{ "model": { "rank": 4049, "code": "thing-q186470", "model_id": "vr.tr.tonsillitis", "name": "tonsillitis", "purpose": "Enable an agent to recognise tonsillitis, represent the evidence and course of individual episodes, and identify appropriate assessment, review and escalation pathways.", "family": "Thing Registry", "category": "Information and virtual systems", "status": "research-draft", "kind": "thing", "plane": "INF", "domain": "INF.MED", "industry": "", "version": "", "url": "/models/thing/q186470/", "tier": 2, "score": 79, "payload": { "layer": "wikidata", "aliases": [ "tonsillar angina", "chronic tonsillitis", "acute tonsillitis", "catarrhal tonsillitis", "lacunar tonsillitis", "pseudomembranous tonsillitis", "follicular tonsillitis", "tonsillar tuberculosis" ], "aliasCount": 8, "merged": 8, "knownIn": 79, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q186470", "url": "https://www.wikidata.org/wiki/Q186470", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-09T19:22:14Z", "providers": [ "Codex" ], "breadth": "recalled by Codex without web access - no source was read", "missingProviders": [], "pass": 2, "cost": { "grok": { "seconds": 23.9, "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: 01a0879d-bf9e-77c1-ac32-1b0120dde4ee\n--------\nuser\nDescribe what is already known about one registered thing. Answer as JSON only, no prose around it.\n\nThing: tonsillitis\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 regi", "usd": 0, "recall": true }, "codex": { "seconds": 77.6, "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: 01a0879d-bf8f-79a1-933e-60337fc6be78\n--------\nuser\nYou are drafting a Vercy meta-model for one registered thing. Answer as JSON only, no prose around it.\n\nThing: tonsillitis\nRegistry id: vr.tr.tonsillitis\nPlane / domain: INF / INF.KNW\nRegistry definition: (none recorded)\nNames folded into this entry: (none)\n\n\n" } } }, "metaModel": { "id": "THING-Q186470", "registryId": "vr.tr.tonsillitis", "name": "tonsillitis", "version": "0.1.0-research.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "INF.KNW" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q186470/", "model": { "registry_id": "vr.tr.tonsillitis", "name": "tonsillitis", "purpose": "Enable an agent to recognise tonsillitis, represent the evidence and course of individual episodes, and identify appropriate assessment, review and escalation pathways.", "definition": "Tonsillitis is inflammation of the palatine tonsils, usually caused by viral or bacterial infection, which may occur as an acute illness or recur in separate episodes.", "scope_statement": "This model owns the tonsillitis concept registered as vr.tr.tonsillitis in INF / INF.KNW, including its clinical boundaries, episode descriptions, diagnostic uncertainty and recurrence; it links to patients, diagnostic assertions and care encounters as separate entities.", "in_scope": [ "Tonsillar inflammation and evidence supporting its clinical identification", "Acute episodes, resolution, recurrence and explicitly defined persistent presentations", "Suspected or established infectious causes and the evidence supporting attribution", "Symptoms, examination findings, functional impairment and complication concerns", "Versioned diagnostic terminology, assessment guidance and management decision criteria", "Population-specific evidence and documented limitations of its applicability" ], "out_of_scope": [ "The patient's complete health record and identity", "Care encounters, prescriptions and surgical procedures as operational records", "Pharyngitis without established tonsillar involvement", "Isolated tonsillar enlargement, tonsil stones and sleep-disordered breathing without tonsillitis", "Complete models of causative pathogens or systemic infections", "Independent models of peritonsillar abscess, deep neck infection and other complications" ], "distinguishing_features": [ "Require evidence localising inflammation to the tonsils when distinguishing tonsillitis from an undifferentiated sore throat. [NHS tonsillitis overview](https://www.nhs.uk/conditions/tonsillitis/)", "Separate the anatomical diagnosis from its cause: viral and bacterial infections can both produce tonsillitis. [NHS tonsillitis overview](https://www.nhs.uk/conditions/tonsillitis/)", "Record inflammatory evidence separately from tonsil size, so enlargement alone is not treated as sufficient diagnostic evidence.", "Separate a continuous episode from recurrent episodes using documented recovery intervals and an explicit episode definition.", "Distinguish uncomplicated tonsillar illness from suspected peritonsillar abscess, which involves a collection of pus beside the tonsil. [NHS tonsillitis overview](https://www.nhs.uk/conditions/tonsillitis/)" ], "characteristics": [ { "name": "Anatomical involvement", "kind": "category", "unit_or_values": "Tonsil site; left, right, bilateral or