{
    "model": {
        "rank": 5044,
        "code": "thing-q205764",
        "model_id": "vr.tr.endometriosis",
        "name": "endometriosis",
        "purpose": "Let an agent explain endometriosis in general terms from gynaecology guidelines, describe symptoms, diagnosis and treatment approaches, present research and advocacy with attribution, and route personal questions to clinicians.",
        "family": "Thing Registry",
        "category": "Information and virtual systems",
        "status": "research-draft",
        "kind": "thing",
        "plane": "INF",
        "domain": "INF.KNW",
        "industry": "",
        "version": "",
        "url": "/models/thing/q205764/",
        "tier": 2,
        "score": 70,
        "payload": {
            "layer": "wikidata",
            "aliases": [
                "endometrial polyp",
                "Uterine adenosarcoma",
                "endometrium carcinoma in situ",
                "hydatidiform mole",
                "endometrial cancer",
                "partial hydatidiform mole",
                "complete hydatidiform mole",
                "invasive mole",
                "endometrial stromal tumour",
                "recurrent endometrial cancer",
                "endometriosis of rectovaginal septum and vagina",
                "cervix endometriosis",
                "fallopian tube endometriosis",
                "endometriosis of ovary",
                "deep endometriosis",
                "peritoneal endometriosis",
                "endometriosis of intestine",
                "endometriosis of pelvic peritoneum",
                "adenomyosis",
                "thoracic endometriosis syndrome",
                "cutaneous endometriosis",
                "endosalpingiosis"
            ],
            "aliasCount": 22,
            "merged": 22,
            "knownIn": 70,
            "facets": null,
            "markers": [],
            "lexicalClass": "",
            "senseRank": null,
            "alsoRegisteredAs": null,
            "source": {
                "dataset": "wikidata",
                "item": "Q205764",
                "url": "https://www.wikidata.org/wiki/Q205764",
                "license": "CC0 1.0"
            }
        },
        "research": {
            "vercy": "1.0-draft",
            "publication": {
                "status": "research-draft",
                "adjudicationStatus": "unreviewed",
                "publishableCanonical": false,
                "generatedAt": "2026-09-13T02:10:35Z",
                "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-Q205764",
                "registryId": "vr.tr.endometriosis",
                "name": "endometriosis",
                "version": "0.2.0-wave.3",
                "entryKind": "thing",
                "family": "Thing Registry",
                "domain": [
                    "INF.KNW"
                ],
                "status": "research-draft"
            },
            "canonicalUrl": "https://ver.cy/models/thing/q205764/",
            "model": {
                "registry_id": "vr.tr.endometriosis",
                "name": "endometriosis",
                "purpose": "Let an agent explain endometriosis in general terms from gynaecology guidelines, describe symptoms, diagnosis and treatment approaches, present research and advocacy with attribution, and route personal questions to clinicians.",
                "definition": "A chronic condition in which tissue similar to the lining of the uterus grows outside it, on the ovaries, pelvic peritoneum, bowel and elsewhere, causing pelvic pain, painful periods, pain during sex and infertility, affecting about one in ten women of reproductive age and often diagnosed years after symptoms begin; endometriosis is managed with pain relief, hormonal treatment and surgery, and the registry aliases naming endometrial polyps, cancers and molar pregnancies are separate endometrial conditions.",
                "what_it_is_for": "Not applicable; a medical condition.",
                "affordances": [
                    "explain the condition and symptoms",
                    "relay diagnosis and treatment approaches",
                    "present research and advocacy",
                    "route personal questions"
                ],
                "distinguishing_features": [
                    "Ectopic endometrial-like tissue",
                    "Chronic pain and infertility",
                    "Diagnostic delay",
                    "Hormone-responsive"
                ],
                "appearance": "Not a visible object; lesions seen at laparoscopy.",
                "visual_identification": [
                    "Endometrial-like tissue outside the uterus",
                    "Peritoneal, ovarian and deep endometriosis",
                    "Adenomyosis is within the uterine wall; endometrial polyps, cancers and molar pregnancies are different conditions"
                ],
                "physical_properties": [
                    {
                        "quantity": "prevalence",
                        "typical_range": "about 10",
                        "unit": "percent",
                        "note": "women of reproductive age"
                    },
                    {
                        "quantity": "average diagnostic delay",
                        "typical_range": "about 7",
                        "unit": "years",
                        "note": "studies vary"
                    }
                ],
                "families_and_kinds": [
                    "superficial peritoneal endometriosis",
                    "ovarian endometriomas",
                    "deep endometriosis",
                    "extrapelvic endometriosis",
                    "adenomyosis as a related condition",
                    "separate endometrial conditions listed as registry aliases: polyps, carcinoma in situ, cancer, adenosarcoma, hydatidiform mole"
                ],
                "related_models": [
                    {
                        "relation": "is a kind of",
                        "target": "endometrial disease",
                        "why": "in registry terms"
                    },
                    {
                        "relation": "affects",
                        "target": "pelvis",
                        "why": "and beyond"
                    },
                    {
                        "relation": "is diagnosed by",
                        "target": "laparoscopy",
                        "why": "and imaging"
                    },
                    {
                        "relation": "is contrasted with",
                        "target": "endometrial cancer",
                        "why": "a separate condition"
                    }
                ],
                "identifiers": [
                    {
                        "scheme": "ICD-11",
                        "value_or_pattern": "GA10",
                        "note": "endometriosis"
                    },
                    {
                        "scheme": "MeSH",
                        "value_or_pattern": "D004715",
                        "note": ""
                    }
                ],
                "standards_and_regulation": [
                    "ESHRE and NICE endometriosis guidelines",
                    "Drug regulation for hormonal treatments",
                    "Workplace and menstrual health policies in some countries"
                ],
                "failure_modes_and_hazards": [
                    "Diagnostic delay and dismissal of symptoms",
                    "Agents giving personal medical advice",
                    "Confusing with other endometrial conditions",
                    "Unproven treatments"
                ],
                "in_scope": [],
                "out_of_scope": [],
                "characteristics": []
            },
            "sources": [],
            "structure": {
                "bundles": [
                    {
