{ "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-12T09:07:03Z", "providers": [ "Codex" ], "breadth": "recalled by Codex without web access - no source was read", "missingProviders": [], "pass": 2, "cost": { "grok": { "seconds": 25.6, "error": "Reading additional input from stdin...\nOpenAI Codex v0.153.4\n--------\nworkdir: R:\\02_PROJECTS\\02_Meta_Models_Platforms\\Ver.cy\\current\\thing-registry-backlog\nmodel: gpt-6-astra\nprovider: openai\napproval: never\nsandbox: read-only\nreasoning effort: none\nreasoning summaries: none\nsession id: 01a094dd-b274-75e1-a800-4b1b298ea7a7\n--------\nuser\nDescribe what is already known about one registered thing. Answer as JSON only, no prose around it.\n\nThing: dermatologist\nSense to describe: (none recorded)\nDomain code: SOC.PER\nAlso known as: (none)\n\n\nContext for this batch of 1001 things:\n# Batch 043: 1001 r", "usd": 0.0, "recall": true }, "codex": { "seconds": 71.9, "error": "Reading additional input from stdin...\nOpenAI Codex v0.153.4\n--------\nworkdir: R:\\02_PROJECTS\\02_Meta_Models_Platforms\\Ver.cy\\current\\thing-registry-backlog\nmodel: gpt-6-astra\nprovider: openai\napproval: never\nsandbox: read-only\nreasoning effort: none\nreasoning summaries: none\nsession id: 01a094dd-b283-7e30-9175-44eda6d7dad3\n--------\nuser\nYou are drafting a Vercy meta-model for one registered thing. Answer as JSON only, no prose around it.\n\nThing: dermatologist\nRegistry id: vr.tr.dermatologist\nPlane / domain: SOC / SOC.PER\nRegistry definition: (none recorded)\nNames folded into this entry: (none" } }, "enrichment": { "pass": 3, "engine": "claude", "producedAt": "2026-10-06T12:00:00Z", "ingestedAt": "2026-10-06T08:40:00+00:00", "fields": [ "agent_conduct", "ethics", "failure_modes_and_hazards", "owners" ] }, "gate": { "passed": true, "version": "1.0", "at": "2026-10-07T10:10:29+00:00", "evidence": [ "completeness 1.00", "sense: Wikidata description", "2 live sources", "review by codex: pass" ] } }, "metaModel": { "id": "THING-Q2447386", "registryId": "vr.tr.dermatologist", "name": "dermatologist", "version": "0.1.0-research.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "SOC.PER" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q2447386/", "model": { "registry_id": "vr.tr.dermatologist", "name": "dermatologist", "purpose": "Enable an AI agent to recognise the dermatologist occupation, assess evidence of a holder's qualifications and authorised scope, and determine appropriate referral or verification actions.", "definition": "A dermatologist is a physician whose specialty is the diagnosis, treatment and prevention of diseases affecting the skin, hair, nails and associated mucous membranes.", "scope_statement": "This model owns the registered occupation vr.tr.dermatologist in SOC / SOC.PER: its skin-focused medical remit, competence requirements, jurisdiction-dependent recognition, clinical responsibilities, and relations to practitioners and practice settings.", "in_scope": [ "The dermatologist occupation and its distinction from individual practitioners, posts, and advertisements", "Recognition of dermatology qualifications and specialist status within a specified jurisdiction", "Clinical scope involving skin, hair, nails, and related presentations", "Evidence of competence for particular dermatological assessments and interventions", "Referral, follow-up, and coordination responsibilities", "Practice arrangements that constrain delivery of dermatological care" ], "out_of_scope": [ "A practitioner's complete personal identity and employment history", "Full models of skin diseases, individual patients, or clinical encounters", "Detailed treatment protocols and prescribing instructions", "The organisation, ownership, and finances of a dermatology clinic", "Job advertisements and recruitment processes", "Independent models of medicines, diagnostic devices, and cosmetic products" ], "distinguishing_features": [ "The entry represents a medical occupation; a named clinician holds that role, while a clinic employs or hosts it.", "A skin-related service or business title alone does not establish recognised dermatologist status.", "General medical competence in treating skin complaints does not by itself establish dermatology specialist recognition.", "Dermatological scope extends beyond cosmetic appearance; the model must distinguish medical, procedural, and aesthetic work.", "Dermatology recognition does not by itself establish competence or local privileges for every specialised procedure." ], "characteristics": [ { "name": "Jurisdiction of