{
  "vercy": "1.0-draft",
  "publication": {
    "status": "research-draft",
    "adjudicationStatus": "unreviewed",
    "publishableCanonical": false,
    "generatedAt": "2026-09-13T01:57:21Z",
    "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": "2026-10-06T07:04:48+00:00",
      "fields": [
        "agent_conduct",
        "ethics",
        "owners"
      ]
    },
    "gate": {
      "passed": true,
      "version": "1.0",
      "at": "2026-10-06T19:51:55+00:00",
      "evidence": [
        "completeness 1.00",
        "sense: Wikidata description",
        "2 live sources",
        "review by codex: pass"
      ]
    }
  },
  "metaModel": {
    "id": "THING-Q181923",
    "registryId": "vr.tr.attention-deficit-hyperactivity-disorder",
    "name": "attention deficit hyperactivity disorder",
    "version": "0.2.0-wave.3",
    "entryKind": "thing",
    "family": "Thing Registry",
    "domain": [
      "XCT.STA"
    ],
    "status": "research-draft"
  },
  "canonicalUrl": "https://ver.cy/models/thing/q181923/",
  "model": {
    "registry_id": "vr.tr.attention-deficit-hyperactivity-disorder",
    "name": "attention deficit hyperactivity disorder",
    "purpose": "Let an agent explain ADHD and its presentations in general terms from clinical guidelines, describe assessment and management approaches, present debates about diagnosis rates and treatment neutrally, and route personal questions to clinicians.",
    "definition": "A neurodevelopmental condition characterised by persistent patterns of inattention, hyperactivity and impulsivity that interfere with functioning, presenting in predominantly inattentive, predominantly hyperactive-impulsive or combined forms, beginning in childhood and often continuing into adulthood as adult ADHD, with related historical concepts such as deficits in attention, motor control and perception; ADHD is diagnosed by clinical assessment against DSM-5 or ICD-11 criteria and managed with behavioural support, education adjustments and medication.",
    "what_it_is_for": "Not applicable; a neurodevelopmental condition.",
    "affordances": [
      "explain presentations and criteria",
      "relay assessment and management approaches",
      "present debates neutrally",
      "route personal questions"
    ],
    "distinguishing_features": [
      "Neurodevelopmental origin",
      "Three presentations",
      "Persistence into adulthood",
      "Multimodal management"
    ],
    "appearance": "Not a visible object; a pattern of behaviour and attention assessed clinically.",
    "visual_identification": [
      "Persistent inattention, hyperactivity and impulsivity",
      "Inattentive, hyperactive-impulsive and combined presentations, adult ADHD",
      "Ordinary restlessness is not ADHD; learning disorders and anxiety can co-occur or mimic it"
    ],
    "physical_properties": [
      {
        "quantity": "prevalence in children",
        "typical_range": "about 5-7",
        "unit": "percent",
        "note": "meta-analyses"
      },
      {
        "quantity": "prevalence in adults",
        "typical_range": "about 2.5-3",
        "unit": "percent",
        "note": "estimates"
      }
    ],
    "families_and_kinds": [
      "predominantly inattentive presentation",
      "predominantly hyperactive-impulsive presentation",
      "combined presentation",
      "adult ADHD",
      "ADHD with co-occurring conditions",
      "historical concepts such as hyperkinetic disorder and DAMP"
    ],
    "related_models": [
      {
        "relation": "is a kind of",
        "target": "neurodevelopmental disorder",
        "why": "in registry terms"
      },
      {
        "relation": "is a kind of",
        "target": "hyperkinetic disorder",
        "why": "in registry terms, the ICD-10 term"
      },
      {
        "relation": "is a kind of",
        "target": "behavioral disorder",
        "why": "in registry terms"
      },
      {
        "relation": "is treated with",
        "target": "stimulant medication",
        "why": "among other approaches"
      }
    ],
    "identifiers": [
      {
        "scheme": "ICD-11",
        "value_or_pattern": "6A05",
        "note": ""
      },
      {
        "scheme": "DSM-5",
        "value_or_pattern": "314.01 and related",
        "note": ""
      }
    ],
    "standards_and_regulation": [
      "NICE, AAP and other clinical guidelines",
      "DSM-5 and ICD-11 criteria",
      "Controlled substance rules for stimulant medications",
      "Education laws on accommodations"
    ],
    "failure_modes_and_hazards": [
      "Misdiagnosis and underdiagnosis",
      "Agents giving personal diagnostic or medication advice",
      "Stigma and stereotypes",
      "Partisan framing of diagnosis rate debates"
    ],
    "in_scope": [],
    "out_of_scope": [],
    "characteristics": [],
    "agent_conduct": {
      "may": [
        "Explain ADHD, its presentations and recognised treatments from clinical sources.",
        "Suggest professional assessment when someone describes persistent difficulties."
      ],
      "must_not": [
        "Diagnose ADHD in a person, child or adult, from conversation or behaviour data.",
        "Advise starting, stopping or changing ADHD medication.",
        "Help obtain stimulant medication without a prescription or misuse it.",
        "Describe people with ADHD as lazy, careless or undisciplined."
