{ "model": { "rank": 6251, "code": "thing-q666412", "model_id": "vr.tr.cervix", "name": "cervix", "purpose": "Enable an AI agent to identify a cervix, represent its observed anatomical and clinical state, and determine which assessments or interventions require further evidence or clinical authorization.", "family": "Thing Registry", "category": "Physical world and living systems", "status": "research-draft", "kind": "thing", "plane": "PHY", "domain": "PHY.OBJ", "industry": "", "version": "", "url": "/models/thing/q666412/", "tier": 2, "score": 61, "payload": { "layer": "wikidata", "aliases": [], "aliasCount": 0, "merged": 0, "knownIn": 61, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q666412", "url": "https://www.wikidata.org/wiki/Q666412", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-07T13:29:19Z", "providers": [ "Codex", "Grok" ], "missingProviders": [], "pass": 2, "cost": { "grok": { "usd": 0.01228352, "turns": 1, "seconds": 148.1, "error": null }, "codex": { "seconds": 83.3, "error": "Reading additional input from stdin...\nOpenAI Codex v0.153.3\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: 01a07c0a-1f4f-7ec3-a95b-37be9bb3e7f4\n--------\nuser\nYou are drafting a Vercy meta-model for one registered thing. Answer as JSON only, no prose around it.\n\nThing: cervix\nRegistry id: vr.tr.cervix\nPlane / domain: PHY / PHY.OBJ\nRegistry definition: (none recorded)\nNames folded into this entry: (none)\n\nA Vercy mod" } } }, "metaModel": { "id": "THING-Q666412", "registryId": "vr.tr.cervix", "name": "cervix", "version": "0.1.0-research.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "PHY.OBJ" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q666412/", "model": { "registry_id": "vr.tr.cervix", "name": "cervix", "purpose": "Enable an AI agent to identify a cervix, represent its observed anatomical and clinical state, and determine which assessments or interventions require further evidence or clinical authorization.", "definition": "The uterine cervix is the fibromuscular inferior segment of the uterus whose canal joins the endometrial cavity at the internal os to the vaginal lumen at the external os, with a squamous ectocervix and a glandular endocervix meeting at a shifting squamocolumnar junction and transformation zone.", "scope_statement": "This model owns the uterine cervix as an anatomical structure, including its canal, openings, tissue regions, observed changes, and local effects of procedures, with findings anchored to examination context and evidence.", "in_scope": [ "Cervical identity, anatomical boundaries, and continuity with the uterus and vagina", "Ectocervix, endocervical canal, cervical openings, and epithelial transition regions", "Cervical dimensions, patency, integrity, and examination visibility", "Changes associated with reproductive stage, pregnancy, and labour", "Local abnormalities, specimens, and effects of cervical interventions" ], "out_of_scope": [ "Uterine corpus and endometrial conditions beyond their relationship to the cervix", "Vaginal and vulvar anatomy and disease outside cervical involvement", "Whole-person fertility, pregnancy, and labour management", "Systemic infection and immune status beyond their relevance to cervical observations", "Cancer staging and treatment pathways beyond local cervical findings", "Screening programme eligibility, scheduling, and population policy" ], "distinguishing_features": [ "Identify the lower uterine portion that connects the uterine cavity with the vagina; a visible vaginal projection alone does not establish its full extent.", "Distinguish the cervical canal from the uterine cavity and vaginal lumen by its position between the internal and external cervical openings.", "Distinguish ectocervical tissue from the surrounding vaginal wall through anatomical continuity and examination landmarks rather than appearance alone.", "Distinguish the cervix from the uterine corpus using the canal, internal opening, and documented anatomical or imaging boundaries.", "Treat cervical polyps, masses, and postoperative remnants as findings or altered structures requiring localization, rather than automatically identifying them as an intact cervix." ], "characteristics": [ { "name": "Anatomical presence and configuration", "kind": "state", "unit_or_values": "Present, partially retained, absent, uncertain; configuration described", "why_it_matters": "Prevents assumptions that an intact cervix exists after surgery or in an anatomical variant." }, { "name": "Continuity with neighbouring structures", "kind": "relation", "unit_or_values": "Documented relationships to uterine corpus, uterine cavity, vagina, and vaginal fornices", "why_it_matters": "Establishes identity and locates observations within the correct organ." }, { "name": "Cervical length", "kind": "measurement", "unit_or_values": "mm, with method, landmarks, date, and reproductive context", "why_it_matters": "Supports comparison while preventing measurements taken under different conditions from being treated as equivalent." }, { "name": "Cervical opening and canal patency", "kind": "state", "unit_or_values": "Closed, patent, narrowed, obstructed, uncertain; opening