{ "model": { "rank": 5608, "code": "thing-q61335", "model_id": "vr.tr.pre-eclampsia", "name": "pre-eclampsia", "purpose": "Enable an agent to recognise possible pre-eclampsia, represent diagnostic uncertainty and maternal-fetal deterioration, and support clinician-directed assessment and follow-up.", "family": "Thing Registry", "category": "Information and virtual systems", "status": "research-draft", "kind": "thing", "plane": "INF", "domain": "INF.KNW", "industry": "", "version": "", "url": "/models/thing/q61335/", "tier": 2, "score": 66, "payload": { "layer": "wikidata", "aliases": [ "mild pre-eclampsia", "severe pre-eclampsia", "gestosis" ], "aliasCount": 3, "merged": 3, "knownIn": 66, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q61335", "url": "https://www.wikidata.org/wiki/Q61335", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-09T22:45:30Z", "providers": [ "Codex" ], "breadth": "recalled by Codex without web access - no source was read", "missingProviders": [], "pass": 2, "cost": { "grok": { "seconds": 22, "error": "Reading additional input from stdin...\nOpenAI Codex v0.153.4\n--------\nworkdir: R:\\02_PROJECTS\\02_Meta_Models_Platforms\\Ver.cy\\current\\thing-registry-backlog\nmodel: gpt-6-astra\nprovider: openai\napproval: never\nsandbox: read-only\nreasoning effort: none\nreasoning summaries: none\nsession id: 01a08857-ed51-74e0-afbe-b17c32d5ffdb\n--------\nuser\nDescribe what is already known about one registered thing. Answer as JSON only, no prose around it.\n\nThing: pre-eclampsia\nSense to describe: (none recorded)\nDomain code: XCT.STA\nAlso known as: (none)\n\n\nContext for this batch of 188 things:\n# Batch 006: 1001 re", "usd": 0, "recall": true }, "codex": { "seconds": 72.4, "error": "Reading additional input from stdin...\nOpenAI Codex v0.153.4\n--------\nworkdir: R:\\02_PROJECTS\\02_Meta_Models_Platforms\\Ver.cy\\current\\thing-registry-backlog\nmodel: gpt-6-astra\nprovider: openai\napproval: never\nsandbox: read-only\nreasoning effort: none\nreasoning summaries: none\nsession id: 01a08857-ed4b-7d73-afd3-537bcec6e4f1\n--------\nuser\nYou are drafting a Vercy meta-model for one registered thing. Answer as JSON only, no prose around it.\n\nThing: pre-eclampsia\nRegistry id: vr.tr.pre-eclampsia\nPlane / domain: XCT / XCT.STA\nRegistry definition: (none recorded)\nNames folded into this entry: (none" } } }, "metaModel": { "id": "THING-Q61335", "registryId": "vr.tr.pre-eclampsia", "name": "pre-eclampsia", "version": "0.1.0-research.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q61335/", "model": { "registry_id": "vr.tr.pre-eclampsia", "name": "pre-eclampsia", "purpose": "Enable an agent to recognise possible pre-eclampsia, represent diagnostic uncertainty and maternal-fetal deterioration, and support clinician-directed assessment and follow-up.", "definition": "Pre-eclampsia is a pregnancy-associated multisystem disorder characterised by new-onset hypertension usually after 20 weeks of gestation, together with proteinuria, maternal organ dysfunction or, under some diagnostic frameworks, uteroplacental dysfunction, and it may first present postpartum.", "scope_statement": "This model owns the representation of pre-eclampsia episodes for vr.tr.pre-eclampsia in XCT / XCT.STA, including pregnancy context, diagnostic evidence, evolving manifestations, management decisions and postpartum resolution.", "in_scope": [ "Suspected and confirmed episodes, with the diagnostic framework and supporting evidence recorded", "Antepartum and postpartum presentation, including superimposition on chronic hypertension", "Maternal organ involvement and uteroplacental findings associated with the episode", "Time-dependent assessment, escalation and delivery decisions", "Episode resolution, persistent abnormalities and implications for subsequent pregnancies" ], "out_of_scope": [ "Routine pregnancy care unrelated to pre-eclampsia", "Chronic hypertension and chronic kidney disease as independent conditions", "Standalone models of eclampsia, HELLP syndrome and alternative thrombotic microangiopathies", "Detailed drug pharmacology, prescribing protocols and obstetric procedures", "Independent neonatal care and long-term cardiovascular disease management" ], "distinguishing_features": [ "Distinguish pre-eclampsia from gestational hypertension by recording qualifying proteinuria, maternal organ dysfunction or uteroplacental dysfunction under the selected definition; proteinuria is not universally required. [NICE NG133](https://www.nice.org.uk/guidance/ng133/chapter/recommendations)", "For a typical antenatal presentation, establish new hypertension after 20 weeks together with qualifying additional findings, rather than inferring the condition from swelling or a single symptom. [NICE NG133](https://www.nice.org.uk/guidance/ng133/chapter/recommendations)", "For chronic hypertension, require evidence supporting superimposed pre-eclampsia; a