{ "model": { "rank": 12408, "code": "thing-q324464", "model_id": "vr.tr.testicular-cancer", "name": "testicular cancer", "purpose": "Let an agent explain testicular cancer in general terms, relay types, signs, staging and treatment principles from oncology guidelines, encourage prompt assessment of symptoms, and route personal concerns to clinicians.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q324464/", "tier": 2, "score": 40, "payload": { "layer": "wikidata", "aliases": [ "metastatic testicular cancer", "testicular germ cell tumor", "germ cell neoplasia in situ", "spermatocytoma", "testicular intratubular germ cell neoplasia of the unclassified type", "non-metastatic testicular cancer", "nonseminomatous testicular cancer", "testicular lymphoma", "malignant tumor of undescended testis", "testicular leukemia", "seminal vesicle tumor", "testicular Brenner tumor", "testicular sex cord-stromal neoplasm", "epididymal neoplasm", "testis seminoma", "recurrent cancer of testis", "testicular spermatocytic seminoma", "tubular variant testicular seminoma", "cribriform variant testicular seminoma", "pseudoglandular variant testicular seminoma", "testicular seminoma with syncytiotrophoblastic cells" ], "aliasCount": 21, "merged": 21, "knownIn": 40, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q324464", "url": "https://www.wikidata.org/wiki/Q324464", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-12T23:55:52Z", "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": 3, "engine": "claude" }, "metaModel": { "id": "THING-Q324464", "registryId": "vr.tr.testicular-cancer", "name": "testicular cancer", "version": "0.2.0-wave.3", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q324464/", "model": { "registry_id": "vr.tr.testicular-cancer", "name": "testicular cancer", "purpose": "Let an agent explain testicular cancer in general terms, relay types, signs, staging and treatment principles from oncology guidelines, encourage prompt assessment of symptoms, and route personal concerns to clinicians.", "definition": "Cancer arising in the testis, most often as germ cell tumours classified as seminomas and non-seminomas, developing from germ cell neoplasia in situ, and rarely as other tumours such as spermatocytic tumours; testicular cancer is the most common cancer in young men, typically presents as a painless lump, is highly curable even when metastatic through surgery, chemotherapy and radiotherapy, and is staged as non-metastatic or metastatic.", "what_it_is_for": "Not applicable; a disease.", "affordances": [ "explain types and signs", "relay staging and treatment principles", "relay survival and follow-up information", "route personal concerns to clinicians" ], "distinguishing_features": [ "Young age group", "Germ cell origin", "High cure rates", "Tumour markers in diagnosis" ], "appearance": "Not a visible object; usually a painless lump or swelling in a testis.", "visual_identification": [ "Cancer of the testis, mostly germ cell tumours", "Seminoma and non-seminoma types", "Epididymitis, hydrocele and hernia are benign causes of scrotal swelling" ], "physical_properties": [ { "quantity": "peak age", "typical_range": "about 15-40", "unit": "years", "note": "" }, { "quantity": "five-year survival", "typical_range": "about 95", "unit": "percent", "note": "overall, per cancer registries" } ], "families_and_kinds": [ "seminomas", "non-seminomatous germ cell tumours", "germ cell neoplasia in situ as precursor", "spermatocytic tumours", "sex cord-stromal and other rare tumours", "non-metastatic and metastatic stages" ], "related_models": [ { "relation": "is a kind of", "target": "male reproductive organ cancer", "why": "in registry terms" }, { "relation": "is a kind of", "target": "tumor of testis and paratestis", "why": "in registry terms" }, { "relation": "arises from", "target": "germ cell", "why": "in most cases" }, { "relation": "is treated by", "target": "orchiectomy", "why": "and chemotherapy" } ], "identifiers": [ { "scheme": "ICD-10", "value_or_pattern": "C62", "note": "malignant neoplasm of testis" }, { "scheme": "ICD-11", "value_or_pattern": "2C80", "note": "" } ], "standards_and_regulation": [ "Oncology guidelines from urological and oncological societies", "Cancer registration standards", "Fertility preservation guidance before treatment" ], "failure_modes_and_hazards": [ "Delayed presentation from embarrassment", "Late effects of treatment", "Agents giving personal medical advice" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "What testicular cancer is.", "rationale": "General information.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition and types.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "What is testicular cancer, and what types exist?", "kind": "definition" }, { "text": "Is the user describing a lump or symptoms, which need prompt assessment by a clinician?", "kind": "boundary" } ] } ] }, { "id": "signs", "name": "Signs", "description": "Signs and risk factors.", "findings": [ { "id": "signs-finding", "name": "Signs", "description": "Signs.", "questions": [ { "text": "What signs and risk factors do health bodies describe?", "kind": "definition" }, { "text": "Which entry fits the specific type?", "kind": "action" } ] } ] } ] }, { "id": "clinical", "name": "Clinical", "description": "Diagnosis and treatment.", "rationale": "Clinical.", "layers": [ { "id": "diagnosis", "name": "Diagnosis", "description": "Diagnosis and staging.", "findings": [ { "id": "diagnosis-finding", "name": "Diagnosis", "description": "Diagnosis.", "questions": [ { "text": "How is testicular cancer diagnosed and staged, including tumour markers?", "kind": "provenance" }, { "text": "Is the presentation free of personal medical advice?", "kind": "boundary" } ] } ] }, { "id": "treatment", "name": "Treatment", "description": "Treatment principles.", "findings": [ { "id": "treatment-finding", "name": "Treatment", "description": "Treatment.", "questions": [ { "text": "What treatment principles do guidelines describe by type and stage, in general terms?