{ "model": { "rank": 4221, "code": "thing-q182155", "model_id": "vr.tr.herpes-zoster", "name": "herpes zoster", "purpose": "Let an agent explain herpes zoster in general terms, relay prevention, vaccination and treatment information from health authorities, describe complications that need urgent care, and route personal symptoms and treatment to clinicians.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q182155/", "tier": 2, "score": 77, "payload": { "layer": "wikidata", "aliases": [ "herpes zoster eyelid dermatitis", "Preherpetic neuralgia", "herpes zoster otitis externa", "AIDS-related herpes zoster", "herpes zoster meningitis", "ophthalmic zoster", "Disseminated herpes zoster", "Zoster sine herpete", "herpes zoster iridocyclitis", "Ocular HSV-1 infection" ], "aliasCount": 10, "merged": 10, "knownIn": 77, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q182155", "url": "https://www.wikidata.org/wiki/Q182155", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-12T19:44:28Z", "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-Q182155", "registryId": "vr.tr.herpes-zoster", "name": "herpes zoster", "version": "0.2.0-wave.3", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q182155/", "model": { "registry_id": "vr.tr.herpes-zoster", "name": "herpes zoster", "purpose": "Let an agent explain herpes zoster in general terms, relay prevention, vaccination and treatment information from health authorities, describe complications that need urgent care, and route personal symptoms and treatment to clinicians.", "definition": "A painful rash caused by reactivation of the varicella zoster virus, which stays dormant in nerve ganglia after chickenpox; also called shingles, it appears as a band of blisters on one side of the body, may involve the eye or ear, can leave lasting nerve pain, and is preventable in older adults by vaccination.", "what_it_is_for": "Not applicable; a disease.", "affordances": [ "explain cause and course in general terms", "relay vaccination recommendations", "describe warning signs that need urgent care", "route personal questions to clinicians" ], "distinguishing_features": [ "Reactivation of varicella zoster virus", "One-sided dermatomal rash", "Risk rises with age and immune suppression", "Postherpetic neuralgia as a lasting complication" ], "appearance": "A band of blisters on reddened skin on one side of the body, following a nerve, often with pain before the rash.", "visual_identification": [ "One-sided band of blisters following a nerve", "Pain, tingling or burning before the rash", "Chickenpox is the first infection; herpes simplex is a different virus" ], "physical_properties": [ { "quantity": "lifetime risk", "typical_range": "about one in three", "unit": "people", "note": "health authority estimates" }, { "quantity": "rash duration", "typical_range": "2-4", "unit": "weeks", "note": "typical" } ], "families_and_kinds": [ "thoracic and other dermatomal zoster", "ophthalmic zoster involving the eye", "zoster of the ear with facial palsy", "disseminated zoster in immunocompromised people", "postherpetic neuralgia" ], "related_models": [ { "relation": "is a kind of", "target": "viral skin disease", "why": "the category" }, { "relation": "is caused by", "target": "varicella zoster virus", "why": "the virus" }, { "relation": "follows", "target": "chickenpox", "why": "the primary infection" }, { "relation": "is prevented by", "target": "vaccine", "why": "recombinant zoster vaccine" } ], "identifiers": [ { "scheme": "ICD-10", "value_or_pattern": "B02", "note": "" }, { "scheme": "ICD-11", "value_or_pattern": "1E91", "note": "" } ], "standards_and_regulation": [ "National immunisation schedules for zoster vaccine", "Clinical guidelines on antiviral treatment", "Infection control guidance for healthcare settings" ], "failure_modes_and_hazards": [ "Eye involvement threatening sight", "Postherpetic neuralgia", "Transmission of chickenpox to non-immune people from blister fluid", "Agents giving personal medical advice" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "What shingles is.", "rationale": "General information.", "layers": [ { "id": "cause", "name": "Cause", "description": "Cause and course.", "findings": [ { "id": "cause-finding", "name": "Cause", "description": "Cause.", "questions": [ { "text": "What causes herpes zoster, and how does the illness typically progress?", "kind": "definition" }, { "text": "Is the user describing their own symptoms, which need a clinician?", "kind": "boundary" } ] } ] }, { "id": "recognise", "name": "Recognise", "description": "Recognition.", "findings": [ { "id": "recognise-finding", "name": "Recognise", "description": "Recognise.", "questions": [ { "text": "What does the rash look like, and how is it distinguished from other rashes?", "kind": "definition" }, { "text": "Which entry fits chickenpox or herpes simplex?", "kind": "action" } ] } ] } ] }, { "id": "prevent", "name": "Prevent", "description": "Vaccination.", "rationale": "Prevention.", "layers": [ { "id": "vaccine", "name": "Vaccine", "description": "Vaccination.", "findings": [ { "id": "vaccine-finding", "name": "Vaccine", "description": "Vaccine.", "questions": [ { "text": "Who is recommended the zoster vaccine, according to national schedules?", "kind": "provenance" }, { "text": "Which entry fits immunisation?", "kind": "action" } ] } ] }, { "id": "spread", "name": "Spread", "description": "Transmission.", "findings": [ { "id": "spread-finding", "name": "Spread", "description": "Spread.", "questions": [ { "text": "Can shingles spread, and what precautions do authorities advise around non-immune people?", "kind": "provenance" }, { "text": "Which entry fits infection control?", "kind": "action" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Treatment and urgency.", "rationale": "Care is clinical.", "layers": [ { "id": "treatment", "name": "Treatment", "description": "Treatment.", "findings": [ { "id": "treatment-finding", "name": "Treatment", "description": "Treatment.", "questions": [ { "text": "What treatments do guidelines describe, and why does timing matter?", "kind": "provenance" }, { "text": "Is the presentation free of personal treatment advice?", "kind": "boundary" } ] } ] }, { "id": "urgent", "name": "Urgent", "description": "Warning signs.", "findings": [ { "id": "urgent-finding", "name": "Urgent", "description": "Urgent.", "questions": [ { "text": "Which signs, such as eye involvement or facial weakness, need urgent care?", "kind": "provenance" }, { "text": "Is the user describing an emergency, which must be routed?", "kind": "boundary" } ] } ] } ] }, { "id": "after", "name": "After", "description": "Complications and study.", "rationale": "Aftermath.", "layers": [ { "id": "neuralgia", "name": "Neuralgia", "description": "Postherpetic neuralgia.", "findings": [ { "id": "neuralgia-finding", "name": "Neuralgia", "description": "Neuralgia.", "questions": [ { "text": "What is postherpetic neuralgia, and how is it managed in general terms?", "kind": "provenance" }, { "text": "Which entry fits chronic pain?", "kind": "action" } ] } ] }, { "id": "study", "name": "Study", "description": "Research.", "findings": [ { "id": "study-finding", "name": "Study", "description": "Study.", "questions": [ { "text": "What research and epidemiology exist, and which references are standard?", "kind": "provenance" }, { "text": "How is zoster taught to health workers?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should postherpetic neuralgia be a separate entry?", "How should vaccine schedules be linked by country?", "The registry entry has merged aliases for specific presentations; should they 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 herpes zoster, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain herpes zoster in general terms, relay prevention, vaccination and treatment information from health authorities, describe complications that need urgent care, and route personal symptoms and treatment 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: herpes zoster eyelid dermatitis, Preherpetic neuralgia, herpes zoster otitis externa, AIDS-related herpes zoster, herpes zoster meningitis, ophthalmic zoster, Disseminated herpes zoster, Zoster sine herpete, herpes zoster iridocyclitis, Ocular HSV-1 infection.", "10 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 77 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 herpes zoster, 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": [ "herpes zoster eyelid dermatitis", "Preherpetic neuralgia", "herpes zoster otitis externa", "AIDS-related herpes zoster", "herpes zoster meningitis", "ophthalmic zoster", "Disseminated herpes zoster", "Zoster sine herpete", "herpes zoster iridocyclitis", "Ocular HSV-1 infection" ] } ], "standing": "Described in 77 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 10 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 herpes zoster from another, and a herpes zoster 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 herpes zoster, 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 herpes zoster, 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 herpes zoster 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 herpes zoster, 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 herpes zoster, 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 herpes zoster 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 herpes zoster 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 herpes zoster, 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 herpes zoster, 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 herpes zoster 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 herpes zoster from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a herpes zoster, 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 herpes zoster, 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 herpes zoster 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 herpes zoster 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 herpes zoster between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a herpes zoster, 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 herpes zoster, 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 herpes zoster 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 herpes zoster, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a herpes zoster 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 herpes zoster, 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 herpes zoster, 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 herpes zoster 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 herpes zoster 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 herpes zoster 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 herpes zoster 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 herpes zoster 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 herpes zoster?", "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 herpes zoster?", "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 herpes zoster 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 herpes zoster and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a herpes zoster, 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 herpes zoster, 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 herpes zoster 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 herpes zoster is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a herpes zoster, 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 herpes zoster, 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 herpes zoster 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 } } } }