dismech-terms
Skill for adding and validating ontology term references in the dismech knowledge base. This skill should be used when working with disorder YAML files that need ontology term annotations (HPO for phe
dismech
terms
SKILL.md.claude/skills/dismech-terms
GitHubCurate Ontology Terms
Follow the session-wide ontology and cache contract in CLAUDE.md. Use this
workflow for each concrete term decision.
Core workflow
1. Inspect the field and its range
Read the relevant slot or class in src/dismech/schema/dismech.yaml. Determine:
- which descriptor or term field owns the binding;
- which ontology prefixes the schema permits;
- whether the field is constrained by a dynamic enum and
reachable_from; - whether a dedicated qualifier or category slot already captures part of the intended meaning.
Do not infer validity from similar-looking entries alone. Nearby entries are useful examples, but the schema and ontology remain authoritative.
2. Choose the validator's ontology source
Check conf/oak_config.yaml before looking up a term. Automated validation uses
the adapter configured there and is cache-first.
For prefixes configured with OLS, use OLS for a lightweight search or a local
SQLite build when definitions, relationships, or -O obo output are needed:
uv run runoak -i ols:hp search "cognitive impairment"
uv run runoak -i ols:hp info HP:0002014
uv run runoak -i sqlite:obo:hp info HP:0002014 -O obo
-O obo is not implemented by OLS adapters. A local inspection adapter may
differ from the configured validation adapter, so never mechanically replace
one with the other.
ECTO and XCO are pinned local exceptions. Read Exposure-term decisions before selecting or changing those bindings.
3. Search, inspect, and choose
Search broadly enough to find synonyms, then inspect candidate definitions and ancestry:
uv run runoak -i ols:cl search "regulatory T cell"
uv run runoak -i sqlite:obo:cl info CL:0000815 -O obo
uv run runoak -i sqlite:obo:cl ancestors CL:0000815 -p i
Choose the most specific term that accurately represents the curated claim.
Do not choose a narrow term merely because it is available. If only a broad
ontology term fits, bind that term and use preferred_term for justified
human-readable specificity.
3a. "Nothing more specific exists" is a checkable claim — write the query (dismech#7835)
The step above ends in a broad binding often enough that the note explaining it
has become routine, and that is where this failure mode lives: an entry binds an
over-broad term and adds a notes: sentence asserting a search was run and found
nothing finer. The binding is wrong and its justification is false.
The defect is in the audit trail, not in the data, so nothing catches it. The
bound term is real, its label matches, and it is inside the enum root — so
just validate-terms passes, and so does every other check in the stack. The note
makes it worse rather than better: a bare over-broad binding is a small error a
reviewer might spot, whereas an over-broad binding plus "I checked, nothing finer
exists" hands the reviewer an explicit reason to skip the one check that would
catch it. Only a semantic re-check finds it.
Three confirmed instances came out of a single batch of ten freshly curated
entries. In each, an independent verifier re-ran the search the note claimed had
been run and found an exact match: UBERON:0014527 posterior limb of internal
capsule (bound as the whole capsule UBERON:0001887), NCIT:C80435 (bound as the
branch root NCIT:C49236 Therapeutic Procedure), and HP:0004890 Elevated
pulmonary artery pressure (asserted to be unavailable). All three were corrected
before their PRs merged, so main has never carried them.
- Write the query you ran, verbatim and re-runnable, plus what it returned —
not a bare assertion that searching happened.
KLHL24-Related_Hypertrophic_Cardiomyopathy.yamlis the worked example: it namesrunoak -i sqlite:obo:ncit search 't~defibrillator'and the term that came back, so the next reader re-runs it in one paste instead of guessing what was searched for. Then re-run it yourself, immediately before you commit the note. Naming a re-runnable query does not make the note true: the query is the half a reader can check, and its reported output is the half that can be false.Digitalis_Poisoningreached review with a note naming five ECTO searches (l~digitalis,l~digoxin,l~glycoside,l~oleander,l~foxglove) and concluding ECTO had no cardiac-glycoside, digitalis or oleander exposure class — wherel~glycoside, one of the five, returnsECTO:9000436 exposure to glycoside, andl~digitalinreturnsECTO:9000003 exposure to digitalin(#12307). The searches had been written down without being read back. - Prefer no note to an unverified note. If you did not run the search, silence is the honest output. Never write a verification sentence to satisfy the instruction to document verification.
- State the relation you did check, not the absence you did not. The strongest
form of these notes explains the binding positively against the alternative —
as in
CDH2-Related_ACOG_Syndrome.yaml, which records thatHP:0002092was rejected because OAK shows it descending fromHP:0033578pre-capillary pulmonary hypertension, a haemodynamic category the source does not establish. That is a claim a reviewer can falsify; "nothing finer exists" is not.
This does not withdraw the instruction to document verification — the same
batch produced genuinely excellent provenance notes, including one naming four
papers it excluded as off-entity, each of which independently checked out. The
rule is about what an unbacked verification sentence costs, not about whether to
write notes. Record the reasoning in notes: rather than description:: the
description says what the entity is, and why a CURIE was chosen is curation
provenance.
No lint covers this. Extracting "no more specific term exists"-shaped sentences
from notes: and re-running the OAK search would catch the whole class
mechanically; that is a follow-on rather than done. Until then a reviewer
re-running the search is the only thing that finds it — so treat any
negative-existence sentence in a diff as a prompt to do exactly that.
3b. A term suggested by a deep-research report is a lead, not a binding
Reports in research/ suggest CURIEs because the templates ask them to, and
they get them wrong in ways that look clean: the CMTX report in
#9729 offered
MONDO:0010674 (Hunter syndrome) for Charcot-Marie-Tooth X-linked, with 26/26
of its citations verified.
