{ "model": { "rank": 7924, "code": "thing-q223254", "model_id": "vr.tr.otitis-media", "name": "otitis media", "purpose": "Let an agent explain otitis media in general terms, relay types, causes, treatment guidance and prevention from paediatric and ENT sources, route red flag symptoms to urgent care, describe the named forms, and distinguish otitis media from otitis externa, earwax impaction and referred ear pain, without diagnosing individuals.", "family": "Thing Registry", "category": "Information and virtual systems", "status": "research-draft", "kind": "thing", "plane": "INF", "domain": "INF.KNW", "industry": "", "version": "", "url": "/models/thing/q223254/", "tier": 2, "score": 53, "payload": { "layer": "wikidata", "aliases": [ "chronic otitis media", "middle ear cholesterol granuloma", "non-suppurative otitis media", "adhesive otitis media", "suppurative otitis media", "myringitis", "infectious otitis media", "Acute Otitis Media", "chronic purulent otitis media", "chronic non-suppurative otitis media", "acute transudative otitis media", "purulent acute otitis media", "chronic tympanitis", "acute tympanitis", "Acute necrotizing otitis media", "chronic atticoantral disease", "chronic tubotympanic suppurative otitis media", "acute suppurative otitis media with tympanic membrane intact" ], "aliasCount": 18, "merged": 18, "knownIn": 53, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q223254", "url": "https://www.wikidata.org/wiki/Q223254", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T20:16:40Z", "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": 4, "engine": "claude" }, "metaModel": { "id": "THING-Q223254", "registryId": "vr.tr.otitis-media", "name": "otitis media", "version": "0.2.0-wave.4", "entryKind": "thing", "family": "Thing Registry", "domain": [ "INF.KNW" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q223254/", "model": { "registry_id": "vr.tr.otitis-media", "name": "otitis media", "purpose": "Let an agent explain otitis media in general terms, relay types, causes, treatment guidance and prevention from paediatric and ENT sources, route red flag symptoms to urgent care, describe the named forms, and distinguish otitis media from otitis externa, earwax impaction and referred ear pain, without diagnosing individuals.", "definition": "Inflammation or infection of the middle ear, very common in young children, including acute otitis media with ear pain and fever, otitis media with effusion or glue ear, a non-suppurative form with fluid and hearing loss, chronic suppurative otitis media with a perforated, discharging eardrum, adhesive otitis media with scarring, and related conditions such as middle ear cholesterol granuloma and myringitis, inflammation of the eardrum; most acute cases resolve, and guidelines often recommend pain relief and watchful waiting in selected children. Swelling behind the ear, severe headache, stiff neck, facial weakness or a very unwell child need urgent care.", "what_it_is_for": "Not applicable; a disease group.", "affordances": [ "explain types in general terms", "relay treatment and prevention guidance", "describe named forms", "route red flags to urgent care" ], "distinguishing_features": [ "Common in children", "Often self-limiting", "Hearing effects", "Rare serious complications" ], "appearance": "Ear pain, tugging at the ear, fever, reduced hearing or ear discharge.", "visual_identification": [ "Middle ear inflammation or infection", "Chronic otitis media, middle ear cholesterol granuloma, non-suppurative otitis media, adhesive otitis media, suppurative otitis media, myringitis", "Otitis externa affects the ear canal; earwax blocks the canal; referred pain comes from teeth or throat" ], "physical_properties": [ { "quantity": "peak age", "typical_range": "6-24 months", "unit": "note", "note": "acute otitis media" }, { "quantity": "grommets", "typical_range": "tympanostomy tubes for persistent glue ear", "unit": "note", "note": "" }, { "quantity": "serious complication", "typical_range": "mastoiditis", "unit": "note", "note": "rare" } ], "families_and_kinds": [ "acute otitis media", "otitis media with effusion", "chronic suppurative otitis media", "adhesive otitis media", "related middle ear conditions" ], "related_models": [ { "relation": "is a kind of", "target": "middle ear disease", "why": "in registry terms" }, { "relation": "can cause", "target": "conductive hearing loss", "why": "" }, { "relation": "is treated with", "target": "tympanostomy tube", "why": "in some cases" }, { "relation": "is contrasted with", "target": "otitis externa", "why": "" } ], "identifiers": [], "standards_and_regulation": [ "AAP and NICE otitis media guidelines", "Antibiotic stewardship guidance", "Childhood pneumococcal vaccination programmes" ], "failure_modes_and_hazards": [ "Missing mastoiditis or meningitis", "Unnecessary antibiotics", "Unrecognised hearing loss affecting speech" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "What otitis media is.", "rationale": "Attribution.