{ "model": { "rank": 5226, "code": "thing-q174857", "model_id": "vr.tr.scoliosis", "name": "scoliosis", "purpose": "Enable an agent to recognise scoliosis, assess documented curve behaviour and clinical impact, and identify appropriate monitoring or specialist review using evidence matched to age, aetiology and skeletal maturity.", "family": "Thing Registry", "category": "Information and virtual systems", "status": "research-draft", "kind": "thing", "plane": "INF", "domain": "INF.KNW", "industry": "", "version": "", "url": "/models/thing/q174857/", "tier": 2, "score": 69, "payload": { "layer": "wikidata", "aliases": [ "Coffin-Lowry syndrome", "degenerative lumbar scoliosis", "torsion scoliosis", "idiopathic scoliosis", "kyphoscoliosis", "congenital scoliosis", "kyphoscoliosis type 1" ], "aliasCount": 7, "merged": 7, "knownIn": 69, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q174857", "url": "https://www.wikidata.org/wiki/Q174857", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-09T21:55:44Z", "providers": [ "Codex" ], "breadth": "recalled by Codex without web access - no source was read", "missingProviders": [], "pass": 2, "cost": { "grok": { "seconds": 23.4, "error": "Reading additional input from stdin...\nOpenAI Codex v0.153.4\n--------\nworkdir: R:\\02_PROJECTS\\02_Meta_Models_Platforms\\Ver.cy\\current\\thing-registry-backlog\nmodel: gpt-6-astra\nprovider: openai\napproval: never\nsandbox: read-only\nreasoning effort: none\nreasoning summaries: none\nsession id: 01a0882a-6329-7ff1-985c-3bb8bbaf6927\n--------\nuser\nDescribe what is already known about one registered thing. Answer as JSON only, no prose around it.\n\nThing: scoliosis\nSense to describe: (none recorded)\nDomain code: XCT.STA\nAlso known as: (none)\n\n\nContext for this batch of 1001 things:\n# Batch 005: 1001 regis", "usd": 0, "recall": true }, "codex": { "seconds": 70.4, "error": "Reading additional input from stdin...\nOpenAI Codex v0.153.4\n--------\nworkdir: R:\\02_PROJECTS\\02_Meta_Models_Platforms\\Ver.cy\\current\\thing-registry-backlog\nmodel: gpt-6-astra\nprovider: openai\napproval: never\nsandbox: read-only\nreasoning effort: none\nreasoning summaries: none\nsession id: 01a0882a-6318-7663-a55b-21ff36fcce67\n--------\nuser\nYou are drafting a Vercy meta-model for one registered thing. Answer as JSON only, no prose around it.\n\nThing: scoliosis\nRegistry id: vr.tr.scoliosis\nPlane / domain: XCT / XCT.STA\nRegistry definition: (none recorded)\nNames folded into this entry: (none)\n\n\nCont" } } }, "metaModel": { "id": "THING-Q174857", "registryId": "vr.tr.scoliosis", "name": "scoliosis", "version": "0.1.0-research.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q174857/", "model": { "registry_id": "vr.tr.scoliosis", "name": "scoliosis", "purpose": "Enable an agent to recognise scoliosis, assess documented curve behaviour and clinical impact, and identify appropriate monitoring or specialist review using evidence matched to age, aetiology and skeletal maturity.", "definition": "Scoliosis is a three-dimensional spinal deformity involving lateral curvature and vertebral rotation, conventionally defined radiographically by a Cobb angle of at least 10 degrees on a standing frontal spinal radiograph.", "scope_statement": "This model owns scoliosis as the spinal curvature condition represented by vr.tr.scoliosis in XCT / XCT.STA, including its phenotype, diagnostic evidence, causal classification, course and management-relevant state, while distinguishing the condition from the person, diagnostic assertion and episode of care.", "in_scope": [ "Structural spinal curvature and its distinction from flexible, nonstructural lateral deviation", "Curve location, magnitude, rotation, balance and flexibility", "Diagnostic evidence, uncertainty and versioned classification", "Age at onset, causal subtype, skeletal maturity and progression", "Symptoms, functional effects and condition-specific management considerations" ], "out_of_scope": [ "The patient's complete identity, health record and life history", "Care encounters, referrals, billing and service administration", "Underlying neurological, muscular or congenital disorders as independent conditions", "Brace design, imaging equipment and surgical implant specifications", "Kyphosis, lordosis, nonspecific back pain and spinal stenosis as independent conditions", "Detailed operative techniques and rehabilitation programme delivery" ], "distinguishing_features": [ "Distinguish radiographically assessed coronal spinal curvature from isolated shoulder or waist asymmetry; screening observations alone do not establish the diagnosis.", "Record the diagnostic threshold and its source: the 2016 SOSORT guidelines report an SRS criterion of Cobb angle at least 10 degrees with recognisable axial rotation. [2016 SOSORT guidelines](https://pmc.ncbi.nlm.nih.gov/articles/PMC5795289/)", "Assess persistence and correction with positioning or bending to distinguish structural curvature from nonstructural deviation.", "Separate lateral curvature and axial rotation from an isolated sagittal-plane kyphosis or lordosis abnormality.", "Require evidence supporting the causal subtype; do not label a curve idiopathic solely because no cause has yet been recorded." ], "characteristics": [ { "name": "Diagnostic assertion status", "kind": "state", "unit_or_values": "suspected | confirmed | disputed | excluded; assessor, date and criterion source", "why_it_matters": "Separates an observed asymmetry or screening result from an established diagnosis." }, { "name": "Cobb angle per curve", "kind": "measurement", "unit_or_values": "degrees; upper and lower end vertebrae, image date, posture and brace status", "why_it_matters": "Supports magnitude assessment and interpretable comparison between examinations." }, { "name": "Curve configuration", "kind": "category", "unit_or_values": "curve count, region, apex, convexity and structural or compensatory designation", "why_it_matters": "Distinguishes multiple curves and prevents measurements from different curves being compared." }, { "name": "Rotation assessment", "kind": "measurement", "unit_or_values": "method-specific vertebral rotation grade or angle; trunk rotation separately in degrees", "why_it_matters": "Preserves the distinction between vertebral rotation and surface trunk asymmetry." }, { "name": "Curve flexibility", "kind": "measurement", "unit_or_values": "residual Cobb angle in degrees under a specified bending or positioning protocol", "why_it_matters": "Helps characterise structural persistence and treatment planning." }, { "name": "Aetiological subtype", "kind": "category", "unit_or_values": "idiopathic | congenital | neuromuscular | syndromic | degenerative | other specified | undetermined", "why_it_matters": "Determines which natural-history evidence and management guidance are applicable." }, { "name": "Onset and recognition timing", "kind": "measurement", "unit_or_values": "age in years and months at estimated onset and first recognition, with uncertainty", "why_it_matters": "Prevents age at diagnosis from being mistaken for age at onset." }, { "name": "Skeletal maturity", "kind": "category", "unit_or_values": "named maturity system and stage, assessment date and supporting growth observations", "why_it_matters": "Provides context for remaining growth and progression assessment." }, { "name": "Observed curve change", "kind": "measurement", "unit_or_values": "change in Cobb degrees over a stated interval, with measurement comparability and uncertainty", "why_it_matters": "Distinguishes supported progression from apparent change caused by measurement conditions." }, { "name": "Spinal balance", "kind": "measurement", "unit_or_values": "coronal and sagittal offsets in millimetres using named landmarks and posture", "why_it_matters": "Records alignment information that a coronal Cobb angle alone does not express." }, { "name": "Clinical burden", "kind": "state", "unit_or_values": "documented pain, activity limitation, neurological findings, respiratory effects and self-image concerns", "why_it_matters": "Prevents radiographic magnitude from being treated as a complete measure of impact." }, { "name": "Classification mapping", "kind": "relation", "unit_or_values": "verified ICD-10, ICD-11 or SNOMED CT concept with release, jurisdiction and mapping specificity", "why_it_matters": "Keeps terminology assignments traceable without treating a code as diagnostic evidence." } ], "affordances": [ "Check whether documented examination and imaging evidence supports the stated scoliosis diagnosis.", "Match serial measurements to the same curve and flag incompatible acquisition conditions.", "Summarise progression evidence alongside skeletal maturity and causal subtype.", "Identify missing evidence or atypical features requiring clinician assessment.", "Organise clinician-approved observation, bracing, exercise or surgical-review considerations using applicable guidance.", "Link versioned terminology and population-specific evidence without replacing the clinical description." ] }, "sources": [], "structure": { "bundles": [ { "id": "diagnostic-boundary", "name": "Diagnostic boundary", "description": "Establish what supports a scoliosis diagnosis and how its meaning is recorded.", "rationale": "Visible asymmetry, measured curvature and a coded diagnosis are different kinds of evidence.", "layers": [ { "id": "clinical-and-radiographic-confirmation", "name": "Clinical and radiographic confirmation", "description": "Connect examination findings to interpretable spinal measurements.", "findings": [ { "id": "diagnostic-evidence-sufficiency", "name": "Diagnostic evidence sufficiency", "description": "Determine whether the recorded observations satisfy the explicitly identified diagnostic criteria.", "questions": [ { "text": "Which issuing body, document version, Cobb threshold and rotation requirements support this diagnostic assertion?", "kind": "provenance", "id": "diagnostic-evidence-sufficiency-q01" }, { "text": "Were the reported values obtained from radiographs, surface measurements or screening examination, and what can each establish?", "kind": "measurement", "id": "diagnostic-evidence-sufficiency-q02" } ] } ] }, { "id": "condition-and-terminology-boundaries", "name": "Condition and terminology boundaries", "description": "Separate the condition from alternative explanations and terminology assignments.", "findings": [ { "id": "structural-boundary-and-code-fit", "name": "Structural boundary and code fit", "description": "Record the distinction from nonstructural deviation and preserve the specificity of classification mappings.", "questions": [ { "text": "What examination or positioning evidence distinguishes structural scoliosis from a flexible deviation associated with posture, pelvic obliquity or leg-length discrepancy?", "kind": "boundary", "id": "structural-boundary-and-code-fit-q01" }, { "text": "Which verified ICD-10, ICD-11 or SNOMED CT concept matches the documented subtype, and what release and jurisdiction were used?", "kind": "provenance", "id": "structural-boundary-and-code-fit-q02" } ] } ] } ] }, { "id": "curve-geometry", "name": "Curve geometry", "description": "Represent each curve and the three-dimensional alignment relevant to interpretation.", "rationale": "One angle cannot identify every curve or describe rotation, flexibility and overall balance.", "layers": [ { "id": "curve-identification-and-magnitude", "name": "Curve identification and magnitude", "description": "Maintain a consistent identity for each measured curve.", "findings": [ { "id": "reproducible-curve-description", "name": "Reproducible curve description", "description": "Associate magnitude with location, direction and the vertebrae used to measure it.", "questions": [ { "text": "For each curve, what are its region, apex, convexity, end vertebrae and Cobb angle?", "kind": "measurement", "id": "reproducible-curve-description-q01" }, { "text": "How are multiple curves distinguished, and what evidence supports any structural, compensatory or major-curve designation?", "kind": "definition", "id": "reproducible-curve-description-q02" } ] } ] }, { "id": "rotation-flexibility-and-balance", "name": "Rotation, flexibility and balance", "description": "Capture deformity features beyond the coronal angle.", "findings": [ { "id": "three-dimensional-phenotype", "name": "Three-dimensional phenotype", "description": "Keep rotation, correction with positioning and global alignment as distinct observations.", "questions": [ { "text": "Which methods measured vertebral rotation, trunk rotation and coronal or sagittal balance, and what were their results?", "kind": "measurement", "id": "three-dimensional-phenotype-q01" }, { "text": "How much curvature remains under the documented bending or positioning protocol, and were brace conditions recorded?", "kind": "measurement", "id": "three-dimensional-phenotype-q02" } ] } ] } ] }, { "id": "aetiology-and-growth-context", "name": "Aetiology and growth context", "description": "Determine the causal and developmental context in which this scoliosis should be interpreted.", "rationale": "Childhood, neuromuscular and adult degenerative presentations cannot share unqualified assumptions about course or care.", "layers": [ { "id": "causal-subtype", "name": "Causal subtype", "description": "Record supported causes and unresolved causal attribution.", "findings": [ { "id": "subtype-evidence", "name": "Subtype evidence", "description": "Distinguish a supported subtype from an uninvestigated or uncertain cause.", "questions": [ { "text": "What history, examination or imaging supports an idiopathic, congenital, neuromuscular, syndromic or degenerative classification?", "kind": "provenance", "id": "subtype-evidence-q01" }, { "text": "Which underlying conditions require linked models, and what causal relationship to the curvature is established versus suspected?", "kind": "boundary", "id": "subtype-evidence-q02" } ] } ] }, { "id": "onset-maturity-and-population", "name": "Onset, maturity and population", "description": "Place the condition in a documented developmental and evidence context.", "findings": [ { "id": "developmental-and-population-fit", "name": "Developmental and population fit", "description": "Separate onset, recognition and maturity while checking whether population evidence applies.", "questions": [ { "text": "What are the estimated onset age, first-detection age and current skeletal maturity, including the maturity assessment method?", "kind": "measurement", "id": "developmental-and-population-fit-q01" }, { "text": "For any prevalence or risk estimate, what population, location, study year, curve threshold and causal subtype were studied?", "kind": "provenance", "id": "developmental-and-population-fit-q02" } ] } ] } ] }, { "id": "course-and-clinical-impact", "name": "Course and clinical impact", "description": "Assess change over time and its documented consequences.", "rationale": "Progression and patient burden must be established separately rather than inferred from a single image.", "layers": [ { "id": "longitudinal-curve-behaviour", "name": "Longitudinal curve behaviour", "description": "Interpret serial measurements in their acquisition and growth context.", "findings": [ { "id": "credible-progression", "name": "Credible progression", "description": "Determine whether observed change supports progression, stability or an indeterminate result.", "questions": [ { "text": "Do serial measurements describe the same curve under comparable posture, end-vertebra selection and brace conditions?", "kind": "measurement", "id": "credible-progression-q01" }, { "text": "What observed change, interval and measurement uncertainty support the assigned progression state, and which criterion defines meaningful change?", "kind": "provenance", "id": "credible-progression-q02" } ] } ] }, { "id": "symptoms-function-and-attribution", "name": "Symptoms, function and attribution", "description": "Record clinical effects without assuming every symptom is caused by the curve.", "findings": [ { "id": "burden-and-atypical-features", "name": "Burden and atypical features", "description": "Separate reported limitations, objective findings and unresolved symptom attribution.", "questions": [ { "text": "What pain, activity restrictions, self-image concerns, neurological findings or respiratory limitations are documented, and how were they assessed?", "kind": "measurement", "id": "burden-and-atypical-features-q01" }, { "text": "Which findings require prompt clinician assessment or investigation of another cause under the applicable clinical pathway?", "kind": "action", "id": "burden-and-atypical-features-q02" } ] } ] } ] }, { "id": "management-and-reassessment", "name": "Management and reassessment", "description": "Connect the documented condition state to justified care decisions and follow-up.", "rationale": "Management choices depend on more than curve magnitude and require explicit goals and reassessment criteria.", "layers": [ { "id": "management-option-fit", "name": "Management option fit", "description": "Assess the applicability of proposed observation or treatment pathways.", "findings": [ { "id": "individualised-management-rationale", "name": "Individualised management rationale", "description": "Record why a clinician proposes observation, scoliosis-specific exercise, bracing or surgical review for this presentation.", "questions": [ { "text": "Which guideline and version supports the proposed option for this subtype, curve pattern, growth stage, progression and clinical burden?", "kind": "provenance", "id": "individualised-management-rationale-q01" }, { "text": "What goals, preferences, contraindications and uncertainties must the clinician and patient address before choosing that option?", "kind": "action", "id": "individualised-management-rationale-q02" } ] } ] }, { "id": "follow-up-and-treatment-response", "name": "Follow-up and treatment response", "description": "Define how the condition will be reassessed during observation or treatment.", "findings": [ { "id": "response-and-escalation-evidence", "name": "Response and escalation evidence", "description": "Track outcomes with enough treatment context to interpret apparent improvement or deterioration.", "questions": [ { "text": "What follow-up interval, imaging justification and clinical changes trigger reassessment or specialist escalation?", "kind": "action", "id": "response-and-escalation-evidence-q01" }, { "text": "How will curve change, growth, function, treatment exposure, brace wear when applicable and adverse effects be recorded to judge response?", "kind": "measurement", "id": "response-and-escalation-evidence-q02" } ] } ] } ] }, { "id": "evidence-and-external-alignment", "name": "Evidence and external alignment", "description": "What the world already says about this thing, gathered so the model can be checked against it.", "rationale": "A model that cannot be lined up against existing standards, identifiers and practice cannot be adopted by anyone who already uses them.", "layers": [ { "id": "reported-evidence", "name": "Reported evidence", "description": "Findings from the breadth pass, kept separate from the structural claims.", "findings": [ { "id": "evidence-confidence-notes", "name": "Check these first", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "This is recalled knowledge, not source-verified research; current guideline editions and exact terminology should be checked.", "Functional scoliosis is included in some classifications, but its relationship to a strict definition requiring structural rotation needs explicit treatment.", "No prevalence estimate is supplied because estimates depend on population, age, study year and diagnostic threshold." ], "questions": [ { "id": "evidence-confidence-notes-q01", "text": "Which of these check these first hold for the sense of scoliosis this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-kinds", "name": "Kinds and varieties", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Idiopathic scoliosis, classified by age at onset", "Congenital scoliosis associated with vertebral malformations", "Neuromuscular scoliosis", "Syndromic scoliosis", "Adult degenerative scoliosis", "Functional or nonstructural scoliosis" ], "questions": [ { "id": "evidence-kinds-q01", "text": "Which of these kinds and varieties hold for the sense of scoliosis this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-identifiers", "name": "Identifiers and schemes", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ { "scheme": "ICD-10", "value_or_pattern": "M41", "note": "WHO category for scoliosis; congenital forms may be classified elsewhere, and national modifications add coding detail." }, { "scheme": "SNOMED CT", "value_or_pattern": "Numeric concept identifiers", "note": "Contains scoliosis and subtype concepts; exact identifiers and edition require verification." } ], "questions": [ { "id": "evidence-identifiers-q01", "text": "Which of these identifiers and schemes hold for the sense of scoliosis this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-standards-and-regulation", "name": "Standards and regulation", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Scoliosis Research Society (SRS): terminology and radiographic conventions for describing scoliosis.", "Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT): guidelines for conservative treatment of idiopathic scoliosis during growth." ], "questions": [ { "id": "evidence-standards-and-regulation-q01", "text": "Which