{ "model": { "rank": 15844, "code": "thing-q738153", "model_id": "vr.tr.ileus", "name": "ileus", "purpose": "Let an agent explain ileus and its forms, relay causes, assessment and general management from surgical and gastroenterology sources, describe the conditions the registry aliases name, and distinguish paralytic from mechanical ileus and ileus from constipation and gastroparesis, routing suspected obstruction to urgent care.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q738153/", "tier": 2, "score": 33, "payload": { "layer": "wikidata", "aliases": [ "Mungan syndrome", "intestinal dysganglionosis", "atonic colon", "colonic pseudo-obstruction", "mechanical ileus", "paralytic ileus", "intestinal pseudo-obstruction", "neuronal intestinal dysplasia type B", "X-linked chronic idiopathic intestinal pseudo-obstruction", "neuronal intestinal dysplasia type A", "Megaduodenum", "myopathic intestinal pseudoobstruction", "visceral neuropathy, familial, autosomal dominant", "chronic intestinal pseudoobstruction" ], "aliasCount": 14, "merged": 14, "knownIn": 33, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q738153", "url": "https://www.wikidata.org/wiki/Q738153", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T15:46:37Z", "providers": [ "Claude" ], "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify", "pass": 2, "wave": 4, "engine": "claude" }, "metaModel": { "id": "THING-Q738153", "registryId": "vr.tr.ileus", "name": "ileus", "version": "0.2.0-wave.4", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q738153/", "model": { "registry_id": "vr.tr.ileus", "name": "ileus", "purpose": "Let an agent explain ileus and its forms, relay causes, assessment and general management from surgical and gastroenterology sources, describe the conditions the registry aliases name, and distinguish paralytic from mechanical ileus and ileus from constipation and gastroparesis, routing suspected obstruction to urgent care.", "definition": "A disruption of the normal movement of the intestines that prevents passage of contents, either mechanical ileus from a physical blockage, or paralytic ileus from loss of intestinal motility, commonly after abdominal surgery, with related conditions including colonic pseudo-obstruction or Ogilvie syndrome and atonic colon, and rare congenital causes such as intestinal dysganglionosis and Mungan syndrome; symptoms include abdominal distension, vomiting and inability to pass stool or gas. Suspected bowel obstruction needs urgent medical assessment.", "what_it_is_for": "Not applicable; a condition.", "affordances": [ "explain forms and causes", "relay assessment and management", "route urgent symptoms", "distinguish related conditions" ], "distinguishing_features": [ "Transit failure", "Mechanical or functional", "Postoperative common", "Can be urgent" ], "appearance": "Not a visible object; distended bowel loops on imaging.", "visual_identification": [ "Failure of intestinal transit", "Mechanical and paralytic ileus, colonic pseudo-obstruction, atonic colon, intestinal dysganglionosis, Mungan syndrome", "Constipation is slow stool passage; gastroparesis affects the stomach; volvulus is a mechanical cause" ], "physical_properties": [ { "quantity": "postoperative ileus", "typical_range": "common after abdominal surgery", "unit": "note", "note": "" }, { "quantity": "Ogilvie syndrome", "typical_range": "acute colonic pseudo-obstruction", "unit": "note", "note": "" }, { "quantity": "main imaging", "typical_range": "X-ray and CT", "unit": "list", "note": "" } ], "families_and_kinds": [ "mechanical small and large bowel obstruction", "paralytic or postoperative ileus", "acute colonic pseudo-obstruction", "chronic intestinal pseudo-obstruction and atonic colon", "congenital dysganglionoses", "rare syndromes such as Mungan syndrome" ], "related_models": [ { "relation": "is a kind of", "target": "bowel obstruction", "why": "in registry terms" }, { "relation": "is contrasted with", "target": "constipation", "why": "slow stool passage" }, { "relation": "is related to", "target": "Hirschsprung disease", "why": "a congenital cause" }, { "relation": "may follow", "target": "abdominal surgery", "why": "as postoperative ileus" } ], "identifiers": [ { "scheme": "ICD-10", "value_or_pattern": "K56", "note": "paralytic ileus and intestinal obstruction without hernia" }, { "scheme": "MeSH", "value_or_pattern": "D045823", "note": "Ileus" } ], "standards_and_regulation": [ "Surgical guidelines on bowel obstruction", "Enhanced recovery after surgery protocols" ], "failure_modes_and_hazards": [ "Delayed treatment of strangulated obstruction", "Agents giving personal medical advice", "Registry aliases mixing rare congenital syndromes" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "What ileus is.", "rationale": "Clinical.