{
  "vercy": "1.0-draft",
  "publication": {
    "status": "research-draft",
    "adjudicationStatus": "unreviewed",
    "publishableCanonical": false,
    "generatedAt": "2026-09-12T00:49:35Z",
    "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": 2,
    "engine": "claude",
    "enrichment": {
      "pass": 3,
      "engine": "claude",
      "producedAt": "2026-10-05T23:50:00Z",
      "ingestedAt": "2026-10-05T20:46:46+00:00",
      "fields": [
        "agent_conduct",
        "ethics",
        "owners"
      ]
    },
    "gate": {
      "passed": true,
      "version": "1.0",
      "at": "2026-10-06T19:51:59+00:00",
      "evidence": [
        "completeness 1.00",
        "sense: Wikidata description",
        "2 live sources",
        "review by codex: pass"
      ]
    }
  },
  "metaModel": {
    "id": "THING-Q3667186",
    "registryId": "vr.tr.keratosis",
    "name": "keratosis",
    "version": "0.2.0-wave.2",
    "entryKind": "thing",
    "family": "Thing Registry",
    "domain": [
      "XCT.STA"
    ],
    "status": "research-draft"
  },
  "canonicalUrl": "https://ver.cy/models/thing/q3667186/",
  "model": {
    "registry_id": "vr.tr.keratosis",
    "name": "keratosis",
    "purpose": "Let an agent explain keratosis and its forms in general terms, describe when assessment is advised according to dermatology sources, describe documented treatments, and route personal questions to clinicians.",
    "definition": "A condition of the skin characterised by overgrowth of keratin producing thickened, horny or scaly areas, including common forms such as actinic keratosis from sun damage, seborrhoeic keratosis, keratosis pilaris, and palmoplantar keratodermas and porokeratoses, some of which are inherited syndromes; keratoses range from harmless to precancerous, are diagnosed by dermatologists, and this entry gives general information only, not personal medical advice.",
    "what_it_is_for": "Keratin overgrowth of the skin.",
    "affordances": [
      "explain forms",
      "describe when to seek assessment",
      "describe treatments generally",
      "route personal questions"
    ],
    "distinguishing_features": [
      "Keratin overgrowth",
      "Many forms",
      "Benign to precancerous",
      "Dermatological diagnosis"
    ],
    "appearance": "Thickened, rough, scaly or horny patches of skin.",
    "visual_identification": [
      "Excess keratin",
      "Rough or scaly patches",
      "Warts are viral; eczema is inflammatory"
    ],
    "physical_properties": [],
    "families_and_kinds": [
      "actinic keratosis",
      "seborrhoeic keratosis",
      "keratosis pilaris",
      "palmoplantar keratodermas",
      "porokeratoses and inherited syndromes"
    ],
    "related_models": [
      {
        "relation": "is a kind of",
        "target": "keratoma",
        "why": "category"
      },
      {
        "relation": "is related to",
        "target": "carcinogen",
        "why": "UV exposure and actinic keratosis"
      },
      {
        "relation": "is related to",
        "target": "agenesis",
        "why": "another congenital condition entry"
      },
      {
        "relation": "is related to",
        "target": "appearance",
        "why": "skin appearance"
      }
    ],
    "identifiers": [],
    "standards_and_regulation": [
      "Dermatology clinical guidelines",
      "Sun protection public health guidance",
      "Rare disease classifications for inherited forms"
    ],
    "failure_modes_and_hazards": [
      "Agents giving personal medical advice",
      "Missing precancerous lesions",
      "Unproven treatments"
    ],
    "in_scope": [],
    "out_of_scope": [],
    "characteristics": [],
    "agent_conduct": {
      "may": [
        "Explain kinds of keratosis, such as actinic and seborrhoeic, in general terms.",
        "Relay sun protection guidance from health authorities.",
        "Urge people to have changing or bleeding skin lesions checked by a clinician."
      ],
      "must_not": [
        "Diagnose a skin lesion from a description or photo.",
        "Tell someone a lesion is harmless and does not need checking.",
        "Recommend removing lesions at home or unproven treatments.",
        "Share photos of a person's skin without consent."
      ],
      "requires_human": [
        "Any decision about treating or removing a lesion."
      ]
    },
    "ethics": {
      "considerations": [
        "Actinic keratosis can progress to skin cancer, so false reassurance is dangerous.",
        "Visible skin conditions affect self-image and can attract stigma."