                        "id": "help",
                        "name": "Help",
                        "description": "Getting help first.",
                        "rationale": "Safety.",
                        "layers": [
                            {
                                "id": "urgent",
                                "name": "Urgent",
                                "description": "Urgent signs.",
                                "findings": [
                                    {
                                        "id": "urgent-finding",
                                        "name": "Urgent",
                                        "description": "Urgent.",
                                        "questions": [
                                            {
                                                "text": "What severe pelvic pain or other signs need urgent care?",
                                                "kind": "action"
                                            },
                                            {
                                                "text": "Is the user describing severe symptoms, which need prompt medical care?",
                                                "kind": "boundary"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "care",
                                "name": "Care",
                                "description": "Specialist care.",
                                "findings": [
                                    {
                                        "id": "care-finding",
                                        "name": "Care",
                                        "description": "Care.",
                                        "questions": [
                                            {
                                                "text": "How is endometriosis assessed and managed by gynaecologists, in general terms?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Is the user asking about their own symptoms, which need a clinician?",
                                                "kind": "boundary"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "understand",
                        "name": "Understand",
                        "description": "The condition.",
                        "rationale": "Clinical.",
                        "layers": [
                            {
                                "id": "definition",
                                "name": "Definition",
                                "description": "Definition and types.",
                                "findings": [
                                    {
                                        "id": "definition-finding",
                                        "name": "Definition",
                                        "description": "Definition.",
                                        "questions": [
                                            {
                                                "text": "What is endometriosis, and what types exist?",
                                                "kind": "definition"
                                            },
                                            {
                                                "text": "Is the question about endometriosis or a different endometrial condition?",
                                                "kind": "boundary"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "causes",
                                "name": "Causes",
                                "description": "Causes and symptoms.",
                                "findings": [
                                    {
                                        "id": "causes-finding",
                                        "name": "Causes",
                                        "description": "Causes.",
                                        "questions": [
                                            {
                                                "text": "What do researchers know about causes, and what symptoms occur, with findings attributed?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which entry fits the specific type?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "treat",
                        "name": "Treat",
                        "description": "Diagnosis and treatment.",
                        "rationale": "Clinical.",
                        "layers": [
                            {
                                "id": "diagnosis",
                                "name": "Diagnosis",
                                "description": "Diagnosis.",
                                "findings": [
                                    {
                                        "id": "diagnosis-finding",
                                        "name": "Diagnosis",
                                        "description": "Diagnosis.",
                                        "questions": [
                                            {
                                                "text": "How is endometriosis diagnosed, and why is diagnosis often delayed?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which references are standard?",
                                                "kind": "provenance"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "treatment",
                                "name": "Treatment",
                                "description": "Treatment.",
                                "findings": [
                                    {
                                        "id": "treatment-finding",
                                        "name": "Treatment",
                                        "description": "Treatment.",
                                        "questions": [
                                            {
                                                "text": "What treatments do guidelines recommend for pain and fertility, in general terms?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which sources are cited?",
                                                "kind": "provenance"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "context",
                        "name": "Context",
                        "description": "Research and advocacy.",
                        "rationale": "Attribution.",
                        "layers": [
                            {
                                "id": "research",
                                "name": "Research",
                                "description": "Research.",
                                "findings": [
                                    {
                                        "id": "research-finding",
                                        "name": "Research",
                                        "description": "Research.",
                                        "questions": [
                                            {
                                                "text": "What research exists on causes, biomarkers and new treatments, with findings attributed?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which entry fits endometriosis research?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "advocacy",
                                "name": "Advocacy",
                                "description": "Advocacy and policy.",
                                "findings": [
                                    {
                                        "id": "advocacy-finding",
                                        "name": "Advocacy",
                                        "description": "Advocacy.",
                                        "questions": [
                                            {
                                                "text": "What do advocacy groups and policies say about awareness, workplace support and care access, with attribution?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Is the presentation neutral?",
