{ "model": { "rank": 17765, "code": "thing-q283656", "model_id": "vr.tr.dilated-cardiomyopathy", "name": "dilated cardiomyopathy", "purpose": "Let an agent explain dilated cardiomyopathy in general terms, relay diagnosis, treatment and genetic testing information from cardiology guidelines, describe warning signs, and route personal symptoms and treatment questions to clinicians.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q283656/", "tier": 2, "score": 30, "payload": { "layer": "wikidata", "aliases": [ "dilated cardiomyopathy 1A", "dilated cardiomyopathy 1V", "dilated cardiomyopathy 1GG", "dilated cardiomyopathy 1JJ", "dilated cardiomyopathy 2B", "dilated cardiomyopathy 1B", "dilated cardiomyopathy 1DD", "dilated cardiomyopathy 1R", "dilated cardiomyopathy 2A", "dilated cardiomyopathy 1H", "dilated cardiomyopathy 1G", "dilated cardiomyopathy 1I", "dilated cardiomyopathy 1Z", "dilated cardiomyopathy 1L", "dilated cardiomyopathy 1K", "dilated cardiomyopathy 1P", "dilated cardiomyopathy 1Q", "dilated cardiomyopathy 1W", "dilated cardiomyopathy 1M", "dilated cardiomyopathy 1O", "dilated cardiomyopathy 1T", "dilated cardiomyopathy 1EE", "dilated cardiomyopathy 1BB", "dilated cardiomyopathy 1FF", "dilated cardiomyopathy in dogs", "dilated cardiomyopathy 2C", "cardiomyopathy, dilated, 2D", "DMD-related dilated cardiomyopathy", "dilated cardiomyopathy 1C", "dilated cardiomyopathy 1CC", "dilated cardiomyopathy 1D", "dilated cardiomyopathy 1AA", "dilated cardiomyopathy 1NN", "dilated cardiomyopathy 1E", "dilated cardiomyopathy 1X", "dilated cardiomyopathy 1KK", "dilated cardiomyopathy 1HH", "dilated cardiomyopathy 1II", "dilated cardiomyopathy 1S", "dilated cardiomyopathy 1U" ], "aliasCount": 45, "merged": 45, "knownIn": 30, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q283656", "url": "https://www.wikidata.org/wiki/Q283656", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-12T21:17:39Z", "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": 3, "engine": "claude" }, "metaModel": { "id": "THING-Q283656", "registryId": "vr.tr.dilated-cardiomyopathy", "name": "dilated cardiomyopathy", "version": "0.2.0-wave.3", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q283656/", "model": { "registry_id": "vr.tr.dilated-cardiomyopathy", "name": "dilated cardiomyopathy", "purpose": "Let an agent explain dilated cardiomyopathy in general terms, relay diagnosis, treatment and genetic testing information from cardiology guidelines, describe warning signs, and route personal symptoms and treatment questions to clinicians.", "definition": "A disease of the heart muscle in which the left ventricle enlarges and weakens so that the heart pumps less effectively, leading to heart failure, arrhythmias and blood clots; causes include genetic variants, viral infection, alcohol, chemotherapy, pregnancy and unknown factors, and it is managed with heart failure medicines, devices and in severe cases transplantation.", "what_it_is_for": "Not applicable; a disease.", "affordances": [ "explain the condition and causes", "relay diagnosis and treatment from guidelines", "describe warning signs needing urgent care", "route personal questions to clinicians" ], "distinguishing_features": [ "Ventricular dilation and weakness", "Many causes including genetic", "Leads to heart failure and arrhythmia", "Managed with heart failure therapy" ], "appearance": "Not visible as an object; breathlessness, swelling and fatigue in the affected person; enlarged heart on imaging.", "visual_identification": [ "Enlarged, weakened left ventricle", "Reduced ejection fraction", "Hypertrophic and restrictive cardiomyopathies are different diseases" ], "physical_properties": [ { "quantity": "prevalence", "typical_range": "about 1 in 250 to 1 in 2500", "unit": "people", "note": "estimates vary" }, { "quantity": "genetic cases", "typical_range": "about 30-50", "unit": "percent", "note": "familial" } ], "families_and_kinds": [ "familial dilated cardiomyopathy with many genetic subtypes", "idiopathic dilated cardiomyopathy", "alcohol-related cardiomyopathy", "peripartum cardiomyopathy", "chemotherapy-related cardiomyopathy", "post-viral cardiomyopathy" ], "related_models": [ { "relation": "is a kind of", "target": "cardiomyopathy", "why": "the category" }, { "relation": "leads to", "target": "heart failure", "why": "the main consequence" }, { "relation": "is confused with", "target": "hypertrophic cardiomyopathy", "why": "a different disease" }, { "relation": "is treated by", "target": "cardiology", "why": "the specialty" } ], "identifiers": [ { "scheme": "ICD-10", "value_or_pattern": "I42.0", "note": "" }, { "scheme": "ICD-11", "value_or_pattern": "BC43.0", "note": "" }, { "scheme": "OMIM", "value_or_pattern": "115200 and others", "note": "genetic forms" } ], "standards_and_regulation": [ "Cardiology guidelines on cardiomyopathy and heart failure", "Genetic testing and counselling guidelines", "Device and transplant regulation" ], "failure_modes_and_hazards": [ "Sudden cardiac death from arrhythmia", "Progressive heart failure", "Undiagnosed family members in genetic forms", "Agents giving personal medical advice" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "What it is.", "rationale": "General information.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition and causes.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "What is dilated cardiomyopathy, and what causes it?", "kind": "definition" }, { "text": "Is the user describing symptoms such as breathlessness or fainting, which need a clinician or emergency care?", "kind": "boundary" } ] } ] }, { "id": "distinguish", "name": "Distinguish", "description": "Other cardiomyopathies.", "findings": [ { "id": "distinguish-finding", "name": "Distinguish", "description": "Distinguish.", "questions": [ { "text": "How does it differ from hypertrophic, restrictive and other cardiomyopathies?", "kind": "definition" }, { "text": "Which entry fits another cardiomyopathy?", "kind": "action" } ] } ] } ] }, { "id": "diagnose", "name": "Diagnose", "description": "Diagnosis and genetics.", "rationale": "Clinical.", "layers": [ { "id": "tests", "name": "Tests", "description": "Investigations.", "findings": [ { "id": "tests-finding", "name": "Tests", "description": "Tests.", "questions": [ { "text": "How is it diagnosed by imaging and other tests, in general terms?", "kind": "provenance" }, { "text": "Which entry fits echocardiography?", "kind": "action" } ] } ] }, { "id": "genetics", "name": "Genetics", "description": "Genetic testing.", "findings": [ { "id": "genetics-finding", "name": "Genetics", "description": "Genetics.", "questions": [ { "text": "What do guidelines say about genetic testing and family screening?", "kind": "provenance" }, { "text": "Which entry fits genetic counselling?", "kind": "action" } ] } ] } ] }, { "id": "treat", "name": "Treat", "description": "Treatment.", "rationale": "Care.", "layers": [ { "id": "treatment", "name": "Treatment", "description": "Treatment.", "findings": [ { "id": "treatment-finding", "name": "Treatment", "description": "Treatment.", "questions": [ { "text": "What treatments do guidelines describe, from medicines to devices and transplantation?", "kind": "provenance" }, { "text": "Is the presentation free of personal treatment advice?", "kind": "boundary" } ] } ] }, { "id": "living", "name": "Living", "description": "Living with the condition.", "findings": [ { "id": "living-finding", "name": "Living", "description": "Living.", "questions": [ { "text": "What lifestyle, activity and support information do cardiology bodies provide?", "kind": "provenance" }, { "text": "Which entry fits heart failure?", "kind": "action" } ] } ] } ] }, { "id": "study", "name": "Study", "description": "Research and teaching.", "rationale": "Study.", "layers": [ { "id": "research", "name": "Research", "description": "Research.", "findings": [ { "id": "research-finding", "name": "Research", "description": "Research.", "questions": [ { "text": "What research exists on genetics and therapies, with attribution?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "teach", "name": "Teach", "description": "Teaching.", "findings": [ { "id": "teach-finding", "name": "Teach", "description": "Teaching.", "questions": [ { "text": "How is cardiomyopathy taught?", "kind": "action" }, { "text": "Which misconceptions arise?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Should genetic subtypes be separate entries?", "How should guidelines be linked?", "The registry entry has merged aliases for numbered genetic subtypes; should they be split off?" ], "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 dilated cardiomyopathy, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain dilated cardiomyopathy in general terms, relay diagnosis, treatment and genetic testing information from cardiology guidelines, describe warning signs, and route personal symptoms and treatment questions to clinicians.", "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: dilated cardiomyopathy 1A, dilated cardiomyopathy 1V, dilated