and assessment method specified", "why_it_matters": "Describes the cervical passage and constraints on examination or access." }, { "name": "Cervical dilation", "kind": "measurement", "unit_or_values": "cm, with assessed opening, method, time, and clinical context", "why_it_matters": "Records opening size without interpreting an isolated value as a complete labour assessment." }, { "name": "Cervical effacement", "kind": "measurement", "unit_or_values": "Percent when clinically assessed, with method and time", "why_it_matters": "Captures a pregnancy-related cervical change separately from dilation and measured length." }, { "name": "Epithelial landmarks and visibility", "kind": "state", "unit_or_values": "Squamocolumnar junction and transformation zone described as fully visible, partly visible, not visible, or unassessed", "why_it_matters": "Qualifies what an examination can establish about the relevant tissue regions." }, { "name": "Local abnormality", "kind": "category", "unit_or_values": "Observed lesion, bleeding, discharge, inflammation, injury, or other finding; site and evidence specified", "why_it_matters": "Separates observable changes from an unconfirmed cause or diagnosis." }, { "name": "Cervical specimen linkage", "kind": "relation", "unit_or_values": "Specimen identifier, sampled site, collection method, collection date, and reported result", "why_it_matters": "Connects laboratory evidence to the tissue or material actually sampled." }, { "name": "Intervention-related alteration", "kind": "state", "unit_or_values": "Procedure, date, affected region, retained anatomy, healing observations, and uncertainty", "why_it_matters": "Explains altered landmarks and constrains later measurements or procedures." } ], "affordances": [ "Locate and describe cervical structures on documented examination or imaging.", "Record cervical measurements and compare observations made with compatible methods and context.", "Map abnormalities and specimen results to specific cervical regions.", "Identify incomplete visualization, uncertain anatomy, or missing evidence that limits interpretation.", "Support clinician review of proposed cervical sampling or intervention using documented anatomy, context, consent, and authorization.", "Track local anatomical changes and healing after a cervical procedure." ] }, "sources": [ { "id": "grays-anatomy", "title": "Gray's Anatomy: The Anatomical Basis of Clinical Practice, 42nd ed. Elsevier (Standring, ed.)", "url": "", "what_it_supports": "Gross anatomy of cervix uteri, internal and external os, ectocervix vs endocervix, relations to vagina and uterine corpus" }, { "id": "ta98", "title": "Terminologia Anatomica. Federative International Programme for Anatomical Terminology / IFAA", "url": "", "what_it_supports": "Standard anatomical name cervix uteri and related terms (portio vaginalis, canalis cervicis)" }, { "id": "who-fg-tumours", "title": "Female Genital Tumours, WHO Classification of Tumours, 5th ed., vol. 4. IARC/WHO, 2020", "url": "", "what_it_supports": "Pathologic kinds of cervical epithelium and neoplasia; distinction from corpus and vagina" }, { "id": "bethesda", "title": "The Bethesda System for Reporting Cervical Cytology, 3rd ed. Springer (Nayar and Wilbur, eds.), 2015", "url": "", "what_it_supports": "How the cervix is sampled and classified in screening practice" }, { "id": "figo-2018", "title": "Revised FIGO staging for carcinoma of the cervix uteri. International Journal of Gynecology & Obstetrics (Bhatla et al.), 2019", "url": "https://obgyn.onlinelibrary.wiley.com/doi/10.1002/ijgo.12749", "what_it_supports": "Oncologic staging that treats the cervix as the primary organ of origin", "url_status": "blocked" }, { "id": "who-screen-2021", "title": "WHO guideline for screening and treatment of cervical pre-cancer lesions for cervical cancer prevention, 2nd ed. World Health Organization, 2021", "url": "", "what_it_supports": "Screening, ablation, and excision practice; regional differences in VIA vs HPV vs cytology" }, { "id": "nci-cervix", "title": "Cervix. NCI Dictionary of Cancer Terms. U.S. National Cancer Institute", "url": "https://www.cancer.gov/publications/dictionaries/cancer-terms/def/cervix", "what_it_supports": "Clinical definition used in oncology and screening communications", "url_status": "live" }, { "id": "uberon-0000002", "title": "UBERON:0000002 uterine cervix. Uberon anatomy ontology", "url": "http://purl.obolibrary.org/obo/UBERON_0000002", "what_it_supports": "Stable ontology identifier and placement relative to uterus and vagina", "url_status": "live" } ], "structure": { "bundles": [ { "id": "cervical-identity-and-boundaries", "name": "Cervical identity and boundaries", "description": "Establishes which structure is the cervix and how much of it is present.", "rationale": "Cervical observations are meaningful only when distinguished from adjacent vaginal and uterine structures.", "layers": [ { "id": "uterovaginal-continuity", "name": "Uterovaginal continuity", "description": "Locates the cervix through its connections and openings.", "findings": [ { "id": "cervical-anatomical-identification", "name": "Cervical anatomical identification", "description": "Records the landmarks supporting identification of cervical tissue and canal.", "questions": [ { "text": "Which examination, imaging, or operative landmarks identify this structure as the uterine cervix?", "kind": "definition", "id": "cervical-anatomical-identification-q01" }, { "text": "Where are the observed boundaries with the uterine corpus and vagina, and which boundaries remain uncertain?", "kind": "boundary", "id": "cervical-anatomical-identification-q02" } ] } ] }, { "id": "retained-cervical-anatomy", "name": "Retained cervical anatomy", "description": "Describes intact, variant, or surgically altered cervical anatomy.", "findings": [ { "id": "cervical-presence-and-configuration", "name": "Cervical presence and configuration", "description": "Separates confirmed anatomical presence from assumptions based on history or incomplete examination.", "questions": [ { "text": "Is the cervix intact, partly retained, absent, or uncertain, and what evidence establishes this?", "kind": "provenance", "id": "cervical-presence-and-configuration-q01" }, { "text": "Does a variant or prior procedure change which tissue and openings belong to this cervical instance?", "kind": "boundary", "id": "cervical-presence-and-configuration-q02" } ] } ] } ] }, { "id": "cervical-regions-and-examination", "name": "Cervical regions and examination", "description": "Represents cervical tissue regions and the limits of their observation.", "rationale": "A visible ectocervix does not establish the state of the endocervical canal or all epithelial transition tissue.", "layers": [ { "id": "epithelial-region-localization", "name": "Epithelial region localization", "description": "Locates ectocervical, endocervical, and epithelial transition observations.", "findings": [ { "id": "cervical-tissue-landmarks", "name": "Cervical tissue landmarks", "description": "Records the tissue region assigned to each observation and the evidence for that assignment.", "questions": [ { "text": "Does the observation concern the ectocervix, endocervical canal, squamocolumnar junction, or transformation zone?", "kind": "boundary", "id": "cervical-tissue-landmarks-q01" }, { "text": "Which landmarks or specimen descriptions support that regional assignment?", "kind": "provenance", "id": "cervical-tissue-landmarks-q02" } ] } ] }, { "id": "cervical-visualization-limits", "name": "Cervical visualization limits", "description": "Captures what a particular examination could and could not inspect.", "findings": [ { "id": "cervical-examination-coverage", "name": "Cervical examination coverage", "description": "Qualifies observations by visibility, access, and examination method.", "questions": [ { "text": "Which cervical surfaces and epithelial landmarks were fully visible, partly visible, or not visualized?", "kind": "measurement", "id": "cervical-examination-coverage-q01" }, { "text": "What further assessment, if any, is needed before drawing conclusions about unobserved cervical regions?", "kind": "action", "id": "cervical-examination-coverage-q02" } ] } ] } ] }, { "id": "cervical-form-and-reproductive-change", "name": "Cervical form and reproductive change", "description": "Records cervical dimensions, passage state, and context-dependent change.", "rationale": "Cervical length, opening, and effacement require distinct observations and reproductive context.", "layers": [ { "id": "cervical-dimensions-and-passage", "name": "Cervical dimensions and passage", "description": "Describes cervical length and the state of the canal and openings.", "findings": [ { "id": "cervical-geometry-and-patency", "name": "Cervical geometry and patency", "description": "Anchors measurements and passage assessments to specified landmarks and methods.", "questions": [ { "text": "What cervical length or opening measurement was obtained, using which landmarks, units, and method?", "kind": "measurement", "id": "cervical-geometry-and-patency-q01" }, { "text": "Which opening or canal segment is described as patent, narrowed, or obstructed, and how was that established?", "kind": "provenance", "id": "cervical-geometry-and-patency-q02" } ] } ] }, { "id": "pregnancy-and-labour-context", "name": "Pregnancy and labour context", "description": "Places cervical change within the recorded reproductive and temporal context.", "findings": [ { "id": "contextualized-cervical-change", "name": "Contextualized cervical change", "description": "Keeps dilation, effacement, and length observations distinct while allowing supported comparison over time.", "questions": [ { "text": "What pregnancy status, gestational age when applicable, and examination time accompany the cervical observation?", "kind": "provenance", "id": "contextualized-cervical-change-q01" }, { "text": "How have dilation, effacement, or length changed across observations with sufficiently comparable methods?", "kind": "measurement", "id": "contextualized-cervical-change-q02" } ] } ] } ] }, { "id": "cervical-abnormalities-and-diagnostic-evidence", "name": "Cervical abnormalities