{
    "model": {
        "rank": 2358,
        "code": "thing-q48143",
        "model_id": "vr.tr.meningitis",
        "name": "meningitis",
        "purpose": "Let an agent explain meningitis and its causes, relay symptoms, diagnosis, treatment and prevention from medical references in general terms, route anyone with suspected meningitis to emergency care first, and distinguish meningitis from encephalitis, migraine and other causes of headache and fever.",
        "family": "Thing Registry",
        "category": "Activities and processes",
        "status": "research-draft",
        "kind": "thing",
        "plane": "ACT",
        "domain": "ACT.ACT",
        "industry": "",
        "version": "",
        "url": "/models/thing/q48143/",
        "tier": 2,
        "score": 108,
        "payload": {
            "layer": "wikidata",
            "aliases": [
                "Neoplastic meningitis",
                "meningeal carcinomatosis",
                "meningoencephalitis",
                "chronic meningitis",
                "Trypanosoma meningitis",
                "meningitis with clear cerebrospinal fluid",
                "angiostrongyliasis",
                "arachnoiditis",
                "infectious meningitis",
                "non-infectious meningitis",
                "Neonatal meningitis",
                "acute meningoencephalitis",
                "granulomatous meningoencephalitis",
                "Lymphocytic choriomeningitis virus meningoencephalitis",
                "Herpes simplex virus meningoencephalitis",
                "Listeria meningoencephalitis",
                "eosinophilic meningitis",
                "spinal arachnoiditis"
            ],
            "aliasCount": 18,
            "merged": 18,
            "knownIn": 108,
            "facets": null,
            "markers": [],
            "lexicalClass": "",
            "senseRank": null,
            "alsoRegisteredAs": "vr.tr.meningitis",
            "source": {
                "dataset": "wikidata",
                "item": "Q48143",
                "url": "https://www.wikidata.org/wiki/Q48143",
                "license": "CC0 1.0"
            }
        },
        "research": {
            "vercy": "1.0-draft",
            "publication": {
                "status": "research-draft",
                "adjudicationStatus": "unreviewed",
                "publishableCanonical": false,
                "generatedAt": "2026-09-13T07:14:03Z",
                "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-Q48143",
                "registryId": "vr.tr.meningitis",
                "name": "meningitis",
                "version": "0.2.0-wave.3",
                "entryKind": "thing",
                "family": "Thing Registry",
                "domain": [
                    "ACT.ACT"
                ],
                "status": "research-draft"
            },
            "canonicalUrl": "https://ver.cy/models/thing/q48143/",
            "model": {
                "registry_id": "vr.tr.meningitis",
                "name": "meningitis",
                "purpose": "Let an agent explain meningitis and its causes, relay symptoms, diagnosis, treatment and prevention from medical references in general terms, route anyone with suspected meningitis to emergency care first, and distinguish meningitis from encephalitis, migraine and other causes of headache and fever.",
                "definition": "Inflammation of the meninges, the membranes surrounding the brain and spinal cord, caused most often by viral or bacterial infection and also by fungi, parasites such as trypanosomes, cancer as neoplastic meningitis or meningeal carcinomatosis, drugs and autoimmune disease, presenting with headache, fever, neck stiffness and altered consciousness, sometimes with brain involvement as meningoencephalitis, and in chronic forms lasting weeks; bacterial meningitis is a medical emergency requiring immediate care, and vaccines prevent several major causes.",
                "what_it_is_for": "Not applicable; a disease.",
                "affordances": [
                    "route emergencies first",
                    "explain causes and types",
                    "relay diagnosis, treatment and prevention",
                    "distinguish related conditions"
                ],
                "distinguishing_features": [
                    "Meningeal inflammation",
                    "Emergency in bacterial cases",
                    "Many causes",
                    "Vaccine-preventable causes"
                ],
                "appearance": "Not a visible object; clinical signs and a rash in some bacterial cases.",
                "visual_identification": [
                    "Inflammation of the meninges",
                    "Viral, bacterial, fungal, chronic, neoplastic meningitis, meningoencephalitis, trypanosomal meningitis",
                    "Encephalitis inflames the brain itself; migraine lacks fever and stiffness"
                ],
                "physical_properties": [
                    {
                        "quantity": "global deaths",
                        "typical_range": "about 250000",
                        "unit": "per year",
                        "note": "estimates"
                    },
                    {
                        "quantity": "bacterial case fatality",
                        "typical_range": "about 10",
                        "unit": "percent",
                        "note": "with treatment"
                    },
                    {
                        "quantity": "key vaccines",
                        "typical_range": "meningococcal, pneumococcal, Hib",
                        "unit": "list",
                        "note": ""
                    }
                ],
                "families_and_kinds": [
                    "viral meningitis, often with clear cerebrospinal fluid",
                    "bacterial meningitis including meningococcal and pneumococcal",
                    "fungal and parasitic meningitis including trypanosomal",
                    "chronic meningitis such as tuberculous",
                    "neoplastic meningitis or meningeal carcinomatosis",
                    "meningoencephalitis",
                    "non-infectious meningitis"
                ],
