{ "model": { "rank": 3855, "code": "thing-q177719", "model_id": "vr.tr.medical-diagnosis", "name": "medical diagnosis", "purpose": "Let an agent explain how diagnosis works in general terms, help people prepare for appointments and access records or second opinions, without diagnosing anyone.", "family": "Thing Registry", "category": "Information and virtual systems", "status": "research-draft", "kind": "thing", "plane": "INF", "domain": "INF.MED", "industry": "", "version": "", "url": "/models/thing/q177719/", "tier": 2, "score": 81, "payload": { "layer": "wikidata", "aliases": [ "psychiatric diagnosis", "veterinary diagnosis and diagnostics", "Recreational DNA testing", "cancer diagnosis", "disease diagnostics", "computer-aided diagnosis", "urino-diagnostics", "radiodiagnostics", "pathology diagnosis", "Antibody detection technologies", "misdiagnosis", "telediagnosis", "diagnosis of autism", "meningism signs", "Pennhip", "noninvasive", "pneumography", "in vitro diagnostics", "Hutchinson's triad", "vaginal ultrasonography", "Papular purpuric gloves and socks syndrome", "reverse transcription polymerase chain reaction", "self-diagnosis", "cytopathology", "mutational analysis", "Tongue diagnosis", "in situ hybridization", "invasion", "serological test", "asthma diagnostic & treatment", "evaluation and treatment of pain", "treatment of arterial hypertension", "Quantitative polymerase chain reaction", "rhythm interpretation", "medical visit", "tests of the pancreas", "mammology", "plethysmography", "BDORT", "point-of-care testing" ], "aliasCount": 156, "merged": 157, "knownIn": 81, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q177719", "url": "https://www.wikidata.org/wiki/Q177719", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-11T10:43:20Z", "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-Q177719", "registryId": "vr.tr.medical-diagnosis", "name": "medical diagnosis", "version": "0.2.0-wave.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "INF.MED" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q177719/", "model": { "registry_id": "vr.tr.medical-diagnosis", "name": "medical diagnosis", "purpose": "Let an agent explain how diagnosis works in general terms, help people prepare for appointments and access records or second opinions, without diagnosing anyone.", "definition": "The process of determining which disease or condition explains a person symptoms and signs, using history, examination and tests, carried out by qualified clinicians, and the resulting diagnosis recorded in medical records.", "what_it_is_for": "Guiding treatment and care.", "affordances": [ "explain the diagnostic process in general terms", "prepare questions for a clinician", "access medical records", "seek a second opinion" ], "distinguishing_features": [ "Made by qualified clinicians", "Uses multiple sources of evidence", "Recorded and coded", "Can be revised" ], "appearance": "Consultations, examinations, tests and written diagnoses in records.", "visual_identification": [ "Clinical history, examination, tests", "Diagnostic codes such as ICD-11", "Self-assessment tools are not diagnoses" ], "physical_properties": [], "families_and_kinds": [ "clinical diagnosis", "laboratory and imaging-based diagnosis", "psychiatric diagnosis", "differential diagnosis", "veterinary diagnosis (related)" ], "related_models": [ { "relation": "is a kind of", "target": "diagnosis and document", "why": "category" }, { "relation": "uses", "target": "medical test", "why": "evidence" }, { "relation": "is coded with", "target": "ICD-11", "why": "classification" }, { "relation": "guides", "target": "treatment", "why": "next step" } ], "identifiers": [ { "scheme": "ICD-11 code", "value_or_pattern": "alphanumeric", "note": "diagnosis coding" } ], "standards_and_regulation": [ "Medical practice regulation", "Health data protection law", "EU Medical Device Regulation for diagnostic software" ], "failure_modes_and_hazards": [ "Agents diagnosing users", "Delayed care due to self-diagnosis", "Overreliance on unvalidated AI tools" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "urgent", "name": "Urgent", "description": "Serious symptoms.", "rationale": "Emergencies come first.", "layers": [ { "id": "signs", "name": "Signs", "description": "Emergency signs.", "findings": [ { "id": "signs-finding", "name": "Signs", "description": "Emergency signs.", "questions": [ { "text": "Are symptoms severe, sudden or life-threatening?", "kind": "boundary" }, { "text": "Which emergency number or urgent service applies?", "kind": "action" } ] } ] }, { "id": "limit", "name": "Limit", "description": "No diagnosis.", "findings": [ { "id": "limit-finding", "name": "Limit", "description": "Diagnosis limit.", "questions": [ { "text": "Is the user asking the agent to diagnose them?", "kind": "boundary" }, { "text": "How should they be referred to a clinician?", "kind": "action" } ] } ] } ] }, { "id": "process", "name": "Process", "description": "How it works.", "rationale": "General information helps.", "layers": [ { "id": "steps", "name": "Steps", "description": "History and tests.", "findings": [ { "id": "steps-finding", "name": "Steps", "description": "Diagnostic steps.", "questions": [ { "text": "How do clinicians usually reach a diagnosis, in general terms?", "kind": "definition" }, { "text": "Why might tests be ordered?", "kind": "definition" } ] } ] }, { "id": "prepare", "name": "Prepare", "description": "Appointments.", "findings": [ { "id": "prepare-finding", "name": "Prepare", "description": "Preparing for appointments.", "questions": [ { "text": "What information should the person bring to the appointment?", "kind": "action" }, { "text": "Which questions might they ask?", "kind": "action" } ] } ] } ] }, { "id": "rights", "name": "Rights", "description": "Records and opinions.", "rationale": "Patients have rights.", "layers": [ { "id": "records", "name": "Records", "description": "Access.", "findings": [ { "id": "records-finding", "name": "Records", "description": "Medical records.", "questions": [ { "text": "How can a patient access their medical records here?", "kind": "action" }, { "text": "Which law gives the right?", "kind": "provenance" } ] } ] }, { "id": "second", "name": "Second opinion", "description": "Options.", "findings": [ { "id": "second-finding", "name": "Second opinion", "description": "Second opinions.", "questions": [ { "text": "How can a second opinion be requested?", "kind": "action" }, { "text": "Is it covered by the health system?", "kind": "provenance" } ] } ] } ] }, { "id": "tools", "name": "Tools", "description": "Technology.", "rationale": "Tools support, not replace.", "layers": [ { "id": "ai", "name": "AI tools", "description": "Validation.", "findings": [ { "id": "ai-finding", "name": "AI tools", "description": "Diagnostic software.", "questions": [ { "text": "Is this diagnostic tool approved as a medical device?", "kind": "provenance" }, { "text": "Should its output be confirmed by a clinician?", "kind": "action" } ] } ] }, { "id": "coding", "name": "Coding", "description": "Classification.", "findings": [ { "id": "coding-finding", "name": "Coding", "description": "Diagnostic coding.", "questions": [ { "text": "What does the diagnostic code on a record mean?", "kind": "definition" }, { "text": "Which classification is used?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Should diagnostic types be separate entries?", "How should coding systems be linked?", "How should AI diagnostic tools be flagged?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "disease or condition", "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 medical diagnosis, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain how diagnosis works in general terms, help people prepare for appointments and access records or second opinions, without diagnosing anyone.", "characteristics": { "substance": "information", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "read and interpreted", "observed and measured" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: psychiatric diagnosis, veterinary diagnosis and diagnostics, Recreational DNA testing, cancer diagnosis, disease diagnostics, computer-aided diagnosis, urino-diagnostics, radiodiagnostics, pathology diagnosis, Antibody detection technologies, misdiagnosis, telediagnosis.", "157 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 81 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 medical diagnosis, and on what evidence are they told apart?" ], "whatItIsMadeOf": "content that has to be carried by something else", "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": [ "read it and act on what it says", "observe it, measure it, record its state" ], "howItIsRecognised": [ "Recognised by criteria applied to signs and findings, not by appearance. Two conditions can look identical and be distinguished only by test." ], "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": [ "psychiatric diagnosis", "veterinary diagnosis and diagnostics", "Recreational DNA testing", "cancer diagnosis", "disease diagnostics", "computer-aided diagnosis", "urino-diagnostics", "radiodiagnostics", "pathology diagnosis", "Antibody detection technologies", "misdiagnosis", "telediagnosis" ] } ], "standing": "Described in 81 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 157 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 medical diagnosis from another, and a medical diagnosis 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 medical diagnosis, 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 medical diagnosis, 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 medical diagnosis 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 medical diagnosis, 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 medical diagnosis, 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 medical diagnosis 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 medical diagnosis 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 medical diagnosis, 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 medical diagnosis, 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 medical diagnosis 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 medical diagnosis from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a medical diagnosis, 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 medical diagnosis, 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 medical diagnosis 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 medical diagnosis 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 medical diagnosis between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a medical diagnosis, 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 medical diagnosis, 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 medical diagnosis 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 medical diagnosis, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a medical diagnosis 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 medical diagnosis, 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 medical diagnosis, 