and diagnostic evidence", "description": "Links local observations to specimens and interpretations without collapsing them into a single diagnosis.", "rationale": "Cervical appearance, HPV testing, cytology, and histology provide different kinds of evidence.", "layers": [ { "id": "localized-cervical-abnormalities", "name": "Localized cervical abnormalities", "description": "Describes the position, extent, and observable properties of local changes.", "findings": [ { "id": "cervical-abnormality-map", "name": "Cervical abnormality map", "description": "Records lesions and other abnormal observations without assuming their cause.", "questions": [ { "text": "Where is the abnormality relative to the external opening, cervical regions, and a documented orientation convention?", "kind": "boundary", "id": "cervical-abnormality-map-q01" }, { "text": "What size, surface change, bleeding, discharge, or tissue disruption was actually observed, and by which method?", "kind": "measurement", "id": "cervical-abnormality-map-q02" } ] } ] }, { "id": "cervical-specimens-and-results", "name": "Cervical specimens and results", "description": "Connects diagnostic reports to their collection sites, methods, and limits.", "findings": [ { "id": "cervical-diagnostic-evidence-link", "name": "Cervical diagnostic evidence link", "description": "Preserves distinctions between test results, tissue diagnoses, and unresolved interpretation.", "questions": [ { "text": "Which specimen, collection site, date, adequacy statement, and report support each HPV, cytology, or histology result?", "kind": "provenance", "id": "cervical-diagnostic-evidence-link-q01" }, { "text": "What conclusion does the report establish, and what remains unresolved because of sampling limits or discordant evidence?", "kind": "boundary", "id": "cervical-diagnostic-evidence-link-q02" } ] } ] } ] }, { "id": "cervical-interventions-and-local-outcomes", "name": "Cervical interventions and local outcomes", "description": "Represents proposed and completed cervical procedures and their local consequences.", "rationale": "Sampling, excision, suturing, and other procedures can alter cervical tissue, access, and later interpretation.", "layers": [ { "id": "cervical-procedure-readiness", "name": "Cervical procedure readiness", "description": "Connects a proposed action to its target, clinical purpose, and documented prerequisites.", "findings": [ { "id": "cervical-action-constraints", "name": "Cervical action constraints", "description": "Records the evidence a responsible clinician needs to evaluate a proposed cervical procedure.", "questions": [ { "text": "What cervical region would be sampled, traversed, removed, or supported, and for what documented indication?", "kind": "action", "id": "cervical-action-constraints-q01" }, { "text": "Are relevant anatomy, pregnancy context, prior procedures, consent, and clinician authorization documented for this action?", "kind": "action", "id": "cervical-action-constraints-q02" } ] } ] }, { "id": "postprocedure-cervical-state", "name": "Postprocedure cervical state", "description": "Tracks retained tissue, altered landmarks, and observed local recovery.", "findings": [ { "id": "cervical-procedure-effects", "name": "Cervical procedure effects", "description": "Separates the recorded procedure from its demonstrated anatomical and healing outcomes.", "questions": [ { "text": "What cervical tissue was removed or altered, or what material was placed, according to the procedure record?", "kind": "provenance", "id": "cervical-procedure-effects-q01" }, { "text": "What subsequent observations establish healing, residual abnormality, narrowing, or other local change?", "kind": "measurement", "id": "cervical-procedure-effects-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-kinds", "name": "Kinds and varieties", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ "Ectocervix (exocervix; portio vaginalis)", "Endocervix (endocervical canal and its columnar mucosa)", "Transformation zone (IFCPC type 1, 2, or 3)", "Supravaginal cervix (portio supravaginalis)", "Nulliparous cervix (round, punctate external os)", "Parous cervix (transverse slit os; often scarred)", "Pregnant or labouring cervix (shortened, effaced, dilating)", "Congenitally variant cervix (hypoplasia, duplication, historical DES-associated forms)" ], "questions": [ { "id": "evidence-kinds-q01", "text": "Which of these kinds and varieties hold for the sense of cervix this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-identifiers", "name": "Identifiers and schemes", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ { "scheme": "Wikidata", "value_or_pattern": "Q131712", "note": "Item for the uterine cervix" }, { "scheme": "UBERON", "value_or_pattern": "UBERON:0000002", "note": "uterine cervix" }, { "scheme": "FMA", "value_or_pattern": "7877", "note": "Cervix of uterus" }, { "scheme": "SNOMED CT", "value_or_pattern": "71252005", "note": "Structure of uterine cervix" }, { "scheme": "MeSH", "value_or_pattern": "D002584", "note": "Cervix Uteri" }, { "scheme": "Terminologia Anatomica (TA98)", "value_or_pattern": "A09.1.03.010", "note": "Cervix