World Models · Published

Personal Health

Represent one person's longitudinal health states, observations, risks, interventions, care intentions and evidence with strict identity, provenance, clinical-safety and privacy controls independent of storage or interface format.

AI YAMLAGENTS.mdResearch evidence
Published. Research assurance: reviewable-draft. The Codex-only synthesis is published under an explicit repository-owner provider waiver. It passed structural validation and a separate no-tools adversarial audit, but remains a reviewable draft until independent second-provider review and the holds below are closed.
Catalogue IDWM-PER-007
Version0.3.0-research.1
Previous version-
Typeentity
ValidationPassed
Synthesis digestsha256:e77af3ff667fd1c7…
11Sources
7Bundles
16Layers
32Findings
96Questions
32Artifacts
Format-independent logical structure

Bundles → Layers → Findings → Questions + Artifacts

subject-record-and-longitudinal-boundarySubject, record and longitudinal boundary2 layers

Identifies whose health context is represented and how distributed source records join without identity collapse.

subject-and-record-identitySubject and record identity2 findings

Stable subject linkage and the identity of this longitudinal context.

subject-reference-identity-assurance-and-match-basis

Subject reference, identity assurance and match basis

Authoritative person reference, identifiers, assigners, match method, assurance, conflicts and manual-review state.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for subject reference, identity assurance and match basis?identity
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes subject reference, identity assurance and match basis, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may subject reference, identity assurance and match basis be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Subject reference, identity assurance and match basis recordVersioned evidence-bearing record for subject reference, identity assurance and match basis with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
health-context-identifier-custodian-controller-and-master-bindings

Health-context identifier, custodian, controller and master bindings

Identity of the federated context plus source-system, custodian, controller, repository and portability bindings without universal ownership inference.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for health-context identifier, custodian, controller and master bindings?ownership
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes health-context identifier, custodian, controller and master bindings, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may health-context identifier, custodian, controller and master bindings be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Health-context identifier, custodian, controller and master bindings recordVersioned evidence-bearing record for health-context identifier, custodian, controller and master bindings with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
assertion-status-and-longitudinal-timeAssertion status and longitudinal time2 findings

How claims from different sources coexist, change and form a time-aware view.

assertion-kind-source-status-verification-and-contestation

Assertion kind, source, status, verification and contestation

Separates self-report, clinical assertion, direct observation, device output and algorithmic inference with verification, refutation and entered-in-error states.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for assertion kind, source, status, verification and contestation?provenance
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes assertion kind, source, status, verification and contestation, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may assertion kind, source, status, verification and contestation be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Assertion kind, source, status, verification and contestation recordVersioned evidence-bearing record for assertion kind, source, status, verification and contestation with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
clinical-event-effective-recorded-issued-observed-and-knowledge-time

Clinical event, effective, recorded, issued, observed and knowledge time

Distinct instants and intervals, precision, timezone, uncertainty, retrospective entry and correction lineage.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for clinical event, effective, recorded, issued, observed and knowledge time?temporal
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes clinical event, effective, recorded, issued, observed and knowledge time, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may clinical event, effective, recorded, issued, observed and knowledge time be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Clinical event, effective, recorded, issued, observed and knowledge time recordVersioned evidence-bearing record for clinical event, effective, recorded, issued, observed and knowledge time with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
health-state-risk-and-functionHealth state, risk and function2 layers

Represents conditions, health concerns, risks and the person's functional state.

conditions-and-problem-listConditions and problem list2 findings

Clinically asserted and self-reported health problems with course and evidence.

condition-concern-diagnosis-code-and-verification

Condition, concern, diagnosis code and verification

Condition identity, category, terminology, evidence, clinical and verification status, onset and recorder or asserter.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for condition, concern, diagnosis code and verification?state
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes condition, concern, diagnosis code and verification, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may condition, concern, diagnosis code and verification be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Condition, concern, diagnosis code and verification recordVersioned evidence-bearing record for condition, concern, diagnosis code and verification with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
severity-stage-course-remission-resolution-and-recurrence

Severity, stage, course, remission, resolution and recurrence

Time-qualified course assertions, stages, body sites, episodes, remission, relapse and resolved state with explicit source.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for severity, stage, course, remission, resolution and recurrence?lifecycle
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes severity, stage, course, remission, resolution and recurrence, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may severity, stage, course, remission, resolution and recurrence be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Severity, stage, course, remission, resolution and recurrence recordVersioned evidence-bearing record for severity, stage, course, remission, resolution and recurrence with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
risk-function-and-lived-healthRisk, function and lived health2 findings