      ],
      "requires_human": [
        "Sharing or using a person's ADHD status in decisions about school, work or insurance.",
        "Any decision on medication for a person."
      ]
    },
    "ethics": {
      "considerations": [
        "Stigma and misunderstanding of ADHD affect schooling and work opportunities.",
        "Both over- and under-diagnosis harm people, especially girls and adults who are often missed."
      ],
      "affected_parties": [
        "Children and adults with ADHD",
        "Parents and teachers",
        "Employers"
      ]
    },
    "owners": {
      "steward": "Nobody owns the condition; clinicians answer for assessment and treatment.",
      "master_systems": []
    }
  },
  "sources": [
    {
      "id": "wikidata",
      "title": "Wikidata item Q181923: attention deficit hyperactivity disorder",
      "url": "https://www.wikidata.org/wiki/Q181923",
      "url_status": "live",
      "what_it_supports": "identity and sense of the item",
      "checked_by": "wikidata-api"
    },
    {
      "id": "wikipedia-en",
      "title": "Wikipedia: Attention deficit hyperactivity disorder",
      "url": "https://en.wikipedia.org/wiki/Attention_deficit_hyperactivity_disorder",
      "url_status": "live",
      "what_it_supports": "general description of the item",
      "checked_by": "wikidata-api sitelink"
    }
  ],
  "structure": {
    "bundles": [
      {
        "id": "understand",
        "name": "Understand",
        "description": "What ADHD is.",
        "rationale": "Clinical.",
        "layers": [
          {
            "id": "definition",
            "name": "Definition",
            "description": "Definition and presentations.",
            "findings": [
              {
                "id": "definition-finding",
                "name": "Definition",
                "description": "Definition.",
                "questions": [
                  {
                    "text": "What is ADHD, and how do the presentations differ?",
                    "kind": "definition"
                  },
                  {
                    "text": "Is the question about ADHD or about ordinary attention difficulties or another condition?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          },
          {
            "id": "causes",
            "name": "Causes",
            "description": "Causes.",
            "findings": [
              {
                "id": "causes-finding",
                "name": "Causes",
                "description": "Causes.",
                "questions": [
                  {
                    "text": "What does research say about genetic and environmental contributions, with findings attributed?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits the specific presentation?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "care",
        "name": "Care",
        "description": "Assessment and management.",
        "rationale": "Clinical.",
        "layers": [
          {
            "id": "assessment",
            "name": "Assessment",
            "description": "Assessment.",
            "findings": [
              {
                "id": "assessment-finding",
                "name": "Assessment",
                "description": "Assessment.",
                "questions": [
                  {
                    "text": "How is ADHD assessed in children and adults, per guidelines, in general terms?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Is the user asking whether they or their child have ADHD, which needs a clinician?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          },
          {
            "id": "management",
            "name": "Management",
            "description": "Management.",
            "findings": [
              {
                "id": "management-finding",
                "name": "Management",
                "description": "Management.",
                "questions": [
                  {
                    "text": "What behavioural, educational and medication approaches do guidelines recommend, in general terms?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which references are standard?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "live",
        "name": "Live",
        "description": "Living with ADHD.",
        "rationale": "Practice.",
        "layers": [
          {
            "id": "school",
            "name": "School and work",
            "description": "School and work.",
            "findings": [
              {
                "id": "school-finding",
                "name": "School and work",
                "description": "School and work.",
                "questions": [
                  {
                    "text": "What accommodations and strategies help at school and work, as guidance describes?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits educational accommodation?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "adults",
            "name": "Adults",
            "description": "Adult ADHD.",
            "findings": [
              {
                "id": "adults-finding",
                "name": "Adults",
                "description": "Adults.",
                "questions": [
                  {
                    "text": "How does ADHD present and get managed in adults?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which sources are cited?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "context",
        "name": "Context",
        "description": "Debates and history.",
        "rationale": "Attribution.",
        "layers": [
          {
            "id": "debates",
            "name": "Debates",
            "description": "Debates.",
            "findings": [
              {
                "id": "debates-finding",
                "name": "Debates",
                "description": "Debates.",
                "questions": [
                  {
                    "text": "What debates exist about diagnosis rates, medication and neurodiversity, with positions attributed?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Is the presentation neutral?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          },
          {
            "id": "history",
            "name": "History",
            "description": "History.",
            "findings": [
              {
                "id": "history-finding",
                "name": "History",
                "description": "History.",
                "questions": [
                  {
                    "text": "How has the concept developed from early descriptions through hyperkinetic disorder and DAMP to ADHD?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits the history of psychiatry?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  },
  "openQuestions": [
    "Should adult ADHD be a separate primary entry?",
    "How should guidelines be linked?",
    "The registry entry has merged aliases naming presentations and a historical concept; should they be split off?"
  ],
  "statistics": {
    "bundles": 4,
    "layers": 8,
    "findings": 8,
    "questions": 16
  }
}