{
  "vercy": "1.0-draft",
  "publication": {
    "status": "research-draft",
    "adjudicationStatus": "unreviewed",
    "publishableCanonical": false,
    "generatedAt": "2026-09-11T14:03:06Z",
    "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": "2026-10-05T17:00:00Z",
      "ingestedAt": "2026-10-05T13:26:54+00:00",
      "fields": [
        "agent_conduct",
        "ethics",
        "owners"
      ]
    },
    "gate": {
      "passed": true,
      "version": "1.0",
      "at": "2026-10-06T19:51:54+00:00",
      "evidence": [
        "completeness 1.00",
        "sense: Wikidata description",
        "2 live sources",
        "review by codex: pass"
      ]
    }
  },
  "metaModel": {
    "id": "THING-Q159701",
    "registryId": "vr.tr.glaucoma",
    "name": "glaucoma",
    "version": "0.2.0-wave.1",
    "entryKind": "thing",
    "family": "Thing Registry",
    "domain": [
      "XCT.STA"
    ],
    "status": "research-draft"
  },
  "canonicalUrl": "https://ver.cy/models/thing/q159701/",
  "model": {
    "registry_id": "vr.tr.glaucoma",
    "name": "glaucoma",
    "purpose": "Let an agent route acute glaucoma symptoms to emergency eye care, encourage regular eye tests, give general sourced information and point to support, without personal medical advice.",
    "definition": "A group of eye diseases that damage the optic nerve, often associated with raised pressure inside the eye, and a leading cause of irreversible sight loss; open-angle glaucoma usually develops slowly without symptoms, while acute angle-closure glaucoma is a medical emergency, and other forms include steroid-induced and hereditary glaucoma.",
    "what_it_is_for": "An eye condition relevant to screening, urgent care and sight loss support.",
    "affordances": [
      "recognise emergency symptoms of acute glaucoma",
      "find eye testing and screening",
      "find general information on glaucoma types",
      "find sight loss and patient support"
    ],
    "distinguishing_features": [
      "Optic nerve damage",
      "Often symptomless early",
      "Acute form is an emergency",
      "Loss is irreversible"
    ],
    "appearance": "Usually no visible signs early; detected by eye pressure tests, optic nerve examination and visual field tests.",
    "visual_identification": [
      "Optic nerve damage on examination",
      "Gradual peripheral vision loss",
      "Cataract clouds the lens instead"
    ],
    "physical_properties": [],
    "families_and_kinds": [
      "primary open-angle glaucoma",
      "acute angle-closure glaucoma",
      "normal-tension glaucoma",
      "secondary and steroid-induced glaucoma",
      "congenital and hereditary glaucoma"
    ],
    "related_models": [
      {
        "relation": "is a kind of",
        "target": "eye disease",
        "why": "category"
      },
      {
        "relation": "damages",
        "target": "optic nerve",
        "why": "structure"
      },
      {
        "relation": "is related to",
        "target": "retinal disease",
        "why": "related eye disease"
      },
      {
        "relation": "is detected by",
        "target": "eye test",
        "why": "screening"
      }
    ],
    "identifiers": [],
    "standards_and_regulation": [
      "Clinical guidelines on glaucoma",
      "Driving vision standards",
      "Eligibility rules for free eye tests"
    ],
    "failure_modes_and_hazards": [
      "Delaying care for acute symptoms",
      "Missing routine eye tests",
      "Stopping eye drops without advice"
    ],
    "in_scope": [],
    "out_of_scope": [],
    "characteristics": [],
    "agent_conduct": {
      "may": [
        "Explain what glaucoma is and why regular eye examinations matter, citing health authorities.",
        "Remind a patient of eye drops or appointments they have asked to track."
      ],
      "must_not": [
        "Diagnose glaucoma or rule it out for a specific person.",
        "Advise a person to stop, change or skip prescribed glaucoma treatment.",
        "Treat sudden eye pain, redness and blurred vision as harmless instead of urging emergency care.",
        "Share a person's eye health or sight loss with employers, insurers or licensing bodies without consent."
      ],
      "requires_human": [
        "Any decision about treatment or surgery for glaucoma.",
        "Reporting a person's fitness to drive based on their sight."
      ]
    },
    "ethics": {
      "considerations": [
        "Glaucoma causes sight loss that cannot be reversed, so delays in care do permanent harm.",
        "Sight loss affects independence, work and driving, and disclosure can lead to discrimination."
