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Disorder Mechanisms Knowledge Base Schema

Disease Pathophysiology Knowledge Base Schema

URI: https://w3id.org/monarch-initiative/dismech

Name: dismech

Classes

Class Description
AgentLifeCycle
AgentLifeCycleStage
AnimalModel
Any
Assay
AssociationMetric Quantitative association metric and its uncertainty
AssociationSignal An association signal from EHR, registry, or computational sources, optionall...
AssociationStatistics Statistical summary with evidence for an association signal
Biochemical
CausalEdge A reference to a downstream effect or consequence in a causal relationship
ClassificationAssignment Base class for classification assignments with evidence
        ChannelopathyAssignment Channelopathy organ system classification assignment
        HarrisonsChapterAssignment Harrison's internal medicine chapter classification assignment
        ICDOMorphologyAssignment ICD-O morphology classification assignment for neoplastic diseases
        IUISAssignment IUIS primary immunodeficiency classification assignment
        LysosomalStorageAssignment Lysosomal storage disease biochemical classification assignment
        MechanisticNosologyAssignment Mechanistic/pathway-based disease classification assignment
ClinicalTrial A clinical trial relevant to treatment or research of a disease
ComorbidityAssociation An association between two conditions, including directionality, evidence, an...
ComorbidityHypothesis Mechanistic hypothesis for a comorbidity association, with rich text and embe...
ComputationalModel A computational or in-silico model relevant to understanding disease mechanis...
CriteriaSet A named criteria grouping within a definition
CurationEvent A single curation event in the audit trail
Dataset A reference to a publicly available omics or phenotype dataset
Definition A diagnostic or phenotype definition for the disease
Demographics Demographic stratification for an association signal
Descriptor Base class for structured descriptors that allow a preferred term, optional d...
        AnatomicalEntityDescriptor A descriptor for anatomical locations, bindable to UBERON
        AssayDescriptor A descriptor for assays, bindable to OBI
        BiologicalProcessDescriptor A descriptor for biological processes, bindable to Gene Ontology (GO)
        BiomarkerDescriptor A descriptor for biomarkers, bindable to NCIT
        CellTypeDescriptor A descriptor for cell types, bindable to Cell Ontology (CL)
        CellularComponentDescriptor A descriptor for cellular components, bindable to GO cellular component
        ChemicalEntityDescriptor A descriptor for chemical entities, bindable to CHEBI
        ConditionDescriptor A descriptor for a condition or disease, optionally bound to MONDO
        CriteriaItem A criterion element (clinical feature, test result, imaging requirement)
        DiseaseDescriptor A descriptor for the focal disease, bindable to MONDO
        EnvironmentDescriptor A descriptor for environmental contexts/settings, bindable to ENVO
        ExposureDescriptor A descriptor for exposure events, bindable to ECTO or XCO
        GeneDescriptor A descriptor for genes, bindable to HGNC or other gene databases
        GeneProductDescriptor A descriptor for gene products (proteins, fusion proteins, oncoproteins), bin...
        HistopathologyFindingDescriptor A descriptor for histopathologic findings, bindable to NCIT Morphologic Findi...
        InheritanceDescriptor A descriptor for inheritance patterns, bindable to HPO mode of inheritance te...
        LifeCycleStageDescriptor A descriptor for parasite life cycle stages, bindable to OPL
        OrganismDescriptor A descriptor for organisms, bindable to NCBITaxon
                HostDescriptor A descriptor for hosts in an infectious agent life cycle
        PhenotypeDescriptor A descriptor for phenotypes, bindable to Human Phenotype Ontology (HP)
        ProteinComplexDescriptor A descriptor for protein complexes that gene products participate in, bindabl...
        RegimenDescriptor A descriptor for treatment regimens, bindable to NCIT
        SampleTypeDescriptor A descriptor for biological sample types (tissue and/or cell type)
        TreatmentDescriptor A descriptor for treatments/medical actions, bindable to Medical Action Ontol...
        TriggerDescriptor A descriptor for triggers/causes
Diagnosis
DifferentialDiagnosis A disease or condition that presents similarly to the focal disease and must ...
Disease
DiseaseClassifications Container for all classification assignments for a disease
DiseaseCollection
DiseaseMappings Container for external identifier mappings for a disease
Environmental An environmental factor, exposure, or context relevant to disease
EpidemiologyInfo
EvidenceItem
Finding A key finding or claim extracted from a source (publication or dataset)
FunctionalEffect
Genetic
GeneticContext A structured description of a genetic context that modifies phenotype frequen...
GOEnrichment GO enrichment results for an association signal
GOEnrichmentTerm GO term enrichment result with statistical metrics
HistopathologyFinding A histopathologic finding from microscopic examination of tissue
InfectiousAgent
Inheritance
MappingConsistency Consistency assertion for a mapping relative to another source
Mechanism
MechanisticHypothesis Disease-level hypothesis metadata used to organize downstream causal edges in...
ModelingConsideration
OnsetDescriptor Structured description of age of onset
Pathophysiology
Phenotype
PhenotypeContext A context-specific annotation qualifying how a phenotype manifests under part...
Prevalence
ProgressionInfo
PublicationReference A reference to a publication with associated findings
Qualifier A predicate-value pair for formal post-composition
Stage
Subtype
Term A structured reference to an ontology term
TermMapping Mapping from this disease entry to an external term or code
        ICD10CMMapping ICD-10-CM diagnosis code mapping
        ICD11FMapping ICD-11 Foundation diagnosis code mapping
        MondoMapping MONDO disease ontology mapping
Transmission
Treatment
TreatmentMechanismTarget Links a treatment to a specific pathophysiology mechanism node it targets
UpstreamConditionHypothesis Hypothesized upstream condition that may explain both A and B
Variant