unspecified; associated pharyngeal involvement", "why_it_matters": "Establishes the anatomical boundary and preserves asymmetry for clinical review." }, { "name": "Diagnostic assertion", "kind": "state", "unit_or_values": "Suspected, clinician-diagnosed, disputed, excluded or unresolved; assessor and timestamp", "why_it_matters": "Separates an observation from an attributed diagnosis." }, { "name": "Episode duration", "kind": "measurement", "unit_or_values": "Days since reported onset; onset uncertainty and observation date", "why_it_matters": "Supports assessment of persistence and change without imposing an unsupported duration threshold." }, { "name": "Tonsillar examination", "kind": "category", "unit_or_values": "Erythema, swelling, exudate and asymmetry, each present, absent or not assessed; examination method", "why_it_matters": "Retains the evidence behind the diagnosis without turning an isolated sign into proof of cause." }, { "name": "Swallowing and hydration", "kind": "state", "unit_or_values": "Ability to swallow saliva and fluids; intake change; hydration assessment; unknown allowed", "why_it_matters": "Captures functional consequences relevant to urgency and care feasibility." }, { "name": "Measured temperature", "kind": "measurement", "unit_or_values": "Degrees Celsius with measurement method and time; reported fever stored separately", "why_it_matters": "Distinguishes measured evidence from symptom recall." }, { "name": "Aetiological attribution", "kind": "relation", "unit_or_values": "Suspected or established cause linked to supporting observations, test results and interpretation", "why_it_matters": "Keeps infectious cause and confidence separate from the tonsillitis label." }, { "name": "Recurrence burden", "kind": "measurement", "unit_or_values": "Qualifying episodes per explicitly dated interval; disabling days and documentation completeness", "why_it_matters": "Makes recurrent-disease assessments auditable." }, { "name": "Terminology mapping", "kind": "relation", "unit_or_values": "ICD-10, ICD-11 or SNOMED CT concept, release, edition or extension, jurisdiction and mapping scope", "why_it_matters": "Prevents codes for different presentations or terminology releases from being treated as interchangeable." } ], "affordances": [ "Assemble a tonsillitis episode account with dated symptoms, examination findings and diagnostic uncertainty.", "Identify missing evidence needed to distinguish tonsillitis from neighbouring throat conditions.", "Compare available evidence with an applicable, versioned assessment pathway and expose unmet prerequisites.", "Flag documented severity or complication concerns for clinician review using a sourced escalation pathway.", "Summarise documented recurrence and functional burden for specialist assessment.", "Link terminology codes and management decisions to their source, version and applicable population." ] }, "sources": [], "structure": { "bundles": [ { "id": "tonsillitis-identity", "name": "Tonsillitis identity", "description": "Define the clinical concept and keep its terminology distinct from related throat disorders.", "rationale": "A sore-throat label, a tonsillar finding and a tonsillitis diagnosis carry different commitments.", "layers": [ { "id": "anatomical-boundary", "name": "Anatomical boundary", "description": "Locate the inflammation and describe overlap with pharyngeal disease.", "findings": [ { "id": "tonsillar-involvement", "name": "Tonsillar involvement", "description": "Require explicit evidence or an attributed clinical assessment of tonsillar involvement.", "questions": [ { "text": "What observations support tonsillar inflammation, and which tonsillar site was examined?", "kind": "definition", "id": "tonsillar-involvement-q01" }, { "text": "Is this tonsillitis, pharyngitis with tonsillar involvement, or a sore throat whose site remains uncertain?", "kind": "boundary", "id": "tonsillar-involvement-q02" } ] } ] }, { "id": "diagnosis-and-coding", "name": "Diagnosis and coding", "description": "Separate the condition from diagnostic assertions and terminology representations.", "findings": [ { "id": "versioned-clinical-label", "name": "Versioned clinical label", "description": "Attach coding scope and provenance to each diagnostic label.", "questions": [ { "text": "Who asserted the diagnosis, when, and with what stated certainty?", "kind": "provenance", "id": "versioned-clinical-label-q01" }, { "text": "Which verified ICD-10, ICD-11 or SNOMED CT concept applies, in which release and jurisdiction, and does it distinguish acute, recurrent or chronic presentations?", "kind": "definition", "id": "versioned-clinical-label-q02" } ] } ] } ] }, { "id": "cause-and-diagnostic-evidence", "name": "Cause and diagnostic evidence", "description": "Represent the evidence for infectious cause and alternative explanations.", "rationale": "The tonsillitis diagnosis alone