{
    "model": {
        "rank": 15338,
        "code": "thing-q2671652",
        "model_id": "vr.tr.medical-test",
        "name": "medical test",
        "purpose": "Let an agent explain medical tests in general terms, how to access them and what to expect, without interpreting personal results or diagnosing.",
        "family": "Thing Registry",
        "category": "Activities and processes",
        "status": "research-draft",
        "kind": "thing",
        "plane": "ACT",
        "domain": "ACT.ACT",
        "industry": "",
        "version": "",
        "url": "/models/thing/q2671652/",
        "tier": 2,
        "score": 34,
        "payload": {
            "layer": "wikidata",
            "aliases": [
                "drug rehab aftercare program",
                "bone marrow examination",
                "medical examination for driving licence",
                "whole body plethysmography",
                "point-of-care genetic testing",
                "radioimmunoassay",
                "vision test",
                "myelogram",
                "bone marrow aspiration",
                "latex fixation test",
                "immunoradiometric assay",
                "radioimmunosorbent test",
                "lower gastrointestinal series",
                "visual acuity test",
                "campimetry",
                "eye testing using speckle",
                "color perception test",
                "vision screening",
                "ocular refraction",
                "six minute walking test",
                "Double-contrast barium enema",
                "brainstem auditory evoked potential",
                "brainstem auditory evoked potencial curve I",
                "wave II of the auditory brainstem response",
                "wave III of the auditory brainstem response",
                "wave IV of the auditory brainstem response",
                "wave V of the auditory brainstem response",
                "immunoturbidimetry",
                "fecal occult blood test",
                "genetic testing",
                "mental status examination",
                "genealogical DNA test",
                "multigene test",
                "multiplex genomic test",
                "mutation analysis",
                "medical genetic test",
                "Epigenetic Testing",
                "carrier testing",
                "Predictive testing",
                "Elective genetic and genomic testing"
            ],
            "aliasCount": 176,
            "merged": 176,
            "knownIn": 34,
            "facets": null,
            "markers": [],
            "lexicalClass": "",
            "senseRank": null,
            "alsoRegisteredAs": null,
            "source": {
                "dataset": "wikidata",
                "item": "Q2671652",
                "url": "https://www.wikidata.org/wiki/Q2671652",
                "license": "CC0 1.0"
            }
        },
        "research": {
            "vercy": "1.0-draft",
            "publication": {
                "status": "research-draft",
                "adjudicationStatus": "unreviewed",
                "publishableCanonical": false,
                "generatedAt": "2026-09-11T10:06:49Z",
                "providers": [
                    "Claude"
                ],
                "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify",
                "pass": 2,
                "wave": 1,
                "engine": "claude"
            },
            "metaModel": {
                "id": "THING-Q2671652",
                "registryId": "vr.tr.medical-test",
                "name": "medical test",
                "version": "0.2.0-wave.1",
                "entryKind": "thing",
                "family": "Thing Registry",
                "domain": [
                    "ACT.ACT"
                ],
                "status": "research-draft"
            },
            "canonicalUrl": "https://ver.cy/models/thing/q2671652/",
            "model": {
                "registry_id": "vr.tr.medical-test",
                "name": "medical test",
                "purpose": "Let an agent explain medical tests in general terms, how to access them and what to expect, without interpreting personal results or diagnosing.",
                "definition": "A procedure performed to detect, diagnose, monitor or screen for diseases or conditions, such as blood tests, imaging, biopsies, genetic tests, lung function tests and screening programmes.",
                "what_it_is_for": "Diagnosis, monitoring and screening in healthcare.",
                "affordances": [
                    "explain what a test measures in general terms",
                    "describe preparation and what to expect",
                    "find screening programmes",
                    "understand privacy of results"
                ],
                "distinguishing_features": [
                    "Informs clinical decisions",
                    "Has accuracy limits",
                    "Needs interpretation by clinicians",
                    "Results are private health data"
                ],
                "appearance": "Samples, scans, instruments and reports.",
                "visual_identification": [
                    "Laboratory, imaging and physiological tests",
                    "Reference ranges on reports",
                    "Educational tests are a different sense"
                ],
                "physical_properties": [],
                "families_and_kinds": [
                    "laboratory tests",
                    "imaging tests",
                    "physiological tests such as ECG and spirometry",
                    "genetic tests",
                    "screening programmes"
                ],
                "related_models": [
                    {
                        "relation": "is a kind of",
                        "target": "test and technique",
                        "why": "category"
                    },
                    {
                        "relation": "supports",