Slots

Slot Description
a_before_b Probability or fraction of A before B in an EHR signal
accession Dataset accession identifier as a CURIE (e
additional_requirements Additional requirements used in a criteria set
age_range Age range or stratification, if applicable
agent_life_cycle
allele_type Type of allele or mutation (e
alleles
animal_models
applies_to_subtypes Disease subtypes for which this hypothesis is intended to apply
assays
associated_phenotypes
association
association_signals Association signals from EHR, registry, or computational sources
b_before_a Probability or fraction of B before A in an EHR signal
background
base_model Parent/base model this is derived from (e
biochemical
biological_processes
biomarker_term Ontology term for a biomarker (from NCIT)
categories
category
causal_link_type Whether this edge is direct or indirect, and whether omitted intermediates ar...
cell_type_term CL term for the cell type
cell_types
cellular_components
channelopathy_category Channelopathy organ system classification
chemical_entities
chemicals
children Names of other subtypes in this list that are members/children of this groupi...
classification Classification scheme this subtype belongs to (e
classification_value The classification value assigned
classifications Classification assignments for this disease from various nosologies
clinical_significance
clinical_trials Clinical trials relevant to disease treatment and research
code Code within the specified code system
code_system Code system used for a condition reference (e
combined_score Combined score used by an enrichment method
complementation_group Complementation group designation (e
components Component conditions that make up a composite descriptor
composition Composition type for a composite condition descriptor
computational_models Computational models (metabolic, mechanistic, ML, digital twins) for this dis...
conditions Experimental conditions or disease states represented
consequence
consequences
consistency Consistency assertions for this mapping against other sources
consistent Consistency status for a mapping relative to a reference source
context
core_clinical_characteristics Core clinical characteristics used in a criteria set
creation_date ISO 8601/RFC 3339 timestamp string for when this disease entry was first crea...
criteria_sets Named criteria groupings within a definition
curation_action Type of curation action performed
curation_description Human-readable description of changes made
curation_history Audit trail of AI-assisted curation events
curation_model Model identifier used for curation (e
curation_status Curation workflow status
curation_timestamp ISO 8601 timestamp of the curation event
data_type The type of omics or other data in the dataset
datasets Publicly available datasets relevant to disease research
de_novo_rate Estimated percentage of de novo cases (e
definition_type The type of definition or criteria set
definitions Definitions or diagnostic criteria for this disease
demographics Demographic stratification for an association signal
description
diagnosis
diagnosis_term The MAXO term for this diagnostic procedure
diagnostic
differential_diagnoses Differential diagnoses - similar diseases that must be ruled out
directionality Direction of a comorbidity/trajectory association
disease_a First disease in a comorbidity pair
disease_b Second disease in a comorbidity pair
disease_term The MONDO disease term for this disease
diseases
disorder_a_count Number of records/patients carrying disorder A in the source dataset
disorder_b_count Number of records/patients carrying disorder B in the source dataset
distinguishing_features Key clinical, laboratory, imaging, or epidemiological features that help diff...
downstream
duration
duration_days
effect
environment_context The ENVO term for the environmental context/setting
environmental
epidemiology
evidence
evidence_source Origin of the evidence item (human clinical, model organism, in vitro, or com...
