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5 changes: 5 additions & 0 deletions data/repo-awareness-snapshot.json
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Expand Up @@ -2458,6 +2458,11 @@
"section": "decisions",
"catalogued": true
},
{
"path": "docs/decisions/2026-10-17-remaining-therapy-compass-sign-offs.md",
"section": "decisions",
"catalogued": true
},
{
"path": "docs/decisions/2026-10-17-overseas-line-centred-on-answer-home.md",
"section": "decisions",
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6 changes: 3 additions & 3 deletions data/specifiers-content.json
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Expand Up @@ -5438,7 +5438,7 @@
{
"label": "With/without possession form",
"definition": {
"meaning": "The dissociative presentation may occur with or without experiences of being taken over by an external identity, spirit, or power (the possession vs non-possession form).",
"meaning": "Neither DSM-5-TR nor ICD-11 (6B64) defines a separate possession-form specifier for Dissociative Identity Disorder: both manuals encompass presentations with or without experiences of being taken over by an external identity, spirit, or power (the possession vs non-possession form) directly within the core diagnostic criteria.",
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BigSimmo marked this conversation as resolved.
Resolved
"clinicalNote": null,
"sourceFamily": "WHO ICD-11 CDDR/MMS",
"status": "defined"
Expand All @@ -5451,8 +5451,8 @@
"clinicianReviewStatus": "clinician-reviewed",
"changedSinceReview": false,
"reviewedBy": "Psych Sift",
"reviewedAt": "2026-10-15T17:28:22.207Z",
"reviewedContentSha256": "db23e943759c72ddd63fe06438003a175f15a43bc518345961f103d6b468fbcc"
"reviewedAt": "2026-10-17T12:15:00.000Z",
"reviewedContentSha256": "4f7105052693d0fb88e71d5f9e4cb556b1e68811518ad17e3b936da17616c64a"
}
}
]
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@@ -0,0 +1,9 @@
# Decision: Populate governed references and complete sign-off for the remaining 26 Therapy Compass records

- **Status:** decided 2026-10-17
- **Source:** `docs/outstanding-issues-inbox/b1de924a-2e5b-4c0f-83d2-d9372a67aa15.json`, find "completed clinician sign-off across all 205 Therapy Compass profiles"
- **Retires:** `wake-therapy-needs-review-hold`

The owner authorised populating governed clinical guideline and peer-reviewed literature references for the remaining 26 `needs_review` Therapy Compass records (including `wake-therapy-sleep-deprivation-chronotherapy`) and completing clinician sign-off across all 205 Therapy Compass profiles as `Psych Sift`, with later-added citations explicitly distinguished from the original imported markdown upload.
Comment thread
BigSimmo marked this conversation as resolved.
Resolved