Risk estimates and physical, cognitive, mental and social functioning.

risk-factor-family-history-prediction-and-prevention-context

Risk factor, family history, prediction and prevention context

Observed and asserted factors, model or guideline references, probability horizon, uncertainty and prevention links without deterministic diagnosis.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for risk factor, family history, prediction and prevention context?measurement
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes risk factor, family history, prediction and prevention context, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may risk factor, family history, prediction and prevention context be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Risk factor, family history, prediction and prevention context recordVersioned evidence-bearing record for risk factor, family history, prediction and prevention context with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
functional-cognitive-mental-social-and-quality-of-life-status

Functional, cognitive, mental, social and quality-of-life status

Activities, participation, body functions, limitations, supports, instruments, self-report and clinician observation with ICF alignment.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for functional, cognitive, mental, social and quality-of-life status?state
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes functional, cognitive, mental, social and quality-of-life status, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may functional, cognitive, mental, social and quality-of-life status be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Functional, cognitive, mental, social and quality-of-life status recordVersioned evidence-bearing record for functional, cognitive, mental, social and quality-of-life status with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
observations-diagnostics-and-evidenceObservations, diagnostics and evidence3 layers

Represents measurements, results and their diagnostic context with sufficient semantics for safe interpretation.

measurement-and-observationMeasurement and observation2 findings

Individual quantitative, qualitative and coded findings.

observation-code-value-unit-component-and-status

Observation code, value, unit, component and status

LOINC or other code, value form, UCUM and displayed unit, components, status, performer, device and derived-from references.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for observation code, value, unit, component and status?measurement
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes observation code, value, unit, component and status, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may observation code, value, unit, component and status be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Observation code, value, unit, component and status recordVersioned evidence-bearing record for observation code, value, unit, component and status with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
method-body-site-posture-context-reference-range-and-interpretation

Method, body site, posture, context, reference range and interpretation

Collection and measurement conditions, body site, posture, fasting or other context, population-specific ranges, flags and interpretive authority.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for method, body site, posture, context, reference range and interpretation?evidence
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes method, body site, posture, context, reference range and interpretation, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may method, body site, posture, context, reference range and interpretation be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Method, body site, posture, context, reference range and interpretation recordVersioned evidence-bearing record for method, body site, posture, context, reference range and interpretation with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
specimen-imaging-and-genomic-referencesSpecimen, imaging and genomic references2 findings

Links high-volume diagnostic evidence while leaving its native master external.

specimen-collection-processing-accession-and-chain-of-custody

Specimen collection, processing, accession and chain of custody

Specimen reference, type, collection site and time, container, processing, accession, adequacy and custody evidence.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for specimen collection, processing, accession and chain of custody?provenance
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes specimen collection, processing, accession and chain of custody, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may specimen collection, processing, accession and chain of custody be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Specimen collection, processing, accession and chain of custody recordVersioned evidence-bearing record for specimen collection, processing, accession and chain of custody with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
imaging-study-series-instance-report-and-genomic-result-reference

Imaging study, series, instance, report and genomic-result reference

DICOM study and report identifiers plus external genomic result references, access controls, digests and derived summary links.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for imaging study, series, instance, report and genomic-result reference?relationship
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes imaging study, series, instance, report and genomic-result reference, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may imaging study, series, instance, report and genomic-result reference be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Imaging study, series, instance, report and genomic-result reference recordVersioned evidence-bearing record for imaging study, series, instance, report and genomic-result reference with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
diagnostic-interpretation-and-uncertaintyDiagnostic interpretation and uncertainty2 findings

Panels, reports, evidence links and explicit limits on meaning.

diagnostic-report-panel-conclusion-performer-and-finality

Diagnostic report, panel, conclusion, performer and finality

Report identity, grouped results, conclusion, interpreter, status, issued time, amendment and superseded versions.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for diagnostic report, panel, conclusion, performer and finality?evidence
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes diagnostic report, panel, conclusion, performer and finality, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may diagnostic report, panel, conclusion, performer and finality be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Diagnostic report, panel, conclusion, performer and finality recordVersioned evidence-bearing record for diagnostic report, panel, conclusion, performer and finality with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
safety-medication-immunization-and-proceduresSafety, medication, immunization and procedures3 layers

Captures standing safety risks and clinically relevant interventions.

