{ "model": { "rank": 10139, "code": "thing-q847583", "model_id": "vr.tr.cardiomyopathy", "name": "cardiomyopathy", "purpose": "Let an agent explain cardiomyopathy and its types in general terms from clinical guidelines, relay causes, diagnosis and treatment approaches, and route personal medical questions to clinicians and emergencies to urgent care.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q847583/", "tier": 2, "score": 45, "payload": { "layer": "wikidata", "aliases": [ "autoimmune cardiomyopathy", "intrinsic cardiomyopathy", "Hypertaurinuric cardiomyopathy", "familial cardiomyopathy", "fatty heart", "extrinsic cardiomyopathy", "tachycardia-induced cardiomyopathy", "iron overload cardiomyopathy", "Phidippides cardiomyopathy", "atrial remodeling", "unclassified cardiomyopathy", "idiopathic cardiomyopathy", "cardiac lipidosis, familial", "Leigh syndrome with cardiomyopathy", "HEC syndrome", "ventricular remodeling" ], "aliasCount": 16, "merged": 16, "knownIn": 45, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": "vr.tr.cardiomyopathy", "source": { "dataset": "wikidata", "item": "Q847583", "url": "https://www.wikidata.org/wiki/Q847583", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T00:32:31Z", "providers": [ "Claude" ], "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify", "pass": 2, "wave": 3, "engine": "claude" }, "metaModel": { "id": "THING-Q847583", "registryId": "vr.tr.cardiomyopathy", "name": "cardiomyopathy", "version": "0.2.0-wave.3", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q847583/", "model": { "registry_id": "vr.tr.cardiomyopathy", "name": "cardiomyopathy", "purpose": "Let an agent explain cardiomyopathy and its types in general terms from clinical guidelines, relay causes, diagnosis and treatment approaches, and route personal medical questions to clinicians and emergencies to urgent care.", "definition": "A group of diseases of the heart muscle that make it harder for the heart to pump blood, classified as dilated, hypertrophic, restrictive, arrhythmogenic and other types, arising from genetic causes in familial cardiomyopathy, from intrinsic muscle disorders, or from extrinsic causes such as ischaemia, hypertension, alcohol, infection, autoimmune disease and metabolic conditions; cardiomyopathy can lead to heart failure, arrhythmia and sudden death, and is managed with medication, devices, lifestyle change and in severe cases transplantation.", "what_it_is_for": "Not applicable; a group of diseases.", "affordances": [ "explain types and causes", "relay diagnosis and treatment approaches", "relay genetics and screening", "route personal questions to clinicians" ], "distinguishing_features": [ "Heart muscle origin", "Genetic and acquired causes", "Risk of heart failure and arrhythmia", "Family screening" ], "appearance": "Not a visible object; a clinical diagnosis based on imaging and tests.", "visual_identification": [ "Disease of the heart muscle", "Dilated, hypertrophic, restrictive, arrhythmogenic types", "Coronary artery disease and valve disease are other heart diseases; fatty heart is a historical term" ], "physical_properties": [ { "quantity": "hypertrophic cardiomyopathy prevalence", "typical_range": "about 1 in 500", "unit": "people", "note": "estimates" }, { "quantity": "dilated cardiomyopathy prevalence", "typical_range": "about 1 in 250 to 1 in 2500", "unit": "people", "note": "estimates vary" } ], "families_and_kinds": [ "dilated cardiomyopathy", "hypertrophic cardiomyopathy", "restrictive cardiomyopathy", "arrhythmogenic cardiomyopathy", "intrinsic and extrinsic classifications", "familial and genetic cardiomyopathies", "autoimmune, peripartum, stress and metabolic cardiomyopathies" ], "related_models": [ { "relation": "is a kind of", "target": "heart disease", "why": "in registry terms" }, { "relation": "is a kind of", "target": "muscular disease", "why": "in registry terms" }, { "relation": "can lead to", "target": "heart failure", "why": "the main consequence" }, { "relation": "is diagnosed by", "target": "echocardiography", "why": "among other tests" } ], "identifiers": [ { "scheme": "ICD-11", "value_or_pattern": "BC43", "note": "" }, { "scheme": "MeSH", "value_or_pattern": "D009202", "note": "" } ], "standards_and_regulation": [ "ESC and AHA/ACC cardiomyopathy guidelines", "Genetic testing and counselling guidelines", "Sports cardiology screening rules" ], "failure_modes_and_hazards": [ "Sudden cardiac death", "Delayed diagnosis", "Agents giving personal medical advice", "Outdated classifications" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "help", "name": "Help", "description": "Getting help first.", "rationale": "Safety.", "layers": [ { "id": "emergency", "name": "Emergency", "description": "Emergency signs.", "findings": [ { "id": "emergency-finding", "name": "Emergency", "description": "Emergency.", "questions": [ { "text": "What symptoms such as chest pain, fainting or