{
    "model": {
        "rank": 6486,
        "code": "thing-q467635",
        "model_id": "vr.tr.multiple-myeloma",
        "name": "multiple myeloma",
        "purpose": "Let an agent explain multiple myeloma in general terms, relay biology, stages, symptoms, treatment approaches and research from haematology and cancer charity sources, route urgent symptoms and point to specialist care and support, describe the named forms, and distinguish myeloma from MGUS, lymphoma, leukaemia and bone metastases, without diagnosing individuals.",
        "family": "Thing Registry",
        "category": "Physical world and living systems",
        "status": "research-draft",
        "kind": "thing",
        "plane": "PHY",
        "domain": "PHY.LIV",
        "industry": "",
        "version": "",
        "url": "/models/thing/q467635/",
        "tier": 2,
        "score": 60,
        "payload": {
            "layer": "wikidata",
            "aliases": [
                "smouldering myeloma",
                "refractory plasma cell neoplasm",
                "non-secretory myeloma",
                "POEMS syndrome",
                "myeloma kidney",
                "indolent myeloma"
            ],
            "aliasCount": 6,
            "merged": 6,
            "knownIn": 60,
            "facets": null,
            "markers": [],
            "lexicalClass": "",
            "senseRank": null,
            "alsoRegisteredAs": null,
            "source": {
                "dataset": "wikidata",
                "item": "Q467635",
                "url": "https://www.wikidata.org/wiki/Q467635",
                "license": "CC0 1.0"
            }
        },
        "research": {
            "vercy": "1.0-draft",
            "publication": {
                "status": "research-draft",
                "adjudicationStatus": "unreviewed",
                "publishableCanonical": false,
                "generatedAt": "2026-09-14T00:17:13Z",
                "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": 4,
                "engine": "claude"
            },
            "metaModel": {
                "id": "THING-Q467635",
                "registryId": "vr.tr.multiple-myeloma",
                "name": "multiple myeloma",
                "version": "0.2.0-wave.4",
                "entryKind": "thing",
                "family": "Thing Registry",
                "domain": [
                    "PHY.LIV"
                ],
                "status": "research-draft"
            },
            "canonicalUrl": "https://ver.cy/models/thing/q467635/",
            "model": {
                "registry_id": "vr.tr.multiple-myeloma",
                "name": "multiple myeloma",
                "purpose": "Let an agent explain multiple myeloma in general terms, relay biology, stages, symptoms, treatment approaches and research from haematology and cancer charity sources, route urgent symptoms and point to specialist care and support, describe the named forms, and distinguish myeloma from MGUS, lymphoma, leukaemia and bone metastases, without diagnosing individuals.",
                "definition": "A cancer of plasma cells in the bone marrow that produce abnormal antibodies, called M proteins, causing bone lesions and fractures, anaemia, kidney damage including myeloma kidney, high calcium and infections, preceded by monoclonal gammopathy of undetermined significance and smouldering or indolent myeloma, which may be monitored before treatment, with variants the registry aliases name such as non-secretory myeloma and refractory disease, and the related plasma cell disorder POEMS syndrome; treatments include proteasome inhibitors, immunomodulatory drugs, monoclonal antibodies, stem cell transplantation and CAR-T and bispecific antibody therapies, and outcomes have improved though it is usually not curable. Care is led by haematology teams, and severe bone pain, confusion, reduced urination or signs of infection need urgent medical care.",
                "what_it_is_for": "Not applicable; a blood cancer.",
                "affordances": [
                    "explain biology and stages",
                    "relay treatment approaches in general terms",
                    "describe named forms",
                    "route urgent symptoms and point to support"
                ],
                "distinguishing_features": [
                    "Plasma cell clone",
                    "M protein",
                    "Bone and kidney damage",
                    "Rapidly evolving treatments"
                ],
                "appearance": "Not visible externally; seen in blood tests, bone marrow samples and bone imaging.",
                "visual_identification": [
                    "Plasma cell cancer of the bone marrow",
                    "Smouldering myeloma, refractory plasma cell neoplasm, non-secretory myeloma, POEMS syndrome, myeloma kidney, indolent myeloma",
                    "MGUS is a precursor; lymphoma affects lymphocytes; leukaemia affects blood-forming cells broadly; bone metastases come from other cancers"
                ],
                "physical_properties": [
                    {
                        "quantity": "CRAB features",
                        "typical_range": "calcium, renal, anaemia, bone",
                        "unit": "note",
                        "note": ""
                    },
                    {
                        "quantity": "IMWG diagnostic criteria updated",
                        "typical_range": "2014",
                        "unit": "year",
                        "note": ""
                    },
                    {
                        "quantity": "first BCMA CAR-T approval",
                        "typical_range": "2021",
                        "unit": "year",
                        "note": "US FDA"
                    }
                ],
                "families_and_kinds": [
                    "MGUS",
                    "smouldering myeloma",
                    "active multiple myeloma",
                    "non-secretory myeloma",
                    "related plasma cell disorders such as POEMS"
