{ "model": { "rank": 1079, "code": "thing-q12204", "model_id": "vr.tr.tuberculosis", "name": "tuberculosis", "purpose": "Let an agent give general, sourced, non-stigmatising information about tuberculosis, encourage testing and completion of treatment through health services, route urgent symptoms, and avoid personal medical advice.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.QLT", "industry": "", "version": "", "url": "/models/thing/q12204/", "tier": 2, "score": 186, "payload": { "layer": "wikidata", "aliases": [ "pulmonary tuberculosis", "tuberculous lung cavity", "focal tuberculosis", "tuberculosis disease", "Tuberculosis in relation to HIV", "Infantile tuberculosis", "extrapulmonary tuberculosis", "bronchial tuberculosis", "primary tuberculosis", "tuberculous bronchiectasis", "post-primary tuberculosis", "latent tuberculosis", "silicotuberculosis", "multidrug-resistant tuberculosis", "infiltrative tuberculosis", "nodular lung tuberculosis", "Ghon focus", "Simon focus", "cutaneous tuberculosis", "abdominal tuberculosis", "central nervous system tuberculosis", "endocrine tuberculosis", "ear tuberculosis", "urogenital tuberculosis", "extensively drug-resistant tuberculosis", "Ghon's complex", "splenic tuberculosis", "tuberculous mesenteric gland", "Totally drug-resistant tuberculosis" ], "aliasCount": 29, "merged": 29, "knownIn": 186, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": "vr.tr.tuberculosis", "source": { "dataset": "wikidata", "item": "Q12204", "url": "https://www.wikidata.org/wiki/Q12204", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-11T13:19:14Z", "providers": [ "Claude" ], "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify", "pass": 2, "wave": 1, "engine": "claude" }, "metaModel": { "id": "THING-Q12204", "registryId": "vr.tr.tuberculosis", "name": "tuberculosis", "version": "0.2.0-wave.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.QLT" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q12204/", "model": { "registry_id": "vr.tr.tuberculosis", "name": "tuberculosis", "purpose": "Let an agent give general, sourced, non-stigmatising information about tuberculosis, encourage testing and completion of treatment through health services, route urgent symptoms, and avoid personal medical advice.", "definition": "An infectious disease caused by Mycobacterium tuberculosis, usually affecting the lungs and spread through the air when people with active lung disease cough; it can also be latent without symptoms, is preventable, notifiable and curable with a full course of treatment, though drug-resistant forms exist.", "what_it_is_for": "A major public health disease relevant to testing, treatment and prevention.", "affordances": [ "recognise symptoms that need medical assessment", "find testing and treatment services", "understand latent and active TB in general terms", "find public health and support information" ], "distinguishing_features": [ "Caused by Mycobacterium tuberculosis", "Airborne spread", "Latent or active", "Curable with long treatment" ], "appearance": "Symptoms such as a persistent cough, fever, night sweats and weight loss; seen on chest X-rays and in laboratory tests.", "visual_identification": [ "Cough lasting weeks with fever or weight loss", "Chest X-ray and sputum tests", "Other lung infections can cause similar symptoms" ], "physical_properties": [], "families_and_kinds": [ "pulmonary TB", "extrapulmonary TB", "latent TB infection", "drug-resistant TB", "TB with HIV co-infection" ], "related_models": [ { "relation": "is a kind of", "target": "bacterial infectious disease", "why": "category" }, { "relation": "is caused by", "target": "Mycobacterium tuberculosis", "why": "pathogen" }, { "relation": "affects", "target": "lung", "why": "organ" }, { "relation": "is prevented by", "target": "BCG vaccine and infection control", "why": "prevention" } ], "identifiers": [ { "scheme": "ICD-10", "value_or_pattern": "A15-A19", "note": "tuberculosis codes" } ], "standards_and_regulation": [ "WHO End TB Strategy and guidelines", "Notifiable disease laws", "Occupational health screening rules" ], "failure_modes_and_hazards": [ "Stopping treatment early", "Stigma discouraging testing", "Agents giving personal treatment advice" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "symptoms", "name": "Symptoms", "description": "When to seek care.", "rationale": "Early testing matters.", "layers": [ { "id": "assess", "name": "Assess", "description": "Persistent symptoms.", "findings": [ { "id": "assess-finding", "name": "Assess", "description": "Symptoms needing assessment.", "questions": [ { "text": "Has the person had a cough for several weeks, fever, night sweats or weight loss?", "kind": "boundary" }, { "text": "Should they contact a doctor or TB service for testing?", "kind": "action" } ] } ] }, { "id": "urgent", "name": "Urgent", "description": "Urgent symptoms.", "findings": [ { "id": "urgent-finding", "name": "Urgent", "description": "Urgent