{ "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T02:58:53Z", "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": "2026-10-06T07:13:37+00:00", "fields": [ "agent_conduct", "ethics", "owners" ] }, "revisions": [ { "at": "2026-10-06T22:32:12+00:00", "engine": "codex", "fields": [ "agent_conduct" ], "answering_review": "a1883b98315ab94b40883b1ed33b04938fa04ff27c2b029156d23d4af9d42d88" } ], "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-Q127076", "registryId": "vr.tr.vomiting", "name": "vomiting", "version": "0.2.0-wave.3", "entryKind": "thing", "family": "Thing Registry", "domain": [ "INF.KNW" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q127076/", "model": { "registry_id": "vr.tr.vomiting", "name": "vomiting", "purpose": "Let an agent explain vomiting and its causes in general terms from clinical sources, identify warning signs that need urgent care, describe management approaches, and route personal questions to clinicians.", "definition": "The forceful expulsion of stomach contents through the mouth, a clinical sign and health problem with many causes including infections, food poisoning, motion sickness, pregnancy, medications, migraine, bowel obstruction and psychological factors as in psychogenic vomiting, with serious forms such as hematemesis, vomiting blood, fecal vomiting in bowel obstruction, hyperemesis in pregnancy and chronic vomiting; vomiting causes dehydration and electrolyte loss and can signal emergencies.", "what_it_is_for": "Not applicable; a clinical sign.", "affordances": [ "explain causes and mechanism", "identify warning signs", "relay management approaches", "route personal questions" ], "distinguishing_features": [ "Reflex mechanism", "Many causes", "Dehydration risk", "Red flag forms" ], "appearance": "Not a visible object; expulsion of stomach contents.", "visual_identification": [ "Forceful expulsion of stomach contents", "Acute, chronic, psychogenic vomiting; hematemesis, fecal vomiting, hyperemesis", "Regurgitation is passive; nausea is the sensation; retching produces nothing" ], "physical_properties": [], "families_and_kinds": [ "acute vomiting from infection or toxins", "chronic and cyclic vomiting", "psychogenic vomiting", "hematemesis", "fecal vomiting", "hyperemesis gravidarum", "vomiting in infants and children", "vomiting in animals" ], "related_models": [ { "relation": "is a kind of", "target": "clinical sign", "why": "in registry terms" }, { "relation": "is a kind of", "target": "digestive sign", "why": "in registry terms" }, { "relation": "is a kind of", "target": "health problem", "why": "in registry terms" }, { "relation": "is preceded by", "target": "nausea", "why": "usually" } ], "identifiers": [ { "scheme": "ICD-11", "value_or_pattern": "MD90", "note": "nausea or vomiting" }, { "scheme": "MeSH", "value_or_pattern": "D014839", "note": "vomiting" } ], "standards_and_regulation": [ "Clinical guidelines on gastroenteritis, hyperemesis and antiemetics", "Emergency guidance on hematemesis and bowel obstruction" ], "failure_modes_and_hazards": [ "Missing emergencies such as hematemesis or obstruction", "Dehydration especially in children and older people", "Agents giving personal medical advice", "Aspiration" ], "in_scope": [], "out_of_scope": [], "characteristics": [], "agent_conduct": { "may": [ "Explain the common causes of vomiting and what warning signs need medical attention.", "Explain the general role of rehydration using recognised public health guidance, while leaving decisions about fluids for a particular person to a clinician.", "Urge urgent medical care when there is blood, severe pain, head injury, or vomiting in an infant." ], "must_not": [ "Give a diagnosis or recommend medicines, including anti-emetics, in place of a clinician.", "Advise inducing vomiting, which recognised guidance no longer supports.", "Treat repeated self-induced vomiting as a weight management method rather than routing the person to care.", "Dismiss persistent vomiting in an infant, a pregnant person or an older adult as minor." ], "requires_human": [ "Any decision about medication, fluids or hospital care for a person requires human judgment.", "Responding to signs of an eating disorder requires human involvement." ] }, "ethics": { "considerations": [ "Dehydration from vomiting kills infants and older people quickly, so advice that delays care is dangerous.", "Self-induced vomiting is a feature of eating disorders, and material