{ "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T07:14:03Z", "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": 3, "engine": "claude", "enrichment": { "pass": 3, "engine": "claude", "producedAt": "2026-10-06T10:00:00Z", "ingestedAt": "2026-10-06T07:10:30+00:00", "fields": [ "agent_conduct", "ethics", "owners" ] }, "gate": { "passed": true, "version": "1.0", "at": "2026-10-06T19:52:00+00:00", "evidence": [ "completeness 1.00", "sense: Wikidata description", "2 live sources", "review by codex: pass" ] } }, "metaModel": { "id": "THING-Q48143", "registryId": "vr.tr.meningitis", "name": "meningitis", "version": "0.2.0-wave.3", "entryKind": "thing", "family": "Thing Registry", "domain": [ "ACT.ACT" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q48143/", "model": { "registry_id": "vr.tr.meningitis", "name": "meningitis", "purpose": "Let an agent explain meningitis and its causes, relay symptoms, diagnosis, treatment and prevention from medical references in general terms, route anyone with suspected meningitis to emergency care first, and distinguish meningitis from encephalitis, migraine and other causes of headache and fever.", "definition": "Inflammation of the meninges, the membranes surrounding the brain and spinal cord, caused most often by viral or bacterial infection and also by fungi, parasites such as trypanosomes, cancer as neoplastic meningitis or meningeal carcinomatosis, drugs and autoimmune disease, presenting with headache, fever, neck stiffness and altered consciousness, sometimes with brain involvement as meningoencephalitis, and in chronic forms lasting weeks; bacterial meningitis is a medical emergency requiring immediate care, and vaccines prevent several major causes.", "what_it_is_for": "Not applicable; a disease.", "affordances": [ "route emergencies first", "explain causes and types", "relay diagnosis, treatment and prevention", "distinguish related conditions" ], "distinguishing_features": [ "Meningeal inflammation", "Emergency in bacterial cases", "Many causes", "Vaccine-preventable causes" ], "appearance": "Not a visible object; clinical signs and a rash in some bacterial cases.", "visual_identification": [ "Inflammation of the meninges", "Viral, bacterial, fungal, chronic, neoplastic meningitis, meningoencephalitis, trypanosomal meningitis", "Encephalitis inflames the brain itself; migraine lacks fever and stiffness" ], "physical_properties": [ { "quantity": "global deaths", "typical_range": "about 250000", "unit": "per year", "note": "estimates" }, { "quantity": "bacterial case fatality", "typical_range": "about 10", "unit": "percent", "note": "with treatment" }, { "quantity": "key vaccines", "typical_range": "meningococcal, pneumococcal, Hib", "unit": "list", "note": "" } ], "families_and_kinds": [ "viral meningitis, often with clear cerebrospinal fluid", "bacterial meningitis including meningococcal and pneumococcal", "fungal and parasitic meningitis including trypanosomal", "chronic meningitis such as tuberculous", "neoplastic meningitis or meningeal carcinomatosis", "meningoencephalitis", "non-infectious meningitis" ], "related_models": [ { "relation": "is a kind of", "target": "encephalomyelitis", "why": "in registry terms, when combined" }, { "relation": "is a kind of", "target": "pandemic and epidemic-prone diseases", "why": "in registry terms" }, { "relation": "is prevented by", "target": "meningococcal vaccine", "why": "among others" }, { "relation": "is contrasted with", "target": "encephalitis", "why": "inflammation of the brain" } ], "identifiers": [ { "scheme": "ICD-10", "value_or_pattern": "G00-G03", "note": "meningitis" }, { "scheme": "MeSH", "value_or_pattern": "D008581", "note": "Meningitis" } ], "standards_and_regulation": [ "WHO Defeating Meningitis by 2030 road map", "National vaccination schedules", "Notifiable disease rules" ], "failure_modes_and_hazards": [ "Delayed treatment in bacterial cases", "Agents giving personal medical advice instead of routing to emergency care", "Vaccine misinformation" ], "in_scope": [], "out_of_scope": [], "characteristics": [], "agent_conduct": { "may": [ "Describe meningitis, its causes and warning signs in general terms.", "Urge anyone describing possible meningitis symptoms to seek emergency care at once.", "Explain vaccines that protect against some forms, citing health authorities." ], "must_not": [ "Suggest waiting or home treatment for suspected meningitis.", "Diagnose or rule out meningitis from a description of symptoms.", "Spread misinformation about meningitis vaccines.", "Disclose a person's diagnosis beyond those who need it for contact tracing." ], "requires_human": [ "Deciding on treatment or preventive