{ "model": { "rank": 8630, "code": "thing-q190805", "model_id": "vr.tr.heart-disease", "name": "heart disease", "purpose": "Let an agent give general, non-diagnostic information about heart disease, emergency signs first, and route people to health professionals.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q190805/", "tier": 2, "score": 50, "payload": { "layer": "wikidata", "aliases": [ "heart cancer", "pericardium cancer", "malignant cardiac germ cell tumor", "heart sarcoma", "endocardium cancer", "myocardium cancer", "metastasis to heart", "carcinoid heart disease", "Hedinger syndrome", "epicarditis", "pancarditis", "pericarditis", "carditis", "cardiac amyloidosis", "myopericarditis", "Dressler's syndrome", "epistenocardiac pericarditis", "histoplasmosis pericarditis", "chronic rheumatic pericarditis", "Histoplasma duboisii pericarditis", "gonococcal pericarditis", "coxsackie pericarditis", "meningococcal pericarditis", "constrictive pericarditis", "acute pericarditis", "adhesive pericarditis", "pericardial tuberculosis", "uremic pericarditis", "postpericardiotomy syndrome", "Histoplasma capsulatum pericarditis", "pulmonary valve syphilitic endocarditis", "aortic valve syphilitic endocarditis", "tricuspid valve syphilitic endocarditis", "mitral valve syphilitic endocarditis", "cardiac tuberculosis", "cardiotoxicity", "cardiomyopathy due to anthracyclines", "heart injury", "endocardium disease", "tricuspid valve disease" ], "aliasCount": 90, "merged": 90, "knownIn": 50, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": "vr.tr.heart-disease", "source": { "dataset": "wikidata", "item": "Q190805", "url": "https://www.wikidata.org/wiki/Q190805", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-11T07:15:41Z", "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-Q190805", "registryId": "vr.tr.heart-disease", "name": "heart disease", "version": "0.2.0-wave.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q190805/", "model": { "registry_id": "vr.tr.heart-disease", "name": "heart disease", "purpose": "Let an agent give general, non-diagnostic information about heart disease, emergency signs first, and route people to health professionals.", "definition": "Any disease affecting the heart, including coronary artery disease, heart failure, arrhythmias, valve disease, cardiomyopathies, congenital heart defects and, rarely, tumours of the heart; a leading cause of death worldwide.", "what_it_is_for": "A group of medical conditions diagnosed and treated by health professionals.", "affordances": [ "call emergency services for heart attack symptoms", "get checked for risk factors", "follow prevention guidance", "access cardiac rehabilitation" ], "distinguishing_features": [ "Diseases of the heart", "Many types", "Leading cause of death", "Largely preventable risk factors" ], "appearance": "Not visible externally; symptoms may include chest pain, breathlessness, palpitations or swelling.", "visual_identification": [ "Diagnoses such as coronary artery disease or heart failure", "Tests such as ECG and echocardiogram", "Heart tumours are rare conditions in this group" ], "physical_properties": [], "families_and_kinds": [ "coronary artery disease", "heart failure", "arrhythmias", "valve disease", "cardiomyopathies", "congenital heart disease", "cardiac tumours" ], "related_models": [ { "relation": "is a kind of", "target": "cardiovascular disease", "why": "category" }, { "relation": "affects", "target": "heart", "why": "organ" }, { "relation": "is treated by", "target": "cardiologist", "why": "professional" }, { "relation": "is prevented by", "target": "healthy lifestyle and risk factor control", "why": "prevention" } ], "identifiers": [ { "scheme": "ICD-11", "value_or_pattern": "chapter BA-BE", "note": "diseases of the circulatory system" } ], "standards_and_regulation": [ "ESC clinical guidelines", "AHA/ACC guidelines", "WHO HEARTS technical package" ], "failure_modes_and_hazards": [ "Delaying emergency care for heart attack symptoms", "Diagnosis by an agent", "Stopping medication without advice" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "emergency", "name": "Emergency", "description": "Symptoms first.", "rationale": "Heart attacks need fast action.", "layers": [ { "id": "symptoms", "name": "Symptoms", "description": "Warning signs.", "findings": [ { "id": "symptoms-finding", "name": "Symptoms", "description": "Emergency signs.", "questions": [ { "text": "Are there symptoms such as chest pain or breathlessness that need emergency services now?", "kind": "boundary" }, { "text": "What is the local emergency number?", "kind": "action" } ] } ] }, { "id": "first-aid", "name": "First aid", "description": "CPR and AED.", "findings": [ { "id": "first-aid-finding", "name": "First aid", "description": "First aid.", "questions": [ { "text": "If someone collapses, how are CPR and a defibrillator used?", "kind": "action" }, { "text": "Where is the nearest defibrillator?", "kind": "action" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Diagnosis and treatment.", "rationale": "Care is professional.", "layers": [ { "id": "diagnosis", "name": "Diagnosis", "description": "Tests.", "findings": [ { "id": "diagnosis-finding", "name": "Diagnosis", "description": "Diagnosis.", "questions": [ { "text": "Which tests might a doctor use?", "kind": "definition" }, { "text": "How can someone get assessed?", "kind": "action" } ] } ] }, { "id": "treatment", "name": "Treatment", "description": "Options.", "findings": [ { "id": "treatment-finding", "name": "Treatment", "description": "Treatment.", "questions": [ { "text": "Which treatments do guidelines describe for this condition?", "kind": "provenance" }, { "text": "Who decides with the