{ "model": { "rank": 1580, "code": "thing-q12152", "model_id": "vr.tr.myocardial-infarction", "name": "myocardial infarction", "purpose": "Let an agent route suspected heart attacks to emergency services immediately, give general information from official sources, and never diagnose or delay care.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q12152/", "tier": 2, "score": 137, "payload": { "layer": "wikidata", "aliases": [ "Clinical Judgement Simulation", "nontransmural myocardial infarction", "MINOCA", "epectasy", "myocardial infarction in women", "posteroinferior myocardial infarction", "anterolateral myocardial infarction", "septal myocardial infarction", "posterior myocardial infarction", "apical myocardial infarction", "subendocardial myocardial infarction", "inferior myocardial infarction", "posterolateral myocardial infarction", "inferolateral myocardial infarct", "lateral myocardial infarction", "silent myocardial infarction", "anteroseptal myocardial infarction", "acute myocardial infarction", "myocardial stunning", "non-ST elevated myocardial infarction", "myocardial infarction with ST segment elevation", "anterior wall myocardial infarction", "myocardial infarction complication", "no reflow phenomenon", "postoperative heart attack", "strictly posterior acute myocardial infarction", "subendocardial infarction acute myocardial infarction", "acute inferoposterior infarction", "acute inferolateral myocardial infarction", "acute anterolateral myocardial infarction" ], "aliasCount": 30, "merged": 30, "knownIn": 137, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q12152", "url": "https://www.wikidata.org/wiki/Q12152", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-11T11:26:49Z", "providers": [ "Claude" ], "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify", "pass": 2, "wave": 1, "engine": "claude" }, "metaModel": { "id": "THING-Q12152", "registryId": "vr.tr.myocardial-infarction", "name": "myocardial infarction", "version": "0.2.0-wave.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q12152/", "model": { "registry_id": "vr.tr.myocardial-infarction", "name": "myocardial infarction", "purpose": "Let an agent route suspected heart attacks to emergency services immediately, give general information from official sources, and never diagnose or delay care.", "definition": "Death of heart muscle caused by a sudden blockage of blood flow in a coronary artery, commonly called a heart attack; a medical emergency needing immediate treatment, with symptoms such as chest pain or pressure, breathlessness, sweating and nausea, which may differ in women and older people.", "what_it_is_for": "A life-threatening emergency and a major cause of death.", "affordances": [ "recognise warning signs and call emergency services", "follow dispatcher and first-aid guidance", "find cardiac rehabilitation and support", "find prevention information" ], "distinguishing_features": [ "Blocked coronary blood flow", "Time-critical", "Treatable in hospital", "Symptoms vary" ], "appearance": "Symptoms rather than visible signs; diagnosed by ECG and blood tests in hospital.", "visual_identification": [ "Chest pain or pressure spreading to arm, jaw or back", "Symptoms can be subtle, especially in women", "Cardiac arrest is a related but different emergency" ], "physical_properties": [], "families_and_kinds": [ "STEMI", "NSTEMI", "MINOCA", "silent myocardial infarction" ], "related_models": [ { "relation": "is a kind of", "target": "ischaemia and coronary artery disease", "why": "category" }, { "relation": "can lead to", "target": "cardiac arrest", "why": "complication" }, { "relation": "is treated by", "target": "emergency cardiology", "why": "care" }, { "relation": "is related to", "target": "circulation", "why": "physiology" } ], "identifiers": [ { "scheme": "ICD-11", "value_or_pattern": "BA41", "note": "acute myocardial infarction" } ], "standards_and_regulation": [ "Resuscitation council guidelines", "Clinical guidelines for acute coronary syndromes" ], "failure_modes_and_hazards": [ "Delaying emergency calls", "Agents diagnosing chest pain", "Driving oneself to hospital" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "emergency", "name": "Emergency", "description": "Act now.", "rationale": "Emergencies come first.", "layers": [ { "id": "call", "name": "Call", "description": "Emergency services.", "findings": [ { "id": "call-finding", "name": "Call", "description": "Emergency call.", "questions": [ { "text": "Are there signs of a heart attack such as chest pain, breathlessness or sweating?", "kind": "boundary" }, { "text": "Which emergency number should be called now, without delay?", "kind": "action" } ] } ] }, { "id": "arrest", "name": "Arrest", "description": "CPR and defibrillator.", "findings": [ { "id": "arrest-finding", "name": "Arrest", "description": "Cardiac arrest.", "questions": [ { "text": "Is the person unresponsive and not breathing normally?", "kind": "boundary" }, { "text": "Should CPR be started and a defibrillator used, as the dispatcher