{ "model": { "rank": 12538, "code": "thing-q1346149", "model_id": "vr.tr.complication", "name": "complication", "purpose": "Let an agent explain complications as a clinical concept, describe categories such as paraneoplastic syndromes and late effects in general terms, route warning signs to care, and describe prevention and monitoring with attribution.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q1346149/", "tier": 2, "score": 39, "payload": { "layer": "wikidata", "aliases": [ "paraneoplastic syndrome", "Doege–Potter syndrome", "ectopic hormone secretion syndrome associated with neoplasia", "Stauffer syndrome", "Thymoma-associated multiorgan autoimmunity", "carcinoid syndrome", "nervous system paraneoplastic syndrome", "paraneoplastic endocrine syndrome", "Paraneoplastic keratoderma", "placenta neoplasm", "gestational trophoblastic disease", "Poor Prognosis metastatic Gestational Trophoblastic tumor", "Nonmetastatic Gestational Trophoblastic tumor", "Good Prognosis metastatic Gestational Trophoblastic tumor", "syncitial endometritis", "hematologic pregnancy complication", "hyperemesis gravidarum", "hyperemesis gravidarum with metabolic disturbance", "late vomiting of pregnancy", "skin burn complication", "body piercing complications", "complications of pregnancy", "sequela", "Cardiac allograft vasculopathy", "tertiary prevention", "complications of anaesthesia", "foetal-maternal haemorrhage", "female urogenital diseases and pregnancy complications", "premature rupture of membranes", "mirror syndrome", "fetopathy", "intercurrent disease in pregnancy", "cryptic pregnancy", "symptoms and discomforts of pregnancy", "supine hypotensive syndrome", "premature labor", "fetal nutrition disorder", "neoplastic pregnancy complications", "exaggerated placental site", "disorder of amniotic fluid and membranes" ], "aliasCount": 72, "merged": 72, "knownIn": 39, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": "vr.tr.complication-state", "source": { "dataset": "wikidata", "item": "Q1346149", "url": "https://www.wikidata.org/wiki/Q1346149", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-11T23:30:49Z", "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": 2, "engine": "claude" }, "metaModel": { "id": "THING-Q1346149", "registryId": "vr.tr.complication", "name": "complication", "version": "0.2.0-wave.2", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q1346149/", "model": { "registry_id": "vr.tr.complication", "name": "complication", "purpose": "Let an agent explain complications as a clinical concept, describe categories such as paraneoplastic syndromes and late effects in general terms, route warning signs to care, and describe prevention and monitoring with attribution.", "definition": "An unfavourable development or secondary condition arising from a disease, procedure or treatment, such as infection after surgery, paraneoplastic syndromes accompanying cancer including carcinoid syndrome and ectopic hormone secretion, late effects of treatment and adverse effects of medicines; complications are anticipated, monitored and managed in clinical care and reported in outcome measures.", "what_it_is_for": "Secondary problems from disease or treatment.", "affordances": [ "explain the concept and categories", "route warning signs to care", "describe prevention and monitoring", "support patients" ], "distinguishing_features": [ "Secondary to a primary condition", "Predictable or unexpected", "Monitored", "Reported in outcomes" ], "appearance": "Varies widely; new symptoms after an illness or procedure.", "visual_identification": [ "Arises from a disease, procedure or treatment", "Unfavourable secondary condition", "A side effect is a known predictable effect, often milder" ], "physical_properties": [], "families_and_kinds": [ "surgical and procedural complications", "complications of disease such as paraneoplastic syndromes", "adverse effects of treatment", "late effects", "complications of pregnancy and other states" ], "related_models": [ { "relation": "is a kind of", "target": "adverse effect", "why": "category" }, { "relation": "is a kind of", "target": "late effect", "why": "category" }, { "relation": "is related to", "target": "tumor", "why": "paraneoplastic syndromes" }, { "relation": "is related to", "target": "abscess", "why": "a complication of infection" } ], "identifiers": [], "standards_and_regulation": [ "Clinical guidelines and safety reporting systems", "Informed consent rules on complication risks", "Pharmacovigilance regulation" ], "failure_modes_and_hazards": [ "Missed complications", "Agents diagnosing or advising on treatment", "Alarming patients unnecessarily" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "care", "name": "Care", "description": "Warning signs.", "rationale": "Routing.", "layers": [ { "id": "signs", "name": "Signs", "description": "When to seek care.", "findings": [ { "id": "signs-finding", "name": "Signs", "description": "Signs.", "questions": [ { "text": "Which new symptoms after a procedure, illness or treatment warrant prompt or urgent care, according to guidance?", "kind": "provenance" }, { "text": "Is there an emergency