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] } ] }, { "id": "living", "name": "Living", "description": "Survival and life after.", "rationale": "Support.", "layers": [ { "id": "outcomes", "name": "Outcomes", "description": "Outcomes.", "findings": [ { "id": "outcomes-finding", "name": "Outcomes", "description": "Outcomes.", "questions": [ { "text": "What do registries report about survival and late effects, with sources?", "kind": "measurement" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] }, { "id": "support", "name": "Support", "description": "Fertility and support.", "findings": [ { "id": "support-finding", "name": "Support", "description": "Support.", "questions": [ { "text": "What fertility preservation and support options exist?", "kind": "provenance" }, { "text": "Which entry fits cancer support?", "kind": "action" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Awareness and research.", "rationale": "Context.", "layers": [ { "id": "awareness", "name": "Awareness", "description": "Awareness.", "findings": [ { "id": "awareness-finding", "name": "Awareness", "description": "Awareness.", "questions": [ { "text": "What do health bodies advise about awareness and self-examination?", "kind": "provenance" }, { "text": "Which entry fits cancer screening?", "kind": "action" } ] } ] }, { "id": "research", "name": "Research", "description": "Research.", "findings": [ { "id": "research-finding", "name": "Research", "description": "Research.", "questions": [ { "text": "What are current research directions, such as reducing treatment toxicity?", "kind": "provenance" }, { "text": "Which entry fits oncology?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should seminoma and non-seminoma be separate entries?", "How should guidelines be linked?", "The registry entry has merged aliases naming types and stages; should they be split off?" ], "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 testicular cancer, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain testicular cancer in general terms, relay types, signs, staging and treatment principles from oncology guidelines, encourage prompt assessment of symptoms, and route personal concerns 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: metastatic testicular cancer, testicular germ cell tumor, germ cell neoplasia in situ, spermatocytoma, testicular intratubular germ cell neoplasia of the unclassified type, non-metastatic testicular cancer, nonseminomatous testicular cancer, testicular lymphoma, malignant tumor of undescended testis, testicular leukemia, seminal vesicle tumor, testicular Brenner tumor.", "21 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 40 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 testicular 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": [ "metastatic testicular cancer", "testicular germ cell tumor", "germ cell neoplasia in situ", "spermatocytoma", "testicular intratubular germ cell neoplasia of the unclassified type", "non-metastatic testicular cancer", "nonseminomatous testicular cancer", "testicular lymphoma", "malignant tumor of undescended testis", "testicular leukemia", "seminal vesicle tumor", "testicular Brenner tumor" ] } ], "standing": "Described in 40 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 21 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 testicular cancer from another, and a testicular 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 testicular 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 testicular 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 testicular 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 testicular 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 testicular 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 testicular 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 testicular 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 testicular 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 testicular 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 testicular 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 testicular cancer from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a testicular 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 testicular 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 testicular 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 testicular 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 testicular cancer between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a testicular 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 testicular 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 testicular 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 testicular cancer, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a testicular 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 testicular 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 testicular 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 testicular 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 testicular 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 testicular 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 testicular 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 testicular 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 testicular 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 testicular 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 testicular 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 testicular cancer and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a testicular 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 testicular 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 testicular 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 testicular cancer is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a testicular 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 testicular 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 testicular 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 } } } }