{ "model": { "rank": 2692, "code": "thing-q177708", "model_id": "vr.tr.menopause", "name": "menopause", "purpose": "Let an agent explain menopause and its stages in neutral clinical terms, relay symptoms, health effects and management options in general from gynaecological and public health sources, describe cultural and social variation, and route personal questions to clinicians.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q177708/", "tier": 2, "score": 99, "payload": { "layer": "wikidata", "aliases": [ "menopause in Spain", "premenopause" ], "aliasCount": 2, "merged": 2, "knownIn": 99, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q177708", "url": "https://www.wikidata.org/wiki/Q177708", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T06:18:08Z", "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": 3, "engine": "claude" }, "metaModel": { "id": "THING-Q177708", "registryId": "vr.tr.menopause", "name": "menopause", "version": "0.2.0-wave.3", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q177708/", "model": { "registry_id": "vr.tr.menopause", "name": "menopause", "purpose": "Let an agent explain menopause and its stages in neutral clinical terms, relay symptoms, health effects and management options in general from gynaecological and public health sources, describe cultural and social variation, and route personal questions to clinicians.", "definition": "The point in a woman s life when menstrual periods stop permanently because the ovaries cease releasing eggs and producing most oestrogen, confirmed after twelve months without periods, typically between ages 45 and 55 with a global average around 51, preceded by the perimenopause or premenopause of irregular cycles and symptoms such as hot flushes, sleep disturbance and mood changes, and followed by postmenopause with increased risk of osteoporosis and cardiovascular disease; menopause is a natural stage that varies across individuals and cultures, as studies of menopause in countries such as Spain show, and is managed with lifestyle measures and, where appropriate, hormone therapy.", "what_it_is_for": "Not applicable; a life stage.", "affordances": [ "explain stages and biology", "relay symptoms and management", "describe variation", "route personal questions" ], "distinguishing_features": [ "Ovarian cessation", "Hormonal change", "Stages", "Long-term health effects" ], "appearance": "Not a visible object; a physiological transition.", "visual_identification": [ "Permanent end of menstruation", "Premenopause and perimenopause, menopause, postmenopause; menopause in Spain and other national studies", "Amenorrhoea has other causes; premature ovarian insufficiency occurs before 40; andropause is a contested male analogue" ], "physical_properties": [ { "quantity": "average age", "typical_range": "about 51", "unit": "years", "note": "global" }, { "quantity": "typical range", "typical_range": "45-55", "unit": "years", "note": "" }, { "quantity": "definition", "typical_range": "12 months without periods", "unit": "note", "note": "" }, { "quantity": "perimenopause duration", "typical_range": "about 4-8", "unit": "years", "note": "varies" } ], "families_and_kinds": [ "natural menopause", "perimenopause and premenopause", "postmenopause", "early and premature menopause", "surgical and medically induced menopause", "menopause across cultures and countries such as Spain" ], "related_models": [ { "relation": "is a kind of", "target": "climacteric", "why": "in registry terms" }, { "relation": "is a kind of", "target": "reproductive senescence", "why": "in registry terms" }, { "relation": "is a kind of", "target": "menstrual cycle phase", "why": "in registry terms, as its end" }, { "relation": "is managed with", "target": "menopausal hormone therapy", "why": "where appropriate" } ], "identifiers": [ { "scheme": "ICD-11", "value_or_pattern": "GA30", "note": "menopausal and perimenopausal symptoms" }, { "scheme": "MeSH", "value_or_pattern": "D008593", "note": "menopause" } ], "standards_and_regulation": [ "Guidelines from NICE, the Menopause Society and national bodies", "Medicines regulation for hormone therapy", "Workplace menopause policies in some countries" ], "failure_modes_and_hazards": [ "Agents giving personal medical advice", "Stigma and dismissal of symptoms", "Misinformation about hormone therapy risks and benefits" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "help", "name": "Help", "description": "Personal questions first.", "rationale": "Safety.", "layers": [ { "id": "symptoms", "name": "Symptoms", "description": "Symptoms.", "findings": [ { "id": "symptoms-finding", "name": "Symptoms", "description": "Symptoms.", "questions": [ { "text": "Why do troublesome symptoms, bleeding after menopause or periods stopping before 40 need assessment by a clinician?", "kind": "action" }, { "text": "Is the user asking about their own symptoms or treatment, which needs a clinician?", "kind": "boundary" } ] } ] }, { "id": "support", "name": "Support", "description": "Support.", "findings": [ { "id": "support-finding", "name": "Support", "description": "Support.", "questions": [ { "text": "What support and information services exist for people going through menopause?", "kind": "provenance" }, { "text": "Which entry fits menopause support?", "kind": "action" } ] } ] } ] }, { "id": "understand", "name": "Understand", "description": "The transition.", "rationale": "Clinical.", "layers": [ { "id": "stages", "name": "Stages", "description": "Stages and biology.", "findings": [ { "id": "stages-finding", "name": "Stages", "description": "Stages.", "questions": [ { "text": "What happens hormonally through premenopause, perimenopause, menopause and postmenopause?", "kind": "definition" }, { "text": "Is the question about natural menopause, premature