                        "target": "diagnosis",
                        "why": "purpose"
                    },
                    {
                        "relation": "is performed by",
                        "target": "healthcare professional and laboratory",
                        "why": "provider"
                    },
                    {
                        "relation": "produces",
                        "target": "test result",
                        "why": "output"
                    }
                ],
                "identifiers": [],
                "standards_and_regulation": [
                    "ISO 15189 medical laboratories",
                    "EU In Vitro Diagnostic Regulation",
                    "Health data protection law"
                ],
                "failure_modes_and_hazards": [
                    "Agents interpreting personal results",
                    "False positives and negatives",
                    "Unregulated direct-to-consumer tests"
                ],
                "in_scope": [],
                "out_of_scope": [],
                "characteristics": []
            },
            "sources": [],
            "structure": {
                "bundles": [
                    {
                        "id": "test",
                        "name": "Test",
                        "description": "Which test.",
                        "rationale": "Tests differ.",
                        "layers": [
                            {
                                "id": "purpose",
                                "name": "Purpose",
                                "description": "What it measures.",
                                "findings": [
                                    {
                                        "id": "purpose-finding",
                                        "name": "Purpose",
                                        "description": "Test purpose.",
                                        "questions": [
                                            {
                                                "text": "What does this test measure, in general terms?",
                                                "kind": "definition"
                                            },
                                            {
                                                "text": "Is it for diagnosis, monitoring or screening?",
                                                "kind": "definition"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "accuracy",
                                "name": "Accuracy",
                                "description": "Limits.",
                                "findings": [
                                    {
                                        "id": "accuracy-finding",
                                        "name": "Accuracy",
                                        "description": "Accuracy.",
                                        "questions": [
                                            {
                                                "text": "What are its sensitivity and specificity, according to reliable sources?",
                                                "kind": "measurement"
                                            },
                                            {
                                                "text": "What causes false results?",
                                                "kind": "definition"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "patient",
                        "name": "Patient",
                        "description": "What to expect.",
                        "rationale": "Preparation matters.",
                        "layers": [
                            {
                                "id": "preparation",
                                "name": "Preparation",
                                "description": "Before the test.",
                                "findings": [
                                    {
                                        "id": "preparation-finding",
                                        "name": "Preparation",
                                        "description": "Preparation.",
                                        "questions": [
                                            {
                                                "text": "What preparation does the provider ask for?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Are there risks to discuss with the clinician?",
                                                "kind": "boundary"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "access",
                                "name": "Access",
                                "description": "Where.",
                                "findings": [
                                    {
                                        "id": "access-finding",
                                        "name": "Access",
                                        "description": "Access.",
                                        "questions": [
                                            {
                                                "text": "How can the test be arranged, through a doctor or screening programme?",
                                                "kind": "action"
                                            },
                                            {
                                                "text": "Is it free under the public health system?",
                                                "kind": "provenance"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "results",
                        "name": "Results",
                        "description": "Interpretation.",
                        "rationale": "Clinicians interpret results.",
                        "layers": [
                            {
                                "id": "interpret",
                                "name": "Interpret",
                                "description": "No personal interpretation.",
