{ "model": { "rank": 13558, "code": "thing-q465016", "model_id": "vr.tr.health-effects-of-smoking-tobacco", "name": "health effects of smoking tobacco", "purpose": "Let an agent explain the health effects of smoking, relay evidence on diseases, dependence and quitting from WHO, public health and medical sources, point people to quitlines and clinicians, describe the named conditions, and distinguish smoking harms from those of smokeless tobacco, e-cigarettes, whose relative risks are debated with positions attributed, and cannabis smoking, without promoting any product.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q465016/", "tier": 2, "score": 37, "payload": { "layer": "wikidata", "aliases": [ "smoker's face", "tobacco use disorder", "stomatitis nicotina", "chain smoking", "Respiratory bronchiolitis interstitial lung disease", "smoker's melanosis", "fetal nicotine spectrum disorder", "Smokeless tobacco keratosis", "Smoking-related interstitial fibrosis" ], "aliasCount": 9, "merged": 9, "knownIn": 37, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q465016", "url": "https://www.wikidata.org/wiki/Q465016", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T22:13:41Z", "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-Q465016", "registryId": "vr.tr.health-effects-of-smoking-tobacco", "name": "health effects of smoking tobacco", "version": "0.2.0-wave.4", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q465016/", "model": { "registry_id": "vr.tr.health-effects-of-smoking-tobacco", "name": "health effects of smoking tobacco", "purpose": "Let an agent explain the health effects of smoking, relay evidence on diseases, dependence and quitting from WHO, public health and medical sources, point people to quitlines and clinicians, describe the named conditions, and distinguish smoking harms from those of smokeless tobacco, e-cigarettes, whose relative risks are debated with positions attributed, and cannabis smoking, without promoting any product.", "definition": "The harms caused by smoking tobacco, which the World Health Organization reports kills more than 8 million people a year including through second-hand smoke, causing lung and many other cancers, cardiovascular disease, stroke and chronic obstructive pulmonary disease, harming pregnancies and damaging oral and skin health, as the registry aliases illustrate with smoker s face, stomatitis nicotina on the palate, smoker s melanosis of the gums and respiratory bronchiolitis interstitial lung disease; nicotine dependence, classified as tobacco use disorder, and chain smoking make quitting hard, and quitting at any age brings health benefits. Free quit support is available through national quitlines and health services.", "what_it_is_for": "Understanding tobacco harms and quitting.", "affordances": [ "explain diseases caused by smoking", "relay dependence and quitting evidence", "describe named conditions", "point to quit support" ], "distinguishing_features": [ "Leading preventable cause of death", "Many organ systems", "Nicotine dependence", "Benefits of quitting" ], "appearance": "Not a single appearance; seen in effects such as stained teeth, skin ageing, palate changes and lung damage on imaging.", "visual_identification": [ "Harms caused by tobacco smoking", "Smoker s face, tobacco use disorder, stomatitis nicotina, chain smoking, respiratory bronchiolitis interstitial lung disease, smoker s melanosis", "Smokeless tobacco has distinct risks; e-cigarette risks are debated; cannabis smoking has its own evidence base" ], "physical_properties": [ { "quantity": "annual deaths", "typical_range": "more than 8 million", "unit": "note", "note": "WHO estimate, check current" }, { "quantity": "US Surgeon General report", "typical_range": "1964", "unit": "year", "note": "landmark report" }, { "quantity": "WHO Framework Convention on Tobacco Control", "typical_range": "2003", "unit": "year", "note": "adopted" } ], "families_and_kinds": [ "cancers", "cardiovascular and respiratory diseases", "reproductive harms", "oral and skin effects", "second-hand smoke harms", "nicotine dependence" ], "related_models": [ { "relation": "is a kind of", "target": "substance use disorder", "why": "in registry terms" }, { "relation": "causes", "target": "lung cancer", "why": "" }, { "relation": "is addressed by", "target": "WHO Framework Convention on Tobacco Control", "why": "" }, { "relation": "is contrasted with", "target": "health effects of electronic cigarettes", "why": "" } ], "identifiers": [], "standards_and_regulation": [ "WHO FCTC", "Smoke-free laws", "Tobacco packaging and advertising rules" ], "failure_modes_and_hazards": [ "Promoting tobacco or alternative products", "Partisan framing of harm reduction debates", "Stale mortality figures" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "Health effects of smoking.", "rationale": "Attribution.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "Is someone having chest pain, stroke signs or severe breathlessness, in which case call emergency services, and does someone want quit support from a quitline or clinician?", "kind": "boundary" }, { "text": "What are the health effects of smoking, and how do they differ from smokeless tobacco, e-cigarette and cannabis risks?", "kind": "definition" } ] } ] }, { "id": "conditions", "name": "Conditions", "description": "Named conditions.", "findings": [ { "id": "conditions-finding", "name": "Conditions", "description": "Conditions.", "questions": [ { "text": "What are smoker s face, stomatitis nicotina, smoker s melanosis, RB-ILD, tobacco use disorder and chain smoking?", "kind": "definition" }, { "text": "Which entry fits the specific condition?", "kind": "action" } ] } ] } ] }, { "id": "disease", "name": "Disease", "description": "Diseases.", "rationale": "Science.", "layers": [ { "id": "cancer", "name": "Cancer", "description": "Cancers.", "findings": [ { "id": "cancer-finding", "name": "Cancer", "description": "Cancer.", "questions": [ { "text": "Which cancers does smoking cause, according to IARC and health agencies?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "heart", "name": "Heart and lungs", "description": "Heart and lung disease.", "findings": [ { "id": "heart-finding", "name": "Heart and lungs", "description": "Heart and lungs.", "questions": [ { "text": "How does smoking cause heart disease and COPD?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "quitting", "name": "Quitting", "description": "Dependence and quitting.", "rationale": "Regulation.", "layers": [ { "id": "dependence", "name": "Dependence", "description": "Nicotine dependence.", "findings": [ { "id": "dependence-finding", "name": "Dependence", "description": "Dependence.", "questions": [ { "text": "How does nicotine dependence develop, and what is tobacco use disorder?", "kind": "provenance" }, { "text": "Which entry fits nicotine dependence?", "kind": "action" } ] } ] }, { "id": "support", "name": "Support", "description": "Quit support.", "findings": [ { "id": "support-finding", "name": "Support", "description": "Support.", "questions": [ { "text": "Which treatments and services help people quit, in general terms?", "kind": "provenance" }, { "text": "Which entry fits smoking cessation?", "kind": "action" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Policy and debates.", "rationale": "Attribution.", "layers": [ { "id": "policy", "name": "Policy", "description": "Tobacco control.", "findings": [ { "id": "policy-finding", "name": "Policy", "description": "Policy.", "questions": [ { "text": "How have the FCTC and smoke-free laws affected smoking rates?", "kind": "provenance" }, { "text": "Which entry fits tobacco control?", "kind": "action" } ] } ] }, { "id": "harmreduction", "name": "Harm reduction", "description": "Harm reduction debate.", "findings": [ { "id": "harmreduction-finding", "name": "Harm reduction", "description": "Harm reduction.", "questions": [ { "text": "What do health bodies argue about e-cigarettes and harm reduction, with positions attributed?", "kind": "provenance" }, { "text": "Is the presentation neutral and attributed?", "kind": "boundary" } ] } ] } ] } ] }, "openQuestions": [ "Should the oral and skin conditions be linked as separate entries?", "How should WHO data be kept current?", "How should harm reduction debates be presented?" ], "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 health effects of smoking tobacco, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain the health effects of smoking, relay evidence on diseases, dependence and quitting from WHO, public health and medical sources, point people to quitlines and clinicians, describe the named conditions, and distinguish smoking harms from those of smokeless tobacco, e-cigarettes, whose relative risks are debated with positions attributed, and cannabis smoking, without promoting any product.", "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: smoker's face, tobacco use disorder, stomatitis nicotina, chain smoking, Respiratory bronchiolitis interstitial lung disease, smoker's melanosis, fetal nicotine spectrum disorder, Smokeless tobacco keratosis, Smoking-related interstitial fibrosis.", "9 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 37 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 health effects of smoking tobacco, 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": [ "smoker's face", "tobacco use disorder", "stomatitis nicotina", "chain smoking", "Respiratory bronchiolitis interstitial lung disease", "smoker's melanosis", "fetal nicotine spectrum disorder", "Smokeless tobacco keratosis", "Smoking-related interstitial fibrosis" ] } ], "standing": "Described in 37 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 9 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 health effects of smoking tobacco from another, and a health effects of smoking tobacco 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 health effects of smoking tobacco, 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 health effects of smoking tobacco, 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 health effects of smoking tobacco 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 health effects of smoking tobacco, 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 health effects of smoking tobacco, 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 health effects of smoking tobacco 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 health effects of smoking tobacco 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 health effects of smoking tobacco, 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 health effects of smoking tobacco, 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 health effects of smoking tobacco 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 health effects of smoking tobacco from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a health effects of smoking tobacco, 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 health effects of smoking tobacco, 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 health effects of smoking tobacco 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 health effects of smoking tobacco 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 health effects of smoking tobacco between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a health effects of smoking tobacco, 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 health effects of smoking tobacco, 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 health effects of smoking tobacco 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 health effects of smoking tobacco, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a health effects of smoking tobacco 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 health effects of smoking tobacco, 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 health effects of smoking tobacco, 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 health effects of smoking tobacco 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 health effects of smoking tobacco 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 health effects of smoking tobacco 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 health effects of smoking tobacco 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 health effects of smoking tobacco 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 health effects of smoking tobacco?", "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 health effects of smoking tobacco?", "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 health effects of smoking tobacco 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 health effects of smoking tobacco and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a health effects of smoking tobacco, 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 health effects of smoking tobacco, 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 health effects of smoking tobacco 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 health effects of smoking tobacco is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a health effects of smoking tobacco, 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 health effects of smoking tobacco, 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 health effects of smoking tobacco 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 } } } }