now?", "kind": "boundary" } ] } ] }, { "id": "monitor", "name": "Monitor", "description": "Monitoring.", "findings": [ { "id": "monitor-finding", "name": "Monitor", "description": "Monitoring.", "questions": [ { "text": "How are complications monitored and managed by care teams, in general terms?", "kind": "provenance" }, { "text": "Is the user asking for a diagnosis, which needs a clinician?", "kind": "boundary" } ] } ] } ] }, { "id": "understand", "name": "Understand", "description": "Kinds of complication.", "rationale": "General information.", "layers": [ { "id": "categories", "name": "Categories", "description": "Categories.", "findings": [ { "id": "categories-finding", "name": "Categories", "description": "Categories.", "questions": [ { "text": "How do surgical complications, adverse effects, late effects and paraneoplastic syndromes differ?", "kind": "definition" }, { "text": "What are conditions such as carcinoid syndrome or Stauffer syndrome, in general terms?", "kind": "provenance" } ] } ] }, { "id": "risk", "name": "Risk", "description": "Risk and prevention.", "findings": [ { "id": "risk-finding", "name": "Risk", "description": "Prevention.", "questions": [ { "text": "How are complication risks estimated and reduced, and what should consent discussions cover?", "kind": "provenance" }, { "text": "Which entry fits a specific procedure?", "kind": "action" } ] } ] } ] }, { "id": "system", "name": "System", "description": "Safety and reporting.", "rationale": "Quality.", "layers": [ { "id": "reporting", "name": "Reporting", "description": "Safety reporting.", "findings": [ { "id": "reporting-finding", "name": "Reporting", "description": "Reporting.", "questions": [ { "text": "How are complications reported and used to improve care and drug safety?", "kind": "provenance" }, { "text": "How can patients report adverse effects?", "kind": "provenance" } ] } ] }, { "id": "rights", "name": "Rights", "description": "Patient rights.", "findings": [ { "id": "rights-finding", "name": "Rights", "description": "Rights.", "questions": [ { "text": "What rights do patients have to information and redress when complications occur, in general terms?", "kind": "provenance" }, { "text": "Is the user seeking legal advice?", "kind": "boundary" } ] } ] } ] }, { "id": "learn", "name": "Learn", "description": "Research and teaching.", "rationale": "Context.", "layers": [ { "id": "research", "name": "Research", "description": "Research.", "findings": [ { "id": "research-finding", "name": "Research", "description": "Research.", "questions": [ { "text": "What are current research directions in preventing and predicting complications?", "kind": "provenance" }, { "text": "Which outcome measures are used?", "kind": "provenance" } ] } ] }, { "id": "teach", "name": "Teach", "description": "Teaching.", "findings": [ { "id": "teach-finding", "name": "Teach", "description": "Teaching.", "questions": [ { "text": "How can complication management be taught in clinical education?", "kind": "action" }, { "text": "Which misconceptions arise?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Should paraneoplastic syndromes be a separate entry?", "How should safety reporting be linked?", "How should consent information be linked?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "abstract concept", "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 complication, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain complications as a clinical concept, describe categories such as paraneoplastic syndromes and late effects in general terms, route warning signs to care, and describe prevention and monitoring with attribution.", "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: paraneoplastic syndrome, Doege–Potter syndrome, ectopic hormone secretion syndrome associated with neoplasia, Stauffer syndrome, Thymoma-associated multiorgan autoimmunity, carcinoid syndrome, nervous system paraneoplastic syndrome, paraneoplastic endocrine syndrome, Paraneoplastic keratoderma, placenta neoplasm, gestational trophoblastic disease, Poor Prognosis metastatic Gestational Trophoblastic tumor.", "72 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 39 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 complication, 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": [ "Nothing to see. What is recognised is an instance of it, and which instances count is exactly what is argued about." ], "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": [ "paraneoplastic syndrome", "Doege–Potter syndrome", "ectopic hormone secretion syndrome associated with neoplasia", "Stauffer syndrome", "Thymoma-associated multiorgan autoimmunity", "carcinoid syndrome", "nervous system paraneoplastic syndrome", "paraneoplastic endocrine syndrome", "Paraneoplastic keratoderma", "placenta neoplasm", "gestational trophoblastic disease", "Poor Prognosis metastatic Gestational Trophoblastic tumor" ] } ], "standing": "Described in 39 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 72 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 complication from another, and a complication 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 complication, 