examples
exclusion_criteria Exclusion criteria for a definition or criteria set
explanation
exposure_term The ECTO/XCO term for this exposure event
exposures Environmental exposures studied in the dataset
expressivity Expressivity classification for this inheritance pattern
factors
fdr FDR-adjusted p-value for an association or enrichment
features
finding_term Ontology term for a histopathologic finding (from NCIT or HP)
findings Key findings or claims extracted from this source (publication or dataset)
found_in Deep-research output files where this reference was cited
frequency
function
functional_effects
functional_impact Functional consequence of the genetic variant (e
gene
gene_products Gene products (proteins, fusion proteins, oncoproteins) involved in this path...
gene_term The HGNC term for this gene
genes
genetic
genetic_context The genetic context under which this qualification applies
genotype
geography
go_enrichment GO enrichment results associated with a signal
go_terms GO term enrichment results
harrisons_chapter Harrison's internal medicine chapter classification
has_subtypes
histopathology Histopathologic findings including microscopic morphology, architectural patt...
hosts
hypotheses Mechanistic or causal hypotheses about the association
hypothesis_group_id Stable identifier for a disease-level mechanistic hypothesis grouping
hypothesis_groups Hypothesis identifiers or grouping labels that this edge belongs to
hypothesis_label Human-readable label/title for a mechanistic hypothesis
icd10cm_mappings ICD-10-CM code mappings for this disease
icd11f_mappings ICD-11 Foundation code mappings for this disease
icdo_morphology ICD-O morphology classification (for neoplastic diseases)
id Ontology term identifier (CURIE)
identifiers
imaging_requirements Imaging requirements used in a criteria set
inclusion_criteria Inclusion criteria for a definition or criteria set
incubation_days
incubation_years
infectious_agent
infectious_agent_term The NCBITaxon term for this infectious agent
inheritance
inheritance_term The HPO mode of inheritance term for this inheritance pattern
intermediate_mechanisms Known or suspected intermediate mechanisms omitted from this edge for graph c...
iuis_category IUIS primary immunodeficiency classification
label Human-readable label for the ontology term
laboratory_requirements Laboratory or serologic requirements used in a criteria set
laterality Laterality qualifier (left, right, or bilateral)
life_cycle_stage_term The OPL term for this agent life cycle stage
life_cycle_stages
limited_precision Whether the signal has limited statistical precision due to small co-occurren...
literature_evidence Literature-based evidence items for this association
located_in Anatomical location where this entity/process occurs or procedure is performe...
locations
lysosomal_storage_category Lysosomal storage disease biochemical classification
mapping_justification Brief rationale or justification for the mapping
mapping_notes Notes on code-to-concept mapping decisions for this signal
mapping_predicate Relationship between this disease and the mapped term (e
mapping_source Source of the mapping (e
mappings External identifier mappings for this disease (SSSOM-inspired)
markers
max_age_years Maximum (latest) age of onset in years
maximum_value
mean_age_years Mean age of onset in years, as reported in a cohort study
mean_range
mechanism
mechanisms
mechanistic_category Mechanistic/pathway-based disease classification
mechanistic_hypotheses Disease-level mechanistic hypotheses that group and annotate causal edges
method Method or pipeline name
metric_ci_lower Lower confidence interval bound
metric_ci_upper Upper confidence interval bound
metric_type Metric type (e
metric_value Metric value
metrics Quantitative association metrics
min_age_years Minimum (earliest) age of onset in years
minimum_required Minimum number of criteria required in this criteria set
minimum_value
model_format File format (e