of these standards and regulation hold for the sense of scoliosis this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-real-world-use", "name": "Real-world use", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Clinical assessment distinguishes structural deformity from flexible curvature and investigates underlying causes.", "Serial assessment during growth tracks curve progression and informs observation, bracing or specialist referral.", "Curve pattern, skeletal maturity and progression help guide treatment planning.", "Adult assessment evaluates pain, neurological symptoms, spinal balance and functional limitation.", "The condition is recorded separately from the diagnostic assessment, treatment encounter and individual patient." ], "questions": [ { "id": "evidence-real-world-use-q01", "text": "Which of these real-world use hold for the sense of scoliosis this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-measurements", "name": "Typical measurements", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ { "quantity": "Cobb angle", "typical_range": "At least 10 degrees is the conventional radiographic threshold; severity varies widely.", "unit": "degree" }, { "quantity": "Angle of trunk rotation", "typical_range": "Approximately 5-7 degrees is used as a referral threshold in some screening protocols; it does not establish the diagnosis.", "unit": "degree" } ], "questions": [ { "id": "evidence-measurements-q01", "text": "Which of these typical measurements hold for the sense of scoliosis this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-failure-modes-and-hazards", "name": "Failure modes and hazards", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Progressive structural curvature can produce increasing deformity and impaired spinal balance, particularly during remaining growth.", "Severe thoracic deformity can restrict respiratory function.", "Adult degenerative disease may coexist with spinal stenosis, nerve compression and functional disability.", "Pain or neurological abnormalities attributed automatically to scoliosis can delay recognition of another disorder.", "Radiographic positioning, end-vertebra selection and measurement variability can create apparent progression." ], "questions": [ { "id": "evidence-failure-modes-and-hazards-q01", "text": "Which of these failure modes and hazards hold for the sense of scoliosis this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-regional-variation", "name": "Regional variation", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "School screening policies and referral thresholds differ between health systems.", "ICD-10 national modifications differ in coding detail; code selection requires the jurisdiction and revision.", "Access to specialist assessment, custom bracing and surgery varies between regions." ], "questions": [ { "id": "evidence-regional-variation-q01", "text": "Which of these regional variation hold for the sense of scoliosis this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-neighbours", "name": "Neighbouring kinds and how to tell them apart", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ { "name": "Spinal asymmetry", "difference": "A lateral curve below 10 degrees falls below the conventional radiographic threshold for scoliosis." }, { "name": "Kyphosis", "difference": "Kyphosis describes sagittal-plane posterior convexity; scoliosis involves lateral curvature and rotation, although both can coexist." }, { "name": "Functional spinal curvature", "difference": "A flexible curve caused by factors such as pelvic obliquity may resolve when the cause or position changes; structural scoliosis retains a fixed component." }, { "name": "Kyphoscoliosis", "difference": "Specifically denotes combined scoliosis and excessive kyphosis." } ], "questions": [ { "id": "evidence-neighbours-q01", "text": "Which of these neighbouring kinds and how to tell them apart hold for the sense of scoliosis this model covers, and on what evidence?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Which diagnostic authority and version should govern threshold-edge cases, including differing wording around exactly 10 degrees and requirements for rotation?", "Which ICD-10 jurisdictional variants, ICD-11 entities and SNOMED CT releases provide verified mappings across the included scoliosis subtypes?", "Which measurement protocols and uncertainty limits should govern progression judgments across ages, imaging systems and brace conditions?", "Which current guidance applies separately to early-onset, adolescent idiopathic, congenital, neuromuscular and adult degenerative scoliosis?", "Which population- and year-specific prevalence estimates and validated outcome measures adequately represent each subtype without extrapolating adolescent evidence to all scoliosis?" ], "statistics": { "bundles": 6, "layers": 11, "findings": 19, "questions": 29 } }, "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 scoliosis, record what state it is in, and decide what may be done with it.", "whatItIs": "Enable an agent to recognise scoliosis, assess documented curve behaviour and clinical impact, and identify appropriate monitoring or specialist review using evidence matched to age, aetiology and skeletal maturity.", "characteristics": { "substance": "information", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "read and