{"schema":"https://ver.cy/schemas/card/1.0.0","id":"vr.tr.diagnosis","code":"thing-q16644043","url":"https://ver.cy/models/thing/q16644043/","name":"diagnosis","alternateNames":["xenodiagnosis","molecular diagnostics","nursing diagnosis","kymography","building pathology","diagnosis of exclusion","wastebasket diagnosis"],"kind":"thing","status":"published","version":"0.2.0-wave.4","language":"en","classifiers":{"family":"Thing Registry","category":"Cross-cutting context","entryKind":"thing","plane":"XCT","domain":["XCT.QLT"],"industry":[],"navPath":"","tags":[],"facets":{}},"whatItIs":"The identification of the nature or cause of a problem or condition from its signs, symptoms, tests or observations, most prominently in medicine, where clinicians use history, examination and investigations such as molecular diagnostics and imaging, and reach diagnoses of exclusion when other causes are ruled out, and in nursing, where nursing diagnoses describe responses to health problems; the concept also applies in engineering, building pathology, which diagnoses defects in buildings, and historical methods such as kymography, recording movements over time, and xenodiagnosis, using insect vectors to detect infection. Requirements for professional qualifications depend on the discipline, jurisdiction and risk involved; ordinary technical troubleshooting can include diagnosis by nonprofessionals, and this model does not diagnose individuals.","purpose":"Let an agent explain diagnosis as a process, relay reasoning methods, tests, errors and applications across medicine, nursing and engineering from clinical and technical sources, route urgent symptoms to emergency care, describe the named methods, and distinguish diagnosis from screening, prognosis, differential diagnosis lists and self-diagnosis.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["Evidence-based reasoning","Tests and observation","Error risk","Many fields"],"structure":{"bundles":[{"id":"understand","name":"Understand","description":"What diagnosis is.","layers":[{"id":"definition","name":"Definition","description":"Definition.","findings":[{"id":"definition-finding","name":"Definition","description":"Definition.","questions":[{"text":"Does someone have urgent symptoms such as chest pain, stroke signs or severe breathing difficulty, in which case call emergency services now rather than seeking a remote diagnosis?","kind":"boundary"},{"text":"What is diagnosis, and how does it differ from screening, prognosis, differential diagnosis and self-diagnosis?","kind":"definition"}]}]},{"id":"methods","name":"Methods","description":"Named methods.","findings":[{"id":"methods-finding","name":"Methods","description":"Methods.","questions":[{"text":"What are xenodiagnosis, molecular diagnostics, nursing diagnosis, kymography, building pathology and diagnosis of exclusion?","kind":"definition"},{"text":"Which entry fits the specific method?","kind":"action"}]}]}]},{"id":"clinical","name":"Clinical","description":"Clinical reasoning.","layers":[{"id":"reasoning","name":"Reasoning","description":"Diagnostic reasoning.","findings":[{"id":"reasoning-finding","name":"Reasoning","description":"Reasoning.","questions":[{"text":"How do clinicians use history, examination and Bayesian reasoning?","kind":"provenance"},{"text":"Which references are standard?","kind":"provenance"}]}]},{"id":"tests","name":"Tests","description":"Test accuracy.","findings":[{"id":"tests-finding","name":"Tests","description":"Tests.","questions":[{"text":"What do sensitivity and specificity mean for diagnostic tests?","kind":"measurement"},{"text":"Which sources are cited?","kind":"provenance"}]}]}]},{"id":"safety","name":"Safety","description":"Errors.","layers":[{"id":"errors","name":"Errors","description":"Diagnostic error.","findings":[{"id":"errors-finding","name":"Errors","description":"Errors.","questions":[{"text":"What do studies report about diagnostic errors and their causes, with findings attributed?","kind":"provenance"},{"text":"Which entry fits diagnostic error?","kind":"action"}]}]},{"id":"overdiagnosis","name":"Overdiagnosis","description":"Overdiagnosis.","findings":[{"id":"overdiagnosis-finding","name":"Overdiagnosis","description":"Overdiagnosis.","questions":[{"text":"What is overdiagnosis, and what debates surround it, with positions attributed?","kind":"provenance"},{"text":"Is the presentation neutral and attributed?","kind":"boundary"}]}]}]},{"id":"context","name":"Context","description":"Other fields.","layers":[{"id":"buildings","name":"Buildings","description":"Building pathology.","findings":[{"id":"buildings-finding","name":"Buildings","description":"Buildings.","questions":[{"text":"How do surveyors diagnose building defects such as damp?","kind":"provenance"},{"text":"Which entry fits building