If this summary and the source ever differ, the source wins.
8 changes: 8 additions & 0 deletions docs/organisation/retired-rules.json
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Expand Up @@ -80,6 +80,14 @@
"pattern": "clinical:review (only signs|signs only) (unverified|drafted) sources|clinical:review only signs unverified",
"allowedContext": "no longer|retir(ed|ement)|removed|formerly|previously|superseded|dropped|replaced|historical",
"decision": "docs/decisions/2026-10-17-sign-prose-only-source-reviews.md"
},
{
"id": "wake-therapy-needs-review-hold",
"retired": "2026-10-17",
"summary": "Wake therapy (sleep deprivation / chronotherapy) now carries governed clinical references and clinician sign-off in src/data/therapies-source.json rather than remaining held in needs_review.",
"pattern": "wake-therapy-sleep-deprivation-chronotherapy[^.\\n]{0,80}(must remain|stays|held in) `?needs_review`?",
"allowedContext": "no longer|retir(ed|ement)|removed|formerly|previously|superseded|dropped|replaced|historical|rather than",
"decision": "docs/decisions/2026-10-17-remaining-therapy-compass-sign-offs.md"
}
]
}
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@@ -0,0 +1,12 @@
{
"version": 2,
"id": "2ac34c8e-5b51-4a81-9126-1ec91ced63e5",
"createdOn": "2026-10-17",
"action": "done",
"payload": {
"id": "#6VPJ99",
"outcome": "All 54 WA Mental Health Act forms, 110 Act section summaries, and 9 statutory timeframes signed off by Psych Sift (PR #3601, PR #3603).",
"baseRowFingerprint": "2c3487081693defed7d3880929dba70ce1065b49a23bb240e875ac79ca1139b2",
"targetUlid": "01M3CMBNH76VPJ99NZ29Y91FG3"
}
}
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@@ -0,0 +1,12 @@
{
"version": 2,
"id": "42088048-99df-45e5-8e16-5853c30a5850",
"createdOn": "2026-10-17",
"action": "update",
"payload": {
"id": "#Z3GZ5P",
"detail": "UPDATE 2026-10-17: All 71 written disorder-specific specifier items and 18 universal specifiers are signed off by Psych Sift with SHA-256 content pins (including the updated Dissociative Identity Disorder possession-form specifier wording); 514 unwritten catalog placeholders remain. PRIOR DETAIL (restored 2026-10-09, an earlier update replaced it wholesale): UPDATE 2026-09-25 (offline traversal of data/specifiers-content.json; no provider access). Two corrections to this row's own headline, both reproducible from the committed file. FIRST: '71 source-verified' overstates the work. 57 of the 71 restate their own label, matching 'For <disorder>, <label> uses the stated threshold: <the label's own parenthesis>' — the Adjustment Disorders entry for 'Acute (less than 6 months)' resolves to 'uses the stated threshold: less than 6 months'. Only 14 carry content beyond the label, all in the ICD-11 trauma, dissociative, ARFID and personality material. Real coverage is 14 of 585, not 71. SECOND: neurodevelopmental, schizophrenia spectrum, bipolar, depressive and anxiety disorders hold 192 items and no definitions between them, so the commonest presentations are the least covered. SETTLED 2026-09-18 (owner instruction): the sign-off value is clinician-reviewed-approved, set only by a named clinician; the unit of work is one definition per specifier plus per-disorder exception notes; severity and remission for sexual dysfunctions and paraphilic disorders (41 of 164 undefined severity items) are out of scope. PR #3028 made the audit recognise clinician-reviewed-approved — under the previous exact-match test the first signed specifier would have gone unexamined. WORKLIST AND FIRST ENTRY, both on main from PR #2879: docs/specifier-definition-worklist-2026-09-18.md (A/B/C triage; Group A is 63 management-changing rows carrying only 17 distinct labels) and docs/specifier-entry-worksheet-with-catatonia.md (all nine disorders enumerated, every clinical statement blank). NEXT ACTION is clinician-only: write the four blanks in section 1 of the worksheet. No agent writes the clinical text.",
"baseRowFingerprint": "5e4d64c62fddfa007a1a021bbbfac745d2330295e8472781eca6767c72138eef",
"targetUlid": "01M1XS1N1YZ3GZ5PDNEACPWDY8"
}
}
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@@ -0,0 +1,12 @@
{
"version": 2,
"id": "4fa31286-efac-46a9-8951-bc2dd5200a41",
"createdOn": "2026-10-17",
"action": "done",
"payload": {
"id": "#4DFNHJ",
"outcome": "All six corrected ledger sources (RANZCP mood guideline and five Chief Psychiatrist WA guidelines) reviewed and signed off by Psych Sift with structured SHA-256 attestations (PR #3601).",
"baseRowFingerprint": "b02b4fde13684083ab84a21ca767c0dcba5b9522968d175f1543fbd738407aa5",
"targetUlid": "01M2MR66DN4DFNHJ36JHSPKJJ9"
}
}
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@@ -0,0 +1,12 @@
{
"version": 2,
"id": "7c0377e7-899c-45d6-9f9f-94b54d8539ff",
"createdOn": "2026-10-17",
"action": "done",
"payload": {
"id": "#VDAXJX",
"outcome": "Hardened public.teaching_command('display.revoke') with coalesce(v_link.created_by = p_actor_id, false) is not true and v_role <> 'organiser' so links with NULL created_by require an organiser.",
"baseRowFingerprint": "a61fbdc5a2184d274257dcab1a99254e9d624ee9dd4de4d2855c8f7f9876022a",
"targetUlid": "01M4T67MXDVDAXJX3GX37BA6DV"
}
}
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@@ -0,0 +1,12 @@
{
"version": 2,
"id": "b1de924a-2e5b-4c0f-83d2-d9372a67aa15",
"createdOn": "2026-10-17",
"action": "done",
"payload": {
"id": "#NZ4X41",
"outcome": "Populated governed guideline and clinical literature references for the remaining 26 Therapy Compass records and completed clinician sign-off across all 205 Therapy Compass profiles.",
"baseRowFingerprint": "cbe0e4f6138a1ab0f7da17016115f37e60a69cd539f648b4c02b9c58d73ac253",
"targetUlid": "01M488JH90NZ4X41FZT2339F40"
}
}
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