{ "model": { "rank": 5234, "code": "thing-q189588", "model_id": "vr.tr.stomach-cancer", "name": "stomach cancer", "purpose": "Let an agent explain stomach cancer in general terms, relay risk factors, symptoms, screening and treatment information from medical bodies, point to support resources, and route personal questions to clinicians.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q189588/", "tier": 2, "score": 69, "payload": { "layer": "wikidata", "aliases": [ "Epstein-Barr virus-associated gastric carcinoma", "gastric hamartomatous polyp", "stomach polyp", "stomach carcinoma", "hereditary gastric cancer", "gastric neuroendocrine neoplasm", "gastric cardia carcinoma", "gastric pylorus carcinoma", "gastric body carcinoma", "anaplastic gastric carcinoma", "carcinoma of stomach, salivary gland type", "malignant gastric germ cell tumor", "gastric lymphoma", "diffuse gastric cancer", "malignant gastric granular cell tumor", "gastric fundus cancer", "pylorus cancer", "gastric leiomyosarcoma", "gastric teratoma", "gastric liposarcoma", "recurrent malignant gastric neoplasm", "malignant mesenchymal neoplasm of the stomach", "recurrent stomach cancer", "cardia cancer", "Gastroblastoma", "stomach cancer in animals" ], "aliasCount": 26, "merged": 26, "knownIn": 69, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q189588", "url": "https://www.wikidata.org/wiki/Q189588", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-11T23:51:37Z", "providers": [ "Claude" ], "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify", "pass": 2, "wave": 2, "engine": "claude" }, "metaModel": { "id": "THING-Q189588", "registryId": "vr.tr.stomach-cancer", "name": "stomach cancer", "version": "0.2.0-wave.2", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q189588/", "model": { "registry_id": "vr.tr.stomach-cancer", "name": "stomach cancer", "purpose": "Let an agent explain stomach cancer in general terms, relay risk factors, symptoms, screening and treatment information from medical bodies, point to support resources, and route personal questions to clinicians.", "definition": "A malignant tumour arising in the stomach, most often adenocarcinoma of the gastric lining, with other types including neuroendocrine neoplasms, lymphomas and stromal tumours, associated with factors such as Helicobacter pylori infection, Epstein-Barr virus, diet, smoking and hereditary syndromes, and distinguished from benign stomach polyps; stomach cancer is diagnosed by endoscopy and imaging and treated by surgery, chemotherapy and other therapies, and this entry provides general information only, not personal medical advice.", "what_it_is_for": "Malignant tumours of the stomach.", "affordances": [ "explain in general terms", "relay risk factors and symptoms", "describe screening and treatment", "route personal questions" ], "distinguishing_features": [ "Gastric malignancy", "Several types", "Known risk factors", "Staged and treated" ], "appearance": "Not visible externally; seen on endoscopy and imaging.", "visual_identification": [ "Malignant stomach tumour", "Mostly adenocarcinoma", "Stomach polyps are usually benign" ], "physical_properties": [], "families_and_kinds": [ "gastric adenocarcinoma", "Epstein-Barr virus-associated gastric carcinoma", "gastric neuroendocrine neoplasms", "hereditary gastric cancer", "other gastric tumours and polyps" ], "related_models": [ { "relation": "is a kind of", "target": "stomach neoplasm", "why": "category" }, { "relation": "is related to", "target": "cancer", "why": "the disease family" }, { "relation": "is related to", "target": "pathogen", "why": "H. pylori and EBV as risk factors" }, { "relation": "is related to", "target": "stomach", "why": "the organ" } ], "identifiers": [], "standards_and_regulation": [ "Clinical guidelines from oncology bodies", "Cancer staging systems", "Screening programmes in some countries" ], "failure_modes_and_hazards": [ "Agents giving personal medical advice", "Delayed diagnosis from vague symptoms", "Misinformation about causes and cures" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "What stomach cancer is.", "rationale": "General information.", "layers": [ { "id": "types", "name": "Types", "description": "Types and causes.", "findings": [ { "id": "types-finding", "name": "Types", "description": "Types.", "questions": [ { "text": "What types of stomach cancer exist, and what risk factors are documented by medical bodies?", "kind": "provenance" }, { "text": "Is the user asking about their own health, which needs a clinician?", "kind": "boundary" } ] } ] }, { "id": "symptoms", "name": "Symptoms", "description": "Symptoms and diagnosis.", "findings": [ { "id": "symptoms-finding", "name": "Symptoms", "description": "Symptoms.", "questions": [ { "text": "What symptoms are associated with stomach cancer, and how is it diagnosed and staged, according to guidelines?", "kind": "provenance" }, { "text": "Are urgent symptoms present now, requiring