                ],
                "related_models": [
                    {
                        "relation": "is a kind of",
                        "target": "plasma cell neoplasm",
                        "why": "related"
                    },
                    {
                        "relation": "is preceded by",
                        "target": "monoclonal gammopathy of undetermined significance",
                        "why": ""
                    },
                    {
                        "relation": "is treated with",
                        "target": "bortezomib",
                        "why": "among others"
                    },
                    {
                        "relation": "is contrasted with",
                        "target": "lymphoma",
                        "why": ""
                    }
                ],
                "identifiers": [],
                "standards_and_regulation": [
                    "IMWG criteria",
                    "NCCN and ESMO guidelines",
                    "Drug approval regulations"
                ],
                "failure_modes_and_hazards": [
                    "Diagnosing individuals",
                    "Missing hypercalcaemia or spinal cord compression",
                    "Promoting unproven cures"
                ],
                "in_scope": [],
                "out_of_scope": [],
                "characteristics": []
            },
            "sources": [],
            "structure": {
                "bundles": [
                    {
                        "id": "understand",
                        "name": "Understand",
                        "description": "What multiple myeloma is.",
                        "rationale": "Science.",
                        "layers": [
                            {
                                "id": "definition",
                                "name": "Definition",
                                "description": "Definition.",
                                "findings": [
                                    {
                                        "id": "definition-finding",
                                        "name": "Definition",
                                        "description": "Definition.",
                                        "questions": [
                                            {
                                                "text": "Does someone with myeloma have new back pain with leg weakness, confusion, very little urine or fever, in which case seek urgent medical care?",
                                                "kind": "boundary"
                                            },
                                            {
                                                "text": "What is multiple myeloma, and how does it differ from MGUS, lymphoma, leukaemia and bone metastases?",
                                                "kind": "definition"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "forms",
                                "name": "Forms",
                                "description": "Named forms.",
                                "findings": [
                                    {
                                        "id": "forms-finding",
                                        "name": "Forms",
                                        "description": "Forms.",
                                        "questions": [
                                            {
                                                "text": "What are smouldering, indolent, non-secretory and refractory myeloma, myeloma kidney and POEMS syndrome?",
                                                "kind": "definition"
                                            },
                                            {
                                                "text": "Which entry fits the specific form?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "biology",
                        "name": "Biology",
                        "description": "Biology and diagnosis.",
                        "rationale": "Science.",
                        "layers": [
                            {
                                "id": "plasma",
                                "name": "Plasma cells",
                                "description": "Plasma cell biology.",
                                "findings": [
                                    {
                                        "id": "plasma-finding",
                                        "name": "Plasma cells",
                                        "description": "Plasma cells.",
                                        "questions": [
                                            {
                                                "text": "How do clonal plasma cells cause CRAB features?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which references are standard?",
                                                "kind": "provenance"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "diagnosis",
                                "name": "Diagnosis",
                                "description": "Diagnostic criteria.",
                                "findings": [
                                    {
                                        "id": "diagnosis-finding",
                                        "name": "Diagnosis",
                                        "description": "Diagnosis.",
                                        "questions": [
                                            {
                                                "text": "How do IMWG criteria define myeloma and precursor states, in general terms?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which sources are cited?",
                                                "kind": "provenance"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "treatment",
                        "name": "Treatment",
                        "description": "Treatment.",
                        "rationale": "Regulation.",
