{ "model": { "rank": 3366, "code": "thing-q183134", "model_id": "vr.tr.sepsis", "name": "sepsis", "purpose": "Enable an AI agent to recognise a suspected sepsis episode, represent its evidence and evolving severity, and support timely clinical escalation and reassessment.", "family": "Thing Registry", "category": "Information and virtual systems", "status": "research-draft", "kind": "thing", "plane": "INF", "domain": "INF.MED", "industry": "", "version": "", "url": "/models/thing/q183134/", "tier": 2, "score": 87, "payload": { "layer": "wikidata", "aliases": [ "septicemia", "endotoxemia", "neonatal sepsis", "Generalized infection during labor", "Herpes simplex virus septicemia", "urosepsis", "severe sepsis", "sepsis-associated encephalopathy", "bacterial sepsis", "pyaemia", "blood poisoning", "septicopyemia" ], "aliasCount": 12, "merged": 12, "knownIn": 87, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q183134", "url": "https://www.wikidata.org/wiki/Q183134", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-07T14:34:26Z", "providers": [ "Codex" ], "breadth": "recalled by Codex without web access - no source was read", "missingProviders": [], "pass": 2, "cost": { "grok": { "seconds": 27.8, "error": "Reading additional input from stdin...\nOpenAI Codex v0.153.3\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: 01a07c49-7026-7bc1-a6f2-8d285da191b0\n--------\nuser\nDescribe what is already known about one registered thing. Answer as JSON only, no prose around it.\n\nThing: sepsis\nSense to describe: (none recorded)\nDomain code: XCT.STA\nAlso known as: (none)\n\n\nContext for this batch of 546 things:\n# Batch 003: 1001 registere", "usd": 0, "recall": true }, "codex": { "seconds": 84.5, "error": "Reading additional input from stdin...\nOpenAI Codex v0.153.3\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: 01a07c49-701d-74c2-acda-41f0351b2656\n--------\nuser\nYou are drafting a Vercy meta-model for one registered thing. Answer as JSON only, no prose around it.\n\nThing: sepsis\nRegistry id: vr.tr.sepsis\nPlane / domain: XCT / XCT.STA\nRegistry definition: (none recorded)\nNames folded into this entry: (none)\n\n\nContext fo" } } }, "metaModel": { "id": "THING-Q183134", "registryId": "vr.tr.sepsis", "name": "sepsis", "version": "0.1.0-research.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q183134/", "model": { "registry_id": "vr.tr.sepsis", "name": "sepsis", "purpose": "Enable an AI agent to recognise a suspected sepsis episode, represent its evidence and evolving severity, and support timely clinical escalation and reassessment.", "definition": "Sepsis is life-threatening organ dysfunction caused by a dysregulated host response to infection.", "scope_statement": "This model owns sepsis as an infection-associated clinical state under vr.tr.sepsis in XCT / XCT.STA, including diagnostic uncertainty, acute organ dysfunction, septic shock classification and episode trajectory.", "in_scope": [ "Suspected or established infection and its relationship to acute organ dysfunction", "Population-specific sepsis definitions and operational criteria", "Organ dysfunction, perfusion abnormalities and septic shock status", "Time-stamped recognition, escalation, treatment dependencies and reassessment", "Episode resolution, persistent impairment and transition to follow-up" ], "out_of_scope": [ "Pathogen taxonomy and complete models of individual infectious diseases", "Noninfectious shock and inflammatory disorders except as differential diagnoses", "Complete models of individual organ failures", "Drug formularies, dosing algorithms and procedural specifications", "Hospital-wide infection prevention programmes and population surveillance systems" ], "distinguishing_features": [ "Sepsis requires life-threatening organ dysfunction associated with a dysregulated response to infection; an uncomplicated infection does not meet that conceptual boundary. See [WHO sepsis overview](https://www.who.int/health-topics/sepsis/sepsis).", "Record evidence of infection separately from bloodstream culture results: bacteremia and sepsis are different classifications.", "Fever, tachycardia or systemic inflammatory response alone do not establish sepsis; record organ dysfunction and competing explanations.", "Septic shock is a subset of sepsis with profound circulatory and metabolic abnormalities; neither isolated hypotension nor elevated lactate alone establishes that classification. See [Sepsis-3](https://jamanetwork.com/journals/jama/fullarticle/2492881).", "Separate diagnostic criteria from risk screening: neither qSOFA nor SOFA alone constitutes a stand-alone sepsis definition. See [Sepsis-3](https://jamanetwork.com/journals/jama/fullarticle/2492881)." ], "characteristics": [ { "name": "Episode assessment", "kind": "state", "unit_or_values": "suspected | clinically established | uncertain | ruled out | resolving | resolved; timestamp and assessor", "why_it_matters": "Separates evolving clinical judgment from a permanent disease label." }, { "name": "Definition framework", "kind": "category", "unit_or_values": "named framework, version, target population and intended use", "why_it_matters": "Makes adult, pediatric, neonatal and surveillance classifications interpretable." }, { "name": "Infection evidence", "kind": "relation", "unit_or_values": "links to suspected anatomical