cardiomyopathy 1GG, dilated cardiomyopathy 1JJ, dilated cardiomyopathy 2B, dilated cardiomyopathy 1B, dilated cardiomyopathy 1DD, dilated cardiomyopathy 1R, dilated cardiomyopathy 2A, dilated cardiomyopathy 1H, dilated cardiomyopathy 1G, dilated cardiomyopathy 1I.", "45 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 30 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 dilated cardiomyopathy, and on what evidence are they told apart?" ], "whatItIsMadeOf": "an abstraction with no physical instance", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "observe it, measure it, record its state" ], "howItIsRecognised": [ "Nothing to see. What is recognised is an instance of it, and which instances count is exactly what is argued about." ], "relatedModels": [ { "relation": "covers", "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.", "targets": [ "dilated cardiomyopathy 1A", "dilated cardiomyopathy 1V", "dilated cardiomyopathy 1GG", "dilated cardiomyopathy 1JJ", "dilated cardiomyopathy 2B", "dilated cardiomyopathy 1B", "dilated cardiomyopathy 1DD", "dilated cardiomyopathy 1R", "dilated cardiomyopathy 2A", "dilated cardiomyopathy 1H", "dilated cardiomyopathy 1G", "dilated cardiomyopathy 1I" ] } ], "standing": "Described in 30 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 45 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 dilated cardiomyopathy from another, and a dilated cardiomyopathy 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 dilated cardiomyopathy, 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 dilated cardiomyopathy, 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 dilated cardiomyopathy 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 dilated cardiomyopathy, 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 dilated cardiomyopathy, 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 dilated cardiomyopathy 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 dilated cardiomyopathy 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 dilated cardiomyopathy, 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 dilated cardiomyopathy, 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 dilated cardiomyopathy 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 dilated cardiomyopathy from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a dilated cardiomyopathy, 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 dilated cardiomyopathy, 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 dilated cardiomyopathy 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 dilated cardiomyopathy 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 dilated cardiomyopathy between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a dilated cardiomyopathy, 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 dilated cardiomyopathy, 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 dilated cardiomyopathy 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 dilated cardiomyopathy, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a dilated cardiomyopathy 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 dilated cardiomyopathy, 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 dilated cardiomyopathy, 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 dilated cardiomyopathy 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 dilated cardiomyopathy 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 dilated cardiomyopathy 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 dilated cardiomyopathy 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 dilated cardiomyopathy 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 dilated cardiomyopathy?", "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 dilated cardiomyopathy?", "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 dilated cardiomyopathy 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 dilated cardiomyopathy and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a dilated cardiomyopathy, 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 dilated cardiomyopathy, 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 dilated cardiomyopathy 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 dilated cardiomyopathy is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a dilated cardiomyopathy, 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 dilated cardiomyopathy, 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 dilated cardiomyopathy 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 } } } }