                        "layers": [
                            {
                                "id": "therapies",
                                "name": "Therapies",
                                "description": "Treatment classes.",
                                "findings": [
                                    {
                                        "id": "therapies-finding",
                                        "name": "Therapies",
                                        "description": "Therapies.",
                                        "questions": [
                                            {
                                                "text": "What treatment classes are used, in general terms, and why do plans vary?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which entry fits autologous stem cell transplantation?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "new",
                                "name": "New therapies",
                                "description": "CAR-T and bispecifics.",
                                "findings": [
                                    {
                                        "id": "new-finding",
                                        "name": "New therapies",
                                        "description": "New therapies.",
                                        "questions": [
                                            {
                                                "text": "What do trials report about CAR-T and bispecific antibodies, checked against current sources?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Is the information current?",
                                                "kind": "boundary"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "context",
                        "name": "Context",
                        "description": "Support.",
                        "rationale": "Attribution.",
                        "layers": [
                            {
                                "id": "support",
                                "name": "Support",
                                "description": "Patient support.",
                                "findings": [
                                    {
                                        "id": "support-finding",
                                        "name": "Support",
                                        "description": "Support.",
                                        "questions": [
                                            {
                                                "text": "Which charities support people with myeloma?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Which entry fits Myeloma UK?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "disparities",
                                "name": "Disparities",
                                "description": "Disparities.",
                                "findings": [
                                    {
                                        "id": "disparities-finding",
                                        "name": "Disparities",
                                        "description": "Disparities.",
                                        "questions": [
                                            {
                                                "text": "What do studies report about higher incidence in Black populations and access disparities, with findings attributed?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "text": "Is the presentation neutral and attributed?",
                                                "kind": "boundary"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    }
                ]
            },
            "openQuestions": [
                "Should POEMS syndrome be moved to its own entry?",
                "How should rapidly changing treatments be kept current?",
                "Should MGUS be linked separately?"
            ],
            "statistics": {
                "bundles": 4,
                "layers": 8,
                "findings": 8,
                "questions": 16
            }
        },
        "draft": {
            "generator": "vr.draft.v3",
            "status": "draft-generated",
            "researched": false,
            "archetype": "organism",
            "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 multiple myeloma, record what state it is in, and decide what may be done with it.",
            "whatItIs": "Let an agent explain multiple myeloma in general terms, relay biology, stages, symptoms, treatment approaches and research from haematology and cancer charity sources, route urgent symptoms and point to specialist care and support, describe the named forms, and distinguish myeloma from MGUS, lymphoma, leukaemia and bone metastases, without diagnosing individuals.",
            "characteristics": {
                "substance": "living",
                "origin": "natural",
                "agency": "autonomous",
                "mobility": "self-moving"
            },
            "whatYouCanDoWithIt": [
                "observed and measured"
            ],
            "distinguishingFeatures": [
                "Names folded into this entry, which a task may need to split apart again: smouldering myeloma, refractory plasma cell neoplasm, non-secretory myeloma, POEMS syndrome, myeloma kidney, indolent myeloma.",
                "6 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.",
                "Described in 60 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 multiple myeloma, and on what evidence are they told apart?"
            ],
            "whatItIsMadeOf": "a living thing",
            "physicalCharacter": [
                "Moves under its own power or of its own accord.",
                "Acts on its own behalf.",
                "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 diagnostic characters, and those differ by life stage - the young of many kinds are mistaken for other kinds entirely. A sighting is settled by characters, a photograph and a place, not by a name alone."
