains it in hh-health-AI/healthcare-equity, which has 101 GitHub stars. The repository holds 72 skills in this directory. The repository was last updated on October 8, 2026.

Source: hh-health-AI/healthcare-equity on GitHub. Facts on this page come from the repository at the commit we read; the author's words are quoted as theirs.

Install International

Facts

At a glance

What it does

When your agent uses it

Example prompts

Workflow steps

What it can do on your machine

Tool permissions

Runs code

Network

Credentials

Context cost

Safety

SKILL.md

International Coverage

Route by geography

Execution rules

Added regime specifics (v0.2 — as of Aug 2026, verify at use)

Files

Compare with similar skills

Similar skills

More from hh-health-AI/healthcare-equity

Related

Questions about International