{ "model": { "rank": 11075, "code": "thing-q767485", "model_id": "vr.tr.respiratory-failure", "name": "respiratory failure", "purpose": "Let an agent explain respiratory failure in general terms, relay types, causes, signs and treatment approaches from medical sources, route emergencies, describe the named forms, and distinguish respiratory failure from breathlessness alone, respiratory arrest as its extreme, heart failure and asthma attacks, without diagnosing individuals.", "family": "Thing Registry", "category": "Information and virtual systems", "status": "research-draft", "kind": "thing", "plane": "INF", "domain": "INF.KNW", "industry": "", "version": "", "url": "/models/thing/q767485/", "tier": 2, "score": 43, "payload": { "layer": "wikidata", "aliases": [ "acute respiratory insufficiency", "patient-ventilator asynchrony", "neonatal respiratory failure", "decreased pulmonary function", "chronic respiratory failure", "respiratory arrest", "newborn respiratory distress syndrome", "end stage pulmonary disease" ], "aliasCount": 8, "merged": 8, "knownIn": 43, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q767485", "url": "https://www.wikidata.org/wiki/Q767485", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-14T03:00:09Z", "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-Q767485", "registryId": "vr.tr.respiratory-failure", "name": "respiratory failure", "version": "0.2.0-wave.4", "entryKind": "thing", "family": "Thing Registry", "domain": [ "INF.KNW" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q767485/", "model": { "registry_id": "vr.tr.respiratory-failure", "name": "respiratory failure", "purpose": "Let an agent explain respiratory failure in general terms, relay types, causes, signs and treatment approaches from medical sources, route emergencies, describe the named forms, and distinguish respiratory failure from breathlessness alone, respiratory arrest as its extreme, heart failure and asthma attacks, without diagnosing individuals.", "definition": "A serious condition in which the respiratory system fails to maintain adequate gas exchange, so blood oxygen falls, carbon dioxide rises, or both, classified as type 1 with low oxygen or type 2 with high carbon dioxide, and as acute or chronic; forms the registry aliases name include acute respiratory insufficiency, neonatal and chronic respiratory failure, and respiratory arrest, when breathing stops. Respiratory failure is life-threatening and needs urgent medical care, with oxygen, ventilation and treatment of the cause, and anyone with severe breathlessness, blue lips or stopped breathing needs emergency help.", "what_it_is_for": "Not applicable; a life-threatening condition.", "affordances": [ "explain types and causes", "relay signs and treatment approaches", "route emergencies", "describe named forms" ], "distinguishing_features": [ "Inadequate gas exchange", "Type 1 and type 2", "Acute or chronic", "Life-threatening" ], "appearance": "Not visible directly; signs include severe breathlessness, blue lips, confusion and stopped breathing.", "visual_identification": [ "Failure of adequate gas exchange", "Acute respiratory insufficiency, patient-ventilator asynchrony, neonatal respiratory failure, decreased pulmonary function, chronic respiratory failure, respiratory arrest", "Breathlessness alone may not be failure; respiratory arrest is stopped breathing; heart failure is cardiac; an asthma attack is one cause" ], "physical_properties": [ { "quantity": "type 1", "typical_range": "low oxygen", "unit": "note", "note": "" }, { "quantity": "type 2", "typical_range": "high carbon dioxide", "unit": "note", "note": "" }, { "quantity": "registry parents", "typical_range": "lung disease, respiratory compromise", "unit": "note", "note": "" } ], "families_and_kinds": [ "type 1 hypoxaemic failure", "type 2 hypercapnic failure", "acute and chronic failure", "respiratory arrest" ], "related_models": [ { "relation": "is a kind of", "target": "respiratory compromise", "why": "in registry terms" }, { "relation": "is contrasted with", "target": "dyspnea", "why": "" }, { "relation": "is contrasted with", "target": "heart failure", "why": "" }, { "relation": "can end in", "target": "respiratory arrest", "why": "" } ], "identifiers": [], "standards_and_regulation": [ "Critical care and respiratory guidelines" ], "failure_modes_and_hazards": [ "Death without urgent care", "Missing early signs", "Confusing with heart failure" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "What respiratory failure is.", "rationale": "Science.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "Is someone severely breathless, turning blue, confused or not breathing, in which case call emergency services and start CPR if trained and breathing has stopped?", "kind": "boundary" }, { "text": "What is respiratory failure, and how does it differ from breathlessness alone, respiratory arrest, heart failure and an asthma attack?", "kind": "definition" } ] } ] }, { "id": "types", "name": "Types", "description": "Named forms.", "findings": [ { "id": "types-finding", "name": "Types", "description": "Types.", "questions": [ { "text": "What are type 1 and type 2, acute and chronic failure, and respiratory arrest?", "kind": "definition" }, { "text": "Which entry fits the specific form?", "kind": "action" } ] } ] } ] }, { "id": "causes", "name": "Causes", "description": "Causes.", "rationale": "Science.", "layers": [ { "id": "lung", "name": "Lung", "description": "Lung causes.", "findings": [ { "id": "lung-finding", "name": "Lung", "description": "Lung.", "questions": [ { "text": "Which lung conditions cause respiratory failure?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "other", "name": "Other", "description": "Other causes.", "findings": [ { "id": "other-finding", "name": "Other", "description": "Other.", "questions": [ { "text": "How do neuromuscular and other problems cause failure?