{ "model": { "rank": 6289, "code": "thing-q337554", "model_id": "vr.tr.heat-stroke", "name": "heat stroke", "purpose": "Enable an AI agent to recognise suspected heat stroke, track thermal and neurological danger, and support timely emergency care and clinician-directed recovery.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q337554/", "tier": 2, "score": 61, "payload": { "layer": "wikidata", "aliases": [], "aliasCount": 0, "merged": 0, "knownIn": 61, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q337554", "url": "https://www.wikidata.org/wiki/Q337554", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-07T13:41:12Z", "providers": [ "Codex", "Grok" ], "missingProviders": [], "pass": 2, "cost": { "grok": { "usd": 0.01326612, "turns": 1, "seconds": 165.9, "error": null }, "codex": { "seconds": 88.5, "error": "Reading additional input from stdin...\nOpenAI Codex v0.153.3\n--------\nworkdir: R:\\02_PROJECTS\\02_Meta_Models_Platforms\\Ver.cy\\current\\thing-registry-backlog\nmodel: gpt-6-astra\nprovider: openai\napproval: never\nsandbox: read-only\nreasoning effort: none\nreasoning summaries: none\nsession id: 01a07c14-efbc-7390-b6ee-1b7a47783ff8\n--------\nuser\nYou are drafting a Vercy meta-model for one registered thing. Answer as JSON only, no prose around it.\n\nThing: heat stroke\nRegistry id: vr.tr.heat-stroke\nPlane / domain: XCT / XCT.STA\nRegistry definition: (none recorded)\nNames folded into this entry: (none)\n\nA" } } }, "metaModel": { "id": "THING-Q337554", "registryId": "vr.tr.heat-stroke", "name": "heat stroke", "version": "0.1.0-research.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q337554/", "model": { "registry_id": "vr.tr.heat-stroke", "name": "heat stroke", "purpose": "Enable an AI agent to recognise suspected heat stroke, track thermal and neurological danger, and support timely emergency care and clinician-directed recovery.", "definition": "Heat stroke is a life-threatening failure of thermoregulation in which environmental and/or exertional heat load drives core body temperature typically to 40 °C or higher together with acute encephalopathy, and from which coagulopathy and multi-organ injury can follow if cooling is delayed.", "scope_statement": "This model owns the record of an individual suspected or confirmed heat-stroke episode under vr.tr.heat-stroke, including recognition evidence, exposure context, evolving severity, cooling response, complications and unresolved recovery restrictions.", "in_scope": [ "Evidence supporting, weakening or leaving uncertain recognition of heat stroke", "Exertional and non-exertional heat exposure associated with the episode", "Temperature and neurological observations with measurement context", "Emergency escalation, cooling delivery and observed response", "Episode-related organ injury, recovery and clinical clearance" ], "out_of_scope": [ "Heat exhaustion, heat syncope and dehydration as independent conditions", "Weather systems, heatwave forecasts and workplace heat-risk programmes", "The person's complete medical history and medication records", "Independent models of renal failure, liver failure, rhabdomyolysis and coagulopathy", "Cooling-device engineering and emergency-service operational management" ], "distinguishing_features": [ "Look for marked neurological dysfunction alongside heat exposure and hyperthermia; weakness or sweating alone does not establish heat stroke. [CDC Yellow Book](https://www.cdc.gov/yellow-book/hcp/environmental-hazards-risks/heat-and-cold-illness-in-travelers.html)", "Distinguish persistent neurological impairment from a brief heat-associated faint followed by rapid recovery when supine. [CDC Yellow Book](https://www.cdc.gov/yellow-book/hcp/environmental-hazards-risks/heat-and-cold-illness-in-travelers.html)", "Do not require dry skin: heat stroke can present with either dry skin or profuse sweating. [CDC NIOSH](https://www.cdc.gov/niosh/heat-stress/about/illnesses.html)", "Check competing explanations for altered consciousness, particularly exercise-associated hyponatremia; serum sodium and the exposure and fluid-intake history help resolve that boundary. [CDC Yellow Book](https://www.cdc.gov/yellow-book/hcp/environmental-hazards-risks/heat-and-cold-illness-in-travelers.html)" ], "characteristics": [ { "name": "Recognition status", "kind": "state", "unit_or_values": "suspected | clinician-confirmed | disputed | ruled-out", "why_it_matters": "Separates emergency suspicion from an attributed clinical diagnosis." }, { "name": "Exposure phenotype", "kind": "category", "unit_or_values": "exertional | non-exertional | mixed | undetermined", "why_it_matters": "Preserves the circumstances of heat accumulation without inferring subtype from age or fitness alone." }, { "name": "Temperature observation", "kind": "measurement", "unit_or_values": "°C or °F, with timestamp, anatomical site, device and cooling already received", "why_it_matters": "Makes temperature evidence interpretable across methods and intervention stages." }, { "name": "Neurological condition", "kind": "state", "unit_or_values": "baseline | confusion | abnormal behaviour | impaired coordination | seizure | reduced consciousness | unknown; multiple observations allowed", "why_it_matters": "Records the neurological evidence central to recognition and subsequent reassessment." }, { "name": "Exposure-to-care intervals", "kind": "measurement", "unit_or_values": "minutes or hours between estimated onset, recognition, cooling and clinical handover; uncertainty recorded", "why_it_matters": "Distinguishes observed times from estimates and exposes delays requiring explanation." }, { "name": "Cooling delivery", "kind": "state", "unit_or_values": "not started | active | interrupted | stopped | unknown, with method and responsible responder", "why_it_matters": "Connects the treatment actually delivered with subsequent observations." }, { "name": "Organ-injury assessment", "kind": "relation", "unit_or_values": "linked neurological, renal, hepatic, muscular, coagulation or cardiovascular assessments", "why_it_matters": "Connects complications to this episode while preserving their independent clinical records." }, { "name": "Recovery and exposure clearance", "kind": "state", "unit_or_values": "under acute care | under reassessment | restricted | conditionally cleared | cleared | unknown", "why_it_matters": "Prevents a normal temperature observation from being treated as permission to resume heat exposure." } ], "affordances": [ "Flag a suspected episode for emergency escalation using recorded evidence and an applicable clinical protocol.", "Assemble a handover containing exposure history, neurological changes, temperature methods and cooling timestamps.", "Track whether cooling is occurring and highlight interruptions or missing reassessments.", "Compare successive temperature and neurological observations without treating incompatible measurements as equivalent.", "Link unresolved organ-injury assessments and clinician-issued activity restrictions to the episode." ] }, "sources": [ { "id": "bouchama-nejm-2002", "title": "Heat Stroke - The New England Journal of Medicine (Massachusetts Medical Society)", "url": "https://www.nejm.org/doi/full/10.1056/NEJMra011089", "what_it_supports": "Specialist definition, classic versus exertional distinction, core-temperature and CNS criteria, multi-organ complications, and the primacy of rapid cooling", "url_status": "blocked" }, { "id": "bouchama-nrdp-2022", "title": "Classic and exertional heatstroke - Nature Reviews Disease Primers (Springer Nature)", "url": "", "what_it_supports": "Current disease-primer account of the two main clinical kinds, mechanisms, organ injury, and management" }, { "id": "nata-ehi-2015", "title": "National Athletic Trainers' Association Position Statement: Exertional Heat Illnesses - Journal of Athletic Training (NATA)", "url": "", "what_it_supports": "Field recognition of exertional heat stroke, rectal-temperature practice, cold-water immersion, and separation from heat exhaustion and exertional hyponatremia" }, { "id": "niosh-2016-106", "title": "Criteria for a Recommended Standard: Occupational Exposure to Heat and Hot Environments - CDC/NIOSH (DHHS Publication 2016-106)", "url": "https://www.cdc.gov/niosh/docs/2016-106/", "what_it_supports": "Occupational encounter, WBGT-based exposure assessment, and workplace heat-illness prevention practice", "url_status": "live" }, { "id": "iso-7243-2017", "title": "ISO 7243:2017 Ergonomics of the thermal environment - Assessment of heat stress using the WBGT index - International Organization for Standardization", "url": "", "what_it_supports": "The principal international method for measuring environmental heat stress that precipitates occupational heat stroke" }, { "id": "who-icd", "title": "ICD-10 code T67.0 Heatstroke and sunstroke; ICD-11 code NF01 Heatstroke - World Health Organization", "url": "", "what_it_supports": "Standard diagnostic identifiers and the residual ICD grouping of heatstroke with sunstroke" } ], "structure": { "bundles": [ { "id": "heat-stroke-recognition", "name": "Heat-stroke recognition", "description": "Evidence establishing why this episode is being treated as possible heat stroke.", "rationale": "Recognition must remain actionable despite incomplete observations while preserving diagnostic uncertainty.", "layers": [ { "id": "thermal-neurological-presentation", "name": "Thermal and neurological presentation", "description": "The relationship between heat exposure, temperature observations and altered brain function.", "findings": [ { "id": "recognition-evidence", "name": "Recognition evidence", "description": "Record the actual observations supporting suspicion, their timing and the assessor's interpretation.", "questions": [ { "text": "What neurological changes occurred relative to the person's baseline, and who observed them?", "kind": "measurement", "id": "recognition-evidence-q01" }, { "text": "What temperature and exposure evidence accompanied those changes, and what remained unmeasured?", "kind": "measurement", "id": "recognition-evidence-q02" } ] } ] }, { "id": "diagnostic-boundaries", "name": "Diagnostic boundaries", "description": "Distinction from neighbouring heat illnesses and other