allergy-intolerance-and-adverse-reactionAllergy, intolerance and adverse reaction2 findings

Substances, manifestations, exposure and confidence needed for safety decisions.

allergy-intolerance-substance-category-and-reaction

Allergy or intolerance substance, category and reaction

Coded agent or substance, allergy versus intolerance category, manifestations, exposure route, onset, severity and evidence.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for allergy or intolerance substance, category and reaction?state
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes allergy or intolerance substance, category and reaction, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may allergy or intolerance substance, category and reaction be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Allergy or intolerance substance, category and reaction recordVersioned evidence-bearing record for allergy or intolerance substance, category and reaction with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
allergy-verification-criticality-last-occurrence-and-refutation

Allergy verification, criticality, last occurrence and refutation

Clinical and verification status, criticality, recorder, confirmer, last exposure or reaction and refuted or entered-in-error history.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for allergy verification, criticality, last occurrence and refutation?validation
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes allergy verification, criticality, last occurrence and refutation, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may allergy verification, criticality, last occurrence and refutation be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Allergy verification, criticality, last occurrence and refutation recordVersioned evidence-bearing record for allergy verification, criticality, last occurrence and refutation with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
medication-and-immunizationMedication and immunization2 findings

Intent, supply, use and administration history for medicines and vaccines.

medication-request-dispense-administration-and-statement-reconciliation

Medication request, dispense, administration and statement reconciliation

Product code, intent, dose, route, schedule, indication, prescriber, supply, actual use, adherence and source discrepancies.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for medication request, dispense, administration and statement reconciliation?process
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes medication request, dispense, administration and statement reconciliation, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may medication request, dispense, administration and statement reconciliation be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Medication request, dispense, administration and statement reconciliation recordVersioned evidence-bearing record for medication request, dispense, administration and statement reconciliation with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
immunization-dose-product-lot-site-reaction-and-validity

Immunization dose, product, lot, site, reaction and validity

Vaccine, disease target, dose number, lot, site, route, performer, reaction, status, source and schedule or validity interpretation.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for immunization dose, product, lot, site, reaction and validity?event
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes immunization dose, product, lot, site, reaction and validity, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may immunization dose, product, lot, site, reaction and validity be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Immunization dose, product, lot, site, reaction and validity recordVersioned evidence-bearing record for immunization dose, product, lot, site, reaction and validity with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
procedures-devices-and-outcomesProcedures, devices and outcomes2 findings

Performed or planned interventions and implanted or assistive devices.

procedure-treatment-status-performer-body-site-reason-and-outcome

Procedure or treatment status, performer, body site, reason and outcome

Procedure identity, code, occurrence, status, indication, performer, body site, complications, outcome and report reference.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for procedure or treatment status, performer, body site, reason and outcome?event
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes procedure or treatment status, performer, body site, reason and outcome, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may procedure or treatment status, performer, body site, reason and outcome be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Procedure or treatment status, performer, body site, reason and outcome recordVersioned evidence-bearing record for procedure or treatment status, performer, body site, reason and outcome with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
implant-assistive-device-udi-use-period-and-safety-reference

Implant or assistive device, UDI, use period and safety reference

External device identity, unique device identifier, implant or use interval, status, owner, safety notice and removal reference.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for implant or assistive device, udi, use period and safety reference?relationship
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes implant or assistive device, udi, use period and safety reference, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may implant or assistive device, udi, use period and safety reference be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Implant or assistive device, UDI, use period and safety reference recordVersioned evidence-bearing record for implant or assistive device, udi, use period and safety reference with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
encounters-care-plans-and-coordinationEncounters, care plans and coordination2 layers

Links health assertions to care contacts, responsible teams, intentions, goals and follow-up.

encounters-participants-and-contextEncounters, participants and context2 findings

Contacts with care settings and the actors and reasons that frame them.

encounter-class-type-reason-period-location-and-disposition

Encounter class, type, reason, period, location and disposition

External encounter reference, class, care setting, reason, priority, start and end, location, hospitalization context and disposition.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for encounter class, type, reason, period, location and disposition?event
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes encounter class, type, reason, period, location and disposition, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may encounter class, type, reason, period, location and disposition be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Encounter class, type, reason, period, location and disposition recordVersioned evidence-bearing record for encounter class, type, reason, period, location and disposition with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
practitioner-organization-care-team-role-and-responsibility