blood-pressure rise alone is insufficient under ISSHP recommendations. [ISSHP recommendations](https://isshp.org/wp-content/uploads/2023/09/ISSHP-2021-guidelines.pdf)", "Record seizures as a possible eclampsia complication requiring separate attribution, rather than making seizures a prerequisite for recognising pre-eclampsia. [ISSHP recommendations](https://isshp.org/wp-content/uploads/2023/09/ISSHP-2021-guidelines.pdf)" ], "characteristics": [ { "name": "Episode classification", "kind": "state", "unit_or_values": "suspected | confirmed | diagnosis reconsidered | resolving | resolved; timestamp and assessor", "why_it_matters": "Separates provisional recognition from an established diagnosis and preserves subsequent revision." }, { "name": "Pregnancy-relative timing", "kind": "measurement", "unit_or_values": "gestational weeks and days; hours or days since birth", "why_it_matters": "Anchors onset, interpretation and management decisions to the pregnancy timeline." }, { "name": "Diagnostic framework", "kind": "relation", "unit_or_values": "issuing organisation, guideline version, jurisdiction and applied criteria", "why_it_matters": "Makes differing diagnostic and severity classifications traceable." }, { "name": "Blood-pressure trajectory", "kind": "measurement", "unit_or_values": "systolic and diastolic mmHg; timestamps, technique, repeat readings and treatment context", "why_it_matters": "Supports confirmation and recognition of sustained or worsening hypertension." }, { "name": "Urinary protein assessment", "kind": "measurement", "unit_or_values": "protein:creatinine or albumin:creatinine ratio with units; timed protein excretion; dipstick category", "why_it_matters": "Preserves assay differences, baseline abnormalities and the evidence used in diagnosis." }, { "name": "Maternal organ findings", "kind": "state", "unit_or_values": "renal, hepatic, haematological, neurological and respiratory findings; absent | present | unknown, with underlying observations", "why_it_matters": "Represents the pattern and progression of maternal involvement." }, { "name": "Laboratory trajectory", "kind": "measurement", "unit_or_values": "platelets in ×10^9/L, creatinine in µmol/L or mg/dL, transaminases in U/L; laboratory reference ranges and timestamps", "why_it_matters": "Allows comparison with baseline and distinguishes trends from isolated results." }, { "name": "Uteroplacental assessment", "kind": "state", "unit_or_values": "growth, Doppler, fetal surveillance and placental complication findings, each with date and interpretation", "why_it_matters": "Keeps fetal and placental evidence visible alongside maternal findings." }, { "name": "Angiogenic test evidence", "kind": "measurement", "unit_or_values": "PlGF concentration or sFlt-1/PlGF ratio; assay platform, units, sampling time and applicable interpretation", "why_it_matters": "Prevents an assay result from being interpreted without its intended clinical context." }, { "name": "Baseline and previous-episode context", "kind": "relation", "unit_or_values": "linked pregnancy, chronic hypertension, kidney disease, baseline proteinuria and prior pre-eclampsia records", "why_it_matters": "Supports attribution of new findings and assessment of superimposed disease." } ], "affordances": [ "Assemble evidence for and against pre-eclampsia under an explicitly selected diagnostic framework", "Identify missing, outdated or conflicting measurements requiring clinical review", "Track maternal and fetal trajectories and flag configured escalation criteria", "Prepare an episode summary for obstetric assessment, transfer or delivery planning", "Record clinician decisions, their supporting evidence and subsequent responses", "Coordinate postpartum reassessment and transfer unresolved abnormalities to appropriate neighbouring models" ] }, "sources": [], "structure": { "bundles": [ { "id": "diagnostic-boundaries", "name": "Diagnostic boundaries", "description": "Represent what qualifies as an episode and what remains uncertain.", "rationale": "Recognition requires an explicit definition and attribution of findings to the pregnancy-associated condition.", "layers": [ { "id": "criteria-and-evidence", "name": "Criteria and evidence", "description": "Connect the diagnostic judgement to a named framework and observed findings.", "findings": [ { "id": "episode-qualification", "name": "Episode qualification", "description": "Record the criteria assessed, supporting observations and unresolved requirements.", "questions": [ { "text": "Which guideline version defines this episode, and which hypertension and additional-feature criteria are met?", "kind": "definition", "id": "episode-qualification-q01" }, { "text": "Which observations support the diagnostic judgement, who assessed them and when?", "kind": "provenance", "id": "episode-qualification-q02" } ] } ] }, { "id": "baseline-and-alternatives", "name": "Baseline and