                                "findings": [
                                    {
                                        "id": "interpret-finding",
                                        "name": "Interpret",
                                        "description": "Interpretation limit.",
                                        "questions": [
                                            {
                                                "text": "Is the user asking the agent to interpret their own results?",
                                                "kind": "boundary"
                                            },
                                            {
                                                "text": "How should they discuss them with a clinician?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "urgent",
                                "name": "Urgent",
                                "description": "Worrying symptoms.",
                                "findings": [
                                    {
                                        "id": "urgent-finding",
                                        "name": "Urgent",
                                        "description": "Urgent symptoms.",
                                        "questions": [
                                            {
                                                "text": "Are there urgent symptoms that need immediate care?",
                                                "kind": "boundary"
                                            },
                                            {
                                                "text": "Which service should be contacted?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "rights",
                        "name": "Rights",
                        "description": "Data and consent.",
                        "rationale": "Results are private.",
                        "layers": [
                            {
                                "id": "privacy",
                                "name": "Privacy",
                                "description": "Health data.",
                                "findings": [
                                    {
                                        "id": "privacy-finding",
                                        "name": "Privacy",
                                        "description": "Privacy.",
                                        "questions": [
                                            {
                                                "text": "Who can access the results?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "How can a patient get a copy?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "dtc",
                                "name": "Direct-to-consumer",
                                "description": "Home tests.",
                                "findings": [
                                    {
                                        "id": "dtc-finding",
                                        "name": "Direct-to-consumer",
                                        "description": "Home tests.",
                                        "questions": [
                                            {
                                                "text": "Is this home test approved or CE-marked for this use?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Should results be confirmed by a clinician?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    }
                ]
            },
            "openQuestions": [
                "Should each test be a separate entry?",
                "How should screening programmes be localised?",
                "How should accuracy data be sourced?"
            ],
            "statistics": {
                "bundles": 4,
                "layers": 8,
                "findings": 8,
                "questions": 16
            }
        },
        "draft": {
            "generator": "vr.draft.v3",
            "status": "draft-generated",
            "researched": false,
            "archetype": "abstract concept",
            "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.",
            "facetsInferred": true,
            "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.",
            "purpose": "Give an agent a durable, checkable way to recognise a medical test, record what state it is in, and decide what may be done with it.",
            "whatItIs": "Let an agent explain medical tests in general terms, how to access them and what to expect, without interpreting personal results or diagnosing.",
            "characteristics": {
                "substance": "activity",
                "origin": "conceptual",
                "agency": "inert"
            },
            "whatYouCanDoWithIt": [
                "observed and measured"
            ],
            "distinguishingFeatures": [
                "Names folded into this entry, which a task may need to split apart again: drug rehab aftercare program, bone marrow examination, medical examination for driving licence, whole body plethysmography, point-of-care genetic testing, radioimmunoassay, vision test, myelogram, bone marrow aspiration, latex fixation test, immunoradiometric assay, radioimmunosorbent test.",
                "176 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.",
                "Described in 34 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 test, and on what evidence are they told apart?"
            ],
            "whatItIsMadeOf": "something that happens over time",
            "physicalCharacter": [
                "Does nothing on its own; everything it does, something else did to it.",
                "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing."
            ],
            "whatCanBeDoneWithIt": [
                "observe it, measure it, record its state"
            ],
            "howItIsRecognised": [
                "Nothing to see. What is recognised is an instance of it, and which instances count is exactly what is argued about."