ovarian insufficiency or induced menopause?", "kind": "boundary" } ] } ] }, { "id": "symptoms", "name": "Symptoms", "description": "Symptoms and effects.", "findings": [ { "id": "symptoms-finding", "name": "Symptoms", "description": "Symptoms.", "questions": [ { "text": "What symptoms and long-term health effects are associated with menopause, in general terms?", "kind": "definition" }, { "text": "Which entry fits the specific symptom or condition?", "kind": "action" } ] } ] } ] }, { "id": "manage", "name": "Manage", "description": "Management.", "rationale": "Clinical.", "layers": [ { "id": "options", "name": "Options", "description": "Options.", "findings": [ { "id": "options-finding", "name": "Options", "description": "Options.", "questions": [ { "text": "What lifestyle, non-hormonal and hormonal options exist, and what do guidelines say about benefits and risks?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "evidence", "name": "Evidence", "description": "Evidence.", "findings": [ { "id": "evidence-finding", "name": "Evidence", "description": "Evidence.", "questions": [ { "text": "How has evidence on hormone therapy changed since the Women s Health Initiative, with findings attributed?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Society and culture.", "rationale": "Context.", "layers": [ { "id": "culture", "name": "Culture", "description": "Culture and variation.", "findings": [ { "id": "culture-finding", "name": "Culture", "description": "Culture.", "questions": [ { "text": "How does the experience of menopause vary across cultures and countries such as Spain, with findings attributed?", "kind": "provenance" }, { "text": "Is the presentation neutral?", "kind": "boundary" } ] } ] }, { "id": "society", "name": "Society", "description": "Work and society.", "findings": [ { "id": "society-finding", "name": "Society", "description": "Society.", "questions": [ { "text": "How are menopause and work, stigma and public awareness being addressed?", "kind": "provenance" }, { "text": "Which entry fits menopause in the workplace?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should perimenopause and hormone therapy be separate primary entries?", "How should clinical guidelines be linked?", "The registry entry has a merged alias naming a national study topic; should it be split off?" ], "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 menopause, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain menopause and its stages in neutral clinical terms, relay symptoms, health effects and management options in general from gynaecological and public health sources, describe cultural and social variation, and route personal questions to clinicians.", "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: menopause in Spain, premenopause.", "2 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 99 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 menopause, 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": [ "menopause in Spain", "premenopause" ] } ], "standing": "Described in 99 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 2 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 menopause from another, and a menopause 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 menopause, 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 menopause, 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 menopause 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 menopause, 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 menopause, 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 menopause 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 menopause 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 menopause, 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 menopause, 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 menopause 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 menopause from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a menopause, 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 menopause, 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 menopause 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 menopause 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 menopause between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a menopause, 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 menopause, 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 menopause 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 menopause, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a menopause 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 menopause, 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 menopause, 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 menopause 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 menopause 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 menopause 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 menopause 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 menopause 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 menopause?", "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 menopause?", "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 menopause 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 menopause and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a menopause, 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 menopause, 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 menopause 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 menopause is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a menopause, 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 menopause, 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 menopause 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 } } } }