{"schema":"https://ver.cy/schemas/card/1.0.0","id":"vr.tr.spotted-fever","code":"thing-q9274700","url":"https://ver.cy/models/thing/q9274700/","name":"spotted fever","alternateNames":["Astrakhan spotted fever","Indian tick typhus","Israeli tick typhus","Far Eastern spotted fever","Rickettsia parkeri spotted fever","aneruptive fever","American tick bite fever","Flinders Island spotted fever","Rickettsia aeschlimannii spotted fever","Pacific Coast tick fever","Japanese spotted fever","Queensland tick typhus"],"kind":"thing","status":"published","version":"0.2.0-wave.3","language":"en","classifiers":{"family":"Thing Registry","category":"Activities and processes","entryKind":"thing","plane":"ACT","domain":["ACT.PRC"],"industry":[],"navPath":"","tags":[],"facets":{}},"whatItIs":"A group of tick-borne and mite-borne rickettsial diseases caused by spotted fever group Rickettsia, including Rocky Mountain spotted fever, Mediterranean spotted fever, Rickettsia parkeri rickettsiosis, Astrakhan spotted fever, Israeli and Indian tick typhus, Far Eastern spotted fever and rickettsialpox, typically causing fever, headache, an eschar at the bite site in many forms and a rash, though aneruptive forms occur; spotted fevers are treated with doxycycline and prevented by tick avoidance.","purpose":"Let an agent explain spotted fever rickettsioses and their regional forms, relay symptoms, treatment and prevention in general terms from public health sources, and distinguish them from typhus group diseases and other tick-borne infections.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["Tick-borne transmission","Eschar and rash","Regional forms","Doxycycline treatment"],"structure":{"bundles":[{"id":"understand","name":"Understand","description":"The diseases.","layers":[{"id":"group","name":"Group","description":"Group and forms.","findings":[{"id":"group-finding","name":"Group","description":"Group.","questions":[{"text":"What are the spotted fever rickettsioses, and how do regional forms differ?","kind":"definition"},{"text":"Is the question about a spotted fever, typhus or another tick-borne disease?","kind":"boundary"}]}]},{"id":"illness","name":"Illness","description":"Symptoms and course.","findings":[{"id":"illness-finding","name":"Illness","description":"Illness.","questions":[{"text":"What are the symptoms, including eschar and rash, in general terms?","kind":"definition"},{"text":"Is the user describing current symptoms after a tick bite, which need a clinician promptly?","kind":"boundary"}]}]}]},{"id":"care","name":"Care","description":"Treatment and prevention.","layers":[{"id":"treatment","name":"Treatment","description":"Treatment.","findings":[{"id":"treatment-finding","name":"Treatment","description":"Treatment.","questions":[{"text":"How are spotted fevers diagnosed and treated according to guidelines, in general terms?","kind":"provenance"},{"text":"Which references are standard?","kind":"provenance"}]}]},{"id":"prevention","name":"Prevention","description":"Prevention.","findings":[{"id":"prevention-finding","name":"Prevention","description":"Prevention.","questions":[{"text":"How are tick bites prevented and ticks removed safely?","kind":"provenance"},{"text":"Which entry fits tick prevention?","kind":"action"}]}]}]},{"id":"where","name":"Where","description":"Epidemiology.","layers":[{"id":"distribution","name":"Distribution","description":"Distribution.","findings":[{"id":"distribution-finding","name":"Distribution","description":"Distribution.","questions":[{"text":"Where do the different spotted fevers occur, and which ticks carry them, with sources?","kind":"measurement"},{"text":"Which sources are cited?","kind":"provenance"}]}]},{"id":"trends","name":"Trends","description":"Trends.","findings":[{"id":"trends-finding","name":"Trends","description":"Trends.","questions":[{"text":"How are case numbers and ranges changing, as reported?","kind":"provenance"},{"text":"Which entry fits the specific vector tick?","kind":"action"}]}]}]},{"id":"context","name":"Context","description":"History and science.","layers":[{"id":"history","name":"History","description":"History.","findings":[{"id":"history-finding","name":"History","description":"History.","questions":[{"text":"How was Rocky Mountain spotted fever investigated by Ricketts and others?","kind":"provenance"},{"text":"Which entry fits the history of microbiology?","kind":"action"}]}]},{"id":"research","name":"Research","description":"Research.","findings":[{"id":"research-finding","name":"Research","description":"Research.","questions":[{"text":"What research is ongoing on new species, diagnostics and vaccines?","kind":"provenance"},{"text":"Which entry fits Rickettsia?","kind":"action"}]}]}]}]},"agentConduct":{"may":["Give general information about tick-borne and mite-borne illness from reliable health sources.","Explain how to avoid and remove ticks, and when to seek medical care.","Help a person record a tick bite and the dates of any symptoms."],"mustNot":["Recommend medicines or doses in place of a clinician.","Tell a person with fever after a tick bite to wait rather than seek care.","Share a person's diagnosis or test results without consent.","Spread unverified outbreak claims about an area."],"requiresHuman":["Reporting a suspected case or cluster to public health authorities."]