            ],
            "relatedModels": [
                {
                    "relation": "covers",
                    "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.",
                    "targets": [
                        "drug rehab aftercare program",
                        "bone marrow examination",
                        "medical examination for driving licence",
                        "whole body plethysmography",
                        "point-of-care genetic testing",
                        "radioimmunoassay",
                        "vision test",
                        "myelogram",
                        "bone marrow aspiration",
                        "latex fixation test",
                        "immunoradiometric assay",
                        "radioimmunosorbent test"
                    ]
                }
            ],
            "standing": "Described in 34 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 176 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 test from another, and a medical test 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 test, 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 test, 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 test 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 test, 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 test, 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 test 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 test 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 test, 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 test, 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 test 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 test from the things most often confused with it.",
                                        "questions": [
                                            {
                                                "id": "distinguishing-features-q01",
                                                "text": "What identifies and describes what distinguishes a medical test, 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 test, 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 test 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 test 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 test between them.",
                                        "questions": [
                                            {
                                                "id": "stages-and-transitions-q01",
                                                "text": "What identifies and describes the lifecycle of a medical test, 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 test, 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 test 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 test, how often and by whom.",
                                "findings": [
                                    {
                                        "id": "observation-record",
                                        "name": "Observation record",
                                        "description": "How an observation of a medical test 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 test, 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 test, 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 test is known, and what must it refuse?",
                                                "kind": "action",
                                                "answer_data": [
                                                    "permitted actions",
                                                    "preconditions",
                                                    "refusals",
                                                    "escalation"
                                                ]
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "process-and-outcome",
                        "name": "Process, inputs and outcome",
                        "description": "How a medical test proceeds, what it needs and what it leaves behind.",
                        "rationale": "An activity is known by its steps and its results, and both have to be recordable while it is still running.",
                        "layers": [
                            {
                                "id": "steps-and-sequence",
                                "name": "Steps and sequence",
                                "description": "The steps of a medical test, their order and what may run in parallel.",
                                "findings": [
                                    {
                                        "id": "steps-and-preconditions",
                                        "name": "Steps, preconditions and completion",
                                        "description": "What has to be true before each step of a medical test and what marks it done.",
                                        "questions": [
                                            {
                                                "id": "steps-and-preconditions-q01",
                                                "text": "What identifies and describes a step of a medical test, and in what units or vocabulary?",
                                                "kind": "definition",
                                                "answer_data": [
                                                    "identifiers",
                                                    "types and classes",
                                                    "values with units",
                                                    "explicit unknowns"
                                                ]
                                            },
                                            {
                                                "id": "steps-and-preconditions-q02",
                                                "text": "Who or what asserted this about a step of a medical test, by which method, and when was it true?",
                                                "kind": "provenance",
                                                "answer_data": [
                                                    "authority",
                                                    "method",
                                                    "evidence",
                                                    "event time",
                                                    "knowledge time"
                                                ]
                                            },
                                            {
                                                "id": "steps-and-preconditions-q03",
                                                "text": "What may an agent decide or do once a step of a medical test is known, and what must it refuse?",
                                                "kind": "action",
                                                "answer_data": [
                                                    "permitted actions",
                                                    "preconditions",
                                                    "refusals",
                                                    "escalation"
                                                ]
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "inputs-and-results",
                                "name": "Inputs, resources and results",
                                "description": "What a medical test consumes and what it produces.",
                                "findings": [
                                    {
                                        "id": "inputs-and-outputs",
                                        "name": "Inputs, outputs and side effects",
                                        "description": "The resources a medical test takes and the results it leaves, wanted or not.",
                                        "questions": [
                                            {
                                                "id": "inputs-and-outputs-q01",
                                                "text": "What identifies and describes the inputs and results of a medical test, and in what units or vocabulary?",
                                                "kind": "definition",
                                                "answer_data": [
                                                    "identifiers",
                                                    "types and classes",
                                                    "values with units",
                                                    "explicit unknowns"
                                                ]
                                            },
                                            {
                                                "id": "inputs-and-outputs-q02",