            ],
            "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": [
                        "smouldering myeloma",
                        "refractory plasma cell neoplasm",
                        "non-secretory myeloma",
                        "POEMS syndrome",
                        "myeloma kidney",
                        "indolent myeloma"
                    ]
                }
            ],
            "standing": "Described in 60 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 6 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 multiple myeloma from another, and a multiple myeloma 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 multiple myeloma, 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 multiple myeloma, 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 multiple myeloma 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 multiple myeloma, 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 multiple myeloma, 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 multiple myeloma 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 multiple myeloma 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 multiple myeloma, 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 multiple myeloma, 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 multiple myeloma 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 multiple myeloma from the things most often confused with it.",
                                        "questions": [
                                            {
                                                "id": "distinguishing-features-q01",
                                                "text": "What identifies and describes what distinguishes a multiple myeloma, 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 multiple myeloma, 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 multiple myeloma is known, and what must it refuse?",
                                                "kind": "action",
                                                "answer_data": [
                                                    "permitted actions",
                                                    "preconditions",
                                                    "refusals",
                                                    "escalation"
                                                ]
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "form-and-composition",
                        "name": "Form, composition and condition",
                        "description": "What a multiple myeloma is made of, what shape and size it takes, and what state it is in.",
                        "rationale": "A physical thing can be measured, and a model that cannot record its measurements cannot support any decision that depends on them.",
                        "layers": [
                            {
                                "id": "form-and-dimensions",
                                "name": "Form and dimensions",
                                "description": "Shape, size, mass and the ranges these take across examples.",
                                "findings": [
                                    {
                                        "id": "measurable-dimensions",
                                        "name": "Measurable dimensions and their units",
                                        "description": "The quantities worth recording and the units they are recorded in.",
                                        "questions": [
                                            {
                                                "id": "measurable-dimensions-q01",
                                                "text": "What identifies and describes the dimensions of a multiple myeloma, and in what units or vocabulary?",
                                                "kind": "definition",
                                                "answer_data": [
                                                    "identifiers",
                                                    "types and classes",
                                                    "values with units",
                                                    "explicit unknowns"
                                                ]
                                            },
                                            {
                                                "id": "measurable-dimensions-q02",
                                                "text": "Who or what asserted this about the dimensions of a multiple myeloma, by which method, and when was it true?",
                                                "kind": "provenance",
                                                "answer_data": [
                                                    "authority",
                                                    "method",
                                                    "evidence",
                                                    "event time",
                                                    "knowledge time"
                                                ]
                                            },
                                            {
                                                "id": "measurable-dimensions-q03",
                                                "text": "What may an agent decide or do once the dimensions of a multiple myeloma is known, and what must it refuse?",
                                                "kind": "action",
                                                "answer_data": [
                                                    "permitted actions",
                                                    "preconditions",
                                                    "refusals",
                                                    "escalation"
                                                ]
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "material-and-composition",
                                "name": "Material and composition",
                                "description": "Anatomy, parts and life stage.",
                                "findings": [
                                    {
                                        "id": "parts-and-materials",
                                        "name": "Parts and life stages",
                                        "description": "The parts of a multiple myeloma and the stages it passes through.",
                                        "questions": [
                                            {
                                                "id": "parts-and-materials-q01",
                                                "text": "What identifies and describes the composition of a multiple myeloma, and in what units or vocabulary?",
                                                "kind": "definition",
                                                "answer_data": [
                                                    "identifiers",
                                                    "types and classes",
                                                    "values with units",
                                                    "explicit unknowns"
                                                ]
                                            },
                                            {
                                                "id": "parts-and-materials-q02",
                                                "text": "Who or what asserted this about the composition of a multiple myeloma, by which method, and when was it true?",
                                                "kind": "provenance",
                                                "answer_data": [
                                                    "authority",
                                                    "method",
                                                    "evidence",
                                                    "event time",
                                                    "knowledge time"
                                                ]
                                            },
                                            {
                                                "id": "parts-and-materials-q03",
                                                "text": "What may an agent decide or do once the composition of a multiple myeloma is known, and what must it refuse?",
                                                "kind": "action",
                                                "answer_data": [
                                                    "permitted actions",
                                                    "preconditions",
                                                    "refusals",
                                                    "escalation"
                                                ]
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "condition-and-integrity",
                                "name": "Condition and integrity",
                                "description": "Wear, damage, health and the difference between working and broken.",
                                "findings": [
                                    {
                                        "id": "condition-assessment",
                                        "name": "Condition, damage and health",
                                        "description": "How the condition of a multiple myeloma is judged and by whom.",
                                        "questions": [
                                            {
                                                "id": "condition-assessment-q01",
                                                "text": "What identifies and describes the condition of a multiple myeloma, and in what units or vocabulary?",
                                                "kind": "definition",
                                                "answer_data": [
                                                    "identifiers",
                                                    "types and classes",
                                                    "values with units",
                                                    "explicit unknowns"
                                                ]
                                            },
                                            {
                                                "id": "condition-assessment-q02",
                                                "text": "Who or what asserted this about the condition of a multiple myeloma, by which method, and when was it true?",
                                                "kind": "provenance",
                                                "answer_data": [
                                                    "authority",
                                                    "method",
                                                    "evidence",
                                                    "event time",
                                                    "knowledge time"
                                                ]
                                            },
                                            {
                                                "id": "condition-assessment-q03",
                                                "text": "What may an agent decide or do once the condition of a multiple myeloma is known, and what must it refuse?",
                                                "kind": "action",
                                                "answer_data": [
                                                    "permitted actions",
                                                    "preconditions",
                                                    "refusals",
                                                    "escalation"
                                                ]
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "place-and-movement",
                        "name": "Place and movement",
                        "description": "Where a multiple myeloma is, how it got there and where it may go (self-moving).",
                        "rationale": "A thing that can move needs its position recorded with a time, or every later claim about it is about a place it has left.",
                        "layers": [
                            {
                                "id": "location-and-placement",
                                "name": "Location and placement",
                                "description": "Position, containment and the reference frame the position is given in.",
                                "findings": [
                                    {
                                        "id": "position-and-frame",
                                        "name": "Position, container and reference frame",
                                        "description": "Where a multiple myeloma is, and what that position is measured against.",
                                        "questions": [
                                            {
                                                "id": "position-and-frame-q01",
                                                "text": "What identifies and describes the location of a multiple myeloma, and in what units or vocabulary?",
                                                "kind": "definition",
                                                "answer_data": [
                                                    "identifiers",
                                                    "types and classes",
                                                    "values with units",
                                                    "explicit unknowns"
                                                ]
                                            },
                                            {
                                                "id": "position-and-frame-q02",
                                                "text": "Who or what asserted this about the location of a multiple myeloma, by which method, and when was it true?",
                                                "kind": "provenance",
                                                "answer_data": [
                                                    "authority",
                                                    "method",
                                                    "evidence",
                                                    "event time",
                                                    "knowledge time"
                                                ]
                                            },
                                            {
                                                "id": "position-and-frame-q03",
                                                "text": "What may an agent decide or do once the location of a multiple myeloma is known, and what must it refuse?",
                                                "kind": "action",
                                                "answer_data": [
                                                    "permitted actions",
                                                    "preconditions",
                                                    "refusals",
                                                    "escalation"
                                                ]
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "movement-and-transfer",
                                "name": "Movement and transfer",
                                "description": "How a multiple myeloma moves on its own.",
                                "findings": [
                                    {
                                        "id": "movement-events",
