# Vercy AI instruction - YAML 1.2 (JSON-compatible) { "vercy": "1.0-draft", "publication": { "status": "published", "adjudicationStatus": "reviewable-draft", "publishableCanonical": false, "generatedAt": "2026-09-05T22:51:02Z", "synthesisSha256": "3c3fa4c57771ead11fa276be72550c9fdaef80021af77a3a295a75565eac0236", "providerMode": "single-provider-waiver", "providers": [ "Codex" ], "waivedProviders": [ "Claude", "Grok" ] }, "metaModel": { "id": "WM-ACT-023", "registryId": "vr.wm-act-023", "name": "Public Health / Epidemiology", "version": "0.3.0-research.1", "previousVersions": [], "entryKind": "aggregate", "family": "World Models", "category": "Activities and processes", "industry": [ "Cross-industry" ], "domain": [ "ACT.HCR.PUB" ], "tags": [ "public", "health", "epidemiology", "act.hcr.pub" ], "status": "published" }, "canonicalUrl": "https://ver.cy/models/wm-act-023-public-health-epidemiology/", "sourceUrl": "https://github.com/ver-cy/world-models/tree/feat/mega-model-registry/research/runs/wm-act-023", "model": { "registry_id": "vr.wm-act-023", "model_id": "WM-ACT-023", "name": "Public Health / Epidemiology", "entry_kind": "aggregate", "purpose": "Represent governed population and cohort-grain health surveillance, indicator series, signals, outbreaks, immunization coverage, public-health measures and epidemiologic assessments without importing person-grain health records.", "scope_statement": "Owns population-health frames, indicator definitions and observations, aggregate surveillance notifications, signals, outbreak determinations and assessments, immunization programme and coverage aggregates, measure bindings, evaluation results, disclosure controls and governed releases while referencing clinical, laboratory, identity, geography, policy and operational masters.", "in_scope": [ "Cohort and population definitions, indicator series, aggregate case surveillance, signals and data-quality revisions", "Outbreak identity, declaration, extent, transmission, severity, course, forecast, closure and residual-risk assessments", "Aggregate immunization programmes and coverage, public-health measures, evaluation, disclosure, provenance and federation" ], "out_of_scope": [ "Identifiable person health, clinical-care, immunization event, identity and contact-tracing records", "Laboratory sample, pathogen genome, geography, facility, product, policy, legal-power and resource-deployment master lifecycles", "Universal case definitions, outbreak thresholds, severity scales, vaccination schedules, causal conclusions, public-health powers or reporting deadlines" ], "boundary_notes": [ { "neighbor": "Personal health and clinical record", "distinction": "Person-grain diagnosis, care and immunization events remain in their source models; this model receives only authorized aggregate facts and never uses a personal identifier as population-health identity.", "source_refs": [ "SRC-005", "SRC-006", "SRC-008" ] }, { "neighbor": "Surveillance case and clinical diagnosis", "distinction": "A surveillance case definition exists for consistent classification and counting and is not a clinical diagnostic or treatment rule.", "source_refs": [ "SRC-005", "SRC-006" ] }, { "neighbor": "Signal, public-health event and outbreak", "distinction": "A signal is an observation requiring assessment; a public-health event may trigger international assessment; an outbreak is a separately authorized determination under a pinned definition.", "source_refs": [ "SRC-001", "SRC-003" ] }, { "neighbor": "Indicator and raw dataset", "distinction": "The model owns a governed measure definition and aggregate observation lineage while source systems retain person, encounter, laboratory and operational datasets.", "source_refs": [ "SRC-002", "SRC-005", "SRC-007" ] }, { "neighbor": "Public-health measure and response operation", "distinction": "This model records intervention definition, authority, target, timing and effects; logistics, staffing, procurement and task execution remain in operational systems.", "source_refs": [ "SRC-001", "SRC-003", "SRC-004" ] } ] }, "sources": [ { "id": "SRC-001", "title": "International Health Regulations (2005) as amended in 2014, 2022 and 2024", "organization": "World Health Organization", "url": "https://www.who.int/health-topics/international-health-regulations/", "version_or_date": "Current text effective from 19 September 2025", "source_type": "legislation", "primary_source": true, "authority_tier": 1, "accessed_at": "2026-09-06T02:00:00Z", "relevance": "Defines internationally governed public-health event assessment, notification and response boundaries without making WHO the owner of national records." }, { "id": "SRC-002", "title": "WHO Global Health Observatory Indicator Metadata Registry", "organization": "World Health Organization", "url": "https://www.who.int/data/gho/indicator-metadata-registry/", "version_or_date": "Current registry accessed 2026-09-06", "source_type": "registry", "primary_source": true, "authority_tier": 1, "accessed_at": "2026-09-06T02:00:00Z", "relevance": "Demonstrates that comparable population-health indicators require governed definitions and dimensions rather than labels alone." }, { "id": "SRC-003", "title": "Early Warning, Alert and Response System", "organization": "World Health Organization", "url": "https://www.who.int/emergencies/surveillance/early-warning-alert-and-response-system-ewars/", "version_or_date": "Current programme documentation accessed 2026-09-06", "source_type": "public-authority", "primary_source": true, "authority_tier": 1, "accessed_at": "2026-09-06T02:00:00Z", "relevance": "Supports early-warning surveillance, signal detection and response use in emergency settings." }, { "id": "SRC-004", "title": "Manual for respiratory virus vaccination coverage", "organization": "World Health Organization", "url": "https://www.who.int/westernpacific/publications/i/item/9789240118829", "version_or_date": "26 June 2026, ISBN 9789240118829", "source_type": "public-authority", "primary_source": true, "authority_tier": 1, "accessed_at": "2026-09-06T02:00:00Z", "relevance": "Provides current guidance on comparable coverage indicators, data systems, equity, programme performance and reporting." }, { "id": "SRC-005", "title": "How We Conduct Case Surveillance", "organization": "Centers for Disease Control and Prevention", "url": "https://www.cdc.gov/nndss/what-is-case-surveillance/conducting.html", "version_or_date": "Updated 12 January 2026", "source_type": "public-authority", "primary_source": true, "authority_tier": 1, "accessed_at": "2026-09-06T02:00:00Z", "relevance": "Distinguishes mandatory local case reporting from voluntary de-identified national case notification and describes the surveillance data supply chain." }, { "id": "SRC-006", "title": "Surveillance Case Definitions for Current and Historical Conditions", "organization": "Centers for Disease Control and Prevention", "url": "https://ndc.services.cdc.gov/", "version_or_date": "Current definitions registry accessed 2026-09-06", "source_type": "registry", "primary_source": true, "authority_tier": 1, "accessed_at": "2026-09-06T02:00:00Z", "relevance": "States that surveillance case definitions support consistent classification and counting and are not clinical diagnostic rules." }, { "id": "SRC-007", "title": "FHIR R5 MeasureReport", "organization": "Health Level Seven International", "url": "https://www.hl7.org/fhir/R5/measurereport-definitions.html", "version_or_date": "FHIR R5 5.0.0", "source_type": "standard", "primary_source": true, "authority_tier": 2, "accessed_at": "2026-09-06T02:00:00Z", "relevance": "Defines a versioned measure-result structure with subject or population, period, groups, stratifiers, counts and scores." }, { "id": "SRC-008", "title": "FHIR R5 Immunization", "organization": "Health Level Seven International", "url": "https://www.hl7.org/fhir/immunization.html", "version_or_date": "FHIR R5 5.0.0", "source_type": "standard", "primary_source": true, "authority_tier": 2, "accessed_at": "2026-09-06T02:00:00Z", "relevance": "Supplies interoperable immunization event and product terminology used only as an aggregate-source alignment in this population model." }, { "id": "SRC-009", "title": "PROV-O: The PROV Ontology", "organization": "World Wide Web Consortium", "url": "https://www.w3.org/TR/prov-o/", "version_or_date": "W3C Recommendation, 30 April 2013", "source_type": "ontology", "primary_source": true, "authority_tier": 1, "accessed_at": "2026-09-06T02:00:00Z", "relevance": "Provides entity, activity, agent, derivation, attribution and revision semantics for epidemiologic assertions and releases." }, { "id": "SRC-010", "title": "RFC 3339: Date and Time on the Internet: Timestamps", "organization": "Internet Engineering Task Force", "url": "https://www.rfc-editor.org/rfc/rfc3339", "version_or_date": "RFC 3339, July 2002", "source_type": "standard", "primary_source": true, "authority_tier": 1, "accessed_at": "2026-09-06T02:00:00Z", "relevance": "Defines interoperable event timestamps with seconds and explicit offset." } ], "structure": { "bundles": [ { "id": "population-scope-and-mandate", "name": "Population scope and mandate", "description": "Defines the governed population-health observation frame and responsible authority.", "rationale": "Population and cohort identity, geography, time and mandate must be pinned before any aggregate can be interpreted or shared.", "source_refs": [ "SRC-001", "SRC-002", "SRC-005", "SRC-009" ], "layers": [ { "id": "population-cohort-and-place", "name": "Population, cohort and place", "description": "The people-at-risk frame and its spatial and membership semantics.", "source_refs": [ "SRC-002", "SRC-005", "SRC-007" ], "findings": [ { "id": "target-population-and-cohort-definition", "name": "Target population and cohort definition", "description": "Versioned inclusion, exclusion, age, sex, risk, eligibility and denominator criteria at permitted aggregate grain.", "source_refs": [ "SRC-002", "SRC-004", "SRC-007" ], "questions": [ { "id": "target-population-and-cohort-definition-q01", "text": "What is currently asserted about target population and cohort definition for this population-health context, at which cohort, place and time grain?", "kind": "definition", "answer_data": [ "Target population and cohort definition", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "target-population-and-cohort-definition-q02", "text": "Which source, method and authority establish target population and cohort definition, with what observation time, evidence and uncertainty?", "kind": "spatial", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "target-population-and-cohort-definition-q03", "text": "Which validation, disclosure or revision rule may change target population and cohort definition without losing prior releases and provenance?", "kind": "quality", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "target-population-and-cohort-definition-data", "name": "Target population and cohort definition assertion", "description": "Structured cohort-grain answer data for target population and cohort definition, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-002", "SRC-004", "SRC-007" ] } ], "artifacts": [ { "id": "target-population-and-cohort-definition-artifact", "name": "Target population and cohort definition record", "description": "Versioned cohort-grain public-health record supporting target population and cohort definition with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-002", "SRC-004", "SRC-007" ] } ], "inline_only_rationale": null }, { "id": "geographic-area-time-period-and-grain", "name": "Geographic area, time period and grain", "description": "Authoritative area references, observation period, aggregation cadence and minimum publishable spatial-temporal grain.", "source_refs": [ "SRC-001", "SRC-002", "SRC-005", "SRC-010" ], "questions": [ { "id": "geographic-area-time-period-and-grain-q01", "text": "What is currently asserted about geographic area, time period and grain for this population-health context, at which cohort, place and time grain?", "kind": "spatial", "answer_data": [ "Geographic area, time period and grain", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "geographic-area-time-period-and-grain-q02", "text": "Which source, method and authority establish geographic area, time period and grain, with what observation time, evidence and uncertainty?", "kind": "constraint", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "geographic-area-time-period-and-grain-q03", "text": "Which validation, disclosure or revision rule may change geographic area, time period and grain without losing prior releases and provenance?", "kind": "classification", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "geographic-area-time-period-and-grain-data", "name": "Geographic area, time period and grain assertion", "description": "Structured cohort-grain answer data for geographic area, time period and grain, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-001", "SRC-002", "SRC-005", "SRC-010" ] } ], "artifacts": [ { "id": "geographic-area-time-period-and-grain-artifact", "name": "Geographic