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "What is ileus, and how does it differ from constipation, gastroparesis and specific mechanical causes?", "kind": "definition" }, { "text": "Does the user have abdominal swelling, vomiting and no stool or gas, which needs urgent medical assessment?", "kind": "boundary" } ] } ] }, { "id": "forms", "name": "Forms", "description": "Forms.", "findings": [ { "id": "forms-finding", "name": "Forms", "description": "Forms.", "questions": [ { "text": "What are mechanical and paralytic ileus, colonic pseudo-obstruction, atonic colon, dysganglionosis and Mungan syndrome?", "kind": "definition" }, { "text": "Which entry fits the specific form?", "kind": "action" } ] } ] } ] }, { "id": "causes", "name": "Causes", "description": "Causes.", "rationale": "Clinical.", "layers": [ { "id": "mechanical", "name": "Mechanical", "description": "Mechanical causes.", "findings": [ { "id": "mechanical-finding", "name": "Mechanical", "description": "Mechanical.", "questions": [ { "text": "What causes mechanical obstruction, such as adhesions, hernias and tumours?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "functional", "name": "Functional", "description": "Functional causes.", "findings": [ { "id": "functional-finding", "name": "Functional", "description": "Functional.", "questions": [ { "text": "What causes paralytic ileus and pseudo-obstruction, such as surgery, drugs and electrolyte problems?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Assessment and management.", "rationale": "Clinical.", "layers": [ { "id": "assessment", "name": "Assessment", "description": "Assessment.", "findings": [ { "id": "assessment-finding", "name": "Assessment", "description": "Assessment.", "questions": [ { "text": "How do clinicians assess suspected ileus, in general terms?", "kind": "provenance" }, { "text": "Which entry fits abdominal imaging?", "kind": "action" } ] } ] }, { "id": "management", "name": "Management", "description": "Management.", "findings": [ { "id": "management-finding", "name": "Management", "description": "Management.", "questions": [ { "text": "What general management approaches exist, from supportive care to surgery?", "kind": "provenance" }, { "text": "Which entry fits bowel obstruction?", "kind": "action" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Congenital and recovery.", "rationale": "Context.", "layers": [ { "id": "congenital", "name": "Congenital", "description": "Congenital causes.", "findings": [ { "id": "congenital-finding", "name": "Congenital", "description": "Congenital.", "questions": [ { "text": "What are Hirschsprung disease and other dysganglionoses?", "kind": "provenance" }, { "text": "Which entry fits Hirschsprung disease?", "kind": "action" } ] } ] }, { "id": "recovery", "name": "Recovery", "description": "Postoperative recovery.", "findings": [ { "id": "recovery-finding", "name": "Recovery", "description": "Recovery.", "questions": [ { "text": "How do enhanced recovery protocols aim to reduce postoperative ileus?", "kind": "provenance" }, { "text": "Which entry fits enhanced recovery after surgery?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should colonic pseudo-obstruction be a separate primary entry?", "How should surgical sources be linked?", "The registry entry has merged aliases naming rare syndromes; should they be split off?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "abstract concept", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a ileus, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain ileus and its forms, relay causes, assessment and general management from surgical and gastroenterology sources, describe the conditions the registry aliases name, and distinguish paralytic from mechanical ileus and ileus from constipation and gastroparesis, routing suspected obstruction to urgent care.", "characteristics": { "substance": "abstract", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "observed and measured" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: Mungan syndrome, intestinal dysganglionosis, atonic colon, colonic pseudo-obstruction, mechanical ileus, paralytic ileus, intestinal pseudo-obstruction, neuronal intestinal dysplasia type B, X-linked chronic idiopathic intestinal pseudo-obstruction, neuronal intestinal dysplasia type A, Megaduodenum, myopathic intestinal pseudoobstruction.", "14 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 33 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 ileus, and on what evidence are they told apart?" ], "whatItIsMadeOf": "an abstraction with no physical instance", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "observe it, measure it, record its state" ], "howItIsRecognised": [ "Nothing to see. What is recognised is an instance of it, and which instances count is exactly what is argued about." ], "relatedModels": [ { "relation": "covers", "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.", "targets": [ "Mungan syndrome", "intestinal dysganglionosis", "atonic colon", "colonic pseudo-obstruction", "mechanical ileus", "paralytic ileus", "intestinal pseudo-obstruction", "neuronal intestinal dysplasia type B", "X-linked chronic idiopathic intestinal pseudo-obstruction", "neuronal intestinal dysplasia type A", "Megaduodenum", "myopathic intestinal pseudoobstruction" ] } ], "standing": "Described in 33 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 