{ "model": { "rank": 3873, "code": "thing-q180266", "model_id": "vr.tr.scarlet-fever", "name": "scarlet fever", "purpose": "Enable an AI agent to recognise and assess recorded scarlet fever episodes, distinguish them from related infections and rash illnesses, and identify evidence needed for clinical or public-health decisions.", "family": "Thing Registry", "category": "Information and virtual systems", "status": "research-draft", "kind": "thing", "plane": "INF", "domain": "INF.MED", "industry": "", "version": "", "url": "/models/thing/q180266/", "tier": 2, "score": 81, "payload": { "layer": "wikidata", "aliases": [], "aliasCount": 0, "merged": 0, "knownIn": 81, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": "vr.tr.scarlet-fever", "source": { "dataset": "wikidata", "item": "Q180266", "url": "https://www.wikidata.org/wiki/Q180266", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-09T18:57:29Z", "providers": [ "Codex" ], "breadth": "recalled by Codex without web access - no source was read", "missingProviders": [], "pass": 2, "cost": { "grok": { "seconds": 21.3, "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: 01a08787-51e3-7793-a6cd-1f329c94e026\n--------\nuser\nDescribe what is already known about one registered thing. Answer as JSON only, no prose around it.\n\nThing: scarlet fever\nSense to describe: (none recorded)\nDomain code: INF.KNW\nAlso known as: (none)\n\n\nContext for this batch of 695 things:\n# Batch 004: 1001 re", "usd": 0, "recall": true }, "codex": { "seconds": 62.5, "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: 01a08787-51ed-7983-925e-25ce9de0fc76\n--------\nuser\nYou are drafting a Vercy meta-model for one registered thing. Answer as JSON only, no prose around it.\n\nThing: scarlet fever\nRegistry id: vr.tr.scarlet-fever\nPlane / domain: INF / INF.KNW\nRegistry definition: (none recorded)\nNames folded into this entry: (none" } } }, "metaModel": { "id": "THING-Q180266", "registryId": "vr.tr.scarlet-fever", "name": "scarlet fever", "version": "0.1.0-research.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "INF.KNW" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q180266/", "model": { "registry_id": "vr.tr.scarlet-fever", "name": "scarlet fever", "purpose": "Enable an AI agent to recognise and assess recorded scarlet fever episodes, distinguish them from related infections and rash illnesses, and identify evidence needed for clinical or public-health decisions.", "definition": "Scarlet fever is a toxin-mediated syndrome caused by pyrogenic exotoxin-producing Streptococcus pyogenes (group A Streptococcus), usually accompanying pharyngitis and characterised by fever and a diffuse, fine, sandpaper-textured erythematous rash.", "scope_statement": "This model owns the disease concept scarlet fever within vr.tr.scarlet-fever and the evidence used to characterise suspected or established episodes, while keeping the disease, diagnostic assertion, patient and episode of care distinct.", "in_scope": [ "The relationship between scarlet fever, toxin-producing group A Streptococcus and its characteristic rash syndrome", "Clinical manifestations, temporal course and diagnostic uncertainty", "Microbiological evidence and its relationship to the clinical presentation", "Transmission context, linked cases and affected populations", "Management status, recovery and complications attributable to an episode", "Versioned disease terminology, diagnostic guidance and surveillance definitions" ], "out_of_scope": [ "The patient's complete health record and unrelated conditions", "Healthcare visits, admissions, billing and service delivery", "Group A Streptococcus taxonomy and molecular biology beyond their relevance to scarlet fever", "Streptococcal pharyngitis without the scarlet fever syndrome", "Independent models of alternative rash illnesses and invasive streptococcal disease", "Drug product specifications and general prescribing rules" ], "distinguishing_features": [ "A compatible scarlatiniform rash distinguishes the scarlet fever syndrome from uncomplicated streptococcal pharyngitis; fever or sore throat alone does not establish the distinction.", "Rash texture, distribution and timing must be considered with other manifestations; a red tongue or rash recorded in isolation is insufficient to identify scarlet fever.", "A positive group A Streptococcus result must be interpreted alongside the syndrome because organism detection alone does not establish that it explains the rash.", "The model distinguishes uncomplicated scarlet fever from suspected invasive infection using evidence of systemic deterioration, focal complications and relevant specimen results.", "Alternative explanations such as viral exanthem, drug eruption and Kawasaki disease remain distinguishable hypotheses rather than being absorbed into a scarlet fever label." ], "characteristics": [ { "name": "Diagnostic assertion status", "kind": "state", "unit_or_values": "Suspected, supported, confirmed under a named definition, rejected, or unresolved", "why_it_matters": "Keeps a provisional label distinct from a diagnosis justified by specified evidence." }, { "name": "Rash phenotype", "kind": "category", "unit_or_values": "Texture, blanching, distribution, skin-fold accentuation and subsequent peeling; present, absent or not assessed for