{
  "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",
    "enrichment": {
      "pass": 3,
      "engine": "claude",
      "producedAt": "2026-10-05T16:30:00Z",
      "ingestedAt": "2026-10-05T13:30:47+00:00",
      "fields": [
        "agent_conduct",
        "ethics",
        "owners"
      ]
    },
    "revisions": [
      {
        "at": "2026-10-06T22:31:29+00:00",
        "engine": "codex",
        "fields": [
          "definition"
        ],
        "answering_review": "8bdbe02012f9d9491ce05cf10a241b140b80a869eb2343efdc53460d3987d560"
      }
    ],
    "gate": {
      "passed": true,
      "version": "1.0",
      "at": "2026-10-07T10:10:25+00:00",
      "evidence": [
        "completeness 1.00",
        "sense: Wikidata description",
        "2 live sources",
        "review by codex: pass"
      ]
    }
  },
  "metaModel": {
    "id": "THING-Q12152",
    "registryId": "vr.tr.myocardial-infarction",
    "name": "myocardial infarction",
    "version": "0.2.0-wave.1",
    "entryKind": "thing",
    "family": "Thing Registry",
    "domain": [
      "XCT.STA"
    ],
    "status": "research-draft"
  },
  "canonicalUrl": "https://ver.cy/models/thing/q12152/",
  "model": {
    "registry_id": "vr.tr.myocardial-infarction",
    "name": "myocardial infarction",
    "purpose": "Let an agent route suspected heart attacks to emergency services immediately, give general information from official sources, and never diagnose or delay care.",
    "definition": "Death of heart muscle caused by inadequate oxygen supply relative to its needs, often from a sudden blockage of blood flow in a coronary artery but also from other causes of oxygen supply-demand imbalance, commonly called a heart attack; a medical emergency needing immediate treatment, with symptoms such as chest pain or pressure, breathlessness, sweating and nausea, which may differ in women and older people.",
    "what_it_is_for": "A life-threatening emergency and a major cause of death.",
    "affordances": [
      "recognise warning signs and call emergency services",
      "follow dispatcher and first-aid guidance",
      "find cardiac rehabilitation and support",
      "find prevention information"
    ],
    "distinguishing_features": [
      "Blocked coronary blood flow",
      "Time-critical",
      "Treatable in hospital",
      "Symptoms vary"
    ],
    "appearance": "Symptoms rather than visible signs; diagnosed by ECG and blood tests in hospital.",
    "visual_identification": [
      "Chest pain or pressure spreading to arm, jaw or back",
      "Symptoms can be subtle, especially in women",
      "Cardiac arrest is a related but different emergency"
    ],
    "physical_properties": [],
    "families_and_kinds": [
      "STEMI",
      "NSTEMI",
      "MINOCA",
      "silent myocardial infarction"
    ],
    "related_models": [
      {
        "relation": "is a kind of",
        "target": "ischaemia and coronary artery disease",
        "why": "category"
      },
      {
        "relation": "can lead to",
        "target": "cardiac arrest",
        "why": "complication"
      },
      {
        "relation": "is treated by",
        "target": "emergency cardiology",
        "why": "care"
      },
      {
        "relation": "is related to",
        "target": "circulation",
        "why": "physiology"
      }
    ],
    "identifiers": [
      {
        "scheme": "ICD-11",
        "value_or_pattern": "BA41",
        "note": "acute myocardial infarction"
      }
    ],
    "standards_and_regulation": [
      "Resuscitation council guidelines",
      "Clinical guidelines for acute coronary syndromes"
    ],
    "failure_modes_and_hazards": [
      "Delaying emergency calls",
      "Agents diagnosing chest pain",
      "Driving oneself to hospital"
    ],
    "in_scope": [],
    "out_of_scope": [],
    "characteristics": [],
    "agent_conduct": {
      "may": [
        "Urge anyone with possible heart attack symptoms to call emergency services at once.",
        "Give general, sourced information on risk factors and recovery."
      ],
      "must_not": [
        "Reassure someone with possible symptoms that it is not a heart attack.",
        "Advise delaying emergency care or driving oneself to hospital.",
        "Recommend medicines or doses in place of emergency services or a clinician.",
        "Disclose a person's cardiac history without consent."
      ],
      "requires_human": [
        "Acting on any medical decision during a suspected heart attack."
      ]
    },
    "ethics": {
      "considerations": [
        "Delay costs heart muscle and lives.",
        "Symptoms in women and older people are often missed."