},"ethics":{"considerations":["Delayed care turns a treatable illness into a fatal one.","Outdoor workers and children are most exposed and least able to avoid it."],"affectedParties":["Patients","Outdoor workers and children","Pet owners and rural communities"]},"owners":{"steward":"Each patient owns their health data; public health authorities keep surveillance records.","roles":[],"masterSystems":["Notifiable disease surveillance systems"]},"relations":[{"target":"Q184243","type":"parent","note":"registry parent class"},{"target":"Q646664","type":"parent","note":"registry parent class"},{"target":"tick-borne disease","type":"related","note":"in registry terms"},{"target":"rickettsiosis","type":"related","note":"in registry terms"},{"target":"Rickettsia","type":"related","note":"spotted fever group"},{"target":"typhus","type":"related","note":"the typhus group"}],"interaction":{"identity":{"applicability":"required","items":["Vercy registry: vr.tr.spotted-fever","Wikidata: Q9274700 (https://www.wikidata.org/wiki/Q9274700)","ICD-11: 1C31 spotted fever","MeSH: D012373 rickettsia infections"]},"properties":{"applicability":"not-applicable","items":["Rocky Mountain spotted fever untreated fatality: about 20-30 percent - historical","US spotted fever cases: about 4000-6000 per year - CDC recent years"]},"recognition":{"applicability":"optional","items":["Spotted fever group rickettsioses","Rocky Mountain, Mediterranean, Astrakhan, Far Eastern and other forms","Typhus group diseases are louse, flea or mite borne; Lyme disease is a different tick-borne infection","Not a visible object; a febrile illness often with rash and eschar."]},"capabilities":{"applicability":"required","items":["explain the group and regional forms","relay treatment and prevention in general terms","relay distribution","distinguish from related diseases"]},"hazards":{"applicability":"required","items":["Delayed treatment with severe outcomes","Confusing with typhus or Lyme disease","Agents giving personal medical advice"]},"interfaces":{"applicability":"required","items":["CDC and WHO guidance","Notifiable disease rules in many countries"]},"context":{"applicability":"required","items":["Not applicable; a group of diseases.","Rocky Mountain spotted fever, Rickettsia rickettsii","Mediterranean spotted fever, Rickettsia conorii, including Israeli and Indian tick typhus and Astrakhan fever","Rickettsia parkeri rickettsiosis","Far Eastern spotted fever, Rickettsia heilongjiangensis","African tick bite fever","rickettsialpox, mite-borne","aneruptive fever without rash"]}},"sources":[{"title":"Wikidata item Q9274700: spotted fever","url":"https://www.wikidata.org/wiki/Q9274700","note":"identity and sense of the item"},{"title":"Wikipedia: Spotted fever","url":"https://en.wikipedia.org/wiki/Spotted_fever","note":"general description of the item"}],"openQuestions":["Should Rocky Mountain spotted fever be a separate primary entry?","How should public health guidance be linked?","The registry entry has merged aliases naming regional forms; should they be split off?"],"resources":{"spec":"/models/things/publications/thing-q9274700/spec.json"},"provenance":{"origin":"thing registry research (pass 2)","builtFrom":["models/things/publications/thing-q9274700/spec.json"],"providers":["Claude"],"researchStatus":"unreviewed","generatedAt":"2026-09-13T00:11:44Z","builder":"tools/build_cards.py@1.0.0"},"completeness":{"sections":{"classifiers":"filled","whatItIs":"filled","purpose":"filled","distinguishingFeatures":"filled","structure":"filled","agentConduct":"filled","ethics":"filled","owners":"filled","relations":"filled","interaction.identity":"filled","interaction.properties":"not-applicable","interaction.recognition":"filled","interaction.capabilities":"filled","interaction.hazards":"filled","interaction.interfaces":"filled","interaction.context":"filled","sources":"filled"},"notes":{"_gate":"Published through the thing publication gate 1.0 on 2026-10-06T19:52:03+00:00: completeness 1.00; sense: Wikidata description; 2 live sources; review by codex: pass","interaction.properties":"Plane ACT: no invented physical properties."},"score":1.0}}