each", "why_it_matters": "Records the manifestation that distinguishes scarlet fever from related streptococcal illness." }, { "name": "Associated clinical manifestations", "kind": "category", "unit_or_values": "Fever, throat findings, tongue changes and other observed manifestations, each with assessment time", "why_it_matters": "Supports syndrome recognition without treating any single manifestation as decisive." }, { "name": "Clinical timeline", "kind": "measurement", "unit_or_values": "Dated observations and elapsed hours or days relative to first symptoms", "why_it_matters": "Connects rash onset, sampling, treatment and recovery within the same episode." }, { "name": "Streptococcal test evidence", "kind": "relation", "unit_or_values": "Links to specimen site, collection time, assay type, result and laboratory interpretation", "why_it_matters": "Makes the strength and limitations of microbiological support assessable." }, { "name": "Associated infection site", "kind": "category", "unit_or_values": "Pharyngeal, skin or wound, other documented site, or unknown", "why_it_matters": "Avoids assuming that every episode has the same local infection source." }, { "name": "Exposure and case linkage", "kind": "relation", "unit_or_values": "Dated contact, household, educational setting or outbreak links, with certainty", "why_it_matters": "Supports investigation while separating plausible exposure from demonstrated transmission." }, { "name": "Treatment and response status", "kind": "state", "unit_or_values": "Not documented, planned, started, interrupted or completed; response recorded separately", "why_it_matters": "Prevents a prescription from being mistaken for treatment received or recovery achieved." }, { "name": "Complication status", "kind": "state", "unit_or_values": "Not assessed, no complication identified at assessment, suspected, or established; linked to a named complication", "why_it_matters": "Distinguishes an uncomplicated course from findings requiring separate assessment." }, { "name": "Terminology and criteria provenance", "kind": "relation", "unit_or_values": "Registry identity plus verified ICD or SNOMED concept, release, jurisdiction and applicable definition", "why_it_matters": "Prevents codes or diagnostic labels from silently changing meaning across revisions." } ], "affordances": [ "Compare a documented rash and infection presentation with a named, versioned scarlet fever definition.", "Identify missing observations or test context that limit diagnostic confidence.", "Track symptom progression, treatment received and documented response within a distinct episode.", "Surface evidence requiring clinician review under an applicable escalation guideline.", "Assess whether documented contacts or linked cases warrant public-health review under local rules.", "Map the disease concept to verified terminology while preserving unresolved differences between clinical and surveillance definitions." ] }, "sources": [], "structure": { "bundles": [ { "id": "scarlet-fever-identity", "name": "Scarlet fever identity", "description": "Defines the disease and separates its identity from related infections, coding labels and care events.", "rationale": "Scarlet fever can be incorrectly equated with any streptococcal throat infection or any rash accompanying a positive test.", "layers": [ { "id": "syndrome-boundary", "name": "Syndrome boundary", "description": "Establishes the relationship between the rash syndrome and its infectious cause.", "findings": [ { "id": "rash-and-streptococcal-attribution", "name": "Rash and streptococcal attribution", "description": "The model must represent both the compatible syndrome and the evidence attributing it to group A Streptococcus.", "questions": [ { "text": "What authoritative definition identifies scarlet fever and distinguishes it from streptococcal pharyngitis without a rash?", "kind": "definition", "id": "rash-and-streptococcal-attribution-q01" }, { "text": "What evidence supports attributing this rash to the streptococcal infection rather than a coincident illness or drug exposure?", "kind": "boundary", "id": "rash-and-streptococcal-attribution-q02" } ] } ] }, { "id": "versioned-diagnostic-identity", "name": "Versioned diagnostic identity", "description": "Connects the registry concept to explicit diagnostic assertions and terminology releases.", "findings": [ { "id": "codes-and-case-definitions", "name": "Codes and case definitions", "description": "Coding identity, clinical diagnosis and surveillance classification require separate provenance.", "questions": [ { "text": "Which ICD-10, ICD-11 and SNOMED concepts match this scope in the relevant releases and jurisdiction?", "kind": "provenance", "id": "codes-and-case-definitions-q01" }, { "text": "Which issuing body and definition version justify the recorded diagnostic or surveillance status?", "kind": "provenance", "id": "codes-and-case-definitions-q02" } ] } ] } ] }, { "id": "rash-syndrome-and-diagnostic-evidence", "name": "Rash syndrome and diagnostic evidence", "description": "Organises the observed phenotype and tests used to evaluate scarlet fever.", "rationale": "Neither an isolated rash descriptor nor organism detection adequately captures the diagnostic reasoning.", "layers": [ { "id": "clinical-pattern", "name": "Clinical