{
  "vercy": "1.0-draft",
  "publication": {
    "status": "research-draft",
    "adjudicationStatus": "unreviewed",
    "publishableCanonical": false,
    "generatedAt": "2026-09-12T22:59:37Z",
    "providers": [
      "Claude"
    ],
    "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify",
    "pass": 2,
    "wave": 3,
    "engine": "claude",
    "enrichment": {
      "pass": 3,
      "engine": "claude",
      "producedAt": "2026-10-06T10:00:00Z",
      "ingestedAt": "2026-10-06T06:59:34+00:00",
      "fields": [
        "agent_conduct",
        "ethics",
        "owners"
      ]
    },
    "gate": {
      "passed": true,
      "version": "1.0",
      "at": "2026-10-07T12:16:28+00:00",
      "evidence": [
        "completeness 1.00",
        "sense: WordNet gloss",
        "2 live sources",
        "review by codex: pass"
      ]
    }
  },
  "metaModel": {
    "id": "THING-PATHOLOGY-STATE",
    "registryId": "vr.tr.pathology-state",
    "name": "pathology",
    "version": "0.2.0-wave.3",
    "entryKind": "thing",
    "family": "Thing Registry",
    "domain": [
      "XCT.STA"
    ],
    "status": "research-draft"
  },
  "canonicalUrl": "https://ver.cy/models/thing/pathology-state/",
  "model": {
    "registry_id": "vr.tr.pathology-state",
    "name": "pathology",
    "purpose": "Let an agent explain the concept of a pathological state and how it relates to disease, disorder and normal variation, distinguish the state sense from pathology as a discipline, relay how states such as acidosis are defined in clinical sources, and route personal health questions to clinicians.",
    "definition": "In the sense recorded here, any deviation from a healthy or normal condition of the body or mind, a pathological state, as distinct from pathology as the scientific discipline; the registry entry gathers aliases for acid-base disturbances such as metabolic, respiratory and diabetic acidosis, which are examples of pathological states rather than the category itself.",
    "what_it_is_for": "Not applicable; a concept of abnormal condition.",
    "affordances": [
      "explain the concept and related terms",
      "distinguish state from discipline",
      "relay clinical definitions of example states",
      "route personal questions to clinicians"
    ],
    "distinguishing_features": [
      "Departure from normal",
      "Defined against reference ranges and criteria",
      "Structural or functional",
      "Basis of diagnosis"
    ],
    "appearance": "Not a visible object; recognised by signs, symptoms and test results.",
    "visual_identification": [
      "Deviation from healthy or normal condition",
      "Disease, disorder, injury and disturbance as kinds",
      "Pathology as a discipline studies such states; normal variation is not pathological"
    ],
    "physical_properties": [],
    "families_and_kinds": [
      "diseases and disorders",
      "injuries",
      "physiological disturbances such as acidosis, including metabolic, respiratory, diabetic and ketoacidosis",
      "states of mental ill-health",
      "subclinical and borderline states"
    ],
    "related_models": [
      {
        "relation": "is a kind of",
        "target": "condition",
        "why": "an abnormal one"
      },
      {
        "relation": "is confused with",
        "target": "pathology",
        "why": "the discipline"
      },
      {
        "relation": "includes",
        "target": "acidosis",
        "why": "as an example state"
      },
      {
        "relation": "is contrasted with",
        "target": "health",
        "why": "the normal condition"
      }
    ],
    "identifiers": [
      {
        "scheme": "MeSH",
        "value_or_pattern": "D010335",
        "note": "pathological conditions, signs and symptoms"
      }
    ],
    "standards_and_regulation": [
      "Clinical definitions and reference ranges",
      "Disease classification systems such as ICD"
    ],
    "failure_modes_and_hazards": [
      "Treating normal variation as pathology",
      "Sense confusion with the discipline",
      "Agents giving personal medical advice"
    ],
    "in_scope": [],
    "out_of_scope": [],
    "characteristics": [],
    "agent_conduct": {
      "may": [
        "Explain in general terms what a pathological state is and give textbook examples such as acid-base disturbances.",
        "Direct people to medical care when they describe symptoms."
      ],
      "must_not": [
        "Diagnose a person with a pathological state such as acidosis from symptoms or numbers they give.",
        "Label normal human variation or difference as pathology.",
        "Use the word to stigmatise people's mental states, bodies or identities.",
        "Confuse the state with pathology as a medical discipline."
      ],
      "requires_human": [
        "Any treatment decision for an abnormal state, which belongs to a clinician."
