{ "model": { "rank": 6863, "code": "thing-q188952", "model_id": "vr.tr.medical-history", "name": "medical history", "purpose": "Enable an AI agent to recognise a person's medical history, assess its relevance and reliability, and determine how it may be collected, reconciled, summarised or shared.", "family": "Thing Registry", "category": "Information and virtual systems", "status": "research-draft", "kind": "thing", "plane": "INF", "domain": "INF.KNW", "industry": "", "version": "", "url": "/models/thing/q188952/", "tier": 2, "score": 58, "payload": { "layer": "wikidata", "aliases": [ "history of hygiene", "history of obstetrics", "review of systems", "family medical history", "chief complaint", "history of the present illness", "past medical history", "social history", "Social history of viruses", "reproductive history" ], "aliasCount": 10, "merged": 10, "knownIn": 58, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q188952", "url": "https://www.wikidata.org/wiki/Q188952", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-09T23:39:56Z", "providers": [ "Codex" ], "breadth": "recalled by Codex without web access - no source was read", "missingProviders": [], "pass": 2, "cost": { "grok": { "seconds": 19.1, "error": "Reading additional input from stdin...\nOpenAI Codex v0.153.4\n--------\nworkdir: R:\\02_PROJECTS\\02_Meta_Models_Platforms\\Ver.cy\\current\\thing-registry-backlog\nmodel: gpt-6-astra\nprovider: openai\napproval: never\nsandbox: read-only\nreasoning effort: none\nreasoning summaries: none\nsession id: 01a08889-f6a2-7422-bc63-efa02a88c059\n--------\nuser\nDescribe what is already known about one registered thing. Answer as JSON only, no prose around it.\n\nThing: medical history\nSense to describe: (none recorded)\nDomain code: INF.MED\nAlso known as: (none)\n\n\nContext for this batch of 1001 things:\n# Batch 007: 1001", "usd": 0, "recall": true }, "codex": { "seconds": 58.8, "error": "Reading additional input from stdin...\nOpenAI Codex v0.153.4\n--------\nworkdir: R:\\02_PROJECTS\\02_Meta_Models_Platforms\\Ver.cy\\current\\thing-registry-backlog\nmodel: gpt-6-astra\nprovider: openai\napproval: never\nsandbox: read-only\nreasoning effort: none\nreasoning summaries: none\nsession id: 01a08889-f6ae-79e3-8f36-8ff7f95a0de2\n--------\nuser\nYou are drafting a Vercy meta-model for one registered thing. Answer as JSON only, no prose around it.\n\nThing: medical history\nRegistry id: vr.tr.medical-history\nPlane / domain: INF / INF.MED\nRegistry definition: (none recorded)\nNames folded into this entry: (" } } }, "metaModel": { "id": "THING-Q188952", "registryId": "vr.tr.medical-history", "name": "medical history", "version": "0.1.0-research.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "INF.MED" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q188952/", "model": { "registry_id": "vr.tr.medical-history", "name": "medical history", "purpose": "Enable an AI agent to recognise a person's medical history, assess its relevance and reliability, and determine how it may be collected, reconciled, summarised or shared.", "definition": "A medical history is a structured account of a person's past and present health, relevant family and social circumstances, and previous care, assembled to inform clinical assessment and management.", "scope_statement": "This model owns the informational account of a person's past and ongoing health circumstances as reported or documented for care, including chronology, attribution, uncertainty and restrictions on use; it distinguishes that account from the underlying health events, the history-taking encounter and the complete medical record.", "in_scope": [ "Reported and documented illnesses, injuries, procedures, hospitalisations and their chronology", "Historical and ongoing medication use, allergies and adverse reactions", "Family health history and personally relevant social, occupational and exposure history", "Attribution, corroboration, contradictions, missing information and corrections", "Purpose-specific summaries and permissions governing access, amendment and disclosure" ], "out_of_scope": [ "The person's actual physiological state and diseases as entities", "The clinical interview or history-taking encounter as an activity", "The complete medical record, including its full collection of images, orders, billing and administrative material", "Diagnosis, treatment selection and prescribing decisions", "Relatives' complete medical histories and independent patient records" ], "distinguishing_features": [ "Contains attributed information about a person's health over time; it is not the person's health state itself.", "Can contain patient recollections, caregiver accounts and documentary evidence without treating them as equally verified.", "Can be elicited or updated during an encounter but remains distinct from the activity of interviewing.", "Usually forms part of a medical record but does not encompass every clinical, financial or administrative record artifact.", "Includes family and contextual information only through its relevance to the subject's history, without making relatives' records part of the subject's own." ], "characteristics": [ { "name": "History subject", "kind": "relation", "unit_or_values": "Link to the person whose history is represented, with