causes of altered consciousness.", "findings": [ { "id": "competing-explanations", "name": "Competing explanations", "description": "Keep alternative and coexisting diagnoses visible rather than converting suspicion into certainty.", "questions": [ { "text": "What evidence distinguishes this presentation from heat exhaustion or a transient heat-associated faint?", "kind": "boundary", "id": "competing-explanations-q01" }, { "text": "Which competing causes, including hyponatremia, hypoglycaemia, infection or drug-related hyperthermia, have clinicians assessed or left unresolved?", "kind": "boundary", "id": "competing-explanations-q02" }, { "text": "Who assigned the current diagnostic status, using which criteria or protocol?", "kind": "provenance", "id": "competing-explanations-q03" } ] } ] } ] }, { "id": "heat-load-and-susceptibility", "name": "Heat load and susceptibility", "description": "Episode-specific circumstances contributing to heat accumulation and impaired heat loss.", "rationale": "The model needs an exposure account that supports subtype assessment and later prevention without assuming a single cause.", "layers": [ { "id": "exposure-reconstruction", "name": "Exposure reconstruction", "description": "Environmental and exertional conditions before recognition.", "findings": [ { "id": "heat-accumulation-context", "name": "Heat accumulation context", "description": "Record activity, surroundings, clothing and access to cooling with their temporal relationship to symptoms.", "questions": [ { "text": "What exertion, environmental heat, humidity, radiant heat or enclosing conditions preceded symptom onset, and for how long?", "kind": "measurement", "id": "heat-accumulation-context-q01" }, { "text": "Which evidence supports an exertional, non-exertional, mixed or undetermined classification?", "kind": "definition", "id": "heat-accumulation-context-q02" } ] } ] }, { "id": "episode-specific-susceptibility", "name": "Episode-specific susceptibility", "description": "Relevant personal circumstances linked from other records.", "findings": [ { "id": "susceptibility-and-access", "name": "Susceptibility and access to cooling", "description": "Separate documented vulnerabilities and practical barriers from assumptions about their causal importance.", "questions": [ { "text": "What is known about acclimatisation, recent illness, hydration, relevant medicines and previous heat illness?", "kind": "provenance", "id": "susceptibility-and-access-q01" }, { "text": "Could the person stop exertion, leave the heat, obtain cooling or summon help, and what prevented these actions?", "kind": "boundary", "id": "susceptibility-and-access-q02" } ] } ] } ] }, { "id": "thermal-and-neurological-course", "name": "Thermal and neurological course", "description": "Interpretable observations of temperature and neurological condition across the episode.", "rationale": "A single temperature or consciousness label cannot represent the course or response to cooling.", "layers": [ { "id": "temperature-evidence-quality", "name": "Temperature evidence quality", "description": "Measurement method, timing and uncertainty.", "findings": [ { "id": "temperature-series-context", "name": "Temperature series context", "description": "Keep measurement site and intervention timing attached to every reading; rectal measurement is identified as most reliable in suspected heat stroke by the [CDC Yellow Book](https://www.cdc.gov/yellow-book/hcp/environmental-hazards-risks/heat-and-cold-illness-in-travelers.html).", "questions": [ { "text": "Where, when and with which device was each temperature measured?", "kind": "measurement", "id": "temperature-series-context-q01" }, { "text": "Was the reading obtained before or after cooling, and was the apparent peak measured or only estimated?", "kind": "provenance", "id": "temperature-series-context-q02" } ] } ] }, { "id": "neurological-response", "name": "Neurological response", "description": "Changes in consciousness, behaviour and coordination during treatment.", "findings": [ { "id": "neurological-trajectory", "name": "Neurological trajectory", "description": "Record neurological response separately from temperature response and identify confounded assessments.", "questions": [ { "text": "How did consciousness, orientation, coordination and seizure activity change during and after cooling?", "kind": "measurement", "id": "neurological-trajectory-q01" }, { "text": "Which observations were limited by sedation, baseline impairment, language barriers or unavailable witnesses?", "kind": "boundary", "id": "neurological-trajectory-q02" } ] } ] } ] }, { "id": "emergency-cooling-and-handover", "name": "Emergency cooling and handover", "description": "Emergency activation, cooling delivery and continuity of care.", "rationale": "The record must show whether time-critical actions occurred and what responders need to continue them safely.", "layers": [ { "id": "emergency-response", "name": "Emergency response", "description": "Recognition-to-action timing and responder responsibilities.", "findings": [ { "id": "escalation-and-immediate-care", "name": "Escalation