symptoms.", "questions": [ { "text": "Is the person coughing up significant blood or severely short of breath?", "kind": "boundary" }, { "text": "Should emergency help be sought now?", "kind": "action" } ] } ] } ] }, { "id": "information", "name": "Information", "description": "General facts.", "rationale": "Sourced information only.", "layers": [ { "id": "latent", "name": "Latent", "description": "Latent and active.", "findings": [ { "id": "latent-finding", "name": "Latent", "description": "Latent and active TB.", "questions": [ { "text": "How do latent TB infection and active TB disease differ, according to WHO?", "kind": "provenance" }, { "text": "Is latent TB infectious?", "kind": "provenance" } ] } ] }, { "id": "personal", "name": "Personal", "description": "Treatment questions.", "findings": [ { "id": "personal-finding", "name": "Personal", "description": "Personal advice limits.", "questions": [ { "text": "Is the user asking about their own diagnosis or medicines?", "kind": "boundary" }, { "text": "How should the agent encourage them to talk to their TB team and finish treatment?", "kind": "action" } ] } ] } ] }, { "id": "public", "name": "Public health", "description": "Prevention and control.", "rationale": "Public health leads.", "layers": [ { "id": "contacts", "name": "Contacts", "description": "Contact tracing.", "findings": [ { "id": "contacts-finding", "name": "Contacts", "description": "Contact tracing.", "questions": [ { "text": "What happens when someone close to a TB patient is identified as a contact?", "kind": "provenance" }, { "text": "Is screening free here?", "kind": "provenance" } ] } ] }, { "id": "data", "name": "Data", "description": "Statistics.", "findings": [ { "id": "data-finding", "name": "Data", "description": "TB statistics.", "questions": [ { "text": "What do WHO or national reports say about TB rates here, and for which year?", "kind": "provenance" }, { "text": "How is drug resistance tracked?", "kind": "provenance" } ] } ] } ] }, { "id": "support", "name": "Support", "description": "Living with TB.", "rationale": "Support aids recovery.", "layers": [ { "id": "stigma", "name": "Stigma", "description": "Respectful language.", "findings": [ { "id": "stigma-finding", "name": "Stigma", "description": "Stigma.", "questions": [ { "text": "Is the language non-stigmatising and person-first?", "kind": "boundary" }, { "text": "Which organisations challenge TB stigma?", "kind": "provenance" } ] } ] }, { "id": "help", "name": "Help", "description": "Practical support.", "findings": [ { "id": "help-finding", "name": "Help", "description": "Practical support.", "questions": [ { "text": "Which support exists for people during TB treatment, such as financial or treatment support?", "kind": "provenance" }, { "text": "How can it be accessed?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should TB forms be separate entries?", "How should testing services be localised?", "How should WHO data be linked?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "disease or condition", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a tuberculosis, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent give general, sourced, non-stigmatising information about tuberculosis, encourage testing and completion of treatment through health services, route urgent symptoms, and avoid personal medical advice.", "characteristics": { "substance": "abstract", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "observed and measured" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: pulmonary tuberculosis, tuberculous lung cavity, focal tuberculosis, tuberculosis disease, Tuberculosis in relation to HIV, Infantile tuberculosis, extrapulmonary tuberculosis, bronchial tuberculosis, primary tuberculosis, tuberculous bronchiectasis, post-primary tuberculosis, latent tuberculosis.", "29 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 186 Wikipedia languages, which is a measure of how widely the thing is known, not of how important it is." ], "openQuestionsForResearch": [ "Which of the bundles below does a real task actually need, and which are ceremony?", "What does this thing have that the facets do not capture at all?", "Which neighbouring kind is most often confused with a tuberculosis, and on what evidence are they told apart?" ], "whatItIsMadeOf": "an abstraction with no physical instance", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "observe it, measure it, record its state" ], "howItIsRecognised": [ "Recognised by criteria applied to signs and findings, not by appearance. Two conditions can look identical and be distinguished only by test." ], "relatedModels": [ { "relation": "covers", "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.", "targets": [ "pulmonary tuberculosis", "tuberculous lung cavity", "focal tuberculosis", "tuberculosis disease", "Tuberculosis in relation to HIV", "Infantile tuberculosis", "extrapulmonary tuberculosis", "bronchial