severe breathlessness need emergency care?", "kind": "action" }, { "text": "Is the user describing an emergency, which needs emergency services now?", "kind": "boundary" } ] } ] }, { "id": "care", "name": "Care", "description": "Specialist care.", "findings": [ { "id": "care-finding", "name": "Care", "description": "Care.", "questions": [ { "text": "How is cardiomyopathy diagnosed and followed by cardiologists, in general terms?", "kind": "provenance" }, { "text": "Is the user asking about their own condition, which needs their clinician?", "kind": "boundary" } ] } ] } ] }, { "id": "understand", "name": "Understand", "description": "The disease.", "rationale": "Clinical.", "layers": [ { "id": "types", "name": "Types", "description": "Types and causes.", "findings": [ { "id": "types-finding", "name": "Types", "description": "Types.", "questions": [ { "text": "What types of cardiomyopathy exist, and what causes them?", "kind": "definition" }, { "text": "Is the question about cardiomyopathy or another heart disease?", "kind": "boundary" } ] } ] }, { "id": "genetics", "name": "Genetics", "description": "Genetics and screening.", "findings": [ { "id": "genetics-finding", "name": "Genetics", "description": "Genetics.", "questions": [ { "text": "What is known about genetic causes, and how are families screened, per guidelines?", "kind": "provenance" }, { "text": "Which entry fits the specific type?", "kind": "action" } ] } ] } ] }, { "id": "treat", "name": "Treat", "description": "Treatment.", "rationale": "Clinical.", "layers": [ { "id": "management", "name": "Management", "description": "Management.", "findings": [ { "id": "management-finding", "name": "Management", "description": "Management.", "questions": [ { "text": "What treatments do guidelines recommend, from drugs and devices to transplantation, in general terms?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "living", "name": "Living", "description": "Living with cardiomyopathy.", "findings": [ { "id": "living-finding", "name": "Living", "description": "Living.", "questions": [ { "text": "What do guidelines say about exercise, pregnancy and daily life, in general terms?", "kind": "provenance" }, { "text": "Which entry fits cardiac rehabilitation?", "kind": "action" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Research and history.", "rationale": "Context.", "layers": [ { "id": "research", "name": "Research", "description": "Research.", "findings": [ { "id": "research-finding", "name": "Research", "description": "Research.", "questions": [ { "text": "What research is ongoing on gene therapy and new drugs, with findings attributed?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] }, { "id": "history", "name": "History", "description": "History.", "findings": [ { "id": "history-finding", "name": "History", "description": "History.", "questions": [ { "text": "How has cardiomyopathy been classified over time, including terms such as fatty heart?", "kind": "provenance" }, { "text": "Which entry fits the history of cardiology?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should each type be a separate primary entry?", "How should guidelines be linked?", "The registry entry has merged aliases naming classifications, rare conditions and a historical term; should they be split off?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "abstract concept", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a cardiomyopathy, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain cardiomyopathy and its types in general terms from clinical guidelines, relay causes, diagnosis and treatment approaches, and route personal medical questions to clinicians and emergencies to urgent care.", "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: autoimmune cardiomyopathy, intrinsic cardiomyopathy, Hypertaurinuric cardiomyopathy, familial cardiomyopathy, fatty heart, extrinsic cardiomyopathy, tachycardia-induced cardiomyopathy, iron overload cardiomyopathy, Phidippides cardiomyopathy, atrial remodeling, unclassified cardiomyopathy, idiopathic cardiomyopathy.", "16 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 45 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 cardiomyopathy, and on what evidence are they told apart?" ], "whatItIsMadeOf": "an abstraction with no physical instance", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "observe it, measure it, record its state" ], "howItIsRecognised": [ "Nothing to see. What is recognised is an instance of it, and which instances count is exactly what is argued about." ], "relatedModels": [ { "relation": "covers", "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.", "targets": [ "autoimmune cardiomyopathy", "intrinsic cardiomyopathy", "Hypertaurinuric cardiomyopathy", "familial cardiomyopathy", "fatty heart", "extrinsic cardiomyopathy", "tachycardia-induced cardiomyopathy", "iron overload cardiomyopathy", "Phidippides cardiomyopathy", "atrial