uteri" }, { "scheme": "ICD-O-3 topography", "value_or_pattern": "C53", "note": "C53.0 endocervix; C53.1 exocervix; C53.9 cervix uteri NOS" }, { "scheme": "NCIt", "value_or_pattern": "C12311", "note": "Cervix Uteri" } ], "questions": [ { "id": "evidence-identifiers-q01", "text": "Which of these identifiers and schemes hold for the sense of cervix this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-standards-and-regulation", "name": "Standards and regulation", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ "FIGO staging classification for carcinoma of the cervix uteri (International Federation of Gynecology and Obstetrics)", "The Bethesda System for Reporting Cervical Cytology (international cytology consensus; NCI-originated)", "WHO Classification of Tumours of the female genital tract (IARC/WHO)", "IFCPC colposcopic terminology, including transformation-zone types (International Federation for Cervical Pathology and Colposcopy)", "ASCCP risk-based management consensus guidelines for abnormal screening (American Society for Colposcopy and Cervical Pathology)", "WHO guideline for screening and treatment of cervical pre-cancer lesions (World Health Organization)", "National screening programmes and USPSTF/ACS-equivalent recommendations that set age, interval, and test (cytology, HPV, or VIA)", "HPV immunization policy (WHO SAGE and national schedules), which targets the main causal pathway of cervical cancer", "Terminologia Anatomica (FIPAT/IFAA) for anatomical nomenclature" ], "questions": [ { "id": "evidence-standards-and-regulation-q01", "text": "Which of these standards and regulation hold for the sense of cervix this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-real-world-use", "name": "Real-world use", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ "Visualized on speculum examination and colposcopy; sampled for cytology (Pap) and high-risk HPV testing", "Mechanical gateway of labour: assessed for dilation, effacement, consistency, and position (Bishop score) before induction or during birth", "Canal used as the route for IUD insertion, endometrial biopsy, hysteroscopy, and other access to the uterine cavity", "Surgical target of LEEP/LLETZ, cold-knife cone, trachelectomy, and hysterectomy that includes the cervix", "Cervical-length measurement by transvaginal ultrasound in pregnancy to stratify preterm-birth risk and to select cerclage or progesterone", "Site of infectious work-up (e.g. chlamydia, gonorrhoea) when cervicitis is suspected" ], "questions": [ { "id": "evidence-real-world-use-q01", "text": "Which of these real-world use hold for the sense of cervix this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-measurements", "name": "Typical measurements", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ { "quantity": "Anatomical length, non-pregnant adult", "typical_range": "25-40", "unit": "mm" }, { "quantity": "Transverse diameter, non-pregnant adult", "typical_range": "20-30", "unit": "mm" }, { "quantity": "Mid-trimester cervical length on transvaginal ultrasound", "typical_range": "30-50; short often defined as <25", "unit": "mm" }, { "quantity": "Cervical dilation in labour", "typical_range": "0-10 (fully dilated)", "unit": "cm" }, { "quantity": "Cervical effacement in labour", "typical_range": "0-100", "unit": "%" } ], "questions": [ { "id": "evidence-measurements-q01", "text": "Which of these typical measurements hold for the sense of cervix this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-failure-modes-and-hazards", "name": "Failure modes and hazards", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ "Persistent high-risk HPV infection leading to CIN and invasive cervical carcinoma", "Cervical insufficiency with mid-trimester pregnancy loss or spontaneous preterm birth", "Stenosis after surgery, radiotherapy, or menopause, blocking sampling, menses, or labour", "Obstetric laceration of the cervix, sometimes extending into the vaginal fornix or lower uterine segment", "Infectious cervicitis (including N. gonorrhoeae and C. trachomatis) and ascending pelvic infection", "Iatrogenic harm from cone/LEEP (bleeding, stenosis, later preterm birth) or from forced dilation", "Rare cervical ectopic pregnancy, with high haemorrhage risk", "Obstructed labour or failed induction when the cervix does not dilate or the os cannot be negotiated" ], "questions": [ { "id": "evidence-failure-modes-and-hazards-q01", "text": "Which of these failure modes and hazards hold for the sense of cervix this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-regional-variation", "name": "Regional variation", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ "Lay and clinical names: neck of the womb (UK), col de l'utérus (French), cuello uterino (Spanish), Gebärmutterhals (German), шейка матки (Russian)", "Screening test and interval: primary HPV testing vs cytology vs co-testing vs visual inspection with acetic acid (VIA) in many low-resource programmes", "Start age and stop age of organised screening differ across national programmes", "Treatment of precancer: LEEP/LLETZ vs cryotherapy vs thermal