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "What is otitis media, and how does it differ from otitis externa, earwax and referred ear pain?", "kind": "definition" }, { "text": "Is there swelling or redness behind the ear, severe headache, stiff neck, facial weakness or a very unwell child, in which case seek urgent care?", "kind": "boundary" } ] } ] }, { "id": "forms", "name": "Forms", "description": "Named forms.", "findings": [ { "id": "forms-finding", "name": "Forms", "description": "Forms.", "questions": [ { "text": "What are chronic, non-suppurative, adhesive and suppurative otitis media, cholesterol granuloma and myringitis?", "kind": "definition" }, { "text": "Which entry fits the specific form?", "kind": "action" } ] } ] } ] }, { "id": "medical", "name": "Medical", "description": "Causes and treatment.", "rationale": "Attribution.", "layers": [ { "id": "causes", "name": "Causes", "description": "Causes.", "findings": [ { "id": "causes-finding", "name": "Causes", "description": "Causes.", "questions": [ { "text": "Why are children prone to middle ear infections?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "treatment", "name": "Treatment", "description": "Treatment guidance.", "findings": [ { "id": "treatment-finding", "name": "Treatment", "description": "Treatment.", "questions": [ { "text": "When do guidelines suggest watchful waiting versus antibiotics, in general terms?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "hearing", "name": "Hearing", "description": "Hearing and surgery.", "rationale": "Regulation.", "layers": [ { "id": "glue", "name": "Glue ear", "description": "Glue ear.", "findings": [ { "id": "glue-finding", "name": "Glue ear", "description": "Glue ear.", "questions": [ { "text": "How can glue ear affect hearing and speech, and when are grommets considered?", "kind": "provenance" }, { "text": "Which entry fits tympanostomy tube?", "kind": "action" } ] } ] }, { "id": "chronic", "name": "Chronic", "description": "Chronic disease.", "findings": [ { "id": "chronic-finding", "name": "Chronic", "description": "Chronic.", "questions": [ { "text": "How is chronic suppurative otitis media managed, especially in low-resource settings?", "kind": "provenance" }, { "text": "Which entry fits tympanoplasty?", "kind": "action" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Prevention and burden.", "rationale": "Context.", "layers": [ { "id": "prevention", "name": "Prevention", "description": "Prevention.", "findings": [ { "id": "prevention-finding", "name": "Prevention", "description": "Prevention.", "questions": [ { "text": "How do vaccination, breastfeeding and avoiding smoke exposure reduce risk?", "kind": "provenance" }, { "text": "Which entry fits pneumococcal vaccine?", "kind": "action" } ] } ] }, { "id": "global", "name": "Global", "description": "Global burden.", "findings": [ { "id": "global-finding", "name": "Global", "description": "Global.", "questions": [ { "text": "How does WHO describe the global burden of ear infections and hearing loss?", "kind": "provenance" }, { "text": "Which entry fits hearing loss?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should glue ear be a separate entry?", "How should paediatric guidelines be linked?", "Should cholesterol granuloma be moved to its own entry?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "discipline or field of knowledge", "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 otitis media, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain otitis media in general terms, relay types, causes, treatment guidance and prevention from paediatric and ENT sources, route red flag symptoms to urgent care, describe the named forms, and distinguish otitis media from otitis externa, earwax impaction and referred ear pain, without diagnosing individuals.", "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: chronic otitis media, middle ear cholesterol granuloma, non-suppurative otitis media, adhesive otitis media, suppurative otitis media, myringitis, infectious otitis media, Acute Otitis Media, chronic purulent otitis media, chronic non-suppurative otitis media, acute transudative otitis media, purulent acute otitis media.", "18 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 53 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 otitis media, 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": [], "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": [ "chronic otitis media", "middle ear cholesterol granuloma", "non-suppurative otitis media", "adhesive otitis media", "suppurative otitis media", "myringitis", "infectious otitis media", "Acute Otitis Media", "chronic purulent otitis media", "chronic non-suppurative otitis media", "acute transudative otitis media", "purulent acute otitis media" ] } ], "standing": "Described in 53 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 18 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 otitis media from another, and a otitis media 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 otitis media, 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 otitis media, 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 otitis media 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 otitis media, 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 otitis media, 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 otitis media 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 otitis media 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 otitis media, 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 otitis media, 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 otitis media 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 otitis media from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a otitis media, 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 otitis media, 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 otitis media 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 otitis media 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 otitis media between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a otitis media, 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 otitis media, 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 otitis media 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 otitis media, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a otitis media 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 otitis media, 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 otitis media, 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 otitis media 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 otitis media 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 otitis media contains and in what form it is held.", "questions": [ { "id": "content-and-format-q01", "text": "What identifies and describes the content of a otitis media, 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 otitis media, 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 otitis media 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 otitis media and the period it survives.", "questions": [ { "id": "access-rules-q01", "text": "What identifies and describes access to a otitis media, 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 otitis media, 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 otitis media is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "subject-and-method", "name": "Subject matter and method", "description": "What otitis media studies and how it establishes anything.", "rationale": "A field is identified by its questions and its methods, and those are what distinguish it from the fields next to it.", "layers": [ { "id": "subject", "name": "Subject matter", "description": "The questions it takes as its own.", "findings": [ { "id": "subject-record", "name": "Questions and objects of study", "description": "What it is about, stated so a neighbouring field can be told apart.", "questions": [ { "id": "subject-record-q01", "text": "What questions and objects does otitis media take as its own?", "kind": "definition" }, { "id": "subject-record-q02", "text": "Which questions does it share with a neighbouring field, and who claims them?", "kind": "boundary" } ] } ] }, { "id": "method", "name": "Method and evidence", "description": "How claims are established and what counts as evidence.", "findings": [ { "id": "method-record", "name": "Methods and standards of evidence", "description": "The methods used and what they are taken to establish.", "questions": [ { "id": "method-record-q01", "text": "By what methods does otitis media establish claims, and what counts as sufficient evidence?", "kind": "provenance" }, { "id": "method-record-q02", "text": "What kind of claim can this field not settle, and where should an agent look instead?", "kind": "action" } ] } ] } ] }, { "id": "institutions-and-classification", "name": "Institutions and classification", "description": "Where otitis media is practised and how catalogues place it.", "rationale": "The institutional footprint is the evidence that a field exists as a field rather than as a topic.", "layers": [ { "id": "institutions", "name": "Institutional markers", "description": "Societies, journals, degrees and departments.", "findings": [ { "id": "institution-record", "name": "Bodies and venues", "description": "Where the field organises itself.", "questions": [ { "id": "institution-record-q01", "text": "Which societies, journals or degrees mark otitis media as an established field?", "kind": "provenance" }, { "id": "institution-record-q02", "text": "What would show that it is emerging or dissolving rather than established?", "kind": "boundary" } ] } ] }, { "id": "classification", "name": "Classification schemes", "description": "Where library and research classifications put it.", "findings": [ { "id": "classification-record", "name": "Codes and their disagreements", "description": "The classification codes that place it, and where they differ.", "questions": [ { "id": "classification-record-q01", "text": "Which classification schemes place otitis media, under what codes?", "kind": "definition" }, { "id": "classification-record-q02", "text": "Where do those schemes disagree about its scope?", "kind": "boundary" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a otitis media 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 otitis media and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a otitis media, 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 otitis media, 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 otitis media 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 otitis media is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a otitis media, 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 otitis media, 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 otitis media 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 } } } }