remodeling", "unclassified cardiomyopathy", "idiopathic cardiomyopathy" ] } ], "standing": "Described in 45 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 16 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 cardiomyopathy from another, and a cardiomyopathy from things that resemble it.", "rationale": "Recognition comes before every other claim. Without stable identity nothing else in the model can be trusted to be about the same thing twice.", "layers": [ { "id": "naming-and-identifiers", "name": "Names and identifiers", "description": "The names this thing goes by and the identifiers that survive translation and time.", "findings": [ { "id": "preferred-name-and-aliases", "name": "Preferred name, aliases and local names", "description": "Which name to use, which names mean the same thing, and which merely sound similar.", "questions": [ { "id": "preferred-name-and-aliases-q01", "text": "What identifies and describes the name of a cardiomyopathy, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "preferred-name-and-aliases-q02", "text": "Who or what asserted this about the name of a cardiomyopathy, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "preferred-name-and-aliases-q03", "text": "What may an agent decide or do once the name of a cardiomyopathy is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "stable-identifiers", "name": "Stable identifiers and external keys", "description": "Identifiers that keep pointing at this kind of thing across systems and languages.", "questions": [ { "id": "stable-identifiers-q01", "text": "What identifies and describes an identifier for a cardiomyopathy, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stable-identifiers-q02", "text": "Who or what asserted this about an identifier for a cardiomyopathy, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stable-identifiers-q03", "text": "What may an agent decide or do once an identifier for a cardiomyopathy is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "classification-and-granularity", "name": "Classification and granularity", "description": "Where a cardiomyopathy sits among kinds, and how finely a task needs to cut it.", "findings": [ { "id": "kind-and-parents", "name": "Kind, parents and neighbouring kinds", "description": "The classes this thing belongs to and the ones it is next to.", "questions": [ { "id": "kind-and-parents-q01", "text": "What identifies and describes the kind of a cardiomyopathy, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "kind-and-parents-q02", "text": "Who or what asserted this about the kind of a cardiomyopathy, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "kind-and-parents-q03", "text": "What may an agent decide or do once the kind of a cardiomyopathy is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "distinguishing-features", "name": "Distinguishing features", "description": "What separates a cardiomyopathy from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a cardiomyopathy, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "distinguishing-features-q02", "text": "Who or what asserted this about what distinguishes a cardiomyopathy, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "distinguishing-features-q03", "text": "What may an agent decide or do once what distinguishes a cardiomyopathy is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "state-and-lifecycle", "name": "State and lifecycle", "description": "The states a cardiomyopathy passes through and the events that move it between them.", "rationale": "Most decisions about a thing depend on what state it is in now, which is a claim with a time on it, not a property.", "layers": [ { "id": "lifecycle-stages", "name": "Lifecycle stages", "description": "From coming into existence to ceasing to be one of these.", "findings": [ { "id": "stages-and-transitions", "name": "Stages and transitions", "description": "The stages worth naming and what moves a cardiomyopathy between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a cardiomyopathy, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stages-and-transitions-q02", "text": "Who or what asserted this about the lifecycle of a cardiomyopathy, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stages-and-transitions-q03", "text": "What may an agent decide or do once the lifecycle of a cardiomyopathy is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "observations-and-status", "name": "Observations and current status", "description": "What is observed about a cardiomyopathy, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a cardiomyopathy is recorded so that it can be superseded rather than overwritten.", "questions": [ { "id": "observation-record-q01", "text": "What identifies and describes an observation of a cardiomyopathy, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "observation-record-q02", "text": "Who or what asserted this about an observation