patient?", "kind": "boundary" } ] } ] } ] }, { "id": "prevention", "name": "Prevention", "description": "Risk factors.", "rationale": "Much is preventable.", "layers": [ { "id": "risk", "name": "Risk factors", "description": "Blood pressure, smoking.", "findings": [ { "id": "risk-finding", "name": "Risk", "description": "Risk factors.", "questions": [ { "text": "Which risk factors apply, and how can they be checked?", "kind": "measurement" }, { "text": "What does official guidance recommend?", "kind": "provenance" } ] } ] }, { "id": "rehab", "name": "Rehabilitation", "description": "Recovery.", "findings": [ { "id": "rehab-finding", "name": "Rehab", "description": "Cardiac rehabilitation.", "questions": [ { "text": "Is cardiac rehabilitation available?", "kind": "action" }, { "text": "How can it be accessed?", "kind": "action" } ] } ] } ] }, { "id": "information", "name": "Information", "description": "Understanding.", "rationale": "Reliable information helps.", "layers": [ { "id": "types", "name": "Types", "description": "Conditions.", "findings": [ { "id": "types-finding", "name": "Types", "description": "Condition types.", "questions": [ { "text": "Which type of heart disease is meant?", "kind": "definition" }, { "text": "Which specific entry fits?", "kind": "action" } ] } ] }, { "id": "statistics", "name": "Statistics", "description": "Burden.", "findings": [ { "id": "statistics-finding", "name": "Statistics", "description": "Statistics.", "questions": [ { "text": "How common is it, according to which source?", "kind": "measurement" }, { "text": "For which population and year?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Should heart disease types be separate entries?", "How should emergency numbers be localised?", "How should guidelines be linked?" ], "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 heart disease, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent give general, non-diagnostic information about heart disease, emergency signs first, and route people to health professionals.", "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: heart cancer, pericardium cancer, malignant cardiac germ cell tumor, heart sarcoma, endocardium cancer, myocardium cancer, metastasis to heart, carcinoid heart disease, Hedinger syndrome, epicarditis, pancarditis, pericarditis.", "90 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 50 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 heart disease, 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": [ "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": [ "heart cancer", "pericardium cancer", "malignant cardiac germ cell tumor", "heart sarcoma", "endocardium cancer", "myocardium cancer", "metastasis to heart", "carcinoid heart disease", "Hedinger syndrome", "epicarditis", "pancarditis", "pericarditis" ] } ], "standing": "Described in 50 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 90 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 heart disease from another, and a heart disease 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 heart disease, 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 heart disease, 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 heart disease 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 heart disease, 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 heart disease, 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 heart disease 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 heart disease 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 heart disease, 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 heart disease, 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 heart disease 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 heart disease from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a heart disease, 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 heart disease, 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 heart disease 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 heart disease 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 heart disease between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a heart disease, 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 heart disease, 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 heart disease 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 heart disease, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a heart disease 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 heart disease, 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 heart disease, 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 heart disease 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 heart disease 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 heart disease, 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 heart disease, 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 heart disease 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 heart disease 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 heart disease, 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 heart disease 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 heart disease and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a heart disease, 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 heart disease, 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 heart disease 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 heart disease is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a heart disease, 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 heart disease, 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 heart disease 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 } } } }