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Research draft

infectious disease

vr.tr.infectious-disease · thing-q18123741

Let an agent reason about infectious diseases through pathogen, transmission, case definition and notification duties, and never offer diagnosis or treatment decisions.

Thing Registry Cross-cutting context XCT.STA

Research draft, second pass

A second pass drafted this model: the structure a model of this thing needs, and what is known about it in the world. The line under this one says how the second half was obtained - researched against sources, or recalled without web access, in which case nothing here was read anywhere and every claim is a lead to verify. Unreviewed either way.

Researched by: Claude

Bundle → Layer → Finding → Questions Filled

4 bundles · 8 layers · 8 findings · 16 questions

Pathogen and transmission What causes it and how it spreads.

Pathogen

The causative agent.

Causative agent

The pathogen and its classification.

  1. Which pathogen causes this disease? definition
  2. Are there strains or variants that behave differently? boundary

Transmission route

How it passes between hosts.

Routes and reservoirs

The routes of transmission and animal reservoirs.

  1. By which routes is it transmitted? definition
  2. Is there an animal reservoir or vector? definition
Case definition and diagnosis How a case is recognised.

Case definition

Criteria for counting a case.

Surveillance definition

The confirmed, probable and suspected criteria.

  1. What is the case definition used for surveillance, and by whom? provenance
  2. How does it differ from clinical diagnosis? boundary

Testing

Laboratory confirmation.

Test methods

The tests used and their accuracy.

  1. Which tests confirm this infection, and how accurate are they? measurement
  2. What must an agent refer to a clinician rather than answer? action
Prevention and control Stopping spread.

Prevention

Vaccines, hygiene and vector control.

Preventive measures

The measures that reduce transmission.

  1. Which preventive measures work against this disease? definition
  2. Is a vaccine available, and for whom is it recommended? definition

Outbreak control

Isolation, tracing and treatment.

Control measures

The measures used once cases occur.

  1. What control measures apply once cases occur? action
  2. Who has authority to impose them? provenance
Surveillance and duties Tracking and legal obligations.

Surveillance

Counts and trends.

Surveillance data

The case counts and their source.

  1. What do current surveillance data show, and from which source? measurement
  2. How complete is reporting? measurement

Notification and privacy

Legal duties and limits.

Duties and privacy

Notification duties and constraints on disclosure.

  1. Is this disease notifiable here, and who must notify? provenance
  2. What information about individuals must not be disclosed? boundary

Classifiers Filled

Family
Thing Registry
Category
Cross-cutting context
Entry kind
thing
Plane
XCT
Domain
XCT.STA
Other names and narrower kinds
lungworms, intestinal acariasis, subcutaneous abscess, epididymitis, Wissler's syndrome, parapertussis, emerging communicable disease, osteomyelitis, infectious myositis, Xanthogranulomatous osteomyelitis, orbital osteomyelitis, epiglottitis

What it is Filled

A disease caused by a pathogen, a bacterium, virus, fungus, parasite or prion, that can be transmitted from one host to another directly or through a vector or the environment.

Why it exists Filled

Let an agent reason about infectious diseases through pathogen, transmission, case definition and notification duties, and never offer diagnosis or treatment decisions.

Distinguishing features Filled

  • Caused by a pathogen and transmissible, unlike non-communicable diseases
  • Carries public health duties such as notification and isolation
  • Defined for surveillance by case definitions that differ from clinical diagnosis
  • Can be zoonotic, passing between animals and humans

What robots and AI may and may not do Derived, awaiting review

Must not

  • Let an agent reason about infectious diseases through pathogen, transmission, case definition and notification duties, and never offer diagnosis or treatment decisions.

Only with a human decision

  • by host range: human only, zoonotic

May

  • diagnose it, which only qualified professionals may do
  • notify it, where law makes it a notifiable disease
  • prevent it, by vaccination, hygiene, vector control and treatment
  • track it, through surveillance and case counts

Note: Affordances listed as what may be done; prohibitions collected from the text.

Moral aspects Derived, awaiting review

  • track it, through surveillance and case counts
  • Defined for surveillance by case definitions that differ from clinical diagnosis
  • Mixing clinical diagnosis and surveillance case definitions
  • Stigmatising language or disclosure of an individual health status

Owners Missing, in the backlog

Not described yet. This gap is in the card backlog.

Links to other meta-models Filled

parent

  • Q42417296 - registry parent class

related

  • disease - inherits classification, diagnosis and treatment questions
  • pathogen - the organism or agent is a separate model
  • vector - insects and other vectors are separate models
  • vaccine - vaccines are separate models with their own regulation

What else AI and robots need to interact with it Filled

Identity and identifiers required Filled

  • Vercy registry: vr.tr.infectious-disease
  • Wikidata: Q18123741 (https://www.wikidata.org/wiki/Q18123741)
  • ICD-11 code: chapter 1 codes such as 1A00 WHO classification of diseases
  • SNOMED CT concept: numeric concept id clinical terminology

Direct properties not applicable Not applicable

  • incubation period: hours to years time - varies widely by pathogen
  • basic reproduction number R0: 0.5-18 secondary cases - measles is at the high end

Plane XCT: no invented physical properties.

Recognition optional Filled

  • Symptoms suggest but do not establish an infection
  • Confirmation needs a laboratory test or a clinical case definition
  • Outbreaks are recognised by case clustering in time and place
  • No single appearance: signs vary with the pathogen; many infections are asymptomatic. Laboratory tests, not appearance, confirm them.

Capabilities and actions required Filled

  • diagnose it, which only qualified professionals may do
  • notify it, where law makes it a notifiable disease
  • prevent it, by vaccination, hygiene, vector control and treatment
  • track it, through surveillance and case counts

Hazards and failure modes required Filled

  • Presenting an agent answer as a diagnosis or a treatment decision
  • Mixing clinical diagnosis and surveillance case definitions
  • Stigmatising language or disclosure of an individual health status
  • Out-of-date guidance during a fast-moving outbreak

Standards and interfaces required Filled

  • International Health Regulations (2005)
  • National notifiable disease lists and reporting rules
  • WHO ICD-11 classification

Context of use required Filled

  • Organising knowledge about diseases whose spread between hosts makes them a public health matter as well as a personal one.
  • by pathogen: bacterial, viral, fungal, parasitic, prion
  • by route: airborne, droplet, contact, faecal-oral, vector-borne, bloodborne, sexual
  • by host range: human only, zoonotic
  • by status: endemic, epidemic, pandemic, eliminated, eradicated

Sources Filled

  1. Wikidata item Q18123741: infectious disease - identity and sense of the item
  2. Wikipedia: Infectious disease - general description of the item

Open questions

  • Should each infectious disease link to its pathogen as a required relation?
  • How should the registry mark guidance that changes during an outbreak?
  • Which notification duties should the model carry per jurisdiction?

Machine files

Provenance

thing registry research (pass 2) · unreviewed

Built from: models/things/publications/thing-q18123741/spec.json