{ "model": { "rank": 2504, "code": "thing-q47912", "model_id": "vr.tr.lung-cancer", "name": "lung cancer", "purpose": "Let an agent explain lung cancer in general terms, point to screening, specialist care, stop-smoking and support services, without diagnosis or treatment advice.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q47912/", "tier": 2, "score": 104, "payload": { "layer": "wikidata", "aliases": [ "lung metastasis", "lung carcinoma", "mucinous cystadenocarcinoma of the lung", "pulmonary neuroendocrine tumor", "in situ pulmonary adenocarcinoma", "radon-related lung cancer", "Asbestos-related lung cancer", "Pancoast tumor", "bronchus cancer", "lung sarcoma", "epithelioid trophoblastic tumor", "main bronchus cancer", "pulmonary artery choriocarcinoma", "lung meningioma", "lung lymphoma", "lung hilum cancer", "Diffuse Idiopathic Pulmonary Neuroendocrine Cell Hyperplasia", "EML4-ALK positive lung cancer", "multiple pulmonary nodules", "small cell lung cancer", "Salivary gland–like carcinoma of the lung", "adenocarcinoma of the lung", "bronchogenic lung adenocarcinoma", "solid carcinoma of lung", "solid adenocarcinoma with mucin production", "Acinic cell carcinoma of the lung", "small cell neuroendocrine carcinoma of the lung", "combined carcinoma of lung", "AD-BAC", "mixed mucinous and non-mucinous bronchioloalveolar lung carcinoma", "lung superior sulcus carcinoma", "Pulmonary Enteric Adenocarcinoma", "Minimally invasive adenocarcinoma of the lung", "bronchiolo-alveolar adenocarcinoma", "lung papillary adenocarcinoma", "lung acinar adenocarcinoma", "lung occult adenocarcinoma", "recurrent adenocarcinoma of lung", "signet ring lung adenocarcinoma", "mucinous lung adenocarcinoma" ], "aliasCount": 46, "merged": 46, "knownIn": 104, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q47912", "url": "https://www.wikidata.org/wiki/Q47912", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-11T11:26:49Z", "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-Q47912", "registryId": "vr.tr.lung-cancer", "name": "lung cancer", "version": "0.2.0-wave.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q47912/", "model": { "registry_id": "vr.tr.lung-cancer", "name": "lung cancer", "purpose": "Let an agent explain lung cancer in general terms, point to screening, specialist care, stop-smoking and support services, without diagnosis or treatment advice.", "definition": "Cancer that begins in the lungs, mainly non-small cell and small cell lung cancer, strongly linked to smoking and also to radon, air pollution and occupational exposures; treatment and outlook depend on type and stage and are decided by specialist teams.", "what_it_is_for": "A serious health topic requiring accurate information and support.", "affordances": [ "explain lung cancer types in general terms", "find screening programmes where offered", "find stop-smoking and radon information", "find patient and carer support" ], "distinguishing_features": [ "Cancer starting in the lung", "Strong link to smoking", "Screening in some countries", "Specialist multidisciplinary care" ], "appearance": "Symptoms may include persistent cough, coughing blood, breathlessness and weight loss; diagnosis needs medical tests.", "visual_identification": [ "Non-small cell and small cell types", "Diagnosed by imaging and biopsy", "Lung metastases come from cancers elsewhere" ], "physical_properties": [], "families_and_kinds": [ "non-small cell lung cancer", "small cell lung cancer", "neuroendocrine tumours of the lung", "radon-related lung cancer" ], "related_models": [ { "relation": "is a kind of", "target": "respiratory system cancer", "why": "category" }, { "relation": "is linked to", "target": "smoking and radon", "why": "risk factors" }, { "relation": "is treated by", "target": "oncology", "why": "specialty" }, { "relation": "is related to", "target": "occupational disease", "why": "exposure" } ], "identifiers": [ { "scheme": "ICD-11", "value_or_pattern": "2C25", "note": "malignant neoplasms of bronchus or lung" } ], "standards_and_regulation": [ "National lung cancer screening programmes", "Tobacco control law", "Radon action levels" ], "failure_modes_and_hazards": [ "Agents diagnosing or predicting outcomes", "Blaming patients", "Unproven cure claims" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "care", "name": "Care", "description": "Seeing a doctor.", "rationale": "Clinicians diagnose.", "layers": [ { "id": "symptoms", "name": "Symptoms", "description": "When to seek advice.", "findings": [ { "id": "symptoms-finding", "name": "Symptoms", "description": "Seeking advice.", "questions": [ { "text": "Are there persistent symptoms such as coughing blood that need prompt medical assessment?", "kind": "boundary" }, { "text": "How can