antibiotics for contacts." ] }, "ethics": { "considerations": [ "Bacterial meningitis can kill within hours; any delay costs lives.", "Outbreaks in schools and campuses can cause fear and stigma for the affected." ], "affected_parties": [ "Patients", "Children and students", "Close contacts" ] }, "owners": { "steward": "The patient; public health authorities receive notifications of cases.", "master_systems": [ "Notifiable disease surveillance systems" ] } }, "sources": [ { "id": "wikidata", "title": "Wikidata item Q48143: meningitis", "url": "https://www.wikidata.org/wiki/Q48143", "url_status": "live", "what_it_supports": "identity and sense of the item", "checked_by": "wikidata-api" }, { "id": "wikipedia-en", "title": "Wikipedia: Meningitis", "url": "https://en.wikipedia.org/wiki/Meningitis", "url_status": "live", "what_it_supports": "general description of the item", "checked_by": "wikidata-api sitelink" } ], "structure": { "bundles": [ { "id": "emergency", "name": "Emergency", "description": "Suspected meningitis.", "rationale": "Clinical.", "layers": [ { "id": "act", "name": "Act", "description": "Act now.", "findings": [ { "id": "act-finding", "name": "Act", "description": "Act.", "questions": [ { "text": "Does the user describe symptoms such as severe headache, fever, neck stiffness, rash or confusion that require emergency care immediately?", "kind": "boundary" }, { "text": "Has the agent directed the user to emergency services before anything else?", "kind": "action" } ] } ] }, { "id": "signs", "name": "Signs", "description": "Warning signs.", "findings": [ { "id": "signs-finding", "name": "Signs", "description": "Signs.", "questions": [ { "text": "What are the warning signs of meningitis in adults, children and infants, as health authorities list them?", "kind": "definition" }, { "text": "Which entry fits emergency medical services?", "kind": "action" } ] } ] } ] }, { "id": "understand", "name": "Understand", "description": "What meningitis is.", "rationale": "Clinical.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition and types.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "What is meningitis, and how do viral, bacterial, fungal, chronic and neoplastic forms and meningoencephalitis differ?", "kind": "definition" }, { "text": "Is the question about the disease in general or a personal case needing a clinician?", "kind": "boundary" } ] } ] }, { "id": "causes", "name": "Causes", "description": "Causes.", "findings": [ { "id": "causes-finding", "name": "Causes", "description": "Causes.", "questions": [ { "text": "What organisms and conditions cause meningitis, including trypanosomes and cancer?", "kind": "provenance" }, { "text": "Which entry fits the specific cause?", "kind": "action" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Diagnosis and treatment.", "rationale": "Clinical.", "layers": [ { "id": "diagnosis", "name": "Diagnosis", "description": "Diagnosis.", "findings": [ { "id": "diagnosis-finding", "name": "Diagnosis", "description": "Diagnosis.", "questions": [ { "text": "How is meningitis diagnosed with lumbar puncture and imaging, in general terms?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "treatment", "name": "Treatment", "description": "Treatment.", "findings": [ { "id": "treatment-finding", "name": "Treatment", "description": "Treatment.", "questions": [ { "text": "How is meningitis treated, and what are outcomes and complications, as guidelines report?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "prevent", "name": "Prevent", "description": "Prevention and context.", "rationale": "Application.", "layers": [ { "id": "vaccines", "name": "Vaccines", "description": "Vaccines.", "findings": [ { "id": "vaccines-finding", "name": "Vaccines", "description": "Vaccines.", "questions": [ { "text": "Which vaccines prevent meningitis, and who should receive them, as schedules state?", "kind": "provenance" }, { "text": "Which entry fits the specific vaccine?", "kind": "action" } ] } ] }, { "id": "epidemiology", "name": "Epidemiology", "description": "Epidemiology.", "findings": [ { "id": "epidemiology-finding", "name": "Epidemiology", "description": "Epidemiology.", "questions": [ { "text": "Where is meningitis most common, including the African meningitis belt, and what is the WHO road map?", "kind": "provenance" }, { "text": "Which entry fits the meningitis belt?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should bacterial, viral and neoplastic meningitis be separate primary entries?", "How should medical references be linked?", "The registry entry has merged aliases naming distinct types; should they be split off?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }