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This skill provides a comprehensive toolkit for accessing and analyzing the NCBI ClinVar database, the primary archive for human genetic variation and phenotype relationships. It enables users to perform complex variant searches, interpret ACMG/AMP pathogenicity classifications, and automate data retrieval through E-utilities APIs or bulk FTP downloads. Whether you are annotating VCF files for a genomic pipeline or resolving conflicting variant interpretations, this skill provides the domain-specific guidance and implementation patterns needed for professional genomic medicine and research workflows.