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 complication, 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 complication 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 complication, 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 complication, 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 complication 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 complication 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 complication, 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 complication, 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 complication 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 complication from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a complication, 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 complication, 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 complication 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 complication 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 complication between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a complication, 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 complication, 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 complication 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 complication, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a complication 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 complication, 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 complication, 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 complication is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "definitions-in-contest", "name": "Definitions and who holds them", "description": "What complication is taken to mean, and by whom.", "rationale": "When a field disagrees about a concept, the disagreement is the content. A model that picks one definition silently destroys the information.", "layers": [ { "id": "competing-definitions", "name": "Competing definitions", "description": "The main readings and the traditions behind them.", "findings": [ { "id": "definition-map", "name": "Definitions and their holders", "description": "Each definition with the school or body that holds it.", "questions": [ { "id": "definition-map-q01", "text": "Which definitions of complication are in use, and which tradition or body holds each?", "kind": "definition" }, { "id": "definition-map-q02", "text": "What turns on the difference between them in practice?", "kind": "boundary" } ] } ] }, { "id": "operationalisation", "name": "Operationalisation", "description": "How it is measured or applied when it has to be.", "findings": [ { "id": "operational-record", "name": "Measures and proxies", "description": "Instruments and indicators used to stand in for it.", "questions": [ { "id": "operational-record-q01", "text": "How is complication operationalised or measured in practice, and by what instrument?", "kind": "measurement" }, { "id": "operational-record-q02", "text": "What does that operationalisation leave out, and when does that matter?", "kind": "boundary" } ] } ] } ] }, { "id": "instances-and-use", "name": "Instances, use and consequence", "description": "What counts as an instance of complication and what follows from calling something that.", "rationale": "Applying a concept is an act with consequences, so a model must say what the label licenses and what it does not.", "layers": [ { "id": "instances", "name": "What counts as an instance", "description": "Clear cases, borderline cases and non-cases.", "findings": [ { "id": "instance-tests", "name": "Tests for an instance", "description": "What would settle whether something falls under it.", "questions": [ { "id": "instance-tests-q01", "text": "What would settle whether something is an instance of complication?", "kind": "boundary" }, { "id": "instance-tests-q02", "text": "Which borderline cases are argued about, and on what grounds?", "kind": "definition" } ] } ] }, { "id": "consequence", "name": "Consequence of application", "description": "Rights, duties or decisions that follow from the label.", "findings": [ { "id": "consequence-record", "name": "What the label licenses", "description": "What an agent may do once something is classified this way.", "questions": [ { "id": "consequence-record-q01", "text": "What follows practically once something is treated as complication?", "kind": "action" }, { "id": "consequence-record-q02", "text": "What must an agent not infer from the label alone?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a complication 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 complication and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a complication, 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 complication, 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 complication 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 complication is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a complication, 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 complication, 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 complication 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 } } } }