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+---
+name: prisma-diagram
+description: "Generate PRISMA 2020 flow diagrams for systematic reviews. Use when: (1) Conducting systematic literature reviews, (2) Documenting screening process, (3) Reporting study selection for publications, (4) Demonstrating PRISMA compliance, (5) Creating transparent review methodology documentation."
+allowed-tools: Read, Write
+version: 1.0.0
+---
+
+# PRISMA Flow Diagram Skill
+
+## Purpose
+
+Create PRISMA 2020-compliant flow diagrams showing the study selection process in systematic reviews.
+
+## PRISMA 2020 Flow Diagram Structure
+
+```
+┌─────────────────────────────────────────┐
+│  Identification                         │
+├─────────────────────────────────────────┤
+│  Records identified from:               │
+│  • Databases (n = X)                    │
+│  • Registers (n = X)                    │
+│  • Other sources (n = X)                │
+│                                         │
+│  Records removed before screening:      │
+│  • Duplicate records (n = X)            │
+│  • Records marked ineligible (n = X)    │
+│  • Records removed for other reasons    │
+│    (n = X)                              │
+└─────────────────────────────────────────┘
+           ↓
+┌─────────────────────────────────────────┐
+│  Screening                              │
+├─────────────────────────────────────────┤
+│  Records screened (n = X)               │
+│  Records excluded (n = X)               │
+└─────────────────────────────────────────┘
+           ↓
+┌─────────────────────────────────────────┐
+│  Reports sought for retrieval (n = X)   │
+│  Reports not retrieved (n = X)          │
+└─────────────────────────────────────────┘
+           ↓
+┌─────────────────────────────────────────┐
+│  Reports assessed for eligibility       │
+│  (n = X)                                │
+│                                         │
+│  Reports excluded: (n = X)              │
+│  • Reason 1 (n = X)                     │
+│  • Reason 2 (n = X)                     │
+│  • Reason 3 (n = X)                     │
+└─────────────────────────────────────────┘
+           ↓
+┌─────────────────────────────────────────┐
+│  Included                               │
+├─────────────────────────────────────────┤
+│  Studies included in review (n = X)     │
+│  Reports of included studies (n = X)    │
+└─────────────────────────────────────────┘
+```
+
+## Required Data Points
+
+1. **Identification:**
+   - Records from each database
+   - Duplicates removed
+   - Records marked ineligible
+
+2. **Screening:**
+   - Total records screened
+   - Records excluded at title/abstract
+
+3. **Eligibility:**
+   - Full-text articles assessed
+   - Exclusion reasons with counts
+
+4. **Included:**
+   - Final number of studies
+   - Final number of reports
+
+## Usage
+
+Provide counts from your literature search and screening process. The skill generates a properly formatted PRISMA 2020 flow diagram in markdown or visual format.
+
+## Integration
+
+Use with literature-reviewer agent and research-database MCP server to automatically populate counts from screening data.
+
+---
+
+**Version:** 1.0.0