and immediate care", "description": "Suspected heat stroke calls for emergency assistance and immediate cooling. [CDC NIOSH](https://www.cdc.gov/niosh/heat-stress/about/illnesses.html)", "questions": [ { "text": "When were emergency services activated and cooling started, and what delays occurred?", "kind": "action", "id": "escalation-and-immediate-care-q01" }, { "text": "Who is supervising the person and addressing airway, breathing and circulation needs within their training?", "kind": "action", "id": "escalation-and-immediate-care-q02" } ] } ] }, { "id": "cooling-execution", "name": "Cooling execution", "description": "Method selection, reassessment and transfer without losing treatment history.", "findings": [ { "id": "cooling-method-and-continuity", "name": "Cooling method and continuity", "description": "Record method, practical constraints and protocol-directed stopping criteria; cold-water immersion is emphasised for severe heat illness after initial assessment in the [WMS guideline summary](https://wms.org/magazine/1540/Heat-Illness-CPG/default.aspx).", "questions": [ { "text": "Which cooling method was delivered, and what access, supervision or clinical constraints affected its use?", "kind": "action", "id": "cooling-method-and-continuity-q01" }, { "text": "Which protocol and observations governed reassessment, interruption or stopping of active cooling?", "kind": "action", "id": "cooling-method-and-continuity-q02" }, { "text": "Were temperature methods, neurological changes and cooling intervals communicated at handover?", "kind": "provenance", "id": "cooling-method-and-continuity-q03" } ] } ] } ] }, { "id": "organ-injury-and-recovery", "name": "Organ injury and recovery", "description": "Episode consequences and conditions governing recovery decisions.", "rationale": "Thermal improvement and overall recovery are distinct states requiring separate evidence.", "layers": [ { "id": "complication-surveillance", "name": "Complication surveillance", "description": "Clinical assessments for evolving injury beyond the temperature abnormality.", "findings": [ { "id": "organ-injury-status", "name": "Organ-injury status", "description": "Record serial complication assessments, retaining unknown separately from absent; liver or kidney injury and abnormal bleeding can emerge after presentation. [CDC Yellow Book](https://www.cdc.gov/yellow-book/hcp/environmental-hazards-risks/heat-and-cold-illness-in-travelers.html)", "questions": [ { "text": "What neurological, renal, hepatic, muscular, coagulation and cardiovascular assessments were performed, with what results and times?", "kind": "measurement", "id": "organ-injury-status-q01" }, { "text": "Which suspected complications require repeat assessment or escalation under the treating team's plan?", "kind": "action", "id": "organ-injury-status-q02" } ] } ] }, { "id": "recovery-restrictions", "name": "Recovery restrictions", "description": "Outstanding deficits, follow-up and authority for renewed activity.", "findings": [ { "id": "recovery-and-clearance-evidence", "name": "Recovery and clearance evidence", "description": "Track symptom resolution, unresolved injury and explicit clinician-issued conditions for return to exertion or heat exposure.", "questions": [ { "text": "What symptoms, functional limitations or abnormal assessments remain unresolved?", "kind": "measurement", "id": "recovery-and-clearance-evidence-q01" }, { "text": "Who authorised return to activity, with which restrictions, reassessment requirements and supporting evidence?", "kind": "action", "id": "recovery-and-clearance-evidence-q02" } ] } ] } ] }, { "id": "evidence-and-external-alignment", "name": "Evidence and external alignment", "description": "What the world already says about this thing, gathered so the model can be checked against it.", "rationale": "A model that cannot be lined up against existing standards, identifiers and practice cannot be adopted by anyone who already uses them.", "layers": [ { "id": "reported-evidence", "name": "Reported evidence", "description": "Findings from the breadth pass, kept separate from the structural claims.", "findings": [ { "id": "evidence-kinds", "name": "Kinds and varieties", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ "Classic (non-exertional) heat stroke: passive overheating, typically in older, very young, or chronically ill people during heat waves, often with little recent heavy exercise", "Exertional heat stroke: collapse during or soon after strenuous work or sport, typically in younger workers, soldiers, or athletes, often while still sweating", "Mixed-type heat stroke: modest activity plus high ambient heat in a vulnerable person, distinguished in Japanese emergency classification rather than as a separate pathophysiology" ], "questions": [ { "id": "evidence-kinds-q01", "text": "Which of these kinds and varieties hold for the sense of heat stroke this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-identifiers", "name": "Identifiers and schemes", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ { "scheme": "Wikidata", "value_or_pattern": "Q337554", "note": "Item