{ "model": { "rank": 8834, "code": "thing-q939364", "model_id": "vr.tr.congenital-heart-disease", "name": "congenital heart disease", "purpose": "Let an agent route urgent symptoms in babies, children and adults to emergency care, give general sourced information on congenital heart disease, screening and adult services, and refer individual questions to specialists.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q939364/", "tier": 2, "score": 49, "payload": { "layer": "wikidata", "aliases": [ "congenital heart block", "pulmonary valve stenosis", "congenital aortic stenosis", "Watson syndrome", "pulmonary subvalvular stenosis", "subpulmonary stenosis", "supravalvular pulmonary stenosis", "supravalvular aortic stenosis", "subvalvular aortic stenosis", "discrete subaortic stenosis", "fixed subaortic stenosis", "transposition of great vessels", "Congenital cardiovascular disorder complicating pregnancy, childbirth, or the puerperium", "levo-transposition of the great arteries", "dextro-transposition of the great arteries", "double discordia", "congenital pericardium anomaly", "pulmonary atresia", "pulmonary atresia-intact ventricular septum syndrome", "atriodigital dysplasia", "dextro-looped transposition of the great arteries 1", "dextro-looped transposition of the great arteries 3", "congenital aortopulmonary window", "conotruncal heart malformations", "aortico-ventricular tunnel", "trilogy of Fallot", "Eisenmenger Syndrome", "heart septal defect", "hypoplastic right heart syndrome", "congenital aortic insufficiency", "Overriding aorta", "cyanotic heart defect", "scimitar syndrome", "acyanotic heart defect", "Aortopulmonary septal defect", "congenital stenosis of vena cava", "cor triatriatum", "Crisscross heart", "cardiac diverticulum", "congenital anomaly of ventricular septum" ], "aliasCount": 56, "merged": 56, "knownIn": 49, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q939364", "url": "https://www.wikidata.org/wiki/Q939364", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-11T12:34:42Z", "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-Q939364", "registryId": "vr.tr.congenital-heart-disease", "name": "congenital heart disease", "version": "0.2.0-wave.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q939364/", "model": { "registry_id": "vr.tr.congenital-heart-disease", "name": "congenital heart disease", "purpose": "Let an agent route urgent symptoms in babies, children and adults to emergency care, give general sourced information on congenital heart disease, screening and adult services, and refer individual questions to specialists.", "definition": "A structural abnormality of the heart or great vessels present from birth, such as septal defects, valve stenoses, tetralogy of Fallot or congenital heart block; it affects about 1 in 100 births, ranges from minor to life-threatening, and many people now live into adulthood with specialist care.", "what_it_is_for": "A group of conditions relevant to newborn care, paediatrics and lifelong cardiology.", "affordances": [ "recognise urgent warning signs in babies and children", "find information on screening and diagnosis in general terms", "find specialist and adult congenital services", "find support organisations for families" ], "distinguishing_features": [ "Present at birth", "Many types and severities", "Often treated surgically or by catheter", "Needs lifelong follow-up in many cases" ], "appearance": "Often invisible; may show as blue colouring, breathlessness or poor feeding in babies.", "visual_identification": [ "Heart murmurs and abnormal scans", "Newborn pulse oximetry screening", "Acquired heart disease develops later in life" ], "physical_properties": [], "families_and_kinds": [ "septal defects", "valve and outflow stenoses", "cyanotic defects such as tetralogy of Fallot", "congenital conduction disorders", "adult congenital heart disease" ], "related_models": [ { "relation": "is a kind of", "target": "cardiovascular abnormality", "why": "category" }, { "relation": "is diagnosed by", "target": "echocardiography", "why": "test" }, { "relation": "is treated in", "target": "paediatric cardiology", "why": "specialty" }, { "relation": "is related to", "target": "heart arrhythmia", "why": "complication" } ], "identifiers": [], "standards_and_regulation": [ "Newborn screening programmes", "ESC and AHA adult congenital heart disease guidelines" ], "failure_modes_and_hazards": [ "Missing urgent signs in infants", "Loss to follow-up in adulthood", "Agents giving individual prognosis" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "urgent", "name": "Urgent", "description": "Warning signs.", "rationale": "Safety comes first.", "layers": [ { "id": "baby", "name": "Baby", "description": "Infants.", "findings": [ { "id": "baby-finding", "name": "Baby", "description": "Warning signs in babies.", "questions": [ { "text": "Does the baby have blue lips or skin, fast or difficult breathing, or poor feeding with sweating?", "kind": "boundary" }, { "text": "Should emergency services or urgent care be contacted now?", "kind": "action" } ] } ] }, { "id": "adult", "name": "Adult", "description": "Adults.", "findings": [ { "id": "adult-finding", "name": "Adult", "description": "Warning signs in adults.", "questions": [ { "text": "Is an adult with a congenital heart condition having chest pain, fainting or new breathlessness?", "kind": "boundary" }, { "text": "Should they