model_id Identifier within the repository (e
model_software Software/toolbox for running the model (e
model_type Type of computational model
modeling_considerations
modifier Directional or qualitative modifier for a descriptor (e
mondo_mappings MONDO disease ontology mappings for this disease
name
notes
onset Structured age of onset descriptor
onset_category HPO onset category (e
organism The organism from which samples were derived
overlap Overlap fraction for an enrichment term
p_value P-value for an association or enrichment
pair_count Number of records/patients with co-occurrence of disorder A and disorder B in...
parent_of_origin_effect Parent-of-origin effect or bias (e
parents
pathophysiology
pathways
penetrance Penetrance classification for this inheritance pattern
penetrance_percentage Estimated penetrance percentage or range (e
percentage
perturbations Gene knockouts, reaction deletions, or parameter changes modeling the disease
phase
phenotype_contexts Context-specific qualifications of this phenotype's frequency, severity, or o...
phenotype_term The HP term for this phenotype
phenotypes
platform Sequencing or array platform used
population Population or cohort description (e
precision_count_threshold Co-occurrence count threshold used to flag limited precision
predicate The relationship/predicate in a qualifier (e
preferred_term The preferred human-readable term for this descriptor
presence
prevalence
progression
protein_complexes Protein complexes that gene products participate in
publication Associated publication (PMID)
qualifiers List of predicate-value pairs for formal post-composition
reference The authoritative reference (publication) for this evidence item
references Top-level list of references with their key findings for this disease
regimen_term The NCIT term for this treatment regimen
repository_url URL to model repository (GitHub, BiGG, VMH, BioModels)
results
review_notes
role
same_time Probability or fraction of A and B occurring in the same time window
sample_count Total number of samples in the dataset
sample_types Types of biological samples in the dataset
scope Scope or population for which the definition applies (e
sequelae
sequence_length
severity
sex Sex-specific stratum, if applicable
shared_upstream_hypotheses Suspected upstream conditions that may explain both A and B
signal_disorder_a_id Original identifier for disorder A in this signal (CURIE, e
signal_disorder_b_id Original identifier for disorder B in this signal (CURIE, e
slug Canonical slug identifier (Title_Case_With_Underscores) for leaf conditions
snippet An exact excerpt/quote from the referenced publication that supports or refut...
source Source dataset or provenance label
species
specificity
stages
statement A key finding or claim from the publication
statistics Statistical summary for an association signal
status Status or state of a clinical trial or other process
substages
subtype
subtype_frequency Frequency of this subtype among all cases of the parent disease (e
subtype_term The MONDO term for a disease subtype
subtypes
supporting_text Exact excerpt/quote from the publication supporting the statement
supports
synonyms
target The name of the target element in a causal relationship
target_mechanisms Pathophysiology mechanism nodes that this treatment targets or modulates
target_phenotypes Phenotypes that this treatment or trial addresses or targets
term Optional structured ontology term reference
therapeutic_agent The drug, chemical, or therapeutic agent used in a treatment
tissue_term UBERON term for the tissue
title Title of the publication
transmission
treatment_effect How the treatment affects the targeted mechanism
treatment_term The MAXO term for this treatment/medical action
treatments
triggers
type
unit
updated_date ISO 8601/RFC 3339 timestamp string for when this disease entry was last updat...
upstream_disorder Upstream disorder referenced in a hypothesis
value The value/filler in a qualifier
variants
vectors
zygosity Zygosity context