                                        "name": "Movement events and constraints",
                                        "description": "What counts as a movement, what records it and what limits it.",
                                        "questions": [
                                            {
                                                "id": "movement-events-q01",
                                                "text": "What identifies and describes the movement of a multiple myeloma, and in what units or vocabulary?",
                                                "kind": "definition",
                                                "answer_data": [
                                                    "identifiers",
                                                    "types and classes",
                                                    "values with units",
                                                    "explicit unknowns"
                                                ]
                                            },
                                            {
                                                "id": "movement-events-q02",
                                                "text": "Who or what asserted this about the movement of a multiple myeloma, by which method, and when was it true?",
                                                "kind": "provenance",
                                                "answer_data": [
                                                    "authority",
                                                    "method",
                                                    "evidence",
                                                    "event time",
                                                    "knowledge time"
                                                ]
                                            },
                                            {
                                                "id": "movement-events-q03",
                                                "text": "What may an agent decide or do once the movement of a multiple myeloma 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 multiple myeloma 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 multiple myeloma between them.",
                                        "questions": [
                                            {
                                                "id": "stages-and-transitions-q01",
                                                "text": "What identifies and describes the lifecycle of a multiple myeloma, 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 multiple myeloma, 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 multiple myeloma 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 multiple myeloma, how often and by whom.",
                                "findings": [
                                    {
                                        "id": "observation-record",
                                        "name": "Observation record",
                                        "description": "How an observation of a multiple myeloma 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 multiple myeloma, 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 multiple myeloma, 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 multiple myeloma is known, and what must it refuse?",
                                                "kind": "action",
                                                "answer_data": [
                                                    "permitted actions",
                                                    "preconditions",
                                                    "refusals",
                                                    "escalation"
                                                ]
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "taxonomic-placement",
                        "name": "Taxonomic placement and identification",
                        "description": "What multiple myeloma is called scientifically, by whose authority, and how a specimen is recognised.",
                        "rationale": "Names change with revisions while the organism does not, so a name without its authority and date cannot be reconciled later.",
                        "layers": [
                            {
                                "id": "accepted-name",
                                "name": "Accepted name and synonymy",
                                "description": "The current binomial, its author and date, and the names it replaced.",
                                "findings": [
                                    {
                                        "id": "name-and-authority",
                                        "name": "Accepted name, authority and synonyms",
                                        "description": "What to record so a later revision can be applied without losing the old data.",
                                        "questions": [
                                            {
                                                "id": "name-and-authority-q01",
                                                "text": "What is the accepted scientific name of multiple myeloma, with its author and year, and which synonyms does it absorb?",
                                                "kind": "definition"
                                            },
                                            {
                                                "id": "name-and-authority-q02",
                                                "text": "Which taxonomic authority is being followed, and what would a competing authority say?",
                                                "kind": "provenance"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "field-identification",
                                "name": "Field identification",
                                "description": "The characters that separate multiple myeloma from what it is confused with.",
                                "findings": [
                                    {
                                        "id": "diagnostic-characters",
                                        "name": "Diagnostic characters and confusable kinds",
                                        "description": "Features that settle an identification, and those that only suggest it.",
                                        "questions": [
                                            {
                                                "id": "diagnostic-characters-q01",
                                                "text": "Which observable characters distinguish multiple myeloma from its closest look-alikes, and at which life stage are they visible?",
                                                "kind": "boundary"
                                            },
                                            {
                                                "id": "diagnostic-characters-q02",
                                                "text": "What evidence is enough to record an identification as confirmed rather than provisional?",
                                                "kind": "provenance"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "life-cycle-and-condition",
                        "name": "Life stages, condition and behaviour",
                        "description": "What multiple myeloma does over its life and how its state is judged.",
                        "rationale": "Stage and condition change what may be done - handled, treated, harvested, left alone - and both are observations with a time.",
                        "layers": [
                            {
                                "id": "stages-and-reproduction",
                                "name": "Stages and reproduction",
