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Fulltext retrieval

Skill Aperivue/medsci-skills/skills/fulltext-retrieval

Agent Skills for medical research — literature search, reporting-guideline & citation checks, statistics, publication figures, submission. Works with Claude Code, Codex, Cursor & GitHub Copilot. Built by a physician-researcher, tested on real publications. MIT.

Install
npx -y skills add Aperivue/medsci-skills --skill fulltext-retrieval

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What its author says it does

Copied from the file, not written here

Batch download open-access PDFs by DOI using legitimate OA APIs (Unpaywall, PMC, OpenAlex, Crossref). Optional PDF→Markdown conversion for token-efficient LLM analysis.

SKILL.md

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Fulltext Retrieval Skill

Batch download open-access full-text PDFs from a DOI list using legitimate OA APIs only.

Pipeline

DOI → arXiv (10.48550/arXiv.* DOIs) → Unpaywall → PMC (Europe PMC / OA FTP / web) → OpenAlex → Crossref → landing page

Each DOI goes through these sources in order until a valid PDF (≥10 KB, %PDF- header) is found. arXiv DOIs (10.48550/arXiv.2401.01234, version suffixes, old-style hep-th/9901001, or a bare arXiv: id) resolve directly to the arXiv PDF first.

Quick Start

# Prepare a DOI list (one per line)
cat > dois.txt << 'EOF'
10.1007/s00330-010-1783-x
10.1002/mp.12524
10.1148/radiol.13131265
EOF

# Run
python fetch_oa.py dois.txt --output pdfs/ --email [email protected]

# Verbose mode for debugging
python fetch_oa.py dois.txt -o pdfs/ -e [email protected] --verbose

Input Formats

Plain text — one DOI per line:

10.1007/s00330-010-1783-x
10.1002/mp.12524

TSV / CSV with header — must contain a DOI column; optional PMID and Title columns:

ID	Title	DOI	PMID	Year
1	Some paper	10.1007/s00330-010-1783-x	20628747	2010

Markdown table — a pipe table with a DOI column also works:

| DOI | PMID | Title |
|-----|------|-------|
| 10.1007/s00330-010-1783-x | 20628747 | Some paper |

When a PMID is available, the PMC lookup is more reliable (PMID → PMCID conversion). When a Title column is present, downloaded PDFs get a best-effort title cross-check (see Retrieval report below).

PMC Download (JS-Challenge Resistant)

PMC web pages may block automated downloads with JavaScript proof-of-work challenges. This tool uses three fallback methods:

Method A: Europe PMC REST API (most reliable)

PMCID="PMC9733600"
curl -sLo output.pdf \
  "https://europepmc.org/backend/ptpmcrender.fcgi?accid=${PMCID}&blobtype=pdf"

Method B: PMC OA FTP Service

curl -s "https://www.ncbi.nlm.nih.gov/pmc/utils/oa/oa.fcgi?id=${PMCID}" | \
    grep -oE 'href="[^"]*\.pdf"' | head -1 | \
    sed 's/href="//;s/"//' | xargs curl -sLo output.pdf

DOI/PMID → PMCID Conversion

# Works with both DOI and PMID
curl -s "https://www.ncbi.nlm.nih.gov/pmc/utils/idconv/v1.0/?ids=${DOI}&format=json" | \
    python3 -c "import sys,json; print(json.load(sys.stdin)['records'][0].get('pmcid',''))"

Output

  • PDFs saved as {DOI_safe}.pdf (slashes replaced with underscores)
  • pdfs/retrieval_report.json — structured per-DOI report (see below)
  • manual_needed.txt — DOIs that could not be retrieved via OA
  • Summary with arXiv/OA/PMC/fail/skip counts

Retrieval report (--report)

Every run writes a structured report (default <output>/retrieval_report.json, override with --report PATH):

{
  "schema_version": 1,
  "generated_by": "fetch_oa.py",
  "counts": {"total": 10, "retrieved": 6, "not_retrieved": 4, "title_mismatch": 1},
  "items": [
    {"doi": "10.1007/...", "pmid": "20628747", "title": "...",
     "status": "oa", "source": "unpaywall", "file": "10.1007_....pdf",
     "size_bytes": 482113, "title_match": "match"}
  ]
}
  • statusarxiv | oa | pmc | skip | fail; source names the resolver that succeeded.
  • title_matchmatch | mismatch | unavailable (tri-state). It is best-effort: it needs a Title column and pdftotext (poppler). When either is missing it is unavailable; a mismatch is flagged for review and never auto-rejects a PDF (guards against a publisher serving a wrong/redirect PDF that still passes the %PDF- check).