immediate care?", "kind": "boundary" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Treatment and screening.", "rationale": "Medicine.", "layers": [ { "id": "treatment", "name": "Treatment", "description": "Treatment.", "findings": [ { "id": "treatment-finding", "name": "Treatment", "description": "Treatment.", "questions": [ { "text": "What treatments are documented for stomach cancer, and how do they depend on stage and type?", "kind": "provenance" }, { "text": "Which entry fits a specific treatment?", "kind": "action" } ] } ] }, { "id": "prevention", "name": "Prevention", "description": "Prevention and screening.", "findings": [ { "id": "prevention-finding", "name": "Prevention", "description": "Prevention.", "questions": [ { "text": "What prevention measures and screening programmes exist, including H. pylori treatment and hereditary testing?", "kind": "provenance" }, { "text": "Which countries screen, and why?", "kind": "provenance" } ] } ] } ] }, { "id": "support", "name": "Support", "description": "Living with the diagnosis.", "rationale": "Support.", "layers": [ { "id": "support", "name": "Support", "description": "Support resources.", "findings": [ { "id": "support-finding", "name": "Support", "description": "Support.", "questions": [ { "text": "What support resources exist for patients and families?", "kind": "provenance" }, { "text": "Is someone in acute distress, needing crisis support?", "kind": "boundary" } ] } ] }, { "id": "life", "name": "Life", "description": "Life after treatment.", "findings": [ { "id": "life-finding", "name": "Life", "description": "Life.", "questions": [ { "text": "What is documented about nutrition and life after stomach surgery?", "kind": "provenance" }, { "text": "Which entry fits cancer survivorship?", "kind": "action" } ] } ] } ] }, { "id": "learn", "name": "Learn", "description": "Research and statistics.", "rationale": "Context.", "layers": [ { "id": "statistics", "name": "Statistics", "description": "Epidemiology.", "findings": [ { "id": "statistics-finding", "name": "Statistics", "description": "Epidemiology.", "questions": [ { "text": "How common is stomach cancer, and how does incidence vary by region, according to cancer registries?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "research", "name": "Research", "description": "Research.", "findings": [ { "id": "research-finding", "name": "Research", "description": "Research.", "questions": [ { "text": "What are current research directions in stomach cancer?", "kind": "provenance" }, { "text": "Which misconceptions arise?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Should each subtype be a separate entry?", "How should guidelines be linked?", "How should support organisations be linked?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "disease or condition", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a stomach cancer, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain stomach cancer in general terms, relay risk factors, symptoms, screening and treatment information from medical bodies, point to support resources, and route personal questions to clinicians.", "characteristics": { "substance": "abstract", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "observed and measured" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: Epstein-Barr virus-associated gastric carcinoma, gastric hamartomatous polyp, stomach polyp, stomach carcinoma, hereditary gastric cancer, gastric neuroendocrine neoplasm, gastric cardia carcinoma, gastric pylorus carcinoma, gastric body carcinoma, anaplastic gastric carcinoma, carcinoma of stomach, salivary gland type, malignant gastric germ cell tumor.", "26 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 69 Wikipedia languages, which is a measure of how widely the thing is known, not of how important it is." ], "openQuestionsForResearch": [ "Which of the bundles below does a real task actually need, and which are ceremony?", "What does this thing have that the facets do not capture at all?", "Which neighbouring kind is most often confused with a stomach cancer, and on what evidence are they told apart?" ], "whatItIsMadeOf": "an abstraction with no physical instance", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "observe it, measure it, record its state" ], "howItIsRecognised": [ "Recognised by criteria applied to signs and findings, not by appearance. Two conditions can look identical and be distinguished only by test." ], "relatedModels": [ { "relation": "covers", "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.", "targets": [ "Epstein-Barr virus-associated gastric carcinoma", "gastric hamartomatous polyp", "stomach polyp", "stomach carcinoma", "hereditary gastric cancer", "gastric neuroendocrine neoplasm", "gastric cardia carcinoma", "gastric pylorus carcinoma", "gastric body carcinoma", "anaplastic gastric carcinoma", "carcinoma of stomach, salivary gland type", "malignant gastric germ cell