seek urgent medical help now?", "kind": "action" } ] } ] } ] }, { "id": "information", "name": "Information", "description": "General facts.", "rationale": "Sourced information only.", "layers": [ { "id": "types", "name": "Types", "description": "Defects.", "findings": [ { "id": "types-finding", "name": "Types", "description": "Defect types.", "questions": [ { "text": "What do heart charities or health services say about this defect?", "kind": "provenance" }, { "text": "How is it usually treated, in general terms?", "kind": "provenance" } ] } ] }, { "id": "personal", "name": "Personal", "description": "Prognosis questions.", "findings": [ { "id": "personal-finding", "name": "Personal", "description": "Personal advice limits.", "questions": [ { "text": "Is the user asking about their own or their child prognosis or treatment?", "kind": "boundary" }, { "text": "How should the agent refer them to the specialist team?", "kind": "action" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Services.", "rationale": "Specialist care matters.", "layers": [ { "id": "screening", "name": "Screening", "description": "Detection.", "findings": [ { "id": "screening-finding", "name": "Screening", "description": "Screening.", "questions": [ { "text": "Which prenatal and newborn screening is offered here?", "kind": "provenance" }, { "text": "What happens after a positive screen?", "kind": "provenance" } ] } ] }, { "id": "transition", "name": "Transition", "description": "Adult services.", "findings": [ { "id": "transition-finding", "name": "Transition", "description": "Transition to adult care.", "questions": [ { "text": "How do young people transfer to adult congenital heart services?", "kind": "provenance" }, { "text": "Which centres provide them?", "kind": "provenance" } ] } ] } ] }, { "id": "support", "name": "Support", "description": "Families.", "rationale": "Families need support.", "layers": [ { "id": "charities", "name": "Charities", "description": "Support groups.", "findings": [ { "id": "charities-finding", "name": "Charities", "description": "Support organisations.", "questions": [ { "text": "Which charities support families and adults with congenital heart disease?", "kind": "provenance" }, { "text": "Do they offer helplines?", "kind": "provenance" } ] } ] }, { "id": "pregnancy", "name": "Pregnancy", "description": "Planning.", "findings": [ { "id": "pregnancy-finding", "name": "Pregnancy", "description": "Pregnancy planning.", "questions": [ { "text": "Should a person with congenital heart disease get specialist advice before pregnancy?", "kind": "action" }, { "text": "Which services provide it?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Should each defect be a separate entry?", "How should specialist centres be linked?", "How should pregnancy guidance be linked?" ], "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 congenital heart disease, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent route urgent symptoms in babies, children and adults to emergency care, give general sourced information on congenital heart disease, screening and adult services, and refer individual questions to specialists.", "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: congenital heart block, pulmonary valve stenosis, congenital aortic stenosis, Watson syndrome, pulmonary subvalvular stenosis, subpulmonary stenosis, supravalvular pulmonary stenosis, supravalvular aortic stenosis, subvalvular aortic stenosis, discrete subaortic stenosis, fixed subaortic stenosis, transposition of great vessels.", "56 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 49 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 congenital heart 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": [ "congenital heart block", "pulmonary valve stenosis", "congenital aortic stenosis", "Watson syndrome", "pulmonary subvalvular stenosis", "subpulmonary stenosis", "supravalvular pulmonary stenosis", "supravalvular aortic stenosis", "subvalvular aortic stenosis", "discrete subaortic stenosis", "fixed subaortic stenosis", "transposition of great vessels" ] } ], "standing": "Described in 49 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 56 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 congenital heart disease from another, and a congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart disease from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart disease between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a congenital heart 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 congenital heart 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 congenital heart 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 congenital heart disease, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart 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 congenital heart disease and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a congenital heart 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 congenital heart 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 congenital heart 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 congenital heart disease is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a congenital heart 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 congenital heart 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 congenital heart 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 } } } }