{
  "vercy": "1.0-draft",
  "publication": {
    "status": "research-draft",
    "adjudicationStatus": "unreviewed",
    "publishableCanonical": false,
    "generatedAt": "2026-09-11T07:34:04Z",
    "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": "2026-10-05T13:20:48+00:00",
      "fields": [
        "agent_conduct",
        "ethics",
        "owners"
      ]
    },
    "revisions": [
      {
        "at": "2026-10-06T22:44:22+00:00",
        "engine": "codex",
        "fields": [
          "agent_conduct",
          "definition",
          "distinguishing_features",
          "purpose",
          "visual_identification"
        ],
        "answering_review": "2c2af35f272c4d6a49e06a8e1b3313da2de05e689381e30e244322b382af60e8"
      }
    ],
    "gate": {
      "passed": true,
      "version": "1.0",
      "at": "2026-10-07T10:10:28+00:00",
      "evidence": [
        "completeness 1.00",
        "sense: Wikidata description",
        "2 live sources",
        "review by codex: pass"
      ]
    }
  },
  "metaModel": {
    "id": "THING-Q2300099",
    "registryId": "vr.tr.gastrointestinal-system-disease",
    "name": "gastrointestinal system disease",
    "version": "0.2.0-wave.1",
    "entryKind": "thing",
    "family": "Thing Registry",
    "domain": [
      "XCT.STA"
    ],
    "status": "research-draft"
  },
  "canonicalUrl": "https://ver.cy/models/thing/q2300099/",
  "model": {
    "registry_id": "vr.tr.gastrointestinal-system-disease",
    "name": "gastrointestinal system disease",
    "purpose": "Let an agent give general, non-diagnostic information about diseases involving the gastrointestinal tract, flag warning symptoms, and route people to health professionals.",
    "definition": "A disease involving the gastrointestinal tract from mouth to anus, such as reflux, ulcers, inflammatory bowel disease or cancers of the tract; diseases confined to accessory digestive organs such as the liver, gallbladder or pancreas fall outside this sense.",
    "what_it_is_for": "A group of medical conditions diagnosed and treated by health professionals.",
    "affordances": [
      "seek assessment for persistent symptoms",
      "join screening programmes such as bowel cancer screening",
      "follow dietary and treatment advice from clinicians",
      "get urgent care for red-flag symptoms"
    ],
    "distinguishing_features": [
      "These diseases involve the gastrointestinal tract.",
      "These diseases span a wide range of severity.",
      "Some of these diseases need urgent care.",
      "Screening exists for some cancers of the gastrointestinal tract."
    ],
    "appearance": "Not visible externally; symptoms may include pain, bleeding, weight loss or changes in bowel habit.",
    "visual_identification": [
      "Conditions can be grouped by the affected part of the tract, such as the oesophagus, stomach or bowel.",
      "Tests such as endoscopy may be used.",
      "Cancers involving the gastrointestinal tract are included."
    ],
    "physical_properties": [],
    "families_and_kinds": [
      "oesophageal and gastric disease",
      "inflammatory bowel disease",
      "liver and biliary disease",
      "pancreatic disease",
      "digestive system cancers"
    ],
    "related_models": [
      {
        "relation": "is a kind of",
        "target": "disease",
        "why": "category"
      },
      {
        "relation": "affects",
        "target": "digestive system",
        "why": "organ system"
      },
      {
        "relation": "is treated by",
        "target": "gastroenterologist",
        "why": "professional"
      },
      {
        "relation": "is related to",
        "target": "digestion",
        "why": "process"
      }
    ],
    "identifiers": [
      {
        "scheme": "ICD-11",
        "value_or_pattern": "chapter 13",
        "note": "diseases of the digestive system"
      }
    ],
    "standards_and_regulation": [
      "National screening programmes",
      "Clinical guidelines such as NICE and ESGE"
    ],
    "failure_modes_and_hazards": [
      "Ignoring red-flag symptoms",
      "Diagnosis by an agent",
      "Unproven remedies"
    ],
    "in_scope": [],
    "out_of_scope": [],
    "characteristics": [],
    "agent_conduct": {
      "may": [
        "Give general information on gastrointestinal tract diseases and their warning signs.",
        "Urge a person with severe abdominal pain or bleeding to seek urgent care."
      ],
      "must_not": [
        "Diagnose a digestive disease or rule it out in place of a clinician.",
        "Recommend unproven diets or remedies as treatment.",
        "Disclose a person's digestive condition without consent.",
        "Advise stopping prescribed treatment."
      ],
      "requires_human": [
        "Any treatment decision for a patient requires a clinician."
      ]
    },
    "ethics": {
      "considerations": [
        "Digestive diseases carry stigma and affect dignity, work and social life.",
        "Misinformation can delay diagnosis of serious disease such as cancer."
      ],
      "affected_parties": [
        "Patients",
        "Carers and families"
      ]
    },
    "owners": {
      "steward": "The patient with their clinicians; public health bodies track it.",
      "master_systems": [
        "Cancer and disease registries"
      ]
    }
  },
  "sources": [
    {
      "id": "wikidata",
      "title": "Wikidata item Q2300099: gastrointestinal system disease",
      "url": "https://www.wikidata.org/wiki/Q2300099",
      "url_status": "live",
      "what_it_supports": "identity and sense of the item",
      "checked_by": "wikidata-api"
    },
    {
      "id": "wikipedia-en",
      "title": "Wikipedia: Gastrointestinal disease",
      "url": "https://en.wikipedia.org/wiki/Gastrointestinal_disease",
      "url_status": "live",
      "what_it_supports": "general description of the item",
      "checked_by": "wikidata-api sitelink"
    }
  ],
  "structure": {
    "bundles": [
      {
        "id": "urgent",
        "name": "Urgent",
        "description": "Red flags first.",
        "rationale": "Some symptoms need urgent care.",
        "layers": [
          {
            "id": "red-flags",
            "name": "Red flags",
            "description": "Warning signs.",
            "findings": [
              {
                "id": "red-flags-finding",
                "name": "Red flags",
                "description": "Warning signs.",
                "questions": [
                  {
                    "text": "Are there symptoms such as vomiting blood or black stools that need urgent care?",
                    "kind": "boundary"
                  },
                  {
                    "text": "Who should be called?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "persistent",
            "name": "Persistent",
            "description": "See a doctor.",
            "findings": [
              {
                "id": "persistent-finding",
                "name": "Persistent",
                "description": "Persistent symptoms.",
                "questions": [
                  {
                    "text": "Should persistent symptoms be assessed by a doctor?",
                    "kind": "boundary"
                  },
                  {
                    "text": "How soon?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "care",
        "name": "Care",
        "description": "Diagnosis and treatment.",
        "rationale": "Care is professional.",
        "layers": [
          {
            "id": "tests",
            "name": "Tests",
            "description": "Investigations.",
            "findings": [
              {
                "id": "tests-finding",
                "name": "Tests",
                "description": "Investigations.",
                "questions": [
                  {
                    "text": "Which tests might a clinician use?",
                    "kind": "definition"
                  },
                  {
                    "text": "What do they involve?",
                    "kind": "definition"
                  }
                ]
              }
            ]
          },
          {
            "id": "treatment",
            "name": "Treatment",
            "description": "Options.",
            "findings": [
              {
                "id": "treatment-finding",
                "name": "Treatment",
                "description": "Treatment.",
                "questions": [
                  {
                    "text": "Which treatments do guidelines describe?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Who decides with the patient?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "prevention",
        "name": "Prevention",
        "description": "Screening.",
        "rationale": "Screening saves lives.",
        "layers": [
          {
            "id": "screening",
            "name": "Screening",
            "description": "Programmes.",
            "findings": [
              {
                "id": "screening-finding",
                "name": "Screening",
                "description": "Screening.",
                "questions": [
                  {
                    "text": "Is bowel or other screening available, and who is eligible?",
                    "kind": "provenance"
                  },
                  {
                    "text": "How is it accessed?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "lifestyle",
            "name": "Lifestyle",
            "description": "Risk factors.",
            "findings": [
              {
                "id": "lifestyle-finding",
                "name": "Lifestyle",
                "description": "Risk factors.",
                "questions": [
                  {
                    "text": "Which risk factors do official sources list?",
                    "kind": "provenance"
                  },
                  {
                    "text": "What guidance applies to alcohol and diet?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "information",
        "name": "Information",
        "description": "Understanding.",
        "rationale": "Reliable information helps.",
        "layers": [
          {
            "id": "types",
            "name": "Types",
            "description": "Conditions.",
            "findings": [
              {
                "id": "types-finding",
                "name": "Types",
                "description": "Condition types.",
                "questions": [
                  {
                    "text": "Which condition is meant?",
                    "kind": "definition"
                  },
                  {
                    "text": "Which specific entry fits?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "support",
            "name": "Support",
            "description": "Patient groups.",
            "findings": [
              {
                "id": "support-finding",
                "name": "Support",
                "description": "Patient support.",
                "questions": [
                  {
                    "text": "Which patient organisations offer support?",
                    "kind": "action"
                  },
                  {
                    "text": "Are they reputable?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  },
  "openQuestions": [
    "Should conditions be separate entries?",
    "How should screening programmes be localised?",
    "How should red-flag lists be sourced?"
  ],
  "statistics": {
    "bundles": 4,
    "layers": 8,
    "findings": 8,
    "questions": 16
  }
}