for heat stroke as a medical condition" }, { "scheme": "ICD-10", "value_or_pattern": "T67.0", "note": "Heatstroke and sunstroke, under Effects of heat and light" }, { "scheme": "ICD-10-CM", "value_or_pattern": "T67.0xx", "note": "US clinical modification; 7th-character encounter extension required (e.g. T67.01XA / T67.02XA in later revisions that split exertional vs nonexertional)" }, { "scheme": "ICD-11", "value_or_pattern": "NF01", "note": "Heatstroke, under Effects of heat" }, { "scheme": "MeSH", "value_or_pattern": "D018883", "note": "Heat Stroke" }, { "scheme": "SNOMED CT", "value_or_pattern": "39871006", "note": "Heat stroke (disorder); confirm against the current SNOMED release before use as a binding code" } ], "questions": [ { "id": "evidence-identifiers-q01", "text": "Which of these identifiers and schemes hold for the sense of heat stroke this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-standards-and-regulation", "name": "Standards and regulation", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ "ISO 7243:2017 WBGT heat-stress assessment - International Organization for Standardization", "ISO 7933 predicted heat strain - International Organization for Standardization", "ACGIH Threshold Limit Values for heat stress and strain - American Conference of Governmental Industrial Hygienists", "NIOSH Criteria for a Recommended Standard: Occupational Exposure to Heat and Hot Environments (2016-106) - CDC/NIOSH", "OSHA General Duty Clause (and the proposed federal Heat Injury and Illness Prevention standard) - U.S. Occupational Safety and Health Administration", "California Code of Regulations Title 8, section 3395 Heat Illness Prevention - Cal/OSHA", "NATA Position Statement: Exertional Heat Illnesses - National Athletic Trainers' Association", "Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness - Wilderness Medical Society", "WHO guidance on heat-health action plans - World Health Organization" ], "questions": [ { "id": "evidence-standards-and-regulation-q01", "text": "Which of these standards and regulation hold for the sense of heat stroke this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-real-world-use", "name": "Real-world use", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ "Emergency-department diagnosis and cooling during urban heat waves, especially in older people in poorly cooled housing", "Sideline collapse at endurance events and team practices, with on-site rectal temperature and cold-water immersion before transport", "Military training and selection courses in hot climates, a long-standing source of exertional cases", "Occupational illness in agriculture, construction, warehouses, kitchens, and foundries", "Mass-gathering medicine, including Hajj pilgrimage and summer marathons", "Public-health surveillance of heat-related emergency visits and excess mortality under heat alerts", "Medicolegal attribution of heat-related death when core temperature was not recorded in life" ], "questions": [ { "id": "evidence-real-world-use-q01", "text": "Which of these real-world use hold for the sense of heat stroke this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-measurements", "name": "Typical measurements", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ { "quantity": "Core body temperature (rectal preferred at collapse)", "typical_range": "typically ≥40.0 to about 44, occasionally higher in fatal cases", "unit": "°C" }, { "quantity": "Cooling rate under cold-water immersion", "typical_range": "about 0.15 to 0.35", "unit": "°C/min" }, { "quantity": "Wet-bulb globe temperature at which strenuous activity is commonly restricted", "typical_range": "about 28 to 32, depending on clothing and acclimatization", "unit": "°C WBGT" }, { "quantity": "Glasgow Coma Scale at presentation", "typical_range": "3 to 14; severe cases often ≤12", "unit": "GCS points" }, { "quantity": "Serum creatine kinase in exertional cases with rhabdomyolysis", "typical_range": "hundreds to greater than 10 000", "unit": "U/L" }, { "quantity": "Serum alanine/aspartate aminotransferase in hepatic injury", "typical_range": "hundreds to several thousand", "unit": "U/L" } ], "questions": [ { "id": "evidence-measurements-q01", "text": "Which of these typical measurements hold for the sense of heat stroke this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-failure-modes-and-hazards", "name": "Failure modes and hazards", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ "Delayed recognition or delayed cooling, the main modifiable driver of death and lasting brain injury", "Disseminated intravascular coagulation and uncontrolled bleeding", "Rhabdomyolysis, hyperkalemia, and acute kidney injury, especially in exertional cases", "Acute liver failure", "Seizure, coma, and permanent neurologic injury", "Aspiration, acute respiratory failure, and cardiovascular collapse", "Rebound hyperthermia after incomplete cooling", "Death; untreated or late-cooled classic heat stroke has historically carried high case fatality" ], "questions": [ { "id": "evidence-failure-modes-and-hazards-q01", "text": "Which of these failure modes and hazards