14 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 ileus from another, and a ileus 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 ileus, 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 ileus, 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 ileus 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 ileus, 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 ileus, 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 ileus 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 ileus 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 ileus, 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 ileus, 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 ileus 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 ileus from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a ileus, 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 ileus, 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 ileus 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 ileus 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 ileus between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a ileus, 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 ileus, 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 ileus 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 ileus, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a ileus 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 ileus, 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 ileus, 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 ileus is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "definitions-in-contest", "name": "Definitions and who holds them", "description": "What ileus is taken to mean, and by whom.", "rationale": "When a field disagrees about a concept, the disagreement is the content. A model that picks one definition silently destroys the information.", "layers": [ { "id": "competing-definitions", "name": "Competing definitions", "description": "The main readings and the traditions behind them.", "findings": [ { "id": "definition-map", "name": "Definitions and their holders", "description": "Each definition with the school or body that holds it.", "questions": [ { "id": "definition-map-q01", "text": "Which definitions of ileus are in use, and which tradition or body holds each?", "kind": "definition" }, { "id": "definition-map-q02", "text": "What turns on the difference between them in practice?", "kind": "boundary" } ] } ] }, { "id": "operationalisation", "name": "Operationalisation", "description": "How it is measured or applied when it has to be.", "findings": [ { "id": "operational-record", "name": "Measures and proxies", "description": "Instruments and indicators used to stand in for it.", "questions": [ { "id": "operational-record-q01", "text": "How is ileus operationalised or measured in practice, and by what instrument?", "kind": "measurement" }, { "id": "operational-record-q02", "text": "What does that operationalisation leave out, and when does that matter?", "kind": "boundary" } ] } ] } ] }, { "id": "instances-and-use", "name": "Instances, use and consequence", "description": "What counts as an instance of ileus and what follows from calling something that.", "rationale": "Applying a concept is an act with consequences, so a model must say what the label licenses and what it does not.", "layers": [ { "id": "instances", "name": "What counts as an instance", "description": "Clear cases, borderline cases and non-cases.", "findings": [ { "id": "instance-tests", "name": "Tests for an instance", "description": "What would settle whether something falls under it.", "questions": [ { "id": "instance-tests-q01", "text": "What would settle whether something is an instance of ileus?", "kind": "boundary" }, { "id": "instance-tests-q02", "text": "Which borderline cases are argued about, and on what grounds?", "kind": "definition" } ] } ] }, { "id": "consequence", "name": "Consequence of application", "description": "Rights, duties or decisions that follow from the label.", "findings": [ { "id": "consequence-record", "name": "What the label licenses", "description": "What an agent may do once something is classified this way.", "questions": [ { "id": "consequence-record-q01", "text": "What follows practically once something is treated as ileus?", "kind": "action" }, { "id": "consequence-record-q02", "text": "What must an agent not infer from the label alone?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a ileus 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 ileus and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a ileus, 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 ileus, 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 ileus 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 ileus is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a ileus, 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 ileus, 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 ileus is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 5, "layers": 10, "findings": 12, "questions": 32 } } } }