an appointment be made?", "kind": "action" } ] } ] }, { "id": "diagnosis", "name": "Diagnosis", "description": "No self-diagnosis.", "findings": [ { "id": "diagnosis-finding", "name": "Diagnosis", "description": "Diagnosis limit.", "questions": [ { "text": "Is the user asking the agent to diagnose or predict outcome?", "kind": "boundary" }, { "text": "How should they discuss it with their specialist team?", "kind": "action" } ] } ] } ] }, { "id": "prevention", "name": "Prevention", "description": "Risk reduction.", "rationale": "Risks can be reduced.", "layers": [ { "id": "smoking", "name": "Smoking", "description": "Stop-smoking help.", "findings": [ { "id": "smoking-finding", "name": "Smoking", "description": "Stop smoking.", "questions": [ { "text": "Which free stop-smoking services exist here?", "kind": "provenance" }, { "text": "How can they be contacted?", "kind": "action" } ] } ] }, { "id": "radon", "name": "Radon", "description": "Home testing.", "findings": [ { "id": "radon-finding", "name": "Radon", "description": "Radon.", "questions": [ { "text": "Is this area affected by radon, according to official maps?", "kind": "provenance" }, { "text": "How can a home be tested?", "kind": "action" } ] } ] } ] }, { "id": "screening", "name": "Screening", "description": "Programmes.", "rationale": "Screening is targeted.", "layers": [ { "id": "programme", "name": "Programme", "description": "Eligibility.", "findings": [ { "id": "programme-finding", "name": "Programme", "description": "Screening programmes.", "questions": [ { "text": "Is lung cancer screening offered here, and who is eligible?", "kind": "provenance" }, { "text": "How is an invitation arranged?", "kind": "action" } ] } ] }, { "id": "trials", "name": "Trials", "description": "Clinical trials.", "findings": [ { "id": "trials-finding", "name": "Trials", "description": "Clinical trials.", "questions": [ { "text": "Where can official clinical trial registries be searched?", "kind": "provenance" }, { "text": "Should the specialist team be consulted first?", "kind": "action" } ] } ] } ] }, { "id": "support", "name": "Support", "description": "Patients and carers.", "rationale": "Support matters.", "layers": [ { "id": "organisations", "name": "Organisations", "description": "Charities.", "findings": [ { "id": "organisations-finding", "name": "Organisations", "description": "Support organisations.", "questions": [ { "text": "Which lung cancer charities offer support here?", "kind": "provenance" }, { "text": "Do they have helplines?", "kind": "provenance" } ] } ] }, { "id": "stigma", "name": "Stigma", "description": "Non-judgemental.", "findings": [ { "id": "stigma-finding", "name": "Stigma", "description": "Stigma.", "questions": [ { "text": "Does the language avoid blaming patients?", "kind": "boundary" }, { "text": "Is support offered regardless of smoking history?", "kind": "boundary" } ] } ] } ] } ] }, "openQuestions": [ "Should subtypes be separate entries?", "How should screening programmes be localised?", "How should alias lists be curated?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "disease or condition", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a lung cancer, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain lung cancer in general terms, point to screening, specialist care, stop-smoking and support services, without diagnosis or treatment advice.", "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: lung metastasis, lung carcinoma, mucinous cystadenocarcinoma of the lung, pulmonary neuroendocrine tumor, in situ pulmonary adenocarcinoma, radon-related lung cancer, Asbestos-related lung cancer, Pancoast tumor, bronchus cancer, lung sarcoma, epithelioid trophoblastic tumor, main bronchus cancer.", "46 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 104 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 lung cancer, and on what evidence are they told apart?" ], "whatItIsMadeOf": "an abstraction with no physical instance", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "observe it, measure it, record its state" ], "howItIsRecognised": [ "Recognised by criteria applied to signs and findings, not by appearance. Two conditions can look identical and be distinguished only by test." ], "relatedModels": [ { "relation": "covers", "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.", "targets": [ "lung metastasis", "lung carcinoma", "mucinous cystadenocarcinoma of the lung", "pulmonary neuroendocrine tumor", "in situ pulmonary adenocarcinoma", "radon-related lung cancer", "Asbestos-related lung cancer", "Pancoast tumor", "bronchus cancer", "lung sarcoma", "epithelioid trophoblastic tumor", "main bronchus cancer" ] } ], "standing": "Described in 104 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 46 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 lung cancer from another, and a lung cancer from things that resemble it.", "rationale": "Recognition comes before every other claim. Without stable identity nothing else in the model can be trusted to be about the same thing twice.", "layers": [ { "id": "naming-and-identifiers", "name": "Names and identifiers", "description": "The names this thing goes by and the identifiers that survive translation and time.", "findings": [ { "id": "preferred-name-and-aliases", "name": "Preferred name, aliases and local names", "description": "Which name to use, which names mean the same thing, and which merely sound similar.", "questions": [ { "id": "preferred-name-and-aliases-q01", "text": "What identifies and describes the name of a lung cancer, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "preferred-name-and-aliases-q02", "text": "Who or what asserted this about the name of a lung cancer, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "preferred-name-and-aliases-q03", "text": "What may an agent decide or do once the name of a lung cancer is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "stable-identifiers", "name": "Stable identifiers and external keys", "description": "Identifiers that keep pointing at this kind of thing across systems and languages.", "questions": [ { "id": "stable-identifiers-q01", "text": "What identifies and describes an identifier for a lung cancer, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stable-identifiers-q02", "text": "Who or what asserted this about an identifier for a lung cancer, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stable-identifiers-q03", "text": "What may an agent decide or do once an identifier for a lung cancer is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "classification-and-granularity", "name": "Classification and granularity", "description": "Where a lung cancer sits among kinds, and how finely a task needs to cut it.", "findings": [ { "id": "kind-and-parents", "name": "Kind, parents and neighbouring kinds", "description": "The classes this thing belongs to and the ones it is next to.", "questions": [ { "id": "kind-and-parents-q01", "text": "What identifies and describes the kind of a lung cancer, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "kind-and-parents-q02", "text": "Who or what asserted this about the kind of a lung cancer, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "kind-and-parents-q03", "text": "What may an agent decide or do once the kind of a lung cancer is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "distinguishing-features", "name": "Distinguishing features", "description": "What separates a lung cancer from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a lung cancer, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "distinguishing-features-q02", "text": "Who or what asserted this about what distinguishes a lung cancer, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "distinguishing-features-q03", "text": "What may an agent decide or do once what distinguishes a lung cancer is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "state-and-lifecycle", "name": "State and lifecycle", "description": "The states a lung cancer passes through and the events that move it between them.", "rationale": "Most decisions about a thing depend on what state it is in now, which is a claim with a time on it, not a property.", "layers": [ { "id": "lifecycle-stages", "name": "Lifecycle stages", "description": "From coming into existence to ceasing to be one of these.", "findings": [ { "id": "stages-and-transitions", "name": "Stages and transitions", "description": "The stages worth naming and what moves a lung cancer between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a lung cancer, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stages-and-transitions-q02", "text": "Who or what asserted this about the lifecycle of a lung cancer, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stages-and-transitions-q03", "text": "What may an agent decide or do once the lifecycle of a lung cancer is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "observations-and-status", "name": "Observations and current status", "description": "What is observed about a lung cancer, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a lung cancer is recorded so that it can be superseded rather than overwritten.", "questions": [ { "id": "observation-record-q01", "text": "What identifies and describes an observation of a lung cancer, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "observation-record-q02", "text": "Who or what asserted this about an observation of a lung cancer, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "observation-record-q03", "text": "What