does not establish which organism, if any, has been demonstrated.", "layers": [ { "id": "clinical-assessment", "name": "Clinical assessment", "description": "Organise observations and any applicable clinical prediction tools.", "findings": [ { "id": "assessment-rule-applicability", "name": "Assessment rule applicability", "description": "Keep a clinical score's intended use distinct from anatomical diagnosis and microbiological confirmation.", "questions": [ { "text": "If FeverPAIN, Centor or another rule is used, which issuing guideline, version, age range and intended decision apply?", "kind": "provenance", "id": "assessment-rule-applicability-q01" }, { "text": "Which required observations were measured, reported, absent or unassessed, and can the rule validly be applied?", "kind": "measurement", "id": "assessment-rule-applicability-q02" } ] } ] }, { "id": "pathogen-attribution", "name": "Pathogen attribution", "description": "Link suspected causes to tests and clinical interpretation.", "findings": [ { "id": "test-result-meaning", "name": "Test result meaning", "description": "Preserve the distinction between detecting an organism and attributing the episode to it.", "questions": [ { "text": "What specimen, collection time, assay and result support the proposed cause, including timing relative to antimicrobial exposure?", "kind": "provenance", "id": "test-result-meaning-q01" }, { "text": "How was the result interpreted for this presentation, including possible carriage, test limitations or a systemic infection with tonsillar manifestations?", "kind": "boundary", "id": "test-result-meaning-q02" } ] } ] } ] }, { "id": "episode-course-and-severity", "name": "Episode course and severity", "description": "Describe the current illness over time and its effect on function.", "rationale": "Urgency and recovery cannot be judged from the diagnostic label alone.", "layers": [ { "id": "episode-timeline", "name": "Episode timeline", "description": "Track onset, progression and recovery without assuming universal stages.", "findings": [ { "id": "dated-illness-trajectory", "name": "Dated illness trajectory", "description": "Maintain a time-linked account of symptoms and examination changes.", "questions": [ { "text": "When did symptoms begin, and which dated observations establish improvement, stability or worsening?", "kind": "measurement", "id": "dated-illness-trajectory-q01" }, { "text": "What evidence establishes resolution, persistence or a distinct new episode rather than another visit for the same illness?", "kind": "boundary", "id": "dated-illness-trajectory-q02" } ] } ] }, { "id": "functional-impact", "name": "Functional impact", "description": "Record swallowing, fluid intake, pain and disruption to ordinary activity.", "findings": [ { "id": "swallowing-and-illness-burden", "name": "Swallowing and illness burden", "description": "Capture impairment with a method appropriate to the person's age and communication abilities.", "questions": [ { "text": "Can the person swallow saliva and fluids, and what evidence describes intake and hydration?", "kind": "measurement", "id": "swallowing-and-illness-burden-q01" }, { "text": "How were pain, sleep disturbance and missed school, work or usual activities assessed and dated?", "kind": "measurement", "id": "swallowing-and-illness-burden-q02" } ] } ] } ] }, { "id": "complications-and-escalation", "name": "Complications and escalation", "description": "Identify observations requiring reassessment of uncomplicated tonsillitis.", "rationale": "A model must expose evidence of a potentially different or more urgent condition.", "layers": [ { "id": "urgent-assessment", "name": "Urgent assessment", "description": "Connect severity observations to applicable clinical escalation guidance.", "findings": [ { "id": "airway-and-swallowing-concerns", "name": "Airway and swallowing concerns", "description": "Record breathing, swallowing, speech and mouth-opening concerns that feature in urgent tonsillitis advice. [NHS tonsillitis overview](https://www.nhs.uk/conditions/tonsillitis/)", "questions": [ { "text": "Are breathing difficulty, inability to swallow, altered speech, mouth-opening difficulty or rapidly worsening swelling present, absent or unassessed?", "kind": "measurement", "id": "airway-and-swallowing-concerns-q01" }, { "text": "Which current local pathway determines the required urgency and destination of clinical assessment?", "kind": "action", "id": "airway-and-swallowing-concerns-q02" } ] } ] }, { "id": "complication-boundary", "name": "Complication boundary", "description": "Link suspected complications without absorbing their full models.", "findings": [ { "id": "abscess-or-alternative-pathology", "name": "Abscess or alternative pathology", "description": "Preserve suspicion, investigation and specialist conclusions as distinct states.", "questions": [ { "text": "What findings prompted