{
  "version": "life-medical-1",
  "retrievedAt": "2026-10-21",
  "rules": {
    "lotterySize": 10000,
    "maximumConditions": 3,
    "middleAge": 45,
    "olderAge": 65,
    "assessmentYears": 1,
    "managementYears": 2,
    "worseningYears": 6,
    "flareTickets": 120,
    "burdenCap": 12,
    "burden": {
      "noticed": 0,
      "assessment": 0,
      "diagnosed": 3,
      "managed": 1,
      "worsening": 8
    }
  },
  "conditions": [
    {
      "id": "asthma",
      "minimumStoryAge": 5,
      "maximumStoryAge": 65,
      "storyTickets": 80,
      "source": "who-asthma",
      "clinicalNote": "Recurrent wheeze and cough can affect children or adults. Symptoms can come and go; management can control symptoms, not erase a chronic diagnosis."
    },
    {
      "id": "hypertension",
      "minimumStoryAge": 25,
      "maximumStoryAge": 100,
      "storyTickets": 100,
      "source": "who-hypertension",
      "clinicalNote": "Often silent. A repeat blood-pressure assessment, not a headache alone, supports diagnosis. Age, inactivity and tobacco are relevant risk contexts; control needs continued care."
    },
    {
      "id": "type2Diabetes",
      "minimumStoryAge": 25,
      "maximumStoryAge": 100,
      "storyTickets": 60,
      "source": "who-diabetes",
      "clinicalNote": "Early symptoms can be mild or absent. Blood-glucose assessment supports diagnosis; activity and continuing care can help management. Do not infer obesity or laboratory values."
    },
    {
      "id": "copd",
      "minimumStoryAge": 40,
      "maximumStoryAge": 100,
      "storyTickets": 35,
      "source": "who-copd",
      "clinicalNote": "Persistent cough and breathlessness often develop gradually in mid-life. Tobacco and prior asthma are risk contexts; absence of smoking does not exclude disease. Management does not reverse established lung damage."
    },
    {
      "id": "osteoarthritis",
      "minimumStoryAge": 45,
      "maximumStoryAge": 100,
      "storyTickets": 100,
      "source": "who-osteoarthritis",
      "clinicalNote": "Joint pain, stiffness and functional limits can progress gradually. Age is relevant, but disease is not inevitable. Appropriate activity and rehabilitation can help; leisure walking is not treated as a cause."
    }
  ],
  "sources": [
    {
      "id": "who-asthma",
      "title": "WHO · Asthma",
      "url": "https://www.who.int/news-room/fact-sheets/detail/asthma"
    },
    {
      "id": "who-hypertension",
      "title": "WHO · Hypertension",
      "url": "https://www.who.int/news-room/fact-sheets/detail/hypertension"
    },
    {
      "id": "who-diabetes",
      "title": "WHO · Diabetes",
      "url": "https://www.who.int/news-room/fact-sheets/detail/diabetes"
    },
    {
      "id": "who-copd",
      "title": "WHO · Chronic obstructive pulmonary disease",
      "url": "https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd)"
    },
    {
      "id": "who-osteoarthritis",
      "title": "WHO · Osteoarthritis",
      "url": "https://www.who.int/news-room/fact-sheets/detail/osteoarthritis"
    }
  ],
  "method": {
    "scope": "A fictional longitudinal illness-story model informed by qualitative clinical descriptions. This is not an incidence, prevalence, diagnosis, survival or treatment-effect estimator. No disease percentages or medical measurements are generated.",
    "selection": "Every surviving year has independent per-life/condition/year RNG. Story tickets and eligibility ages are authored pacing rules, not observed annual incidence or biological cutoffs. Age bands, recorded smoking/inactivity, existing adult reserve and recorded comorbidity can change story weights. No unrecorded genetic, family, body-weight, occupational or pollution exposure is inferred. At most three conditions and one new condition per surviving year.",
    "progression": "Notice -> assessment after a selected seek-care choice -> diagnosis in a later surviving year. At most one automatic stage change between accepted chapters; a stage must first be presented before further progression. Follow-up can lead to management, deferral or continuing adverse context can permit worsening. Management is not cure; flares remain possible. Timings, weights, persistent care and flare lottery are game assumptions, not measured response rates or individual causal claims.",
    "mortality": "Adult illness burden is an authored offset to the existing game reserve, bounded at twelve points. It enters the already disclosed reserve analogy; no disease-specific mortality multiplier is added. Children retain the unchanged population qx. This is a game approximation, not validated epidemiological calibration; correlated associations can still overlap. Baseline life expectancy, child mortality and survival comparisons remain unchanged population references.",
    "era": "Narration must use period-appropriate descriptions and care without inventing unavailable tests, medicines, access or drug doses. Before 1950 show descriptive chronic-problem labels instead of modern formal diagnoses; stage diagnosed means a fictional clinical assessment, not a claim of modern testing. Five starter condition families are not a complete disease catalogue.",
    "ending": "Chronic illness in the epilogue requires a previously recorded and presented diagnosis and an exact medical-event reference. The terminal scene cannot retrofit an unmentioned chronic diagnosis. Acute illness, infection, accident or first cardiac/stroke events can still be sudden; they are fictional and do not alter the fixed engine death."
  }
}