{ "model": { "rank": 15841, "code": "thing-q284220", "model_id": "vr.tr.iatrogenesis", "name": "iatrogenesis", "purpose": "Let an agent explain iatrogenesis and patient safety, help people report suspected adverse effects and seek care, and describe safety systems and rights without giving individual medical or legal advice.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q284220/", "tier": 2, "score": 33, "payload": { "layer": "wikidata", "aliases": [ "Drug-induced pseudolymphoma", "Subacute myelo-optic neuropathy", "drug-induced lung disease", "Drug-induced pigmentation", "Procedural Toxicity", "adverse effect", "complication of radiotherapy", "adverse drug reaction", "reactogenicity", "drug resistance", "drug-induced enteritis", "Warfarin necrosis", "hypertension secondary to drug", "drug eruption", "medication overuse headache", "anticholinergic toxidrome", "oral galvanism", "vaccine-associated enhanced respiratory disease", "livedoid dermatitis", "steinstrasse", "harm", "Post-intensive care syndrome", "antibody-dependent enhancement", "implant failure", "postoperative complications", "postsurgical testicular hypofunction", "transplant-related disease", "adherence syndrome", "Dialytrauma", "Post-LASIK ectasia", "abortion complication", "Vein graft failure", "intraoperative complications", "Iatrogenic calcinosis cutis", "injection fibrosis", "injection site reaction", "contact lens complications", "PUVA-induced acrobullous dermatosis", "PUVA keratosis", "PUVA lentigines" ], "aliasCount": 148, "merged": 148, "knownIn": 33, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q284220", "url": "https://www.wikidata.org/wiki/Q284220", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-11T19:39:11Z", "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": 2, "engine": "claude" }, "metaModel": { "id": "THING-Q284220", "registryId": "vr.tr.iatrogenesis", "name": "iatrogenesis", "version": "0.2.0-wave.2", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q284220/", "model": { "registry_id": "vr.tr.iatrogenesis", "name": "iatrogenesis", "purpose": "Let an agent explain iatrogenesis and patient safety, help people report suspected adverse effects and seek care, and describe safety systems and rights without giving individual medical or legal advice.", "definition": "Harm to a patient caused by medical examination, treatment or advice, including adverse drug effects, complications of procedures, hospital-acquired infections and errors, whether or not avoidable; iatrogenic harm is studied in patient safety, reported through pharmacovigilance and incident systems, and reduced through safety practices.", "what_it_is_for": "Understanding and reducing harm from medical care.", "affordances": [ "explain types of iatrogenic harm", "route suspected adverse effects to care and reporting", "explain patient safety systems", "explain patient rights and complaint routes" ], "distinguishing_features": [ "Caused by care", "Avoidable or unavoidable", "Reported and analysed", "Target of safety systems" ], "appearance": "Not physical; harms recorded in clinical and safety records.", "visual_identification": [ "Harm linked to treatment", "Adverse effects and complications", "Disease progression is not iatrogenic" ], "physical_properties": [], "families_and_kinds": [ "adverse drug reactions", "procedural complications", "healthcare-associated infections", "diagnostic and medication errors", "overtreatment and overdiagnosis" ], "related_models": [ { "relation": "is a kind of", "target": "health problem", "why": "category" }, { "relation": "is a kind of", "target": "health risk", "why": "category" }, { "relation": "is related to", "target": "medication", "why": "drug-induced harm" }, { "relation": "is related to", "target": "medical device", "why": "device-related harm" } ], "identifiers": [], "standards_and_regulation": [ "Pharmacovigilance systems such as the Yellow Card scheme and FDA MedWatch", "WHO patient safety frameworks", "National patient rights and complaints law" ], "failure_modes_and_hazards": [ "Unreported adverse effects", "Blame culture hindering learning", "Agents giving medical or legal advice" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "now", "name": "Now", "description": "Suspected harm.", "rationale": "Care first.", "layers": [ { "id": "urgent", "name": "Urgent", "description": "Serious reactions.", "findings": [ { "id": "urgent-finding", "name": "Urgent", "description": "Serious reactions.", "questions": [ { "text": "Is the person experiencing a serious reaction or complication now?", "kind": "boundary" }, { "text": "Should emergency or urgent care be sought?", "kind": "action" } ] } ] }, { "id": "report", "name": "Report", "description": "Reporting.", "findings": [ { "id": "report-finding", "name": "Report", "description": "Reporting.", "questions": [ { "text": "How can a suspected adverse drug effect or device problem be reported here?", "kind": "provenance" }, { "text": "Should the prescriber be informed before stopping a medicine?", "kind": "boundary" } ] } ] } ] }, { "id": "understand", "name": "Understand", "description": "Types of harm.", "rationale": "General information.", "layers": [ { "id": "types", "name": "Types", "description": "Kinds of iatrogenic harm.", "findings": [ { "id": "types-finding", "name": "Types", "description": "Types.", "questions": [ { "text": "What kinds of harm can arise from care, and how common are they, according to safety studies?", "kind": "provenance" }, { "text": "Is the user asking about their own treatment?", "kind": "boundary" } ] } ] }, { "id": "avoidable", "name": "Avoidable", "description": "Avoidable or not.", "findings": [ { "id": "avoidable-finding", "name": "Avoidable", "description": "Avoidability.", "questions": [ { "text": "How do safety bodies distinguish avoidable harm from known risks of treatment?", "kind": "definition" }, { "text": "How is consent to known risks