{
  "vercy": "1.0-draft",
  "publication": {
    "status": "research-draft",
    "adjudicationStatus": "unreviewed",
    "publishableCanonical": false,
    "generatedAt": "2026-09-11T13:19:14Z",
    "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": "2026-10-05T18:00:00Z",
      "ingestedAt": "2026-10-05T13:30:50+00:00",
      "fields": [
        "agent_conduct",
        "ethics",
        "owners"
      ]
    },
    "gate": {
      "passed": true,
      "version": "1.0",
      "at": "2026-10-06T19:51:53+00:00",
      "evidence": [
        "completeness 1.00",
        "sense: Wikidata description",
        "2 live sources",
        "review by codex: pass"
      ]
    }
  },
  "metaModel": {
    "id": "THING-Q12204",
    "registryId": "vr.tr.tuberculosis",
    "name": "tuberculosis",
    "version": "0.2.0-wave.1",
    "entryKind": "thing",
    "family": "Thing Registry",
    "domain": [
      "XCT.QLT"
    ],
    "status": "research-draft"
  },
  "canonicalUrl": "https://ver.cy/models/thing/q12204/",
  "model": {
    "registry_id": "vr.tr.tuberculosis",
    "name": "tuberculosis",
    "purpose": "Let an agent give general, sourced, non-stigmatising information about tuberculosis, encourage testing and completion of treatment through health services, route urgent symptoms, and avoid personal medical advice.",
    "definition": "An infectious disease caused by Mycobacterium tuberculosis, usually affecting the lungs and spread through the air when people with active lung disease cough; it can also be latent without symptoms, is preventable, notifiable and curable with a full course of treatment, though drug-resistant forms exist.",
    "what_it_is_for": "A major public health disease relevant to testing, treatment and prevention.",
    "affordances": [
      "recognise symptoms that need medical assessment",
      "find testing and treatment services",
      "understand latent and active TB in general terms",
      "find public health and support information"
    ],
    "distinguishing_features": [
      "Caused by Mycobacterium tuberculosis",
      "Airborne spread",
      "Latent or active",
      "Curable with long treatment"
    ],
    "appearance": "Symptoms such as a persistent cough, fever, night sweats and weight loss; seen on chest X-rays and in laboratory tests.",
    "visual_identification": [
      "Cough lasting weeks with fever or weight loss",
      "Chest X-ray and sputum tests",
      "Other lung infections can cause similar symptoms"
    ],
    "physical_properties": [],
    "families_and_kinds": [
      "pulmonary TB",
      "extrapulmonary TB",
      "latent TB infection",
      "drug-resistant TB",
      "TB with HIV co-infection"
    ],
    "related_models": [
      {
        "relation": "is a kind of",
        "target": "bacterial infectious disease",
        "why": "category"
      },
      {
        "relation": "is caused by",
        "target": "Mycobacterium tuberculosis",
        "why": "pathogen"
      },
      {
        "relation": "affects",
        "target": "lung",
        "why": "organ"
      },
      {
        "relation": "is prevented by",
        "target": "BCG vaccine and infection control",
        "why": "prevention"
      }
    ],
    "identifiers": [
      {
        "scheme": "ICD-10",
        "value_or_pattern": "A15-A19",
        "note": "tuberculosis codes"
      }
    ],
    "standards_and_regulation": [
      "WHO End TB Strategy and guidelines",
      "Notifiable disease laws",
      "Occupational health screening rules"
    ],
    "failure_modes_and_hazards": [
      "Stopping treatment early",
      "Stigma discouraging testing",
      "Agents giving personal treatment advice"
    ],
    "in_scope": [],
    "out_of_scope": [],
    "characteristics": [],
    "agent_conduct": {
      "may": [
        "Explain tuberculosis, its spread, testing and treatment in general, citing public health sources.",
        "Help a person keep track of treatment their clinician prescribed."
      ],
      "must_not": [
        "Diagnose tuberculosis or advise stopping or changing treatment.",
        "Disclose a person's tuberculosis status without consent or legal basis.",
        "Stigmatize groups or nationalities as carriers of the disease.",
        "Handle samples or cultures outside a laboratory with the required containment."
      ],
      "requires_human": [
        "Any decision on isolation, notification or treatment of a person."
      ]
    },
    "ethics": {
      "considerations": [
        "Tuberculosis hits poor, imprisoned and migrant people hardest, and stigma deters care.",
        "Unfinished treatment drives drug resistance that endangers everyone."
