{ "model": { "rank": 8047, "code": "thing-q383126", "model_id": "vr.tr.chronic-condition", "name": "chronic condition", "purpose": "Let an agent explain what chronic conditions are and how they are defined, relay their burden and management principles from health sources, describe self-management and support, and route personal health questions to clinicians.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q383126/", "tier": 2, "score": 52, "payload": { "layer": "wikidata", "aliases": [ "chronic respiratory disease", "chronic stable angina", "chronic exertional compartment syndrome", "tendinosis", "Childhood chronic illness", "chronic frontal sinusitis", "chronic maxillary sinusitis", "chronic sphenoidal sinusitis", "chronic cystitis", "progressive illness", "multimorbidity", "chronic liver disease", "Philemon and Baucis syndrome", "Non-cirrhotic portal fibrosis" ], "aliasCount": 14, "merged": 14, "knownIn": 52, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q383126", "url": "https://www.wikidata.org/wiki/Q383126", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-12T23:06:21Z", "providers": [ "Claude" ], "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify", "pass": 2, "wave": 3, "engine": "claude" }, "metaModel": { "id": "THING-Q383126", "registryId": "vr.tr.chronic-condition", "name": "chronic condition", "version": "0.2.0-wave.3", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q383126/", "model": { "registry_id": "vr.tr.chronic-condition", "name": "chronic condition", "purpose": "Let an agent explain what chronic conditions are and how they are defined, relay their burden and management principles from health sources, describe self-management and support, and route personal health questions to clinicians.", "definition": "A health condition that persists for a long time, typically more than three months or a year depending on definition, that can be managed but often not cured, such as diabetes, chronic respiratory disease, heart disease, arthritis, chronic pain and many childhood illnesses; chronic conditions are the leading cause of death and disability worldwide, are managed through long-term care, self-management and prevention, and shape health systems and policy.", "what_it_is_for": "Not applicable; a category of health condition.", "affordances": [ "explain definitions and kinds", "relay burden and management principles", "describe support and self-management", "route personal questions to clinicians" ], "distinguishing_features": [ "Long duration", "Management rather than cure", "Multimorbidity common", "Major health system burden" ], "appearance": "Not a visible object; long-term conditions recognised by diagnosis and duration.", "visual_identification": [ "Long-lasting condition managed rather than cured", "Diabetes, respiratory, cardiovascular, musculoskeletal and other kinds", "Acute conditions are short; disability is a consequence, not a condition" ], "physical_properties": [ { "quantity": "share of global deaths from non-communicable diseases", "typical_range": "about 74", "unit": "percent", "note": "WHO estimate" } ], "families_and_kinds": [ "chronic respiratory diseases", "cardiovascular conditions such as chronic stable angina", "musculoskeletal conditions such as tendinosis and chronic compartment syndrome", "chronic infections and inflammatory conditions such as chronic sinusitis", "childhood chronic illness", "chronic pain and mental health conditions" ], "related_models": [ { "relation": "is a kind of", "target": "disease", "why": "in registry terms" }, { "relation": "is a kind of", "target": "medical state", "why": "in registry terms" }, { "relation": "is contrasted with", "target": "acute disease", "why": "short duration" }, { "relation": "is managed by", "target": "chronic care", "why": "long-term models" } ], "identifiers": [ { "scheme": "ICD", "value_or_pattern": "various chapters", "note": "chronic conditions span the classification" } ], "standards_and_regulation": [ "WHO non-communicable disease frameworks", "Clinical guidelines per condition", "Disability and workplace accommodation laws", "Health insurance and long-term care rules" ], "failure_modes_and_hazards": [ "Under-treatment and poor continuity of care", "Multimorbidity complexity", "Agents giving personal medical advice", "Definitional inconsistency" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "What chronic conditions are.", "rationale": "General information.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition and kinds.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "What is a chronic condition, how is it defined, and what kinds exist?", "kind": "definition" }, { "text": "Is the user asking about their own condition, which needs a clinician?", "kind": "boundary" } ] } ] }, { "id": "burden", "name": "Burden", "description": "Burden.", "findings": [ { "id": "burden-finding", "name": "Burden", "description": "Burden.", "questions": [ { "text": "What do health bodies report about the burden of chronic conditions, with sources?", "kind": "measurement" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "manage", "name": "Manage", "description": "Management and support.", "rationale": "Clinical.", "layers": [ { "id": "care", "name": "Care", "description": "Care models.", "findings": [ { "id": "care-finding", "name": "Care", "description": "Care.", "questions": [ { "text": "How are chronic conditions managed through care models, monitoring and self-management, in general terms?", "kind": "provenance" }, { "text": "Is the presentation free of personal medical advice?", "kind": "boundary" } ] } ] }, { "id": "support", "name": "Support", "description": "Support and rights.", "findings": [ { "id": "support-finding", "name": "Support", "description": "Support.", "questions": [ { "text": "What support, rights and accommodations exist for people with chronic conditions?", "kind": "provenance" }, { "text": "Which entry fits disability rights?", "kind": "action" } ] } ] } ] }, { "id": "prevent", "name": "Prevent", "description": "Prevention and policy.", "rationale": "Public health.", "layers": [ { "id": "prevention", "name": "Prevention", "description": "Prevention.", "findings": [ { "id": "prevention-finding", "name": "Prevention", "description": "Prevention.", "questions": [ { "text": "What risk factors and prevention strategies do health bodies identify?