interpreted" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: Coffin-Lowry syndrome, degenerative lumbar scoliosis, torsion scoliosis, idiopathic scoliosis, kyphoscoliosis, congenital scoliosis, kyphoscoliosis type 1.", "7 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 69 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 scoliosis, and on what evidence are they told apart?" ], "whatItIsMadeOf": "content that has to be carried by something else", "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": [ "read it and act on what it says" ], "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": [ "Coffin-Lowry syndrome", "degenerative lumbar scoliosis", "torsion scoliosis", "idiopathic scoliosis", "kyphoscoliosis", "congenital scoliosis", "kyphoscoliosis type 1" ] } ], "standing": "Described in 69 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 7 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 scoliosis from another, and a scoliosis 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 scoliosis, 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 scoliosis, 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 scoliosis 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 scoliosis, 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 scoliosis, 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 scoliosis 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 scoliosis 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 scoliosis, 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 scoliosis, 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 scoliosis 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 scoliosis from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a scoliosis, 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 scoliosis, 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 scoliosis 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 scoliosis 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 scoliosis between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a scoliosis, 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 scoliosis, 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 scoliosis 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 scoliosis, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a scoliosis 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 scoliosis, 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 scoliosis, 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 scoliosis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "content-and-access", "name": "Content, encoding and access", "description": "What a scoliosis says, how it is encoded and who may read it.", "rationale": "An informational thing carries content that can be copied, versioned and withheld, none of which its physical carrier explains.", "layers": [ { "id": "content-and-encoding", "name": "Content and encoding", "description": "The content itself, its format and its language.", "findings": [ { "id": "content-and-format", "name": "Content, format and language", "description": "What a scoliosis contains and in what form it is held.", "questions": [ { "id": "content-and-format-q01", "text": "What identifies and describes the content of a scoliosis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "content-and-format-q02", "text": "Who or what asserted this about the content of a scoliosis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "content-and-format-q03", "text": "What may an agent decide or do once the content of a scoliosis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "access-and-rights", "name": "Access, rights and retention", "description": "Who may read, copy or change it, and for how long it is kept.", "findings": [ { "id": "access-rules", "name": "Access rules and retention", "description": "The permissions attached to a scoliosis and the period it survives.", "questions": [ { "id": "access-rules-q01", "text": "What identifies and describes access to a scoliosis, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "access-rules-q02", "text": "Who or what asserted this about access to a scoliosis, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "access-rules-q03", "text": "What may an agent decide or do once access to a scoliosis 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 scoliosis 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 scoliosis, 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 scoliosis, 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 scoliosis 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 scoliosis 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 scoliosis, 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 scoliosis 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 scoliosis and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a scoliosis, 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 scoliosis, 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 scoliosis 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 scoliosis is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a scoliosis, 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 scoliosis, 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 scoliosis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 6, "layers": 12, "findings": 14, "questions": 38 } } } }