instructs?", "kind": "action" } ] } ] } ] }, { "id": "limits", "name": "Limits", "description": "No diagnosis.", "rationale": "Clinicians decide.", "layers": [ { "id": "diagnosis", "name": "Diagnosis", "description": "Chest pain.", "findings": [ { "id": "diagnosis-finding", "name": "Diagnosis", "description": "Diagnosis limit.", "questions": [ { "text": "Is the user asking the agent whether chest pain is a heart attack?", "kind": "boundary" }, { "text": "Why should they seek emergency care instead of waiting?", "kind": "action" } ] } ] }, { "id": "medicines", "name": "Medicines", "description": "Aspirin and others.", "findings": [ { "id": "medicines-finding", "name": "Medicines", "description": "Medicines limit.", "questions": [ { "text": "Is the user asking whether to take a medicine during symptoms?", "kind": "boundary" }, { "text": "Should they follow the emergency dispatcher advice?", "kind": "action" } ] } ] } ] }, { "id": "recovery", "name": "Recovery", "description": "After a heart attack.", "rationale": "Rehabilitation helps.", "layers": [ { "id": "rehab", "name": "Rehab", "description": "Cardiac rehabilitation.", "findings": [ { "id": "rehab-finding", "name": "Rehab", "description": "Cardiac rehabilitation.", "questions": [ { "text": "How can someone access cardiac rehabilitation?", "kind": "action" }, { "text": "What does it involve, in general terms?", "kind": "provenance" } ] } ] }, { "id": "support", "name": "Support", "description": "Emotional support.", "findings": [ { "id": "support-finding", "name": "Support", "description": "Support.", "questions": [ { "text": "Which heart charities offer support and helplines?", "kind": "provenance" }, { "text": "Is support available for carers?", "kind": "provenance" } ] } ] } ] }, { "id": "prevention", "name": "Prevention", "description": "Public health.", "rationale": "Risks can be reduced.", "layers": [ { "id": "risks", "name": "Risks", "description": "Risk factors.", "findings": [ { "id": "risks-finding", "name": "Risks", "description": "Risk factors.", "questions": [ { "text": "What risk factors do health authorities identify?", "kind": "provenance" }, { "text": "Where can a health check be booked?", "kind": "action" } ] } ] }, { "id": "learn", "name": "Learn", "description": "CPR training.", "findings": [ { "id": "learn-finding", "name": "Learn", "description": "CPR training.", "questions": [ { "text": "Where can people learn CPR and defibrillator use?", "kind": "provenance" }, { "text": "Where are public defibrillators located?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Should subtypes be separate entries?", "How should emergency numbers be localised?", "How should alias lists be curated?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "abstract concept", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a myocardial infarction, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent route suspected heart attacks to emergency services immediately, give general information from official sources, and never diagnose or delay care.", "characteristics": { "substance": "abstract", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "observed and measured" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: Clinical Judgement Simulation, nontransmural myocardial infarction, MINOCA, epectasy, myocardial infarction in women, posteroinferior myocardial infarction, anterolateral myocardial infarction, septal myocardial infarction, posterior myocardial infarction, apical myocardial infarction, subendocardial myocardial infarction, inferior myocardial infarction.", "30 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 137 Wikipedia languages, which is a measure of how widely the thing is known, not of how important it is." ], "openQuestionsForResearch": [ "Which of the bundles below does a real task actually need, and which are ceremony?", "What does this thing have that the facets do not capture at all?", "Which neighbouring kind is most often confused with a myocardial infarction, and on what evidence are they told apart?" ], "whatItIsMadeOf": "an abstraction with no physical instance", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "observe it, measure it, record its state" ], "howItIsRecognised": [ "Nothing to see. What is recognised is an instance of it, and which instances count is exactly what is argued about." ], "relatedModels": [ { "relation": "covers", "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.", "targets": [ "Clinical Judgement Simulation", "nontransmural myocardial infarction", "MINOCA", "epectasy", "myocardial infarction in women", "posteroinferior myocardial infarction", "anterolateral myocardial infarction", "septal myocardial infarction", "posterior myocardial infarction", "apical myocardial infarction", "subendocardial myocardial infarction", "inferior myocardial infarction" ] } ], "standing": "Described in 137 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 30 finer distinctions are held inside this entry as names rather than as separate