concern for peritonsillar abscess, deeper infection or another explanation for persistent or asymmetric tonsillar findings?", "kind": "boundary", "id": "abscess-or-alternative-pathology-q01" }, { "text": "Which assessment established or excluded the suspected condition, and where is its separate clinical record linked?", "kind": "provenance", "id": "abscess-or-alternative-pathology-q02" } ] } ] } ] }, { "id": "management-and-response", "name": "Management and response", "description": "Represent the reasoning, applicability and review of episode management.", "rationale": "An agent needs to distinguish a supported management option from an automatic consequence of a label.", "layers": [ { "id": "management-eligibility", "name": "Management eligibility", "description": "Connect proposed care to evidence, patient context and guideline scope.", "findings": [ { "id": "treatment-decision-basis", "name": "Treatment decision basis", "description": "Record the basis for supportive care, testing or antimicrobial consideration without embedding unsourced prescribing rules.", "questions": [ { "text": "Which guideline and episode evidence support the proposed management, and what uncertainty remains about infectious cause?", "kind": "action", "id": "treatment-decision-basis-q01" }, { "text": "Which linked patient factors, such as age, allergy history, immune status or ability to take oral treatment, affect applicability?", "kind": "boundary", "id": "treatment-decision-basis-q02" } ] } ] }, { "id": "response-and-review", "name": "Response and review", "description": "Track outcomes and explicit reassessment conditions.", "findings": [ { "id": "management-follow-through", "name": "Management follow-through", "description": "Separate proposed, delivered and completed interventions from observed response.", "questions": [ { "text": "What care was actually received, and how did symptoms, intake and function change afterward?", "kind": "measurement", "id": "management-follow-through-q01" }, { "text": "What review interval and deterioration criteria were documented, and who is responsible for reassessment?", "kind": "action", "id": "management-follow-through-q02" } ] } ] } ] }, { "id": "recurrence-and-population-context", "name": "Recurrence and population context", "description": "Represent longer-term tonsillitis burden and the population limits of supporting evidence.", "rationale": "Repeated throat symptoms require qualification before they support recurrence claims or specialist decisions.", "layers": [ { "id": "recurrent-illness", "name": "Recurrent illness", "description": "Count qualifying episodes and support review of persistent or recurrent disease.", "findings": [ { "id": "qualified-recurrence-burden", "name": "Qualified recurrence burden", "description": "Keep episode evidence, functional burden and referral criteria separately inspectable.", "questions": [ { "text": "How many distinct episodes meet the cited tonsillitis definition within each dated interval, and which are documented versus recalled?", "kind": "measurement", "id": "qualified-recurrence-burden-q01" }, { "text": "Which versioned specialist-referral or tonsillectomy criteria apply, including burden, exceptions and patient preferences?", "kind": "action", "id": "qualified-recurrence-burden-q02" } ] } ] }, { "id": "population-evidence", "name": "Population evidence", "description": "Qualify epidemiological estimates and clinical evidence by population and setting.", "findings": [ { "id": "evidence-denominator-and-transfer", "name": "Evidence denominator and transfer", "description": "Prevent estimates for sore throat, attendance or bacterial infection from silently becoming estimates for tonsillitis.", "questions": [ { "text": "For any incidence or prevalence estimate, what case definition, age group, geography, year, denominator and ascertainment method were used?", "kind": "provenance", "id": "evidence-denominator-and-transfer-q01" }, { "text": "Does the evidence concern tonsillitis specifically, and which differences limit its application to the population being modelled?", "kind": "boundary", "id": "evidence-denominator-and-transfer-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 condition; the supplied INF.KNW domain assignment should be checked against the registry's classification rules.", "Terminology for chronic and recurrent tonsillitis is not uniformly defined; episode thresholds require a named guideline, population and version.", "These are recalled facts, not researched findings; coding editions and guideline revisions require verification before publication." ], "questions": [ { "id": "evidence-confidence-notes-q01", "text": "Which of these check these first hold for the sense of tonsillitis 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": [ "Acute tonsillitis", "Recurrent acute tonsillitis", "Chronic tonsillitis", "Viral