source, microbiology, imaging and clinical assessment", "why_it_matters": "Exposes the evidence supporting the infectious trigger." }, { "name": "Organ dysfunction attribution", "kind": "relation", "unit_or_values": "affected organ system linked to baseline, acute change, infection attribution and alternative causes", "why_it_matters": "Distinguishes acute infection-associated dysfunction from chronic impairment or another acute process." }, { "name": "Organ dysfunction score", "kind": "measurement", "unit_or_values": "points; instrument, component values, baseline, observation window and missingness", "why_it_matters": "Supports reproducible operational assessment without treating a score as the diagnosis." }, { "name": "Perfusion observations", "kind": "measurement", "unit_or_values": "blood pressure in mmHg, lactate in mmol/L, urine output in mL/kg/h and capillary refill in seconds; timestamps and context", "why_it_matters": "Supports assessment of circulatory deterioration and response." }, { "name": "Septic shock assessment", "kind": "state", "unit_or_values": "suspected | criteria met | criteria not met | indeterminate | resolved; framework and supporting observations", "why_it_matters": "Distinguishes urgent clinical suspicion from a completed criteria-based classification." }, { "name": "Episode timing", "kind": "measurement", "unit_or_values": "date-time with timezone for first concern, recognition, interventions and reassessments; estimated onset interval", "why_it_matters": "Separates observed events from retrospective estimates of onset." }, { "name": "Active treatment context", "kind": "relation", "unit_or_values": "links to antimicrobial therapy, source control, resuscitation and organ support", "why_it_matters": "Allows observations and trajectory to be interpreted alongside interventions." } ], "affordances": [ "Assemble a time-stamped evidence account for suspected sepsis and identify missing observations.", "Compare the episode with an applicable, explicitly versioned definition while preserving uncertainty.", "Flag possible deterioration for urgent clinician review through the configured care pathway.", "Track antimicrobial, source-control and organ-support decisions, dependencies and reassessment.", "Identify contradictions between diagnostic labels, organ dysfunction evidence and alternative explanations.", "Prepare a handover of unresolved infection, organ dysfunction and follow-up needs." ] }, "sources": [], "structure": { "bundles": [ { "id": "sepsis-identity-and-criteria", "name": "Sepsis identity and criteria", "description": "Establish what qualifies as sepsis for this episode and which assessment framework applies.", "rationale": "A sepsis label must expose its clinical meaning, population and evidential basis.", "layers": [ { "id": "clinical-definition", "name": "Clinical definition", "description": "Represent the connection between infection and life-threatening organ dysfunction.", "findings": [ { "id": "infection-dysfunction-relationship", "name": "Infection-dysfunction relationship", "description": "Record infection evidence, acute dysfunction and the assessor's causal judgment separately.", "questions": [ { "text": "What supports infection as the cause of the acute organ dysfunction?", "kind": "definition", "id": "infection-dysfunction-relationship-q01" }, { "text": "Which observations or alternative explanations weaken that attribution?", "kind": "boundary", "id": "infection-dysfunction-relationship-q02" } ] } ] }, { "id": "population-and-operationalisation", "name": "Population and operationalisation", "description": "Identify the criteria appropriate to the patient and purpose.", "findings": [ { "id": "applicable-criteria", "name": "Applicable criteria", "description": "Record age, population exclusions and framework version. SCCM recommends Phoenix criteria for pediatric sepsis, including suspected infection and a Phoenix score of at least 2. See [SCCM sepsis definitions](https://www.sccm.org/clinical-resources/sepsis-definitions).", "questions": [ { "text": "Which framework applies to this patient's age, setting and clinical circumstances?", "kind": "boundary", "id": "applicable-criteria-q01" }, { "text": "Is this classification being used for diagnosis, screening, research or surveillance, and who supplied it?", "kind": "provenance", "id": "applicable-criteria-q02" } ] } ] } ] }, { "id": "infectious-trigger-and-attribution", "name": "Infectious trigger and attribution", "description": "Characterise the suspected infection and uncertainty about its causal role.", "rationale": "Sepsis management depends on identifying an infectious trigger while remaining open to competing diagnoses.", "layers": [ { "id": "source-and-organism-evidence", "name": "Source and organism evidence", "description": "Connect anatomical source hypotheses with the evidence supporting them.", "findings": [ { "id": "infection-evidence-account", "name": "Infection evidence account", "description": "Keep suspected source, identified organism and specimen interpretation distinct, with collection times and treatment context.", "questions": [ { "text": "Which anatomical source is suspected, and what clinical, imaging or microbiological evidence supports it?", "kind": "provenance", "id": "infection-evidence-account-q01" }, { "text": "When were specimens obtained relative to antimicrobial