pattern", "description": "Records the rash and associated manifestations as timed observations.", "findings": [ { "id": "scarlatiniform-presentation", "name": "Scarlatiniform presentation", "description": "Rash texture, distribution and evolution must remain distinguishable from accompanying throat, tongue and fever findings.", "questions": [ { "text": "What rash texture, distribution, blanching and skin-fold changes were actually observed, and when?", "kind": "measurement", "id": "scarlatiniform-presentation-q01" }, { "text": "How did fever, throat symptoms, tongue changes and peeling develop relative to rash onset?", "kind": "measurement", "id": "scarlatiniform-presentation-q02" } ] } ] }, { "id": "testing-and-alternatives", "name": "Testing and alternatives", "description": "Evaluates microbiological support alongside competing explanations.", "findings": [ { "id": "interpretable-streptococcal-evidence", "name": "Interpretable streptococcal evidence", "description": "Test interpretation requires specimen and timing information plus consideration of carriage and alternative rash causes.", "questions": [ { "text": "Which specimen and assay produced the result, when was it collected, and had antimicrobial treatment already begun?", "kind": "provenance", "id": "interpretable-streptococcal-evidence-q01" }, { "text": "What supports active streptococcal disease rather than carriage accompanying another cause of rash?", "kind": "boundary", "id": "interpretable-streptococcal-evidence-q02" }, { "text": "Does the applicable diagnostic guideline call for additional testing or reassessment for this age group and presentation?", "kind": "action", "id": "interpretable-streptococcal-evidence-q03" } ] } ] } ] }, { "id": "episode-course-and-clinical-response", "name": "Episode course and clinical response", "description": "Tracks the evolution of an episode, management received and evidence of complications.", "rationale": "A scarlet fever diagnosis does not by itself describe current severity, treatment completion or recovery.", "layers": [ { "id": "episode-and-treatment-timeline", "name": "Episode and treatment timeline", "description": "Connects illness milestones with documented care and response.", "findings": [ { "id": "progression-and-response", "name": "Progression and response", "description": "The episode needs an explicit timeline that distinguishes treatment intent, administration and observed change.", "questions": [ { "text": "When did symptoms begin, what treatment was actually received, and how did symptoms subsequently change?", "kind": "measurement", "id": "progression-and-response-q01" }, { "text": "What evidence distinguishes persistence of this episode from a new episode or a revised diagnosis?", "kind": "boundary", "id": "progression-and-response-q02" } ] } ] }, { "id": "complications-and-escalation", "name": "Complications and escalation", "description": "Separates expected evolution from possible local, invasive or delayed complications.", "findings": [ { "id": "complication-attribution", "name": "Complication attribution", "description": "Suspected complications require their own evidence, timing and attribution rather than automatic attachment to the disease label.", "questions": [ { "text": "Which observed findings trigger urgent assessment under the selected clinical guideline?", "kind": "action", "id": "complication-attribution-q01" }, { "text": "What supports linking a suspected suppurative or post-streptococcal complication to this episode?", "kind": "boundary", "id": "complication-attribution-q02" }, { "text": "What follow-up remains indicated by the documented course and applicable guidance?", "kind": "action", "id": "complication-attribution-q03" } ] } ] } ] }, { "id": "transmission-and-population-context", "name": "Transmission and population context", "description": "Relates episodes to contacts, shared settings, surveillance and population evidence.", "rationale": "Individual diagnosis, transmission inference and outbreak classification answer different questions and require different evidence.", "layers": [ { "id": "exposure-and-infectiousness", "name": "Exposure and infectiousness", "description": "Captures plausible transmission links and the basis for infection-control decisions.", "findings": [ { "id": "contact-and-setting-assessment", "name": "Contact and setting assessment", "description": "Contact dates, setting and treatment timing support guideline-based assessment without assuming that a named contact caused infection.", "questions": [ { "text": "Which household, school or other contacts overlap the exposure period defined by the applicable guidance?", "kind": "measurement", "id": "contact-and-setting-assessment-q01" }, { "text": "Which jurisdiction-specific guidance governs exclusion, return to activities and contact management for this episode?", "kind": "action", "id": "contact-and-setting-assessment-q02" } ] } ] }, { "id": "surveillance-and-disease-frequency", "name": "Surveillance and disease frequency", "description": "Places cases and clusters within explicitly defined surveillance populations.", "findings": [ { "id": "comparable-case-counts", "name": "Comparable case counts", "description": "Counts and rates require a population, period, case definition and ascertainment method.", "questions": [ { "text": "What population, age range, geography, year and case definition underlie the reported frequency?", "kind": "provenance", "id": "comparable-case-counts-q01" }, { "text": "Does the source report incidence, prevalence, notifications or an outbreak attack rate, and what denominator supports it?", "kind": "measurement", "id": "comparable-case-counts-q02" }, { "text": "What evidence and local threshold justify treating linked episodes as an outbreak or making a notification?", "kind": "action", "id": "comparable-case-counts-q03" } ] } ] } ] }, { "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; no sources were consulted.", "Verify current diagnostic guidance, jurisdiction-specific rules and exact ICD-11 or SNOMED CT identifiers before publication.", "No prevalence estimate is supplied because it requires a defined population, period and surveillance method." ], "questions": [ { "id": "evidence-confidence-notes-q01", "text": "Which of these check these first hold for the sense of scarlet fever 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": "WHO ICD-10", "value_or_pattern": "A38", "note": "Scarlet fever; national clinical modifications may provide additional subcategories." }, { "scheme": "SNOMED CT", "value_or_pattern": "Numeric concept identifier", "note": "The exact concept identifier and terminology edition require verification." } ], "questions": [ { "id": "evidence-identifiers-q01", "text": "Which of these identifiers and schemes hold for the sense of scarlet fever 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": [ "WHO International Classification of Diseases provides disease classification; the revision and any national modification must accompany a code.", "CDC clinical guidance addresses testing, treatment and prevention of scarlet fever.", "UK Health Security Agency guidance addresses management of scarlet fever outbreaks in schools and childcare settings." ], "questions": [ { "id": "evidence-standards-and-regulation-q01", "text": "Which of these standards and regulation hold for the sense of scarlet fever 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 recognition of a characteristic rash associated with group A streptococcal infection.", "Microbiological investigation using throat culture, rapid antigen testing or nucleic acid amplification testing.", "Selection of antibiotic treatment for confirmed infection.", "Public health surveillance and outbreak management.", "Diagnostic coding of the condition separately from the patient and episode of care." ], "questions": [ { "id": "evidence-real-world-use-q01", "text": "Which of these real-world use hold for the sense of scarlet fever 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": "Incubation period", "typical_range": "Usually 2-5", "unit": "days" } ], "questions": [ { "id": "evidence-measurements-q01", "text": "Which of these typical measurements hold for the sense of scarlet fever 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": [ "Confusion with viral exanthems, drug eruptions or other causes of fever and rash.", "A positive throat test may reflect streptococcal carriage alongside an unrelated illness; clinical context matters.", "Spread among close contacts, particularly in households and educational settings.", "Suppurative complications of the underlying infection, including peritonsillar abscess.", "Post-streptococcal complications, including acute rheumatic fever and post-streptococcal glomerulonephritis." ], "questions": [ { "id": "evidence-failure-modes-and-hazards-q01", "text": "Which of these failure modes and hazards hold for the sense of scarlet fever 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": [ "Notification requirements and exclusion policies vary by jurisdiction.", "Antibiotic recommendations may vary with local guidance and resistance patterns.", "Disease incidence and outbreak patterns vary by location, season and year." ], "questions": [ { "id": "evidence-regional-variation-q01", "text": "Which of these regional variation hold for the sense of scarlet fever 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": "Group A streptococcal pharyngitis", "difference": "Scarlet fever adds the characteristic toxin-associated rash; streptococcal pharyngitis can occur without it." }, { "name": "Measles", "difference": "Measles is a viral infection with a different clinical pattern; organism-specific testing distinguishes it when presentation is uncertain." }, { "name": "Kawasaki disease", "difference": "Kawasaki disease is a systemic vasculitis that can also cause rash and strawberry tongue; persistent fever and its broader diagnostic criteria distinguish it." }, { "name": "Streptococcal toxic shock syndrome", "difference": "Streptococcal toxic shock syndrome involves hypotension and multiorgan involvement, rather than the usual scarlet fever syndrome." } ], "questions": [ { "id": "evidence-neighbours-q01", "text": "Which of these neighbouring kinds and how to tell them apart hold for the sense of scarlet fever this model covers, and on what evidence?