{"schema":"https://ver.cy/schemas/card/1.0.0","id":"vr.tr.growth-state","code":"thing-growth-state","url":"https://ver.cy/models/thing/growth-state/","name":"growth","alternateNames":["exostosis","polyp","polypus","adenomatous polyp","sessile polyp","pedunculated polyp","peduncle","tumor","tumour","neoplasm","acanthoma","skin tumor"],"kind":"thing","status":"published","version":"0.2.0-wave.2","language":"en","classifiers":{"family":"Thing Registry","category":"Cross-cutting context","entryKind":"noun.state","plane":"XCT","domain":["XCT.STA"],"industry":[],"navPath":"","tags":[],"facets":{"substance":"abstract","origin":"conceptual","agency":"inert","mobility":"not-applicable","scale":"not-applicable","affordances":["observable"]}},"whatItIs":"In pathology, an abnormal proliferation of tissue, as in a tumour, polyp, exostosis or other mass, which may be benign or malignant, sessile or pedunculated, and which is investigated by examination, imaging and biopsy; in this sense growth denotes the pathological state of excess tissue and is distinct from normal growth of organisms, economic growth and other senses.","purpose":"Let an agent explain growths as abnormal tissue proliferation in general terms, describe kinds such as polyps and exostoses and how they are assessed, route personal medical questions to clinicians, and separate this sense from other meanings of growth.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["Abnormal proliferation","Benign or malignant","Requires assessment","Pathological sense"],"structure":{"bundles":[{"id":"understand","name":"Understand","description":"What a growth is.","layers":[{"id":"concept","name":"Concept","description":"Concept and kinds.","findings":[{"id":"concept-finding","name":"Concept","description":"Concept.","questions":[{"text":"What is a growth in the pathological sense, and how do polyps, benign and malignant tumours and exostoses differ?","kind":"definition"},{"text":"Is the user asking about their own growth, which needs a clinician?","kind":"boundary"}]}]},{"id":"senses","name":"Senses","description":"Senses of growth.","findings":[{"id":"senses-finding","name":"Senses","description":"Senses.","questions":[{"text":"How does this sense differ from biological development and economic growth?","kind":"definition"},{"text":"Which sense of growth is meant?","kind":"boundary"}]}]}]},{"id":"assess","name":"Assess","description":"Assessment and treatment.","layers":[{"id":"assessment","name":"Assessment","description":"How growths are assessed.","findings":[{"id":"assessment-finding","name":"Assessment","description":"Assessment.","questions":[{"text":"How do clinicians assess growths through examination, imaging and biopsy, in general terms?","kind":"provenance"},{"text":"Is urgent assessment needed, for example with rapid change or bleeding?","kind":"boundary"}]}]},{"id":"treatment","name":"Treatment","description":"Treatment.","findings":[{"id":"treatment-finding","name":"Treatment","description":"Treatment.","questions":[{"text":"How are polyps and other growths removed or monitored, according to guidelines?","kind":"provenance"},{"text":"Which entry fits a specific procedure?","kind":"action"}]}]}]},{"id":"science","name":"Science","description":"Biology and classification.","layers":[{"id":"biology","name":"Biology","description":"Biology of proliferation.","findings":[{"id":"biology-finding","name":"Biology","description":"Biology.","questions":[{"text":"What biological processes lead to abnormal tissue proliferation?","kind":"provenance"},{"text":"Which entry fits cell biology?","kind":"action"}]}]},{"id":"classification","name":"Classification","description":"Classification.","findings":[{"id":"classification-finding","name":"Classification","description":"Classification.","questions":[{"text":"How are growths classified in pathology?","kind":"provenance"},{"text":"Which entry fits pathology?","kind":"action"}]}]}]},{"id":"learn","name":"Learn","description":"Screening and teaching.","layers":[{"id":"screening","name":"Screening","description":"Screening.","findings":[{"id":"screening-finding","name":"Screening","description":"Screening.","questions":[{"text":"How do screening programmes detect growths such as polyps early?","kind":"provenance"},{"text":"Which references are standard?","kind":"provenance"}]}]},{"id":"teach","name":"Teach","description":"Teaching.","findings":[{"id":"teach-finding","name":"Teach","description":"Teaching.","questions":[{"text":"How can pathological growth be taught?","kind":"action"},{"text":"Which misconceptions arise?","kind":"provenance"}]}]}]}]},"agentConduct":{"may":["Share general information about pathological growths and why examination matters.","Help a patient keep track of appointments and findings with consent."],"mustNot":["Tell a person a growth is benign or malignant without a clinician's diagnosis.","Recommend unproven remedies for a growth.","Share a person's diagnosis without consent.","Discourage a biopsy or examination recommended by a clinician."],"requiresHuman":["Any decision on biopsy, removal or treatment."]},"ethics":{"considerations":["Fear of a growth, and delay in seeking care, both harm patients.","Health information is highly sensitive."],"affectedParties":["Patients","Families"]},"owners":{"steward":"The patient, with the treating clinician answering for diagnosis.","roles":[],"masterSystems":["Patient health records","Cancer registries"]},"relations":[{"target":"oewn-14085287-n","type":"parent","note":"registry parent class"},{"target":"pathological state","type":"related","note":"category"},{"target":"endoscopy","type":"related","note":"a method for finding polyps"},{"target":"stomach cancer","type":"related","note":"a malignant growth"},{"target":"symptom","type":"related","note":"growths as clinical findings"}],"interaction":{"identity":{"applicability":"required","items":["Vercy registry: vr.tr.growth-state","Open English WordNet: oewn-14257556-n"]},"properties":{"applicability":"not-applicable","items":[]},"recognition":{"applicability":"optional","items":["Abnormal tissue mass","Polyp, tumour, exostosis","Normal growth is development; economic growth is unrelated","Masses, lumps or protrusions of tissue."]},"capabilities":{"applicability":"required","items":["explain the pathological sense","describe kinds and assessment generally","route personal questions","separate other senses"]},"hazards":{"applicability":"required","items":["Agents assessing a personal lump or growth","Delay in seeking assessment","Confusing senses of growth"]},"interfaces":{"applicability":"required","items":["Clinical guidelines for assessment of masses","Pathology classification of tumours","Screening programme rules"]},"context":{"applicability":"required","items":["Abnormal proliferation of tissue.","polyps, sessile and pedunculated","benign tumours","malignant tumours","exostoses and bony growths","skin growths"]}},"sources":[{"title":"Open English WordNet 2024, synset oewn-14257556-n","url":"https://en-word.net/id/oewn-14257556-n","note":"sense and gloss of the concept"},{"title":"Wiktionary: growth","url":"https://en.wiktionary.org/wiki/growth","note":"word senses and usage"}],"openQuestions":["Should polyps be a separate entry?","How should guidelines be linked?","How should other senses be separated?"],"resources":{"spec":"/models/things/publications/thing-growth-state/spec.json"},"provenance":{"origin":"thing registry research (pass 2)","builtFrom":["models/things/publications/thing-growth-state/spec.json"],"providers":["Claude"],"researchStatus":"unreviewed","generatedAt":"2026-09-12T04:49:18Z","builder":"tools/build_cards.py@1.0.0"},"completeness":{"sections":{"classifiers":"filled","whatItIs":"filled","purpose":"filled","distinguishingFeatures":"filled","structure":"filled","agentConduct":"filled","ethics":"filled","owners":"filled","relations":"filled","interaction.identity":"filled","interaction.properties":"not-applicable","interaction.recognition":"filled","interaction.capabilities":"filled","interaction.hazards":"filled","interaction.interfaces":"filled","interaction.context":"filled","sources":"filled"},"notes":{"_gate":"Published through the thing publication gate 1.0 on 2026-10-07T12:16:27+00:00: completeness 1.00; sense: WordNet gloss; 2 live sources; review by codex: pass","interaction.properties":"Plane XCT: no invented physical properties."},"score":1.0}}