identity-matching status", "why_it_matters": "Prevents another person's events or disclosures from being attached to this history." }, { "name": "Account purpose", "kind": "category", "unit_or_values": "Longitudinal overview, encounter history, specialty history, emergency summary or other specified purpose", "why_it_matters": "Determines which omissions are material and which details belong in a summary." }, { "name": "Temporal coverage", "kind": "state", "unit_or_values": "Known or approximate covered periods, gaps and last review date", "why_it_matters": "Distinguishes an outdated or partial account from one reviewed for the present purpose." }, { "name": "Assertion attribution", "kind": "relation", "unit_or_values": "Links each assertion to its informant or document, recorder and recording time", "why_it_matters": "Allows an agent to explain who supplied a claim and trace later corrections." }, { "name": "Evidence status", "kind": "state", "unit_or_values": "Reported, document-supported, disputed, entered in error or unresolved, with supporting references", "why_it_matters": "Prevents recalled or contested information from silently becoming an established clinical fact." }, { "name": "Historical event timing", "kind": "state", "unit_or_values": "Exact date, date interval, approximate age, relative sequence or unknown", "why_it_matters": "Supports useful chronology without manufacturing precision." }, { "name": "Domain coverage", "kind": "state", "unit_or_values": "For each topic: information present, explicitly denied, unknown, not asked, declined or unavailable", "why_it_matters": "Separates an explicit negative history from absence of documentation." }, { "name": "Use restrictions", "kind": "state", "unit_or_values": "Applicable access, purpose, disclosure and amendment constraints with their authority", "why_it_matters": "Determines which operations an agent is authorised to perform." } ], "affordances": [ "Elicit missing historical information through questions appropriate to the stated care purpose.", "Construct a chronology that preserves approximate dates, sources and unresolved discrepancies.", "Reconcile overlapping accounts while retaining disagreements and correction trails.", "Produce a purpose-specific summary with visible uncertainty and links to supporting material.", "Flag information requiring authorised clinical review, such as conflicting medication or allergy accounts.", "Prepare an authorised disclosure limited to the relevant history and applicable access constraints." ] }, "sources": [], "structure": { "bundles": [ { "id": "subject-and-historical-scope", "name": "Subject and historical scope", "description": "Identifies whose history this is and the clinical purpose and periods it represents.", "rationale": "A medical history is interpretable only when its subject, intended use and coverage are clear.", "layers": [ { "id": "subject-and-account-boundary", "name": "Subject and account boundary", "description": "Separates the history subject from informants and linked relatives.", "findings": [ { "id": "patient-informant-separation", "name": "Patient and informant separation", "description": "Represent the patient independently from anyone supplying information about them.", "questions": [ { "text": "Whose health circumstances does this account describe, and how was that identity established?", "kind": "definition", "id": "patient-informant-separation-q01" }, { "text": "Who supplied each portion, and what relationship do they have to the patient?", "kind": "provenance", "id": "patient-informant-separation-q02" } ] } ] }, { "id": "purpose-and-coverage", "name": "Purpose and coverage", "description": "Makes the intended clinical use and limits of historical coverage explicit.", "findings": [ { "id": "purpose-relative-completeness", "name": "Purpose-relative completeness", "description": "Assess coverage against the account's purpose rather than asserting universal completeness.", "questions": [ { "text": "Is this a longitudinal account, an encounter-specific history or a specialty-focused extract?", "kind": "boundary", "id": "purpose-relative-completeness-q01" }, { "text": "Which life periods and health topics were reviewed, and which remain unexamined?", "kind": "measurement", "id": "purpose-relative-completeness-q02" } ] } ] } ] }, { "id": "health-events-and-course", "name": "Health events and course", "description": "Organises illnesses, injuries, procedures and care episodes into an attributed chronology.", "rationale": "The timing and course of prior health events distinguish a medical history from an undifferentiated list of conditions.", "layers": [ { "id": "conditions-and-episodes", "name": "Conditions and episodes", "description": "Represents what reportedly happened without converting every report into a confirmed diagnosis.", "findings": [ { "id": "event-identity-and-status", "name": "Event identity and status", "description": "Distinguish symptoms, reported diagnoses, injuries, procedures and hospitalisations, including their stated outcomes.", "questions": [ { "text": "Does this entry describe a symptom, a diagnosis, an injury, a procedure or a care episode?", "kind": "definition", "id": "event-identity-and-status-q01" }, { "text": "Who described its outcome or ongoing