{ "model": { "rank": 5541, "code": "thing-q844935", "model_id": "vr.tr.coronary-artery-disease", "name": "coronary artery disease", "purpose": "Let an agent route suspected heart attacks to emergency services first, give general sourced information on coronary artery disease, prevention and rehabilitation, and avoid personal medical advice.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q844935/", "tier": 2, "score": 66, "payload": { "layer": "wikidata", "aliases": [ "coronary artery vasospasm", "acute coronary syndrome", "ischemic cardiomyopathy", "coronary ischemia", "Kounis syndrome", "hibernating myocardium", "coronary artery anomaly", "arteriosclerotic heart disease", "coronary thrombosis", "congenital coronary artery aneurysm", "abnormal origin or aberrant course of coronary artery", "ischemic myocardial contracture", "myocardial ischemia", "coronary aneurysm", "arteriosclerosis obliterans", "arteriosclerotic cardiovascular disease", "arteriolosclerosis", "Coronary artery ectasia", "Ostial disease", "coronary stenosis", "coronary steal", "Hyperplastic arteriolosclerosis", "Hyaline arteriolosclerosis" ], "aliasCount": 23, "merged": 23, "knownIn": 66, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q844935", "url": "https://www.wikidata.org/wiki/Q844935", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-11T14:24:29Z", "providers": [ "Claude" ], "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify", "pass": 2, "wave": 1, "engine": "claude" }, "metaModel": { "id": "THING-Q844935", "registryId": "vr.tr.coronary-artery-disease", "name": "coronary artery disease", "version": "0.2.0-wave.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q844935/", "model": { "registry_id": "vr.tr.coronary-artery-disease", "name": "coronary artery disease", "purpose": "Let an agent route suspected heart attacks to emergency services first, give general sourced information on coronary artery disease, prevention and rehabilitation, and avoid personal medical advice.", "definition": "A disease in which the coronary arteries supplying the heart muscle are narrowed or blocked, usually by atherosclerosis, causing angina, heart attacks (acute coronary syndromes) and ischaemic heart failure; it is a leading cause of death worldwide and is reduced by prevention and prompt treatment.", "what_it_is_for": "A major health condition relevant to emergencies, prevention and care.", "affordances": [ "recognise heart attack warning signs", "find general information on risk factors and prevention", "find cardiac rehabilitation and support", "prepare questions for a clinician" ], "distinguishing_features": [ "Narrowed coronary arteries", "Usually atherosclerotic", "Causes angina and heart attacks", "Largely preventable" ], "appearance": "Not visible; diagnosed by ECG, blood tests, imaging and angiography.", "visual_identification": [ "Chest pain on exertion or at rest", "Diagnostic tests such as angiograms", "Heartburn can mimic chest pain but should not be assumed" ], "physical_properties": [], "families_and_kinds": [ "stable angina", "acute coronary syndromes", "coronary vasospasm", "ischaemic cardiomyopathy", "microvascular disease" ], "related_models": [ { "relation": "is a kind of", "target": "artery disease", "why": "category" }, { "relation": "can cause", "target": "heart attack", "why": "complication" }, { "relation": "is related to", "target": "arterial hypertension", "why": "risk factor" }, { "relation": "is related to", "target": "heart arrhythmia", "why": "related condition" } ], "identifiers": [], "standards_and_regulation": [ "ESC and AHA guidelines on coronary syndromes", "Resuscitation guidelines", "Public access defibrillator rules" ], "failure_modes_and_hazards": [ "Delaying emergency care for chest pain", "Stopping medicines without advice", "Agents giving personal medical advice" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "emergency", "name": "Emergency", "description": "Heart attack.", "rationale": "Safety comes first.", "layers": [ { "id": "signs", "name": "Signs", "description": "Warning signs.", "findings": [ { "id": "signs-finding", "name": "Signs", "description": "Heart attack signs.", "questions": [ { "text": "Is there chest pain or pressure, pain spreading to the arm, jaw or back, breathlessness or sweating?", "kind": "boundary" }, { "text": "Should emergency services be called immediately?", "kind": "action" } ] } ] }, { "id": "arrest", "name": "Arrest", "description": "Collapse.", "findings": [ { "id": "arrest-finding", "name": "Arrest", "description": "Cardiac arrest.", "questions": [ { "text": "Has someone collapsed and is not breathing normally?", "kind": "boundary" }, { "text": "Should CPR be started and a defibrillator fetched while emergency services are called?", "kind": "action" } ] } ] } ] }, { "id": "information", "name": "Information", "description": "General facts.", "rationale": "Sourced information only.", "layers": [ { "id": "about", "name": "About", "description": "Condition