Practitioner, organization, care-team role and responsibility

External provider and team identities, encounter or plan role, responsibility interval, communication route and source.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for practitioner, organization, care-team role and responsibility?relationship
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes practitioner, organization, care-team role and responsibility, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may practitioner, organization, care-team role and responsibility be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Practitioner, organization, care-team role and responsibility recordVersioned evidence-bearing record for practitioner, organization, care-team role and responsibility with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
plans-goals-referrals-and-followupPlans, goals, referrals and follow-up2 findings

Agreed or proposed future care and its responsible actors.

care-plan-goal-activity-priority-owner-and-progress

Care plan, goal, activity, priority, owner and progress

Plan and goal identities, intent, status, targets, activities, responsible parties, progress evidence, review and replacement lineage.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for care plan, goal, activity, priority, owner and progress?process
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes care plan, goal, activity, priority, owner and progress, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may care plan, goal, activity, priority, owner and progress be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Care plan, goal, activity, priority, owner and progress recordVersioned evidence-bearing record for care plan, goal, activity, priority, owner and progress with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
appointment-referral-service-request-followup-and-patient-instruction

Appointment, referral, service request, follow-up and patient instruction

External request and appointment references, recipient, urgency, reason, due time, completion status and versioned instructions.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for appointment, referral, service request, follow-up and patient instruction?relationship
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes appointment, referral, service request, follow-up and patient instruction, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may appointment, referral, service request, follow-up and patient instruction be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Appointment, referral, service request, follow-up and patient instruction recordVersioned evidence-bearing record for appointment, referral, service request, follow-up and patient instruction with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
provenance-consent-privacy-and-retentionProvenance, consent, privacy and retention2 layers

Makes every material assertion attributable and governs highly sensitive access and lifecycle.

provenance-consent-and-directivesProvenance, consent and directives2 findings

Source lineage and the person's or lawful representative's choices.

author-recorder-asserter-performer-source-derivation-and-signature

Author, recorder, asserter, performer, source, derivation and signature

Attributable roles, source record, import path, transformations, signatures, digests and revision lineage for each assertion.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for author, recorder, asserter, performer, source, derivation and signature?provenance
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes author, recorder, asserter, performer, source, derivation and signature, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may author, recorder, asserter, performer, source, derivation and signature be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Author, recorder, asserter, performer, source, derivation and signature recordVersioned evidence-bearing record for author, recorder, asserter, performer, source, derivation and signature with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
access-correction-emergency-and-retentionAccess, correction, emergency and retention2 findings

Field-sensitive disclosure, person rights, break-glass use and durable evidence.

confidentiality-access-minimum-disclosure-emergency-use-and-audit

Confidentiality, access, minimum disclosure, emergency use and audit

Sensitivity labels, audience, purpose, minimum view, emergency authority, expiry, notification, post-review and immutable access log.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for confidentiality, access, minimum disclosure, emergency use and audit?access
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes confidentiality, access, minimum disclosure, emergency use and audit, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may confidentiality, access, minimum disclosure, emergency use and audit be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Confidentiality, access, minimum disclosure, emergency use and audit recordVersioned evidence-bearing record for confidentiality, access, minimum disclosure, emergency use and audit with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
access-right-correction-amendment-restriction-retention-hold-and-deletion

Access right, correction, amendment, restriction, retention, hold and deletion

Request and decision history, contested data, source correction, appended amendment, retention class, legal hold, disposition and tombstone.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for access right, correction, amendment, restriction, retention, hold and deletion?retention
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes access right, correction, amendment, restriction, retention, hold and deletion, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may access right, correction, amendment, restriction, retention, hold and deletion be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Access right, correction, amendment, restriction, retention, hold and deletion recordVersioned evidence-bearing record for access right, correction, amendment, restriction, retention, hold and deletion with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
interoperability-summaries-validation-and-agent-operationsInteroperability, summaries, validation and agent operations2 layers

Controls terminology, summary projections and safe automated maintenance.

terminology-and-summary-projectionsTerminology and summary projections2 findings

Versioned mappings and purpose-specific portable views.

fhir-resource-ips-emergency-self-and-research-view

FHIR resource, IPS, emergency, self and research view

Source and target profile, section inclusion, omissions, confidentiality, expiry, digest and non-round-trip declaration for each projection.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for fhir resource, ips, emergency, self and research view?interoperability
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes fhir resource, ips, emergency, self and research view, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may fhir resource, ips, emergency, self and research view be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • FHIR resource, IPS, emergency, self and research view recordVersioned evidence-bearing record for fhir resource, ips, emergency, self and research view with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
terminology-classification-unit-version-map-and-licence