Enumerations

Enumeration Description
AnatomicalEntityTerm A term representing an anatomical entity
AssayTerm A term representing an assay
AssociationMetricTypeEnum Type of association metric
AssociationSignalMethodEnum Method used to derive an association signal
AssociationSignalSourceEnum Source of an association signal
BiologicalProcessTerm A term representing a biological process or pathway
BiomarkerTerm A biomarker term from NCIT
CausalLinkTypeEnum Degree of mechanistic directness represented by a causal edge
CellTypeTerm A cell type
CellularComponentTerm A term representing a cellular component
ChannelopathyOrganSystemEnum Classification categories for channelopathies by affected organ system
ChemicalEntityTerm A term representing a chemical entity
ClinicalSignificanceEnum The clinical significance of a variant for a condition (ACMG guidelines)
ClinicalTrialPhaseEnum Clinical trial phase categories per FDA/NIH standards
ClinicalTrialStatusEnum Clinical trial recruitment and status categories per ClinicalTrials
ComorbidityDirectionEnum Directionality of a comorbidity/trajectory association
ComputationalModelTypeEnum Type of computational or in-silico model
ConditionCompositionEnum Composition type for a composite condition descriptor
CurationActionEnum Simple action types for curation audit trail
CurationStatusEnum Curation workflow status for an association
DatasetTypeEnum Type of dataset or data resource
DefinitionTypeEnum The type of definition or criteria set
DiseaseTerm A disease or medical condition
EnvironmentTerm A term representing an environmental context, material, or feature (from ENVO...
EvidenceItemSupportEnum The level of support for an evidence item
EvidenceSourceEnum The provenance/source of the evidence item
ExposureTerm A term representing an exposure event (from ECTO or XCO)
ExpressivityEnum Expressivity classification for inheritance
FrequencyEnum The frequency of an event or phenomenon
GeneProductTerm A gene product term from NCIT
GeneTerm A gene term from HGNC
GeographyTerm A place or location
HarrisonsChapterEnum Traditional internal medicine chapter groupings for disease classification
HistopathologyFindingTerm A histopathologic finding term from NCIT
ICD10CMTerm An ICD-10-CM diagnosis code
ICD11FTerm An ICD-11 Foundation diagnosis code
ICDOMorphologyEnum ICD-O morphology axis classification for cancer subtypes
InheritanceTerm A term representing mode of inheritance
IUISCategoryEnum IUIS classification tables for inborn errors of immunity (IEI)
LateralityEnum Laterality qualifier for anatomical structures or procedures
LifeCycleStageTerm A parasite life cycle stage term (from OPL)
LysosomalStorageEnum Classification of lysosomal storage diseases by accumulated substrate type
MappingConsistencyEnum Consistency of a mapping relative to another reference source
MechanisticHypothesisStatusEnum Curation/maturity status for a disease-level mechanistic hypothesis
MechanisticNosologyEnum Classification of diseases by molecular mechanism or affected cellular system
ModifierEnum Qualifiers for direction, intensity, or pathological state of a descriptor
OnsetEnum Age of onset categories from HPO
OrganismTerm A term representing an organism from NCBITaxon
PenetranceEnum Penetrance classification for inheritance
PhaseTerm A phase or stage
PhenotypeCategoryEnum Broad phenotype categories from the Human Phenotype Ontology
PhenotypeTerm A term representing a phenotype or disease manifestation
ProteinComplexTerm A term representing a protein complex
RegimenTerm A term representing a treatment regimen (from NCIT)
SexEnum Sex-specific stratum
TreatmentActionTerm A term representing a medical action or treatment (from MAXO)
TreatmentEffectEnum How a treatment affects a pathophysiology mechanism node
TriggerTerm A trigger
ZygosityEnum Zygosity categories from GENO

Types

Type Description
Boolean A binary (true or false) value
Curie a compact URI
Date a date (year, month and day) in an idealized calendar
DateOrDatetime Either a date or a datetime
Datetime The combination of a date and time
Decimal A real number with arbitrary precision that conforms to the xsd:decimal speci...
Double A real number that conforms to the xsd:double specification
Float A real number that conforms to the xsd:float specification
FrequencyQuantity
Integer An integer
Jsonpath A string encoding a JSON Path
Jsonpointer A string encoding a JSON Pointer
Ncname Prefix part of CURIE
Nodeidentifier A URI, CURIE or BNODE that represents a node in a model
Objectidentifier A URI or CURIE that represents an object in the model
PMID
Sparqlpath A string encoding a SPARQL Property Path
String A character string
Time A time object represents a (local) time of day, independent of any particular...
Uri a complete URI
Uriorcurie a URI or a CURIE

Subsets

Subset Description