status, and when was that status last reviewed?", "kind": "provenance", "id": "event-identity-and-status-q02" } ] } ] }, { "id": "chronology-and-recurrence", "name": "Chronology and recurrence", "description": "Preserves event order, timing uncertainty and distinctions between repeated episodes.", "findings": [ { "id": "historical-time-resolution", "name": "Historical time resolution", "description": "Keep event dates separate from documentation dates and avoid merging distinct recurrences.", "questions": [ { "text": "When did the event occur, at what precision, and when was it documented?", "kind": "measurement", "id": "historical-time-resolution-q01" }, { "text": "Do these accounts describe the same episode, a recurrence or events whose relationship is unresolved?", "kind": "boundary", "id": "historical-time-resolution-q02" } ] } ] } ] }, { "id": "medications-and-reactions", "name": "Medications and reactions", "description": "Captures historical treatment exposure and reported allergies or adverse reactions.", "rationale": "These parts of medical history require distinctions between intended treatment, actual use and the nature of reported reactions.", "layers": [ { "id": "medication-exposure", "name": "Medication exposure", "description": "Describes reported medication use over time and its relationship to prescriptions.", "findings": [ { "id": "prescribed-versus-taken", "name": "Prescribed versus taken", "description": "Separate evidence of prescribing from accounts of actual use, discontinuation and response.", "questions": [ { "text": "What medication, dose, route and use period are known, and which details are uncertain?", "kind": "measurement", "id": "prescribed-versus-taken-q01" }, { "text": "Does the source establish a prescription, dispensing, administration or the patient's report of taking it?", "kind": "provenance", "id": "prescribed-versus-taken-q02" } ] } ] }, { "id": "allergies-and-adverse-reactions", "name": "Allergies and adverse reactions", "description": "Preserves reaction details and the basis for their classification.", "findings": [ { "id": "reaction-description-and-review", "name": "Reaction description and review", "description": "Retain the reported substance, manifestations and timing without independently reclassifying a reaction.", "questions": [ { "text": "What substance and reaction were reported, including timing and described severity?", "kind": "measurement", "id": "reaction-description-and-review-q01" }, { "text": "Who classified or reviewed the reaction, and what discrepancies require authorised clinical review?", "kind": "action", "id": "reaction-description-and-review-q02" } ] } ] } ] }, { "id": "family-and-life-context", "name": "Family and life context", "description": "Represents relevant familial patterns and personal circumstances with explicit attribution and limits.", "rationale": "Medical history extends beyond diagnosed conditions while requiring care not to infer the patient's condition from contextual information.", "layers": [ { "id": "family-health-history", "name": "Family health history", "description": "Records reported health events in relatives through their relationship to the patient.", "findings": [ { "id": "relative-condition-attribution", "name": "Relative and condition attribution", "description": "Keep relatives' reported conditions distinct from patient diagnoses and inferred inherited risk.", "questions": [ { "text": "Which relative or relationship is associated with the reported condition, and is age at onset known?", "kind": "measurement", "id": "relative-condition-attribution-q01" }, { "text": "Is the information recalled, documented, unavailable or deliberately undisclosed?", "kind": "provenance", "id": "relative-condition-attribution-q02" } ] } ] }, { "id": "social-and-exposure-history", "name": "Social and exposure history", "description": "Captures relevant circumstances such as occupation, living conditions, substance use and exposures.", "findings": [ { "id": "context-with-time-and-relevance", "name": "Context with time and relevance", "description": "Record contextual information with its period and stated relevance, avoiding unsupported causal claims.", "questions": [ { "text": "Which circumstance or exposure is relevant to this history's purpose, and during what period?", "kind": "boundary", "id": "context-with-time-and-relevance-q01" }, { "text": "What frequency, duration or amount was reported, with what units and uncertainty?", "kind": "measurement", "id": "context-with-time-and-relevance-q02" } ] } ] } ] }, { "id": "evidence-maintenance-and-use", "name": "Evidence, maintenance and use", "description": "Controls how historical assertions are assessed, corrected and used.", "rationale": "Repeated copying can obscure uncertainty, while sensitive historical information requires explicit authority for access and disclosure.", "layers": [ { "id": "assertion-quality-and-reconciliation", "name": "Assertion quality and reconciliation", "description": "Tracks source dependence, missingness, disagreements and corrections.", "findings": [ { "id": "traceable-historical-assertions", "name": "Traceable historical assertions", "description": "Preserve assertion origins and distinguish independent corroboration from copied repetition.", "questions": [ { "text": "Which original account supports this assertion, and do later records merely copy it?", "kind": "provenance", "id": "traceable-historical-assertions-q01" }, { "text": "Does an apparent gap mean explicitly denied, unknown, not asked, declined or unavailable?", "kind": "definition", "id": "traceable-historical-assertions-q02" }, { "text": "How should a disputed or erroneous assertion be corrected while retaining its amendment trail?", "kind": "action", "id": "traceable-historical-assertions-q03" } ] } ] }, { "id": "authorised-summary-and-disclosure", "name": "Authorised summary and disclosure", "description": "Determines permitted operations and preserves meaning in extracts.", "findings": [ { "id": "purpose-bound-history-use", "name": "Purpose-bound history use", "description": "Associate access and disclosure decisions with applicable authority, recipients and purpose.", "questions": [ { "text": "What applicable authority and restrictions govern this agent's access, amendment or disclosure?", "kind": "action", "id": "purpose-bound-history-use-q01" }, { "text": "Which details may be included for this recipient and purpose while preserving material uncertainty and source attribution?", "kind": "action", "id": "purpose-bound-history-use-q02" } ] } ] } ] }, { "id": "evidence-and-external-alignment", "name": "Evidence and external alignment", "description": "What the world already says about this thing, gathered so the model can be checked against it.", "rationale": "A model that cannot be lined up against existing standards, identifiers and practice cannot be adopted by anyone who already uses them.", "layers": [ { "id": "reported-evidence", "name": "Reported evidence", "description": "Findings from the breadth pass, kept separate from the structural claims.", "findings": [ { "id": "evidence-confidence-notes", "name": "Check these first", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "The intended sense is inferred to be patient health history as information, rather than history taking or the history of medicine.", "Listed kinds are commonly distinguished components and may overlap rather than form exclusive categories.", "Standards are named from recall; applicable editions, implementation profiles and jurisdictional requirements require verification." ], "questions": [ { "id": "evidence-confidence-notes-q01", "text": "Which of these check these first hold for the sense of medical history this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-kinds", "name": "Kinds and varieties", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "History of the present illness", "Past medical and surgical history", "Medication history", "Allergy and adverse reaction history", "Family health history", "Social and occupational history" ], "questions": [ { "id": "evidence-kinds-q01", "text": "Which of these kinds and varieties hold for the sense of medical history this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-identifiers", "name": "Identifiers and schemes", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ { "scheme": "Medical record number", "value_or_pattern": "Locally assigned identifier", "note": "Links the history to a patient within an organisation; it does not uniquely identify the history itself across organisations." }, { "scheme": "SNOMED CT", "value_or_pattern": "Numeric concept identifier", "note": "Can encode clinical concepts recorded in a history; it is not an identifier for the complete account." } ], "questions": [ { "id": "evidence-identifiers-q01", "text": "Which of these identifiers and schemes hold for the sense of medical history this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-standards-and-regulation", "name": "Standards and regulation", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "HL7 Clinical Document Architecture (CDA), issued by Health Level Seven International, supports structured clinical documents containing history information.", "HL7 FHIR, issued by Health Level Seven International, supports exchange of information such as conditions, procedures, allergies and family history.", "ISO 27269, International Patient Summary, issued by the International Organization for Standardization, specifies a core patient summary that includes relevant historical information." ], "questions": [ { "id": "evidence-standards-and-regulation-q01", "text": "Which of these standards and regulation hold for the sense of medical history this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-real-world-use", "name": "Real-world use", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Informing differential diagnosis and selection of investigations.", "Identifying medication exposure, allergies and previous adverse reactions.", "Supporting continuity of care between clinicians and organisations.", "Assessing familial, occupational and behavioural risk factors.", "Planning treatment in light of previous conditions, procedures and responses to care." ], "questions": [ { "id": "evidence-real-world-use-q01", "text": "Which of these real-world use hold for the sense of medical history this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-failure-modes-and-hazards", "name": "Failure modes and hazards", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Omissions, recall