tumor" ] } ], "standing": "Described in 69 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 26 finer distinctions are held inside this entry as names rather than as separate models.", "structure": { "bundles": [ { "id": "identity-and-classification", "name": "Identity, naming and classification", "description": "How an agent tells one stomach cancer from another, and a stomach cancer from things that resemble it.", "rationale": "Recognition comes before every other claim. Without stable identity nothing else in the model can be trusted to be about the same thing twice.", "layers": [ { "id": "naming-and-identifiers", "name": "Names and identifiers", "description": "The names this thing goes by and the identifiers that survive translation and time.", "findings": [ { "id": "preferred-name-and-aliases", "name": "Preferred name, aliases and local names", "description": "Which name to use, which names mean the same thing, and which merely sound similar.", "questions": [ { "id": "preferred-name-and-aliases-q01", "text": "What identifies and describes the name of a stomach cancer, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "preferred-name-and-aliases-q02", "text": "Who or what asserted this about the name of a stomach cancer, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "preferred-name-and-aliases-q03", "text": "What may an agent decide or do once the name of a stomach cancer is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "stable-identifiers", "name": "Stable identifiers and external keys", "description": "Identifiers that keep pointing at this kind of thing across systems and languages.", "questions": [ { "id": "stable-identifiers-q01", "text": "What identifies and describes an identifier for a stomach cancer, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stable-identifiers-q02", "text": "Who or what asserted this about an identifier for a stomach cancer, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stable-identifiers-q03", "text": "What may an agent decide or do once an identifier for a stomach cancer is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "classification-and-granularity", "name": "Classification and granularity", "description": "Where a stomach cancer sits among kinds, and how finely a task needs to cut it.", "findings": [ { "id": "kind-and-parents", "name": "Kind, parents and neighbouring kinds", "description": "The classes this thing belongs to and the ones it is next to.", "questions": [ { "id": "kind-and-parents-q01", "text": "What identifies and describes the kind of a stomach cancer, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "kind-and-parents-q02", "text": "Who or what asserted this about the kind of a stomach cancer, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "kind-and-parents-q03", "text": "What may an agent decide or do once the kind of a stomach cancer is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "distinguishing-features", "name": "Distinguishing features", "description": "What separates a stomach cancer from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a stomach cancer, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "distinguishing-features-q02", "text": "Who or what asserted this about what distinguishes a stomach cancer, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "distinguishing-features-q03", "text": "What may an agent decide or do once what distinguishes a stomach cancer is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "state-and-lifecycle", "name": "State and lifecycle", "description": "The states a stomach cancer passes through and the events that move it between them.", "rationale": "Most decisions about a thing depend on what state it is in now, which is a claim with a time on it, not a property.", "layers": [ { "id": "lifecycle-stages", "name": "Lifecycle stages", "description": "From coming into existence to ceasing to be one of these.", "findings": [ { "id": "stages-and-transitions", "name": "Stages and transitions", "description": "The stages worth naming and what moves a stomach cancer between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a stomach cancer, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stages-and-transitions-q02", "text": "Who or what asserted this about the lifecycle of a stomach cancer, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stages-and-transitions-q03", "text": "What may an agent decide or do once the lifecycle of a stomach cancer is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "observations-and-status", "name": "Observations and current status", "description": "What is observed about a stomach cancer, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a stomach cancer is recorded so that it can be superseded rather than overwritten.", "questions": [ { "id": "observation-record-q01", "text": "What identifies and describes an observation of a stomach cancer, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "observation-record-q02", "text": "Who