recognition", "kind": "relation", "unit_or_values": "Country or subnational jurisdiction linked to the applicable authority", "why_it_matters": "The meaning and verification of specialist status depend on where the role is exercised." }, { "name": "Specialist recognition evidence", "kind": "relation", "unit_or_values": "Links to verified credentials, register records, awarding bodies, and verification dates", "why_it_matters": "Separates supported recognition from an unverified professional title." }, { "name": "Holder's authorisation status", "kind": "state", "unit_or_values": "Verified current; restricted; suspended; expired where applicable; unverified; jurisdiction-specific equivalent", "why_it_matters": "An agent must establish the holder's current authority before treating the role as actionable." }, { "name": "Clinical focus", "kind": "category", "unit_or_values": "Recorded areas such as inflammatory skin disease, skin oncology, paediatric dermatology, hair and nail disorders, or aesthetic dermatology", "why_it_matters": "Supports matching a referral to relevant expertise without assuming every dermatologist has the same practice." }, { "name": "Procedure-specific competence", "kind": "relation", "unit_or_values": "Intervention linked to competence evidence, restrictions, and facility privileges where required", "why_it_matters": "Prevents a specialist title from being treated as blanket permission to perform interventions." }, { "name": "Consultation modality", "kind": "category", "unit_or_values": "In person; synchronous remote; image-based asynchronous; hybrid", "why_it_matters": "The modality affects what can be assessed and when examination or testing must be arranged." }, { "name": "Care responsibility", "kind": "category", "unit_or_values": "Consultative; ongoing management; procedural episode; shared care; explicitly unspecified", "why_it_matters": "Clarifies who owns follow-up, monitoring, and communication of results." }, { "name": "Patient population served", "kind": "category", "unit_or_values": "Recorded age ranges and population-specific experience or service restrictions", "why_it_matters": "Supports appropriate referral and exposes limits that a general specialty label does not capture." } ], "affordances": [ "Verify a role holder's claimed dermatologist status against relevant jurisdictional evidence.", "Match a dermatology referral to documented clinical focus, patient population, and service capabilities.", "Identify missing competence or privilege evidence before proposing a particular procedure.", "Determine whether a remote assessment requires additional examination or diagnostic services.", "Assign and check responsibility for pathology results, treatment monitoring, and follow-up.", "Flag unresolved title, scope, or authorisation questions for an appropriate human reviewer." ], "agent_conduct": { "may": [ "Explain what a dermatologist does and when people usually see one.", "Help a patient prepare questions or book an appointment with their consent.", "Check that a practitioner holds a registered specialist licence in public registers." ], "must_not": [ "Diagnose a skin condition or mole as harmless or malignant in place of a dermatologist.", "Share images of a person's skin or body without their consent.", "Present a cosmetic practitioner or itself as a dermatologist.", "Recommend prescription treatments without a clinician." ], "requires_human": [ "Deciding that a skin lesion does not need medical review." ] }, "ethics": { "considerations": [ "Skin images are intimate health data; misuse violates privacy and dignity.", "Diagnostic tools trained mostly on lighter skin can miss disease in darker skin." ], "affected_parties": [ "Patients", "People with darker skin tones", "People with visible skin conditions" ] }, "owners": { "steward": "The dermatologist answers for their practice; medical boards hold the registration.", "master_systems": [ "National medical specialist registers" ] }, "failure_modes_and_hazards": [ "Delayed review of suspicious lesions can let skin cancers spread.", "Unqualified providers offering dermatology services can cause harm." ], "what_it_is_for": [ "Dermatologists work in outpatient clinics, hospitals, and other medical settings assessing conditions of the skin, hair, nails, and associated mucous membranes.", "Their role includes specialist consultation, diagnostic assessment, treatment planning, and prevention of skin disease." ], "standards_and_regulation": [ "The International Standard Classification of Occupations ISCO-08, issued by the International Labour Organization, includes