{"schema":"https://ver.cy/schemas/card/1.0.0","id":"vr.tr.vomiting","code":"thing-q127076","url":"https://ver.cy/models/thing/q127076/","name":"vomiting","alternateNames":["fecal vomiting","psychogenic vomiting","hematemesis","hyperemesis","chronic vomiting","glowing vomit","Projectile vomiting","anticipatory vomiting","coffee ground vomiting"],"kind":"thing","status":"published","version":"0.2.0-wave.3","language":"en","classifiers":{"family":"Thing Registry","category":"Information and virtual systems","entryKind":"thing","plane":"INF","domain":["INF.KNW"],"industry":[],"navPath":"","tags":[],"facets":{}},"whatItIs":"The forceful expulsion of stomach contents through the mouth, a clinical sign and health problem with many causes including infections, food poisoning, motion sickness, pregnancy, medications, migraine, bowel obstruction and psychological factors as in psychogenic vomiting, with serious forms such as hematemesis, vomiting blood, fecal vomiting in bowel obstruction, hyperemesis in pregnancy and chronic vomiting; vomiting causes dehydration and electrolyte loss and can signal emergencies.","purpose":"Let an agent explain vomiting and its causes in general terms from clinical sources, identify warning signs that need urgent care, describe management approaches, and route personal questions to clinicians.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["Reflex mechanism","Many causes","Dehydration risk","Red flag forms"],"structure":{"bundles":[{"id":"help","name":"Help","description":"Warning signs first.","layers":[{"id":"urgent","name":"Urgent","description":"Emergency signs.","findings":[{"id":"urgent-finding","name":"Urgent","description":"Urgent.","questions":[{"text":"Which signs, such as vomiting blood, fecal vomiting, severe pain, confusion or signs of dehydration, need emergency care?","kind":"action"},{"text":"Is the user describing such signs, which need emergency services now?","kind":"boundary"}]}]},{"id":"care","name":"Care","description":"When to see a clinician.","findings":[{"id":"care-finding","name":"Care","description":"Care.","questions":[{"text":"When should vomiting be assessed by a clinician, in general terms?","kind":"provenance"},{"text":"Is the user asking about their own or a child symptoms, which need a clinician?","kind":"boundary"}]}]}]},{"id":"understand","name":"Understand","description":"The sign.","layers":[{"id":"mechanism","name":"Mechanism","description":"Mechanism.","findings":[{"id":"mechanism-finding","name":"Mechanism","description":"Mechanism.","questions":[{"text":"How does the vomiting reflex work, and what triggers it?","kind":"definition"},{"text":"Is the question about vomiting, regurgitation or nausea?","kind":"boundary"}]}]},{"id":"causes","name":"Causes","description":"Causes.","findings":[{"id":"causes-finding","name":"Causes","description":"Causes.","questions":[{"text":"What causes vomiting, from infections and pregnancy to obstruction and psychological factors?","kind":"provenance"},{"text":"Which entry fits the specific cause?","kind":"action"}]}]}]},{"id":"manage","name":"Manage","description":"Management.","layers":[{"id":"selfcare","name":"Self-care","description":"Self-care.","findings":[{"id":"selfcare-finding","name":"Self-care","description":"Self-care.","questions":[{"text":"What general self-care such as rehydration is advised for mild vomiting, per health services?","kind":"action"},{"text":"Which references are standard?","kind":"provenance"}]}]},{"id":"treatment","name":"Treatment","description":"Treatment.","findings":[{"id":"treatment-finding","name":"Treatment","description":"Treatment.","questions":[{"text":"How do clinicians treat vomiting and its causes, including antiemetics, in general terms?","kind":"provenance"},{"text":"Which sources are cited?","kind":"provenance"}]}]}]},{"id":"context","name":"Context","description":"Special groups.","layers":[{"id":"pregnancy","name":"Pregnancy","description":"Pregnancy.","findings":[{"id":"pregnancy-finding","name":"Pregnancy","description":"Pregnancy.","questions":[{"text":"What are morning sickness and hyperemesis gravidarum, and when is help needed?","kind":"provenance"},{"text":"Which entry fits hyperemesis gravidarum?","kind":"action"}]}]},{"id":"children","name":"Children","description":"Children and animals.","findings":[{"id":"children-finding","name":"Children","description":"Children.","questions":[{"text":"How does vomiting differ in infants, children and pets, and when is it urgent?","kind":"provenance"},{"text":"Which