treatment, and are results pending or potentially contaminated?", "kind": "measurement", "id": "infection-evidence-account-q02" } ] } ] }, { "id": "competing-and-concurrent-causes", "name": "Competing and concurrent causes", "description": "Represent other explanations for deterioration and possible coexistence with sepsis.", "findings": [ { "id": "differential-attribution", "name": "Differential attribution", "description": "Record competing causes such as hemorrhage, cardiogenic shock or medication effects without assuming that they exclude concurrent infection.", "questions": [ { "text": "Which competing or concurrent process could explain each major abnormality?", "kind": "boundary", "id": "differential-attribution-q01" }, { "text": "What new evidence would prompt revision of the sepsis assessment?", "kind": "action", "id": "differential-attribution-q02" } ] } ] } ] }, { "id": "organ-dysfunction-and-shock", "name": "Organ dysfunction and shock", "description": "Represent acute physiological impairment and the evidence for septic shock.", "rationale": "The model must distinguish baseline impairment, current dysfunction and worsening circulatory failure.", "layers": [ { "id": "acute-organ-change", "name": "Acute organ change", "description": "Track organ-specific abnormalities against a defensible baseline.", "findings": [ { "id": "baseline-adjusted-dysfunction", "name": "Baseline-adjusted dysfunction", "description": "Record respiratory, cardiovascular, renal, hepatic, coagulation and neurological observations as available, including treatment confounders and missing measurements.", "questions": [ { "text": "Which organ functions have changed acutely, compared with what documented or assumed baseline?", "kind": "measurement", "id": "baseline-adjusted-dysfunction-q01" }, { "text": "How do sedation, ventilation, chronic disease or missing data affect interpretation?", "kind": "boundary", "id": "baseline-adjusted-dysfunction-q02" } ] } ] }, { "id": "circulation-and-perfusion", "name": "Circulation and perfusion", "description": "Track hemodynamic support and perfusion evidence with the relevant shock framework.", "findings": [ { "id": "shock-classification-evidence", "name": "Shock classification evidence", "description": "Adult Sepsis-3 operational criteria include vasopressors needed to maintain mean arterial pressure of at least 65 mmHg and lactate above 2 mmol/L despite adequate volume resuscitation. Record the assessment context. See [Sepsis-3](https://jamanetwork.com/journals/jama/fullarticle/2492881).", "questions": [ { "text": "What do blood pressure, lactate, perfusion findings and support requirements show over time?", "kind": "measurement", "id": "shock-classification-evidence-q01" }, { "text": "Are the applicable shock criteria met, unmet or unassessable, and how was volume status evaluated?", "kind": "boundary", "id": "shock-classification-evidence-q02" } ] } ] } ] }, { "id": "recognition-and-care-response", "name": "Recognition and care response", "description": "Connect urgent clinical concern with accountable actions and review.", "rationale": "An episode model must support action under uncertainty and preserve the reasons for care decisions.", "layers": [ { "id": "recognition-and-escalation", "name": "Recognition and escalation", "description": "Record when concern arose and how it reached the responsible clinical team.", "findings": [ { "id": "clinical-response-ownership", "name": "Clinical response ownership", "description": "Sepsis requires prompt recognition and management; capture escalation, responsible clinician and reassessment plan. See [WHO sepsis overview](https://www.who.int/health-topics/sepsis/sepsis).", "questions": [ { "text": "When was possible sepsis recognised, by whom, and when was the responsible clinician notified?", "kind": "provenance", "id": "clinical-response-ownership-q01" }, { "text": "What immediate review or escalation does the applicable care pathway require?", "kind": "action", "id": "clinical-response-ownership-q02" } ] } ] }, { "id": "treatment-decisions-and-dependencies", "name": "Treatment decisions and dependencies", "description": "Link episode-level decisions to treatment and procedure records.", "findings": [ { "id": "infection-and-support-response", "name": "Infection and support response", "description": "Track antimicrobial decisions, source-control assessment, resuscitation and organ support, including timing, constraints and observed response.", "questions": [ { "text": "Which infection-directed and supportive actions were ordered and delivered, and what remains pending?", "kind": "action", "id": "infection-and-support-response-q01" }, { "text": "What findings, contraindications or goals of care justify continuing, modifying or stopping each intervention?", "kind": "action", "id": "infection-and-support-response-q02" } ] } ] } ] }, { "id": "trajectory-and-episode-closure", "name": "Trajectory and episode closure", "description": "Represent change over time and the basis for closing or transferring the episode.", "rationale": "Improving observations, reduced support and resolution of infection may occur at different times.", "layers": [ { "id": "serial-reassessment", "name": "Serial reassessment", "description": "Compare successive observations alongside treatment intensity.", "findings": [ { "id": "response-versus-supported-stability", "name": "Response versus supported stability", "description": "Record whether apparent improvement coincides with reduced, unchanged or increased support.", "questions": [ { "text": "Are organ dysfunction and perfusion improving, stable or worsening across comparable observation windows?", "kind": "measurement", "id": "response-versus-supported-stability-q01" }, { "text": "Does the trajectory require renewed source investigation, diagnostic revision or escalation?", "kind": "action", "id": "response-versus-supported-stability-q02" } ] } ] }, { "id": "resolution-and-residual-needs", "name": "Resolution and residual needs", "description": "Separate closure of the acute sepsis episode from recovery of all affected functions.", "findings": [ { "id": "closure-evidence-and-handover", "name": "Closure evidence and handover", "description": "Record the clinician's basis for resolution or diagnostic revision and link remaining impairments and care needs to follow-up records.", "questions": [ { "text": "What evidence and clinical judgment support marking the episode resolved or ruled out?", "kind": "boundary", "id": "closure-evidence-and-handover-q01" }, { "text": "Which persistent impairments, pending results and treatment obligations require handover?", "kind": "action", "id": "closure-evidence-and-handover-q02" } ] } ] } ] }, { "id": "evidence-and-external-alignment", "name": "Evidence and external alignment", "description": "What the world already says about this thing, gathered so the model can be checked against it.", "rationale": "A model that cannot be lined up against existing standards, identifiers and practice cannot be adopted by anyone who already uses them.", "layers": [ { "id": "reported-evidence", "name": "Reported evidence", "description": "Findings from the breadth pass, kept separate from the structural claims.", "findings": [ { "id": "evidence-confidence-notes", "name": "Check these first", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "This describes the clinical syndrome, although the supplied domain code may suggest another classification; registry placement should be checked.", "The numerical criteria listed are adult Sepsis-3 criteria; pediatric, neonatal and pregnancy-specific assessment requires separate verification.", "This is recalled knowledge without source consultation; verify current guideline editions and jurisdiction-specific coding before operational use." ], "questions": [ { "id": "evidence-confidence-notes-q01", "text": "Which of these check these first hold for the sense of sepsis this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-kinds", "name": "Kinds and varieties", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Bacterial sepsis", "Fungal sepsis", "Viral sepsis", "Neonatal sepsis", "Maternal sepsis", "Septic shock, a subset with profound circulatory and cellular or metabolic abnormalities" ], "questions": [ { "id": "evidence-kinds-q01", "text": "Which of these kinds and varieties hold for the sense of sepsis this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-identifiers", "name": "Identifiers and schemes", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ { "scheme": "ICD-10", "value_or_pattern": "A40-A41", "note": "These categories cover streptococcal and other sepsis; additional or different codes apply to some pathogens and obstetric or neonatal contexts, with national modification differences." } ], "questions": [ { "id": "evidence-identifiers-q01", "text": "Which of these identifiers and schemes hold for the sense of sepsis 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": [ "Sepsis-3 international consensus definitions, developed by a task force convened by the Society of Critical Care Medicine and the European Society of Intensive Care Medicine.", "Surviving Sepsis Campaign international management guidelines, issued jointly by the Society of Critical Care Medicine and the European Society of Intensive Care Medicine." ], "questions": [ { "id": "evidence-standards-and-regulation-q01", "text": "Which of these standards and regulation hold for the sense of sepsis 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": [ "Recognition and escalation of care for infection-associated organ dysfunction.", "Coordination of antimicrobial treatment, infection source control and organ support.", "Hospital quality improvement and review of delays in recognition or treatment.", "Clinical trial eligibility and outcome classification.", "Public health surveillance and disease-burden estimation." ], "questions": [ { "id": "evidence-real-world-use-q01", "text": "Which of these real-world use hold for the sense of sepsis 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": "Acute change in Sequential Organ Failure Assessment score", "typical_range": "An increase of at least 2 points operationalises organ dysfunction in adult Sepsis-3; this is a criterion, not a typical patient range.", "unit": "points" }, { "quantity": "Blood lactate", "typical_range": "Greater than 2 is part of adult Sepsis-3 septic shock criteria when accompanied by the specified vasopressor requirement despite adequate volume resuscitation.", "unit": "mmol/L" }, { "quantity": "Mean arterial pressure", "typical_range": "A vasopressor requirement to maintain at least 65 is part of adult Sepsis-3 septic shock criteria, together with elevated