{ "model": { "rank": 13005, "code": "thing-q836379", "model_id": "vr.tr.dysphonia", "name": "dysphonia", "purpose": "Let an agent explain dysphonia and its causes, relay assessment and general management from ENT and speech-language pathology sources, describe the forms the registry aliases name, and distinguish dysphonia from aphonia, dysarthria, spasmodic dysphonia as a specific disorder and normal voice change, routing persistent hoarseness to clinicians.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q836379/", "tier": 2, "score": 38, "payload": { "layer": "wikidata", "aliases": [ "hoarseness", "childhood dysphonia", "toneless voice", "muscle tension dysphonia" ], "aliasCount": 4, "merged": 4, "knownIn": 38, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": "vr.tr.dysphonia", "source": { "dataset": "wikidata", "item": "Q836379", "url": "https://www.wikidata.org/wiki/Q836379", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T18:31:19Z", "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-Q836379", "registryId": "vr.tr.dysphonia", "name": "dysphonia", "version": "0.2.0-wave.4", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q836379/", "model": { "registry_id": "vr.tr.dysphonia", "name": "dysphonia", "purpose": "Let an agent explain dysphonia and its causes, relay assessment and general management from ENT and speech-language pathology sources, describe the forms the registry aliases name, and distinguish dysphonia from aphonia, dysarthria, spasmodic dysphonia as a specific disorder and normal voice change, routing persistent hoarseness to clinicians.", "definition": "An impairment of voice production affecting pitch, loudness, quality or effort, commonly experienced as hoarseness, with forms including muscle tension dysphonia from inefficient use of laryngeal muscles, childhood dysphonia often from vocal nodules, and a toneless or breathy voice, and causes ranging from laryngitis and voice overuse to vocal fold lesions, nerve paralysis and laryngeal cancer. Hoarseness lasting more than a few weeks, especially in smokers, needs medical assessment. The model routes people to clinicians.", "what_it_is_for": "Not applicable; a voice disorder.", "affordances": [ "explain forms and causes", "relay assessment and therapy", "route to clinicians", "distinguish related disorders" ], "distinguishing_features": [ "Voice quality change", "Functional or organic", "Common", "Voice therapy" ], "appearance": "Not a visible object; a hoarse, strained or breathy voice.", "visual_identification": [ "Impaired voice production", "Hoarseness, childhood dysphonia, toneless voice, muscle tension dysphonia", "Aphonia is loss of voice; dysarthria is articulation; spasmodic dysphonia is a focal dystonia; puberty voice change is normal" ], "physical_properties": [ { "quantity": "lifetime prevalence of voice disorders", "typical_range": "about 30", "unit": "percent", "note": "adults, estimates" }, { "quantity": "referral guidance", "typical_range": "hoarseness over about 3-4 weeks", "unit": "note", "note": "guidelines vary" }, { "quantity": "assessment", "typical_range": "laryngoscopy", "unit": "note", "note": "" } ], "families_and_kinds": [ "functional dysphonia including muscle tension dysphonia", "organic dysphonia from lesions such as nodules and polyps", "neurological dysphonia including vocal fold paralysis", "childhood dysphonia", "dysphonia from laryngitis or reflux" ], "related_models": [ { "relation": "is a kind of", "target": "voice disorder", "why": "in registry terms" }, { "relation": "is commonly experienced as", "target": "hoarseness", "why": "" }, { "relation": "is treated by", "target": "speech-language pathology", "why": "voice therapy" }, { "relation": "is contrasted with", "target": "dysarthria", "why": "" } ], "identifiers": [ { "scheme": "ICD-10", "value_or_pattern": "R49.0", "note": "dysphonia" }, { "scheme": "MeSH", "value_or_pattern": "D055154", "note": "Dysphonia" } ], "standards_and_regulation": [ "AAO-HNS clinical practice guideline on hoarseness" ], "failure_modes_and_hazards": [ "Missing laryngeal cancer", "Agents giving personal medical advice", "Confusing dysphonia with dysarthria" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "What dysphonia is.", "rationale": "Clinical.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "What is dysphonia, and how does it differ from aphonia, dysarthria, spasmodic dysphonia and normal voice change?", "kind": "definition" }, { "text": "Has hoarseness lasted weeks, or come with breathing or swallowing difficulty, which needs medical assessment or urgent care?", "kind": "boundary" } ] } ] }, { "id": "forms", "name": "Forms", "description": "Forms.", "findings": [ { "id": "forms-finding", "name": "Forms", "description": "Forms.", "questions": [ { "text": "What are hoarseness, childhood dysphonia, toneless voice and muscle tension dysphonia?", "kind": "definition" }, { "text": "Which entry fits the specific form?", "kind": "action" } ] } ] } ] }, { "id": "causes", "name": "Causes", "description": "Causes.", "rationale": "Clinical.", "layers": [ { "id": "organic", "name": "Organic", "description": "Organic causes.", "findings": [ { "id": "organic-finding", "name": "Organic", "description": "Organic.", "questions": [ { "text": "What lesions, nerve problems and cancers cause dysphonia?", "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": "How does voice misuse or muscle tension cause dysphonia?