                "related_models": [
                    {
                        "relation": "is a kind of",
                        "target": "encephalomyelitis",
                        "why": "in registry terms, when combined"
                    },
                    {
                        "relation": "is a kind of",
                        "target": "pandemic and epidemic-prone diseases",
                        "why": "in registry terms"
                    },
                    {
                        "relation": "is prevented by",
                        "target": "meningococcal vaccine",
                        "why": "among others"
                    },
                    {
                        "relation": "is contrasted with",
                        "target": "encephalitis",
                        "why": "inflammation of the brain"
                    }
                ],
                "identifiers": [
                    {
                        "scheme": "ICD-10",
                        "value_or_pattern": "G00-G03",
                        "note": "meningitis"
                    },
                    {
                        "scheme": "MeSH",
                        "value_or_pattern": "D008581",
                        "note": "Meningitis"
                    }
                ],
                "standards_and_regulation": [
                    "WHO Defeating Meningitis by 2030 road map",
                    "National vaccination schedules",
                    "Notifiable disease rules"
                ],
                "failure_modes_and_hazards": [
                    "Delayed treatment in bacterial cases",
                    "Agents giving personal medical advice instead of routing to emergency care",
                    "Vaccine misinformation"
                ],
                "in_scope": [],
                "out_of_scope": [],
                "characteristics": []
            },
            "sources": [],
            "structure": {
                "bundles": [
                    {
                        "id": "emergency",
                        "name": "Emergency",
                        "description": "Suspected meningitis.",
                        "rationale": "Clinical.",
                        "layers": [
                            {
                                "id": "act",
                                "name": "Act",
                                "description": "Act now.",
                                "findings": [
                                    {
                                        "id": "act-finding",
                                        "name": "Act",
                                        "description": "Act.",
                                        "questions": [
                                            {
                                                "text": "Does the user describe symptoms such as severe headache, fever, neck stiffness, rash or confusion that require emergency care immediately?",
                                                "kind": "boundary"
                                            },
                                            {
                                                "text": "Has the agent directed the user to emergency services before anything else?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "signs",
                                "name": "Signs",
                                "description": "Warning signs.",
                                "findings": [
                                    {
                                        "id": "signs-finding",
                                        "name": "Signs",
                                        "description": "Signs.",
                                        "questions": [
                                            {
                                                "text": "What are the warning signs of meningitis in adults, children and infants, as health authorities list them?",
                                                "kind": "definition"
                                            },
                                            {
                                                "text": "Which entry fits emergency medical services?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "understand",
                        "name": "Understand",
                        "description": "What meningitis is.",
                        "rationale": "Clinical.",
                        "layers": [
                            {
                                "id": "definition",
                                "name": "Definition",
                                "description": "Definition and types.",
                                "findings": [
                                    {
                                        "id": "definition-finding",
                                        "name": "Definition",
                                        "description": "Definition.",
                                        "questions": [
                                            {
                                                "text": "What is meningitis, and how do viral, bacterial, fungal, chronic and neoplastic forms and meningoencephalitis differ?",
                                                "kind": "definition"
                                            },
                                            {
                                                "text": "Is the question about the disease in general or a personal case needing a clinician?",
                                                "kind": "boundary"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "causes",
                                "name": "Causes",
                                "description": "Causes.",
                                "findings": [
                                    {
                                        "id": "causes-finding",
                                        "name": "Causes",
                                        "description": "Causes.",
                                        "questions": [
                                            {
