{ "model": { "rank": 6557, "code": "thing-q201180", "model_id": "vr.tr.varicose-veins", "name": "varicose veins", "purpose": "Let an agent explain varicose veins in general terms, relay self-care, when to seek assessment and treatment options from health authorities, distinguish leg varicose veins from varices elsewhere, and route personal questions to clinicians.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q201180/", "tier": 2, "score": 60, "payload": { "layer": "wikidata", "aliases": [ "colonic varices without portal hypertension", "Intestinal varices", "caviar tongue", "mesenteric varices", "spider telangiectasis", "Caput medusae", "Varicose veins of leg", "pelvic varices", "internal jugular phlebectasia", "varicose veins on the hands", "varicose veins on the face", "esophageal and gastric varices", "gastric varices", "saphena varix" ], "aliasCount": 14, "merged": 14, "knownIn": 60, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q201180", "url": "https://www.wikidata.org/wiki/Q201180", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-12T20:57:04Z", "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-Q201180", "registryId": "vr.tr.varicose-veins", "name": "varicose veins", "version": "0.2.0-wave.3", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q201180/", "model": { "registry_id": "vr.tr.varicose-veins", "name": "varicose veins", "purpose": "Let an agent explain varicose veins in general terms, relay self-care, when to seek assessment and treatment options from health authorities, distinguish leg varicose veins from varices elsewhere, and route personal questions to clinicians.", "definition": "Enlarged, twisted veins, most often in the legs, caused by weakened vein walls and valves that let blood pool; common, more so with age, pregnancy and standing occupations, usually a cosmetic or mild problem but sometimes causing aching, swelling, skin changes and ulcers, and treated with compression, lifestyle measures, and procedures such as ablation or surgery.", "what_it_is_for": "Not applicable; a vein disorder.", "affordances": [ "explain causes and symptoms", "relay self-care and assessment guidance", "relay treatment options in general terms", "route personal questions to clinicians" ], "distinguishing_features": [ "Superficial vein enlargement", "Valve failure and pooling", "Usually mild, sometimes complicated", "Treatable by several methods" ], "appearance": "Bulging, twisted blue or purple veins visible under the skin, usually on the legs.", "visual_identification": [ "Enlarged twisted superficial veins", "Mostly legs, worse on standing", "Spider veins are smaller; oesophageal and other varices are different conditions" ], "physical_properties": [ { "quantity": "prevalence", "typical_range": "about 20-30", "unit": "percent of adults", "note": "estimates vary" } ], "families_and_kinds": [ "varicose veins of the legs", "spider veins and reticular veins", "varicose veins in pregnancy", "complicated varicose veins with skin changes and ulcers", "varices elsewhere such as oesophageal varices, a different condition" ], "related_models": [ { "relation": "is a kind of", "target": "vein disorder", "why": "the category" }, { "relation": "is caused by", "target": "venous insufficiency", "why": "the underlying problem" }, { "relation": "is treated with", "target": "compression stocking", "why": "a first measure" }, { "relation": "is confused with", "target": "oesophageal varices", "why": "varices from portal hypertension" } ], "identifiers": [ { "scheme": "ICD-10", "value_or_pattern": "I83", "note": "varicose veins of lower extremities" }, { "scheme": "ICD-11", "value_or_pattern": "BD70", "note": "" } ], "standards_and_regulation": [ "Clinical guidelines on varicose vein assessment and treatment", "Regulation of cosmetic vein procedures" ], "failure_modes_and_hazards": [ "Venous ulcers and skin changes", "Bleeding from injured veins", "Superficial thrombophlebitis", "Agents giving personal medical advice" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "What varicose veins are.", "rationale": "General information.", "layers": [ { "id": "cause", "name": "Cause", "description": "Cause and risk factors.", "findings": [ { "id": "cause-finding", "name": "Cause", "description": "Cause.", "questions": [ { "text": "What causes varicose veins, and who is more likely to get them?", "kind": "definition" }, { "text": "Is the user asking about their own veins, which needs a clinician?", "kind": "boundary" } ] } ] }, { "id": "distinguish", "name": "Distinguish", "description": "Other conditions.", "findings": [ { "id": "distinguish-finding", "name": "Distinguish", "description": "Distinguish.", "questions": [ { "text": "How do varicose veins differ from spider veins and from varices in other organs?", "kind": "definition" }, { "text": "Which entry fits oesophageal varices?", "kind": "action" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Self-care and assessment.", "rationale": "Care.", "layers": [ { "id": "selfcare", "name": "Self-care", "description": "Self-care.", "findings": [ { "id": "selfcare-finding", "name": "Selfcare", "description": "Selfcare.", "questions": [ { "text": "What self-care and compression measures do health bodies recommend?", "kind": "provenance" }, { "text": "Which entry fits compression therapy?", "kind": "action" } ] } ] }, { "id": "when", "name": "When", "description": "When to seek assessment.", "findings": [ { "id": "when-finding", "name": "When", "description": "When.", "questions": [ { "text": "Which symptoms, such as skin changes, ulcers or bleeding, warrant assessment or urgent care?", "kind": "provenance" }, { "text": "Is the user describing an emergency, which must be routed?", "kind": "boundary" } ] } ] } ] }, { "id": "treat", "name": "Treat", "description": "Treatment.", "rationale": "Clinical.", "layers": [ { "id": "options", "name": "Options", "description": "Treatment options.", "findings": [ { "id": "options-finding", "name": "Options", "description": "Options.", "questions": [ { "text": "What treatments do guidelines describe, from ablation to surgery?", "kind": "provenance" }, { "text": "Is the presentation free of personal treatment advice?", "kind": "boundary" } ] } ] }, { "id": "outcomes", "name": "Outcomes", "description": "Outcomes.", "findings": [ { "id": "outcomes-finding", "name": "Outcomes", "description": "Outcomes.", "questions": [ { "text": "What outcomes and recurrence rates do studies report, with attribution?", "kind": "measurement" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] } ] }, { "id": "study", "name": "Study", "description": "Research and teaching.", "rationale": "Study.", "layers": [ { "id": "research", "name": "Research", "description": "Research.", "findings": [ { "id": "research-finding", "name": "Research", "description": "Research.", "questions": [ { "text": "What is known about causes and prevention, with findings attributed?", "kind": "provenance" }, { "text": "Which entry fits venous disease?", "kind": "action" } ] } ] }, { "id": "teach", "name": "Teach", "description": "Teaching.", "findings": [ { "id": "teach-finding", "name": "Teach", "description": "Teaching.", "questions": [ { "text": "How are varicose veins taught in vascular medicine?", "kind": "action" }, { "text": "Which misconceptions arise?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Should venous ulcer be a separate entry?", "How should guidelines be linked?", "The registry entry has merged aliases for varices in other organs, which are different conditions; 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 varicose veins, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain varicose veins in general terms, relay self-care, when to seek assessment and treatment options from health authorities, distinguish leg varicose veins from varices elsewhere, and route personal questions 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: colonic varices without portal hypertension, Intestinal varices, caviar tongue, mesenteric varices, spider telangiectasis, Caput medusae, Varicose veins of leg, pelvic varices, internal jugular phlebectasia, varicose veins on the hands, varicose veins on the face, esophageal and gastric varices.", "14 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 60 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 varicose veins, 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": [ "colonic varices without portal hypertension", "Intestinal varices", "caviar tongue", "mesenteric varices", "spider telangiectasis", "Caput medusae", "Varicose veins of leg", "pelvic varices", "internal jugular phlebectasia", "varicose veins on the hands", "varicose veins on the face", "esophageal and gastric varices" ] } ], "standing": "Described in 60 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 14 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 varicose veins from another, and a varicose veins 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 varicose veins, 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 varicose veins, 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 varicose veins 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 varicose veins, 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 varicose veins, 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 varicose veins 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 varicose veins 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 varicose veins, 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 varicose veins, 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 varicose veins 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 varicose veins from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a varicose veins, 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 varicose veins, 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 varicose veins 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 varicose veins 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 varicose veins between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a varicose veins, 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 varicose veins, 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 varicose veins 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 varicose veins, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a varicose veins 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 varicose veins, 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 varicose veins, 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 varicose veins 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 varicose veins 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 varicose veins 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 varicose veins 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 varicose veins 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 varicose veins?", "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 varicose veins?", "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 varicose veins 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 varicose veins and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a varicose veins, 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 varicose veins, 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 varicose veins 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 varicose veins is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a varicose veins, 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 varicose veins, 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 varicose veins 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 } } } }