{ "model": { "rank": 6977, "code": "thing-q33525", "model_id": "vr.tr.carcinoma", "name": "carcinoma", "purpose": "Let an agent give general, non-diagnostic information about carcinoma, route people to cancer services and support, and avoid prognosis for individuals.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q33525/", "tier": 2, "score": 57, "payload": { "layer": "wikidata", "aliases": [ "Epstein-Barr virus related carcinoma", "metastatic squamous neck cancer with occult primary", "non-melanoma skin neoplasm", "squamous cell carcinoma of unknown primary", "childhood carcinoid tumor", "clear cell carcinoma", "metastatic prostatic adenocarcinoma", "metastatic squamous cell carcinoma", "metastatic small intestinal adenocarcinoma", "cutaneous squamous-cell carcinoma", "nasal cavity squamous cell carcinoma", "middle ear squamous cell carcinoma", "external ear squamous cell carcinoma", "fallopian tube carcinoma", "Wolffian duct adenocarcinoma", "mesonephric adenocarcinoma", "cecum carcinoma", "ovarian embryonal carcinoma", "embryonal carcinoma", "adenocarcinoma in situ", "head and neck carcinoma", "tracheal cancer", "pharyngeal cancer", "laryngeal cancer", "parathyroid carcinoma", "glycogen-rich clear cell breast carcinoma", "lung clear cell carcinoma", "thymus clear cell carcinoma", "clear cell squamous cell skin carcinoma", "clear cell adenocarcinoma", "clear cell sarcoma of soft tissue", "Uterine clear cell carcinoma", "skin appendage carcinoma", "laryngeal squamous cell carcinoma", "bone carcinoma", "secondary carcinoma", "retroperitoneum carcinoma", "urinary bladder villous adenoma", "rete testis adenoma", "acantholytic squamous cell skin carcinoma" ], "aliasCount": 430, "merged": 431, "knownIn": 57, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q33525", "url": "https://www.wikidata.org/wiki/Q33525", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-11T07:34:04Z", "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": 1, "engine": "claude" }, "metaModel": { "id": "THING-Q33525", "registryId": "vr.tr.carcinoma", "name": "carcinoma", "version": "0.2.0-wave.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q33525/", "model": { "registry_id": "vr.tr.carcinoma", "name": "carcinoma", "purpose": "Let an agent give general, non-diagnostic information about carcinoma, route people to cancer services and support, and avoid prognosis for individuals.", "definition": "A cancer that arises from epithelial cells, which line the surfaces and cavities of the body; the most common type of cancer, including many cancers of the skin, breast, lung, colon and prostate.", "what_it_is_for": "A category of cancer diagnosed and treated by oncology teams.", "affordances": [ "seek assessment for warning signs", "join cancer screening programmes", "find reputable cancer information and support", "discuss treatment options with the care team" ], "distinguishing_features": [ "Cancer of epithelial origin", "Most common cancer type", "Many subtypes by cell and organ", "Treatment depends on type and stage" ], "appearance": "Not described; diagnosis is by clinical examination, imaging and pathology.", "visual_identification": [ "Types such as squamous cell carcinoma or adenocarcinoma", "Diagnosed by pathology", "Carcinoma of unknown primary is a specific situation" ], "physical_properties": [], "families_and_kinds": [ "squamous cell carcinoma", "adenocarcinoma", "basal cell carcinoma", "transitional cell carcinoma", "neuroendocrine carcinoma" ], "related_models": [ { "relation": "is a kind of", "target": "cancer", "why": "category" }, { "relation": "arises from", "target": "epithelium", "why": "tissue" }, { "relation": "is treated by", "target": "oncology team", "why": "professionals" }, { "relation": "is detected by", "target": "screening and pathology", "why": "methods" } ], "identifiers": [ { "scheme": "ICD-O-3 morphology", "value_or_pattern": "8010/3 and related codes", "note": "carcinoma codes" } ], "standards_and_regulation": [ "TNM staging (UICC/AJCC)", "National cancer screening programmes", "Clinical guidelines such as NCCN and ESMO" ], "failure_modes_and_hazards": [ "Giving individual prognosis", "Diagnosis by an agent", "Promoting unproven treatments" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "concern", "name": "Concern", "description": "Getting checked.", "rationale": "Assessment comes first.", "layers": [ { "id": "warning", "name": "Warning signs", "description": "See a doctor.", "findings": [ { "id": "warning-finding", "name": "Warning", "description": "Warning signs.", "questions": [ { "text": "Should this symptom be checked by a doctor promptly?", "kind": "boundary" }, { "text": "Is there an urgent referral route?", "kind": "action" } ] } ] }, { "id": "screening", "name": "Screening", "description": "Programmes.", "findings": [ { "id": "screening-finding", "name": "Screening", "description": "Screening.", "questions": [ { "text": "Which screening programmes are available to this person?", "kind": "provenance" }, { "text": "How are they accessed?", "kind": "action" } ] } ] } ] }, { "id": "understanding", "name": "Understanding", "description": "Types and staging.", "rationale": "Information must be general.", "layers": [ { "id": "type", "name": "Type", "description": "Subtype.", "findings": [ { "id": "type-finding", "name": "Type", "description": "Subtype.", "questions": [ { "text": "Which carcinoma subtype is meant?", "kind": "definition" }, { "text": "Which organ is involved?", "kind": "definition" } ] } ] }, { "id": "staging", "name": "Staging", "description": "TNM.", "findings": [ { "id": "staging-finding", "name": "Staging", "description": "Staging.", "questions": [ { "text": "What does staging mean in general terms?", "kind": "definition" }, { "text": "Who can explain an individual stage?", "kind": "boundary" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Treatment.", "rationale": "The care team decides.", "layers": [ { "id": "options", "name": "Options", "description": "Treatment types.", "findings": [ { "id": "options-finding", "name": "Options", "description": "Treatment options.", "questions": [ { "text": "Which treatment types do guidelines describe for this type?", "kind": "provenance" }, { "text": "Who decides with the patient?", "kind": "boundary" } ] } ] }, { "id": "trials", "name": "Trials", "description": "Clinical trials.", "findings": [ { "id": "trials-finding", "name": "Trials", "description": "Clinical trials.", "questions": [ { "text": "How can someone find registered clinical trials?", "kind": "action" }, { "text": "Should they ask their team?", "kind": "action" } ] } ] } ] }, { "id": "support", "name": "Support", "description": "People affected.", "rationale": "Support matters.", "layers": [ { "id": "services", "name": "Services", "description": "Support organisations.", "findings": [ { "id": "services-finding", "name": "Services", "description": "Support services.", "questions": [ { "text": "Which cancer support services and helplines are available?", "kind": "action" }, { "text": "Is emotional support available for families?", "kind": "action" } ] } ] }, { "id": "claims", "name": "Claims", "description": "Unproven treatments.", "findings": [ { "id": "claims-finding", "name": "Claims", "description": "Unproven claims.", "questions": [ { "text": "Is a claimed cure supported by evidence?", "kind": "provenance" }, { "text": "Who can advise?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should carcinoma subtypes be separate entries?", "How should support services be localised?", "How should staging be explained without prognosis?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "abstract concept", "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 carcinoma, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent give general, non-diagnostic information about carcinoma, route people to cancer services and support, and avoid prognosis for individuals.", "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 related carcinoma, metastatic squamous neck cancer with occult primary, non-melanoma skin neoplasm, squamous cell carcinoma of unknown primary, childhood carcinoid tumor, clear cell carcinoma, metastatic prostatic adenocarcinoma, metastatic squamous cell carcinoma, metastatic small intestinal adenocarcinoma, cutaneous squamous-cell carcinoma, nasal cavity squamous cell carcinoma, middle ear squamous cell carcinoma.", "431 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 57 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 carcinoma, 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": [ "Nothing to see. What is recognised is an instance of it, and which instances count is exactly what is argued about." ], "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 related carcinoma", "metastatic squamous neck cancer with occult primary", "non-melanoma skin neoplasm", "squamous cell carcinoma of unknown primary", "childhood carcinoid tumor", "clear cell carcinoma", "metastatic prostatic adenocarcinoma", "metastatic squamous cell carcinoma", "metastatic small intestinal adenocarcinoma", "cutaneous squamous-cell carcinoma", "nasal cavity squamous cell carcinoma", "middle ear squamous cell carcinoma" ] } ], "standing": "Described in 57 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 431 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 carcinoma from another, and a carcinoma 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 carcinoma, 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 carcinoma, 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 carcinoma 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 carcinoma, 