{
  "vercy": "1.0-draft",
  "publication": {
    "status": "research-draft",
    "adjudicationStatus": "unreviewed",
    "publishableCanonical": false,
    "generatedAt": "2026-09-13T13:56:15Z",
    "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": 4,
    "engine": "claude"
  },
  "metaModel": {
    "id": "THING-Q1941101",
    "registryId": "vr.tr.myoma",
    "name": "myoma",
    "version": "0.2.0-wave.4",
    "entryKind": "thing",
    "family": "Thing Registry",
    "domain": [
      "PHY.LIV"
    ],
    "status": "research-draft"
  },
  "canonicalUrl": "https://ver.cy/models/thing/q1941101/",
  "model": {
    "registry_id": "vr.tr.myoma",
    "name": "myoma",
    "purpose": "Let an agent explain myomas and their two main kinds, relay features, diagnosis and treatment from medical references in general terms, route people with symptoms or diagnoses to clinicians, and distinguish benign myomas from their malignant counterparts, leiomyosarcoma and rhabdomyosarcoma, and from other masses.",
    "definition": "A benign tumour of muscle tissue, either a leiomyoma of smooth muscle, most commonly uterine fibroids but also occurring in the breast, fallopian tube, gut and skin, or a rhabdomyoma of skeletal or cardiac muscle including fetal rhabdomyomas and cardiac rhabdomyomas of infancy often linked to tuberous sclerosis; myomas are usually benign but may cause symptoms needing treatment, and anyone with a suspected mass should see a clinician.",
    "what_it_is_for": "Not applicable; a tumour category.",
    "affordances": [
      "explain kinds",
      "relay diagnosis and treatment",
      "route to clinicians",
      "distinguish related tumours"
    ],
    "distinguishing_features": [
      "Benign",
      "Smooth or striated muscle",
      "Uterine fibroids most common",
      "Cardiac form in infants"
    ],
    "appearance": "Not a visible object; a mass on imaging or examination.",
    "visual_identification": [
      "Benign muscle tumour",
      "Leiomyoma including uterine, breast and fallopian tube; rhabdomyoma including fetal and cardiac",
      "Leiomyosarcoma and rhabdomyosarcoma are malignant; cysts and other masses differ"
    ],
    "physical_properties": [
      {
        "quantity": "uterine fibroids by age 50",
        "typical_range": "up to about 70-80",
        "unit": "percent",
        "note": "of women, estimates"
      },
      {
        "quantity": "cardiac rhabdomyoma",
        "typical_range": "most common heart tumour in infants",
        "unit": "note",
        "note": ""
      },
      {
        "quantity": "tuberous sclerosis link",
        "typical_range": "majority of cardiac rhabdomyomas",
        "unit": "note",
        "note": ""
      }
    ],
    "families_and_kinds": [
      "uterine leiomyomas or fibroids",
      "leiomyomas of the breast, fallopian tube, gut and skin",
      "fetal rhabdomyomas",
      "cardiac rhabdomyomas",
      "adult rhabdomyomas of the head and neck"
    ],
    "related_models": [
      {
        "relation": "is a kind of",
        "target": "muscle neoplasm",
        "why": "in registry terms"
      },
      {
        "relation": "is a kind of",
        "target": "uterine benign neoplasm",
        "why": "in registry terms, for uterine fibroids"
      },
      {
        "relation": "is contrasted with",
        "target": "leiomyosarcoma",
        "why": "the malignant counterpart"
      },
      {
        "relation": "is exemplified by",
        "target": "uterine fibroid",
        "why": "the most common myoma"
      }
    ],
    "identifiers": [
      {
        "scheme": "ICD-10",
        "value_or_pattern": "D25",
        "note": "leiomyoma of uterus"
      },
      {
        "scheme": "MeSH",
        "value_or_pattern": "D009214",
        "note": "Myoma"
      }
    ],
    "standards_and_regulation": [
      "Gynaecology guidelines for fibroid management",
      "Cardiology guidelines for cardiac tumours",
      "Drug and device approvals for fibroid treatment"
    ],
    "failure_modes_and_hazards": [
      "Missing malignant tumours",
      "Agents giving personal medical advice",
      "Registry aliases naming specific sites and types"
    ],
    "in_scope": [],
    "out_of_scope": [],
    "characteristics": []
  },
  "sources": [],
  "structure": {
    "bundles": [
      {
        "id": "understand",
        "name": "Understand",
        "description": "What a myoma is.",
        "rationale": "Clinical.",
        "layers": [
          {
            "id": "definition",
            "name": "Definition",
            "description": "Definition and kinds.",
            "findings": [
              {
                "id": "definition-finding",
                "name": "Definition",
                "description": "Definition.",
                "questions": [
                  {
                    "text": "What is a myoma, and how do leiomyomas and rhabdomyomas differ from their malignant counterparts?",
                    "kind": "definition"
                  },