                                                "text": "What organisms and conditions cause meningitis, including trypanosomes and cancer?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which entry fits the specific cause?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "care",
                        "name": "Care",
                        "description": "Diagnosis and treatment.",
                        "rationale": "Clinical.",
                        "layers": [
                            {
                                "id": "diagnosis",
                                "name": "Diagnosis",
                                "description": "Diagnosis.",
                                "findings": [
                                    {
                                        "id": "diagnosis-finding",
                                        "name": "Diagnosis",
                                        "description": "Diagnosis.",
                                        "questions": [
                                            {
                                                "text": "How is meningitis diagnosed with lumbar puncture and imaging, in general terms?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which references are standard?",
                                                "kind": "provenance"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "treatment",
                                "name": "Treatment",
                                "description": "Treatment.",
                                "findings": [
                                    {
                                        "id": "treatment-finding",
                                        "name": "Treatment",
                                        "description": "Treatment.",
                                        "questions": [
                                            {
                                                "text": "How is meningitis treated, and what are outcomes and complications, as guidelines report?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which sources are cited?",
                                                "kind": "provenance"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "prevent",
                        "name": "Prevent",
                        "description": "Prevention and context.",
                        "rationale": "Application.",
                        "layers": [
                            {
                                "id": "vaccines",
                                "name": "Vaccines",
                                "description": "Vaccines.",
                                "findings": [
                                    {
                                        "id": "vaccines-finding",
                                        "name": "Vaccines",
                                        "description": "Vaccines.",
                                        "questions": [
                                            {
                                                "text": "Which vaccines prevent meningitis, and who should receive them, as schedules state?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which entry fits the specific vaccine?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "epidemiology",
                                "name": "Epidemiology",
                                "description": "Epidemiology.",
                                "findings": [
                                    {
                                        "id": "epidemiology-finding",
                                        "name": "Epidemiology",
                                        "description": "Epidemiology.",
                                        "questions": [
                                            {
                                                "text": "Where is meningitis most common, including the African meningitis belt, and what is the WHO road map?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which entry fits the meningitis belt?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    }
                ]
            },
            "openQuestions": [
                "Should bacterial, viral and neoplastic meningitis be separate primary entries?",
                "How should medical references be linked?",
                "The registry entry has merged aliases naming distinct types; 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": "disease or condition",
            "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.",
            "facetsInferred": true,
            "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.",
            "purpose": "Give an agent a durable, checkable way to recognise a meningitis, record what state it is in, and decide what may be done with it.",
            "whatItIs": "Let an agent explain meningitis and its causes, relay symptoms, diagnosis, treatment and prevention from medical references in general terms, route anyone with suspected meningitis to emergency care first, and distinguish meningitis from encephalitis, migraine and other causes of headache and fever.",
            "characteristics": {
                "substance": "activity",
                "origin": "conceptual",
                "agency": "inert"
            },
            "whatYouCanDoWithIt": [
                "observed and measured"
            ],
            "distinguishingFeatures": [
                "Names folded into this entry, which a task may need to split apart again: Neoplastic meningitis, meningeal carcinomatosis, meningoencephalitis, chronic meningitis, Trypanosoma meningitis, meningitis with clear cerebrospinal fluid, angiostrongyliasis, arachnoiditis, infectious meningitis, non-infectious meningitis, Neonatal meningitis, acute meningoencephalitis.",
                "18 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.",
                "Described in 108 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 meningitis, and on what evidence are they told apart?"
            ],
            "whatItIsMadeOf": "something that happens over time",
            "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": [
                "Recognised by criteria applied to signs and findings, not by appearance. Two conditions can look identical and be distinguished only by test."