Since deep-research-client 0.2.11 those suggestions are checked as the report
is generated. Read the report's ## Term Validation section, or its
term_validation: frontmatter, before lifting any CURIE out of it — and add the
section to an older report with just validate-research-terms <report>.
Two things the section does not settle, which is the whole of step 3 above:
- whether the term is reachable from the slot's dynamic-enum root, and
- whether it is the right term for the claim, as opposed to a real term named consistently.
It does flag a near-miss when the report names one — the same CMTX report
writes "areflexia" beside HP:0001265, which HPO calls Hyporeflexia
(Areflexia is HP:0001284). Read those entries as granularity findings, not
as paraphrase.
Gene CURIEs are skipped by default there (HGNC uppercase does not resolve in
sqlite:obo:hgnc, and ols: resolves it to an unrelated term), so verify those
yourself. See
docs/deep-research-term-validation.md.
3c. A term suggested in a review comment is a lead too
Same footing as 3b, and for the reason the decision register gives: PR comments are AI-generated by default in this repo (design decisions §7), so a reviewer's CURIE is another agent's suggestion, not a checked binding. It arrives looking more authoritative than a report's because it comes attached to a finding that was right.
Verify it as you would any other candidate, and in particular check the
relation it stands in to the term you meant. In
#12297 a round-1
reviewer supplied HP:0003324; it existed, Generalized muscle weakness was its
canonical label, and just validate-terms passed — while the descriptor's
preferred_term, description, snippet and explanation all said limb.
HP:0003324 and HP:0003690 Limb muscle weakness are siblings under
HP:0001324 Muscle weakness, not a general and a specific form of one thing, so
the binding asserted a distribution of weakness the source did not support. It
cost the PR a round.
4. Write the descriptor correctly
Keep canonical and display labels distinct:
cell_types:
- preferred_term: CD4+ regulatory T cell
term:
id: CL:0000815
label: regulatory T cell
term.idis the ontology CURIE.term.labelexactly matches the canonical ontology label.preferred_termis the display label and may preserve clinically or biologically useful nuance not represented by the ontology.
Prefer the canonical label as preferred_term when no extra nuance is needed.
Use lowercase hgnc: for HGNC gene CURIEs in this repository.
For common clinical post-composition, follow Descriptor Qualifier Slots in
CLAUDE.md; do not recreate temporality, course, severity, or onset in a generic
qualifiers list. Follow the root treatment and gain/loss-of-function sections
for those schema-modeling decisions.
5. Validate immediately
just validate-terms kb/disorders/YourDisease.yaml
Also run the normal schema validation and the final batched disorder validation
required by CLAUDE.md. Treat just validate-terms as authoritative for the
configured ontology source and the current cache state.
Interpret failures
Label mismatch
Confirm the identifier against the configured ontology, then update
term.label to the canonical label. Do not change preferred_term unless the
human-facing wording is also wrong.
XCO terms flagged Not4Curation
RGD keeps XCO terms for hierarchy that it does not want annotated with, and
marks them with a related synonym reading Not4Curation — a synonym, not an
obsoletion axiom. Such a term exists, has a matching label, and is reachable
from XCO:0000000 (the XCO root among the ExposureTerm enum's source_nodes;
ExO:0000002 is the ECTO one), so just validate-terms passes it. Twenty-four XCO terms
carry the marker, and three of them (XCO:0000294 estrogen/estrogen analog,
XCO:0000950 anticonvulsant, XCO:0000561 antidepressant) got into the #8430
tranches before a reviewer noticed (#8472).
just check-not4curation gates this in just qc and CI, so you do not have to
remember — but if you are choosing an XCO term by hand, check it first, because
the flagged ones are exactly the broad drug-class terms an exposure binding
reaches for:
just check-not4curation --list-flagged --prefix XCO # the whole deny-list
uv run runoak -i sqlite:obo:xco info XCO:0000294 # synonyms include Not4Curation
All three found so far had proper ECTO equivalents (XCO:0000294 →
ECTO:9000010 exposure to estrogens), so a flag is a prompt to look in ECTO
rather than a dead end.
Specificity Guidelines
Identifier not found
Check the prefix, numeric identifier, obsolescence, and configured adapter. A term found in a newer or different ontology service may still be unavailable to the validator. Select a term visible to the configured source or deliberately update the pinned source through the repository's maintenance workflow.
Dynamic-enum failure
Term existence and enum membership are different checks. A valid ontology term
may fall outside the field's allowed ancestor closure. Inspect the field's
dynamic enum and its reachable_from root rather than adding the CURIE directly
to cache/enums/*.csv.
Use the full OAK-backed audit only when refreshing or investigating membership:
just check-enum-cache
Normal validation uses the faster offline structural check.
Cache integrity or ordering failure
Never type a replacement label, timestamp, or membership row. Read Term-cache recovery, remove only the corrupt derived row when required, re-derive it through validation, and normalize with the sanctioned command.
Common binding patterns
Phenotype
phenotype_term:
preferred_term: Seizure
term:
id: HP:0001250
label: Seizure
Biological process
biological_processes:
- preferred_term: transforming growth factor beta receptor signaling
term:
id: GO:0007179
label: transforming growth factor beta receptor signaling pathway
modifier: INCREASED
Disease mapping and coverage
For MONDO coverage and epic-checklist synchronization, the primary
disease_term and has_subtypes terms count as curated. A term under
mappings.mondo_mappings counts only with skos:exactMatch or
skos:narrowMatch; broad, close, and related matches remain cross-references.
Specialized guidance
- Read Exposure-term decisions for ECTO/XCO adapter constraints and the smoking-versus-cigarette and alcohol-consumption-versus-ethanol binding rules.
- Read Term-cache recovery when an integrity, ordering, duplicate, malformed-row, or suspicious-label problem appears.