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0002 Curated Disease Taxonomy Owns Q Diseases

Curated Disease Taxonomy Owns Disease Publication

Section titled “Curated Disease Taxonomy Owns Disease Publication”

Status: accepted

canonical.disease and q_diseases expose the reviewed product disease taxonomy, not the set of diseases that source artifacts happened to mention. Source-derived disease mentions remain evidence: they resolve to known curated diseases when possible and create review candidates when they do not.

Considered Options

  • Let exact NCIt matches from source mentions automatically populate canonical.disease / q_diseases.
  • Import legacy Data Gov disease rows directly as canonical source truth.
  • Keep source mentions as evidence and make curated taxonomy decisions own the published disease universe.

Consequences

Approval, trial, publication, SOC, and news mentions can prove that a source talks about a disease, but they cannot define the disease universe by themselves. Legacy Data Gov informed the first reviewed release and may still support explicit reconciliation; ADR-0010 defines the independent, versioned runtime source.