                                "description": "Development from origin to death, including forms that look like different animals.",
                                "findings": [
                                    {
                                        "id": "life-stages",
                                        "name": "Life stages and their marks",
                                        "description": "The stages worth recording and what tells them apart.",
                                        "questions": [
                                            {
                                                "id": "life-stages-q01",
                                                "text": "What stages does multiple myeloma pass through, and what observable change marks each transition?",
                                                "kind": "definition"
                                            },
                                            {
                                                "id": "life-stages-q02",
                                                "text": "Which stages are so unlike the adult that they are mistaken for another kind?",
                                                "kind": "boundary"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "health-and-condition",
                                "name": "Health and condition",
                                "description": "How condition is assessed and by whom.",
                                "findings": [
                                    {
                                        "id": "condition-assessment",
                                        "name": "Condition assessment",
                                        "description": "Signs of health, injury and stress, and who is competent to judge them.",
                                        "questions": [
                                            {
                                                "id": "condition-assessment-q01",
                                                "text": "How is the condition of multiple myeloma judged, on what scale, and by whom?",
                                                "kind": "measurement"
                                            },
                                            {
                                                "id": "condition-assessment-q02",
                                                "text": "What condition obliges an agent to act, and what act is permitted to whom?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "range-and-status",
                        "name": "Habitat, range and conservation status",
                        "description": "Where multiple myeloma lives and how threatened it is.",
                        "rationale": "Range and status govern what is lawful, and both are assessments with an assessor and a year rather than facts of nature.",
                        "layers": [
                            {
                                "id": "habitat-and-range",
                                "name": "Habitat and range",
                                "description": "Native range, introductions and the habitat it needs.",
                                "findings": [
                                    {
                                        "id": "range-record",
                                        "name": "Range, introductions and habitat",
                                        "description": "What to record about where it is found and how it got there.",
                                        "questions": [
                                            {
                                                "id": "range-record-q01",
                                                "text": "What is the native range of multiple myeloma, where has it been introduced, and what habitat does it require?",
                                                "kind": "definition"
                                            },
                                            {
                                                "id": "range-record-q02",
                                                "text": "What distinguishes a native record from an introduced or vagrant one?",
                                                "kind": "boundary"
                                            }
                                        ]
                                    }
                                ]
                            },
                            {
                                "id": "protection-status",
                                "name": "Protection and legal status",
                                "description": "Conservation assessments and the rules that follow from them.",
                                "findings": [
                                    {
                                        "id": "status-and-rules",
                                        "name": "Conservation status and legal consequence",
                                        "description": "The assessment, its date, and what it forbids or requires where.",
                                        "questions": [
                                            {
                                                "id": "status-and-rules-q01",
                                                "text": "What conservation status does multiple myeloma hold, under which assessment and year?",
                                                "kind": "provenance"
                                            },
                                            {
                                                "id": "status-and-rules-q02",
                                                "text": "What does that status forbid or require of an agent, and in which jurisdiction?",
                                                "kind": "action"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "id": "provenance-and-evidence",
                        "name": "Provenance, evidence and time",
                        "description": "Where every claim about a multiple myeloma 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 multiple myeloma and how confident it is.",
                                        "questions": [
                                            {
                                                "id": "claim-provenance-q01",
                                                "text": "What identifies and describes a claim about a multiple myeloma, 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 multiple myeloma, 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 multiple myeloma 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 multiple myeloma is retired without being erased.",
                                        "questions": [
                                            {
                                                "id": "validity-and-supersession-q01",
                                                "text": "What identifies and describes the validity of a claim about a multiple myeloma, 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 multiple myeloma, 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 multiple myeloma is known, and what must it refuse?",
                                                "kind": "action",
                                                "answer_data": [
                                                    "permitted actions",
                                                    "preconditions",
                                                    "refusals",
                                                    "escalation"
                                                ]
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    }
                ]
            },
            "statistics": {
                "bundles": 8,
                "layers": 17,
                "findings": 19,
                "questions": 51
            }
        }
    }
}