      ],
      "affected_parties": [
        "People with glaucoma",
        "Families and carers",
        "Other road users where driving fitness is concerned"
      ]
    },
    "owners": {
      "steward": "The patient, with their eye care professional; health services hold clinical records.",
      "master_systems": [
        "Clinical and health records"
      ]
    }
  },
  "sources": [
    {
      "id": "wikidata",
      "title": "Wikidata item Q159701: glaucoma",
      "url": "https://www.wikidata.org/wiki/Q159701",
      "url_status": "live",
      "what_it_supports": "identity and sense of the item",
      "checked_by": "wikidata-api"
    },
    {
      "id": "wikipedia-en",
      "title": "Wikipedia: Glaucoma",
      "url": "https://en.wikipedia.org/wiki/Glaucoma",
      "url_status": "live",
      "what_it_supports": "general description of the item",
      "checked_by": "wikidata-api sitelink"
    }
  ],
  "structure": {
    "bundles": [
      {
        "id": "urgent",
        "name": "Urgent",
        "description": "Emergency symptoms.",
        "rationale": "Safety comes first.",
        "layers": [
          {
            "id": "acute",
            "name": "Acute",
            "description": "Acute angle closure.",
            "findings": [
              {
                "id": "acute-finding",
                "name": "Acute",
                "description": "Acute glaucoma.",
                "questions": [
                  {
                    "text": "Is there sudden severe eye pain, redness, headache, nausea, blurred vision or halos around lights?",
                    "kind": "boundary"
                  },
                  {
                    "text": "Should the person go to emergency eye care immediately?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "vision",
            "name": "Vision",
            "description": "Sudden vision loss.",
            "findings": [
              {
                "id": "vision-finding",
                "name": "Vision",
                "description": "Sudden vision loss.",
                "questions": [
                  {
                    "text": "Has vision been lost suddenly?",
                    "kind": "boundary"
                  },
                  {
                    "text": "Should emergency services or an eye emergency department be contacted now?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "screening",
        "name": "Screening",
        "description": "Eye tests.",
        "rationale": "Early detection matters.",
        "layers": [
          {
            "id": "tests",
            "name": "Tests",
            "description": "Routine tests.",
            "findings": [
              {
                "id": "tests-finding",
                "name": "Tests",
                "description": "Eye tests.",
                "questions": [
                  {
                    "text": "How often do health services recommend eye tests, especially for people at higher risk?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Are tests free for relatives of people with glaucoma here?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "risk",
            "name": "Risk",
            "description": "Risk factors.",
            "findings": [
              {
                "id": "risk-finding",
                "name": "Risk",
                "description": "Risk factors.",
                "questions": [
                  {
                    "text": "Which risk factors do health authorities list for glaucoma?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Is the user asking about their own risk?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "information",
        "name": "Information",
        "description": "General facts.",
        "rationale": "Sourced information only.",
        "layers": [
          {
            "id": "types",
            "name": "Types",
            "description": "Kinds.",
            "findings": [
              {
                "id": "types-finding",
                "name": "Types",
                "description": "Types.",
                "questions": [
                  {
                    "text": "What do eye health organisations say about this type of glaucoma?",
                    "kind": "provenance"
                  },
                  {
                    "text": "How is it usually treated, in general terms?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "treatment",
            "name": "Treatment",
            "description": "Treatment questions.",
            "findings": [
              {
                "id": "treatment-finding",
                "name": "Treatment",
                "description": "Treatment questions.",
                "questions": [
                  {
                    "text": "Is the user considering stopping or changing eye drops?",
                    "kind": "boundary"
                  },
                  {
                    "text": "How should the agent refer them to their eye specialist?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "support",
        "name": "Support",
        "description": "Living with glaucoma.",
        "rationale": "Support helps.",
        "layers": [
          {
            "id": "organisations",
            "name": "Organisations",
            "description": "Patient groups.",
            "findings": [
              {
                "id": "organisations-finding",
                "name": "Organisations",
                "description": "Patient organisations.",
                "questions": [
                  {
                    "text": "Which glaucoma charities and helplines exist?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which low vision services help?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "driving",
            "name": "Driving",
            "description": "Driving rules.",
            "findings": [
              {
                "id": "driving-finding",
                "name": "Driving",
                "description": "Driving rules.",
                "questions": [
                  {
                    "text": "Must glaucoma be reported to the driving authority here?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which vision standard applies?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  },
  "openQuestions": [
    "Should glaucoma types be separate entries?",
    "How should screening eligibility be localised?",
    "How should support services be linked?"
  ],
  "statistics": {
    "bundles": 4,
    "layers": 8,
    "findings": 8,
    "questions": 16
  }
}