dermatologists in unit group 2212 for specialist medical practitioners.", "Directive 2005/36/EC on the recognition of professional qualifications, adopted by the European Parliament and the Council of the European Union, addresses recognition of medical specialist qualifications within its scope." ], "facets_not_applicable": { "recognition": "Dermatology qualifications and professional authorization cannot be established from a person's appearance, clothing, or equipment." } }, "sources": [ { "id": "wikidata", "title": "Wikidata item Q2447386: dermatologist", "url": "https://www.wikidata.org/wiki/Q2447386", "url_status": "live", "what_it_supports": "identity and sense of the item", "checked_by": "wikidata-api" }, { "id": "wikipedia-en", "title": "Wikipedia: Dermatologist", "url": "https://en.wikipedia.org/wiki/Dermatologist", "url_status": "live", "what_it_supports": "general description of the item", "checked_by": "wikidata-api sitelink" } ], "structure": { "bundles": [ { "id": "occupation-identity-and-boundaries", "name": "Occupation identity and boundaries", "description": "Establishes what the dermatologist role denotes and how it relates to neighbouring roles.", "rationale": "Skin-care activities and professional titles can otherwise be mistaken for evidence of the same occupation.", "layers": [ { "id": "dermatologist-role-identity", "name": "Dermatologist role identity", "description": "Separates the occupation from its holders and local job titles.", "findings": [ { "id": "role-holder-and-post", "name": "Role, holder, and post", "description": "Record dermatologist as an occupation, with explicit links to any practitioner holding it and any post through which it is exercised.", "questions": [ { "text": "Does the record describe the dermatologist occupation, a practitioner, a service, or a vacancy?", "kind": "boundary", "id": "role-holder-and-post-q01" }, { "text": "What evidence supports mapping the local title to vr.tr.dermatologist?", "kind": "provenance", "id": "role-holder-and-post-q02" } ] } ] }, { "id": "neighbouring-skin-care-roles", "name": "Neighbouring skin-care roles", "description": "Defines boundaries with general medicine, aesthetic services, and overlapping specialties.", "findings": [ { "id": "specialty-versus-service", "name": "Specialty versus service", "description": "Distinguish recognised dermatology practice from skin-related services delivered under other professional scopes.", "questions": [ { "text": "What locally recognised distinction separates a dermatologist from a general clinician offering skin consultations?", "kind": "definition", "id": "specialty-versus-service-q01" }, { "text": "Which activities overlap with cosmetic practitioners, plastic surgeons, allergists, or other specialists without establishing occupational equivalence?", "kind": "boundary", "id": "specialty-versus-service-q02" } ] } ] } ] }, { "id": "qualifications-and-authorisation", "name": "Qualifications and authorisation", "description": "Connects specialist training and current practice authority to a jurisdiction and role holder.", "rationale": "Referral and action decisions require evidence beyond a claimed specialty title.", "layers": [ { "id": "specialist-recognition", "name": "Specialist recognition", "description": "Records the route and evidence by which dermatology specialist status is recognised.", "findings": [ { "id": "recognised-training-route", "name": "Recognised training route", "description": "Capture the relevant dermatology qualification or recognition pathway without assuming one international credential standard.", "questions": [ { "text": "Which authority recognises dermatology specialist status in the intended jurisdiction?", "kind": "provenance", "id": "recognised-training-route-q01" }, { "text": "What verified qualification, training route, or equivalence decision supports this holder's recognition?", "kind": "provenance", "id": "recognised-training-route-q02" } ] } ] }, { "id": "current-practice-authority", "name": "Current practice authority", "description": "Separates historical qualification from present permission to practise.", "findings": [ { "id": "authorisation-and-restrictions", "name": "Authorisation and restrictions", "description": "Link the holder to dated evidence of medical practice authority, specialist status, and applicable restrictions.", "questions": [ { "text": "When and against which authoritative record were current practice authority and specialist status checked?", "kind": "provenance", "id": "authorisation-and-restrictions-q01" }, { "text": "Which restrictions or