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Which current authoritative clinical and surveillance definitions should anchor this model, and how do their confirmation requirements differ by age and jurisdiction?", "What are the verified ICD-10, ICD-11 and SNOMED mappings and release identifiers for this exact disease scope?", "How reliably are characteristic rash findings recognised across skin tones, age groups and atypical presentations, and which observations best address recognition gaps?", "Which population-specific estimates of incidence, recurrence and complications are sufficiently current and well ascertained to include?", "Which current local rules govern notification, educational-setting exclusion, return after treatment and management of linked cases?" ], "statistics": { "bundles": 5, "layers": 9, "findings": 16, "questions": 27 } }, "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 scarlet fever, record what state it is in, and decide what may be done with it.", "whatItIs": "Enable an AI agent to recognise and assess recorded scarlet fever episodes, distinguish them from related infections and rash illnesses, and identify evidence needed for clinical or public-health decisions.", "characteristics": { "substance": "information", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "read and interpreted", "observed and measured" ], "distinguishingFeatures": [ "Described in 81 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 scarlet fever, 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", "observe it, measure it, record its state" ], "howItIsRecognised": [ "Recognised by criteria applied to signs and findings, not by appearance. Two conditions can look identical and be distinguished only by test." ], "relatedModels": [], "standing": "Described in 81 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is.", "structure": { "bundles": [ { "id": "identity-and-classification", "name": "Identity, naming and classification", "description": "How an agent tells one scarlet fever from another, and a scarlet fever 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 scarlet fever, 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 scarlet fever, 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 scarlet fever 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 scarlet fever, 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 scarlet fever, 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 scarlet fever 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 scarlet fever 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 scarlet fever, 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 scarlet fever, 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 scarlet fever 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 scarlet fever from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a scarlet fever, 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 scarlet fever, 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 scarlet fever 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 scarlet fever 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 scarlet fever between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a scarlet fever, 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 scarlet fever, 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 scarlet fever 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 scarlet fever, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a scarlet fever 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 scarlet fever, 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 scarlet fever, 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 scarlet fever 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 scarlet fever 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 scarlet fever contains and in what form it is held.", "questions": [ { "id": "content-and-format-q01", "text": "What identifies and describes the content of a scarlet fever, 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 scarlet fever, 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 scarlet fever 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 scarlet fever and the period it survives.", "questions": [ { "id": "access-rules-q01", "text": "What identifies and describes access to a scarlet fever, 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 scarlet fever, 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 scarlet fever 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 scarlet fever 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 scarlet fever, 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 scarlet fever, 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 scarlet fever 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 scarlet fever 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 scarlet fever, 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 scarlet fever 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 scarlet fever and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a scarlet fever, 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 scarlet fever, 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 scarlet fever 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 scarlet fever is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a scarlet fever, 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 scarlet fever, 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 scarlet fever 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 } } } }