            ],
            "relatedModels": [
                {
                    "relation": "covers",
                    "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.",
                    "targets": [
                        "Neoplastic meningitis",
                        "meningeal carcinomatosis",
                        "meningoencephalitis",
                        "chronic meningitis",
                        "Trypanosoma meningitis",
                        "meningitis with clear cerebrospinal fluid",
                        "angiostrongyliasis",
                        "arachnoiditis",
                        "infectious meningitis",
                        "non-infectious meningitis",
                        "Neonatal meningitis",
                        "acute meningoencephalitis"
                    ]
                }
            ],
            "standing": "Described in 108 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 18 finer distinctions are held inside this entry as names rather than as separate models.",
            "structure": {
                "bundles": [
                    {
                        "id": "identity-and-classification",
                        "name": "Identity, naming and classification",
                        "description": "How an agent tells one meningitis from another, and a meningitis 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 meningitis, 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 meningitis, 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 meningitis 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 meningitis, 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 meningitis, 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 meningitis 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 meningitis 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 meningitis, 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 meningitis, 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 meningitis 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 meningitis from the things most often confused with it.",
                                        "questions": [
                                            {
                                                "id": "distinguishing-features-q01",
                                                "text": "What identifies and describes what distinguishes a meningitis, 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 meningitis, 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 meningitis 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 meningitis 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 meningitis between them.",
                                        "questions": [
                                            {
                                                "id": "stages-and-transitions-q01",
                                                "text": "What identifies and describes the lifecycle of a meningitis, 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 meningitis, 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 meningitis 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 meningitis, how often and by whom.",
                                "findings": [
                                    {
                                        "id": "observation-record",
                                        "name": "Observation record",
                                        "description": "How an observation of a meningitis 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 meningitis, 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 meningitis, 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 meningitis is known, and what must it refuse?",
                                                "kind": "action",
                                                "answer_data": [
                                                    "permitted actions",
                                                    "preconditions",
                                                    "refusals",
                                                    "escalation"
                                                ]
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "process-and-outcome",
                        "name": "Process, inputs and outcome",
                        "description": "How a meningitis proceeds, what it needs and what it leaves behind.",
                        "rationale": "An activity is known by its steps and its results, and both have to be recordable while it is still running.",
                        "layers": [
                            {
                                "id": "steps-and-sequence",
                                "name": "Steps and sequence",
                                "description": "The steps of a meningitis, their order and what may run in parallel.",
                                "findings": [
                                    {
                                        "id": "steps-and-preconditions",
                                        "name": "Steps, preconditions and completion",
                                        "description": "What has to be true before each step of a meningitis and what marks it done.",
                                        "questions": [
                                            {
                                                "id": "steps-and-preconditions-q01",
                                                "text": "What identifies and describes a step of a meningitis, and in what units or vocabulary?",
                                                "kind": "definition",
                                                "answer_data": [
                                                    "identifiers",
                                                    "types and classes",
                                                    "values with units",
                                                    "explicit unknowns"
                                                ]
                                            },
                                            {
                                                "id": "steps-and-preconditions-q02",
                                                "text": "Who or what asserted this about a step of a meningitis, by which method, and when was it true?",
                                                "kind": "provenance",
                                                "answer_data": [
                                                    "authority",
                                                    "method",
                                                    "evidence",
                                                    "event time",
                                                    "knowledge time"
                                                ]
                                            },
                                            {
                                                "id": "steps-and-preconditions-q03",
                                                "text": "What may an agent decide or do once a step of a meningitis is known, and what must it refuse?",
                                                "kind": "action",
                                                "answer_data": [
                                                    "permitted actions",
                                                    "preconditions",
                                                    "refusals",
                                                    "escalation"
                                                ]
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "inputs-and-results",
                                "name": "Inputs, resources and results",
                                "description": "What a meningitis consumes and what it produces.",
                                "findings": [
                                    {
                                        "id": "inputs-and-outputs",
                                        "name": "Inputs, outputs and side effects",
                                        "description": "The resources a meningitis takes and the results it leaves, wanted or not.",
                                        "questions": [
                                            {
                                                "id": "inputs-and-outputs-q01",
                                                "text": "What identifies and describes the inputs and results of a meningitis, and in what units or vocabulary?",
                                                "kind": "definition",
                                                "answer_data": [
                                                    "identifiers",
                                                    "types and classes",
                                                    "values with units",
                                                    "explicit unknowns"
                                                ]
                                            },
                                            {
                                                "id": "inputs-and-outputs-q02",
                                                "text": "Who or what asserted this about the inputs and results of a meningitis, by which method, and when was it true?",