cross-jurisdiction requirements affect the proposed dermatology service?", "kind": "action", "id": "authorisation-and-restrictions-q02" } ] } ] } ] }, { "id": "dermatological-competence", "name": "Dermatological competence", "description": "Describes the clinical and procedural capabilities relevant to a particular dermatology practice.", "rationale": "A single occupation label cannot establish expertise for every presentation, population, or intervention.", "layers": [ { "id": "clinical-remit", "name": "Clinical remit", "description": "Locates expertise across skin, hair, nail, and related clinical presentations.", "findings": [ { "id": "presentation-and-population-fit", "name": "Presentation and population fit", "description": "Record supported areas of practice and patient populations, including limits requiring referral.", "questions": [ { "text": "Which presentations and patient populations fall within this holder's documented dermatology practice?", "kind": "boundary", "id": "presentation-and-population-fit-q01" }, { "text": "What evidence supports relevant experience across skin tones, age groups, and complex presentations?", "kind": "provenance", "id": "presentation-and-population-fit-q02" } ] } ] }, { "id": "diagnostic-and-procedural-capabilities", "name": "Diagnostic and procedural capabilities", "description": "Connects specific assessment methods and interventions to competence and service access.", "findings": [ { "id": "capability-specific-evidence", "name": "Capability-specific evidence", "description": "Assess capabilities such as dermoscopy, skin sampling, dermatological surgery, or laser procedures individually rather than inferring them from the title.", "questions": [ { "text": "What evidence establishes competence and any required privileges for the proposed diagnostic method or procedure?", "kind": "provenance", "id": "capability-specific-evidence-q01" }, { "text": "Which capabilities are delivered personally, through another professional, or by onward referral?", "kind": "action", "id": "capability-specific-evidence-q02" } ] } ] } ] }, { "id": "assessment-and-care-continuity", "name": "Assessment and care continuity", "description": "Models responsibilities for assessment adequacy, diagnostic results, and continuing care.", "rationale": "Dermatology care can cross image review, examination, sampling, pathology, and subsequent treatment, creating responsibility gaps.", "layers": [ { "id": "assessment-adequacy", "name": "Assessment adequacy", "description": "Determines whether the available consultation mode and information support the intended clinical decision.", "findings": [ { "id": "remote-and-in-person-boundaries", "name": "Remote and in-person boundaries", "description": "Record limitations of image-based or remote assessment and the route to examination or additional investigation.", "questions": [ { "text": "What limitations in image quality, history, anatomical coverage, or examination remain relevant to this assessment?", "kind": "measurement", "id": "remote-and-in-person-boundaries-q01" }, { "text": "Who determines whether an in-person examination, sampling, or urgent escalation is needed?", "kind": "action", "id": "remote-and-in-person-boundaries-q02" } ] } ] }, { "id": "results-and-follow-up", "name": "Results and follow-up", "description": "Assigns responsibility as care moves between dermatology and other services.", "findings": [ { "id": "closed-result-and-care-loops", "name": "Result review and continuing care", "description": "Identify responsibility for reviewing pathology or other results, communicating decisions, monitoring treatment, and completing handovers.", "questions": [ { "text": "Who is responsible for reviewing and communicating each outstanding diagnostic result?", "kind": "action", "id": "closed-result-and-care-loops-q01" }, { "text": "What confirms that follow-up, treatment monitoring, or a referral handover has been accepted and completed?", "kind": "measurement", "id": "closed-result-and-care-loops-q02" } ] } ] } ] }, { "id": "practice-setting-and-professional-responsibility", "name": "Practice setting and professional responsibility", "description": "Relates dermatology work to service resources, employment arrangements, and patient-facing responsibilities.", "rationale": "A qualified dermatologist's available actions also depend on the setting, support services, consent, and clarity of the care relationship.", "layers": [ { "id": "service-and-employment-context", "name": "Service and employment context", "description": "Connects the role to the organisation and