models.", "structure": { "bundles": [ { "id": "identity-and-classification", "name": "Identity, naming and classification", "description": "How an agent tells one myocardial infarction from another, and a myocardial infarction from things that resemble it.", "rationale": "Recognition comes before every other claim. Without stable identity nothing else in the model can be trusted to be about the same thing twice.", "layers": [ { "id": "naming-and-identifiers", "name": "Names and identifiers", "description": "The names this thing goes by and the identifiers that survive translation and time.", "findings": [ { "id": "preferred-name-and-aliases", "name": "Preferred name, aliases and local names", "description": "Which name to use, which names mean the same thing, and which merely sound similar.", "questions": [ { "id": "preferred-name-and-aliases-q01", "text": "What identifies and describes the name of a myocardial infarction, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "preferred-name-and-aliases-q02", "text": "Who or what asserted this about the name of a myocardial infarction, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "preferred-name-and-aliases-q03", "text": "What may an agent decide or do once the name of a myocardial infarction is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "stable-identifiers", "name": "Stable identifiers and external keys", "description": "Identifiers that keep pointing at this kind of thing across systems and languages.", "questions": [ { "id": "stable-identifiers-q01", "text": "What identifies and describes an identifier for a myocardial infarction, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stable-identifiers-q02", "text": "Who or what asserted this about an identifier for a myocardial infarction, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stable-identifiers-q03", "text": "What may an agent decide or do once an identifier for a myocardial infarction is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "classification-and-granularity", "name": "Classification and granularity", "description": "Where a myocardial infarction sits among kinds, and how finely a task needs to cut it.", "findings": [ { "id": "kind-and-parents", "name": "Kind, parents and neighbouring kinds", "description": "The classes this thing belongs to and the ones it is next to.", "questions": [ { "id": "kind-and-parents-q01", "text": "What identifies and describes the kind of a myocardial infarction, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "kind-and-parents-q02", "text": "Who or what asserted this about the kind of a myocardial infarction, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "kind-and-parents-q03", "text": "What may an agent decide or do once the kind of a myocardial infarction is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "distinguishing-features", "name": "Distinguishing features", "description": "What separates a myocardial infarction from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a myocardial infarction, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "distinguishing-features-q02", "text": "Who or what asserted this about what distinguishes a myocardial infarction, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "distinguishing-features-q03", "text": "What may an agent decide or do once what distinguishes a myocardial infarction is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "state-and-lifecycle", "name": "State and lifecycle", "description": "The states a myocardial infarction passes through and the events that move it between them.", "rationale": "Most decisions about a thing depend on what state it is in now, which is a claim with a time on it, not a property.", "layers": [ { "id": "lifecycle-stages", "name": "Lifecycle stages", "description": "From coming into existence to ceasing to be one of these.", "findings": [ { "id": "stages-and-transitions", "name": "Stages and transitions", "description": "The stages worth naming and what moves a myocardial infarction between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a myocardial infarction, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stages-and-transitions-q02", "text": "Who or what asserted this about the lifecycle of a myocardial infarction, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stages-and-transitions-q03", "text": "What may an agent decide or do once the lifecycle of a myocardial infarction is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "observations-and-status", "name": "Observations and current status", "description": "What is observed about a myocardial infarction, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a myocardial infarction is recorded so that it can be superseded rather than overwritten.", "questions": [ { "id": "observation-record-q01", "text": "What identifies and describes an observation of a myocardial infarction, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "observation-record-q02", "text": "Who or what asserted this about an observation of a myocardial