tuberculosis", "primary tuberculosis", "tuberculous bronchiectasis", "post-primary tuberculosis", "latent tuberculosis" ] } ], "standing": "Described in 186 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 29 finer distinctions are held inside this entry as names rather than as separate models.", "structure": { "bundles": [ { "id": "identity-and-classification", "name": "Identity, naming and classification", "description": "How an agent tells one tuberculosis from another, and a tuberculosis from things that resemble it.", "rationale": "Recognition comes before every other claim. Without stable identity nothing else in the model can be trusted to be about the same thing twice.", "layers": [ { "id": "naming-and-identifiers", "name": "Names and identifiers", "description": "The names this thing goes by and the identifiers that survive translation and time.", "findings": [ { "id": "preferred-name-and-aliases", "name": "Preferred name, aliases and local names", "description": "Which name to use, which names mean the same thing, and which merely sound similar.", "questions": [ { "id": "preferred-name-and-aliases-q01", "text": "What identifies and describes the name of a tuberculosis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "preferred-name-and-aliases-q02", "text": "Who or what asserted this about the name of a tuberculosis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "preferred-name-and-aliases-q03", "text": "What may an agent decide or do once the name of a tuberculosis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "stable-identifiers", "name": "Stable identifiers and external keys", "description": "Identifiers that keep pointing at this kind of thing across systems and languages.", "questions": [ { "id": "stable-identifiers-q01", "text": "What identifies and describes an identifier for a tuberculosis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stable-identifiers-q02", "text": "Who or what asserted this about an identifier for a tuberculosis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stable-identifiers-q03", "text": "What may an agent decide or do once an identifier for a tuberculosis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "classification-and-granularity", "name": "Classification and granularity", "description": "Where a tuberculosis sits among kinds, and how finely a task needs to cut it.", "findings": [ { "id": "kind-and-parents", "name": "Kind, parents and neighbouring kinds", "description": "The classes this thing belongs to and the ones it is next to.", "questions": [ { "id": "kind-and-parents-q01", "text": "What identifies and describes the kind of a tuberculosis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "kind-and-parents-q02", "text": "Who or what asserted this about the kind of a tuberculosis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "kind-and-parents-q03", "text": "What may an agent decide or do once the kind of a tuberculosis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "distinguishing-features", "name": "Distinguishing features", "description": "What separates a tuberculosis from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a tuberculosis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "distinguishing-features-q02", "text": "Who or what asserted this about what distinguishes a tuberculosis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "distinguishing-features-q03", "text": "What may an agent decide or do once what distinguishes a tuberculosis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "state-and-lifecycle", "name": "State and lifecycle", "description": "The states a tuberculosis passes through and the events that move it between them.", "rationale": "Most decisions about a thing depend on what state it is in now, which is a claim with a time on it, not a property.", "layers": [ { "id": "lifecycle-stages", "name": "Lifecycle stages", "description": "From coming into existence to ceasing to be one of these.", "findings": [ { "id": "stages-and-transitions", "name": "Stages and transitions", "description": "The stages worth naming and what moves a tuberculosis between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a tuberculosis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stages-and-transitions-q02", "text": "Who or what asserted this about the lifecycle of a tuberculosis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stages-and-transitions-q03", "text": "What may an agent decide or do once the lifecycle of a tuberculosis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "observations-and-status", "name": "Observations and current status", "description": "What is observed about a tuberculosis, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a tuberculosis is recorded so that it can be superseded rather than overwritten.", "questions": [ { "id": "observation-record-q01", "text": "What identifies and describes an observation of a