diff --git a/skills/healthcare-cdss-patterns/SKILL.md b/skills/healthcare-cdss-patterns/SKILL.md
index 0cb991fd..818db026 100644
--- a/skills/healthcare-cdss-patterns/SKILL.md
+++ b/skills/healthcare-cdss-patterns/SKILL.md
@@ -3,9 +3,6 @@ name: healthcare-cdss-patterns
 description: Clinical Decision Support System (CDSS) development patterns. Drug interaction checking, dose validation, clinical scoring (NEWS2, qSOFA), alert severity classification, and integration into EMR workflows.
 origin: Health1 Super Speciality Hospitals — contributed by Dr. Keyur Patel
 version: "1.0.0"
-observe: "PostToolUse"
-feedback: "manual"
-rollback: "git revert"
 ---
 
 # Healthcare CDSS Development Patterns
@@ -60,6 +57,7 @@ function checkInteractions(
   currentMedications: string[],
   allergyList: string[]
 ): InteractionAlert[] {
+  if (!newDrug) return [];
   const alerts: InteractionAlert[] = [];
   for (const current of currentMedications) {
     const interaction = findInteraction(newDrug, current);
diff --git a/skills/healthcare-emr-patterns/SKILL.md b/skills/healthcare-emr-patterns/SKILL.md
index 59ac0fd8..af004d70 100644
--- a/skills/healthcare-emr-patterns/SKILL.md
+++ b/skills/healthcare-emr-patterns/SKILL.md
@@ -3,9 +3,6 @@ name: healthcare-emr-patterns
 description: EMR/EHR development patterns for healthcare applications. Clinical safety, encounter workflows, prescription generation, clinical decision support integration, and accessibility-first UI for medical data entry.
 origin: Health1 Super Speciality Hospitals — contributed by Dr. Keyur Patel
 version: "1.0.0"
-observe: "PostToolUse"
-feedback: "manual"
-rollback: "git revert"
 ---
 
 # Healthcare EMR Development Patterns
diff --git a/skills/healthcare-eval-harness/SKILL.md b/skills/healthcare-eval-harness/SKILL.md
index b901bb47..d13193c6 100644
--- a/skills/healthcare-eval-harness/SKILL.md
+++ b/skills/healthcare-eval-harness/SKILL.md
@@ -3,15 +3,14 @@ name: healthcare-eval-harness
 description: Patient safety evaluation harness for healthcare application deployments. Automated test suites for CDSS accuracy, PHI exposure, clinical workflow integrity, and integration compliance. Blocks deployments on safety failures.
 origin: Health1 Super Speciality Hospitals — contributed by Dr. Keyur Patel
 version: "1.0.0"
-observe: "PostToolUse"
-feedback: "manual"
-rollback: "git revert"
 ---
 
 # Healthcare Eval Harness — Patient Safety Verification
 
 Automated verification system for healthcare application deployments. A single CRITICAL failure blocks deployment. Patient safety is non-negotiable.
 
+> **Note:** Examples use Jest as the reference test runner. Adapt commands for your framework (Vitest, pytest, PHPUnit, etc.) — the test categories and pass thresholds are framework-agnostic.
+
 ## When to Use
 
 - Before any deployment of EMR/EHR applications
@@ -106,26 +105,33 @@ jobs:
         run: npx jest --testPathPattern='tests/data-integrity' --bail --ci
 
       # HIGH gates — 95%+ required, custom threshold check
+      # HIGH gates — 95%+ required
       - name: Clinical Workflows
         run: |
-          RESULT=$(npx jest --testPathPattern='tests/clinical' --ci --json 2>/dev/null)
-          PASSED=$(echo $RESULT | jq '.numPassedTests')
-          TOTAL=$(echo $RESULT | jq '.numTotalTests')
+          RESULT=$(npx jest --testPathPattern='tests/clinical' --ci --json 2>&1) || true
+          TOTAL=$(echo "$RESULT" | jq '.numTotalTests // 0')
+          PASSED=$(echo "$RESULT" | jq '.numPassedTests // 0')
+          if [ "$TOTAL" -eq 0 ]; then
+            echo "::error::No clinical tests found"; exit 1
+          fi
           RATE=$(echo "scale=2; $PASSED * 100 / $TOTAL" | bc)
-          echo "Pass rate: ${RATE}%"
+          echo "Pass rate: ${RATE}% ($PASSED/$TOTAL)"
           if (( $(echo "$RATE < 95" | bc -l) )); then
-            echo "::warning::Clinical workflow pass rate ${RATE}% below 95% threshold"
+            echo "::warning::Clinical pass rate ${RATE}% below 95%"
           fi
 
       - name: Integration Compliance
         run: |
-          RESULT=$(npx jest --testPathPattern='tests/integration' --ci --json 2>/dev/null)
-          PASSED=$(echo $RESULT | jq '.numPassedTests')
-          TOTAL=$(echo $RESULT | jq '.numTotalTests')
+          RESULT=$(npx jest --testPathPattern='tests/integration' --ci --json 2>&1) || true
+          TOTAL=$(echo "$RESULT" | jq '.numTotalTests // 0')
+          PASSED=$(echo "$RESULT" | jq '.numPassedTests // 0')
+          if [ "$TOTAL" -eq 0 ]; then
+            echo "::error::No integration tests found"; exit 1
+          fi
           RATE=$(echo "scale=2; $PASSED * 100 / $TOTAL" | bc)
-          echo "Pass rate: ${RATE}%"
+          echo "Pass rate: ${RATE}% ($PASSED/$TOTAL)"
           if (( $(echo "$RATE < 95" | bc -l) )); then
-            echo "::warning::Integration pass rate ${RATE}% below 95% threshold"
+            echo "::warning::Integration pass rate ${RATE}% below 95%"
           fi
 ```
 
diff --git a/skills/healthcare-phi-compliance/SKILL.md b/skills/healthcare-phi-compliance/SKILL.md
index ddd1eb2e..d8822185 100644
--- a/skills/healthcare-phi-compliance/SKILL.md
+++ b/skills/healthcare-phi-compliance/SKILL.md
@@ -3,9 +3,6 @@ name: healthcare-phi-compliance
 description: Protected Health Information (PHI) and Personally Identifiable Information (PII) compliance patterns for healthcare applications. Covers data classification, access control, audit trails, encryption, and common leak vectors.
 origin: Health1 Super Speciality Hospitals — contributed by Dr. Keyur Patel
 version: "1.0.0"
-observe: "PostToolUse"
-feedback: "manual"
-rollback: "git revert"
 ---
 
 # Healthcare PHI/PII Compliance Patterns