                                                "text": "Who or what asserted this about the inputs and results of a medical test, by which method, and when was it true?",
                                                "kind": "provenance",
                                                "answer_data": [
                                                    "authority",
                                                    "method",
                                                    "evidence",
                                                    "event time",
                                                    "knowledge time"
                                                ]
                                            },
                                            {
                                                "id": "inputs-and-outputs-q03",
                                                "text": "What may an agent decide or do once the inputs and results of a medical test is known, and what must it refuse?",
                                                "kind": "action",
                                                "answer_data": [
                                                    "permitted actions",
                                                    "preconditions",
                                                    "refusals",
                                                    "escalation"
                                                ]
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "definitions-in-contest",
                        "name": "Definitions and who holds them",
                        "description": "What medical test is taken to mean, and by whom.",
                        "rationale": "When a field disagrees about a concept, the disagreement is the content. A model that picks one definition silently destroys the information.",
                        "layers": [
                            {
                                "id": "competing-definitions",
                                "name": "Competing definitions",
                                "description": "The main readings and the traditions behind them.",
                                "findings": [
                                    {
                                        "id": "definition-map",
                                        "name": "Definitions and their holders",
                                        "description": "Each definition with the school or body that holds it.",
                                        "questions": [
                                            {
                                                "id": "definition-map-q01",
                                                "text": "Which definitions of medical test are in use, and which tradition or body holds each?",
                                                "kind": "definition"
                                            },
                                            {
                                                "id": "definition-map-q02",
                                                "text": "What turns on the difference between them in practice?",
                                                "kind": "boundary"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "operationalisation",
                                "name": "Operationalisation",
                                "description": "How it is measured or applied when it has to be.",
                                "findings": [
                                    {
                                        "id": "operational-record",
                                        "name": "Measures and proxies",
                                        "description": "Instruments and indicators used to stand in for it.",
                                        "questions": [
                                            {
                                                "id": "operational-record-q01",
                                                "text": "How is medical test operationalised or measured in practice, and by what instrument?",
                                                "kind": "measurement"
                                            },
                                            {
                                                "id": "operational-record-q02",
                                                "text": "What does that operationalisation leave out, and when does that matter?",
                                                "kind": "boundary"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "instances-and-use",
                        "name": "Instances, use and consequence",
                        "description": "What counts as an instance of medical test and what follows from calling something that.",
                        "rationale": "Applying a concept is an act with consequences, so a model must say what the label licenses and what it does not.",
                        "layers": [
                            {
                                "id": "instances",
                                "name": "What counts as an instance",
                                "description": "Clear cases, borderline cases and non-cases.",
                                "findings": [
                                    {
                                        "id": "instance-tests",
                                        "name": "Tests for an instance",
                                        "description": "What would settle whether something falls under it.",
                                        "questions": [
                                            {
                                                "id": "instance-tests-q01",
                                                "text": "What would settle whether something is an instance of medical test?",
                                                "kind": "boundary"
                                            },
                                            {
                                                "id": "instance-tests-q02",
                                                "text": "Which borderline cases are argued about, and on what grounds?",
                                                "kind": "definition"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "consequence",
                                "name": "Consequence of application",
                                "description": "Rights, duties or decisions that follow from the label.",
                                "findings": [
                                    {
                                        "id": "consequence-record",
                                        "name": "What the label licenses",
                                        "description": "What an agent may do once something is classified this way.",
                                        "questions": [
                                            {
                                                "id": "consequence-record-q01",
                                                "text": "What follows practically once something is treated as medical test?",
                                                "kind": "action"
                                            },
                                            {
                                                "id": "consequence-record-q02",
                                                "text": "What must an agent not infer from the label alone?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "provenance-and-evidence",
                        "name": "Provenance, evidence and time",
                        "description": "Where every claim about a medical test 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 test and how confident it is.",
                                        "questions": [
                                            {
                                                "id": "claim-provenance-q01",
                                                "text": "What identifies and describes a claim about a medical test, 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 test, 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 test 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 test is retired without being erased.",
                                        "questions": [
                                            {
                                                "id": "validity-and-supersession-q01",
                                                "text": "What identifies and describes the validity of a claim about a medical test, 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 test, 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 test 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
            }
        }
    }
}