about it can reinforce harm." ], "affected_parties": [ "Infants and young children", "People with eating disorders", "Pregnant people and older adults" ] }, "owners": { "steward": "Nobody owns it; the treating clinician answers for each patient's care.", "master_systems": [] } }, "sources": [ { "id": "wikidata", "title": "Wikidata item Q127076: vomiting", "url": "https://www.wikidata.org/wiki/Q127076", "url_status": "live", "what_it_supports": "identity and sense of the item", "checked_by": "wikidata-api" }, { "id": "wikipedia-en", "title": "Wikipedia: Vomiting", "url": "https://en.wikipedia.org/wiki/Vomiting", "url_status": "live", "what_it_supports": "general description of the item", "checked_by": "wikidata-api sitelink" } ], "structure": { "bundles": [ { "id": "help", "name": "Help", "description": "Warning signs first.", "rationale": "Safety.", "layers": [ { "id": "urgent", "name": "Urgent", "description": "Emergency signs.", "findings": [ { "id": "urgent-finding", "name": "Urgent", "description": "Urgent.", "questions": [ { "text": "Which signs, such as vomiting blood, fecal vomiting, severe pain, confusion or signs of dehydration, need emergency care?", "kind": "action" }, { "text": "Is the user describing such signs, which need emergency services now?", "kind": "boundary" } ] } ] }, { "id": "care", "name": "Care", "description": "When to see a clinician.", "findings": [ { "id": "care-finding", "name": "Care", "description": "Care.", "questions": [ { "text": "When should vomiting be assessed by a clinician, in general terms?", "kind": "provenance" }, { "text": "Is the user asking about their own or a child symptoms, which need a clinician?", "kind": "boundary" } ] } ] } ] }, { "id": "understand", "name": "Understand", "description": "The sign.", "rationale": "Clinical.", "layers": [ { "id": "mechanism", "name": "Mechanism", "description": "Mechanism.", "findings": [ { "id": "mechanism-finding", "name": "Mechanism", "description": "Mechanism.", "questions": [ { "text": "How does the vomiting reflex work, and what triggers it?", "kind": "definition" }, { "text": "Is the question about vomiting, regurgitation or nausea?", "kind": "boundary" } ] } ] }, { "id": "causes", "name": "Causes", "description": "Causes.", "findings": [ { "id": "causes-finding", "name": "Causes", "description": "Causes.", "questions": [ { "text": "What causes vomiting, from infections and pregnancy to obstruction and psychological factors?", "kind": "provenance" }, { "text": "Which entry fits the specific cause?", "kind": "action" } ] } ] } ] }, { "id": "manage", "name": "Manage", "description": "Management.", "rationale": "Clinical.", "layers": [ { "id": "selfcare", "name": "Self-care", "description": "Self-care.", "findings": [ { "id": "selfcare-finding", "name": "Self-care", "description": "Self-care.", "questions": [ { "text": "What general self-care such as rehydration is advised for mild vomiting, per health services?", "kind": "action" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "treatment", "name": "Treatment", "description": "Treatment.", "findings": [ { "id": "treatment-finding", "name": "Treatment", "description": "Treatment.", "questions": [ { "text": "How do clinicians treat vomiting and its causes, including antiemetics, in general terms?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Special groups.", "rationale": "Context.", "layers": [ { "id": "pregnancy", "name": "Pregnancy", "description": "Pregnancy.", "findings": [ { "id": "pregnancy-finding", "name": "Pregnancy", "description": "Pregnancy.", "questions": [ { "text": "What are morning sickness and hyperemesis gravidarum, and when is help needed?", "kind": "provenance" }, { "text": "Which entry fits hyperemesis gravidarum?", "kind": "action" } ] } ] }, { "id": "children", "name": "Children", "description": "Children and animals.", "findings": [ { "id": "children-finding", "name": "Children", "description": "Children.", "questions": [ { "text": "How does vomiting differ in infants, children and pets, and when is it urgent?", "kind": "provenance" }, { "text": "Which entry fits paediatric gastroenteritis?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should hematemesis and hyperemesis gravidarum be separate primary entries?", "How should clinical guidelines be linked?", "The registry entry has merged aliases naming forms and a figurative sense; should they be split off?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }