{ "model": { "rank": 6452, "code": "thing-q202758", "model_id": "vr.tr.hypoglycemia", "name": "hypoglycemia", "purpose": "Let an agent explain hypoglycaemia in general terms, relay recognition and first-aid guidance from health authorities, route emergencies to emergency services immediately, and route personal treatment and medication 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/q202758/", "tier": 2, "score": 60, "payload": { "layer": "wikidata", "aliases": [ "hypoglycemia, leucine-induced", "Neuroglycopenia", "congenital hyperinsulinism", "Idiopathic hypoglycemia", "Ketotic hypoglycemia", "reactive hypoglycemia", "neonatal hypoglycemia", "Diabetic hypoglycemia", "hypoketotic hypoglycemia", "hyperinsulinism-hyperammonemia syndrome", "hyperinsulinemic hypoglycemia, familial, 1", "hyperinsulinemic hypoglycemia, familial, 2", "Postprandial dip", "Sugar crash", "Idiopathic postprandial syndrome" ], "aliasCount": 15, "merged": 15, "knownIn": 60, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": "vr.tr.hypoglycemia", "source": { "dataset": "wikidata", "item": "Q202758", "url": "https://www.wikidata.org/wiki/Q202758", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-12T20:21:37Z", "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-Q202758", "registryId": "vr.tr.hypoglycemia", "name": "hypoglycemia", "version": "0.2.0-wave.3", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q202758/", "model": { "registry_id": "vr.tr.hypoglycemia", "name": "hypoglycemia", "purpose": "Let an agent explain hypoglycaemia in general terms, relay recognition and first-aid guidance from health authorities, route emergencies to emergency services immediately, and route personal treatment and medication questions to clinicians.", "definition": "An abnormally low level of glucose in the blood, most often in people with diabetes treated with insulin or certain tablets, and less often from other causes such as fasting, alcohol, medicines, hormone deficiencies or insulin-producing tumours; it causes sweating, shaking, confusion and, if severe, seizures or loss of consciousness, and is treated urgently with glucose.", "what_it_is_for": "Not applicable; a medical condition.", "affordances": [ "explain causes and symptoms in general terms", "relay recognition and first-aid guidance from authorities", "route emergencies immediately", "route personal medication questions to clinicians" ], "distinguishing_features": [ "Low blood glucose", "Mostly a complication of diabetes treatment", "Rapid onset and rapid reversal with glucose", "Emergency when severe" ], "appearance": "Not visible as an object; sweating, pallor, shaking, confusion or drowsiness in the affected person.", "visual_identification": [ "Low blood glucose measured by a meter", "Rapid onset of sweating, shaking and confusion", "Hyperglycaemia and fainting from other causes are different conditions" ], "physical_properties": [ { "quantity": "threshold", "typical_range": "below about 3.9", "unit": "mmol per litre", "note": "about 70 mg per dL; definitions vary by guideline" }, { "quantity": "severe level", "typical_range": "below about 3.0", "unit": "mmol per litre", "note": "clinically significant" } ], "families_and_kinds": [ "hypoglycaemia in treated diabetes", "reactive hypoglycaemia after meals", "fasting hypoglycaemia", "congenital hyperinsulinism and other rare causes", "neonatal hypoglycaemia", "hypoglycaemia unawareness" ], "related_models": [ { "relation": "is a kind of", "target": "glucose metabolism disease", "why": "a metabolic state" }, { "relation": "is a complication of", "target": "diabetes treatment", "why": "the main context" }, { "relation": "is the opposite of", "target": "hyperglycaemia", "why": "high blood glucose" }, { "relation": "is treated by", "target": "glucose", "why": "the immediate treatment" } ], "identifiers": [ { "scheme": "ICD-10", "value_or_pattern": "E16.0-E16.2", "note": "" }, { "scheme": "ICD-11", "value_or_pattern": "5A41", "note": "" } ], "standards_and_regulation": [ "Diabetes clinical guidelines on prevention and treatment", "First aid guidance from health authorities", "Driving rules for people at risk of hypoglycaemia in many countries" ], "failure_modes_and_hazards": [ "Seizures, coma and death if untreated", "Accidents while driving or operating machinery", "Unawareness after repeated episodes", "Agents giving personal medication advice" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "recognise", "name": "Recognise", "description": "Recognising hypoglycaemia.", "rationale": "Emergency first.", "layers": [ { "id": "signs", "name": "Signs", "description": "Symptoms and measurement.", "findings": [ { "id": "signs-finding", "name": "Signs", "description": "Signs.", "questions": [ { "text": "What are the symptoms, and what glucose levels define hypoglycaemia in guidelines?", "kind": "definition" }, { "text": "Is someone unconscious or having a seizure now, which needs emergency services immediately?", "kind": "boundary" } ] } ] }, { "id": "causes", "name": "Causes", "description": "Causes.", "findings": [ { "id": "causes-finding", "name": "Causes", "description": "Causes.", "questions": [ { "text": "What causes hypoglycaemia in and outside diabetes?", "kind": "definition" }, { "text": "Which entry fits diabetes?", "kind": "action" } ] } ] } ] }, { "id": "respond", "name": "Respond", "description": "First aid and treatment.", "rationale": "Care.", "layers": [ { "id": "firstaid", "name": "First aid", "description": "Immediate response.", "findings": [ { "id": "firstaid-finding", "name": "Firstaid", "description": "Firstaid.", "questions": [ { "text": "What do health authorities advise a bystander to do, including when to call emergency services?", "kind": "provenance" }, { "text": "Is the presentation limited to official first aid guidance?", "kind": "boundary" } ] } ] }, { "id": "treatment", "name": "Treatment", "description": "Clinical treatment.", "findings": [ { "id": "treatment-finding", "name": "Treatment", "description": "Treatment.", "questions": [ { "text": "How is hypoglycaemia treated and investigated clinically, in general terms?", "kind": "provenance" }, { "text": "Is the user asking about their own medication, which needs a clinician?", "kind": "boundary" } ] } ] } ] }, { "id": "prevent", "name": "Prevent", "description": "Prevention and living.", "rationale": "Prevention.", "layers": [ { "id": "prevention", "name": "Prevention", "description": "Prevention in diabetes.", "findings": [ { "id": "prevention-finding", "name": "Prevention", "description": "Prevention.", "questions": [ { "text": "What prevention measures do diabetes guidelines describe, in general terms?", "kind": "provenance" }, { "text": "Which entry fits diabetes management?", "kind": "action" } ] } ] }, { "id": "rules", "name": "Rules", "description": "Driving and work.", "findings": [ { "id": "rules-finding", "name": "Rules", "description": "Rules.", "questions": [ { "text": "What rules apply to driving and safety-critical work for people at risk?", "kind": "provenance" }, { "text": "Which entry fits driving regulations?", "kind": "action" } ] } ] } ] }, { "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 research exists on prevention, technology and rare causes, with attribution?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "teach", "name": "Teach", "description": "Teaching.", "findings": [ { "id": "teach-finding", "name": "Teach", "description": "Teaching.", "questions": [ { "text": "How is hypoglycaemia taught to patients, carers and health workers?", "kind": "action" }, { "text": "Which misconceptions arise?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Should neonatal hypoglycaemia be a separate entry?", "How should first aid guidance be linked by country?", "The registry entry has merged aliases for rare genetic 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 hypoglycemia, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain hypoglycaemia in general terms, relay recognition and first-aid guidance from health authorities, route emergencies to emergency services immediately, and route personal treatment and medication 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: hypoglycemia, leucine-induced, Neuroglycopenia, congenital hyperinsulinism, Idiopathic hypoglycemia, Ketotic hypoglycemia, reactive hypoglycemia, neonatal hypoglycemia, Diabetic hypoglycemia, hypoketotic hypoglycemia, hyperinsulinism-hyperammonemia syndrome, hyperinsulinemic hypoglycemia, familial, 1, hyperinsulinemic hypoglycemia, familial, 2.", "15 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 hypoglycemia, 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": [ "hypoglycemia, leucine-induced", "Neuroglycopenia", "congenital hyperinsulinism", "Idiopathic hypoglycemia", "Ketotic hypoglycemia", "reactive hypoglycemia", "neonatal hypoglycemia", "Diabetic hypoglycemia", "hypoketotic hypoglycemia", "hyperinsulinism-hyperammonemia syndrome", "hyperinsulinemic hypoglycemia, familial, 1", "hyperinsulinemic hypoglycemia, familial, 2" ] } ], "standing": "Described in 60 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 15 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 hypoglycemia from another, and a hypoglycemia 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 hypoglycemia, 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 hypoglycemia, 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 hypoglycemia 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 hypoglycemia, 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 hypoglycemia, 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 hypoglycemia 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 hypoglycemia 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 hypoglycemia, 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 hypoglycemia, 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 hypoglycemia 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 hypoglycemia from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a hypoglycemia, 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 hypoglycemia, 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 hypoglycemia 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 hypoglycemia 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 hypoglycemia between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a hypoglycemia, 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 hypoglycemia, 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 hypoglycemia 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 hypoglycemia, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a hypoglycemia 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 hypoglycemia, 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 hypoglycemia, 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 hypoglycemia 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 hypoglycemia 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 hypoglycemia 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 hypoglycemia 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 hypoglycemia 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 hypoglycemia?", "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 hypoglycemia?", "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 hypoglycemia 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 hypoglycemia and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a hypoglycemia, 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 hypoglycemia, 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 hypoglycemia 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 hypoglycemia is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a hypoglycemia, 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 hypoglycemia, 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 hypoglycemia 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 } } } }