lactate despite adequate volume resuscitation.", "unit": "mmHg" } ], "questions": [ { "id": "evidence-measurements-q01", "text": "Which of these typical measurements hold for the sense of sepsis 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": [ "Delayed recognition because early manifestations are nonspecific or fever is absent.", "Progression to septic shock, multiple organ dysfunction and death.", "False reassurance from negative blood cultures or a low screening score.", "Delayed effective antimicrobial treatment or failure to control the infection source.", "Persistent physical, cognitive or psychological impairment after survival." ], "questions": [ { "id": "evidence-failure-modes-and-hazards-q01", "text": "Which of these failure modes and hazards hold for the sense of sepsis 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": [ "Pathogen prevalence, antimicrobial resistance and common infection sources vary geographically.", "Access to diagnostics, antimicrobials, source control and intensive care affects recognition and outcomes.", "Coding rules and surveillance definitions differ between jurisdictions, limiting direct comparisons." ], "questions": [ { "id": "evidence-regional-variation-q01", "text": "Which of these regional variation hold for the sense of sepsis 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": "Infection", "difference": "Infection alone does not establish sepsis; sepsis requires life-threatening organ dysfunction attributable to the dysregulated response." }, { "name": "Bacteremia", "difference": "Bacteremia means bacteria are present in blood; it can occur without sepsis, and sepsis can occur without demonstrable bacteremia." }, { "name": "Systemic inflammatory response syndrome", "difference": "This physiological response pattern can result from infectious or noninfectious causes and is neither necessary nor sufficient for adult Sepsis-3." }, { "name": "Septic shock", "difference": "Septic shock is a subset of sepsis identified in adults by persistent vasopressor dependence and elevated lactate despite adequate volume resuscitation." }, { "name": "Severe sepsis", "difference": "This older category meant sepsis with organ dysfunction; Sepsis-3 incorporates organ dysfunction into sepsis itself and treats the term as redundant." } ], "questions": [ { "id": "evidence-neighbours-q01", "text": "Which of these neighbouring kinds and how to tell them apart hold for the sense of sepsis this model covers, and on what evidence?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Which definitions and operational criteria should this catalogue adopt for neonates, pregnancy and other populations requiring specific interpretation?", "How should unknown baseline organ function and incomplete observations affect classification without silently treating missing values as normal?", "What evidence standard should distinguish suspected from clinically established sepsis when infection remains microbiologically unconfirmed?", "How should the model reconcile bedside clinical judgment with screening, research, coding and surveillance classifications that disagree?", "What explicit rules should distinguish persistent sepsis, a new episode, relapse and residual organ dysfunction after infection control?" ], "statistics": { "bundles": 6, "layers": 11, "findings": 19, "questions": 29 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "work, medium or creative form", "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 sepsis, record what state it is in, and decide what may be done with it.", "whatItIs": "Enable an AI agent to recognise a suspected sepsis episode, represent its evidence and evolving severity, and support timely clinical escalation and reassessment.", "characteristics": { "substance": "information", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "read and interpreted", "observed and measured" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: septicemia, endotoxemia, neonatal sepsis, Generalized infection during labor, Herpes simplex virus septicemia, urosepsis, severe sepsis, sepsis-associated encephalopathy, bacterial sepsis, pyaemia, blood poisoning, septicopyemia.", "12 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 87 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 sepsis, 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": [ "What is seen is a copy or a performance, not the work. Recognising the work means recognising the content through whatever is carrying it." ], "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": [ "septicemia", "endotoxemia", "neonatal sepsis", "Generalized infection during labor", "Herpes simplex virus septicemia", "urosepsis", "severe sepsis", "sepsis-associated encephalopathy", "bacterial sepsis", "pyaemia", "blood poisoning", "septicopyemia" ] } ], "standing": "Described in 87 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 12 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 sepsis from another, and a sepsis 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 sepsis, 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 sepsis, 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 sepsis 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 sepsis, 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 sepsis, 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 