alternatives", "description": "Compare the episode with pre-existing disease and plausible competing explanations.", "findings": [ { "id": "new-finding-attribution", "name": "New finding attribution", "description": "Separate baseline hypertension or proteinuria from evidence attributed to pre-eclampsia.", "questions": [ { "text": "What blood-pressure, renal and proteinuria findings preceded pregnancy or the suspected onset?", "kind": "measurement", "id": "new-finding-attribution-q01" }, { "text": "What evidence distinguishes this episode from gestational hypertension, kidney disease exacerbation, lupus activity or another thrombotic microangiopathy?", "kind": "boundary", "id": "new-finding-attribution-q02" } ] } ] } ] }, { "id": "maternal-manifestations", "name": "Maternal manifestations", "description": "Represent measured hypertension and the distribution of maternal organ involvement.", "rationale": "A diagnostic label alone does not communicate the patient's current condition or direction of change.", "layers": [ { "id": "pressure-and-protein", "name": "Pressure and protein", "description": "Preserve measurement quality and serial blood-pressure and urinary findings.", "findings": [ { "id": "measurement-interpretability", "name": "Measurement interpretability", "description": "Capture repeat readings, collection methods and treatment timing needed to interpret results.", "questions": [ { "text": "Were blood-pressure readings obtained with an appropriate cuff and validated device, and how were abnormal readings confirmed?", "kind": "measurement", "id": "measurement-interpretability-q01" }, { "text": "Which urinary protein method, units and collection conditions were used, and how does the result compare with baseline?", "kind": "measurement", "id": "measurement-interpretability-q02" } ] } ] }, { "id": "organ-involvement-and-trends", "name": "Organ involvement and trends", "description": "Record symptoms, laboratory changes and clinically attributed complications.", "findings": [ { "id": "maternal-deterioration-evidence", "name": "Maternal deterioration evidence", "description": "Maintain a time-stamped account of neurological, respiratory, renal, hepatic and haematological findings.", "questions": [ { "text": "Which symptoms, examination findings and laboratory trends indicate new or worsening organ involvement?", "kind": "measurement", "id": "maternal-deterioration-evidence-q01" }, { "text": "Which findings meet the adopted protocol's urgent review criteria, and has escalation occurred?", "kind": "action", "id": "maternal-deterioration-evidence-q02" } ] } ] } ] }, { "id": "pregnancy-and-placental-context", "name": "Pregnancy and placental context", "description": "Connect the episode to gestational timing and evidence concerning each fetus and the placenta.", "rationale": "Maternal findings, fetal condition and pregnancy timing must remain separately visible in a shared episode.", "layers": [ { "id": "onset-and-pregnancy-linkage", "name": "Onset and pregnancy linkage", "description": "Locate the first evidence and diagnosis within a specific pregnancy.", "findings": [ { "id": "episode-timeline", "name": "Episode timeline", "description": "Distinguish biological onset estimates, first observed abnormalities and diagnostic recognition.", "questions": [ { "text": "What are the gestational ages or postpartum intervals at first abnormal finding, diagnosis and birth?", "kind": "measurement", "id": "episode-timeline-q01" }, { "text": "How was pregnancy dating established, and how uncertain is the estimated onset?", "kind": "provenance", "id": "episode-timeline-q02" } ] } ] }, { "id": "uteroplacental-evidence", "name": "Uteroplacental evidence", "description": "Record fetal surveillance, placental findings and contextualised angiogenic testing.", "findings": [ { "id": "placental-and-fetal-assessment", "name": "Placental and fetal assessment", "description": "Keep raw results, clinical interpretations and their diagnostic or management roles distinct.", "questions": [ { "text": "What do serial growth assessments, Doppler studies and fetal surveillance show for each fetus?", "kind": "measurement", "id": "placental-and-fetal-assessment-q01" }, { "text": "If PlGF or sFlt-1/PlGF testing was used, which assay, gestational window and intended interpretation apply?", "kind": "boundary", "id": "placental-and-fetal-assessment-q02" } ] } ] } ] }, { "id": "clinical-decisions-and-response", "name": "Clinical decisions and response", "description": "Represent clinician-led escalation, surveillance, treatment and birth planning.", "rationale": "An agent needs a traceable connection between episode evidence and the actions authorised by the care team.", "layers": [ { "id": "escalation-and-stabilisation", "name": "Escalation and stabilisation", "description": "Capture urgency, care setting and response to selected interventions.", "findings": [ { "id": "immediate-care-plan", "name": "Immediate care plan", "description": "Record the responsible clinician, applicable protocol, monitoring requirements and reassessment.", "questions": [ { "text": "Which observed findings triggered urgent obstetric assessment, admission or transfer, and when was that action completed?", "kind": "action", "id": "immediate-care-plan-q01" }, { "text": "What indications, contraindications and responses were recorded for antihypertensive treatment, magnesium sulphate or fluid management?", "kind": "action", "id": "immediate-care-plan-q02" } ] } ] }, { "id": "surveillance-and-birth-planning", "name": "Surveillance and birth planning", "description": "Make continued surveillance and planned birth decisions reviewable.", "findings": [ { "id": "delivery-decision-record", "name": "Delivery decision record", "description": "Capture the evidence, patient preferences and reassessment conditions underlying birth timing.", "questions": [ { "text": "Which maternal findings, fetal findings and gestational considerations support the current birth-timing decision?", "kind": "action", "id": "delivery-decision-record-q01" }, { "text": "If surveillance continues, what monitoring schedule, review deadline and changes would trigger a revised decision?", "kind": "action", "id": "delivery-decision-record-q02" } ] } ] } ] }, { "id": "postpartum-course-and-future-risk", "name": "Postpartum course and future risk", "description": "Follow the episode beyond birth and preserve information needed for later care.", "rationale": "The model needs explicit follow-up and closure criteria rather than treating birth as automatic episode closure.", "layers": [ { "id": "postpartum-reassessment", "name": "Postpartum reassessment", "description": "Track postpartum presentation, persistent abnormalities and clinical recovery.", "findings": [ { "id": "resolution-and-persistence", "name": "Resolution and persistence", "description": "Record follow-up observations and the rationale for resolving or retaining the episode.", "questions": [ { "text": "Which blood-pressure, symptom, proteinuria and organ-function findings persist or newly appear after birth?", "kind": "measurement", "id": "resolution-and-persistence-q01" }, { "text": "What reassessment supports episode closure, and which persistent abnormalities require evaluation under another condition model?", "kind": "boundary", "id": "resolution-and-persistence-q02" } ] } ] }, { "id": "subsequent-care-linkage", "name": "Subsequent care linkage", "description": "Carry the episode history into future pregnancy planning and preventive care.", "findings": [ { "id": "history-informed-follow-up", "name": "History-informed follow-up", "description": "Preserve episode timing, complications and clinician recommendations without converting risk into a new diagnosis.", "questions": [ { "text": "Which episode features should be available for counselling and risk assessment before or during a subsequent pregnancy?", "kind": "provenance", "id": "history-informed-follow-up-q01" }, { "text": "What cardiovascular, renal or pregnancy-prevention follow-up has been recommended, by whom and with what review date?", "kind": "action", "id": "history-informed-follow-up-q02" } ] } ] } ] }, { "id": "evidence-and-external-alignment", "name": "Evidence and external alignment", "description": "What the world already says about this thing, gathered so the model can be checked against it.", "rationale": "A model that cannot be lined up against existing standards, identifiers and practice cannot be adopted by anyone who already uses them.", "layers": [ { "id": "reported-evidence", "name": "Reported evidence", "description": "Findings from the breadth pass, kept separate from the structural claims.", "findings": [ { "id": "evidence-confidence-notes", "name": "Check these first", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "This is recall-based content; the named guidance and coding category have not been checked against current editions.", "Proteinuria is not mandatory when qualifying organ dysfunction is present; precise criteria and inclusion of placental findings differ between guidelines.", "Measurement values are diagnostic thresholds, not typical patient ranges; timing, repeat measurements and clinical context matter." ], "questions": [ { "id": "evidence-confidence-notes-q01", "text": "Which of these check these first hold for the sense of pre-eclampsia this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-kinds", "name": "Kinds and varieties", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Early-onset pre-eclampsia, presenting before 34 weeks", "Late-onset pre-eclampsia, presenting at or after 34 weeks", "Pre-eclampsia with severe features", "Pre-eclampsia without severe features", "Pre-eclampsia superimposed on chronic hypertension", "Postpartum pre-eclampsia" ], "questions": [ { "id": "evidence-kinds-q01", "text": "Which