      ],
      "affected_parties": [
        "Heart attack patients",
        "Families and bystanders",
        "Emergency responders"
      ]
    },
    "owners": {
      "steward": "The patient with their care team; health systems hold the records.",
      "master_systems": []
    }
  },
  "sources": [
    {
      "id": "wikidata",
      "title": "Wikidata item Q12152: myocardial infarction",
      "url": "https://www.wikidata.org/wiki/Q12152",
      "url_status": "live",
      "what_it_supports": "identity and sense of the item",
      "checked_by": "wikidata-api"
    },
    {
      "id": "wikipedia-en",
      "title": "Wikipedia: Myocardial infarction",
      "url": "https://en.wikipedia.org/wiki/Myocardial_infarction",
      "url_status": "live",
      "what_it_supports": "general description of the item",
      "checked_by": "wikidata-api sitelink"
    }
  ],
  "structure": {
    "bundles": [
      {
        "id": "emergency",
        "name": "Emergency",
        "description": "Act now.",
        "rationale": "Emergencies come first.",
        "layers": [
          {
            "id": "call",
            "name": "Call",
            "description": "Emergency services.",
            "findings": [
              {
                "id": "call-finding",
                "name": "Call",
                "description": "Emergency call.",
                "questions": [
                  {
                    "text": "Are there signs of a heart attack such as chest pain, breathlessness or sweating?",
                    "kind": "boundary"
                  },
                  {
                    "text": "Which emergency number should be called now, without delay?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "arrest",
            "name": "Arrest",
            "description": "CPR and defibrillator.",
            "findings": [
              {
                "id": "arrest-finding",
                "name": "Arrest",
                "description": "Cardiac arrest.",
                "questions": [
                  {
                    "text": "Is the person unresponsive and not breathing normally?",
                    "kind": "boundary"
                  },
                  {
                    "text": "Should CPR be started and a defibrillator used, as the dispatcher instructs?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "limits",
        "name": "Limits",
        "description": "No diagnosis.",
        "rationale": "Clinicians decide.",
        "layers": [
          {
            "id": "diagnosis",
            "name": "Diagnosis",
            "description": "Chest pain.",
            "findings": [
              {
                "id": "diagnosis-finding",
                "name": "Diagnosis",
                "description": "Diagnosis limit.",
                "questions": [
                  {
                    "text": "Is the user asking the agent whether chest pain is a heart attack?",
                    "kind": "boundary"
                  },
                  {
                    "text": "Why should they seek emergency care instead of waiting?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "medicines",
            "name": "Medicines",
            "description": "Aspirin and others.",
            "findings": [
              {
                "id": "medicines-finding",
                "name": "Medicines",
                "description": "Medicines limit.",
                "questions": [
                  {
                    "text": "Is the user asking whether to take a medicine during symptoms?",
                    "kind": "boundary"
                  },
                  {
                    "text": "Should they follow the emergency dispatcher advice?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "recovery",
        "name": "Recovery",
        "description": "After a heart attack.",
        "rationale": "Rehabilitation helps.",
        "layers": [
          {
            "id": "rehab",
            "name": "Rehab",
            "description": "Cardiac rehabilitation.",
            "findings": [
              {
                "id": "rehab-finding",
                "name": "Rehab",
                "description": "Cardiac rehabilitation.",
                "questions": [
                  {
                    "text": "How can someone access cardiac rehabilitation?",
                    "kind": "action"
                  },
                  {
                    "text": "What does it involve, in general terms?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "support",
            "name": "Support",
            "description": "Emotional support.",
            "findings": [
              {
                "id": "support-finding",
                "name": "Support",
                "description": "Support.",
                "questions": [
                  {
                    "text": "Which heart charities offer support and helplines?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Is support available for carers?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "prevention",
        "name": "Prevention",
        "description": "Public health.",
        "rationale": "Risks can be reduced.",
        "layers": [
          {
            "id": "risks",
            "name": "Risks",
            "description": "Risk factors.",
            "findings": [
              {
                "id": "risks-finding",
                "name": "Risks",
                "description": "Risk factors.",
                "questions": [
                  {
                    "text": "What risk factors do health authorities identify?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Where can a health check be booked?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "learn",
            "name": "Learn",
            "description": "CPR training.",
            "findings": [
              {
                "id": "learn-finding",
                "name": "Learn",
                "description": "CPR training.",
                "questions": [
                  {
                    "text": "Where can people learn CPR and defibrillator use?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Where are public defibrillators located?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  },
  "openQuestions": [
    "Should subtypes be separate entries?",
    "How should emergency numbers be localised?",
    "How should alias lists be curated?"
  ],
  "statistics": {
    "bundles": 4,
    "layers": 8,
    "findings": 8,
    "questions": 16
  }
}