overview.", "findings": [ { "id": "about-finding", "name": "About", "description": "Condition overview.", "questions": [ { "text": "What do heart charities and health services say about coronary artery disease?", "kind": "provenance" }, { "text": "How is it diagnosed in general terms?", "kind": "definition" } ] } ] }, { "id": "personal", "name": "Personal", "description": "Treatment questions.", "findings": [ { "id": "personal-finding", "name": "Personal", "description": "Personal advice limits.", "questions": [ { "text": "Is the user asking about their own tests, medicines or procedures?", "kind": "boundary" }, { "text": "How should the agent refer them to their cardiologist?", "kind": "action" } ] } ] } ] }, { "id": "prevention", "name": "Prevention", "description": "Risk factors.", "rationale": "Prevention works.", "layers": [ { "id": "risks", "name": "Risks", "description": "Risk factors.", "findings": [ { "id": "risks-finding", "name": "Risks", "description": "Risk factors.", "questions": [ { "text": "Which risk factors do health authorities list, such as smoking, blood pressure and cholesterol?", "kind": "provenance" }, { "text": "Where can free health checks be found?", "kind": "provenance" } ] } ] }, { "id": "smoking", "name": "Smoking", "description": "Stopping smoking.", "findings": [ { "id": "smoking-finding", "name": "Smoking", "description": "Stopping smoking.", "questions": [ { "text": "Which stop-smoking services are available here?", "kind": "provenance" }, { "text": "What support improves success?", "kind": "provenance" } ] } ] } ] }, { "id": "recovery", "name": "Recovery", "description": "Rehabilitation.", "rationale": "Rehab helps recovery.", "layers": [ { "id": "rehab", "name": "Rehab", "description": "Cardiac rehab.", "findings": [ { "id": "rehab-finding", "name": "Rehab", "description": "Cardiac rehabilitation.", "questions": [ { "text": "How can someone access cardiac rehabilitation after a heart event?", "kind": "provenance" }, { "text": "What does it involve?", "kind": "provenance" } ] } ] }, { "id": "support", "name": "Support", "description": "Emotional support.", "findings": [ { "id": "support-finding", "name": "Support", "description": "Emotional support.", "questions": [ { "text": "Is the person struggling emotionally after a heart event?", "kind": "boundary" }, { "text": "Which support services help?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Should syndromes be separate entries?", "How should guidelines be linked?", "How should rehab services be localised?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "disease or condition", "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 coronary artery disease, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent route suspected heart attacks to emergency services first, give general sourced information on coronary artery disease, prevention and rehabilitation, and avoid personal medical 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: coronary artery vasospasm, acute coronary syndrome, ischemic cardiomyopathy, coronary ischemia, Kounis syndrome, hibernating myocardium, coronary artery anomaly, arteriosclerotic heart disease, coronary thrombosis, congenital coronary artery aneurysm, abnormal origin or aberrant course of coronary artery, ischemic myocardial contracture.", "23 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 66 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 coronary artery disease, 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": [ "Recognised by criteria applied to signs and findings, not by appearance. Two conditions can look identical and be distinguished only by test." ], "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": [ "coronary artery vasospasm", "acute coronary syndrome", "ischemic cardiomyopathy", "coronary ischemia", "Kounis syndrome", "hibernating myocardium", "coronary artery anomaly", "arteriosclerotic heart disease", "coronary thrombosis", "congenital coronary artery aneurysm", "abnormal origin or aberrant course of coronary artery", "ischemic myocardial contracture" ] } ], "standing": "Described in 66 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 23 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 coronary artery disease from another, and a coronary artery disease 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 coronary artery disease, 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 coronary artery disease, 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 coronary artery disease 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 coronary artery disease, 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 coronary artery disease, 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 coronary artery disease 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 coronary artery disease 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 coronary artery disease, 