of these kinds and varieties hold for the sense of pre-eclampsia this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-identifiers", "name": "Identifiers and schemes", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ { "scheme": "ICD-10", "value_or_pattern": "O14", "note": "Pre-eclampsia category; superimposed pre-eclampsia and eclampsia have separate categories, and national modifications affect coding detail." } ], "questions": [ { "id": "evidence-identifiers-q01", "text": "Which of these identifiers and schemes hold for the sense of pre-eclampsia this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-standards-and-regulation", "name": "Standards and regulation", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "American College of Obstetricians and Gynecologists: Practice Bulletin on Gestational Hypertension and Preeclampsia", "International Society for the Study of Hypertension in Pregnancy: recommendations for classification, diagnosis and management of hypertensive disorders of pregnancy", "National Institute for Health and Care Excellence: NG133, Hypertension in pregnancy: diagnosis and management", "World Health Organization: recommendations for prevention and treatment of pre-eclampsia and eclampsia" ], "questions": [ { "id": "evidence-standards-and-regulation-q01", "text": "Which of these standards and regulation hold for the sense of pre-eclampsia this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-real-world-use", "name": "Real-world use", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Antenatal and postpartum assessment using blood pressure, symptoms, urine protein and laboratory evidence of organ dysfunction", "Risk assessment to identify pregnancies eligible for preventive interventions", "Maternal and fetal surveillance to inform treatment, referral and timing of birth", "Obstetric coding, epidemiological surveillance and maternal mortality review", "Long-term cardiovascular risk assessment after an affected pregnancy" ], "questions": [ { "id": "evidence-real-world-use-q01", "text": "Which of these real-world use hold for the sense of pre-eclampsia this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-measurements", "name": "Typical measurements", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ { "quantity": "Blood pressure indicating hypertension", "typical_range": "Systolic ≥140 or diastolic ≥90; confirmation requirements depend on severity and guideline", "unit": "mmHg" }, { "quantity": "Blood pressure indicating severe hypertension", "typical_range": "Systolic ≥160 or diastolic ≥110", "unit": "mmHg" }, { "quantity": "Urinary protein excretion", "typical_range": "≥300 over 24 hours is a commonly used threshold for significant proteinuria", "unit": "mg/24 h" }, { "quantity": "Spot urine protein-to-creatinine ratio", "typical_range": "≥30 is a commonly used guideline threshold for significant proteinuria", "unit": "mg/mmol" } ], "questions": [ { "id": "evidence-measurements-q01", "text": "Which of these typical measurements hold for the sense of pre-eclampsia this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-failure-modes-and-hazards", "name": "Failure modes and hazards", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Progression to eclampsia with seizures", "Stroke and other serious neurological complications", "HELLP syndrome, hepatic injury and coagulation abnormalities", "Acute kidney injury or pulmonary oedema", "Placental abruption, fetal growth restriction, stillbirth and medically indicated preterm birth" ], "questions": [ { "id": "evidence-failure-modes-and-hazards-q01", "text": "Which of these failure modes and hazards hold for the sense of pre-eclampsia this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-regional-variation", "name": "Regional variation", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Diagnostic frameworks differ in their inclusion of uteroplacental dysfunction and their terminology for disease severity.", "Access to antenatal surveillance, laboratory testing, emergency obstetric care and neonatal support affects detection and outcomes.", "Urine protein measurement conventions and diagnostic coding vary between health systems." ], "questions": [ { "id": "evidence-regional-variation-q01", "text": "Which of these regional variation hold for the sense of pre-eclampsia this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-neighbours", "name": "Neighbouring kinds and how to tell them apart", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ { "name": "Gestational hypertension", "difference": "New-onset hypertension after 20 weeks without the additional findings required for pre-eclampsia under the applicable diagnostic framework." }, { "name": "Chronic hypertension in pregnancy", "difference": "Hypertension predating pregnancy or identified before 20 weeks generally supports chronic hypertension; pre-eclampsia can subsequently develop on top of it." }, { "name": "Eclampsia", "difference": "New-onset seizures associated with the pre-eclampsia disease spectrum and not attributable to another cause." }, { "name": "HELLP syndrome", "difference": "Defined by haemolysis, elevated liver enzymes and low platelets; it overlaps with pre-eclampsia but may occur without its usual hypertension or proteinuria." } ], "questions": [ { "id": "evidence-neighbours-q01", "text": "Which of these neighbouring kinds and how to tell them apart hold for the sense of pre-eclampsia this model covers, and on what evidence?