handled?", "kind": "provenance" } ] } ] } ] }, { "id": "systems", "name": "Systems", "description": "Patient safety.", "rationale": "Learning systems.", "layers": [ { "id": "safety", "name": "Safety", "description": "Safety practices.", "findings": [ { "id": "safety-finding", "name": "Safety", "description": "Safety practices.", "questions": [ { "text": "Which practices reduce iatrogenic harm, such as checklists and medication reconciliation?", "kind": "provenance" }, { "text": "How are incidents investigated and learned from?", "kind": "provenance" } ] } ] }, { "id": "overuse", "name": "Overuse", "description": "Overdiagnosis.", "findings": [ { "id": "overuse-finding", "name": "Overuse", "description": "Overuse.", "questions": [ { "text": "What are overdiagnosis and overtreatment, and which initiatives address them?", "kind": "provenance" }, { "text": "How can patients discuss necessity of tests with clinicians?", "kind": "action" } ] } ] } ] }, { "id": "rights", "name": "Rights", "description": "After harm.", "rationale": "Rights and routes.", "layers": [ { "id": "complaints", "name": "Complaints", "description": "Complaints and redress.", "findings": [ { "id": "complaints-finding", "name": "Complaints", "description": "Complaints.", "questions": [ { "text": "How can a patient complain about care or seek an explanation here?", "kind": "provenance" }, { "text": "Which duty of candour rules apply?", "kind": "provenance" } ] } ] }, { "id": "legal", "name": "Legal", "description": "Legal routes.", "findings": [ { "id": "legal-finding", "name": "Legal", "description": "Legal routes.", "questions": [ { "text": "Which routes to compensation exist, in general terms?", "kind": "provenance" }, { "text": "Is the user asking for legal advice on their own case?", "kind": "boundary" } ] } ] } ] } ] }, "openQuestions": [ "Should adverse drug reactions be a separate entry?", "How should reporting systems be localised?", "How should patient rights be linked?" ], "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 iatrogenesis, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain iatrogenesis and patient safety, help people report suspected adverse effects and seek care, and describe safety systems and rights without giving individual medical or legal advice.", "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: Drug-induced pseudolymphoma, Subacute myelo-optic neuropathy, drug-induced lung disease, Drug-induced pigmentation, Procedural Toxicity, adverse effect, complication of radiotherapy, adverse drug reaction, reactogenicity, drug resistance, drug-induced enteritis, Warfarin necrosis.", "148 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 33 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 iatrogenesis, 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": [ "Drug-induced pseudolymphoma", "Subacute myelo-optic neuropathy", "drug-induced lung disease", "Drug-induced pigmentation", "Procedural Toxicity", "adverse effect", "complication of radiotherapy", "adverse drug reaction", "reactogenicity", "drug resistance", "drug-induced enteritis", "Warfarin necrosis" ] } ], "standing": "Described in 33 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 148 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 iatrogenesis from another, and a iatrogenesis 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 iatrogenesis, 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 iatrogenesis, 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 iatrogenesis 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 iatrogenesis, 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 iatrogenesis, 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 iatrogenesis 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 iatrogenesis 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 iatrogenesis, 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 iatrogenesis, 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 iatrogenesis 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 iatrogenesis from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a iatrogenesis, 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 iatrogenesis, 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 iatrogenesis 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 iatrogenesis 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 iatrogenesis between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a iatrogenesis, 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 iatrogenesis, 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 iatrogenesis 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 iatrogenesis, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a iatrogenesis 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 iatrogenesis, 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 iatrogenesis, 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 iatrogenesis 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 iatrogenesis 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 iatrogenesis 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 iatrogenesis 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 iatrogenesis 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 iatrogenesis?", "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 iatrogenesis?", "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 iatrogenesis 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 iatrogenesis and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a iatrogenesis, 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 iatrogenesis, 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 iatrogenesis 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 iatrogenesis is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a iatrogenesis, 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 iatrogenesis, 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 iatrogenesis 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 } } } }