      ]
    },
    "ethics": {
      "considerations": [
        "Calling something pathological carries weight; it has been used to stigmatise groups.",
        "Acid-base disorders can be emergencies, where delay is dangerous."
      ],
      "affected_parties": [
        "Patients",
        "People labelled as abnormal",
        "Clinicians relying on records"
      ]
    },
    "owners": {
      "steward": "Nobody owns the concept; clinicians answer for diagnoses in patient records.",
      "master_systems": []
    }
  },
  "sources": [
    {
      "id": "oewn",
      "title": "Open English WordNet 2024, synset oewn-14228432-n",
      "url": "https://en-word.net/id/oewn-14228432-n",
      "what_it_supports": "sense and gloss of the concept",
      "url_status": "live",
      "checked_by": "http 200"
    },
    {
      "id": "wiktionary-en",
      "title": "Wiktionary: pathology",
      "url": "https://en.wiktionary.org/wiki/pathology",
      "what_it_supports": "word senses and usage",
      "url_status": "live",
      "checked_by": "http 200"
    }
  ],
  "structure": {
    "bundles": [
      {
        "id": "concept",
        "name": "Concept",
        "description": "What a pathological state is.",
        "rationale": "Definition.",
        "layers": [
          {
            "id": "definition",
            "name": "Definition",
            "description": "Definition and related terms.",
            "findings": [
              {
                "id": "definition-finding",
                "name": "Definition",
                "description": "Definition.",
                "questions": [
                  {
                    "text": "What is a pathological state, and how does it relate to disease, disorder and normal variation?",
                    "kind": "definition"
                  },
                  {
                    "text": "Is the question about a pathological state or about pathology as a discipline?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          },
          {
            "id": "criteria",
            "name": "Criteria",
            "description": "How abnormality is defined.",
            "findings": [
              {
                "id": "criteria-finding",
                "name": "Criteria",
                "description": "Criteria.",
                "questions": [
                  {
                    "text": "How do reference ranges and diagnostic criteria define abnormal states, and what debates exist, with positions attributed?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Is the presentation neutral?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "examples",
        "name": "Examples",
        "description": "Example states.",
        "rationale": "Clinical.",
        "layers": [
          {
            "id": "acidosis",
            "name": "Acidosis",
            "description": "Acid-base disturbances.",
            "findings": [
              {
                "id": "acidosis-finding",
                "name": "Acidosis",
                "description": "Acidosis.",
                "questions": [
                  {
                    "text": "What are metabolic, respiratory and diabetic acidosis, in general terms?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Is the user asking about their own condition, which needs a clinician?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          },
          {
            "id": "other",
            "name": "Other",
            "description": "Other states.",
            "findings": [
              {
                "id": "other-finding",
                "name": "Other",
                "description": "Other.",
                "questions": [
                  {
                    "text": "What other categories of pathological state exist, and how are they classified?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits the specific state?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "practice",
        "name": "Practice",
        "description": "Diagnosis.",
        "rationale": "Clinical.",
        "layers": [
          {
            "id": "recognition",
            "name": "Recognition",
            "description": "Recognising states.",
            "findings": [
              {
                "id": "recognition-finding",
                "name": "Recognition",
                "description": "Recognition.",
                "questions": [
                  {
                    "text": "How do clinicians recognise and confirm pathological states?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which references are standard?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "classification",
            "name": "Classification",
            "description": "Classification.",
            "findings": [
              {
                "id": "classification-finding",
                "name": "Classification",
                "description": "Classification.",
                "questions": [
                  {
                    "text": "How do ICD and other systems classify pathological states?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits ICD?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "context",
        "name": "Context",
        "description": "Philosophy and history.",
        "rationale": "Context.",
        "layers": [
          {
            "id": "philosophy",
            "name": "Philosophy",
            "description": "Philosophy of medicine.",
            "findings": [
              {
                "id": "philosophy-finding",
                "name": "Philosophy",
                "description": "Philosophy.",
                "questions": [
                  {
                    "text": "How do philosophers of medicine define disease and pathology, with positions attributed?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits philosophy of medicine?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "history",
            "name": "History",
            "description": "History.",
            "findings": [
              {
                "id": "history-finding",
                "name": "History",
                "description": "History.",
                "questions": [
                  {
                    "text": "How have concepts of pathological states changed historically?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which sources are cited?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  },
  "openQuestions": [
    "Should acidosis be a separate primary entry?",
    "How should clinical definitions be linked?",
    "The registry entry has merged aliases naming specific acid-base disturbances; should they be split off?"
  ],
  "statistics": {
    "bundles": 4,
    "layers": 8,
    "findings": 8,
    "questions": 16
  }
}
