{
  "schema": "vedokrok.public-item.v1",
  "release_id": "MHC-RPUB-20260920-75ad787a",
  "url": "/knowledge/get-a-changing-skin-mark-assessed-instead-of-repeatedly-asking-an-app",
  "id": "MHC-D-RESEARCH-1054",
  "version": "0.1.0",
  "title": "Get a changing skin mark assessed instead of repeatedly asking an app",
  "summary": "A clearer photo can be useful. It cannot supply a diagnosis by itself.",
  "kind": "protocol",
  "body": "Arrange a professional assessment for a changing mole or a new unusual, painful, itchy, bleeding or crusting mark. Describe what changed and when. Use any existing photographs as supporting information without delaying care to build a perfect monitoring record.",
  "limits": [
    "This card cannot determine whether a mark is benign or malignant. An absence of listed features is not proof of safety, and rapidly worsening or severe symptoms need timely medical advice."
  ],
  "topics": [
    "life-04-prevention"
  ],
  "intents": [],
  "source_ids": [
    "RS-D2F37F7C8A771CAA"
  ],
  "evidence": [
    {
      "claim": "NHS recommends professional assessment of changing moles and specified new, painful, itchy, bleeding or persistent unusual skin marks.",
      "source_id": "RS-D2F37F7C8A771CAA",
      "role": "supports",
      "note": "This is a reason to seek assessment, not a rule for diagnosing cancer or ruling it out.",
      "locator": "When to seek a GP assessment"
    }
  ],
  "use_when": [
    "A mole changes or an unusual skin mark persists or causes concern."
  ],
  "avoid_when": [
    "This card cannot determine whether a mark is benign or malignant. An absence of listed features is not proof of safety, and rapidly worsening or severe symptoms need timely medical advice."
  ],
  "example": "A person brings a dated photo showing that a mark changed shape and explains the change to a clinician.",
  "check": "Concern leads to an assessment or a clear professional follow-up plan.",
  "steps": [
    "Note the change, duration and relevant symptoms.",
    "Book the appropriate clinical assessment and mention concerning changes when arranging it.",
    "Use the clinician's follow-up advice rather than treating an app's reassurance as clearance."
  ],
  "sources": [
    {
      "id": "RS-D2F37F7C8A771CAA",
      "title": "Moles",
      "url": "https://www.nhs.uk/conditions/moles/"
    }
  ],
  "relations": [
    {
      "from": "MHC-D-RESEARCH-1054",
      "to": "MHC-D-RESEARCH-1059",
      "type": "useful_with",
      "url": "/knowledge/keep-a-portable-vaccine-record-and-review-gaps-locally"
    }
  ],
  "collections": [
    {
      "id": "RC-07450D8B730573D3",
      "title": "Protect health through ordinary care and clear information",
      "url": "/collections/protect-health-through-ordinary-care-and-clear-information"
    }
  ]
}