or what asserted this about an observation of a stomach cancer, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "observation-record-q03", "text": "What may an agent decide or do once an observation of a stomach cancer is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "diagnosis-and-criteria", "name": "Diagnosis, criteria and coding", "description": "What makes a case of stomach cancer a case, and under which revision.", "rationale": "Criteria change between revisions, so a diagnosis without its coding revision cannot be compared with a later one.", "layers": [ { "id": "criteria", "name": "Diagnostic criteria", "description": "The criteria in force and who issues them.", "findings": [ { "id": "criteria-record", "name": "Criteria, issuer and revision", "description": "What must be true for a diagnosis, according to whom.", "questions": [ { "id": "criteria-record-q01", "text": "What criteria define stomach cancer, issued by which body, in which revision?", "kind": "definition" }, { "id": "criteria-record-q02", "text": "What changed between revisions that would reclassify existing cases?", "kind": "boundary" } ] } ] }, { "id": "coding", "name": "Coding and terminology", "description": "The codes used to record it and their mapping.", "findings": [ { "id": "coding-record", "name": "Codes and mappings", "description": "Which classification codes apply and how they map.", "questions": [ { "id": "coding-record-q01", "text": "Which classification and terminology codes cover stomach cancer, and how do they map to each other?", "kind": "definition" }, { "id": "coding-record-q02", "text": "What is lost when a case is mapped from one scheme to another?", "kind": "boundary" } ] } ] } ] }, { "id": "course-and-population", "name": "Course, population and care", "description": "How stomach cancer develops, whom it affects, and what is done about it.", "rationale": "The condition, the diagnosis and the episode of care are three different things, and an agent must not merge them.", "layers": [ { "id": "course", "name": "Course and stages", "description": "Onset, progression, remission and outcome.", "findings": [ { "id": "course-record", "name": "Stages and transitions", "description": "The stages recorded and what moves a case between them.", "questions": [ { "id": "course-record-q01", "text": "What course does stomach cancer typically take, and what marks each stage?", "kind": "definition" }, { "id": "course-record-q02", "text": "What separates the condition itself from an episode of care for it?", "kind": "boundary" } ] } ] }, { "id": "population", "name": "Affected populations", "description": "Who is affected, how often, and on what evidence.", "findings": [ { "id": "epidemiology", "name": "Prevalence and its basis", "description": "Rates with their population, period and source.", "questions": [ { "id": "epidemiology-q01", "text": "What prevalence or incidence is reported for stomach cancer, in which population and period?", "kind": "measurement" }, { "id": "epidemiology-q02", "text": "What may an agent not conclude about an individual from a population rate?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a stomach cancer came from and when it held.", "rationale": "A claim without a source and a time cannot be superseded, only overwritten, and an agent that overwrites loses the ability to explain itself.", "layers": [ { "id": "source-and-authority", "name": "Source and authority", "description": "Who said it, on what evidence, and how strongly.", "findings": [ { "id": "claim-provenance", "name": "Claim provenance and confidence", "description": "The authority behind each claim about a stomach cancer and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a stomach cancer, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "claim-provenance-q02", "text": "Who or what asserted this about a claim about a stomach cancer, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "claim-provenance-q03", "text": "What may an agent decide or do once a claim about a stomach cancer is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "time-and-versions", "name": "Time, versions and supersession", "description": "When a claim was true, when it was learnt, and what replaced it.", "findings": [ { "id": "validity-and-supersession", "name": "Validity period and supersession", "description": "How an old claim about a stomach cancer is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a stomach cancer, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "validity-and-supersession-q02", "text": "Who or what asserted this about the validity of a claim about a stomach cancer, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "validity-and-supersession-q03", "text": "What may an agent decide or do once the validity of a claim about a stomach cancer is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 5, "layers": 10, "findings": 12, "questions": 32 } } } }