sepsis 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 sepsis 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 sepsis, 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 sepsis, 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 sepsis 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 sepsis from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a sepsis, 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 sepsis, 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 sepsis 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 sepsis 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 sepsis between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a sepsis, 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 sepsis, 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 sepsis 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 sepsis, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a sepsis 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 sepsis, 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 sepsis, 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 sepsis 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 sepsis 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 sepsis contains and in what form it is held.", "questions": [ { "id": "content-and-format-q01", "text": "What identifies and describes the content of a sepsis, 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 sepsis, 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 sepsis 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 sepsis and the period it survives.", "questions": [ { "id": "access-rules-q01", "text": "What identifies and describes access to a sepsis, 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 sepsis, 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 sepsis is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "work-and-manifestation", "name": "Work, version and copy", "description": "Which level of sepsis a statement is about.", "rationale": "The work, the edition, the file and the copy in hand are four things; rights and content attach to different ones.", "layers": [ { "id": "levels", "name": "Levels of the thing", "description": "Work, expression, manifestation and item, in plain terms.", "findings": [ { "id": "level-rules", "name": "What belongs at each level", "description": "Which facts hold for the work and which only for one copy.", "questions": [ { "id": "level-rules-q01", "text": "For sepsis, which facts belong to the work itself, which to a version, and which to a single copy?", "kind": "boundary" }, { "id": "level-rules-q02", "text": "What identifier exists at each level, and which one is being cited?", "kind": "definition" } ] } ] }, { "id": "versions", "name": "Versions, editions and variants", "description": "How versions differ and which is canonical to whom.", "findings": [ { "id": "version-record", "name": "Versions and canonicity", "description": "Differences that matter and who calls one authoritative.", "questions": [ { "id": "version-record-q01", "text": "Which versions or editions of sepsis exist, and how do they differ substantively?", "kind": "definition" }, { "id": "version-record-q02", "text": "Who treats which version as authoritative, and for what purpose?", "kind": "provenance" } ] } ] } ] }, { "id": "authorship-and-rights", "name": "Authorship, rights and permitted use", "description": "Who made sepsis and what may be done with it.", "rationale": "Rights are jurisdictional, time-limited and attached to a level, and an agent that ignores that will copy what it may not.", "layers": [ { "id": "authorship", "name": "Authorship and contribution", "description": "Who contributed what, and in what capacity.", "findings": [ { "id": "contribution-record", "name": "Contributors and roles", "description": "The people and bodies behind it, with their roles.", "questions": [ { "id": "contribution-record-q01", "text": "Who authored or contributed to sepsis, in what roles, and how is that attested?", "kind": "provenance" }, { "id": "contribution-record-q02", "text": "Where authorship is disputed or anonymous, what is recorded instead?", "kind": "boundary" } ] } ] }, { "id": "rights", "name": "Rights and permissions", "description": "Which rights subsist, where, until when, and what they permit.", "findings": [ { "id": "rights-record", "name": "Rights, term and permitted acts", "description": "The regime in force and what it allows.", "questions": [ { "id": "rights-record-q01", "text": "What rights subsist in sepsis, in which jurisdictions, and until when?", "kind": "definition" }, { "id": "rights-record-q02", "text": "Which acts are permitted without further permission, and which must an agent refuse?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a sepsis 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 sepsis and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a sepsis, 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 sepsis, 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 sepsis 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 sepsis is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a sepsis, 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 sepsis, 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 sepsis 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 } } } }