{
    "model": {
        "rank": 15444,
        "code": "thing-q3286546",
        "model_id": "vr.tr.respiratory-disease",
        "name": "respiratory disease",
        "purpose": "Let an agent explain respiratory diseases as a category, relay major kinds, causes, burden and prevention from WHO and pulmonology sources in general terms, describe the forms the registry aliases name, and distinguish respiratory diseases from cardiovascular diseases, from allergic conditions elsewhere and from breathing symptoms as such, routing symptoms and emergencies appropriately.",
        "family": "Thing Registry",
        "category": "Information and virtual systems",
        "status": "research-draft",
        "kind": "thing",
        "plane": "INF",
        "domain": "INF.MED",
        "industry": "",
        "version": "",
        "url": "/models/thing/q3286546/",
        "tier": 2,
        "score": 34,
        "payload": {
            "layer": "wikidata",
            "aliases": [
                "respiratory tract neoplasm",
                "respiratory irritation",
                "central respiratory depression",
                "human respiratory disease",
                "severe respiratory illness",
                "respiratory complication",
                "Rönnskär disease",
                "Haemophilus influenzae infectious disease",
                "acute inhalation injury",
                "lower respiratory tract disease",
                "diaphragm disease",
                "upper respiratory tract disease",
                "perinatal respiratory disorder",
                "pulmonary vascular disorder",
                "obesity hypoventilation syndrome",
                "Respiratory tract inflammation",
                "actinobacillosis",
                "airway remodelling",
                "tracheobronchopathia osteochondroplastica",
                "respiratory compromise",
                "rare respiratory disease",
                "neoplasm of hypopharynx",
                "Bocavirus infection",
                "respiration disorder",
                "bronchial disease",
                "Oculo-respiratory Syndrome",
                "non-COVID-19 severe respiratory illness",
                "Haemophilus influenzae septicemia",
                "diaphragmatic eventration",
                "bovine actinobacillosis",
                "actinobacillosis of swine"
            ],
            "aliasCount": 31,
            "merged": 31,
            "knownIn": 34,
            "facets": null,
            "markers": [],
            "lexicalClass": "",
            "senseRank": null,
            "alsoRegisteredAs": "vr.tr.respiratory-disease",
            "source": {
                "dataset": "wikidata",
                "item": "Q3286546",
                "url": "https://www.wikidata.org/wiki/Q3286546",
                "license": "CC0 1.0"
            }
        },
        "research": {
            "vercy": "1.0-draft",
            "publication": {
                "status": "research-draft",
                "adjudicationStatus": "unreviewed",
                "publishableCanonical": false,
                "generatedAt": "2026-09-13T15:39:07Z",
                "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-Q3286546",
                "registryId": "vr.tr.respiratory-disease",
                "name": "respiratory disease",
                "version": "0.2.0-wave.4",
                "entryKind": "thing",
                "family": "Thing Registry",
                "domain": [
                    "INF.MED"
                ],
                "status": "research-draft"
            },
            "canonicalUrl": "https://ver.cy/models/thing/q3286546/",
            "model": {
                "registry_id": "vr.tr.respiratory-disease",
                "name": "respiratory disease",
                "purpose": "Let an agent explain respiratory diseases as a category, relay major kinds, causes, burden and prevention from WHO and pulmonology sources in general terms, describe the forms the registry aliases name, and distinguish respiratory diseases from cardiovascular diseases, from allergic conditions elsewhere and from breathing symptoms as such, routing symptoms and emergencies appropriately.",
                "definition": "Any disease affecting the respiratory system, from the nose and throat to the airways and lungs, including infections, asthma, chronic obstructive pulmonary disease, respiratory tract neoplasms, respiratory irritation from inhaled substances, severe respiratory illness such as pneumonia, respiratory complications of other conditions and central respiratory depression from drugs or brain injury; respiratory diseases are a leading cause of illness and death worldwide. The model gives general information and routes people with symptoms to clinicians or emergency services.",
                "what_it_is_for": "Not applicable; a disease category.",
                "affordances": [
                    "explain the category",
                    "relay kinds and burden",
                    "route to care and emergencies",
                    "distinguish related categories"
                ],
                "distinguishing_features": [
                    "Respiratory system",
                    "Infectious and non-infectious",
                    "High global burden",
                    "Preventable causes"
                ],
                "appearance": "Not a visible object; diseases of the airways and lungs.",
                "visual_identification": [
                    "Disease of the respiratory system",
                    "Respiratory infection, asthma, COPD, respiratory tract neoplasm, respiratory irritation, severe respiratory illness, respiratory complication, central respiratory depression",
                    "Cardiovascular diseases affect heart and vessels; breathing problems are symptoms; allergies may affect other organs"
                ],
                "physical_properties": [
                    {
                        "quantity": "COPD deaths worldwide",
                        "typical_range": "about 3.5",
                        "unit": "million per year",
                        "note": "WHO"
                    },
                    {
                        "quantity": "lower respiratory infections",
                        "typical_range": "leading infectious cause of death",
                        "unit": "note",
                        "note": ""
                    },
                    {