ablation depending on resources and training", "Oncology practice may report FIGO stage, TNM, or both", "HPV vaccine valency, sex-neutral policy, and school-based delivery vary by country" ], "questions": [ { "id": "evidence-regional-variation-q01", "text": "Which of these regional variation hold for the sense of cervix this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-neighbours", "name": "Neighbouring kinds and how to tell them apart", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ { "name": "Uterine corpus (and isthmus)", "difference": "Separated at the internal os; corpus is lined by endometrium and forms the body of the uterus, whereas the cervix has endocervical mucosa and a fibrous wall" }, { "name": "Vagina", "difference": "Separated at the external os and fornices; vagina is a fibromuscular tube without an endocervical canal or cervical glands; ectocervical and vaginal squamous epithelia are continuous but topographically distinct" }, { "name": "Lower uterine segment (in pregnancy)", "difference": "Expanded isthmus above the internal os, not the cervix proper; ultrasound identifies the internal os and closed cervical length below it" }, { "name": "Endometrium / endometrial carcinoma", "difference": "Different mucosa and typical tumour immunoprofile (endocervical mucinous/HPV-related vs endometrioid); origin is assigned by site, morphology, HPV/p16, and markers such as vimentin and hormone receptors when the lesion spans the isthmus" }, { "name": "Parametrium (paracervical tissue)", "difference": "Lateral connective tissue and vessels around the cervix, not cervical stroma; distinguished surgically and on imaging as extra-cervical spread" } ], "questions": [ { "id": "evidence-neighbours-q01", "text": "Which of these neighbouring kinds and how to tell them apart hold for the sense of cervix this model covers, and on what evidence?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Which authoritative anatomical convention should define the cervical boundary with the uterine isthmus across imaging, examination, and surgical records?", "Which standardized terminology should represent transformation-zone visibility and examination adequacy across clinical settings?", "What method-specific comparability rules are needed for cervical length, dilation, and effacement observations?", "How should congenital variants and postoperative cervical remnants be represented while preserving the registry's single-entry granularity?", "Which current clinical guidelines should supply procedure-specific prerequisites and escalation rules without embedding whole-person management in this anatomical model?" ], "statistics": { "bundles": 6, "layers": 11, "findings": 18, "questions": 28 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "device, machine or tool", "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 cervix, record what state it is in, and decide what may be done with it.", "whatItIs": "Enable an AI agent to identify a cervix, represent its observed anatomical and clinical state, and determine which assessments or interventions require further evidence or clinical authorization.", "characteristics": { "substance": "material", "origin": "manufactured", "agency": "inert", "mobility": "varies" }, "whatYouCanDoWithIt": [ "observed and measured" ], "distinguishingFeatures": [ "Described in 61 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 cervix, and on what evidence are they told apart?" ], "whatItIsMadeOf": "matter you can touch", "physicalCharacter": [ "Mobility varies between examples.", "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 form, by the arrangement of its controls, and by markings - a plate, a model number, a certification mark. Form alone rarely separates two models that do very different things." ], "relatedModels": [], "standing": "Described in 61 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is.", "structure": { "bundles": [ { "id": "identity-and-classification", "name": "Identity, naming and classification", "description": "How an agent tells one cervix from another, and a cervix 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 cervix, 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 cervix, 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 cervix 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 cervix, 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 cervix, 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 cervix 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 cervix 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 cervix, 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 cervix, 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 cervix 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 cervix from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a cervix, 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 cervix, 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 cervix is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "form-and-composition", "name": "Form, composition and condition", "description": "What a cervix is made of, what shape