pathology?","kind":"action"}]}]},{"id":"ai","name":"AI","description":"AI in diagnosis.","findings":[{"id":"ai-finding","name":"AI","description":"AI.","questions":[{"text":"How are AI tools regulated and evaluated in diagnosis, checked against current sources?","kind":"provenance"},{"text":"Which entry fits artificial intelligence in healthcare?","kind":"action"}]}]}]}]},"agentConduct":{"may":["Explain how diagnosis works in medicine, nursing and other fields, including diagnosis of exclusion.","Help a person prepare questions about their symptoms for a clinician."],"mustNot":["Diagnose a specific person's condition remotely as if it were a clinical judgement.","Present a possible diagnosis as certain or rule out a serious one to reassure someone.","Discourage a person from seeking care for worrying symptoms.","Disclose a person's diagnosis to anyone they have not authorized."],"requiresHuman":["Acting on a diagnosis to start, stop or change treatment."]},"ethics":{"considerations":["A diagnosis changes how a person is treated by doctors, insurers and employers, so errors and leaks cause real harm.","Overdiagnosis exposes people to needless treatment and anxiety."],"affectedParties":["Patients","Families and carers","Clinicians"]},"owners":{"steward":"The clinician who makes it answers for it; the patient owns the information about themselves.","roles":[],"masterSystems":[]},"relations":[{"target":"Q106411346","type":"parent","note":"registry parent class"},{"target":"Q13582682","type":"parent","note":"registry parent class"},{"target":"classification","type":"related","note":"in registry terms"},{"target":"differential diagnosis","type":"related"},{"target":"screening (medicine)","type":"related"},{"target":"prognosis","type":"related"}],"interaction":{"identity":{"applicability":"required","items":["Vercy registry: vr.tr.diagnosis","Wikidata: Q16644043 (https://www.wikidata.org/wiki/Q16644043)"]},"properties":{"applicability":"not-applicable","items":["US diagnostic error estimate: about 12 million adults a year note - outpatient study 2014, attributed","NANDA International: founded 1982 note - nursing diagnoses","xenodiagnosis: used for Chagas disease historically note"]},"recognition":{"applicability":"optional","items":["Identification of a condition or problem","Xenodiagnosis, molecular diagnostics, nursing diagnosis, kymography, building pathology, diagnosis of exclusion","Screening tests people without symptoms; prognosis predicts outcomes; differential diagnosis lists possibilities; self-diagnosis lacks professional assessment","Not a physical object; seen in examinations, tests and reports."]},"capabilities":{"applicability":"required","items":["explain diagnostic reasoning","relay tests and errors","describe named methods","route urgent symptoms"]},"hazards":{"applicability":"required","items":["Diagnosing individuals remotely","Diagnostic errors and delays","Overdiagnosis"]},"interfaces":{"applicability":"required","items":["ICD-11 classification","In vitro diagnostic device regulations","Professional scope of practice laws"]},"context":{"applicability":"required","items":["Identifying causes of problems.","clinical diagnosis","laboratory and molecular diagnostics","nursing diagnosis","diagnosis of exclusion","technical and building diagnosis"]}},"sources":[{"title":"Wikidata item Q16644043: diagnosis","url":"https://www.wikidata.org/wiki/Q16644043","note":"identity and sense of the item"},{"title":"Wikipedia: Diagnosis","url":"https://en.wikipedia.org/wiki/Diagnosis","note":"general description of the item"}],"openQuestions":["Should medical and technical diagnosis be separate entries?","Should kymography and xenodiagnosis be moved to their own entries?","How should diagnostic safety sources be linked?"],"resources":{"spec":"/models/things/publications/thing-q16644043/spec.json"},"provenance":{"origin":"thing registry research (pass 2)","builtFrom":["models/things/publications/thing-q16644043/spec.json"],"providers":["Claude"],"researchStatus":"unreviewed","generatedAt":"2026-09-13T23:07:57Z","builder":"tools/build_cards.py@1.0.0"},"completeness":{"sections":{"classifiers":"filled","whatItIs":"filled","purpose":"filled","distinguishingFeatures":"filled","structure":"filled","agentConduct":"filled","ethics":"filled","owners":"filled","relations":"filled","interaction.identity":"filled","interaction.properties":"not-applicable","interaction.recognition":"filled","interaction.capabilities":"filled","interaction.hazards":"filled","interaction.interfaces":"filled","interaction.context":"filled","sources":"filled"},"notes":{"_gate":"Published through the thing publication gate 1.0 on 2026-10-07T10:10:26+00:00: completeness 1.00; sense: Wikidata description; 2 live sources; review by codex: pass","interaction.properties":"Plane XCT: no invented physical properties."},"score":1.0}}