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 carcinoma, 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 carcinoma 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 carcinoma 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 carcinoma, 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 carcinoma, 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 carcinoma 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 carcinoma from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a carcinoma, 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 carcinoma, 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 carcinoma 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 carcinoma 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 carcinoma between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a carcinoma, 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 carcinoma, 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 carcinoma 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 carcinoma, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a carcinoma 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 carcinoma, 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 carcinoma, 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 carcinoma is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "definitions-in-contest", "name": "Definitions and who holds them", "description": "What carcinoma is taken to mean, and by whom.", "rationale": "When a field disagrees about a concept, the disagreement is the content. A model that picks one definition silently destroys the information.", "layers": [ { "id": "competing-definitions", "name": "Competing definitions", "description": "The main readings and the traditions behind them.", "findings": [ { "id": "definition-map", "name": "Definitions and their holders", "description": "Each definition with the school or body that holds it.", "questions": [ { "id": "definition-map-q01", "text": "Which definitions of carcinoma are in use, and which tradition or body holds each?", "kind": "definition" }, { "id": "definition-map-q02", "text": "What turns on the difference between them in practice?", "kind": "boundary" } ] } ] }, { "id": "operationalisation", "name": "Operationalisation", "description": "How it is measured or applied when it has to be.", "findings": [ { "id": "operational-record", "name": "Measures and proxies", "description": "Instruments and indicators used to stand in for it.", "questions": [ { "id": "operational-record-q01", "text": "How is carcinoma operationalised or measured in practice, and by what instrument?", "kind": "measurement" }, { "id": "operational-record-q02", "text": "What does that operationalisation leave out, and when does that matter?", "kind": "boundary" } ] } ] } ] }, { "id": "instances-and-use", "name": "Instances, use and consequence", "description": "What counts as an instance of carcinoma and what follows from calling something that.", "rationale": "Applying a concept is an act with consequences, so a model must say what the label licenses and what it does not.", "layers": [ { "id": "instances", "name": "What counts as an instance", "description": "Clear cases, borderline cases and non-cases.", "findings": [ { "id": "instance-tests", "name": "Tests for an instance", "description": "What would settle whether something falls under it.", "questions": [ { "id": "instance-tests-q01", "text": "What would settle whether something is an instance of carcinoma?", "kind": "boundary" }, { "id": "instance-tests-q02", "text": "Which borderline cases are argued about, and on what grounds?", "kind": "definition" } ] } ] }, { "id": "consequence", "name": "Consequence of application", "description": "Rights, duties or decisions that follow from the label.", "findings": [ { "id": "consequence-record", "name": "What the label licenses", "description": "What an agent may do once something is classified this way.", "questions": [ { "id": "consequence-record-q01", "text": "What follows practically once something is treated as carcinoma?", "kind": "action" }, { "id": "consequence-record-q02", "text": "What must an agent not infer from the label alone?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a carcinoma 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 carcinoma and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a carcinoma, 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 carcinoma, 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 carcinoma 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 carcinoma is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a carcinoma, 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 carcinoma, 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 carcinoma 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 } } } }