{ "model": { "rank": 17115, "code": "thing-q576349", "model_id": "vr.tr.encephalopathy", "name": "encephalopathy", "purpose": "Let an agent handle encephalopathy as a clinical category with causes and urgency, give only general information, and direct people to urgent care when needed.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q576349/", "tier": 2, "score": 31, "payload": { "layer": "wikidata", "aliases": [ "brain stem neoplasm", "cerebellar neoplasm", "benign glioma", "brain stem cancer", "cerebellum cancer", "benign neoplasm of brain stem", "adult brain stem neoplasm", "cerebrovascular benign neoplasm", "thalamic neoplasm", "abnormal involuntary movement", "postural instability", "uncoordinated gait", "abnormal posturing", "gait abnormality", "circling movement", "intracranial vasospasm", "tertiary neurosyphilis", "Decerebrate posturing", "decorticate rigidity", "Pusher syndrome", "relieving posture", "wobble", "waddling gait", "lacunar gait", "sailor gait", "staggering gait", "unsteady gait", "broad-based gait", "circumduction gait", "steppage gait", "Parkinsonian gait", "Uner Tan syndrome", "antalgic gait", "gluteal gait", "magnetic gait", "marche à petit pas", "myopathic gait", "pigeon gait", "propulsive gait", "scissor gait" ], "aliasCount": 241, "merged": 241, "knownIn": 31, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": "vr.tr.encephalopathy", "source": { "dataset": "wikidata", "item": "Q576349", "url": "https://www.wikidata.org/wiki/Q576349", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-11T06:19:07Z", "providers": [ "Claude" ], "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify", "pass": 2, "wave": 1, "engine": "claude" }, "metaModel": { "id": "THING-Q576349", "registryId": "vr.tr.encephalopathy", "name": "encephalopathy", "version": "0.2.0-wave.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q576349/", "model": { "registry_id": "vr.tr.encephalopathy", "name": "encephalopathy", "purpose": "Let an agent handle encephalopathy as a clinical category with causes and urgency, give only general information, and direct people to urgent care when needed.", "definition": "A general term for disease or damage that alters brain function or structure, with many causes such as infection, toxins, metabolic disorders, lack of oxygen or trauma.", "what_it_is_for": "Naming brain dysfunction so that its cause can be found and treated.", "affordances": [ "diagnose its type and cause, by clinicians", "treat the underlying cause", "support recovery and rehabilitation", "recognise warning signs early" ], "distinguishing_features": [ "Global brain dysfunction", "Many causes", "Some types are medical emergencies", "Distinct from specific brain tumours" ], "appearance": "No single appearance; confusion, altered consciousness and other neurological signs may occur.", "visual_identification": [ "Only clinical assessment and tests establish it", "Types are named by cause, such as hepatic or hypoxic", "Brain tumours merged in aliases are separate entries" ], "physical_properties": [], "families_and_kinds": [ "hypoxic-ischaemic encephalopathy", "hepatic encephalopathy", "metabolic and toxic encephalopathies", "infectious encephalopathies", "chronic traumatic encephalopathy" ], "related_models": [ { "relation": "is a kind of", "target": "central nervous system disease", "why": "disease" }, { "relation": "has cause", "target": "infection, toxin, trauma", "why": "causes" }, { "relation": "is treated by", "target": "medicine", "why": "care" }, { "relation": "is confused with", "target": "brain tumour", "why": "merged aliases" } ], "identifiers": [ { "scheme": "ICD-11 code", "value_or_pattern": "8E47 and related codes", "note": "classification" } ], "standards_and_regulation": [ "WHO ICD-11", "Clinical guidelines for acute neurological care" ], "failure_modes_and_hazards": [ "Missing an emergency", "Giving individual medical advice", "Merging distinct conditions" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "classification", "name": "Classification", "description": "Which type.", "rationale": "Type follows cause.", "layers": [ { "id": "type", "name": "Type", "description": "By cause.", "findings": [ { "id": "type-finding", "name": "Type", "description": "Encephalopathy type.", "questions": [ { "text": "Which type of encephalopathy is meant?", "kind": "definition" }, { "text": "What is its cause?", "kind": "definition" } ] } ] }, { "id": "codes", "name": "Codes", "description": "ICD-11.", "findings": [ { "id": "codes-finding", "name": "Codes", "description": "Classification codes.", "questions": [ { "text": "Which ICD-11 code applies?", "kind": "provenance" }, { "text": "Is it acute or chronic?", "kind": "definition" } ] } ] } ] }, { "id": "urgency", "name": "Urgency", "description": "When to seek help.", "rationale": "Sudden confusion needs urgent care.", "layers": [ { "id": "signs", "name": "Signs", "description": "Warning signs.", "findings": [ { "id": "signs-finding", "name": "Warning signs", "description": "Warning signs.", "questions": [ { "text": "Which signs mean calling emergency services now?", "kind": "action" }, { "text": "Which number applies?", "kind": "action" } ] } ] }, { "id": "assessment", "name": "Assessment", "description": "Clinical tests.", "findings": [ { "id": "assessment-finding", "name": "Assessment", "description": "How it is assessed.", "questions": [ { "text": "How is it assessed by clinicians?", "kind": "definition" }, { "text": "What tests are used?", "kind": "definition" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Treatment and recovery.", "rationale": "Treating the cause is key.", "layers": [ { "id": "treatment", "name": "Treatment", "description": "Underlying cause.", "findings": [ { "id": "treatment-finding", "name": "Treatment", "description": "Treatment approach.", "questions": [ { "text": "What do guidelines recommend for this type?", "kind": "provenance" }, { "text": "What must the agent not advise?", "kind": "boundary" } ] } ] }, { "id": "rehabilitation", "name": "Rehabilitation", "description": "Recovery.", "findings": [ { "id": "rehabilitation-finding", "name": "Rehabilitation", "description": "Recovery support.", "questions": [ { "text": "What rehabilitation is available?", "kind": "action" }, { "text": "What support exists for families?", "kind": "action" } ] } ] } ] }, { "id": "handling", "name": "Handling", "description": "Respect and privacy.", "rationale": "Sensitive health information.", "layers": [ { "id": "language", "name": "Language", "description": "Respectful wording.", "findings": [ { "id": "language-finding", "name": "Language", "description": "Respectful language.", "questions": [ { "text": "Is the language respectful and accurate?", "kind": "boundary" }, { "text": "Does it avoid alarm?", "kind": "boundary" } ] } ] }, { "id": "privacy", "name": "Privacy", "description": "Health data.", "findings": [ { "id": "privacy-finding", "name": "Privacy", "description": "Data handling.", "questions": [ { "text": "Is health information shared lawfully?", "kind": "boundary" }, { "text": "Who may see it?", "kind": "boundary" } ] } ] } ] } ] }, "openQuestions": [ "Should encephalopathy types be separate entries?", "How should agents present urgent neurological warning signs?", "The registry entry merges brain tumours as aliases; should they be split off?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "abstract concept", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a encephalopathy, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent handle encephalopathy as a clinical category with causes and urgency, give only general information, and direct people to urgent care when needed.", "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: brain stem neoplasm, cerebellar neoplasm, benign glioma, brain stem cancer, cerebellum cancer, benign neoplasm of brain stem, adult brain stem neoplasm, cerebrovascular benign neoplasm, thalamic neoplasm, abnormal involuntary movement, postural instability, uncoordinated gait.", "241 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 31 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 encephalopathy, 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": [ "brain stem neoplasm", "cerebellar neoplasm", "benign glioma", "brain stem cancer", "cerebellum cancer", "benign neoplasm of brain stem", "adult brain stem neoplasm", "cerebrovascular benign neoplasm", "thalamic neoplasm", "abnormal involuntary movement", "postural instability", "uncoordinated gait" ] } ], "standing": "Described in 31 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 241 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 encephalopathy from another, and a encephalopathy 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 encephalopathy, 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 encephalopathy, 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 encephalopathy 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 encephalopathy, 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 encephalopathy, 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 encephalopathy 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 encephalopathy 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 encephalopathy, 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 encephalopathy, 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 encephalopathy 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 encephalopathy from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a encephalopathy, 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 encephalopathy, 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 encephalopathy 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 encephalopathy 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 encephalopathy between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a encephalopathy, 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 encephalopathy, 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 encephalopathy 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 encephalopathy, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a encephalopathy 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 encephalopathy, 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 encephalopathy, 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 encephalopathy 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 encephalopathy 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 encephalopathy 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 encephalopathy 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 encephalopathy 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 encephalopathy?", "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 encephalopathy?", "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 encephalopathy 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 encephalopathy and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a encephalopathy, 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 encephalopathy, 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 encephalopathy 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 encephalopathy is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a encephalopathy, 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 encephalopathy, 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 encephalopathy 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 } } } }