{ "model": { "rank": 18388, "code": "thing-q757749", "model_id": "vr.tr.atrial-heart-septal-defect", "name": "atrial heart septal defect", "purpose": "Let an agent explain atrial septal defects in general terms, relay types, genetics, symptoms and treatment from cardiology sources, route emergencies, describe the named genetic types, and distinguish ASD from patent foramen ovale, ventricular septal defect and other congenital heart defects, without diagnosing individuals.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q757749/", "tier": 2, "score": 29, "payload": { "layer": "wikidata", "aliases": [ "atrial heart septal defect 7", "atrial heart septal defect 2", "atrial heart septal defect 5", "atrial heart septal defect 6", "atrial heart septal defect 8", "atrial heart septal defect 9", "atrial heart septal defect 1", "atrial heart septal defect 3", "atrial heart septal defect 4", "patent foramen ovale", "atrial septal defect, coronary sinus type", "Lutembacher's syndrome", "Ostium primum atrial septal defect", "Sinus venosus atrial septal defect" ], "aliasCount": 14, "merged": 14, "knownIn": 29, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q757749", "url": "https://www.wikidata.org/wiki/Q757749", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T21:50:35Z", "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": 4, "engine": "claude" }, "metaModel": { "id": "THING-Q757749", "registryId": "vr.tr.atrial-heart-septal-defect", "name": "atrial heart septal defect", "version": "0.2.0-wave.4", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q757749/", "model": { "registry_id": "vr.tr.atrial-heart-septal-defect", "name": "atrial heart septal defect", "purpose": "Let an agent explain atrial septal defects in general terms, relay types, genetics, symptoms and treatment from cardiology sources, route emergencies, describe the named genetic types, and distinguish ASD from patent foramen ovale, ventricular septal defect and other congenital heart defects, without diagnosing individuals.", "definition": "A congenital heart defect in which there is an opening in the wall between the upper chambers of the heart, allowing blood to flow between the atria, classified as secundum, the most common type, primum, sinus venosus and coronary sinus defects, with inherited forms numbered in genetic databases, such as atrial septal defect types 2, 5, 6, 7, 8 and 9, some linked to genes such as GATA4 and NKX2-5; many are found in childhood or adulthood and may cause breathlessness, arrhythmias or paradoxical embolism, and they can be closed by catheter devices or surgery. Stroke symptoms or severe breathlessness need emergency care.", "what_it_is_for": "Not applicable; a congenital heart condition.", "affordances": [ "explain types in general terms", "relay genetics and treatment", "describe named genetic types", "route emergencies" ], "distinguishing_features": [ "Congenital", "Left-to-right shunt", "Often late diagnosis", "Catheter or surgical closure" ], "appearance": "Not visible externally; seen on echocardiography as a gap in the atrial septum.", "visual_identification": [ "Hole in the wall between the heart s upper chambers", "Atrial septal defect types 2, 5, 6, 7, 8 and 9, secundum ASD, primum ASD, sinus venosus defect", "PFO is a flap-like opening; VSD is between ventricles; other congenital defects involve valves or vessels" ], "physical_properties": [ { "quantity": "most common type", "typical_range": "secundum ASD", "unit": "note", "note": "" }, { "quantity": "genes linked", "typical_range": "GATA4, NKX2-5, TBX20 and others", "unit": "list", "note": "" }, { "quantity": "main diagnostic test", "typical_range": "echocardiography", "unit": "note", "note": "" } ], "families_and_kinds": [ "secundum defects", "primum defects", "sinus venosus defects", "coronary sinus defects", "familial genetic types" ], "related_models": [ { "relation": "is a kind of", "target": "heart septal defect", "why": "in registry terms" }, { "relation": "is diagnosed by", "target": "echocardiography", "why": "" }, { "relation": "is contrasted with", "target": "patent foramen ovale", "why": "" }, { "relation": "is contrasted with", "target": "ventricular septal defect", "why": "" } ], "identifiers": [], "standards_and_regulation": [ "ESC and AHA/ACC adult congenital heart disease guidelines" ], "failure_modes_and_hazards": [ "Missing stroke symptoms", "Diagnosing individuals remotely", "Confusing ASD and PFO" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "What an atrial septal defect is.", "rationale": "Attribution.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "What is an atrial septal defect, and how does it differ from PFO, VSD and other congenital defects?", "kind": "definition" }, { "text": "Are there sudden weakness, facial drooping, speech problems or severe breathlessness, in which case call emergency services now?", "kind": "boundary" } ] } ] }, { "id": "types", "name": "Types", "description": "Named types.", "findings": [ { "id": "types-finding", "name": "Types", "description": "Types.", "questions": [ { "text": "What are the anatomical types and the numbered genetic ASD types 2, 5, 6, 7, 8 and 9?", "kind": "definition" }, { "text": "Which entry fits the specific type?", "kind": "action" } ] } ] } ] }, { "id": "medical", "name": "Medical", "description": "Diagnosis and effects.", "rationale": "Attribution.", "layers": [ { "id": "symptoms", "name": "Symptoms", "description": "Symptoms and complications.", "findings": [ { "id": "symptoms-finding", "name": "Symptoms", "description": "Symptoms.", "questions": [ { "text": "What symptoms and complications such as arrhythmias and pulmonary hypertension are described?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "genetics", "name": "Genetics", "description": "Genetics.", "findings": [ { "id": "genetics-finding", "name": "Genetics", "description": "Genetics.", "questions": [ { "text": "Which genes are linked to familial ASD, and when is genetic counselling offered?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "treatment", "name": "Treatment", "description": "Treatment.", "rationale": "Regulation.", "layers": [ { "id": "closure", "name": "Closure", "description": "Device and surgical closure.", "findings": [ { "id": "closure-finding", "name": "Closure", "description": "Closure.", "questions": [ { "text": "When do guidelines recommend catheter or surgical closure, in general terms?", "kind": "provenance" }, { "text": "Which entry fits atrial septal occluder?", "kind": "action" } ] } ] }, { "id": "followup", "name": "Follow-up", "description": "Long-term care.", "findings": [ { "id": "followup-finding", "name": "Follow-up", "description": "Follow-up.", "questions": [ { "text": "What long-term follow-up do adults with congenital heart disease need?", "kind": "provenance" }, { "text": "Which entry fits adult congenital heart disease?", "kind": "action" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Pregnancy and support.", "rationale": "Context.", "layers": [ { "id": "pregnancy", "name": "Pregnancy", "description": "Pregnancy.", "findings": [ { "id": "pregnancy-finding", "name": "Pregnancy", "description": "Pregnancy.", "questions": [ { "text": "How is pregnancy managed in women with ASD, in general terms?", "kind": "provenance" }, { "text": "Which entry fits pregnancy and heart disease?", "kind": "action" } ] } ] }, { "id": "support", "name": "Support", "description": "Support.", "findings": [ { "id": "support-finding", "name": "Support", "description": "Support.", "questions": [ { "text": "Which organisations support people with congenital heart disease?", "kind": "provenance" }, { "text": "Which entry fits congenital heart defect?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should the numbered genetic types be separate entries?", "How should OMIM be linked?", "Should PFO be linked as a separate entry?" ], "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 atrial heart septal defect, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain atrial septal defects in general terms, relay types, genetics, symptoms and treatment from cardiology sources, route emergencies, describe the named genetic types, and distinguish ASD from patent foramen ovale, ventricular septal defect and other congenital heart defects, without diagnosing individuals.", "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: atrial heart septal defect 7, atrial heart septal defect 2, atrial heart septal defect 5, atrial heart septal defect 6, atrial heart septal defect 8, atrial heart septal defect 9, atrial heart septal defect 1, atrial heart septal defect 3, atrial heart septal defect 4, patent foramen ovale, atrial septal defect, coronary sinus type, Lutembacher's syndrome.", "14 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 29 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 atrial heart septal defect, 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": [ "atrial heart septal defect 7", "atrial heart septal defect 2", "atrial heart septal defect 5", "atrial heart septal defect 6", "atrial heart septal defect 8", "atrial heart septal defect 9", "atrial heart septal defect 1", "atrial heart septal defect 3", "atrial heart septal defect 4", "patent foramen ovale", "atrial septal defect, coronary sinus type", "Lutembacher's syndrome" ] } ], "standing": "Described in 29 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 14 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 atrial heart septal defect from another, and a atrial heart septal defect 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 atrial heart septal defect, 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 atrial heart septal defect, 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 atrial heart septal defect 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 atrial heart septal defect, 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 atrial heart septal defect, 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 atrial heart septal defect 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 atrial heart septal defect 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 atrial heart septal defect, 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 atrial heart septal defect, 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 atrial heart septal defect 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 atrial heart septal defect from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a atrial heart septal defect, 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 atrial heart septal defect, 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 atrial heart septal defect 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 atrial heart septal defect 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 atrial heart septal defect between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a atrial heart septal defect, 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 atrial heart septal defect, 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 atrial heart septal defect 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 atrial heart septal defect, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a atrial heart septal defect 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 atrial heart septal defect, 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 atrial heart septal defect, 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 atrial heart septal defect 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 atrial heart septal defect 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 atrial heart septal defect 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 atrial heart septal defect 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 atrial heart septal defect 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 atrial heart septal defect?", "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 atrial heart septal defect?", "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 atrial heart septal defect 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 atrial heart septal defect and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a atrial heart septal defect, 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 atrial heart septal defect, 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 atrial heart septal defect 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 atrial heart septal defect is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a atrial heart septal defect, 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 atrial heart septal defect, 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 atrial heart septal defect 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 } } } }