Attach PDFs into Zotero ("Find Available PDF")

OA-only resolvers miss paywalled-but-licensed papers. To attach full text inside Zotero at a much higher yield, use references/find_available_pdf.js — a user-run snippet for Zotero's Tools → Developer → Run JavaScript. It triggers Zotero's own addAvailablePDF / addAvailablePDFs and therefore reuses your OpenURL resolver / institutional proxy config; no credentials, proxy hosts, or institutional identifiers are hard-coded or leave your Zotero client. The no-code equivalent is right-click → "Find Available PDF".

This path is user-initiated and depends on your live Zotero session, so its results are recorded manually (not reproducible CI evidence). /lit-sync Phase 2.7 orchestrates both routes (disk OA via this script + in-library via the snippet) and reconciles them in a report.

Requirements

  • Python 3.10+ (stdlib only, no pip dependencies)
  • Contact email (required by Unpaywall Terms of Service)

API Policies

SourceRate LimitNotes
Unpaywall100 req/secEmail required
NCBI PMC3 req/sec without API keyAdd &api_key= for higher limits
OpenAlex100k req/dayPolite pool with email in User-Agent
Crossref50 req/sec with emailPlus service with mailto: in UA
Europe PMCNo documented limitBe polite, ≤1 req/sec recommended

The script uses 0.3–0.5 second delays between requests.

PDF → Markdown Conversion (Optional)

After downloading PDFs, convert them to LLM-friendly Markdown for token-efficient repeated analysis. Uses pymupdf4llm — optimized for academic papers with two-column layout handling and table preservation.

Quick Start

# Install (one-time)
pip install pymupdf4llm

# Convert all PDFs in a directory
python pdf_to_md.py pdfs/

# Convert with verbose output
python pdf_to_md.py pdfs/ -v

# Custom output directory
python pdf_to_md.py pdfs/ -o markdown/

# First 10 pages only (useful for long supplements)
python pdf_to_md.py pdfs/ --pages 0-9

# Overwrite existing conversions
python pdf_to_md.py pdfs/ --force

Combined Workflow

# Step 1: Download PDFs
python fetch_oa.py dois.txt -o pdfs/ -e [email protected]

# Step 2: Convert to Markdown (only successful downloads)
python pdf_to_md.py pdfs/ -v

After conversion, .md files sit alongside .pdf files. Claude Code can then use Read for full content or Grep for targeted extraction — significantly more token-efficient than re-reading PDFs.

When to Convert

ScenarioRecommendation
Screening/triage (read once)Skip — read PDF directly
Data extraction from k≥5 studiesConvert — repeated reads save tokens
Meta-analysis full pipelineConvert — papers referenced across multiple phases
Single paper deep reviewOptional — marginal benefit

Academic Paper Defaults

  • Images: Skipped (saves tokens; figures referenced by caption text)
  • Tables: lines_strict strategy (preserves grid-line tables accurately)
  • Layout: Two-column academic layout handled automatically
  • Headers/footers: Removed by pymupdf4llm

Dependency Note

pdf_to_md.py requires pymupdf4llm (AGPL-3.0). This is an optional dependency — fetch_oa.py remains stdlib-only with zero external dependencies. The AGPL license applies to pymupdf4llm itself, not to this skill.

Limitations

  • Only retrieves open-access articles. Paywalled articles require institutional access.
  • Landing page scraping may fail on publisher-specific JavaScript-heavy pages.
  • Some recent articles may not yet be indexed by OA sources.
  • PDF→Markdown quality depends on the PDF's text layer. Scanned-only PDFs may produce poor output.

Anti-Hallucination

  • Never fabricate file paths, URLs, DOIs, or package names. Verify existence before recommending.
  • Never invent journal metadata, impact factors, or submission policies without verification at the journal's website.
  • If a tool, package, or resource does not exist or you are unsure, say so explicitly rather than guessing.

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