Local guideline editor

Create and edit LOCAL_* or POWER_USER_* recommendations for sthlm_rheuma. Official EULAR, ACR, and internal entries are locked. Every edit reverts to draft.

Local entryAuthor shown in audit

Governance

Draft — excluded from the live engine

Recommendation form (YAML)

# Local entries persist in the clinic catalog as drafts.
# Unsigned drafts never fire. Saving a signed entry clears its signature.

- canonical_id: local.smoking.cessation_support
  schema_version: 1
  decision_moment: self_management_baseline
  target: care_plan_section
  display:
    headline: "Offer smoking cessation support"
    short: "Smoking cessation"
    patient_framing: >
      Stopping smoking improves how well your RA medications work and
      lowers cardiovascular risk.
  triggers:
    all_of:
      - kind: clinical_state
        params: {state_id: disease_activity.high}
  applicability:
    requires_diagnosis: [rheumatoid_arthritis]
  responses:
    - role: nurse
      kind: nurse_task
      surfaces: [nurse_queue]
      urgency: routine
      title: "Discuss cessation options"
  freshness:
    keyed_by: canonical_id
    subsumed_by:
      - kind: ledger_entry
        states: [delivered, declined, active_compliance]
  sources:
    - id: LOCAL_STHLM_RHEUMA_SMOKING_PATHWAY
      strength: expert_opinion
      quote: >
        Local pathway: offer brief intervention and referral when smoking
        status is recorded as current.
  audit:
    catalog_version: "2026.08-draft"
    reviewer: "local author"
  governance:
    status: draft

Validation and preview

Validate to preview the authored response before saving.

Catalog files are stored in backend/app/data/guidelines/catalog/local_sthlm_rheuma.yaml. The Compose backend bind-mounts ./backend:/app, so local writes persist across container restarts.