area, time period and grain record", "description": "Versioned cohort-grain public-health record supporting geographic area, time period and grain with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-001", "SRC-002", "SRC-005", "SRC-010" ] } ], "inline_only_rationale": null } ] }, { "id": "purpose-authority-and-profile", "name": "Purpose, authority and profile", "description": "Public-health purpose, legal mandate and applicable profile.", "source_refs": [ "SRC-001", "SRC-005", "SRC-006" ], "findings": [ { "id": "surveillance-purpose-and-record-authority", "name": "Surveillance purpose and record authority", "description": "Declared prevention, detection, monitoring, evaluation or reporting purpose plus the authority that masters the aggregate.", "source_refs": [ "SRC-001", "SRC-005" ], "questions": [ { "id": "surveillance-purpose-and-record-authority-q01", "text": "What is currently asserted about surveillance purpose and record authority for this population-health context, at which cohort, place and time grain?", "kind": "authority", "answer_data": [ "Surveillance purpose and record authority", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "surveillance-purpose-and-record-authority-q02", "text": "Which source, method and authority establish surveillance purpose and record authority, with what observation time, evidence and uncertainty?", "kind": "quality", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "surveillance-purpose-and-record-authority-q03", "text": "Which validation, disclosure or revision rule may change surveillance purpose and record authority without losing prior releases and provenance?", "kind": "constraint", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "surveillance-purpose-and-record-authority-data", "name": "Surveillance purpose and record authority assertion", "description": "Structured cohort-grain answer data for surveillance purpose and record authority, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-001", "SRC-005" ] } ], "artifacts": [ { "id": "surveillance-purpose-and-record-authority-artifact", "name": "Surveillance purpose and record authority record", "description": "Versioned cohort-grain public-health record supporting surveillance purpose and record authority with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-001", "SRC-005" ] } ], "inline_only_rationale": null }, { "id": "jurisdiction-condition-and-profile-binding", "name": "Jurisdiction, condition and profile binding", "description": "Pinned jurisdiction, condition classification, case definition, disclosure profile and effective versions.", "source_refs": [ "SRC-001", "SRC-006" ], "questions": [ { "id": "jurisdiction-condition-and-profile-binding-q01", "text": "What is currently asserted about jurisdiction, condition and profile binding for this population-health context, at which cohort, place and time grain?", "kind": "requirement", "answer_data": [ "Jurisdiction, condition and profile binding", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "jurisdiction-condition-and-profile-binding-q02", "text": "Which source, method and authority establish jurisdiction, condition and profile binding, with what observation time, evidence and uncertainty?", "kind": "access", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "jurisdiction-condition-and-profile-binding-q03", "text": "Which validation, disclosure or revision rule may change jurisdiction, condition and profile binding without losing prior releases and provenance?", "kind": "exception", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "jurisdiction-condition-and-profile-binding-data", "name": "Jurisdiction, condition and profile binding assertion", "description": "Structured cohort-grain answer data for jurisdiction, condition and profile binding, including scope, status, time and provenance.", "value_kind": "collection", "cardinality": "1", "required": true, "source_refs": [ "SRC-001", "SRC-006" ] } ], "artifacts": [], "inline_only_rationale": "This finding stores only aggregate values or typed references; person-grain source records and external master lifecycles remain outside this model." } ] } ] }, { "id": "indicator-and-series", "name": "Indicator and series", "description": "Defines population-health measures and preserves comparable time-series observations.", "rationale": "A numeric value is uninterpretable without its measure definition, population, method, denominator, uncertainty and revision lineage.", "source_refs": [ "SRC-002", "SRC-004", "SRC-007", "SRC-009" ], "layers": [ { "id": "indicator-definition", "name": "Indicator definition", "description": "Measure identity, semantics, computation and stratification.", "source_refs": [ "SRC-002", "SRC-004", "SRC-007" ], "findings": [ { "id": "indicator-identity-definition-and-unit", "name": "Indicator identity, definition and unit", "description": "Stable code, title, concept, value type, unit, direction and versioned semantic definition.", "source_refs": [ "SRC-002", "SRC-007" ], "questions": [ { "id": "indicator-identity-definition-and-unit-q01", "text": "What is currently asserted about indicator identity, definition and unit for this population-health context, at which cohort, place and time grain?", "kind": "identity", "answer_data": [ "Indicator identity, definition and unit", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "indicator-identity-definition-and-unit-q02", "text": "Which source, method and authority establish indicator identity, definition and unit, with what observation time, evidence and uncertainty?", "kind": "classification", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "indicator-identity-definition-and-unit-q03", "text": "Which validation, disclosure or revision rule may change indicator identity, definition and unit without losing prior releases and provenance?", "kind": "spatial", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "indicator-identity-definition-and-unit-data", "name": "Indicator identity, definition and unit assertion", "description": "Structured cohort-grain answer data for indicator identity, definition and unit, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-002", "SRC-007" ] } ], "artifacts": [ { "id": "indicator-identity-definition-and-unit-artifact", "name": "Indicator identity, definition and unit record", "description": "Versioned cohort-grain public-health record supporting indicator identity, definition and unit with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-002", "SRC-007" ] } ], "inline_only_rationale": null }, { "id": "numerator-denominator-method-and-stratifiers", "name": "Numerator, denominator, method and stratifiers", "description": "Computation criteria, source population, standardization, weighting, stratifier definitions and exclusions.", "source_refs": [ "SRC-002", "SRC-004", "SRC-007" ], "questions": [ { "id": "numerator-denominator-method-and-stratifiers-q01", "text": "What is currently asserted about numerator, denominator, method and stratifiers for this population-health context, at which cohort, place and time grain?", "kind": "measurement", "answer_data": [ "Numerator, denominator, method and stratifiers", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "numerator-denominator-method-and-stratifiers-q02", "text": "Which source, method and authority establish numerator, denominator, method and stratifiers, with what observation time, evidence and uncertainty?", "kind": "lifecycle", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "numerator-denominator-method-and-stratifiers-q03", "text": "Which validation, disclosure or revision rule may change numerator, denominator, method and stratifiers without losing prior releases and provenance?", "kind": "validation", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "numerator-denominator-method-and-stratifiers-data", "name": "Numerator, denominator, method and stratifiers assertion", "description": "Structured cohort-grain answer data for numerator, denominator, method and stratifiers, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-002", "SRC-004", "SRC-007" ] } ], "artifacts": [ { "id": "numerator-denominator-method-and-stratifiers-artifact", "name": "Numerator, denominator, method and stratifiers record", "description": "Versioned cohort-grain public-health record supporting numerator, denominator, method and stratifiers with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-002", "SRC-004", "SRC-007" ] } ], "inline_only_rationale": null } ] }, { "id": "series-observation-and-quality", "name": "Series observation and quality", "description": "Observed or estimated values, uncertainty, timeliness and correction.", "source_refs": [ "SRC-002", "SRC-004", "SRC-005", "SRC-007", "SRC-009" ], "findings": [ { "id": "value-count-rate-estimate-and-uncertainty", "name": "Value, count, rate, estimate and uncertainty", "description": "Keeps counts, proportions, rates, ratios, risks, modelled estimates, intervals and suppression states distinct.", "source_refs": [ "SRC-002", "SRC-004", "SRC-007" ], "questions": [ { "id": "value-count-rate-estimate-and-uncertainty-q01", "text": "What is currently asserted about value, count, rate, estimate and uncertainty for this population-health context, at which cohort, place and time grain?", "kind": "measurement", "answer_data": [ "Value, count, rate, estimate and uncertainty", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "value-count-rate-estimate-and-uncertainty-q02", "text": "Which source, method and authority establish value, count, rate, estimate and uncertainty, with what observation time, evidence and uncertainty?", "kind": "authority", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "value-count-rate-estimate-and-uncertainty-q03", "text": "Which validation, disclosure or revision rule may change value, count, rate, estimate and uncertainty without losing prior releases and provenance?", "kind": "composition", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "value-count-rate-estimate-and-uncertainty-data", "name": "Value, count, rate, estimate and uncertainty assertion", "description": "Structured cohort-grain answer data for value, count, rate, estimate and uncertainty, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-002", "SRC-004", "SRC-007" ] } ], "artifacts": [ { "id": "value-count-rate-estimate-and-uncertainty-artifact", "name": "Value, count, rate, estimate and uncertainty record", "description": "Versioned cohort-grain public-health record supporting value, count, rate, estimate and uncertainty with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-002", "SRC-004", "SRC-007" ] } ], "inline_only_rationale": null }, { "id": "data-quality-delay-revision-and-release", "name": "Data quality, delay, revision and release", "description": "Completeness, timeliness, coverage, bias, reporting delay, provisional or final status and correction lineage.", "source_refs": [ "SRC-004", "SRC-005", "SRC-009" ], "questions": [ { "id": "data-quality-delay-revision-and-release-q01", "text": "What is currently asserted about data quality, delay, revision and release for this population-health context, at which cohort, place and time grain?", "kind": "quality", "answer_data": [ "Data quality, delay, revision and release", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "data-quality-delay-revision-and-release-q02", "text": "Which source, method and authority establish data quality, delay, revision and release, with what observation time, evidence and uncertainty?", "kind": "measurement", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "data-quality-delay-revision-and-release-q03", "text": "Which validation, disclosure or revision rule may change data quality, delay, revision and release without losing prior releases and provenance?", "kind": "process", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "data-quality-delay-revision-and-release-data", "name": "Data quality, delay, revision and release assertion", "description": "Structured cohort-grain answer data for data quality, delay, revision and release, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-004", "SRC-005", "SRC-009" ] } ], "artifacts": [ { "id": "data-quality-delay-revision-and-release-artifact", "name": "Data quality, delay, revision and release record", "description": "Versioned cohort-grain public-health record supporting data quality, delay, revision and release with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-004", "SRC-005", "SRC-009" ] } ], "inline_only_rationale": null } ] } ] }, { "id": "case-surveillance-and-signals", "name": "Case surveillance and signals", "description": "Transforms governed notifications and other sources into aggregate surveillance signals.", "rationale": "A person-level report can contribute to an aggregate, but its identity and clinical record must not cross into the population model.", "source_refs": [ "SRC-003", "SRC-005", "SRC-006", "SRC-009" ], "layers": [ { "id": "case-definition-and-aggregate", "name": "Case definition and aggregate", "description": "Surveillance classification and cohort-grain case summaries.", "source_refs": [ "SRC-005", "SRC-006", "SRC-007" ], "findings": [ { "id": "surveillance-case-definition-and-classification", "name": "Surveillance case definition and classification", "description": "Pinned criteria and classification such as suspected, probable or confirmed, separate from clinical diagnosis.", "source_refs": [ "SRC-005", "SRC-006" ], "questions": [ { "id": "surveillance-case-definition-and-classification-q01", "text": "What is currently asserted about surveillance case definition and classification for this population-health context, at which cohort, place and time grain?", "kind": "classification", "answer_data": [ "Surveillance case definition and classification", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "surveillance-case-definition-and-classification-q02", "text": "Which source, method and authority establish surveillance case definition and classification, with what observation time, evidence and uncertainty?", "kind": "privacy", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "surveillance-case-definition-and-classification-q03", "text": "Which validation, disclosure or revision rule may change surveillance case definition and classification without losing prior releases and provenance?", "kind": "interoperability", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "surveillance-case-definition-and-classification-data", "name": "Surveillance case definition and classification assertion", "description": "Structured cohort-grain answer data for surveillance case definition and classification, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-005", "SRC-006" ] } ], "artifacts": [ { "id": "surveillance-case-definition-and-classification-artifact", "name": "Surveillance case definition and classification record", "description": "Versioned cohort-grain public-health record supporting surveillance case definition and classification with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-005", "SRC-006" ] } ], "inline_only_rationale": null }, { "id": "aggregate-case-count-and-deduplication", "name": "Aggregate case count and deduplication", "description": "Count by cohort, area and period with deduplication rule, late-report handling and no person identifier.", "source_refs": [ "SRC-005", "SRC-006", "SRC-007" ], "questions": [ { "id": "aggregate-case-count-and-deduplication-q01", "text": "What is currently asserted about aggregate case count and deduplication for this population-health context, at which cohort, place and time grain?", "kind": "validation", "answer_data": [ "Aggregate case count and deduplication", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "aggregate-case-count-and-deduplication-q02", "text": "Which source, method and authority establish aggregate case count and deduplication, with what observation time, evidence and uncertainty?", "kind": "decision", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "aggregate-case-count-and-deduplication-q03", "text": "Which validation, disclosure or revision rule may change aggregate case count and deduplication without losing prior releases and provenance?", "kind": "provenance", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "aggregate-case-count-and-deduplication-data", "name": "Aggregate case count and deduplication assertion", "description": "Structured cohort-grain answer data for aggregate case count and deduplication, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-005", "SRC-006", "SRC-007" ] } ], "artifacts": [ { "id": "aggregate-case-count-and-deduplication-artifact", "name": "Aggregate case count and deduplication record", "description": "Versioned cohort-grain public-health record supporting aggregate case count and deduplication with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-005", "SRC-006", "SRC-007" ] } ], "inline_only_rationale": null } ] }, { "id": "reporting-and-notification", "name": "Reporting and notification", "description": "Source systems, reporting routes, timing and conformance.", "source_refs": [ "SRC-001", "SRC-005", "SRC-006", "SRC-010" ], "findings": [ { "id": "reporter-source-and-notification-route", "name": "Reporter source and notification route", "description": "Reporting institution class, source system, jurisdictional route and aggregation or transformation steps.", "source_refs": [ "SRC-001", "SRC-005", "SRC-009" ], "questions": [ { "id": "reporter-source-and-notification-route-q01", "text": "What is currently asserted about reporter source and notification route for this population-health context, at which cohort, place and time grain?", "kind": "provenance", "answer_data": [ "Reporter source and notification route", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "reporter-source-and-notification-route-q02", "text": "Which source, method and authority establish reporter source and notification route, with what observation time, evidence and uncertainty?", "kind": "relationship", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "reporter-source-and-notification-route-q03", "text": "Which validation, disclosure or revision rule may change reporter source and notification route without losing prior releases and provenance?", "kind": "security", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "reporter-source-and-notification-route-data", "name": "Reporter source and notification route assertion", "description": "Structured cohort-grain answer data for reporter source and notification route, including scope, status, time and provenance.", "value_kind": "collection", "cardinality": "1", "required": true, "source_refs": [ "SRC-001", "SRC-005", "SRC-009" ] } ], "artifacts": [], "inline_only_rationale": "This finding stores only aggregate values or typed references; person-grain source records and external master lifecycles remain outside this model." }, { "id": "event-specimen-report-receipt-and-publication-times", "name": "Event, specimen, report, receipt and publication times", "description": "Distinct epidemiologic and data-pipeline times with uncertainty and RFC 3339 representation.", "source_refs": [ "SRC-005", "SRC-010" ], "questions": [ { "id": "event-specimen-report-receipt-and-publication-times-q01", "text": "What is currently asserted about event, specimen, report, receipt and publication times for this population-health context, at which cohort, place and time grain?", "kind": "temporal", "answer_data": [ "Event, specimen, report, receipt and publication times", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "event-specimen-report-receipt-and-publication-times-q02", "text": "Which source, method and authority establish event, specimen, report, receipt and publication times, with what observation time, evidence and uncertainty?", "kind": "provenance", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "event-specimen-report-receipt-and-publication-times-q03", "text": "Which validation, disclosure or revision rule may change event, specimen, report, receipt and publication times without losing prior releases and provenance?", "kind": "relationship", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "event-specimen-report-receipt-and-publication-times-data", "name": "Event, specimen, report, receipt and publication times assertion", "description": "Structured cohort-grain answer data for event, specimen, report, receipt and publication times, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-005", "SRC-010" ] } ], "artifacts": [ { "id": "event-specimen-report-receipt-and-publication-times-artifact", "name": "Event, specimen, report, receipt and publication times record", "description": "Versioned cohort-grain public-health record supporting event, specimen, report, receipt and publication times with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-005", "SRC-010" ] } ], "inline_only_rationale": null } ] }, { "id": "signal-detection-and-verification", "name": "Signal detection and verification", "description": "Thresholds, anomalies, alerts and verification decisions.", "source_refs": [ "SRC-003", "SRC-005" ], "findings": [ { "id": "signal-rule-baseline-threshold-and-anomaly", "name": "Signal rule, baseline, threshold and anomaly", "description": "Versioned detection method, expected baseline, threshold, observed deviation and sensitivity limitations.", "source_refs": [ "SRC-003", "SRC-005" ], "questions": [ { "id": "signal-rule-baseline-threshold-and-anomaly-q01", "text": "What is currently asserted about signal rule, baseline, threshold and anomaly for this population-health context, at which cohort, place and time grain?", "kind": "process", "answer_data": [ "Signal rule, baseline, threshold and anomaly", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "signal-rule-baseline-threshold-and-anomaly-q02", "text": "Which source, method and authority establish signal rule, baseline, threshold and anomaly, with what observation time, evidence and uncertainty?", "kind": "event", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "signal-rule-baseline-threshold-and-anomaly-q03", "text": "Which validation, disclosure or revision rule may change signal rule, baseline, threshold and anomaly without losing prior releases and provenance?", "kind": "measurement", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "signal-rule-baseline-threshold-and-anomaly-data", "name": "Signal rule, baseline, threshold and anomaly assertion", "description": "Structured cohort-grain answer data for signal rule, baseline, threshold and anomaly, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "0..1", "required": false, "source_refs": [ "SRC-003", "SRC-005" ] } ], "artifacts": [ { "id": "signal-rule-baseline-threshold-and-anomaly-artifact", "name": "Signal rule, baseline, threshold and anomaly record", "description": "Versioned cohort-grain public-health record supporting signal rule, baseline, threshold and anomaly with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-003", "SRC-005" ] } ], "inline_only_rationale": null }, { "id": "signal-verification-assessment-and-disposition", "name": "Signal verification, assessment and disposition", "description": "Evidence-backed decision to monitor, dismiss, escalate or associate a signal with an event or outbreak.", "source_refs": [ "SRC-001", "SRC-003", "SRC-005" ], "questions": [ { "id": "signal-verification-assessment-and-disposition-q01", "text": "What is currently asserted about signal verification, assessment and disposition for this population-health context, at which cohort, place and time grain?", "kind": "decision", "answer_data": [ "Signal verification, assessment and disposition", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "signal-verification-assessment-and-disposition-q02", "text": "Which source, method and authority establish signal verification, assessment and disposition, with what observation time, evidence and uncertainty?", "kind": "validation", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "signal-verification-assessment-and-disposition-q03", "text": "Which validation, disclosure or revision rule may change signal verification, assessment and disposition without losing prior releases and provenance?", "kind": "definition", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "signal-verification-assessment-and-disposition-data", "name": "Signal verification, assessment and disposition assertion", "description": "Structured cohort-grain answer data for signal verification, assessment and disposition, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "0..1", "required": false, "source_refs": [ "SRC-001", "SRC-003", "SRC-005" ] } ], "artifacts": [ { "id": "signal-verification-assessment-and-disposition-artifact", "name": "Signal verification, assessment and disposition record", "description": "Versioned cohort-grain public-health record supporting signal verification, assessment and disposition with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-001", "SRC-003", "SRC-005" ] } ], "inline_only_rationale": null } ] } ] }, { "id": "outbreak-and-transmission", "name": "Outbreak and transmission", "description": "Represents a declared population-health episode and evolving assessments of its extent and effects.", "rationale": "Outbreak identity and assessments must preserve declaration authority, competing evidence, uncertainty and versioned thresholds.", "source_refs": [ "SRC-001", "SRC-003", "SRC-005", "SRC-006", "SRC-009" ], "layers": [ { "id": "outbreak-identity-and-declaration", "name": "Outbreak identity and declaration", "description": "Identity continuity and authorized declaration or revocation.", "source_refs": [ "SRC-001", "SRC-003", "SRC-005" ], "findings": [ { "id": "outbreak-identity-aliases-and-condition", "name": "Outbreak identity, aliases and condition", "description": "Master identifier, external aliases, condition or syndrome binding and event grouping rationale.", "source_refs": [ "SRC-001", "SRC-003", "SRC-006" ], "questions": [ { "id": "outbreak-identity-aliases-and-condition-q01", "text": "What is currently asserted about outbreak identity, aliases and condition for this population-health context, at which cohort, place and time grain?", "kind": "identity", "answer_data": [ "Outbreak identity, aliases and condition", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "outbreak-identity-aliases-and-condition-q02", "text": "Which source, method and authority establish outbreak identity, aliases and condition, with what observation time, evidence and uncertainty?", "kind": "exception", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "outbreak-identity-aliases-and-condition-q03", "text": "Which validation, disclosure or revision rule may change outbreak identity, aliases and condition without losing prior releases and provenance?", "kind": "ownership", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "outbreak-identity-aliases-and-condition-data", "name": "Outbreak identity, aliases and condition assertion", "description": "Structured cohort-grain answer data for outbreak identity, aliases and condition, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-001", "SRC-003", "SRC-006" ] } ], "artifacts": [ { "id": "outbreak-identity-aliases-and-condition-artifact", "name": "Outbreak identity, aliases and condition record", "description": "Versioned cohort-grain public-health record supporting outbreak identity, aliases and condition with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-001", "SRC-003", "SRC-006" ] } ], "inline_only_rationale": null }, { "id": "declaration-definition-threshold-and-authority", "name": "Declaration definition, threshold and authority", "description": "Pinned outbreak definition, evidence, threshold, declaring authority, effective time and revocation history.", "source_refs": [ "SRC-001", "SRC-003", "SRC-006" ], "questions": [ { "id": "declaration-definition-threshold-and-authority-q01", "text": "What is currently asserted about declaration definition, threshold and authority for this population-health context, at which cohort, place and time grain?", "kind": "authority", "answer_data": [ "Declaration definition, threshold and authority", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "declaration-definition-threshold-and-authority-q02", "text": "Which source, method and authority establish declaration definition, threshold and authority, with what observation time, evidence and uncertainty?", "kind": "classification", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "declaration-definition-threshold-and-authority-q03", "text": "Which validation, disclosure or revision rule may change declaration definition, threshold and authority without losing prior releases and provenance?", "kind": "privacy", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "declaration-definition-threshold-and-authority-data", "name": "Declaration definition, threshold and authority assertion", "description": "Structured cohort-grain answer data for declaration definition, threshold and authority, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-001", "SRC-003", "SRC-006" ] } ], "artifacts": [ { "id": "declaration-definition-threshold-and-authority-artifact", "name": "Declaration definition, threshold and authority record", "description": "Versioned cohort-grain public-health record supporting declaration definition, threshold and authority with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-001", "SRC-003", "SRC-006" ] } ], "inline_only_rationale": null } ] }, { "id": "extent-transmission-and-severity", "name": "Extent, transmission and severity", "description": "Affected scope, spread characteristics and health burden.", "source_refs": [ "SRC-001", "SRC-003", "SRC-005" ], "findings": [ { "id": "affected-populations-areas-and-settings", "name": "Affected populations, areas and settings", "description": "Confirmed, suspected or excluded scope assertions across cohorts, locations and settings with confidence.", "source_refs": [ "SRC-001", "SRC-003", "SRC-005" ], "questions": [ { "id": "affected-populations-areas-and-settings-q01", "text": "What is currently asserted about affected populations, areas and settings for this population-health context, at which cohort, place and time grain?", "kind": "relationship", "answer_data": [ "Affected populations, areas and settings", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "affected-populations-areas-and-settings-q02", "text": "Which source, method and authority establish affected populations, areas and settings, with what observation time, evidence and uncertainty?", "kind": "temporal", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "affected-populations-areas-and-settings-q03", "text": "Which validation, disclosure or revision rule may change affected populations, areas and settings without losing prior releases and provenance?", "kind": "state", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "affected-populations-areas-and-settings-data", "name": "Affected populations, areas and settings assertion", "description": "Structured cohort-grain answer data for affected populations, areas and settings, including scope, status, time and provenance.", "value_kind": "collection", "cardinality": "1", "required": true, "source_refs": [ "SRC-001", "SRC-003", "SRC-005" ] } ], "artifacts": [ { "id": "affected-populations-areas-and-settings-artifact", "name": "Affected populations, areas and settings record", "description": "Versioned cohort-grain public-health record supporting affected populations, areas and settings with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-001", "SRC-003", "SRC-005" ] } ], "inline_only_rationale": null }, { "id": "transmission-route-dynamics-and-severity", "name": "Transmission route, dynamics and severity", "description": "Evidence-backed route, generation or reproduction estimates, attack rate, hospitalization, mortality and severity profile.", "source_refs": [ "SRC-001", "SRC-003", "SRC-005" ], "questions": [ { "id": "transmission-route-dynamics-and-severity-q01", "text": "What is currently asserted about transmission route, dynamics and severity for this population-health context, at which cohort, place and time grain?", "kind": "evidence", "answer_data": [ "Transmission route, dynamics and severity", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "transmission-route-dynamics-and-severity-q02", "text": "Which source, method and authority establish transmission route, dynamics and severity, with what observation time, evidence and uncertainty?", "kind": "requirement", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "transmission-route-dynamics-and-severity-q03", "text": "Which validation, disclosure or revision rule may change transmission route, dynamics and severity without losing prior releases and provenance?", "kind": "measurement", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "transmission-route-dynamics-and-severity-data", "name": "Transmission route, dynamics and severity assertion", "description": "Structured cohort-grain answer data for transmission route, dynamics and severity, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "0..1", "required": false, "source_refs": [ "SRC-001", "SRC-003", "SRC-005" ] } ], "artifacts": [ { "id": "transmission-route-dynamics-and-severity-artifact", "name": "Transmission route, dynamics and severity record", "description": "Versioned cohort-grain public-health record supporting transmission route, dynamics and severity with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-001", "SRC-003", "SRC-005" ] } ], "inline_only_rationale": null } ] }, { "id": "course-forecast-and-closure", "name": "Course, forecast and closure", "description": "Observed epidemic curve, forecasts and episode disposition.", "source_refs": [ "SRC-001", "SRC-003", "SRC-009" ], "findings": [ { "id": "course-trend-forecast-and-scenario", "name": "Course, trend, forecast and scenario", "description": "Separates observed trajectory, statistical nowcast, forecast and policy scenario with method and uncertainty.", "source_refs": [ "SRC-003", "SRC-009" ], "questions": [ { "id": "course-trend-forecast-and-scenario-q01", "text": "What is currently asserted about course, trend, forecast and scenario for this population-health context, at which cohort, place and time grain?", "kind": "state", "answer_data": [ "Course, trend, forecast and scenario", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "course-trend-forecast-and-scenario-q02", "text": "Which source, method and authority establish course, trend, forecast and scenario, with what observation time, evidence and uncertainty?", "kind": "evidence", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "course-trend-forecast-and-scenario-q03", "text": "Which validation, disclosure or revision rule may change course, trend, forecast and scenario without losing prior releases and provenance?", "kind": "definition", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "course-trend-forecast-and-scenario-data", "name": "Course, trend, forecast and scenario assertion", "description": "Structured cohort-grain answer data for course, trend, forecast and scenario, including scope, status, time and provenance.", "value_kind": "collection", "cardinality": "0..1", "required": false, "source_refs": [ "SRC-003", "SRC-009" ] } ], "artifacts": [ { "id": "course-trend-forecast-and-scenario-artifact", "name": "Course, trend, forecast and scenario record", "description": "Versioned cohort-grain public-health record supporting course, trend, forecast and scenario with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-003", "SRC-009" ] } ], "inline_only_rationale": null }, { "id": "closure-endemic-transition-and-residual-risk", "name": "Closure, endemic transition and residual risk", "description": "Authorized closure or reclassification with evidence, unresolved uncertainty and recurrence monitoring plan.", "source_refs": [ "SRC-001", "SRC-003" ], "questions": [ { "id": "closure-endemic-transition-and-residual-risk-q01", "text": "What is currently asserted about closure, endemic transition and residual risk for this population-health context, at which cohort, place and time grain?", "kind": "lifecycle", "answer_data": [ "Closure, endemic transition and residual risk", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "closure-endemic-transition-and-residual-risk-q02", "text": "Which source, method and authority establish closure, endemic transition and residual risk, with what observation time, evidence and uncertainty?", "kind": "retention", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "closure-endemic-transition-and-residual-risk-q03", "text": "Which validation, disclosure or revision rule may change closure, endemic transition and residual risk without losing prior releases and provenance?", "kind": "authority", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "closure-endemic-transition-and-residual-risk-data", "name": "Closure, endemic transition and residual risk assertion", "description": "Structured cohort-grain answer data for closure, endemic transition and residual risk, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "0..1", "required": false, "source_refs": [ "SRC-001", "SRC-003" ] } ], "artifacts": [ { "id": "closure-endemic-transition-and-residual-risk-artifact", "name": "Closure, endemic transition and residual risk record", "description": "Versioned cohort-grain public-health record supporting closure, endemic transition and residual risk with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-001", "SRC-003" ] } ], "inline_only_rationale": null } ] } ] }, { "id": "immunization-programme-and-coverage", "name": "Immunization programme and coverage", "description": "Describes aggregate programme intent, delivery reach and equity without storing personal vaccination records.", "rationale": "Coverage requires target-population accuracy, product and schedule semantics, numerator provenance and explicit uncertainty.", "source_refs": [ "SRC-004", "SRC-007", "SRC-008" ], "layers": [ { "id": "programme-campaign-and-product", "name": "Programme, campaign and product", "description": "Programme identity, target, schedule and aggregate product bindings.", "source_refs": [ "SRC-004", "SRC-008" ], "findings": [ { "id": "programme-campaign-target-and-period", "name": "Programme, campaign, target and period", "description": "Programme or campaign identity, objective, target cohort, area, responsible authority and active period.", "source_refs": [ "SRC-004" ], "questions": [ { "id": "programme-campaign-target-and-period-q01", "text": "What is currently asserted about programme, campaign, target and period for this population-health context, at which cohort, place and time grain?", "kind": "composition", "answer_data": [ "Programme, campaign, target and period", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "programme-campaign-target-and-period-q02", "text": "Which source, method and authority establish programme, campaign, target and period, with what observation time, evidence and uncertainty?", "kind": "definition", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "programme-campaign-target-and-period-q03", "text": "Which validation, disclosure or revision rule may change programme, campaign, target and period without losing prior releases and provenance?", "kind": "retention", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "programme-campaign-target-and-period-data", "name": "Programme, campaign, target and period assertion", "description": "Structured cohort-grain answer data for programme, campaign, target and period, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-004" ] } ], "artifacts": [ { "id": "programme-campaign-target-and-period-artifact", "name": "Programme, campaign, target and period record", "description": "Versioned cohort-grain public-health record supporting programme, campaign, target and period with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-004" ] } ], "inline_only_rationale": null }, { "id": "vaccine-antigen-dose-and-schedule-binding", "name": "Vaccine, antigen, dose and schedule binding", "description": "Pinned product, antigen, dose number, schedule and eligibility references used to interpret aggregates.", "source_refs": [ "SRC-004", "SRC-008" ], "questions": [ { "id": "vaccine-antigen-dose-and-schedule-binding-q01", "text": "What is currently asserted about vaccine, antigen, dose and schedule binding for this population-health context, at which cohort, place and time grain?", "kind": "interoperability", "answer_data": [ "Vaccine, antigen, dose and schedule binding", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "vaccine-antigen-dose-and-schedule-binding-q02", "text": "Which source, method and authority establish vaccine, antigen, dose and schedule binding, with what observation time, evidence and uncertainty?", "kind": "state", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "vaccine-antigen-dose-and-schedule-binding-q03", "text": "Which validation, disclosure or revision rule may change vaccine, antigen, dose and schedule binding without losing prior releases and provenance?", "kind": "lifecycle", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "vaccine-antigen-dose-and-schedule-binding-data", "name": "Vaccine, antigen, dose and schedule binding assertion", "description": "Structured cohort-grain answer data for vaccine, antigen, dose and schedule binding, including scope, status, time and provenance.", "value_kind": "collection", "cardinality": "1", "required": true, "source_refs": [ "SRC-004", "SRC-008" ] } ], "artifacts": [], "inline_only_rationale": "This finding stores only aggregate values or typed references; person-grain source records and external master lifecycles remain outside this model." } ] }, { "id": "coverage-performance-and-equity", "name": "Coverage, performance and equity", "description": "Vaccinated counts, denominators, timeliness, dropout and disparities.", "source_refs": [ "SRC-004", "SRC-007", "SRC-008" ], "findings": [ { "id": "coverage-numerator-denominator-and-estimate", "name": "Coverage numerator, denominator and estimate", "description": "Dose or completion count, target-population estimate, coverage result, data source and uncertainty.", "source_refs": [ "SRC-004", "SRC-007" ], "questions": [ { "id": "coverage-numerator-denominator-and-estimate-q01", "text": "What is currently asserted about coverage numerator, denominator and estimate for this population-health context, at which cohort, place and time grain?", "kind": "measurement", "answer_data": [ "Coverage numerator, denominator and estimate", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "coverage-numerator-denominator-and-estimate-q02", "text": "Which source, method and authority establish coverage numerator, denominator and estimate, with what observation time, evidence and uncertainty?", "kind": "ownership", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "coverage-numerator-denominator-and-estimate-q03", "text": "Which validation, disclosure or revision rule may change coverage numerator, denominator and estimate without losing prior releases and provenance?", "kind": "evidence", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "coverage-numerator-denominator-and-estimate-data", "name": "Coverage numerator, denominator and estimate assertion", "description": "Structured cohort-grain answer data for coverage numerator, denominator and estimate, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-004", "SRC-007" ] } ], "artifacts": [ { "id": "coverage-numerator-denominator-and-estimate-artifact", "name": "Coverage numerator, denominator and estimate record", "description": "Versioned cohort-grain public-health record supporting coverage numerator, denominator and estimate with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-004", "SRC-007" ] } ], "inline_only_rationale": null }, { "id": "timeliness-dropout-access-and-equity", "name": "Timeliness, dropout, access and equity", "description": "Schedule timeliness, series dropout, zero-dose or under-served cohorts and stratified access differences.", "source_refs": [ "SRC-004" ], "questions": [ { "id": "timeliness-dropout-access-and-equity-q01", "text": "What is currently asserted about timeliness, dropout, access and equity for this population-health context, at which cohort, place and time grain?", "kind": "quality", "answer_data": [ "Timeliness, dropout, access and equity", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "timeliness-dropout-access-and-equity-q02", "text": "Which source, method and authority establish timeliness, dropout, access and equity, with what observation time, evidence and uncertainty?", "kind": "event", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "timeliness-dropout-access-and-equity-q03", "text": "Which validation, disclosure or revision rule may change timeliness, dropout, access and equity without losing prior releases and provenance?", "kind": "identity", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "timeliness-dropout-access-and-equity-data", "name": "Timeliness, dropout, access and equity assertion", "description": "Structured cohort-grain answer data for timeliness, dropout, access and equity, including scope, status, time and provenance.", "value_kind": "collection", "cardinality": "0..1", "required": false, "source_refs": [ "SRC-004" ] } ], "artifacts": [ { "id": "timeliness-dropout-access-and-equity-artifact", "name": "Timeliness, dropout, access and equity record", "description": "Versioned cohort-grain public-health record supporting timeliness, dropout, access and equity with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-004" ] } ], "inline_only_rationale": null } ] } ] }, { "id": "measures-and-evaluation", "name": "Measures and evaluation", "description": "Binds public-health interventions to their authority, target and observed population effects.", "rationale": "Intervention decisions, implementation facts and causal effectiveness claims are different objects and must not be inferred from temporal association alone.", "source_refs": [ "SRC-001", "SRC-002", "SRC-003", "SRC-004", "SRC-009" ], "layers": [ { "id": "measure-definition-and-operation", "name": "Measure definition and operation", "description": "Measure type, authority, scope and actual implementation.", "source_refs": [ "SRC-001", "SRC-003" ], "findings": [ { "id": "measure-identity-purpose-authority-and-target", "name": "Measure identity, purpose, authority and target", "description": "Versioned intervention definition, legal or policy basis, target population, area and intended mechanism.", "source_refs": [ "SRC-001", "SRC-003" ], "questions": [ { "id": "measure-identity-purpose-authority-and-target-q01", "text": "What is currently asserted about measure identity, purpose, authority and target for this population-health context, at which cohort, place and time grain?", "kind": "authority", "answer_data": [ "Measure identity, purpose, authority and target", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "measure-identity-purpose-authority-and-target-q02", "text": "Which source, method and authority establish measure identity, purpose, authority and target, with what observation time, evidence and uncertainty?", "kind": "security", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "measure-identity-purpose-authority-and-target-q03", "text": "Which validation, disclosure or revision rule may change measure identity, purpose, authority and target without losing prior releases and provenance?", "kind": "requirement", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "measure-identity-purpose-authority-and-target-data", "name": "Measure identity, purpose, authority and target assertion", "description": "Structured cohort-grain answer data for measure identity, purpose, authority and target, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-001", "SRC-003" ] } ], "artifacts": [ { "id": "measure-identity-purpose-authority-and-target-artifact", "name": "Measure identity, purpose, authority and target record", "description": "Versioned cohort-grain public-health record supporting measure identity, purpose, authority and target with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-001", "SRC-003" ] } ], "inline_only_rationale": null }, { "id": "introduction-change-lifting-and-compliance-observation", "name": "Introduction, change, lifting and compliance observation", "description": "Actual effective intervals, amendments, implementation variation and aggregate adherence observations.", "source_refs": [ "SRC-001", "SRC-003", "SRC-010" ], "questions": [ { "id": "introduction-change-lifting-and-compliance-observation-q01", "text": "What is currently asserted about introduction, change, lifting and compliance observation for this population-health context, at which cohort, place and time grain?", "kind": "event", "answer_data": [ "Introduction, change, lifting and compliance observation", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "introduction-change-lifting-and-compliance-observation-q02", "text": "Which source, method and authority establish introduction, change, lifting and compliance observation, with what observation time, evidence and uncertainty?", "kind": "interoperability", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "introduction-change-lifting-and-compliance-observation-q03", "text": "Which validation, disclosure or revision rule may change introduction, change, lifting and compliance observation without losing prior releases and provenance?", "kind": "access", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "introduction-change-lifting-and-compliance-observation-data", "name": "Introduction, change, lifting and compliance observation assertion", "description": "Structured cohort-grain answer data for introduction, change, lifting and compliance observation, including scope, status, time and provenance.", "value_kind": "collection", "cardinality": "0..1", "required": false, "source_refs": [ "SRC-001", "SRC-003", "SRC-010" ] } ], "artifacts": [ { "id": "introduction-change-lifting-and-compliance-observation-artifact", "name": "Introduction, change, lifting and compliance observation record", "description": "Versioned cohort-grain public-health record supporting introduction, change, lifting and compliance observation with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-001", "SRC-003", "SRC-010" ] } ], "inline_only_rationale": null } ] }, { "id": "evaluation-and-learning", "name": "Evaluation and learning", "description": "Effectiveness, harms, equity and decision feedback.", "source_refs": [ "SRC-002", "SRC-004", "SRC-009" ], "findings": [ { "id": "evaluation-design-comparator-and-effect-estimate", "name": "Evaluation design, comparator and effect estimate", "description": "Study or analytic design, comparator or counterfactual, endpoints, effect estimate, uncertainty and limitations.", "source_refs": [ "SRC-002", "SRC-004", "SRC-009" ], "questions": [ { "id": "evaluation-design-comparator-and-effect-estimate-q01", "text": "What is currently asserted about evaluation design, comparator and effect estimate for this population-health context, at which cohort, place and time grain?", "kind": "validation", "answer_data": [ "Evaluation design, comparator and effect estimate", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "evaluation-design-comparator-and-effect-estimate-q02", "text": "Which source, method and authority establish evaluation design, comparator and effect estimate, with what observation time, evidence and uncertainty?", "kind": "composition", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "evaluation-design-comparator-and-effect-estimate-q03", "text": "Which validation, disclosure or revision rule may change evaluation design, comparator and effect estimate without losing prior releases and provenance?", "kind": "temporal", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "evaluation-design-comparator-and-effect-estimate-data", "name": "Evaluation design, comparator and effect estimate assertion", "description": "Structured cohort-grain answer data for evaluation design, comparator and effect estimate, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "0..1", "required": false, "source_refs": [ "SRC-002", "SRC-004", "SRC-009" ] } ], "artifacts": [ { "id": "evaluation-design-comparator-and-effect-estimate-artifact", "name": "Evaluation design, comparator and effect estimate record", "description": "Versioned cohort-grain public-health record supporting evaluation design, comparator and effect estimate with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-002", "SRC-004", "SRC-009" ] } ], "inline_only_rationale": null }, { "id": "benefit-harm-equity-and-decision-feedback", "name": "Benefit, harm, equity and decision feedback", "description": "Observed benefits, adverse or displaced effects, distributional impact and the decision that used the evaluation.", "source_refs": [ "SRC-001", "SRC-004", "SRC-009" ], "questions": [ { "id": "benefit-harm-equity-and-decision-feedback-q01", "text": "What is currently asserted about benefit, harm, equity and decision feedback for this population-health context, at which cohort, place and time grain?", "kind": "decision", "answer_data": [ "Benefit, harm, equity and decision feedback", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "benefit-harm-equity-and-decision-feedback-q02", "text": "Which source, method and authority establish benefit, harm, equity and decision feedback, with what observation time, evidence and uncertainty?", "kind": "spatial", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "benefit-harm-equity-and-decision-feedback-q03", "text": "Which validation, disclosure or revision rule may change benefit, harm, equity and decision feedback without losing prior releases and provenance?", "kind": "quality", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "benefit-harm-equity-and-decision-feedback-data", "name": "Benefit, harm, equity and decision feedback assertion", "description": "Structured cohort-grain answer data for benefit, harm, equity and decision feedback, including scope, status, time and provenance.", "value_kind": "collection", "cardinality": "0..1", "required": false, "source_refs": [ "SRC-001", "SRC-004", "SRC-009" ] } ], "artifacts": [ { "id": "benefit-harm-equity-and-decision-feedback-artifact", "name": "Benefit, harm, equity and decision feedback record", "description": "Versioned cohort-grain public-health record supporting benefit, harm, equity and decision feedback with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-001", "SRC-004", "SRC-009" ] } ], "inline_only_rationale": null } ] } ] }, { "id": "governance-provenance-and-federation", "name": "Governance, provenance and federation", "description": "Controls disclosure, revision, access and exchange of sensitive population-health knowledge.", "rationale": "Aggregate health data can still reveal people or communities, and changing evidence must remain traceable across releases and jurisdictions.", "source_refs": [ "SRC-001", "SRC-004", "SRC-005", "SRC-007", "SRC-009", "SRC-010" ], "layers": [ { "id": "privacy-access-and-retention", "name": "Privacy, access and retention", "description": "Disclosure-risk controls and governed disposition.", "source_refs": [ "SRC-001", "SRC-004", "SRC-005" ], "findings": [ { "id": "small-cell-linkage-and-reidentification-risk", "name": "Small-cell, linkage and re-identification risk", "description": "Risk assessment for rare combinations, fine geography or time, repeated releases and cross-dataset linkage.", "source_refs": [ "SRC-004", "SRC-005" ], "questions": [ { "id": "small-cell-linkage-and-reidentification-risk-q01", "text": "What is currently asserted about small-cell, linkage and re-identification risk for this population-health context, at which cohort, place and time grain?", "kind": "privacy", "answer_data": [ "Small-cell, linkage and re-identification risk", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "small-cell-linkage-and-reidentification-risk-q02", "text": "Which source, method and authority establish small-cell, linkage and re-identification risk, with what observation time, evidence and uncertainty?", "kind": "constraint", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "small-cell-linkage-and-reidentification-risk-q03", "text": "Which validation, disclosure or revision rule may change small-cell, linkage and re-identification risk without losing prior releases and provenance?", "kind": "classification", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "small-cell-linkage-and-reidentification-risk-data", "name": "Small-cell, linkage and re-identification risk assertion", "description": "Structured cohort-grain answer data for small-cell, linkage and re-identification risk, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-004", "SRC-005" ] } ], "artifacts": [ { "id": "small-cell-linkage-and-reidentification-risk-artifact", "name": "Small-cell, linkage and re-identification risk record", "description": "Versioned cohort-grain public-health record supporting small-cell, linkage and re-identification risk with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-004", "SRC-005" ] } ], "inline_only_rationale": null }, { "id": "projection-suppression-access-retention-and-hold", "name": "Projection, suppression, access, retention and hold", "description": "Minimum release, suppression or perturbation rule, recipient purpose, access decision and retention or legal-hold binding.", "source_refs": [ "SRC-001", "SRC-004", "SRC-005" ], "questions": [ { "id": "projection-suppression-access-retention-and-hold-q01", "text": "What is currently asserted about projection, suppression, access, retention and hold for this population-health context, at which cohort, place and time grain?", "kind": "access", "answer_data": [ "Projection, suppression, access, retention and hold", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "projection-suppression-access-retention-and-hold-q02", "text": "Which source, method and authority establish projection, suppression, access, retention and hold, with what observation time, evidence and uncertainty?", "kind": "quality", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "projection-suppression-access-retention-and-hold-q03", "text": "Which validation, disclosure or revision rule may change projection, suppression, access, retention and hold without losing prior releases and provenance?", "kind": "constraint", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "projection-suppression-access-retention-and-hold-data", "name": "Projection, suppression, access, retention and hold assertion", "description": "Structured cohort-grain answer data for projection, suppression, access, retention and hold, including scope, status, time and provenance.", "value_kind": "object", "cardinality": "1", "required": true, "source_refs": [ "SRC-001", "SRC-004", "SRC-005" ] } ], "artifacts": [ { "id": "projection-suppression-access-retention-and-hold-artifact", "name": "Projection, suppression, access, retention and hold record", "description": "Versioned cohort-grain public-health record supporting projection, suppression, access, retention and hold with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-001", "SRC-004", "SRC-005" ] } ], "inline_only_rationale": null } ] }, { "id": "provenance-versioning-and-exchange", "name": "Provenance, versioning and exchange", "description": "Lineage, correction, mappings and international notifications.", "source_refs": [ "SRC-001", "SRC-005", "SRC-007", "SRC-009", "SRC-010" ], "findings": [ { "id": "source-transformation-derivation-and-revision", "name": "Source, transformation, derivation and revision", "description": "Source dataset, collection activity, transformation code or method, responsible agent, predecessor and correction reason.", "source_refs": [ "SRC-005", "SRC-007", "SRC-009" ], "questions": [ { "id": "source-transformation-derivation-and-revision-q01", "text": "What is currently asserted about source, transformation, derivation and revision for this population-health context, at which cohort, place and time grain?", "kind": "provenance", "answer_data": [ "Source, transformation, derivation and revision", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "source-transformation-derivation-and-revision-q02", "text": "Which source, method and authority establish source, transformation, derivation and revision, with what observation time, evidence and uncertainty?", "kind": "access", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "source-transformation-derivation-and-revision-q03", "text": "Which validation, disclosure or revision rule may change source, transformation, derivation and revision without losing prior releases and provenance?", "kind": "exception", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "source-transformation-derivation-and-revision-data", "name": "Source, transformation, derivation and revision assertion", "description": "Structured cohort-grain answer data for source, transformation, derivation and revision, including scope, status, time and provenance.", "value_kind": "collection", "cardinality": "1", "required": true, "source_refs": [ "SRC-005", "SRC-007", "SRC-009" ] } ], "artifacts": [ { "id": "source-transformation-derivation-and-revision-artifact", "name": "Source, transformation, derivation and revision record", "description": "Versioned cohort-grain public-health record supporting source, transformation, derivation and revision with provenance and disclosure marking.", "media_or_form": [ "structured aggregate record", "signed or controlled release", "resolvable methodology and evidence index" ], "serial": true, "identity_strategy": "Authoritative public-health master identifier first; otherwise a Dimension-governed UUID or ULID.", "source_refs": [ "SRC-005", "SRC-007", "SRC-009" ] } ], "inline_only_rationale": null }, { "id": "schema-mapping-release-and-international-report", "name": "Schema mapping, release and international report", "description": "Pinned target schema, jurisdiction, projection digest, loss declaration, release status and IHR notification binding.", "source_refs": [ "SRC-001", "SRC-005", "SRC-007", "SRC-009" ], "questions": [ { "id": "schema-mapping-release-and-international-report-q01", "text": "What is currently asserted about schema mapping, release and international report for this population-health context, at which cohort, place and time grain?", "kind": "interoperability", "answer_data": [ "Schema mapping, release and international report", "cohort, place and period", "assertion status or explicit unknown" ] }, { "id": "schema-mapping-release-and-international-report-q02", "text": "Which source, method and authority establish schema mapping, release and international report, with what observation time, evidence and uncertainty?", "kind": "identity", "answer_data": [ "source and authority", "method and observation time", "evidence, uncertainty and limitations" ] }, { "id": "schema-mapping-release-and-international-report-q03", "text": "Which validation, disclosure or revision rule may change schema mapping, release and international report without losing prior releases and provenance?", "kind": "spatial", "answer_data": [ "validation and disclosure rule", "authorized revision event", "predecessor, correction or counterclaim reference" ] } ], "data_elements": [ { "id": "schema-mapping-release-and-international-report-data", "name": "Schema mapping, release and international report assertion", "description": "Structured cohort-grain answer data for schema mapping, release and international report, including scope, status, time and provenance.", "value_kind": "collection", "cardinality": "0..1", "required": false, "source_refs": [ "SRC-001", "SRC-005", "SRC-007", "SRC-009" ] } ], "artifacts": [], "inline_only_rationale": "This finding stores only aggregate values or typed references; person-grain source records and external master lifecycles remain outside this model." } ] } ] } ] }, "functions": [ { "id": "define-surveillance-frame", "name": "Define surveillance frame", "description": "Pin population, cohort, place, period, purpose, authority and profiles before producing observations.", "inputs": [ "purpose", "population and area definitions", "profiles" ], "outputs": [ "versioned surveillance frame" ], "preconditions": [ "record authority and disclosure profile resolve" ], "effects": [ "subsequent records share a reproducible interpretation frame" ], "source_refs": [ "SRC-001", "SRC-002", "SRC-005" ] }, { "id": "register-indicator", "name": "Register indicator", "description": "Create a versioned population-health measure definition.", "inputs": [ "concept", "method", "numerator and denominator", "unit and stratifiers" ], "outputs": [ "indicator specification" ], "preconditions": [ "measure owner and source definitions are known" ], "effects": [ "values can be calculated and compared under a pinned version" ], "source_refs": [ "SRC-002", "SRC-007" ] }, { "id": "append-indicator-observation", "name": "Append indicator observation", "description": "Record an aggregate value or estimate with cohort, period, method, quality and uncertainty.", "inputs": [ "indicator", "aggregate inputs", "provenance" ], "outputs": [ "series observation revision" ], "preconditions": [ "grain and disclosure controls permit storage" ], "effects": [ "provisional, corrected and final releases remain distinguishable" ], "source_refs": [ "SRC-002", "SRC-004", "SRC-007", "SRC-009" ] }, { "id": "ingest-case-aggregate", "name": "Ingest case aggregate", "description": "Transform authorized source notifications into non-identifying counts under a pinned case definition.", "inputs": [ "source aggregate", "case definition", "deduplication and disclosure rules" ], "outputs": [ "case-surveillance aggregate" ], "preconditions": [ "person identifiers are absent from the target record" ], "effects": [ "counts retain source, lag, definition and quality context" ], "source_refs": [ "SRC-005", "SRC-006" ] }, { "id": "detect-and-assess-signal", "name": "Detect and assess signal", "description": "Apply a pinned method and record verification or disposition without promoting anomaly to outbreak.", "inputs": [ "series", "baseline and rule", "supporting evidence" ], "outputs": [ "signal and assessment revisions" ], "preconditions": [ "method and authority resolve" ], "effects": [ "signal status and rationale are traceable" ], "source_refs": [ "SRC-003", "SRC-005" ] }, { "id": "declare-or-revoke-outbreak", "name": "Declare or revoke outbreak", "description": "Record an authorized determination against a pinned definition and threshold.", "inputs": [ "signals and assessments", "definition", "authority" ], "outputs": [ "outbreak identity and declaration revision" ], "preconditions": [ "minimum evidence and mandate are satisfied" ], "effects": [ "declaration, revocation and uncertainty remain historically visible" ], "source_refs": [ "SRC-001", "SRC-003", "SRC-006" ] }, { "id": "revise-outbreak-assessment", "name": "Revise outbreak assessment", "description": "Update scope, transmission, severity, course or forecast with evidence and uncertainty.", "inputs": [ "outbreak", "new observations", "analytic method" ], "outputs": [ "assessment revision" ], "preconditions": [ "claims are labelled observed, estimated, forecast or scenario" ], "effects": [ "competing assessments remain attributable" ], "source_refs": [ "SRC-001", "SRC-003", "SRC-009" ] }, { "id": "register-immunization-programme", "name": "Register immunization programme", "description": "Define aggregate programme, target cohort, schedule and product bindings.", "inputs": [ "programme mandate", "target cohort", "product and schedule references" ], "outputs": [ "programme revision" ], "preconditions": [ "authority and reference versions resolve" ], "effects": [ "coverage observations share consistent semantics" ], "source_refs": [ "SRC-004", "SRC-008" ] }, { "id": "calculate-coverage-estimate", "name": "Calculate coverage estimate", "description": "Produce a coverage estimate with numerator, target denominator, stratifiers and uncertainty.", "inputs": [ "programme", "vaccinated aggregate", "target-population estimate" ], "outputs": [ "coverage estimate revision" ], "preconditions": [ "grain and disclosure rules permit release" ], "effects": [ "performance and equity comparisons retain denominator provenance" ], "source_refs": [ "SRC-004", "SRC-007" ] }, { "id": "bind-public-health-measure", "name": "Bind public-health measure", "description": "Record a measure definition, authority, target and actual effective interval.", "inputs": [ "measure specification", "authority", "scope and events" ], "outputs": [ "measure revision" ], "preconditions": [ "jurisdictional profile applies" ], "effects": [ "intended and implemented intervention remain distinct" ], "source_refs": [ "SRC-001", "SRC-003" ] }, { "id": "evaluate-measure-effect", "name": "Evaluate measure effect", "description": "Record a method-bounded effect estimate, benefits, harms and equity results.", "inputs": [ "measure", "outcomes", "design and comparator" ], "outputs": [ "evaluation revision" ], "preconditions": [ "causal assumptions and uncertainty are explicit" ], "effects": [ "temporal association is not silently promoted to causation" ], "source_refs": [ "SRC-002", "SRC-004", "SRC-009" ] }, { "id": "issue-governed-projection", "name": "Issue governed projection", "description": "Create a minimum authorized domestic, research, dashboard or international view.", "inputs": [ "record revisions", "recipient and purpose", "projection policy and schema" ], "outputs": [ "digest-pinned release" ], "preconditions": [ "disclosure risk and authority permit release" ], "effects": [ "suppression, mapping loss and provenance are recorded" ], "source_refs": [ "SRC-001", "SRC-004", "SRC-005", "SRC-007", "SRC-009" ] } ], "composition": [ { "target": "Personal Health and Clinical Record models", "relation": "REFERENCE", "purpose": "Receives only authorized aggregate contributions and never imports person-grain identity or care lifecycle.", "required": false, "source_refs": [ "SRC-005", "SRC-006", "SRC-008" ] }, { "target": "Population, Cohort, Geography and Time models", "relation": "REFERENCE", "purpose": "Pins denominators, cohort membership semantics, authoritative areas and periods.", "required": true, "source_refs": [ "SRC-002", "SRC-004", "SRC-007" ] }, { "target": "Laboratory, Specimen, Pathogen and Genomic models", "relation": "REFERENCE", "purpose": "Uses aggregate or evidence references without owning sample, test, organism or sequence records.", "required": false, "source_refs": [ "SRC-003", "SRC-005", "SRC-006" ] }, { "target": "Product, Vaccine, Facility and Organization models", "relation": "REFERENCE", "purpose": "Binds immunization products, sites and accountable institutions without copying master data.", "required": false, "source_refs": [ "SRC-004", "SRC-008" ] }, { "target": "Policy, Legal Authority and Public Programme models", "relation": "REFERENCE", "purpose": "Pins mandates, reporting obligations and intervention authority while those systems own policy lifecycle.", "required": false, "source_refs": [ "SRC-001", "SRC-003", "SRC-004" ] }, { "target": "Task, Supply, Workforce and Response Operations models", "relation": "REFERENCE", "purpose": "Links implementation and resource records without conflating them with epidemiologic observations or effect estimates.", "required": false, "source_refs": [ "SRC-001", "SRC-003" ] }, { "target": "WHO IHR and indicator metadata", "relation": "ALIGN", "purpose": "Supports explicit jurisdictional event assessment, notification and indicator mappings with pinned versions.", "required": false, "source_refs": [ "SRC-001", "SRC-002" ] }, { "target": "HL7 FHIR MeasureReport and Immunization", "relation": "ALIGN", "purpose": "Supports versioned exchange mappings while preserving the boundary between population aggregates and person compartments.", "required": false, "source_refs": [ "SRC-007", "SRC-008" ] }, { "target": "W3C PROV-O", "relation": "ALIGN", "purpose": "Aligns source, activity, agent, derivation and revision semantics for releases.", "required": false, "source_refs": [ "SRC-009" ] } ], "serviceLayers": { "dimension": { "owner_package_requirements": [ "Declare the Dimension owner, public-health authority, constituencies, stewards, namespaces and delegated decision powers.", "Declare aggregate record masters, source systems, cohort and geography registries, clock policy and permitted linkage boundaries.", "Publish model, object, event, relation, indicator, case-definition, disclosure, access, retention and federation registries.", "Pin jurisdiction, condition, outbreak, immunization, intervention, statistical and international-reporting profiles." ], "namespace_guidance": "Mint aggregate, series, signal, outbreak, programme and release identifiers only in the adopting Dimension's governed namespace; preserve external IDs as typed aliases with authority and version.", "registry_links": [ "https://ver.cy/models/", "https://ver.cy/model-agent-protocol.md", "Dimension-local public-health, indicator, event, policy and disclosure registries" ] }, "canon_and_patch": { "canonicalization_rules": [ "Canonicalize by registry ID, model version, authoritative object ID, immutable revision, population frame and effective profile; never use disease name, place label or publication date alone as identity.", "Keep person records, source reports, aggregate observations, signals, outbreak decisions, forecasts, scenarios and interventions as distinct objects." ], "patch_rules": [ "Additive extensions use a Dimension-owned namespace and declare target node, population grain, source, rationale, privacy impact and migration behavior.", "Breaking changes require a new version, migration map, compatibility declaration and continued resolution of prior releases." ], "compatibility_rules": [ "Consumers may ignore unknown additive fields only when population scope, units, methods, provenance, privacy, authority and time meaning remain intact.", "External mappings pin source and target versions and declare suppression, transformation, aggregation, redaction and non-round-trippable information." ] }, "artifact_rules": { "identity_priority": [ "Authoritative public-health master identifier and immutable revision identifier.", "Governed globally resolvable IRI or federation identifier.", "Adopting-Dimension UUID or ULID when no authoritative external identifier exists." ], "timestamp_rule": "Record event timestamps in RFC 3339 with seconds and an explicit UTC offset or Z; keep occurrence, specimen, report, receipt, detection, effective, publication and knowledge times distinct.", "serial_naming_rule": "Name serial artifacts as {aggregate-or-outbreak-id}--{artifact-kind}--{revision-or-event-id}; never use a date, place label, condition code or hash alone as identity.", "integrity_rule": "Store digest, media type, byte length, issuer, method or code version, provenance, disclosure marking and immutable version reference for each retained serial artifact." }, "policies": [ "Never store person-grain health or identity records in this model; source systems contribute only the minimum authorized aggregate or evidence reference.", "Assess small-cell, rare-combination, fine geography-time, repeated-release and cross-dataset linkage risk before every release.", "Every value identifies population, place, period, unit, method, numerator or denominator where applicable, provisional status, uncertainty and provenance.", "Automated agents may append delegated aggregate observations and run reproducible calculations, but consequential declaration, disclosure, closure and policy decisions require declared authority.", "Do not infer causality from temporal association, clinical diagnosis from surveillance classification, anonymity from removed names or legal power from a public-health recommendation." ], "crud": { "read": [ "Resolve active Dimension, purpose, role, profiles and disclosure rules; return only the minimum permitted cohort-grain projection with suppression and uncertainty intact." ], "create": [ "Create authoritative identity, population frame, purpose, source, method, observation and knowledge times and explicit unknowns; validate that person identifiers are absent." ], "update": [ "Append an immutable revision with actor, authority, reason, RFC 3339 effective time, predecessor and calculation lineage; never overwrite prior public releases." ], "delete": [ "Apply retention, legal hold, correction and withdrawal policy; tombstone or withdraw case-owned releases while source systems retain their governed data and references do not cascade." ] }, "roles": [ { "name": "Dimension owner", "responsibilities": [ "Own namespace, mastership, delegation, interoperability, access and retention rules." ] }, { "name": "Public-health authority", "responsibilities": [ "Authorize surveillance frames, outbreak declarations, interventions, closure and governed releases within mandate." ] }, { "name": "Epidemiologist or statistician", "responsibilities": [ "Define measures, evaluate data quality, analyze trends and preserve methods, uncertainty and competing explanations." ] }, { "name": "Surveillance data steward", "responsibilities": [ "Maintain sources, case definitions, mappings, revisions, lineage and quality metadata." ] }, { "name": "Privacy and disclosure reviewer", "responsibilities": [ "Assess re-identification and community harms and approve suppression, perturbation and access projections." ] }, { "name": "Immunization programme owner", "responsibilities": [ "Maintain programme, product, schedule, target-population and coverage semantics." ] }, { "name": "Auditor", "responsibilities": [ "Review authority, calculations, provenance, access, releases and corrections without rewriting scientific truth." ] } ], "access": { "default_rule": "Deny person-grain storage and sensitive aggregate disclosure unless the active Dimension, role, purpose, population grain and disclosure-risk policy grant the action; expose the minimum necessary projection.", "scopes": [ "bundle", "layer", "finding", "artifact" ], "exceptions": [ "Emergency access remains time-limited, purpose-bound, attributable and independently reviewed and cannot bypass person-grain exclusion, immutable release history or legal hold." ], "audit_requirements": [ "Log actor, role, purpose, record and revision identity, action, authority, policy and method versions, RFC 3339 timestamp with offset, affected population scope and outcome for privileged mutation or disclosure." ] }, "agents_bootstrap": { "filename": "AGENTS.md", "required_fields": [ "Name", "Type", "Specification URL", "Storage type URL", "Interface URL", "Processes URL" ], "read_order": [ "Read the nearest Dimension-owner AGENTS.md, public-health mandate, active profiles and disclosure policies.", "Read this model AGENTS.md, pinned spec.yaml and required population, clinical-source, geography, policy and provenance model instructions before mutation." ] } }, "coverage": { "claim": "A source-grounded reviewable draft of the Public Health / Epidemiology aggregate across WHO, CDC, HL7, W3C and IETF materials, with cohort-grain surveillance, outbreak, immunization, intervention and governance coverage but no claim of universal disease, jurisdiction or statistical-profile completeness.", "confidence": "medium", "checklist": [ { "dimension": "identity", "status": "covered", "notes": "Stable aggregate, series, signal, outbreak, programme and release identity plus aliases and immutable revisions are explicit." }, { "dimension": "classification and recognition", "status": "covered", "notes": "Conditions, case definitions, signals, outbreak thresholds and observation versus estimate status bind to versioned profiles." }, { "dimension": "direct properties", "status": "not-applicable", "notes": "Population-health constructs are abstract aggregates; physical properties belong to referenced people, organisms, products, samples, facilities and places." }, { "dimension": "lifecycle", "status": "covered", "notes": "Series revisions, signal assessment, outbreak declaration and closure, programme periods, intervention changes and release correction preserve history." }, { "dimension": "relationships", "status": "covered", "notes": "Populations, places, conditions, sources, outbreaks, programmes, products, measures, evidence, policies and releases use typed bindings." }, { "dimension": "temporal", "status": "covered", "notes": "Occurrence, specimen, report, receipt, detection, effective, publication and knowledge times remain distinct." }, { "dimension": "spatial and population grain", "status": "covered", "notes": "Authoritative geography, cohort membership, denominator and minimum disclosure grain are explicit." }, { "dimension": "provenance", "status": "covered", "notes": "Source datasets, collection activities, transformations, methods, responsible agents, derivations and corrections are represented." }, { "dimension": "ownership", "status": "covered", "notes": "Dimension owner, public-health authority, data stewards, programme owners and external master systems have distinct responsibilities." }, { "dimension": "validation and uncertainty", "status": "covered", "notes": "Definition, denominator, deduplication, quality, lag, bias, suppression, confidence and revision checks are explicit." }, { "dimension": "access and privacy", "status": "covered", "notes": "Person-grain exclusion, linkage risk, small-cell controls, minimum projections, exceptions and audit are explicit." }, { "dimension": "retention and deletion", "status": "covered", "notes": "Retention, legal hold, withdrawal, tombstone and non-cascading source references are defined." }, { "dimension": "interoperability", "status": "covered", "notes": "WHO, CDC and FHIR bindings require pinned versions, aggregation and loss declarations." }, { "dimension": "behavior and possible actions", "status": "covered", "notes": "Agent functions define surveillance and analytic operations while intervention execution remains external." }, { "dimension": "causal and policy reasoning", "status": "covered", "notes": "Observed association, causal estimate, forecast, scenario, intervention authority and decision feedback remain distinct." } ], "known_omissions": [ "Disease, jurisdiction and programme profiles must supply exact case definitions, outbreak thresholds, schedules, powers, notification content and deadlines.", "Formal statistical-disclosure algorithms, differential-privacy budgets and accepted risk thresholds remain Dimension profile work.", "Sibling model IDs and relation cardinalities for populations, places, laboratories, pathogens, products, policies and response operations remain to be pinned." ], "conflicts": [ "The previous B14 card described simple de-identification and a COMPOSE relation from personal health; this draft uses minimum aggregate REFERENCE semantics because removing identifiers alone does not eliminate linkage risk.", "Public-health and vendor vocabularies vary for cases, events, signals, outbreaks and emergency states, so every determination pins its governing definition.", "FHIR resources can contain person compartments; alignment does not authorize person-grain ingestion into this population model." ], "regional_assumptions": [ "WHO IHR bindings apply only to the effective text and reservations governing the relevant State Party; no universal legal conclusion or deadline is assumed.", "CDC case-surveillance semantics are an authoritative national profile, not a claim that United States reporting law applies globally." ], "adversarial_checks": [ "Reject any object containing a direct personal identifier, clinical narrative or linkable rare combination without an explicitly authorized source-system reference and disclosure decision.", "Reject counts, rates or coverage values lacking population, period, numerator or denominator where applicable, method, unit, revision status and uncertainty.", "Reject a signal represented as a declared outbreak, surveillance classification presented as clinical diagnosis, forecast presented as observation or correlation presented as causation.", "Reject overwritten releases, timestamps without seconds and offset, unversioned case definitions, hidden suppression and external mappings without loss declarations.", "Reject international notification, intervention, closure, disclosure or deletion without jurisdictional authority, purpose, provenance and audit." ] }, "researchAdjudication": { "providerMode": "single-provider-waiver", "activeProviders": [ "codex" ], "waivedProviders": [ "claude", "grok" ], "providerPolicy": { "contract_version": "1.0.0", "mode": "single-provider-waiver", "effective_at": "2026-09-06T00:00:00Z", "scope": "Canonical single-stream subject-model research after the six-workstream consolidation", "active_providers": [ "codex" ], "waived_providers": [ { "provider": "claude", "authorized_by": "repository owner", "authorized_at": "2026-09-06T00:00:00Z", "reason": "Claude produced no result on prior 1800-second and 900-second attempts and again timed out on bounded 600-second Sonnet and 300-second Haiku passes. The owner prioritized completion over provider availability." }, { "provider": "grok", "authorized_by": "repository owner", "authorized_at": "2026-09-06T00:00:00Z", "reason": "The repository owner authorized completion without Grok when Grok is unavailable, slow or schema-invalid. Grok may still be attempted as a bounded supplemental reviewer, but its failure never blocks a valid Claude plus no-tools result." } ], "review_rule": "Codex may complete source-grounded fallback research after bounded Claude and Grok attempts fail. It requires a separate no-tools adversarial audit and remains reviewable-draft with a visible absence-of-external-review hold.", "supplemental_provider_attempts": [ { "provider": "claude", "required": false, "maximum_attempts": 1, "failure_policy": "record-and-continue", "admission_rule": "Use only a locally schema-valid result whose sources and boundaries survive adjudication." }, { "provider": "grok", "required": false, "maximum_attempts": 1, "failure_policy": "record-and-continue", "admission_rule": "Use only a locally schema-valid result whose sources and boundaries survive adjudication." } ] }, "boundaryDecision": { "entry_kind": "aggregate", "status": "accepted", "rationale": "The record-plane label standalone-mm is separate from subject kind. Public-health knowledge groups versioned population frames, observations, signals, decisions, programmes and evaluations under governed identities, making aggregate more defensible than entity or event." }, "decisions": [ { "concept": "Population versus person grain", "disposition": "accepted as a hard boundary", "rationale": "The model owns cohort and population aggregates only. Person identifiers, clinical narratives and immunization events remain in source systems and cross the boundary only through minimum authorized aggregates or evidence references." }, { "concept": "Previous B14 COMPOSE relation to personal health", "disposition": "rejected in favor of REFERENCE", "rationale": "Composition would imply importing or owning person-health semantics. Typed aggregate contribution references better preserve custody and disclosure boundaries." }, { "concept": "De-identification sufficiency", "disposition": "rejected", "rationale": "Removed direct identifiers do not eliminate small-cell, rare-combination, fine geography-time, repeated-release or linkage risk, so every projection requires a disclosure-risk decision." }, { "concept": "Surveillance case versus clinical diagnosis", "disposition": "accepted as separate", "rationale": "Surveillance case definitions exist for consistent classification and counting and must not be used as clinical diagnosis or treatment rules." }, { "concept": "Signal, event and outbreak", "disposition": "accepted as separate states and objects", "rationale": "An anomaly or report creates a signal requiring assessment, while an outbreak requires a pinned definition, threshold, evidence and authorized declaration." }, { "concept": "Indicator comparability", "disposition": "accepted with full measure context", "rationale": "Counts, rates, ratios, risks, proportions and modelled estimates remain distinct and carry population, period, numerator, denominator, unit, method, uncertainty and revision status." }, { "concept": "Observation, estimate, forecast and scenario", "disposition": "accepted as distinct epistemic classes", "rationale": "Separating these classes prevents agents from presenting model output as observed fact or a policy scenario as an expected outcome." }, { "concept": "Intervention and effectiveness", "disposition": "accepted as separate", "rationale": "Intervention definition, legal authority, implementation facts and causal effect estimates have different evidence and authority and cannot be inferred from temporal association alone." }, { "concept": "FHIR alignment", "disposition": "accepted with compartment boundary", "rationale": "FHIR MeasureReport and Immunization are useful exchange references, but alignment never authorizes person-compartment data to enter the population model." }, { "concept": "International Health Regulations", "disposition": "accepted as jurisdiction-bound profile", "rationale": "The applicable IHR text, effective date, State Party position and decision authority must be pinned rather than assuming one universal notification rule." }, { "concept": "Physical direct properties", "disposition": "not applicable to aggregate constructs", "rationale": "Physical properties belong to referenced people, organisms, specimens, products, facilities and places; this model owns their permitted population-level context and measurements." }, { "concept": "Question coverage", "disposition": "accepted as reviewable draft", "rationale": "Every finding asks for cohort-place-time scope, source and method, uncertainty, and revision or disclosure controls. Repeated structure is machine-friendly but needs later specialist profile review." } ], "publicationHolds": [ "Claude and Grok timed out during their bounded attempts, so independent external review is absent and explicitly waived for this published reviewable draft.", "The shared relation ledger contains no approved outgoing edges for WM-ACT-023; all sibling-model relations and the correction from the previous B14 COMPOSE wording remain provisional until registry reconciliation.", "Disease, jurisdiction, programme, statistical-disclosure and causal-inference profiles require specialist review before operational enforcement.", "Clause and field-level mappings, exact exchange versions and round-trip behavior remain unverified for canonical conformance even though official source pages were checked during Codex research.", "Independent external review was explicitly waived by the repository owner; this codex-only result remains a reviewable draft." ], "deferredResearch": [ "Validate the structure with infectious-disease, noncommunicable-disease, environmental-health, injury, maternal-health and One Health surveillance profiles.", "Develop formal disclosure-control profiles for small cells, repeated releases, linkage risk and differential-privacy budgets.", "Create clause and field-level crosswalks for current IHR, WHO indicator metadata, CDC case surveillance and FHIR MeasureReport or Immunization.", "Approve sibling model identifiers and cardinality contracts for populations, geography, clinical sources, laboratories, pathogens, products, policies and response operations." ] }, "statistics": { "sources": 10, "bundles": 7, "layers": 16, "findings": 32, "questions": 96, "artifacts": 28, "functions": 12 } }