entry fits paediatric gastroenteritis?","kind":"action"}]}]}]}]},"agentConduct":{"may":["Explain the common causes of vomiting and what warning signs need medical attention.","Explain the general role of rehydration using recognised public health guidance, while leaving decisions about fluids for a particular person to a clinician.","Urge urgent medical care when there is blood, severe pain, head injury, or vomiting in an infant."],"mustNot":["Give a diagnosis or recommend medicines, including anti-emetics, in place of a clinician.","Advise inducing vomiting, which recognised guidance no longer supports.","Treat repeated self-induced vomiting as a weight management method rather than routing the person to care.","Dismiss persistent vomiting in an infant, a pregnant person or an older adult as minor."],"requiresHuman":["Any decision about medication, fluids or hospital care for a person requires human judgment.","Responding to signs of an eating disorder requires human involvement."]},"ethics":{"considerations":["Dehydration from vomiting kills infants and older people quickly, so advice that delays care is dangerous.","Self-induced vomiting is a feature of eating disorders, and material about it can reinforce harm."],"affectedParties":["Infants and young children","People with eating disorders","Pregnant people and older adults"]},"owners":{"steward":"Nobody owns it; the treating clinician answers for each patient's care.","roles":[],"masterSystems":[]},"relations":[{"target":"Q1441305","type":"parent","note":"registry parent class"},{"target":"Q2057971","type":"parent","note":"registry parent class"},{"target":"Q54926352","type":"parent","note":"registry parent class"},{"target":"Q779939","type":"parent","note":"registry parent class"},{"target":"clinical sign","type":"related","note":"in registry terms"},{"target":"digestive sign","type":"related","note":"in registry terms"},{"target":"health problem","type":"related","note":"in registry terms"},{"target":"nausea","type":"related","note":"usually"}],"interaction":{"identity":{"applicability":"required","items":["Vercy registry: vr.tr.vomiting","Wikidata: Q127076 (https://www.wikidata.org/wiki/Q127076)","ICD-11: MD90 nausea or vomiting","MeSH: D014839 vomiting"]},"properties":{"applicability":"not-applicable","items":[]},"recognition":{"applicability":"optional","items":["Forceful expulsion of stomach contents","Acute, chronic, psychogenic vomiting; hematemesis, fecal vomiting, hyperemesis","Regurgitation is passive; nausea is the sensation; retching produces nothing","Not a visible object; expulsion of stomach contents."]},"capabilities":{"applicability":"required","items":["explain causes and mechanism","identify warning signs","relay management approaches","route personal questions"]},"hazards":{"applicability":"required","items":["Missing emergencies such as hematemesis or obstruction","Dehydration especially in children and older people","Agents giving personal medical advice","Aspiration"]},"interfaces":{"applicability":"required","items":["Clinical guidelines on gastroenteritis, hyperemesis and antiemetics","Emergency guidance on hematemesis and bowel obstruction"]},"context":{"applicability":"required","items":["Not applicable; a clinical sign.","acute vomiting from infection or toxins","chronic and cyclic vomiting","psychogenic vomiting","hematemesis","fecal vomiting","hyperemesis gravidarum","vomiting in infants and children","vomiting in animals"]}},"sources":[{"title":"Wikidata item Q127076: vomiting","url":"https://www.wikidata.org/wiki/Q127076","note":"identity and sense of the item"},{"title":"Wikipedia: Vomiting","url":"https://en.wikipedia.org/wiki/Vomiting","note":"general description of the item"}],"openQuestions":["Should hematemesis and hyperemesis gravidarum be separate primary entries?","How should clinical guidelines be linked?","The registry entry has merged aliases naming forms and a figurative sense; should they be split off?"],"resources":{"spec":"/models/things/publications/thing-q127076/spec.json"},"provenance":{"origin":"thing registry research (pass 2)","builtFrom":["models/things/publications/thing-q127076/spec.json"],"providers":["Claude"],"researchStatus":"unreviewed","generatedAt":"2026-09-13T02:58:53Z","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 2026-10-07T10:10:25+00:00: completeness 1.00; sense: Wikidata description; 2 live sources; review by codex: pass","interaction.properties":"Plane INF: no invented physical properties."},"score":1.0}}