errors or communication barriers produce an incomplete account.", "Information is attributed to the wrong patient.", "Copied or outdated entries perpetuate errors and obscure changes.", "Patient reports, suspected diagnoses and confirmed findings are conflated.", "Unauthorised disclosure exposes sensitive personal or family information." ], "questions": [ { "id": "evidence-failure-modes-and-hazards-q01", "text": "Which of these failure modes and hazards hold for the sense of medical history this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-regional-variation", "name": "Regional variation", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Documentation terminology, templates and expectations vary across health systems and clinical specialties.", "Privacy, access, retention and information-sharing requirements vary by jurisdiction.", "Patient identification and interoperability arrangements differ between countries and organisations." ], "questions": [ { "id": "evidence-regional-variation-q01", "text": "Which of these regional variation hold for the sense of medical history this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-neighbours", "name": "Neighbouring kinds and how to tell them apart", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ { "name": "Medical record", "difference": "The medical record includes examination findings, test results, orders and other documentation; medical history is one component." }, { "name": "History taking", "difference": "History taking is the activity of eliciting information; medical history is the resulting account or its informational content." }, { "name": "Physical examination", "difference": "A physical examination supplies observed or elicited bodily findings; a medical history principally supplies reported and previously documented information." }, { "name": "Problem list", "difference": "A problem list summarises identified health problems; a medical history also records chronology, context and relevant experiences." }, { "name": "History of medicine", "difference": "History of medicine studies the development of medical knowledge and practice rather than an individual's health and care." } ], "questions": [ { "id": "evidence-neighbours-q01", "text": "Which of these neighbouring kinds and how to tell them apart hold for the sense of medical history this model covers, and on what evidence?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Does the registry intend medical history to cover both the informational account and history-taking, or should the activity remain exclusively in a neighbouring model?", "Which existing Vercy models already own patient identity, medical records, medication exposure and clinical events, and where should this model link to them?", "Which terminology and exchange standards should guide condition status, reaction classification, missingness and approximate historical dates?", "What review criteria establish sufficient coverage and freshness for each intended clinical use?", "Which jurisdictional, institutional and patient-specific rules govern sensitive history segments, third-party information and correction rights?" ], "statistics": { "bundles": 6, "layers": 11, "findings": 18, "questions": 29 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "discipline or field of knowledge", "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 history, record what state it is in, and decide what may be done with it.", "whatItIs": "Enable an AI agent to recognise a person's medical history, assess its relevance and reliability, and determine how it may be collected, reconciled, summarised or shared.", "characteristics": { "substance": "information", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "read and interpreted" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: history of hygiene, history of obstetrics, review of systems, family medical history, chief complaint, history of the present illness, past medical history, social history, Social history of viruses, reproductive history.", "10 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 58 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 history, 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" ], "howItIsRecognised": [], "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": [ "history of hygiene", "history of obstetrics", "review of systems", "family medical history", "chief complaint", "history of the present illness", "past medical history", "social history", "Social history of viruses", "reproductive history" ] } ], "standing": "Described in 58 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 10 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 history from another, and a medical history 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 history, 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 history, 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 history 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 history, 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 history, 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 history 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 history 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 history, 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 history, 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 history 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 history from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a medical history, 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 history, 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 history 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 history 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 history between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a medical history, 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 history, 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 history 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 history, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a medical history 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 history, 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 history, 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 history 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 history 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 history contains and in what form it is held.", "questions": [ { "id": "content-and-format-q01", "text": "What identifies and describes the content of a medical history, 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 history, 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 history 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 history and the period it survives.", "questions": [ { "id": "access-rules-q01", "text": "What identifies and describes access to a medical history, 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 history, 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 history is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "subject-and-method", "name": "Subject matter and method", "description": "What medical history studies and how it establishes anything.", "rationale": "A field is identified by its questions and its methods, and those are what distinguish it from the fields next to it.", "layers": [ { "id": "subject", "name": "Subject matter", "description": "The questions it takes as its own.", "findings": [ { "id": "subject-record", "name": "Questions and objects of study", "description": "What it is about, stated so a neighbouring field can be told apart.", "questions": [ { "id": "subject-record-q01", "text": "What questions and objects does medical history take as its own?", "kind": "definition" }, { "id": "subject-record-q02", "text": "Which questions does it share with a neighbouring field, and who claims them?", "kind": "boundary" } ] } ] }, { "id": "method", "name": "Method and evidence", "description": "How claims are established and what counts as evidence.", "findings": [ { "id": "method-record", "name": "Methods and standards of evidence", "description": "The methods used and what they are taken to establish.", "questions": [ { "id": "method-record-q01", "text": "By what methods does medical history establish claims, and what counts as sufficient evidence?", "kind": "provenance" }, { "id": "method-record-q02", "text": "What kind of claim can this field not settle, and where should an agent look instead?", "kind": "action" } ] } ] } ] }, { "id": "institutions-and-classification", "name": "Institutions and classification", "description": "Where medical history is practised and how catalogues place it.", "rationale": "The institutional footprint is the evidence that a field exists as a field rather than as a topic.", "layers": [ { "id": "institutions", "name": "Institutional markers", "description": "Societies, journals, degrees and departments.", "findings": [ { "id": "institution-record", "name": "Bodies and venues", "description": "Where the field organises itself.", "questions": [ { "id": "institution-record-q01", "text": "Which societies, journals or degrees mark medical history as an established field?", "kind": "provenance" }, { "id": "institution-record-q02", "text": "What would show that it is emerging or dissolving rather than established?", "kind": "boundary" } ] } ] }, { "id": "classification", "name": "Classification schemes", "description": "Where library and research classifications put it.", "findings": [ { "id": "classification-record", "name": "Codes and their disagreements", "description": "The classification codes that place it, and where they differ.", "questions": [ { "id": "classification-record-q01", "text": "Which classification schemes place medical history, under what codes?", "kind": "definition" }, { "id": "classification-record-q02", "text": "Where do those schemes disagree about its scope?", "kind": "boundary" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a medical history 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 history and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a medical history, 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 history, 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 history 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 history is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a medical history, 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 history, 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 history 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 } } } }