                                                "kind": "boundary"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    }
                ]
            },
            "openQuestions": [
                "Should adenomyosis and endometrioma be separate entries?",
                "How should guidelines be linked?",
                "The registry entry has merged aliases naming unrelated endometrial 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": "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 endometriosis, record what state it is in, and decide what may be done with it.",
            "whatItIs": "Let an agent explain endometriosis in general terms from gynaecology guidelines, describe symptoms, diagnosis and treatment approaches, present research and advocacy with attribution, and route personal questions to clinicians.",
            "characteristics": {
                "substance": "information",
                "origin": "conceptual",
                "agency": "inert"
            },
            "whatYouCanDoWithIt": [
                "read and interpreted"
            ],
            "distinguishingFeatures": [
                "Names folded into this entry, which a task may need to split apart again: endometrial polyp, Uterine adenosarcoma, endometrium carcinoma in situ, hydatidiform mole, endometrial cancer, partial hydatidiform mole, complete hydatidiform mole, invasive mole, endometrial stromal tumour, recurrent endometrial cancer, endometriosis of rectovaginal septum and vagina, cervix endometriosis.",
                "22 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.",
                "Described in 70 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 endometriosis, 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"
            ],
            "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": [
                        "endometrial polyp",
                        "Uterine adenosarcoma",
                        "endometrium carcinoma in situ",
                        "hydatidiform mole",
                        "endometrial cancer",
                        "partial hydatidiform mole",
                        "complete hydatidiform mole",
                        "invasive mole",
                        "endometrial stromal tumour",
                        "recurrent endometrial cancer",
                        "endometriosis of rectovaginal septum and vagina",
                        "cervix endometriosis"
                    ]
                }
            ],
            "standing": "Described in 70 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 22 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 endometriosis from another, and a endometriosis 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 endometriosis, 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 endometriosis, 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 endometriosis 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 endometriosis, 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 endometriosis, 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 endometriosis 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 endometriosis 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 endometriosis, 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 endometriosis, 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 endometriosis 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 endometriosis from the things most often confused with it.",
                                        "questions": [
                                            {
                                                "id": "distinguishing-features-q01",
                                                "text": "What identifies and describes what distinguishes a endometriosis, 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 endometriosis, 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 endometriosis 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 endometriosis 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 endometriosis between them.",
                                        "questions": [
                                            {
                                                "id": "stages-and-transitions-q01",
                                                "text": "What identifies and describes the lifecycle of a endometriosis, 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 endometriosis, 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 endometriosis 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 endometriosis, how often and by whom.",
                                "findings": [
                                    {
                                        "id": "observation-record",
                                        "name": "Observation record",
                                        "description": "How an observation of a endometriosis 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 endometriosis, 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 endometriosis, 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 endometriosis 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 endometriosis 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 endometriosis contains and in what form it is held.",
                                        "questions": [
                                            {
                                                "id": "content-and-format-q01",
                                                "text": "What identifies and describes the content of a endometriosis, 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 endometriosis, 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 endometriosis 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 endometriosis and the period it survives.",
                                        "questions": [
                                            {
                                                "id": "access-rules-q01",
                                                "text": "What identifies and describes access to a endometriosis, 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 endometriosis, 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 endometriosis 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 endometriosis 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 endometriosis, 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 endometriosis, 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 endometriosis 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 endometriosis 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 endometriosis, 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 endometriosis 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 endometriosis and how confident it is.",
                                        "questions": [
                                            {
                                                "id": "claim-provenance-q01",
                                                "text": "What identifies and describes a claim about a endometriosis, 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 endometriosis, 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 endometriosis 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 endometriosis is retired without being erased.",
                                        "questions": [
                                            {
                                                "id": "validity-and-supersession-q01",
                                                "text": "What identifies and describes the validity of a claim about a endometriosis, 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 endometriosis, 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 endometriosis 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
            }
        }
    }
}