may an agent decide or do once an observation of a lung cancer is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "diagnosis-and-criteria", "name": "Diagnosis, criteria and coding", "description": "What makes a case of lung cancer a case, and under which revision.", "rationale": "Criteria change between revisions, so a diagnosis without its coding revision cannot be compared with a later one.", "layers": [ { "id": "criteria", "name": "Diagnostic criteria", "description": "The criteria in force and who issues them.", "findings": [ { "id": "criteria-record", "name": "Criteria, issuer and revision", "description": "What must be true for a diagnosis, according to whom.", "questions": [ { "id": "criteria-record-q01", "text": "What criteria define lung cancer, issued by which body, in which revision?", "kind": "definition" }, { "id": "criteria-record-q02", "text": "What changed between revisions that would reclassify existing cases?", "kind": "boundary" } ] } ] }, { "id": "coding", "name": "Coding and terminology", "description": "The codes used to record it and their mapping.", "findings": [ { "id": "coding-record", "name": "Codes and mappings", "description": "Which classification codes apply and how they map.", "questions": [ { "id": "coding-record-q01", "text": "Which classification and terminology codes cover lung cancer, and how do they map to each other?", "kind": "definition" }, { "id": "coding-record-q02", "text": "What is lost when a case is mapped from one scheme to another?", "kind": "boundary" } ] } ] } ] }, { "id": "course-and-population", "name": "Course, population and care", "description": "How lung cancer develops, whom it affects, and what is done about it.", "rationale": "The condition, the diagnosis and the episode of care are three different things, and an agent must not merge them.", "layers": [ { "id": "course", "name": "Course and stages", "description": "Onset, progression, remission and outcome.", "findings": [ { "id": "course-record", "name": "Stages and transitions", "description": "The stages recorded and what moves a case between them.", "questions": [ { "id": "course-record-q01", "text": "What course does lung cancer typically take, and what marks each stage?", "kind": "definition" }, { "id": "course-record-q02", "text": "What separates the condition itself from an episode of care for it?", "kind": "boundary" } ] } ] }, { "id": "population", "name": "Affected populations", "description": "Who is affected, how often, and on what evidence.", "findings": [ { "id": "epidemiology", "name": "Prevalence and its basis", "description": "Rates with their population, period and source.", "questions": [ { "id": "epidemiology-q01", "text": "What prevalence or incidence is reported for lung cancer, in which population and period?", "kind": "measurement" }, { "id": "epidemiology-q02", "text": "What may an agent not conclude about an individual from a population rate?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a lung cancer came from and when it held.", "rationale": "A claim without a source and a time cannot be superseded, only overwritten, and an agent that overwrites loses the ability to explain itself.", "layers": [ { "id": "source-and-authority", "name": "Source and authority", "description": "Who said it, on what evidence, and how strongly.", "findings": [ { "id": "claim-provenance", "name": "Claim provenance and confidence", "description": "The authority behind each claim about a lung cancer and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a lung cancer, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "claim-provenance-q02", "text": "Who or what asserted this about a claim about a lung cancer, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "claim-provenance-q03", "text": "What may an agent decide or do once a claim about a lung cancer is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "time-and-versions", "name": "Time, versions and supersession", "description": "When a claim was true, when it was learnt, and what replaced it.", "findings": [ { "id": "validity-and-supersession", "name": "Validity period and supersession", "description": "How an old claim about a lung cancer is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a lung cancer, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "validity-and-supersession-q02", "text": "Who or what asserted this about the validity of a claim about a lung cancer, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "validity-and-supersession-q03", "text": "What may an agent decide or do once the validity of a claim about a lung cancer is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 5, "layers": 10, "findings": 12, "questions": 32 } } } }