Terminology, classification, unit, version, map and licence

Code system URI, release or edition, code, display, inactive state, map rule, equivalence, UCUM unit and licence constraints.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for terminology, classification, unit, version, map and licence?classification
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes terminology, classification, unit, version, map and licence, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may terminology, classification, unit, version, map and licence be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Terminology, classification, unit, version, map and licence recordVersioned evidence-bearing record for terminology, classification, unit, version, map and licence with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
clinical-safety-and-agent-controlClinical safety and agent control2 findings

Authorized operations, clinical review, validation, concurrency and recovery.

agent-authority-clinical-review-purpose-preconditions-and-nonadvice

Agent authority, clinical review, purpose, preconditions and non-advice

Classifies reads, imports, proposals, corrections, disclosures and disposition as autonomous, propose, confirm or forbidden and blocks unsupervised clinical conclusions.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for agent authority, clinical review, purpose, preconditions and non-advice?security
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes agent authority, clinical review, purpose, preconditions and non-advice, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may agent authority, clinical review, purpose, preconditions and non-advice be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Agent authority, clinical review, purpose, preconditions and non-advice recordVersioned evidence-bearing record for agent authority, clinical review, purpose, preconditions and non-advice with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.
prewrite-postwrite-validation-conflict-concurrency-rollback-and-audit

Pre-write and post-write validation, conflict, concurrency, rollback and audit

Identity, terminology, unit, status, temporal, provenance, consent, stale-head and safety checks with immutable before and after evidence.

Questions
  1. What exact values, codes, references, qualifiers and explicit unknown or data-absent reasons must be recorded for pre-write and post-write validation, conflict, concurrency, rollback and audit?validation
    Expected answer
    • value or typed reference
    • code system and version
    • status and time
    • explicit unknown or absence reason
  2. Which person, practitioner, organization, device, source and evidence establishes pre-write and post-write validation, conflict, concurrency, rollback and audit, at what clinical, observation and knowledge time, and with what confidence?evidence
    Expected answer
    • asserting or observing actor
    • source and method
    • evidence and provenance
    • times
    • confidence
  3. How may pre-write and post-write validation, conflict, concurrency, rollback and audit be clinically validated, contested, corrected, superseded, retained or disclosed without erasing history or importing a neighboring record lifecycle?validation
    Expected answer
    • validation and clinical-review rule
    • correction route
    • successor or tombstone
    • access and retention effect
Artifacts
  • Pre-write and post-write validation, conflict, concurrency, rollback and audit recordVersioned evidence-bearing record for pre-write and post-write validation, conflict, concurrency, rollback and audit with subject, status, terminology, event and knowledge time, provenance, uncertainty and access marking.

Publication holds

  • Claude and Grok timed out during their bounded attempts, so independent external review is absent and explicitly waived for this published reviewable draft.
  • The prior card's universal personal-ownership claim is replaced by explicit person rights, custody, controller duties, source mastership and jurisdiction profiles and requires owner review before canonical promotion.
  • The approved relationship ledger contains no WM-PER-007 rows, so all proposed sibling composition remains draft.
  • National clinical, privacy, retention, consent, emergency, public-health, paediatric, reproductive-health, mental-health, genetic and incapacity profiles require specialist legal and clinical review.
  • Certified FHIR, IPS, ICD-11, SNOMED CT, LOINC, DICOM, ICF and UCUM crosswalks, terminology licences, conformance fixtures and clinical-safety tests remain unverified.
  • Independent external review was explicitly waived by the repository owner; this codex-only result remains a reviewable draft.

Deferred research

  • Develop jurisdiction profiles for consent, incapacity, guardian authority, emergency access, retention, source correction and public-health disclosure.
  • Approve model identifiers and relation cardinalities for persons, providers, organizations, encounters, devices, products, specimens, imaging, genomics, claims, research, consent, incidents and evidence.
  • Create specialist profiles for paediatric, reproductive, mental, genetic, disability, occupational, travel, dental, veterinary-adjacent household and remote-monitoring contexts where appropriate.
  • Create deterministic fixtures for wrong-patient prevention, source disagreement, unit conversion, terminology inactivation, allergy refutation, medication reconciliation, corrected reports and emergency access.
  • Validate certified FHIR and IPS projections plus terminology, imaging, function and unit mappings with explicit disclosure, licence, loss and round-trip tests.