Each vocabulary is versioned independently using MAJOR.MINOR semantics and is available as a downloadable OWL/Turtle file. All stable vocabularies have corresponding SHACL shapes for validation. See the versioning policy for backward compatibility guarantees.

Core Vocabulary v3.3 Stable

Namespace: https://ns.cascadeprotocol.org/core/v1#  ·  Prefix: cascade:

Cross-application vocabulary used by every Cascade Protocol implementation. Defines schema versioning metadata, data provenance classes (ConsumerGenerated, ClinicalGenerated, DeviceGenerated, SelfReported, ConsumerWellness, AIAsserted, EHRVerified, ScannedDocument, AIExtracted), AI/advisory provenance activities (AdvisoryApplicationActivity, AIGenerationActivity), caregiver-proxy support (ProxyAgent), user identity, and patient demographics including PatientProfile, Address, PharmacyInfo, and AdvanceDirectives.

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Clinical Vocabulary v1.9 Stable

Namespace: https://ns.cascadeprotocol.org/clinical/v1#  ·  Prefix: clinical:

Vocabulary for structured health records imported from EHR systems via Apple HealthKit or direct FHIR import. Covers 24 classes including Medication, Condition, Allergy, LabResult, VitalSign, Immunization, Procedure, Encounter, MedicationAdministration, ImplantedDevice, and ImagingStudy. All classes include SNOMED CT and LOINC code mappings.

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Health Vocabulary v2.4 Stable

Namespace: https://ns.cascadeprotocol.org/health/v1#  ·  Prefix: health:

Consumer wellness and device-generated health data. Covers vital signs (blood pressure, heart rate, SpO2, temperature, respiratory rate), activity snapshots, sleep records, and body measurements. Every metric includes SNOMED CT and LOINC standard code mappings. Layer 2 vocabulary complementing clinical: for non-EHR data sources.

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POTS Vocabulary v1.4 Stable

Namespace: https://ns.cascadeprotocol.org/pots/v1#  ·  Prefix: pots:

Domain-specific vocabulary for postural orthostatic tachycardia syndrome home screening using the NASA Lean Test protocol. Supports age-adjusted heart rate thresholds, multi-position blood pressure and heart rate readings, symptom logging during testing, and result interpretation. Used in production by the POTS Check iOS and watchOS application.

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Coverage Vocabulary v1.3 Stable

Namespace: https://ns.cascadeprotocol.org/coverage/v1#  ·  Prefix: coverage:

Layer 2 domain vocabulary for insurance, benefits, and financial health data. Defines 8 classes: InsurancePlan, Deductible, CopaySchedule, ClaimRecord, BenefitStatement, DenialNotice, AppealRecord, and DenialReasonCode. Provides a unified representation shared between patient-reported and EHR-imported insurance records, with FHIR Coverage and ExplanationOfBenefit alignment.

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Checkup Vocabulary v3.2 Stable

Namespace: https://ns.cascadeprotocol.org/checkup/v1#  ·  Prefix: checkup:

Layer 3 patient-facing vocabulary for intake forms and pre-visit health data aggregation. Combines EHR-imported data, HealthKit wellness readings, supplements, and manually entered information into comprehensive patient profiles. Includes visit preparation summaries, trend insights, daily check-ins, and discussion topics for clinical encounters.

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In Development

Diabetes Vocabulary Draft

Namespace: https://ns.cascadeprotocol.org/diabetes/v1#  ·  Prefix: diabetes:

Unified vocabulary for diabetes and pre-diabetes management. Aggregates data from CGMs, glucose meters, insulin pumps, and lifestyle tracking devices into a coherent format with Time-in-Range metrics and pattern detection. Not yet stable — the schema may change before v1.0.

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Genomics Vocabulary Draft (v1.0-draft.0.1)

Namespace: https://ns.cascadeprotocol.org/genomics/v1#  ·  Prefix: genomics:

Layer 2 vocabulary for sequence variants, variant interpretations (ACMG/AMP), haplotypes/diplotypes, copy number variants, sequencing-run metadata, raw-file pointers, pedigrees, genetic test reports/orders, and ClinVar-aligned submitter assertions. Bridges Layer 1 standards (HGVS, ClinVar, VRS, HGNC, Sequence Ontology, HPO, MONDO/OMIM/ORDO) to Layer 3 patient-facing genetic counseling summaries. Pre-stable; the schema may change before v1.0.

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Advisory Vocabulary Draft (v1.0-draft.0.1)

Namespace: https://ns.cascadeprotocol.org/advisory/v1#  ·  Prefix: advisory:

Vocabulary for the Cascade Advisory Patch (CAP) profile — a constrained subset of W3C LDPatch carrying author-readable, statically-auditable, bounded-execution clinical knowledge updates (variant reclassifications, PGx dosing changes, surveillance-guideline updates, lab reference-range updates) into a Cascade pod. Defines the patch envelope, the six AdvisoryClass categories, the six-tier Cadence enum, per-pod TrustedIssuer trust records, and the AutoApplyPolicy opt-in policy. Pre-stable; the schema may change before v1.0.

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Evidence Vocabulary Draft (v1.0-draft.0.2)

Namespace: https://ns.cascadeprotocol.org/evidence/v1#  ·  Prefix: evidence:

Layer 2 cross-cutting vocabulary for grounding assertions in cited evidence. Models an Assertion, reified EvidenceLinks (supports / contradicts / contextual), external Citations (DOI/PMID), and the GroundingActivity that graded them. The v1-draft.0.2 facet model expresses the outcome as orthogonal facets (direction, basis, strength, settled, reason) plus a bounded confidence, replacing a flat verdict enum (now deprecated for one release). A SHACL-Core grounding invariant requires every grounded assertion to carry at least one evidence link. Consumed by Cascade Workbench and the Cascade Appeal system. Pre-stable; the schema may change before v1.0.

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Workbench Vocabulary Draft (v1.0-draft.0.5)

Namespace: https://ns.cascadeprotocol.org/workbench/v1#  ·  Prefix: workbench:

Layer 3 application vocabulary for the Cascade Workbench desktop investigation app. Defines the workspace objects (Investigation, ImportedConversation, Hypothesis, Pin), the append-only record-amendment overlays (Amendment, Annotation, Retraction, Tombstone), and the verification and filing axes. The v1-draft.0.5 notes substrate models caregiver notes, research flags, and follow-ups as ONE W3C Web Annotation (oa:Annotation) distinguished by oa:motivatedBy, with required PROV-O attribution and follow-ups dual-typed cal:Vtodo; exactly one term is minted (workbench:followUp). Pre-stable; the schema may change before v1.0.

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ECG Vocabulary Coming Soon

Namespace: https://ns.cascadeprotocol.org/ecg/v1#  ·  Prefix: ecg:

Electrocardiogram data from Apple Watch and medical-grade ECG devices. Will include rhythm classification, waveform metadata, and clinician interpretation fields. Planned for a future major release.