and size it takes, and what state it is in.", "rationale": "A physical thing can be measured, and a model that cannot record its measurements cannot support any decision that depends on them.", "layers": [ { "id": "form-and-dimensions", "name": "Form and dimensions", "description": "Shape, size, mass and the ranges these take across examples.", "findings": [ { "id": "measurable-dimensions", "name": "Measurable dimensions and their units", "description": "The quantities worth recording and the units they are recorded in.", "questions": [ { "id": "measurable-dimensions-q01", "text": "What identifies and describes the dimensions of a cervix, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "measurable-dimensions-q02", "text": "Who or what asserted this about the dimensions of a cervix, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "measurable-dimensions-q03", "text": "What may an agent decide or do once the dimensions of a cervix is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "material-and-composition", "name": "Material and composition", "description": "Materials, parts and how they are put together.", "findings": [ { "id": "parts-and-materials", "name": "Parts and materials", "description": "What a cervix is built from and which parts are replaceable.", "questions": [ { "id": "parts-and-materials-q01", "text": "What identifies and describes the composition of a cervix, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "parts-and-materials-q02", "text": "Who or what asserted this about the composition of a cervix, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "parts-and-materials-q03", "text": "What may an agent decide or do once the composition of a cervix is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "condition-and-integrity", "name": "Condition and integrity", "description": "Wear, damage, health and the difference between working and broken.", "findings": [ { "id": "condition-assessment", "name": "Condition, damage and health", "description": "How the condition of a cervix is judged and by whom.", "questions": [ { "id": "condition-assessment-q01", "text": "What identifies and describes the condition of a cervix, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "condition-assessment-q02", "text": "Who or what asserted this about the condition of a cervix, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "condition-assessment-q03", "text": "What may an agent decide or do once the condition of a cervix is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "place-and-movement", "name": "Place and movement", "description": "Where a cervix is, how it got there and where it may go (varies).", "rationale": "A thing that can move needs its position recorded with a time, or every later claim about it is about a place it has left.", "layers": [ { "id": "location-and-placement", "name": "Location and placement", "description": "Position, containment and the reference frame the position is given in.", "findings": [ { "id": "position-and-frame", "name": "Position, container and reference frame", "description": "Where a cervix is, and what that position is measured against.", "questions": [ { "id": "position-and-frame-q01", "text": "What identifies and describes the location of a cervix, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "position-and-frame-q02", "text": "Who or what asserted this about the location of a cervix, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "position-and-frame-q03", "text": "What may an agent decide or do once the location of a cervix is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "movement-and-transfer", "name": "Movement and transfer", "description": "How a cervix is carried, installed or relocated.", "findings": [ { "id": "movement-events", "name": "Movement events and constraints", "description": "What counts as a movement, what records it and what limits it.", "questions": [ { "id": "movement-events-q01", "text": "What identifies and describes the movement of a cervix, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "movement-events-q02", "text": "Who or what asserted this about the movement of a cervix, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "movement-events-q03", "text": "What may an agent decide or do once the movement of a cervix 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 cervix 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 cervix between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a cervix, 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 cervix, 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 cervix 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 cervix, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a cervix 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 cervix, 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 cervix, 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 cervix is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "function-and-principle", "name": "Function and operating principle", "description": "What cervix is for and how it achieves it.", "rationale": "Two devices