                  {
                    "text": "Is the user asking about their own symptoms or diagnosis, which need a clinician?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          },
          {
            "id": "sites",
            "name": "Sites",
            "description": "Sites.",
            "findings": [
              {
                "id": "sites-finding",
                "name": "Sites",
                "description": "Sites.",
                "questions": [
                  {
                    "text": "Where do myomas occur, from the uterus, breast and fallopian tube to the heart in infants?",
                    "kind": "definition"
                  },
                  {
                    "text": "Which entry fits the specific site?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "care",
        "name": "Care",
        "description": "Diagnosis and treatment.",
        "rationale": "Clinical.",
        "layers": [
          {
            "id": "diagnosis",
            "name": "Diagnosis",
            "description": "Diagnosis.",
            "findings": [
              {
                "id": "diagnosis-finding",
                "name": "Diagnosis",
                "description": "Diagnosis.",
                "questions": [
                  {
                    "text": "How are myomas diagnosed by imaging and pathology, in general terms?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which references are standard?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "treatment",
            "name": "Treatment",
            "description": "Treatment.",
            "findings": [
              {
                "id": "treatment-finding",
                "name": "Treatment",
                "description": "Treatment.",
                "questions": [
                  {
                    "text": "What treatments exist for fibroids and other myomas, from observation to medicines and surgery, as guidelines state?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which sources are cited?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "special",
        "name": "Special",
        "description": "Special forms.",
        "rationale": "Clinical.",
        "layers": [
          {
            "id": "cardiac",
            "name": "Cardiac",
            "description": "Cardiac rhabdomyoma.",
            "findings": [
              {
                "id": "cardiac-finding",
                "name": "Cardiac",
                "description": "Cardiac.",
                "questions": [
                  {
                    "text": "What are cardiac and fetal rhabdomyomas, and how do they relate to tuberous sclerosis, in general terms?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits tuberous sclerosis?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "fertility",
            "name": "Fertility",
            "description": "Fibroids and fertility.",
            "findings": [
              {
                "id": "fertility-finding",
                "name": "Fertility",
                "description": "Fertility.",
                "questions": [
                  {
                    "text": "How can fibroids affect fertility and pregnancy, as guidelines describe?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Is the user seeking personal advice, which needs a gynaecologist?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "context",
        "name": "Context",
        "description": "Research and epidemiology.",
        "rationale": "Context.",
        "layers": [
          {
            "id": "research",
            "name": "Research",
            "description": "Research.",
            "findings": [
              {
                "id": "research-finding",
                "name": "Research",
                "description": "Research.",
                "questions": [
                  {
                    "text": "What research addresses fibroid causes and new treatments, with findings attributed?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits uterine fibroid?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "epidemiology",
            "name": "Epidemiology",
            "description": "Epidemiology.",
            "findings": [
              {
                "id": "epidemiology-finding",
                "name": "Epidemiology",
                "description": "Epidemiology.",
                "questions": [
                  {
                    "text": "How common are myomas, and how do rates vary?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits the epidemiology of benign tumours?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  },
  "openQuestions": [
    "Should uterine fibroid and cardiac rhabdomyoma be separate primary entries?",
    "How should medical references be linked?",
    "The registry entry has merged aliases naming sites and types; should they be split off?"
  ],
  "statistics": {
    "bundles": 4,
    "layers": 8,
    "findings": 8,
    "questions": 16
  }
}