      ],
      "affected_parties": [
        "Patients",
        "Their families and contacts",
        "Health workers"
      ]
    },
    "owners": {
      "steward": "The patient owns their health information; public health authorities oversee notification and control.",
      "master_systems": [
        "Notifiable disease surveillance systems"
      ]
    }
  },
  "sources": [
    {
      "id": "wikidata",
      "title": "Wikidata item Q12204: tuberculosis",
      "url": "https://www.wikidata.org/wiki/Q12204",
      "url_status": "live",
      "what_it_supports": "identity and sense of the item",
      "checked_by": "wikidata-api"
    },
    {
      "id": "wikipedia-en",
      "title": "Wikipedia: Tuberculosis",
      "url": "https://en.wikipedia.org/wiki/Tuberculosis",
      "url_status": "live",
      "what_it_supports": "general description of the item",
      "checked_by": "wikidata-api sitelink"
    }
  ],
  "structure": {
    "bundles": [
      {
        "id": "symptoms",
        "name": "Symptoms",
        "description": "When to seek care.",
        "rationale": "Early testing matters.",
        "layers": [
          {
            "id": "assess",
            "name": "Assess",
            "description": "Persistent symptoms.",
            "findings": [
              {
                "id": "assess-finding",
                "name": "Assess",
                "description": "Symptoms needing assessment.",
                "questions": [
                  {
                    "text": "Has the person had a cough for several weeks, fever, night sweats or weight loss?",
                    "kind": "boundary"
                  },
                  {
                    "text": "Should they contact a doctor or TB service for testing?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "urgent",
            "name": "Urgent",
            "description": "Urgent symptoms.",
            "findings": [
              {
                "id": "urgent-finding",
                "name": "Urgent",
                "description": "Urgent symptoms.",
                "questions": [
                  {
                    "text": "Is the person coughing up significant blood or severely short of breath?",
                    "kind": "boundary"
                  },
                  {
                    "text": "Should emergency help be sought now?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "information",
        "name": "Information",
        "description": "General facts.",
        "rationale": "Sourced information only.",
        "layers": [
          {
            "id": "latent",
            "name": "Latent",
            "description": "Latent and active.",
            "findings": [
              {
                "id": "latent-finding",
                "name": "Latent",
                "description": "Latent and active TB.",
                "questions": [
                  {
                    "text": "How do latent TB infection and active TB disease differ, according to WHO?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Is latent TB infectious?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "personal",
            "name": "Personal",
            "description": "Treatment questions.",
            "findings": [
              {
                "id": "personal-finding",
                "name": "Personal",
                "description": "Personal advice limits.",
                "questions": [
                  {
                    "text": "Is the user asking about their own diagnosis or medicines?",
                    "kind": "boundary"
                  },
                  {
                    "text": "How should the agent encourage them to talk to their TB team and finish treatment?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "public",
        "name": "Public health",
        "description": "Prevention and control.",
        "rationale": "Public health leads.",
        "layers": [
          {
            "id": "contacts",
            "name": "Contacts",
            "description": "Contact tracing.",
            "findings": [
              {
                "id": "contacts-finding",
                "name": "Contacts",
                "description": "Contact tracing.",
                "questions": [
                  {
                    "text": "What happens when someone close to a TB patient is identified as a contact?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Is screening free here?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "data",
            "name": "Data",
            "description": "Statistics.",
            "findings": [
              {
                "id": "data-finding",
                "name": "Data",
                "description": "TB statistics.",
                "questions": [
                  {
                    "text": "What do WHO or national reports say about TB rates here, and for which year?",
                    "kind": "provenance"
                  },
                  {
                    "text": "How is drug resistance tracked?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "support",
        "name": "Support",
        "description": "Living with TB.",
        "rationale": "Support aids recovery.",
        "layers": [
          {
            "id": "stigma",
            "name": "Stigma",
            "description": "Respectful language.",
            "findings": [
              {
                "id": "stigma-finding",
                "name": "Stigma",
                "description": "Stigma.",
                "questions": [
                  {
                    "text": "Is the language non-stigmatising and person-first?",
                    "kind": "boundary"
                  },
                  {
                    "text": "Which organisations challenge TB stigma?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "help",
            "name": "Help",
            "description": "Practical support.",
            "findings": [
              {
                "id": "help-finding",
                "name": "Help",
                "description": "Practical support.",
                "questions": [
                  {
                    "text": "Which support exists for people during TB treatment, such as financial or treatment support?",
                    "kind": "provenance"
                  },
                  {
                    "text": "How can it be accessed?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  },
  "openQuestions": [
    "Should TB forms be separate entries?",
    "How should testing services be localised?",
    "How should WHO data be linked?"
  ],
  "statistics": {
    "bundles": 4,
    "layers": 8,
    "findings": 8,
    "questions": 16
  }
}