      ],
      "affected_parties": [
        "People with skin conditions",
        "Outdoor workers"
      ]
    },
    "owners": {
      "steward": "Nobody owns it; it is a clinical condition, and the treating clinician answers for care.",
      "master_systems": []
    }
  },
  "sources": [
    {
      "id": "wikidata",
      "title": "Wikidata item Q3667186: keratosis",
      "url": "https://www.wikidata.org/wiki/Q3667186",
      "url_status": "live",
      "what_it_supports": "identity and sense of the item",
      "checked_by": "wikidata-api"
    },
    {
      "id": "wikipedia-en",
      "title": "Wikipedia: Keratosis",
      "url": "https://en.wikipedia.org/wiki/Keratosis",
      "url_status": "live",
      "what_it_supports": "general description of the item",
      "checked_by": "wikidata-api sitelink"
    }
  ],
  "structure": {
    "bundles": [
      {
        "id": "understand",
        "name": "Understand",
        "description": "What keratosis is.",
        "rationale": "General information.",
        "layers": [
          {
            "id": "forms",
            "name": "Forms",
            "description": "Forms and causes.",
            "findings": [
              {
                "id": "forms-finding",
                "name": "Forms",
                "description": "Forms.",
                "questions": [
                  {
                    "text": "What are actinic, seborrhoeic, pilaris, palmoplantar and other keratoses, and what causes them, according to dermatology sources?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Is the user asking about their own skin, which needs a clinician?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          },
          {
            "id": "distinguish",
            "name": "Distinguish",
            "description": "Distinguishing conditions.",
            "findings": [
              {
                "id": "distinguish-finding",
                "name": "Distinguish",
                "description": "Distinctions.",
                "questions": [
                  {
                    "text": "How do keratoses differ from warts, eczema, psoriasis and skin cancers, in general terms?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits a specific condition?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "care",
        "name": "Care",
        "description": "Assessment and treatment.",
        "rationale": "Medicine.",
        "layers": [
          {
            "id": "assessment",
            "name": "Assessment",
            "description": "When to seek assessment.",
            "findings": [
              {
                "id": "assessment-finding",
                "name": "Assessment",
                "description": "Assessment.",
                "questions": [
                  {
                    "text": "Which features of a skin lesion warrant dermatological assessment, according to guidance?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Is a rapidly changing or bleeding lesion present, needing prompt care?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          },
          {
            "id": "treatment",
            "name": "Treatment",
            "description": "Treatment.",
            "findings": [
              {
                "id": "treatment-finding",
                "name": "Treatment",
                "description": "Treatment.",
                "questions": [
                  {
                    "text": "What treatments are documented for common keratoses, and how is actinic keratosis managed to prevent progression?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits a specific treatment?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "prevent",
        "name": "Prevent",
        "description": "Prevention and inherited forms.",
        "rationale": "Context.",
        "layers": [
          {
            "id": "sun",
            "name": "Sun",
            "description": "Sun protection.",
            "findings": [
              {
                "id": "sun-finding",
                "name": "Sun",
                "description": "Prevention.",
                "questions": [
                  {
                    "text": "How does sun protection reduce actinic keratosis, according to public health guidance?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits sun protection?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "inherited",
            "name": "Inherited",
            "description": "Inherited keratoses.",
            "findings": [
              {
                "id": "inherited-finding",
                "name": "Inherited",
                "description": "Inherited.",
                "questions": [
                  {
                    "text": "What are inherited keratodermas and porokeratoses, and what support exists for rare forms?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Is genetic counselling needed from a professional?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "learn",
        "name": "Learn",
        "description": "Research and teaching.",
        "rationale": "Education.",
        "layers": [
          {
            "id": "research",
            "name": "Research",
            "description": "Research.",
            "findings": [
              {
                "id": "research-finding",
                "name": "Research",
                "description": "Research.",
                "questions": [
                  {
                    "text": "What research addresses keratosis treatment and prevention?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which references are standard?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "teach",
            "name": "Teach",
            "description": "Teaching.",
            "findings": [
              {
                "id": "teach-finding",
                "name": "Teach",
                "description": "Teaching.",
                "questions": [
                  {
                    "text": "How can keratoses be taught in dermatology?",
                    "kind": "action"
                  },
                  {
                    "text": "Which misconceptions arise?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  },
  "openQuestions": [
    "Should each form be a separate entry?",
    "How should guidelines be linked?",
    "How should rare syndromes be linked?"
  ],
  "statistics": {
    "bundles": 4,
    "layers": 8,
    "findings": 8,
    "questions": 16
  }
}