hold for the sense of heat stroke this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-regional-variation", "name": "Regional variation", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ "English usage splits heat stroke / heatstroke; ICD still pairs heatstroke with sunstroke", "Japanese 熱中症 (netchūshō) names a graded spectrum of heat illness; heat stroke maps only to the severe end with CNS or organ failure, not to the whole category", "Classic heat stroke dominates European heat-wave epidemiology; exertional heat stroke dominates North American sports and military literature", "Environmental triggering indices differ: U.S. public alerts often use heat index, Canada humidex, occupational and sports medicine WBGT", "Large case series from the Hajj in Saudi Arabia; South Asian summer practice includes dedicated heat-stroke wards and national disaster-management heat guidance", "U.S. sports medicine often cools first and transports second; some emergency-medical systems still prioritize immediate hospital transport" ], "questions": [ { "id": "evidence-regional-variation-q01", "text": "Which of these regional variation hold for the sense of heat stroke this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-neighbours", "name": "Neighbouring kinds and how to tell them apart", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ { "name": "Heat exhaustion", "difference": "Mental status remains essentially intact and core temperature is usually below 40 °C; treat as a continuum, not a hard laboratory cut" }, { "name": "Heat syncope", "difference": "Brief postural loss of consciousness with rapid recovery and without marked hyperthermia or lasting encephalopathy" }, { "name": "Exertional hyponatremia", "difference": "Endurance-event collapse with normal or low core temperature and low serum sodium, not extreme hyperthermia" }, { "name": "Sepsis or other febrile infection", "difference": "Infectious source and inflammatory signs without a decisive environmental or exertional heat load; the two can coexist in heat waves" }, { "name": "Stroke (cerebrovascular accident)", "difference": "Focal neurologic deficit without extreme core hyperthermia as the primary finding" }, { "name": "Malignant hyperthermia", "difference": "Triggered by halogenated anesthetics or succinylcholine in a genetically susceptible patient, not by ambient or exertional heat" }, { "name": "Neuroleptic malignant syndrome", "difference": "Days-long onset after dopamine-antagonist exposure, with rigidity, rather than acute environmental heat load" }, { "name": "Serotonin syndrome", "difference": "Serotonergic drug exposure with hyperreflexia and clonus; heat stroke lacks that toxidrome unless drugs are also involved" } ], "questions": [ { "id": "evidence-neighbours-q01", "text": "Which of these neighbouring kinds and how to tell them apart hold for the sense of heat stroke this model covers, and on what evidence?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Which diagnostic criteria should govern each intended setting, particularly when cooling preceded measurement or reliable core temperature is unavailable?", "How should the model represent variation between guidelines in the neurological boundary separating heat exhaustion from heat stroke?", "Which cooling methods, reassessment intervals and stopping criteria are supported for the intended populations and responder capabilities?", "Which serial organ-injury assessments and observation periods are justified for different presentations and treatment responses?", "What evidence and professional authority should be required for return to exertion or heat exposure after an episode?" ], "statistics": { "bundles": 6, "layers": 11, "findings": 18, "questions": 30 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "abstract concept", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a heat stroke, record what state it is in, and decide what may be done with it.", "whatItIs": "Enable an AI agent to recognise suspected heat stroke, track thermal and neurological danger, and support timely emergency care and clinician-directed recovery.", "characteristics": { "substance": "abstract", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "observed and measured" ], "distinguishingFeatures": [ "Described in 61 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 heat stroke, and on what evidence are they told apart?" ], "whatItIsMadeOf": "an abstraction with no physical instance", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "observe it, measure it, record its state" ], "howItIsRecognised": [ "Nothing to see. What is recognised is an instance of it, and which instances count is exactly what is argued about." ], "relatedModels": [], "standing": "Described in 61 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is.", "structure": { "bundles": [ { "id": "identity-and-classification", "name": "Identity, naming and classification", "description": "How an agent tells one heat stroke from another, and a heat stroke 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 heat stroke, 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 