infarction, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "observation-record-q03", "text": "What may an agent decide or do once an observation of a myocardial infarction is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "definitions-in-contest", "name": "Definitions and who holds them", "description": "What myocardial infarction is taken to mean, and by whom.", "rationale": "When a field disagrees about a concept, the disagreement is the content. A model that picks one definition silently destroys the information.", "layers": [ { "id": "competing-definitions", "name": "Competing definitions", "description": "The main readings and the traditions behind them.", "findings": [ { "id": "definition-map", "name": "Definitions and their holders", "description": "Each definition with the school or body that holds it.", "questions": [ { "id": "definition-map-q01", "text": "Which definitions of myocardial infarction are in use, and which tradition or body holds each?", "kind": "definition" }, { "id": "definition-map-q02", "text": "What turns on the difference between them in practice?", "kind": "boundary" } ] } ] }, { "id": "operationalisation", "name": "Operationalisation", "description": "How it is measured or applied when it has to be.", "findings": [ { "id": "operational-record", "name": "Measures and proxies", "description": "Instruments and indicators used to stand in for it.", "questions": [ { "id": "operational-record-q01", "text": "How is myocardial infarction operationalised or measured in practice, and by what instrument?", "kind": "measurement" }, { "id": "operational-record-q02", "text": "What does that operationalisation leave out, and when does that matter?", "kind": "boundary" } ] } ] } ] }, { "id": "instances-and-use", "name": "Instances, use and consequence", "description": "What counts as an instance of myocardial infarction and what follows from calling something that.", "rationale": "Applying a concept is an act with consequences, so a model must say what the label licenses and what it does not.", "layers": [ { "id": "instances", "name": "What counts as an instance", "description": "Clear cases, borderline cases and non-cases.", "findings": [ { "id": "instance-tests", "name": "Tests for an instance", "description": "What would settle whether something falls under it.", "questions": [ { "id": "instance-tests-q01", "text": "What would settle whether something is an instance of myocardial infarction?", "kind": "boundary" }, { "id": "instance-tests-q02", "text": "Which borderline cases are argued about, and on what grounds?", "kind": "definition" } ] } ] }, { "id": "consequence", "name": "Consequence of application", "description": "Rights, duties or decisions that follow from the label.", "findings": [ { "id": "consequence-record", "name": "What the label licenses", "description": "What an agent may do once something is classified this way.", "questions": [ { "id": "consequence-record-q01", "text": "What follows practically once something is treated as myocardial infarction?", "kind": "action" }, { "id": "consequence-record-q02", "text": "What must an agent not infer from the label alone?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a myocardial infarction came from and when it held.", "rationale": "A claim without a source and a time cannot be superseded, only overwritten, and an agent that overwrites loses the ability to explain itself.", "layers": [ { "id": "source-and-authority", "name": "Source and authority", "description": "Who said it, on what evidence, and how strongly.", "findings": [ { "id": "claim-provenance", "name": "Claim provenance and confidence", "description": "The authority behind each claim about a myocardial infarction and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a myocardial infarction, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "claim-provenance-q02", "text": "Who or what asserted this about a claim about a myocardial infarction, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "claim-provenance-q03", "text": "What may an agent decide or do once a claim about a myocardial infarction is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "time-and-versions", "name": "Time, versions and supersession", "description": "When a claim was true, when it was learnt, and what replaced it.", "findings": [ { "id": "validity-and-supersession", "name": "Validity period and supersession", "description": "How an old claim about a myocardial infarction is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a myocardial infarction, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "validity-and-supersession-q02", "text": "Who or what asserted this about the validity of a claim about a myocardial infarction, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "validity-and-supersession-q03", "text": "What may an agent decide or do once the validity of a claim about a myocardial infarction is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 5, "layers": 10, "findings": 12, "questions": 32 } } } }