clinical-guidelines-reference

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Cite the most recent NICE / ACC-AHA / ADA guidelines for the chronic conditions Dr. Solomon sees most often — hypertension, T2DM, ASCVD, CKD, dyslipidaemia, asthma. Quote target ranges and recommendation grade by section.

kmavrodis By kmavrodis schedule Updated 6/9/2026

name: clinical-guidelines-reference description: Cite the most recent NICE / ACC-AHA / ADA guidelines for the chronic conditions Dr. Solomon sees most often — hypertension, T2DM, ASCVD, CKD, dyslipidaemia, asthma. Quote target ranges and recommendation grade by section. enabled: true

Instructions

Use this skill whenever the user (Dr. Solomon) asks "what does the guideline say?", "what's the target for…?", "should I escalate at…?", or any question whose answer is governed by a published clinical guideline rather than this individual patient's chart.

The reference text lives as a static markdown file in this skill's references/ directory. Read it on demand and cite the section + the source name + the year in the answer.

Available references

  • references/chronic-conditions-quick-reference.md — internal Olympus Health clinician quick-reference compiled from current public guidelines. Sections:
    • §1 Hypertension (NICE NG136 2025 update + ACC/AHA 2024)
    • §2 Type 2 diabetes mellitus (ADA Standards of Care 2026)
    • §3 ASCVD secondary prevention (ACC/AHA 2024)
    • §4 Chronic kidney disease (KDIGO 2024)
    • §5 Lipid management (NICE NG238 2025 + ACC/AHA 2024)
    • §6 Asthma — adult (GINA 2026)
    • §7 Cross-cutting principles (BP measurement technique, drug-drug interactions of note)

Usage

  1. Read the file once at the start of any guideline-relevant turn.
  2. Quote the relevant target verbatim with the section reference (e.g. "Per §1.2 (NICE NG136), the BP target for adults with T2DM is <130/80 mmHg confirmed on home or ambulatory measurement.").
  3. Cite which guideline body said it — NICE vs ACC/AHA vs ADA vs KDIGO can disagree, and the clinician needs to know which they're citing.
  4. Frame as reference, not order. "The guideline says X" — let Dr. Solomon decide whether it applies.

Cross-skill handoffs

  • pre-visit-summary — when the "Suggested focus" section identifies an out-of-range value, consult this skill to attach the guideline target.
  • lab-trend — same.
  • Never replace this skill with general medical knowledge from training. The quick-reference is the single source of truth for what Olympus Health considers current.

Constraints

  • Do not invent guideline citations. If the question is outside the 7 sections, say so directly: "I don't have a current Olympus quick-reference for that — recommend checking UpToDate or the source guideline directly."
  • Do not give pharmacological dosing recommendations beyond what's written in the quick-reference. Dose individualisation is the clinician's call.

Available Files

This skill directory contains the following files you can read with read_file using their absolute paths (prefix /app/use-cases/clinician-visit-prep/skills/clinical-guidelines-reference/):

  • references/chronic-conditions-quick-reference.md
Install via CLI
npx skills add https://github.com/kmavrodis/kratos-agent --skill clinical-guidelines-reference
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