heat stroke, 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 heat stroke 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 heat stroke, 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 heat stroke, 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 heat stroke 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 heat stroke 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 heat stroke, 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 heat stroke, 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 heat stroke 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 heat stroke from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a heat stroke, 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 heat stroke, 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 heat stroke 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 heat stroke 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 heat stroke between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a heat stroke, 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 heat stroke, 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 heat stroke 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 heat stroke, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a heat stroke 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 heat stroke, 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 heat stroke, 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 heat stroke is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "definitions-in-contest", "name": "Definitions and who holds them", "description": "What heat stroke is taken to mean, and by whom.", "rationale": "When a field disagrees about a concept, the disagreement is the content. A model that picks one definition silently destroys the information.", "layers": [ { "id": "competing-definitions", "name": "Competing definitions", "description": "The main readings and the traditions behind them.", "findings": [ { "id": "definition-map", "name": "Definitions and their holders", "description": "Each definition with the school or body that holds it.", "questions": [ { "id": "definition-map-q01", "text": "Which definitions of heat stroke are in use, and which tradition or body holds each?", "kind": "definition" }, { "id": "definition-map-q02", "text": "What turns on the difference between them in practice?", "kind": "boundary" } ] } ] }, { "id": "operationalisation", "name": "Operationalisation", "description": "How it is measured or applied when it has to be.", "findings": [ { "id": "operational-record", "name": "Measures and proxies", "description": "Instruments and indicators used to stand in for it.", "questions": [ { "id": "operational-record-q01", "text": "How is heat stroke operationalised or measured in practice, and by what instrument?", "kind": "measurement" }, { "id": "operational-record-q02", "text": "What does that operationalisation leave out, and when does that matter?", "kind": "boundary" } ] } ] } ] }, { "id": "instances-and-use", "name": "Instances, use and consequence", "description": "What counts as an instance of heat stroke and what follows from calling something that.", "rationale": "Applying a concept is an act with consequences, so a model must say what the label licenses and what it does not.", "layers": [ { "id": "instances", "name": "What counts as an instance", "description": "Clear cases, borderline cases and non-cases.", "findings": [ { "id": "instance-tests", "name": "Tests for an instance", "description": "What would settle whether something falls under it.", "questions": [ { "id": "instance-tests-q01", "text": "What would settle whether something is an instance of heat stroke?", "kind": "boundary" }, { "id": "instance-tests-q02", "text": "Which borderline cases are argued about, and on what grounds?", "kind": "definition" } ] } ] }, { "id": "consequence", "name": "Consequence of application", "description": "Rights, duties or decisions that follow from the label.", "findings": [ { "id": "consequence-record", "name": "What the label licenses", "description": "What an agent may do once something is classified this way.", "questions": [ { "id": "consequence-record-q01", "text": "What follows practically once something is treated as heat stroke?", "kind": "action" }, { "id": "consequence-record-q02", "text": "What must an agent not infer from the label alone?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a heat stroke 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 heat stroke and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a heat stroke, 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 heat stroke, 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 heat stroke 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 heat stroke is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a heat stroke, 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 heat stroke, 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 heat stroke is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 5, "layers": 10, "findings": 12, "questions": 32 } } } }