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Assessment and therapy.", "rationale": "Clinical.", "layers": [ { "id": "assessment", "name": "Assessment", "description": "Assessment.", "findings": [ { "id": "assessment-finding", "name": "Assessment", "description": "Assessment.", "questions": [ { "text": "How is dysphonia assessed with laryngoscopy and voice analysis, in general terms?", "kind": "provenance" }, { "text": "Which entry fits laryngoscopy?", "kind": "action" } ] } ] }, { "id": "therapy", "name": "Therapy", "description": "Therapy.", "findings": [ { "id": "therapy-finding", "name": "Therapy", "description": "Therapy.", "questions": [ { "text": "What does voice therapy involve, and when is surgery considered?", "kind": "provenance" }, { "text": "Which entry fits voice therapy?", "kind": "action" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Occupations and children.", "rationale": "Context.", "layers": [ { "id": "work", "name": "Work", "description": "Occupational voice.", "findings": [ { "id": "work-finding", "name": "Work", "description": "Work.", "questions": [ { "text": "Why are teachers, singers and call centre workers at risk, and what prevention is advised?", "kind": "provenance" }, { "text": "Which entry fits occupational voice disorder?", "kind": "action" } ] } ] }, { "id": "children", "name": "Children", "description": "Children.", "findings": [ { "id": "children-finding", "name": "Children", "description": "Children.", "questions": [ { "text": "How is childhood dysphonia managed, in general terms?", "kind": "provenance" }, { "text": "Which entry fits vocal fold nodules?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should muscle tension dysphonia be a separate primary entry?", "How should ENT and speech therapy sources be linked?", "How should toneless voice be recorded?" ], "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 dysphonia, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain dysphonia and its causes, relay assessment and general management from ENT and speech-language pathology sources, describe the forms the registry aliases name, and distinguish dysphonia from aphonia, dysarthria, spasmodic dysphonia as a specific disorder and normal voice change, routing persistent hoarseness to clinicians.", "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: hoarseness, childhood dysphonia, toneless voice, muscle tension dysphonia.", "4 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 38 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 dysphonia, 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": [ "hoarseness", "childhood dysphonia", "toneless voice", "muscle tension dysphonia" ] } ], "standing": "Described in 38 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 4 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 dysphonia from another, and a dysphonia 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 dysphonia, 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 dysphonia, 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 dysphonia 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 dysphonia, 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 dysphonia, 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 dysphonia 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 dysphonia 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 dysphonia, 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 dysphonia, 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 dysphonia 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 dysphonia from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a dysphonia, 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 dysphonia, 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 dysphonia 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 dysphonia 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 dysphonia between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a dysphonia, 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 dysphonia, 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 dysphonia 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 dysphonia, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a dysphonia 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 dysphonia, 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 dysphonia, 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 dysphonia 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 dysphonia 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 dysphonia 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 dysphonia 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 dysphonia 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 dysphonia?", "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 dysphonia?", "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 dysphonia 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 dysphonia and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a dysphonia, 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 dysphonia, 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 dysphonia 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 dysphonia is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a dysphonia, 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 dysphonia, 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 dysphonia 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 } } } }