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Which diagnostic frameworks must the publication support, and how should differences in uteroplacental criteria and severity terminology be represented without implying equivalence?", "What evidence and time boundaries should govern de novo postpartum and atypical presentations?", "Which criteria most reliably distinguish superimposed pre-eclampsia from progression of chronic kidney disease when baseline proteinuria is present?", "Which angiogenic assays and interpretation windows are validated for the intended populations, including multifetal pregnancies and renal disease?", "What evidence should define episode resolution and trigger transfer of persistent abnormalities to chronic hypertension or kidney disease models?" ], "statistics": { "bundles": 6, "layers": 11, "findings": 19, "questions": 29 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "discipline or field of knowledge", "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 pre-eclampsia, record what state it is in, and decide what may be done with it.", "whatItIs": "Enable an agent to recognise possible pre-eclampsia, represent diagnostic uncertainty and maternal-fetal deterioration, and support clinician-directed assessment and follow-up.", "characteristics": { "substance": "information", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "read and interpreted" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: mild pre-eclampsia, severe pre-eclampsia, gestosis.", "3 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 66 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 pre-eclampsia, and on what evidence are they told apart?" ], "whatItIsMadeOf": "content that has to be carried by something else", "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": [ "read it and act on what it says" ], "howItIsRecognised": [], "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": [ "mild pre-eclampsia", "severe pre-eclampsia", "gestosis" ] } ], "standing": "Described in 66 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 3 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 pre-eclampsia from another, and a pre-eclampsia 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 pre-eclampsia, 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 pre-eclampsia, 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 pre-eclampsia 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 pre-eclampsia, 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 pre-eclampsia, 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 pre-eclampsia 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 pre-eclampsia 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 pre-eclampsia, 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 pre-eclampsia, 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 pre-eclampsia 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 pre-eclampsia from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a pre-eclampsia, 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 pre-eclampsia, 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 pre-eclampsia 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 pre-eclampsia 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 pre-eclampsia between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a pre-eclampsia, 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 pre-eclampsia, 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 pre-eclampsia 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 pre-eclampsia, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a pre-eclampsia 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 pre-eclampsia, 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 pre-eclampsia, 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 pre-eclampsia is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "content-and-access", "name": "Content, encoding and access", "description": "What a pre-eclampsia says, how it is encoded and who may read it.", "rationale": "An informational thing carries content that can be copied, versioned and withheld, none of which its physical carrier explains.", "layers": [ { "id": "content-and-encoding", "name": "Content and encoding", "description": "The content itself, its format and its language.", "findings": [ { "id": "content-and-format", "name": "Content, format and language", "description": "What a pre-eclampsia contains and in what form it is held.", "questions": [ { "id": "content-and-format-q01", "text": "What identifies and describes the content of a pre-eclampsia, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "content-and-format-q02", "text": "Who or what asserted this about the content of a pre-eclampsia, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "content-and-format-q03", "text": "What may an agent decide or do once the content of a pre-eclampsia is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "access-and-rights", "name": "Access, rights and retention", "description": "Who may read, copy or change it, and for how long it is kept.", "findings": [ { "id": "access-rules", "name": "Access rules and retention", "description": "The permissions attached to a pre-eclampsia and the period it survives.", "questions": [ { "id": "access-rules-q01", "text": "What identifies and describes access to a pre-eclampsia, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "access-rules-q02", "text": "Who or what asserted this about access to a pre-eclampsia, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "access-rules-q03", "text": "What may an agent decide or do once access to a pre-eclampsia is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "subject-and-method", "name": "Subject matter and method", "description": "What pre-eclampsia studies and how it establishes anything.", "rationale": "A field is identified by its questions and its methods, and those are what distinguish it from the fields next to it.", "layers": [ { "id": "subject", "name": "Subject matter", "description": "The questions it takes as its own.", "findings": [ { "id": "subject-record", "name": "Questions and objects of study", "description": "What it is about, stated so a neighbouring field can be told apart.", "questions": [ { "id": "subject-record-q01", "text": "What questions and objects does pre-eclampsia take as its own?", "kind": "definition" }, { "id": "subject-record-q02", "text": "Which questions does it share with a neighbouring field, and who claims them?", "kind": "boundary" } ] } ] }, { "id": "method", "name": "Method and evidence", "description": "How claims are established and what counts as evidence.", "findings": [ { "id": "method-record", "name": "Methods and standards of evidence", "description": "The methods used and what they are taken to establish.", "questions": [ { "id": "method-record-q01", "text": "By what methods does pre-eclampsia establish claims, and what counts as sufficient evidence?", "kind": "provenance" }, { "id": "method-record-q02", "text": "What kind of claim can this field not settle, and where should an agent look instead?", "kind": "action" } ] } ] } ] }, { "id": "institutions-and-classification", "name": "Institutions and classification", "description": "Where pre-eclampsia is practised and how catalogues place it.", "rationale": "The institutional footprint is the evidence that a field exists as a field rather than as a topic.", "layers": [ { "id": "institutions", "name": "Institutional markers", "description": "Societies, journals, degrees and departments.", "findings": [ { "id": "institution-record", "name": "Bodies and venues", "description": "Where the field organises itself.", "questions": [ { "id": "institution-record-q01", "text": "Which societies, journals or degrees mark pre-eclampsia as an established field?", "kind": "provenance" }, { "id": "institution-record-q02", "text": "What would show that it is emerging or dissolving rather than established?", "kind": "boundary" } ] } ] }, { "id": "classification", "name": "Classification schemes", "description": "Where library and research classifications put it.", "findings": [ { "id": "classification-record", "name": "Codes and their disagreements", "description": "The classification codes that place it, and where they differ.", "questions": [ { "id": "classification-record-q01", "text": "Which classification schemes place pre-eclampsia, under what codes?", "kind": "definition" }, { "id": "classification-record-q02", "text": "Where do those schemes disagree about its scope?", "kind": "boundary" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a pre-eclampsia 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 pre-eclampsia and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a pre-eclampsia, 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 pre-eclampsia, 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 pre-eclampsia 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 pre-eclampsia is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a pre-eclampsia, 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 pre-eclampsia, 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 pre-eclampsia 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 } } } }