tuberculosis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "observation-record-q02", "text": "Who or what asserted this about an observation of a tuberculosis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "observation-record-q03", "text": "What may an agent decide or do once an observation of a tuberculosis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "diagnosis-and-criteria", "name": "Diagnosis, criteria and coding", "description": "What makes a case of tuberculosis a case, and under which revision.", "rationale": "Criteria change between revisions, so a diagnosis without its coding revision cannot be compared with a later one.", "layers": [ { "id": "criteria", "name": "Diagnostic criteria", "description": "The criteria in force and who issues them.", "findings": [ { "id": "criteria-record", "name": "Criteria, issuer and revision", "description": "What must be true for a diagnosis, according to whom.", "questions": [ { "id": "criteria-record-q01", "text": "What criteria define tuberculosis, issued by which body, in which revision?", "kind": "definition" }, { "id": "criteria-record-q02", "text": "What changed between revisions that would reclassify existing cases?", "kind": "boundary" } ] } ] }, { "id": "coding", "name": "Coding and terminology", "description": "The codes used to record it and their mapping.", "findings": [ { "id": "coding-record", "name": "Codes and mappings", "description": "Which classification codes apply and how they map.", "questions": [ { "id": "coding-record-q01", "text": "Which classification and terminology codes cover tuberculosis, and how do they map to each other?", "kind": "definition" }, { "id": "coding-record-q02", "text": "What is lost when a case is mapped from one scheme to another?", "kind": "boundary" } ] } ] } ] }, { "id": "course-and-population", "name": "Course, population and care", "description": "How tuberculosis develops, whom it affects, and what is done about it.", "rationale": "The condition, the diagnosis and the episode of care are three different things, and an agent must not merge them.", "layers": [ { "id": "course", "name": "Course and stages", "description": "Onset, progression, remission and outcome.", "findings": [ { "id": "course-record", "name": "Stages and transitions", "description": "The stages recorded and what moves a case between them.", "questions": [ { "id": "course-record-q01", "text": "What course does tuberculosis typically take, and what marks each stage?", "kind": "definition" }, { "id": "course-record-q02", "text": "What separates the condition itself from an episode of care for it?", "kind": "boundary" } ] } ] }, { "id": "population", "name": "Affected populations", "description": "Who is affected, how often, and on what evidence.", "findings": [ { "id": "epidemiology", "name": "Prevalence and its basis", "description": "Rates with their population, period and source.", "questions": [ { "id": "epidemiology-q01", "text": "What prevalence or incidence is reported for tuberculosis, in which population and period?", "kind": "measurement" }, { "id": "epidemiology-q02", "text": "What may an agent not conclude about an individual from a population rate?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a tuberculosis came from and when it held.", "rationale": "A claim without a source and a time cannot be superseded, only overwritten, and an agent that overwrites loses the ability to explain itself.", "layers": [ { "id": "source-and-authority", "name": "Source and authority", "description": "Who said it, on what evidence, and how strongly.", "findings": [ { "id": "claim-provenance", "name": "Claim provenance and confidence", "description": "The authority behind each claim about a tuberculosis and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a tuberculosis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "claim-provenance-q02", "text": "Who or what asserted this about a claim about a tuberculosis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "claim-provenance-q03", "text": "What may an agent decide or do once a claim about a tuberculosis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "time-and-versions", "name": "Time, versions and supersession", "description": "When a claim was true, when it was learnt, and what replaced it.", "findings": [ { "id": "validity-and-supersession", "name": "Validity period and supersession", "description": "How an old claim about a tuberculosis is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a tuberculosis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "validity-and-supersession-q02", "text": "Who or what asserted this about the validity of a claim about a tuberculosis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "validity-and-supersession-q03", "text": "What may an agent decide or do once the validity of a claim about a tuberculosis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 5, "layers": 10, "findings": 12, "questions": 32 } } } }