with the same name can work on different principles, and the principle is what predicts failure and constrains use.", "layers": [ { "id": "intended-function", "name": "Intended function", "description": "The job it does, and the jobs it is used for anyway.", "findings": [ { "id": "function-record", "name": "Function, principle and variants", "description": "What it does, how, and which variants do it differently.", "questions": [ { "id": "function-record-q01", "text": "What function does cervix perform, on what operating principle, and which variants differ in that principle?", "kind": "definition" }, { "id": "function-record-q02", "text": "What use falls outside the intended function but happens in practice?", "kind": "boundary" } ] } ] }, { "id": "capacity-and-rating", "name": "Capacity and rating", "description": "The numbers that say what it can do and where it stops.", "findings": [ { "id": "ratings", "name": "Ratings and their conditions", "description": "Rated capacity, power, throughput and the conditions each assumes.", "questions": [ { "id": "ratings-q01", "text": "What ratings characterise cervix, in what units, and under what stated conditions?", "kind": "measurement" }, { "id": "ratings-q02", "text": "What happens beyond the rating - degradation, refusal, damage - and how is that detected?", "kind": "action" } ] } ] } ] }, { "id": "operation-and-state", "name": "Operation, controls and state", "description": "How cervix is operated and what state it is in right now.", "rationale": "An agent acting on a device needs its current state and the controls that change it, not just its specification.", "layers": [ { "id": "controls-and-modes", "name": "Controls and modes", "description": "What can be set, what that changes, and what is interlocked.", "findings": [ { "id": "control-surface", "name": "Control surface and interlocks", "description": "The settings available and the conditions that block them.", "questions": [ { "id": "control-surface-q01", "text": "What controls and modes does cervix have, and what does each change?", "kind": "definition" }, { "id": "control-surface-q02", "text": "Which actions are interlocked or forbidden in which state, and what must be true before acting?", "kind": "action" } ] } ] }, { "id": "condition-and-maintenance", "name": "Condition and maintenance", "description": "Wear, service intervals, consumables and the line between working and broken.", "findings": [ { "id": "service-record", "name": "Condition, service and consumables", "description": "What is consumed, what is serviced, and how condition is judged.", "questions": [ { "id": "service-record-q01", "text": "What consumables and service does cervix need, at what interval, and on whose authority?", "kind": "measurement" }, { "id": "service-record-q02", "text": "What evidence separates a unit that is working from one that is out of service?", "kind": "boundary" } ] } ] } ] }, { "id": "kind-model-unit", "name": "Kind, model and unit", "description": "Whether a claim about cervix is about the kind, a product line, or one physical unit.", "rationale": "This is the boundary most often got wrong for made things, and getting it wrong mixes a catalogue entry with the machine in the yard.", "layers": [ { "id": "level-of-reference", "name": "Level of reference", "description": "The three levels and what belongs at each.", "findings": [ { "id": "level-rules", "name": "What belongs to kind, model and unit", "description": "Which properties are shared by all of them and which are not.", "questions": [ { "id": "level-rules-q01", "text": "Which facts about cervix hold for every one of them, which for a model, and which only for one unit?", "kind": "boundary" }, { "id": "level-rules-q02", "text": "What identifies an individual unit, and what should an agent do when it has only the kind?", "kind": "action" } ] } ] }, { "id": "standards-and-conformity", "name": "Standards and conformity", "description": "The standards a working example must meet and who attests it.", "findings": [ { "id": "conformity", "name": "Standards, marks and attestation", "description": "Which standard applies, who certifies, and what the mark means.", "questions": [ { "id": "conformity-q01", "text": "Which standards govern cervix, issued by whom, and what does conformity actually assert?", "kind": "provenance" }, { "id": "conformity-q02", "text": "What may an agent conclude from a certification mark, and what may it not?", "kind": "boundary" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a cervix 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 cervix and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a cervix, 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 cervix, 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 cervix 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 cervix is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a cervix, 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 cervix, 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 cervix is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 8, "layers": 17, "findings": 19, "questions": 51 } } } }