                                                "kind": "provenance",
                                                "answer_data": [
                                                    "authority",
                                                    "method",
                                                    "evidence",
                                                    "event time",
                                                    "knowledge time"
                                                ]
                                            },
                                            {
                                                "id": "inputs-and-outputs-q03",
                                                "text": "What may an agent decide or do once the inputs and results of a meningitis is known, and what must it refuse?",
                                                "kind": "action",
                                                "answer_data": [
                                                    "permitted actions",
                                                    "preconditions",
                                                    "refusals",
                                                    "escalation"
                                                ]
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "diagnosis-and-criteria",
                        "name": "Diagnosis, criteria and coding",
                        "description": "What makes a case of meningitis a case, and under which revision.",
                        "rationale": "Criteria change between revisions, so a diagnosis without its coding revision cannot be compared with a later one.",
                        "layers": [
                            {
                                "id": "criteria",
                                "name": "Diagnostic criteria",
                                "description": "The criteria in force and who issues them.",
                                "findings": [
                                    {
                                        "id": "criteria-record",
                                        "name": "Criteria, issuer and revision",
                                        "description": "What must be true for a diagnosis, according to whom.",
                                        "questions": [
                                            {
                                                "id": "criteria-record-q01",
                                                "text": "What criteria define meningitis, issued by which body, in which revision?",
                                                "kind": "definition"
                                            },
                                            {
                                                "id": "criteria-record-q02",
                                                "text": "What changed between revisions that would reclassify existing cases?",
                                                "kind": "boundary"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "coding",
                                "name": "Coding and terminology",
                                "description": "The codes used to record it and their mapping.",
                                "findings": [
                                    {
                                        "id": "coding-record",
                                        "name": "Codes and mappings",
                                        "description": "Which classification codes apply and how they map.",
                                        "questions": [
                                            {
                                                "id": "coding-record-q01",
                                                "text": "Which classification and terminology codes cover meningitis, and how do they map to each other?",
                                                "kind": "definition"
                                            },
                                            {
                                                "id": "coding-record-q02",
                                                "text": "What is lost when a case is mapped from one scheme to another?",
                                                "kind": "boundary"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "course-and-population",
                        "name": "Course, population and care",
                        "description": "How meningitis develops, whom it affects, and what is done about it.",
                        "rationale": "The condition, the diagnosis and the episode of care are three different things, and an agent must not merge them.",
                        "layers": [
                            {
                                "id": "course",
                                "name": "Course and stages",
                                "description": "Onset, progression, remission and outcome.",
                                "findings": [
                                    {
                                        "id": "course-record",
                                        "name": "Stages and transitions",
                                        "description": "The stages recorded and what moves a case between them.",
                                        "questions": [
                                            {
                                                "id": "course-record-q01",
                                                "text": "What course does meningitis typically take, and what marks each stage?",
                                                "kind": "definition"
                                            },
                                            {
                                                "id": "course-record-q02",
                                                "text": "What separates the condition itself from an episode of care for it?",
                                                "kind": "boundary"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "population",
                                "name": "Affected populations",
                                "description": "Who is affected, how often, and on what evidence.",
                                "findings": [
                                    {
                                        "id": "epidemiology",
                                        "name": "Prevalence and its basis",
                                        "description": "Rates with their population, period and source.",
                                        "questions": [
                                            {
                                                "id": "epidemiology-q01",
                                                "text": "What prevalence or incidence is reported for meningitis, in which population and period?",
                                                "kind": "measurement"
                                            },
                                            {
                                                "id": "epidemiology-q02",
                                                "text": "What may an agent not conclude about an individual from a population rate?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "provenance-and-evidence",
                        "name": "Provenance, evidence and time",
                        "description": "Where every claim about a meningitis 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 meningitis and how confident it is.",
                                        "questions": [
                                            {
                                                "id": "claim-provenance-q01",
                                                "text": "What identifies and describes a claim about a meningitis, 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 meningitis, 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 meningitis 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 meningitis is retired without being erased.",
                                        "questions": [
                                            {
                                                "id": "validity-and-supersession-q01",
                                                "text": "What identifies and describes the validity of a claim about a meningitis, 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 meningitis, 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 meningitis is known, and what must it refuse?",
                                                "kind": "action",
                                                "answer_data": [
                                                    "permitted actions",
                                                    "preconditions",
                                                    "refusals",
                                                    "escalation"
                                                ]
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    }
                ]
            },
            "statistics": {
                "bundles": 6,
                "layers": 12,
                "findings": 14,
                "questions": 38
            }
        }
    }
}