                        "quantity": "lung cancer",
                        "typical_range": "leading cancer death",
                        "unit": "note",
                        "note": ""
                    },
                    {
                        "quantity": "registry parents",
                        "typical_range": "includes a misfiled cardiovascular medicine parent",
                        "unit": "note",
                        "note": ""
                    }
                ],
                "families_and_kinds": [
                    "respiratory infections from colds to pneumonia and tuberculosis",
                    "obstructive diseases such as asthma and COPD",
                    "restrictive and interstitial lung diseases",
                    "respiratory tract neoplasms",
                    "occupational and environmental diseases including respiratory irritation",
                    "respiratory failure and central respiratory depression",
                    "respiratory complications of other conditions"
                ],
                "related_models": [
                    {
                        "relation": "is a kind of",
                        "target": "disease of anatomical entity",
                        "why": "in registry terms"
                    },
                    {
                        "relation": "affects",
                        "target": "respiratory system",
                        "why": ""
                    },
                    {
                        "relation": "is exemplified by",
                        "target": "chronic obstructive pulmonary disease",
                        "why": "a major cause of death"
                    },
                    {
                        "relation": "is treated by",
                        "target": "pulmonology",
                        "why": "as a specialty"
                    }
                ],
                "identifiers": [
                    {
                        "scheme": "ICD-10",
                        "value_or_pattern": "J00-J99",
                        "note": "diseases of the respiratory system"
                    },
                    {
                        "scheme": "MeSH",
                        "value_or_pattern": "D012140",
                        "note": "Respiratory Tract Diseases"
                    }
                ],
                "standards_and_regulation": [
                    "WHO strategies on chronic respiratory diseases",
                    "Air quality and tobacco control laws",
                    "Occupational exposure limits"
                ],
                "failure_modes_and_hazards": [
                    "Agents giving personal medical advice",
                    "Missed emergencies such as severe breathing difficulty",
                    "Registry parent misfiled under cardiovascular medicine"
                ],
                "in_scope": [],
                "out_of_scope": [],
                "characteristics": []
            },
            "sources": [],
            "structure": {
                "bundles": [
                    {
                        "id": "understand",
                        "name": "Understand",
                        "description": "What respiratory diseases are.",
                        "rationale": "Clinical.",
                        "layers": [
                            {
                                "id": "definition",
                                "name": "Definition",
                                "description": "Definition.",
                                "findings": [
                                    {
                                        "id": "definition-finding",
                                        "name": "Definition",
                                        "description": "Definition.",
                                        "questions": [
                                            {
                                                "text": "What is a respiratory disease, and how does the category differ from cardiovascular disease, breathing symptoms and allergies?",
                                                "kind": "definition"
                                            },
                                            {
                                                "text": "Is the user describing severe breathing difficulty, which needs emergency services, or other symptoms needing a clinician?",
                                                "kind": "boundary"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "kinds",
                                "name": "Kinds",
                                "description": "Kinds.",
                                "findings": [
                                    {
                                        "id": "kinds-finding",
                                        "name": "Kinds",
                                        "description": "Kinds.",
                                        "questions": [
                                            {
                                                "text": "What are infections, asthma, COPD, neoplasms, irritation, severe illness, complications and central respiratory depression?",
                                                "kind": "definition"
                                            },
                                            {
                                                "text": "Which entry fits the specific disease?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "causes",
                        "name": "Causes",
                        "description": "Causes and prevention.",
                        "rationale": "Regulation.",
                        "layers": [
                            {
                                "id": "causes",
                                "name": "Causes",
                                "description": "Causes.",
                                "findings": [
                                    {
                                        "id": "causes-finding",
                                        "name": "Causes",
                                        "description": "Causes.",
                                        "questions": [
                                            {
                                                "text": "What roles do infection, smoking, air pollution, occupation and genetics play?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which references are standard?",