of a cardiomyopathy, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "observation-record-q03", "text": "What may an agent decide or do once an observation of a cardiomyopathy is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "definitions-in-contest", "name": "Definitions and who holds them", "description": "What cardiomyopathy is taken to mean, and by whom.", "rationale": "When a field disagrees about a concept, the disagreement is the content. A model that picks one definition silently destroys the information.", "layers": [ { "id": "competing-definitions", "name": "Competing definitions", "description": "The main readings and the traditions behind them.", "findings": [ { "id": "definition-map", "name": "Definitions and their holders", "description": "Each definition with the school or body that holds it.", "questions": [ { "id": "definition-map-q01", "text": "Which definitions of cardiomyopathy are in use, and which tradition or body holds each?", "kind": "definition" }, { "id": "definition-map-q02", "text": "What turns on the difference between them in practice?", "kind": "boundary" } ] } ] }, { "id": "operationalisation", "name": "Operationalisation", "description": "How it is measured or applied when it has to be.", "findings": [ { "id": "operational-record", "name": "Measures and proxies", "description": "Instruments and indicators used to stand in for it.", "questions": [ { "id": "operational-record-q01", "text": "How is cardiomyopathy operationalised or measured in practice, and by what instrument?", "kind": "measurement" }, { "id": "operational-record-q02", "text": "What does that operationalisation leave out, and when does that matter?", "kind": "boundary" } ] } ] } ] }, { "id": "instances-and-use", "name": "Instances, use and consequence", "description": "What counts as an instance of cardiomyopathy and what follows from calling something that.", "rationale": "Applying a concept is an act with consequences, so a model must say what the label licenses and what it does not.", "layers": [ { "id": "instances", "name": "What counts as an instance", "description": "Clear cases, borderline cases and non-cases.", "findings": [ { "id": "instance-tests", "name": "Tests for an instance", "description": "What would settle whether something falls under it.", "questions": [ { "id": "instance-tests-q01", "text": "What would settle whether something is an instance of cardiomyopathy?", "kind": "boundary" }, { "id": "instance-tests-q02", "text": "Which borderline cases are argued about, and on what grounds?", "kind": "definition" } ] } ] }, { "id": "consequence", "name": "Consequence of application", "description": "Rights, duties or decisions that follow from the label.", "findings": [ { "id": "consequence-record", "name": "What the label licenses", "description": "What an agent may do once something is classified this way.", "questions": [ { "id": "consequence-record-q01", "text": "What follows practically once something is treated as cardiomyopathy?", "kind": "action" }, { "id": "consequence-record-q02", "text": "What must an agent not infer from the label alone?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a cardiomyopathy came from and when it held.", "rationale": "A claim without a source and a time cannot be superseded, only overwritten, and an agent that overwrites loses the ability to explain itself.", "layers": [ { "id": "source-and-authority", "name": "Source and authority", "description": "Who said it, on what evidence, and how strongly.", "findings": [ { "id": "claim-provenance", "name": "Claim provenance and confidence", "description": "The authority behind each claim about a cardiomyopathy and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a cardiomyopathy, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "claim-provenance-q02", "text": "Who or what asserted this about a claim about a cardiomyopathy, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "claim-provenance-q03", "text": "What may an agent decide or do once a claim about a cardiomyopathy is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "time-and-versions", "name": "Time, versions and supersession", "description": "When a claim was true, when it was learnt, and what replaced it.", "findings": [ { "id": "validity-and-supersession", "name": "Validity period and supersession", "description": "How an old claim about a cardiomyopathy is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a cardiomyopathy, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "validity-and-supersession-q02", "text": "Who or what asserted this about the validity of a claim about a cardiomyopathy, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "validity-and-supersession-q03", "text": "What may an agent decide or do once the validity of a claim about a cardiomyopathy is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 5, "layers": 10, "findings": 12, "questions": 32 } } } }