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "policy", "name": "Policy", "description": "Policy.", "findings": [ { "id": "policy-finding", "name": "Policy", "description": "Policy.", "questions": [ { "text": "How do health systems and policies address chronic conditions, with positions attributed?", "kind": "provenance" }, { "text": "Is the presentation neutral?", "kind": "boundary" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Life and research.", "rationale": "Context.", "layers": [ { "id": "living", "name": "Living", "description": "Living with chronic conditions.", "findings": [ { "id": "living-finding", "name": "Living", "description": "Living.", "questions": [ { "text": "What does research say about living with chronic conditions and childhood chronic illness, with findings attributed?", "kind": "provenance" }, { "text": "Which entry fits the specific condition?", "kind": "action" } ] } ] }, { "id": "research", "name": "Research", "description": "Research.", "findings": [ { "id": "research-finding", "name": "Research", "description": "Research.", "questions": [ { "text": "What are current research directions in chronic care and multimorbidity?", "kind": "provenance" }, { "text": "Which entry fits multimorbidity?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should non-communicable disease be the primary linked entry?", "How should condition-specific guidelines be linked?", "The registry entry has merged aliases naming specific conditions; should they be split off?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "abstract concept", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a chronic condition, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain what chronic conditions are and how they are defined, relay their burden and management principles from health sources, describe self-management and support, and route personal health questions to clinicians.", "characteristics": { "substance": "abstract", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "observed and measured" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: chronic respiratory disease, chronic stable angina, chronic exertional compartment syndrome, tendinosis, Childhood chronic illness, chronic frontal sinusitis, chronic maxillary sinusitis, chronic sphenoidal sinusitis, chronic cystitis, progressive illness, multimorbidity, chronic liver disease.", "14 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 52 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 chronic condition, and on what evidence are they told apart?" ], "whatItIsMadeOf": "an abstraction with no physical instance", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "observe it, measure it, record its state" ], "howItIsRecognised": [ "Nothing to see. What is recognised is an instance of it, and which instances count is exactly what is argued about." ], "relatedModels": [ { "relation": "covers", "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.", "targets": [ "chronic respiratory disease", "chronic stable angina", "chronic exertional compartment syndrome", "tendinosis", "Childhood chronic illness", "chronic frontal sinusitis", "chronic maxillary sinusitis", "chronic sphenoidal sinusitis", "chronic cystitis", "progressive illness", "multimorbidity", "chronic liver disease" ] } ], "standing": "Described in 52 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 14 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 chronic condition from another, and a chronic condition 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 chronic condition, 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 chronic condition, 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 chronic condition 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 chronic condition, 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 chronic condition, 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 chronic condition 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 chronic condition 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 chronic condition, 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 chronic condition, 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 chronic condition 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 chronic condition from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a chronic condition, 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 chronic condition, 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 chronic condition 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 chronic condition 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 chronic condition between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a chronic condition, 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 chronic condition, 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 chronic condition 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 chronic condition, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a chronic condition 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 chronic condition, 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 chronic condition, 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 chronic condition 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 chronic condition 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 chronic condition 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 chronic condition 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 chronic condition 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 chronic condition?", "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 chronic condition?", "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 chronic condition 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 chronic condition and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a chronic condition, 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 chronic condition, 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 chronic condition 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 chronic condition is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a chronic condition, 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 chronic condition, 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 chronic condition 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 } } } }