                                                "kind": "provenance"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "prevention",
                                "name": "Prevention",
                                "description": "Prevention.",
                                "findings": [
                                    {
                                        "id": "prevention-finding",
                                        "name": "Prevention",
                                        "description": "Prevention.",
                                        "questions": [
                                            {
                                                "text": "How do vaccination, tobacco control and air quality policy prevent respiratory disease?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which sources are cited?",
                                                "kind": "provenance"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "care",
                        "name": "Care",
                        "description": "Care.",
                        "rationale": "Clinical.",
                        "layers": [
                            {
                                "id": "diagnosis",
                                "name": "Diagnosis",
                                "description": "Diagnosis.",
                                "findings": [
                                    {
                                        "id": "diagnosis-finding",
                                        "name": "Diagnosis",
                                        "description": "Diagnosis.",
                                        "questions": [
                                            {
                                                "text": "How are respiratory diseases diagnosed with spirometry, imaging and tests, in general terms?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which entry fits pulmonary function testing?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "treatment",
                                "name": "Treatment",
                                "description": "Treatment.",
                                "findings": [
                                    {
                                        "id": "treatment-finding",
                                        "name": "Treatment",
                                        "description": "Treatment.",
                                        "questions": [
                                            {
                                                "text": "What general treatment approaches exist, and when is respiratory support needed?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which entry fits the specific treatment?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "context",
                        "name": "Context",
                        "description": "Burden and history.",
                        "rationale": "Context.",
                        "layers": [
                            {
                                "id": "burden",
                                "name": "Burden",
                                "description": "Global burden.",
                                "findings": [
                                    {
                                        "id": "burden-finding",
                                        "name": "Burden",
                                        "description": "Burden.",
                                        "questions": [
                                            {
                                                "text": "What is the global burden of respiratory disease, as WHO reports?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which entry fits global health?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "history",
                                "name": "History",
                                "description": "History.",
                                "findings": [
                                    {
                                        "id": "history-finding",
                                        "name": "History",
                                        "description": "History.",
                                        "questions": [
                                            {
                                                "text": "How did understanding of respiratory disease develop, including pandemics?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which entry fits the history of medicine?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    }
                ]
            },
            "openQuestions": [
                "Should the major kinds be linked as primary entries?",
                "How should WHO and pulmonology sources be linked?",
                "The registry parent cardiovascular medicine and haematology appears misfiled and should be reviewed"
            ],
            "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 respiratory disease, record what state it is in, and decide what may be done with it.",
            "whatItIs": "Let an agent explain respiratory diseases as a category, relay major kinds, causes, burden and prevention from WHO and pulmonology sources in general terms, describe the forms the registry aliases name, and distinguish respiratory diseases from cardiovascular diseases, from allergic conditions elsewhere and from breathing symptoms as such, routing symptoms and emergencies appropriately.",
            "characteristics": {
                "substance": "information",
                "origin": "conceptual",
                "agency": "inert"
            },
            "whatYouCanDoWithIt": [
                "read and interpreted",
                "observed and measured"
            ],
            "distinguishingFeatures": [
                "Names folded into this entry, which a task may need to split apart again: respiratory tract neoplasm, respiratory irritation, central respiratory depression, human respiratory disease, severe respiratory illness, respiratory complication, Rönnskär disease, Haemophilus influenzae infectious disease, acute inhalation injury, lower respiratory tract disease, diaphragm disease, upper respiratory tract disease.",
                "31 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.",
                "Described in 34 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 respiratory disease, and on what evidence are they told apart?"