tonsillitis", "Bacterial tonsillitis" ], "questions": [ { "id": "evidence-kinds-q01", "text": "Which of these kinds and varieties hold for the sense of tonsillitis 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": "J03", "note": "Acute tonsillitis category; subcategories distinguish specified causes." }, { "scheme": "WHO ICD-10", "value_or_pattern": "J35.0", "note": "Chronic tonsillitis; national modifications may subdivide this category." }, { "scheme": "SNOMED CT", "value_or_pattern": "Numeric concept identifier", "note": "Select the concept matching the documented condition and terminology edition; no specific identifier is asserted here." } ], "questions": [ { "id": "evidence-identifiers-q01", "text": "Which of these identifiers and schemes hold for the sense of tonsillitis 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": [ "World Health Organization ICD-10 and ICD-11 classifications provide diagnostic coding frameworks.", "SNOMED International maintains SNOMED CT terminology for clinical recording.", "NICE guideline NG84 addresses antimicrobial prescribing for acute sore throat, including tonsillitis.", "American Academy of Otolaryngology-Head and Neck Surgery Foundation guidance addresses tonsillectomy in children, including recurrent throat infection." ], "questions": [ { "id": "evidence-standards-and-regulation-q01", "text": "Which of these standards and regulation hold for the sense of tonsillitis 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": [ "Recording a tonsillar inflammatory condition separately from the patient, diagnostic assessment and episode of care.", "Assessing whether an acute illness is compatible with viral infection or group A streptococcal infection.", "Using appropriate microbiological testing to support identification of streptococcal infection.", "Documenting recurrence, severity and functional impact when considering specialist referral or tonsillectomy." ], "questions": [ { "id": "evidence-real-world-use-q01", "text": "Which of these real-world use hold for the sense of tonsillitis 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": [ "Tonsillar exudate alone does not establish a bacterial cause.", "A positive streptococcal test can reflect carriage alongside an unrelated viral illness.", "Peritonsillar abscess can complicate infection and must be distinguished from uncomplicated tonsillitis.", "Severe swelling or painful swallowing can lead to airway compromise or dehydration.", "Group A streptococcal infection can be followed by acute rheumatic fever or post-streptococcal glomerulonephritis." ], "questions": [ { "id": "evidence-failure-modes-and-hazards-q01", "text": "Which of these failure modes and hazards hold for the sense of tonsillitis 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": [ "Testing and antibiotic policies vary with local guidance and the population risk of acute rheumatic fever.", "Diagnostic code detail differs between WHO ICD classifications and national clinical modifications.", "Referral and tonsillectomy eligibility criteria vary between health systems." ], "questions": [ { "id": "evidence-regional-variation-q01", "text": "Which of these regional variation hold for the sense of tonsillitis 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": "Pharyngitis", "difference": "Pharyngitis involves the pharynx; tonsillitis specifically involves the palatine tonsils, although both commonly coexist." }, { "name": "Streptococcal pharyngitis", "difference": "This specifies a bacterial cause of pharyngeal infection; tonsillitis specifies an anatomical inflammatory condition with multiple possible causes." }, { "name": "Peritonsillar abscess", "difference": "An abscess is a localized collection of pus adjacent to the tonsil rather than inflammation confined to tonsillar tissue." }, { "name": "Tonsillar hypertrophy", "difference": "Enlarged tonsils need not be inflamed or infected." }, { "name": "Infectious mononucleosis", "difference": "A systemic infectious syndrome, commonly caused by Epstein-Barr virus, that can include tonsillitis as one manifestation." } ], "questions": [ { "id": "evidence-neighbours-q01", "text": "Which of these neighbouring kinds and how to tell them apart hold for the sense of tonsillitis this model covers, and on what evidence?