resources through which care is delivered.", "findings": [ { "id": "setting-dependent-service-scope", "name": "Setting-dependent service scope", "description": "Record the holder's employment or contracting relation and access to resources required for the offered dermatology services.", "questions": [ { "text": "Through which organisation and employment or contracting arrangement does the holder provide this service?", "kind": "provenance", "id": "setting-dependent-service-scope-q01" }, { "text": "Are the necessary pathology, procedural facilities, monitoring services, and escalation arrangements available?", "kind": "action", "id": "setting-dependent-service-scope-q02" } ] } ] }, { "id": "consent-images-and-treatment-purpose", "name": "Consent, images, and treatment purpose", "description": "Makes the purpose of interventions and handling of dermatological images explicit.", "findings": [ { "id": "patient-facing-accountability", "name": "Patient-facing accountability", "description": "Record responsibility for explaining medical or aesthetic objectives, obtaining relevant consent, and governing clinical photographs.", "questions": [ { "text": "How are the intervention's medical or aesthetic purpose, expected benefits, limitations, and responsible clinician made clear?", "kind": "action", "id": "patient-facing-accountability-q01" }, { "text": "What consent and access rules govern taking, storing, sharing, or reusing identifiable dermatological images?", "kind": "boundary", "id": "patient-facing-accountability-q02" } ] } ] } ] }, { "id": "evidence-and-external-alignment", "name": "Evidence and external alignment", "description": "What the world already says about this thing, gathered so the model can be checked against it.", "rationale": "A model that cannot be lined up against existing standards, identifiers and practice cannot be adopted by anyone who already uses them.", "layers": [ { "id": "reported-evidence", "name": "Reported evidence", "description": "Findings from the breadth pass, kept separate from the structural claims.", "findings": [ { "id": "evidence-confidence-notes", "name": "Check these first", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "This is recall-based content; no sources were consulted.", "The listed kinds overlap and are not uniformly recognized as formal subspecialties.", "Check current jurisdiction-specific licensing, specialist-title and certification requirements before using this description to establish an individual's eligibility to practise." ], "questions": [ { "id": "evidence-confidence-notes-q01", "text": "Which of these check these first hold for the sense of dermatologist this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-kinds", "name": "Kinds and varieties", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Medical dermatologist", "Surgical dermatologist", "Pediatric dermatologist", "Cosmetic dermatologist", "Dermatologist specializing in dermatopathology", "Mohs surgeon" ], "questions": [ { "id": "evidence-kinds-q01", "text": "Which of these kinds and varieties hold for the sense of dermatologist this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-identifiers", "name": "Identifiers and schemes", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ { "scheme": "ISCO-08", "value_or_pattern": "2212", "note": "International Labour Organization category for specialist medical practitioners; broader than dermatologists." }, { "scheme": "US Standard Occupational Classification", "value_or_pattern": "29-1213", "note": "Occupational code for dermatologists; identifies the occupation, not an individual practitioner or licence." }, { "scheme": "National Provider Identifier", "value_or_pattern": "10-digit identifier", "note": "Used for individual and organizational healthcare providers in the United States; an NPI alone does not establish dermatology qualifications." } ], "questions": [ { "id": "evidence-identifiers-q01", "text": "Which of these identifiers and schemes hold for the sense of dermatologist this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-standards-and-regulation", "name": "Standards and regulation", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "United States: state medical boards license physicians; specialty certification is distinct from medical licensure.", "United States: the American Board of Dermatology sets requirements for its specialty and subspecialty certifications.", "United States: the Accreditation Council for Graduate Medical Education sets accreditation requirements for dermatology residency programs.", "United Kingdom: the General Medical Council maintains medical registration and the Specialist Register." ], "questions": [ { "id": "evidence-standards-and-regulation-q01", "text": "Which of these standards and regulation hold for the sense of dermatologist this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-real-world-use", "name": "Real-world use", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Diagnosing and managing inflammatory skin disorders such as eczema, psoriasis and acne.", "Evaluating suspicious skin lesions and diagnosing and treating skin cancers.", "Investigating and treating hair loss, nail disorders and skin infections.", "Performing skin biopsies, excisions and other procedures within the practitioner's training and scope.", "Providing prevention advice and, in some practices, cosmetic skin treatments." ], "questions": [ { "id": "evidence-real-world-use-q01", "text": "Which of these real-world use hold for the sense of dermatologist this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-failure-modes-and-hazards", "name": "Failure modes and hazards", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Missed or delayed diagnosis of melanoma or other serious disease.", "Diagnostic errors associated with unfamiliar presentations across skin tones.", "Adverse drug effects, interactions or inadequate monitoring of systemic treatments.", "Procedural complications including infection, bleeding, scarring and pigment changes.", "Unnecessary procedures or treatments resulting from overdiagnosis or inappropriate cosmetic intervention." ], "questions": [ { "id": "evidence-failure-modes-and-hazards-q01", "text": "Which of these failure modes and hazards hold for the sense of dermatologist this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-regional-variation", "name": "Regional variation", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Training pathways, specialist recognition and rules governing use of specialist titles differ by jurisdiction.", "Some countries combine dermatology and venereology within one recognized specialty.", "Referral requirements, reimbursement and access to public versus private dermatology services vary between healthcare systems." ], "questions": [ { "id": "evidence-regional-variation-q01", "text": "Which of these regional variation hold for the sense of dermatologist this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-neighbours", "name": "Neighbouring kinds and how to tell them apart", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ { "name": "Dermatology", "difference": "The medical specialty and field of knowledge; a dermatologist is a physician practising that specialty." }, { "name": "Dermatopathologist", "difference": "Specializes in interpreting skin tissue specimens; may have a primary training background in pathology or dermatology." }, { "name": "Primary care physician", "difference": "Provides broad first-contact medical care and may treat skin conditions without being a dermatology specialist." }, { "name": "Plastic surgeon", "difference": "Specializes in reconstructive and aesthetic surgery; overlapping skin procedures do not make the specialties equivalent." }, { "name": "Esthetician", "difference": "Provides cosmetic skin-care services under locally defined rules; the role does not itself confer physician qualifications." }, { "name": "Dermatology clinic", "difference": "An organization or service setting that employs or hosts practitioners, rather than the professional role itself." } ], "questions": [ { "id": "evidence-neighbours-q01", "text": "Which of these neighbouring kinds and how to tell them apart hold for the sense of dermatologist this model covers, and on what evidence?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Does an existing Vercy world model already cover the dermatologist occupation, requiring this registry entry to link to it?", "Which authoritative occupational classifications and codes map to dermatologist, and which group it within a broader specialist category?", "Which jurisdictions should the first researched version cover, and how do their title protection, specialist recognition, and renewal requirements differ?", "How should locally overlapping areas such as dermatopathology, venereology, dermatological surgery, and aesthetic practice be represented without implying universal scope?", "Which authoritative standards should establish evidence thresholds for procedure-specific competence, remote assessment, and follow-up responsibility?" ], "statistics": { "bundles": 6, "layers": 11, "findings": 18, "questions": 28 } }