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 coronary artery disease, 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 coronary artery disease 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 coronary artery disease from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a coronary artery disease, 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 coronary artery disease, 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 coronary artery disease 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 coronary artery disease 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 coronary artery disease between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a coronary artery disease, 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 coronary artery disease, 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 coronary artery disease 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 coronary artery disease, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a coronary artery disease 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 coronary artery disease, 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 coronary artery disease, 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 coronary artery disease is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "diagnosis-and-criteria", "name": "Diagnosis, criteria and coding", "description": "What makes a case of coronary artery disease a case, and under which revision.", "rationale": "Criteria change between revisions, so a diagnosis without its coding revision cannot be compared with a later one.", "layers": [ { "id": "criteria", "name": "Diagnostic criteria", "description": "The criteria in force and who issues them.", "findings": [ { "id": "criteria-record", "name": "Criteria, issuer and revision", "description": "What must be true for a diagnosis, according to whom.", "questions": [ { "id": "criteria-record-q01", "text": "What criteria define coronary artery disease, issued by which body, in which revision?", "kind": "definition" }, { "id": "criteria-record-q02", "text": "What changed between revisions that would reclassify existing cases?", "kind": "boundary" } ] } ] }, { "id": "coding", "name": "Coding and terminology", "description": "The codes used to record it and their mapping.", "findings": [ { "id": "coding-record", "name": "Codes and mappings", "description": "Which classification codes apply and how they map.", "questions": [ { "id": "coding-record-q01", "text": "Which classification and terminology codes cover coronary artery disease, and how do they map to each other?", "kind": "definition" }, { "id": "coding-record-q02", "text": "What is lost when a case is mapped from one scheme to another?", "kind": "boundary" } ] } ] } ] }, { "id": "course-and-population", "name": "Course, population and care", "description": "How coronary artery disease develops, whom it affects, and what is done about it.", "rationale": "The condition, the diagnosis and the episode of care are three different things, and an agent must not merge them.", "layers": [ { "id": "course", "name": "Course and stages", "description": "Onset, progression, remission and outcome.", "findings": [ { "id": "course-record", "name": "Stages and transitions", "description": "The stages recorded and what moves a case between them.", "questions": [ { "id": "course-record-q01", "text": "What course does coronary artery disease typically take, and what marks each stage?", "kind": "definition" }, { "id": "course-record-q02", "text": "What separates the condition itself from an episode of care for it?", "kind": "boundary" } ] } ] }, { "id": "population", "name": "Affected populations", "description": "Who is affected, how often, and on what evidence.", "findings": [ { "id": "epidemiology", "name": "Prevalence and its basis", "description": "Rates with their population, period and source.", "questions": [ { "id": "epidemiology-q01", "text": "What prevalence or incidence is reported for coronary artery disease, in which population and period?", "kind": "measurement" }, { "id": "epidemiology-q02", "text": "What may an agent not conclude about an individual from a population rate?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a coronary artery disease 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 coronary artery disease and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a coronary artery disease, 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 coronary artery disease, 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 coronary artery disease 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 coronary artery disease is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a coronary artery disease, 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 coronary artery disease, 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 coronary artery disease 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 } } } }