{
  "vercy": "1.0-draft",
  "publication": {
    "status": "research-draft",
    "adjudicationStatus": "unreviewed",
    "publishableCanonical": false,
    "generatedAt": "2026-09-11T11:08:18Z",
    "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": "2026-10-05T13:27:02+00:00",
      "fields": [
        "agent_conduct",
        "ethics",
        "owners"
      ]
    },
    "revisions": [
      {
        "at": "2026-10-06T22:36:57+00:00",
        "engine": "codex",
        "fields": [
          "agent_conduct",
          "definition"
        ],
        "answering_review": "d53810928fdcfcff1f7093bb47ee858217700153904600992d792415a14486ee"
      }
    ],
    "gate": {
      "passed": true,
      "version": "1.0",
      "at": "2026-10-07T10:10:26+00:00",
      "evidence": [
        "completeness 1.00",
        "sense: Wikidata description",
        "2 live sources",
        "review by codex: pass"
      ]
    }
  },
  "metaModel": {
    "id": "THING-Q166231",
    "registryId": "vr.tr.infection",
    "name": "infection",
    "version": "0.2.0-wave.1",
    "entryKind": "thing",
    "family": "Thing Registry",
    "domain": [
      "XCT.QLT"
    ],
    "status": "research-draft"
  },
  "canonicalUrl": "https://ver.cy/models/thing/q166231/",
  "model": {
    "registry_id": "vr.tr.infection",
    "name": "infection",
    "purpose": "Let an agent handle infections in general terms, prioritising recognition of emergencies such as sepsis, and point to health services and prevention guidance, without diagnosis or prescribing.",
    "definition": "The invasion and multiplication of pathogens such as bacteria, viruses, fungi or parasites in a host, together with the reaction of host tissues, which may cause no symptoms or disease ranging from mild to life-threatening, including respiratory, urinary, skin and bloodstream infections; sepsis is a life-threatening host response to infection rather than a type of infection.",
    "what_it_is_for": "A central health topic for prevention and care.",
    "affordances": [
      "recognise emergency warning signs such as sepsis",
      "find health services for symptoms",
      "follow prevention and vaccination guidance",
      "understand antibiotic stewardship"
    ],
    "distinguishing_features": [
      "Caused by pathogens",
      "Range from mild to severe",
      "Often preventable",
      "Sepsis is an emergency"
    ],
    "appearance": "Signs such as fever, redness, swelling, pain or discharge; some infections have no symptoms.",
    "visual_identification": [
      "Types by site and pathogen",
      "Acute and chronic infections",
      "Colonisation without disease is different"
    ],
    "physical_properties": [],
    "families_and_kinds": [
      "bacterial infections",
      "viral infections",
      "fungal infections",
      "parasitic infections",
      "healthcare-associated infections"
    ],
    "related_models": [
      {
        "relation": "is a kind of",
        "target": "health problem",
        "why": "category"
      },
      {
        "relation": "is caused by",
        "target": "pathogen",
        "why": "cause"
      },
      {
        "relation": "is prevented by",
        "target": "vaccine and hygiene",
        "why": "prevention"
      },
      {
        "relation": "can lead to",
        "target": "sepsis",
        "why": "complication"
      }
    ],
    "identifiers": [],
    "standards_and_regulation": [
      "WHO infection prevention and control guidance",
      "Notifiable disease regulations",
      "Antimicrobial stewardship programmes"
    ],
    "failure_modes_and_hazards": [
      "Missing sepsis",
      "Agents diagnosing or prescribing",
      "Antibiotic misuse"
    ],
    "in_scope": [],
    "out_of_scope": [],
    "characteristics": [],
    "agent_conduct": {
      "may": [
        "Explain how infections are caused, spread and prevented, citing public health sources.",
        "Remind people of hygiene, vaccination and isolation guidance issued by health authorities.",
        "Advise immediate emergency care for signs of severe infection or possible sepsis without waiting for human approval."
      ],
      "must_not": [
        "Diagnose or treat a person's infection in place of a clinician.",
        "Recommend antibiotics or other antimicrobials without a prescription.",
        "Disclose a person's infection status without consent or legal basis.",
        "Spread false claims about how an infection spreads or about vaccines."
      ],
      "requires_human": [
        "Reporting a notifiable infection to public health authorities requires human involvement.",
        "Clinical assessment and treatment of suspected severe infection require a qualified clinician."
      ]
    },
    "ethics": {
      "considerations": [
        "Infection status has been used to stigmatise and exclude people.",
        "Misuse of antimicrobials drives resistance that harms everyone."