            ],
            "whatItIsMadeOf": "content that has to be carried by something else",
            "physicalCharacter": [
                "Does nothing on its own; everything it does, something else did to it.",
                "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing."
            ],
            "whatCanBeDoneWithIt": [
                "read it and act on what it says",
                "observe it, measure it, record its state"
            ],
            "howItIsRecognised": [
                "Recognised by criteria applied to signs and findings, not by appearance. Two conditions can look identical and be distinguished only by test."
            ],
            "relatedModels": [
                {
                    "relation": "covers",
                    "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.",
                    "targets": [
                        "respiratory tract neoplasm",
                        "respiratory irritation",
                        "central respiratory depression",
                        "human respiratory disease",
                        "severe respiratory illness",
                        "respiratory complication",
                        "Rönnskär disease",
                        "Haemophilus influenzae infectious disease",
                        "acute inhalation injury",
                        "lower respiratory tract disease",
                        "diaphragm disease",
                        "upper respiratory tract disease"
                    ]
                }
            ],
            "standing": "Described in 34 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 31 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 respiratory disease from another, and a respiratory disease 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 respiratory disease, 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 respiratory disease, 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 respiratory disease 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 respiratory disease, 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 respiratory disease, 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 respiratory disease 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 respiratory disease 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 respiratory disease, 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 respiratory disease, 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 respiratory disease 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 respiratory disease from the things most often confused with it.",
                                        "questions": [
                                            {
                                                "id": "distinguishing-features-q01",
                                                "text": "What identifies and describes what distinguishes a respiratory disease, 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 respiratory disease, 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 respiratory disease 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 respiratory disease 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 respiratory disease between them.",
                                        "questions": [
                                            {
                                                "id": "stages-and-transitions-q01",
                                                "text": "What identifies and describes the lifecycle of a respiratory disease, 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 respiratory disease, 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 respiratory disease 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 respiratory disease, how often and by whom.",
                                "findings": [
                                    {
                                        "id": "observation-record",
                                        "name": "Observation record",
                                        "description": "How an observation of a respiratory disease 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 respiratory disease, 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 respiratory disease, 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 respiratory disease 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 respiratory disease 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 respiratory disease contains and in what form it is held.",
                                        "questions": [
                                            {
                                                "id": "content-and-format-q01",
                                                "text": "What identifies and describes the content of a respiratory disease, 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 respiratory disease, 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 respiratory disease 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 respiratory disease and the period it survives.",
                                        "questions": [
                                            {
                                                "id": "access-rules-q01",
                                                "text": "What identifies and describes access to a respiratory disease, 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 respiratory disease, 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 respiratory disease 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 respiratory disease 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 respiratory disease, 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 respiratory disease, 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 respiratory disease 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 respiratory disease 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 respiratory disease, 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 respiratory disease 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 respiratory disease and how confident it is.",
                                        "questions": [
                                            {
                                                "id": "claim-provenance-q01",
                                                "text": "What identifies and describes a claim about a respiratory disease, 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 respiratory disease, 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 respiratory disease 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 respiratory disease is retired without being erased.",
                                        "questions": [
                                            {
                                                "id": "validity-and-supersession-q01",
                                                "text": "What identifies and describes the validity of a claim about a respiratory disease, 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 respiratory disease, 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 respiratory disease 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
            }
        }
    }
}