{ "model": { "rank": 11044, "code": "thing-q835153", "model_id": "vr.tr.physical-examination", "name": "physical examination", "purpose": "Let an agent explain physical examinations, relay techniques, types and patient rights from medical education and professional guidance sources, describe the named examinations, flag the misfiled blood test alias, and distinguish physical examination from laboratory tests, imaging, screening programmes and remote consultations, without replacing in-person care.", "family": "Thing Registry", "category": "Activities and processes", "status": "research-draft", "kind": "thing", "plane": "ACT", "domain": "ACT.ACT", "industry": "", "version": "", "url": "/models/thing/q835153/", "tier": 2, "score": 43, "payload": { "layer": "wikidata", "aliases": [ "heart auscultation", "self-examination", "intimate examination", "thyroid function test", "preparticipation physical evaluation", "digital exam", "routine check-up", "percussion", "shoulder examination", "sports physical examination", "physical examination of the chest", "neurological examination", "lymph node clinical examination", "digestive system examination", "abdominal examination", "back examination", "hip examination", "knee examination", "body constitution", "peripheral vascular examination", "auscultation", "palpation", "military physical examination", "elbow examination", "Nixon's sign", "fremitus", "pulmonary auscultation" ], "aliasCount": 27, "merged": 27, "knownIn": 43, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q835153", "url": "https://www.wikidata.org/wiki/Q835153", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T20:08:43Z", "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-Q835153", "registryId": "vr.tr.physical-examination", "name": "physical examination", "version": "0.2.0-wave.4", "entryKind": "thing", "family": "Thing Registry", "domain": [ "ACT.ACT" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q835153/", "model": { "registry_id": "vr.tr.physical-examination", "name": "physical examination", "purpose": "Let an agent explain physical examinations, relay techniques, types and patient rights from medical education and professional guidance sources, describe the named examinations, flag the misfiled blood test alias, and distinguish physical examination from laboratory tests, imaging, screening programmes and remote consultations, without replacing in-person care.", "definition": "The process by which a clinician examines a patient s body for signs of health and disease using inspection, palpation, percussion and auscultation, such as heart auscultation with a stethoscope, often alongside history-taking, including routine checks, preparticipation physical evaluations for sport, intimate examinations such as pelvic, breast or digital rectal exams, for which consent and the offer of a chaperone are standard, and self-examination by patients; the registry alias thyroid function test is a blood test rather than a physical examination and appears misfiled.", "what_it_is_for": "Assessing health through bodily examination.", "affordances": [ "explain techniques", "relay patient rights such as consent and chaperones", "describe named examinations", "distinguish related assessments" ], "distinguishing_features": [ "Hands-on", "Structured techniques", "Consent required", "Complements tests" ], "appearance": "A clinician examining a patient, often with a stethoscope and other instruments.", "visual_identification": [ "Clinical bodily examination", "Heart auscultation, self-examination, intimate examination, thyroid function test, preparticipation physical evaluation, digital exam", "Laboratory tests analyse samples; imaging uses scanners; screening programmes target populations; telemedicine limits examination" ], "physical_properties": [ { "quantity": "core techniques", "typical_range": "inspection, palpation, percussion, auscultation", "unit": "list", "note": "" }, { "quantity": "stethoscope invented", "typical_range": "1816", "unit": "year", "note": "Rene Laennec" }, { "quantity": "chaperone guidance", "typical_range": "offer for intimate examinations", "unit": "note", "note": "GMC and other bodies" } ], "families_and_kinds": [ "general physical examination", "systems examinations such as cardiovascular", "intimate examinations", "sports preparticipation evaluations", "self-examinations such as breast and testicular checks" ], "related_models": [ { "relation": "is a kind of", "target": "medical examination", "why": "in registry terms" }, { "relation": "includes", "target": "auscultation", "why": "" }, { "relation": "is contrasted with", "target": "thyroid function tests", "why": "misfiled alias, a blood test" }, { "relation": "is contrasted with", "target": "medical imaging", "why": "" } ], "identifiers": [], "standards_and_regulation": [ "Professional guidance on consent and chaperones such as GMC Intimate examinations and chaperones", "Patient rights laws" ], "failure_modes_and_hazards": [ "Examinations without consent", "Relying on self-examination instead of seeing a clinician for new lumps", "Registry alias for a blood test" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "What a physical examination is.", "rationale": "Attribution.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "What is a physical examination, and how does it differ from lab tests, imaging, screening and telemedicine?", "kind": "definition" }, { "text": "Is the question about preparing for an exam, rights during an exam, or a new symptom needing a clinician?", "kind": "boundary" } ] } ] }, { "id": "named", "name": "Named", "description": "Named examinations.", "findings": [ { "id": "named-finding", "name": "Named", "description": "Named.", "questions": [ { "text": "What are heart auscultation, self-examination, intimate examinations, sports physicals and digital exams, and why is a thyroid function test different?", "kind": "definition" }, { "text": "Which entry fits the specific examination?", "kind": "action" } ] } ] } ] }, { "id": "technique", "name": "Technique", "description": "Techniques.", "rationale": "Sources.", "layers": [ { "id": "methods", "name": "Methods", "description": "Core methods.", "findings": [ { "id": "methods-finding", "name": "Methods", "description": "Methods.", "questions": [ { "text": "How are inspection, palpation, percussion and auscultation performed?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "evidence", "name": "Evidence", "description": "Evidence.", "findings": [ { "id": "evidence-finding", "name": "Evidence", "description": "Evidence.", "questions": [ { "text": "What does evidence say about the value of routine annual physicals, with findings attributed?