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Which authoritative definitions should distinguish acute, recurrent and chronic tonsillitis, and how should disagreements about persistence and episode separation be represented?", "Which exact ICD-10, ICD-11 and SNOMED CT mappings are appropriate for each presentation in the intended releases and jurisdictions?", "Which diagnostic, testing and clinical-score pathways apply across age groups and settings, particularly where a detected organism may reflect carriage?", "Which current escalation, referral and tonsillectomy criteria should be adopted for the intended jurisdiction, including documented exceptions?", "What population-specific estimates measure tonsillitis itself rather than sore throat, consultations or pathogen-positive pharyngitis?" ], "statistics": { "bundles": 7, "layers": 13, "findings": 20, "questions": 32 } }, "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 tonsillitis, record what state it is in, and decide what may be done with it.", "whatItIs": "Enable an agent to recognise tonsillitis, represent the evidence and course of individual episodes, and identify appropriate assessment, review and escalation pathways.", "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: tonsillar angina, chronic tonsillitis, acute tonsillitis, catarrhal tonsillitis, lacunar tonsillitis, pseudomembranous tonsillitis, follicular tonsillitis, tonsillar tuberculosis.", "8 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 79 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 tonsillitis, 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": [ { "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": [ "tonsillar angina", "chronic tonsillitis", "acute tonsillitis", "catarrhal tonsillitis", "lacunar tonsillitis", "pseudomembranous tonsillitis", "follicular tonsillitis", "tonsillar tuberculosis" ] } ], "standing": "Described in 79 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 8 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 tonsillitis from another, and a tonsillitis 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 tonsillitis, 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 tonsillitis, 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 tonsillitis 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 tonsillitis, 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 tonsillitis, 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 tonsillitis 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 tonsillitis 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 tonsillitis, 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 tonsillitis, 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 tonsillitis 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 tonsillitis from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a tonsillitis, 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 tonsillitis, 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 tonsillitis 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 tonsillitis 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 tonsillitis between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a tonsillitis, 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 tonsillitis, 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 tonsillitis 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 tonsillitis, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a tonsillitis 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 tonsillitis, 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 tonsillitis, 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 tonsillitis 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 tonsillitis 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 tonsillitis contains and in what form it is held.", "questions": [ { "id": "content-and-format-q01", "text": "What identifies and describes the content of a tonsillitis, 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 tonsillitis, 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 tonsillitis 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 tonsillitis and the period it survives.", "questions": [ { "id": "access-rules-q01", "text": "What identifies and describes access to a tonsillitis, 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 tonsillitis, 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 tonsillitis 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 tonsillitis 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 tonsillitis, 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 tonsillitis, 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 tonsillitis 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 tonsillitis 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 tonsillitis, 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 tonsillitis 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 tonsillitis and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a tonsillitis, 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 tonsillitis, 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 tonsillitis 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 tonsillitis is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a tonsillitis, 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 tonsillitis, 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 tonsillitis 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 } } } }