      ],
      "affected_parties": [
        "Infected people and their contacts",
        "Health workers",
        "Vulnerable groups"
      ]
    },
    "owners": {
      "steward": "Nobody owns an infection; public health authorities manage notifiable diseases.",
      "master_systems": [
        "Notifiable disease surveillance systems"
      ]
    }
  },
  "sources": [
    {
      "id": "wikidata",
      "title": "Wikidata item Q166231: infection",
      "url": "https://www.wikidata.org/wiki/Q166231",
      "url_status": "live",
      "what_it_supports": "identity and sense of the item",
      "checked_by": "wikidata-api"
    },
    {
      "id": "wikipedia-en",
      "title": "Wikipedia: Infection",
      "url": "https://en.wikipedia.org/wiki/Infection",
      "url_status": "live",
      "what_it_supports": "general description of the item",
      "checked_by": "wikidata-api sitelink"
    }
  ],
  "structure": {
    "bundles": [
      {
        "id": "emergency",
        "name": "Emergency",
        "description": "Sepsis and severe signs.",
        "rationale": "Emergencies come first.",
        "layers": [
          {
            "id": "sepsis",
            "name": "Sepsis",
            "description": "Warning signs.",
            "findings": [
              {
                "id": "sepsis-finding",
                "name": "Sepsis",
                "description": "Sepsis warning signs.",
                "questions": [
                  {
                    "text": "Are there signs such as confusion, fast breathing, mottled skin or extreme illness?",
                    "kind": "boundary"
                  },
                  {
                    "text": "Which emergency number should be called now?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "vulnerable",
            "name": "Vulnerable",
            "description": "Higher risk.",
            "findings": [
              {
                "id": "vulnerable-finding",
                "name": "Vulnerable",
                "description": "Higher-risk groups.",
                "questions": [
                  {
                    "text": "Is the person a baby, elderly, pregnant or immunocompromised?",
                    "kind": "boundary"
                  },
                  {
                    "text": "Which urgent service should be contacted?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "care",
        "name": "Care",
        "description": "Seeing a clinician.",
        "rationale": "Clinicians diagnose.",
        "layers": [
          {
            "id": "services",
            "name": "Services",
            "description": "Where to go.",
            "findings": [
              {
                "id": "services-finding",
                "name": "Services",
                "description": "Health services.",
                "questions": [
                  {
                    "text": "Which health service fits these symptoms, such as a pharmacy, GP or urgent care?",
                    "kind": "provenance"
                  },
                  {
                    "text": "How can an appointment be made?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "diagnosis",
            "name": "Diagnosis",
            "description": "No self-diagnosis.",
            "findings": [
              {
                "id": "diagnosis-finding",
                "name": "Diagnosis",
                "description": "Diagnosis limit.",
                "questions": [
                  {
                    "text": "Is the user asking the agent to diagnose or prescribe?",
                    "kind": "boundary"
                  },
                  {
                    "text": "How should they be referred?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "prevention",
        "name": "Prevention",
        "description": "Public health.",
        "rationale": "Prevention works.",
        "layers": [
          {
            "id": "vaccination",
            "name": "Vaccination",
            "description": "Schedules.",
            "findings": [
              {
                "id": "vaccination-finding",
                "name": "Vaccination",
                "description": "Vaccination.",
                "questions": [
                  {
                    "text": "Which vaccines are recommended, according to national schedules?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Where can they be obtained?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "hygiene",
            "name": "Hygiene",
            "description": "Hand and food hygiene.",
            "findings": [
              {
                "id": "hygiene-finding",
                "name": "Hygiene",
                "description": "Hygiene.",
                "questions": [
                  {
                    "text": "Which hygiene measures reduce spread, according to health authorities?",
                    "kind": "provenance"
                  },
                  {
                    "text": "When should someone stay home?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "antibiotics",
        "name": "Antibiotics",
        "description": "Stewardship.",
        "rationale": "Antibiotics must be used wisely.",
        "layers": [
          {
            "id": "use",
            "name": "Use",
            "description": "Prescribed use.",
            "findings": [
              {
                "id": "use-finding",
                "name": "Use",
                "description": "Antibiotic use.",
                "questions": [
                  {
                    "text": "Why do antibiotics not work for viral infections?",
                    "kind": "definition"
                  },
                  {
                    "text": "Why finish courses as prescribed?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "resistance",
            "name": "Resistance",
            "description": "AMR.",
            "findings": [
              {
                "id": "resistance-finding",
                "name": "Resistance",
                "description": "Antimicrobial resistance.",
                "questions": [
                  {
                    "text": "What do health authorities say about antimicrobial resistance?",
                    "kind": "provenance"
                  },
                  {
                    "text": "How can individuals help?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  },
  "openQuestions": [
    "Should infection types be separate entries?",
    "How should sepsis guidance be localised?",
    "How should notifiable diseases be linked?"
  ],
  "statistics": {
    "bundles": 4,
    "layers": 8,
    "findings": 8,
    "questions": 16
  }
}