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "rights", "name": "Rights", "description": "Patient rights.", "rationale": "Regulation.", "layers": [ { "id": "consent", "name": "Consent", "description": "Consent.", "findings": [ { "id": "consent-finding", "name": "Consent", "description": "Consent.", "questions": [ { "text": "What consent is required, and can patients stop an examination?", "kind": "provenance" }, { "text": "Which entry fits informed consent?", "kind": "action" } ] } ] }, { "id": "chaperones", "name": "Chaperones", "description": "Chaperones.", "findings": [ { "id": "chaperones-finding", "name": "Chaperones", "description": "Chaperones.", "questions": [ { "text": "When should a chaperone be offered for intimate examinations?", "kind": "provenance" }, { "text": "Which entry fits medical chaperone?", "kind": "action" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Self-checks and history.", "rationale": "Context.", "layers": [ { "id": "self", "name": "Self-examination", "description": "Self-examination.", "findings": [ { "id": "self-finding", "name": "Self-examination", "description": "Self-examination.", "questions": [ { "text": "What do health bodies advise about breast and testicular self-awareness?", "kind": "provenance" }, { "text": "Which entry fits breast self-examination?", "kind": "action" } ] } ] }, { "id": "history", "name": "History", "description": "History.", "findings": [ { "id": "history-finding", "name": "History", "description": "History.", "questions": [ { "text": "How did Laennec s stethoscope change examination?", "kind": "provenance" }, { "text": "Which entry fits stethoscope?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should intimate examination be a separate entry?", "How should professional guidance be linked?", "The registry alias thyroid function test should be moved to laboratory tests" ], "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 physical examination, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain physical examinations, relay techniques, types and patient rights from medical education and professional guidance sources, describe the named examinations, flag the misfiled blood test alias, and distinguish physical examination from laboratory tests, imaging, screening programmes and remote consultations, without replacing in-person care.", "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: heart auscultation, self-examination, intimate examination, thyroid function test, preparticipation physical evaluation, digital exam, routine check-up, percussion, shoulder examination, sports physical examination, physical examination of the chest, neurological examination.", "27 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 43 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 physical examination, 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": [ "heart auscultation", "self-examination", "intimate examination", "thyroid function test", "preparticipation physical evaluation", "digital exam", "routine check-up", "percussion", "shoulder examination", "sports physical examination", "physical examination of the chest", "neurological examination" ] } ], "standing": "Described in 43 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 27 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 physical examination from another, and a physical examination 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 physical examination, 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 physical examination, 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 physical examination 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 physical examination, 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 physical examination, 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 physical examination 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 physical examination 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 physical examination, 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 physical examination, 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 physical examination 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 physical examination from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a physical examination, 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 physical examination, 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 physical examination 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 physical examination 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 physical examination between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a physical examination, 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 physical examination, 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 physical examination 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 physical examination, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a physical examination 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 physical examination, 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 physical examination, 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 physical examination 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 physical examination 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 physical examination, 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 physical examination and what marks it done.", "questions": [ { "id": "steps-and-preconditions-q01", "text": "What identifies and describes a step of a physical examination, 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 physical examination, 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 physical examination 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 physical examination consumes and what it produces.", "findings": [ { "id": "inputs-and-outputs", "name": "Inputs, outputs and side effects", "description": "The resources a physical examination 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 physical examination, 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 physical examination, 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 physical examination 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 physical examination 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 physical examination 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 physical examination 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 physical examination 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 physical examination?", "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 physical examination?", "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 physical examination 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 physical examination and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a physical examination, 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 physical examination, 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 physical examination 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 physical examination is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a physical examination, 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 physical examination, 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 physical examination 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 } } } }