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "treatment", "name": "Treatment", "description": "Treatment approaches.", "rationale": "Attribution.", "layers": [ { "id": "oxygen", "name": "Oxygen", "description": "Oxygen and ventilation.", "findings": [ { "id": "oxygen-finding", "name": "Oxygen", "description": "Oxygen.", "questions": [ { "text": "How are oxygen and ventilation used in general terms?", "kind": "provenance" }, { "text": "Which entry fits mechanical ventilation?", "kind": "action" } ] } ] }, { "id": "cause", "name": "Cause", "description": "Treating the cause.", "findings": [ { "id": "cause-finding", "name": "Cause", "description": "Cause.", "questions": [ { "text": "Why is treating the underlying cause essential?", "kind": "provenance" }, { "text": "Is the information current?", "kind": "boundary" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Chronic care.", "rationale": "Attribution.", "layers": [ { "id": "chronic", "name": "Chronic", "description": "Chronic respiratory failure.", "findings": [ { "id": "chronic-finding", "name": "Chronic", "description": "Chronic.", "questions": [ { "text": "How is chronic respiratory failure managed, in general terms?", "kind": "provenance" }, { "text": "Which entry fits home oxygen therapy?", "kind": "action" } ] } ] }, { "id": "arrest", "name": "Arrest", "description": "Respiratory arrest.", "findings": [ { "id": "arrest-finding", "name": "Arrest", "description": "Arrest.", "questions": [ { "text": "What is respiratory arrest, and why is it an emergency?", "kind": "provenance" }, { "text": "Is the presentation neutral and attributed?", "kind": "boundary" } ] } ] } ] } ] }, "openQuestions": [ "Should type 1 and type 2 be separate entries?", "How should ventilation guidance be linked?", "Should respiratory arrest be a separate entry?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "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 respiratory failure, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain respiratory failure in general terms, relay types, causes, signs and treatment approaches from medical sources, route emergencies, describe the named forms, and distinguish respiratory failure from breathlessness alone, respiratory arrest as its extreme, heart failure and asthma attacks, without diagnosing individuals.", "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: acute respiratory insufficiency, patient-ventilator asynchrony, neonatal respiratory failure, decreased pulmonary function, chronic respiratory failure, respiratory arrest, newborn respiratory distress syndrome, end stage pulmonary disease.", "8 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 43 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 respiratory failure, 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": [ "acute respiratory insufficiency", "patient-ventilator asynchrony", "neonatal respiratory failure", "decreased pulmonary function", "chronic respiratory failure", "respiratory arrest", "newborn respiratory distress syndrome", "end stage pulmonary disease" ] } ], "standing": "Described in 43 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 8 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 respiratory failure from another, and a respiratory failure 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 respiratory failure, 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 respiratory failure, 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 respiratory failure 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 respiratory failure, 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 respiratory failure, 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 respiratory failure 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 respiratory failure 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 respiratory failure, 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 respiratory failure, 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 respiratory failure 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 respiratory failure from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a respiratory failure, 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 respiratory failure, 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 respiratory failure 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 respiratory failure 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 respiratory failure between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a respiratory failure, 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 respiratory failure, 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 respiratory failure 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 respiratory failure, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a respiratory failure 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 respiratory failure, 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 respiratory failure, 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 respiratory failure 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 respiratory failure 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 respiratory failure contains and in what form it is held.", "questions": [ { "id": "content-and-format-q01", "text": "What identifies and describes the content of a respiratory failure, 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 respiratory failure, 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 respiratory failure 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 respiratory failure and the period it survives.", "questions": [ { "id": "access-rules-q01", "text": "What identifies and describes access to a respiratory failure, 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 respiratory failure, 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 respiratory failure 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 respiratory failure 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 respiratory failure 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 respiratory failure 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 respiratory failure 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 respiratory failure 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 respiratory failure, 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 respiratory failure 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 respiratory failure and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a respiratory failure, 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 respiratory failure, 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 respiratory failure 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 respiratory failure is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a respiratory failure, 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 respiratory failure, 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 respiratory failure 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 } } } }