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 medical diagnosis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "content-and-access", "name": "Content, encoding and access", "description": "What a medical diagnosis says, how it is encoded and who may read it.", "rationale": "An informational thing carries content that can be copied, versioned and withheld, none of which its physical carrier explains.", "layers": [ { "id": "content-and-encoding", "name": "Content and encoding", "description": "The content itself, its format and its language.", "findings": [ { "id": "content-and-format", "name": "Content, format and language", "description": "What a medical diagnosis contains and in what form it is held.", "questions": [ { "id": "content-and-format-q01", "text": "What identifies and describes the content of a medical diagnosis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "content-and-format-q02", "text": "Who or what asserted this about the content of a medical diagnosis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "content-and-format-q03", "text": "What may an agent decide or do once the content of a medical diagnosis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "access-and-rights", "name": "Access, rights and retention", "description": "Who may read, copy or change it, and for how long it is kept.", "findings": [ { "id": "access-rules", "name": "Access rules and retention", "description": "The permissions attached to a medical diagnosis and the period it survives.", "questions": [ { "id": "access-rules-q01", "text": "What identifies and describes access to a medical diagnosis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "access-rules-q02", "text": "Who or what asserted this about access to a medical diagnosis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "access-rules-q03", "text": "What may an agent decide or do once access to a medical diagnosis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "diagnosis-and-criteria", "name": "Diagnosis, criteria and coding", "description": "What makes a case of medical diagnosis a case, and under which revision.", "rationale": "Criteria change between revisions, so a diagnosis without its coding revision cannot be compared with a later one.", "layers": [ { "id": "criteria", "name": "Diagnostic criteria", "description": "The criteria in force and who issues them.", "findings": [ { "id": "criteria-record", "name": "Criteria, issuer and revision", "description": "What must be true for a diagnosis, according to whom.", "questions": [ { "id": "criteria-record-q01", "text": "What criteria define medical diagnosis, issued by which body, in which revision?", "kind": "definition" }, { "id": "criteria-record-q02", "text": "What changed between revisions that would reclassify existing cases?", "kind": "boundary" } ] } ] }, { "id": "coding", "name": "Coding and terminology", "description": "The codes used to record it and their mapping.", "findings": [ { "id": "coding-record", "name": "Codes and mappings", "description": "Which classification codes apply and how they map.", "questions": [ { "id": "coding-record-q01", "text": "Which classification and terminology codes cover medical diagnosis, and how do they map to each other?", "kind": "definition" }, { "id": "coding-record-q02", "text": "What is lost when a case is mapped from one scheme to another?", "kind": "boundary" } ] } ] } ] }, { "id": "course-and-population", "name": "Course, population and care", "description": "How medical diagnosis develops, whom it affects, and what is done about it.", "rationale": "The condition, the diagnosis and the episode of care are three different things, and an agent must not merge them.", "layers": [ { "id": "course", "name": "Course and stages", "description": "Onset, progression, remission and outcome.", "findings": [ { "id": "course-record", "name": "Stages and transitions", "description": "The stages recorded and what moves a case between them.", "questions": [ { "id": "course-record-q01", "text": "What course does medical diagnosis typically take, and what marks each stage?", "kind": "definition" }, { "id": "course-record-q02", "text": "What separates the condition itself from an episode of care for it?", "kind": "boundary" } ] } ] }, { "id": "population", "name": "Affected populations", "description": "Who is affected, how often, and on what evidence.", "findings": [ { "id": "epidemiology", "name": "Prevalence and its basis", "description": "Rates with their population, period and source.", "questions": [ { "id": "epidemiology-q01", "text": "What prevalence or incidence is reported for medical diagnosis, in which population and period?", "kind": "measurement" }, { "id": "epidemiology-q02", "text": "What may an agent not conclude about an individual from a population rate?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a medical diagnosis 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 medical diagnosis and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a medical diagnosis, 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 medical diagnosis, 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 medical diagnosis 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 medical diagnosis is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a medical diagnosis, 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 medical diagnosis, 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 medical diagnosis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 6, "layers": 12, "findings": 14, "questions": 38 } } } }