{ "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T00:25:56Z", "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": "2026-10-06T07:02:58+00:00", "fields": [ "agent_conduct", "ethics", "owners" ] }, "revisions": [ { "at": "2026-10-06T22:50:14+00:00", "engine": "codex", "fields": [ "definition" ], "answering_review": "6a6947bdde0ed7200f059a63a2023448c1ae38129714843341f97247a37ae124" }, { "at": "2026-10-07T11:31:22+00:00", "engine": "codex", "fields": [ "agent_conduct" ], "answering_review": "58c7b5cc89fa8cd220852dabe644419f46b1746a9f2a68d2079bf7aafeeb6a29" } ], "gate": { "passed": true, "version": "1.0", "at": "2026-10-07T12:16:32+00:00", "evidence": [ "completeness 1.00", "sense: Wikidata description", "2 live sources", "review by codex: pass" ] } }, "metaModel": { "id": "THING-Q36956", "registryId": "vr.tr.leprosy", "name": "leprosy", "version": "0.2.0-wave.3", "entryKind": "thing", "family": "Thing Registry", "domain": [ "INF.KNW" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q36956/", "model": { "registry_id": "vr.tr.leprosy", "name": "leprosy", "purpose": "Let an agent explain leprosy in general terms from WHO and clinical sources, relay classification, treatment and prevention, present history and stigma with attribution, and route personal medical questions to clinicians.", "definition": "A chronic infectious disease caused by Mycobacterium leprae and Mycobacterium lepromatosis, affecting the skin, peripheral nerves, upper respiratory tract and eyes, classified as paucibacillary or multibacillary and across a spectrum from tuberculoid to borderline and lepromatous forms, with immune reactions such as erythema nodosum leprosum; leprosy, also called Hansen disease, is curable with multidrug therapy, is generally transmitted between people through prolonged close contact with an untreated person, can also be acquired through zoonotic transmission from infected armadillos, and has a long history of stigma and segregation.", "what_it_is_for": "Not applicable; a disease.", "affordances": [ "explain the disease and classification", "relay treatment and prevention", "present history and stigma", "route personal questions to clinicians" ], "distinguishing_features": [ "Slow-growing bacterium", "Nerve damage and disability", "Curable with multidrug therapy", "Historical stigma" ], "appearance": "Not a visible object; a clinical illness with skin lesions and nerve damage.", "visual_identification": [ "Chronic mycobacterial disease of skin and nerves", "Paucibacillary, multibacillary, tuberculoid, borderline, lepromatous", "Biblical and historical uses of leprosy covered various skin conditions; alphos was a historical term" ], "physical_properties": [ { "quantity": "new cases per year", "typical_range": "about 180000", "unit": "people", "note": "WHO, recent years" }, { "quantity": "incubation", "typical_range": "about 5", "unit": "years", "note": "average, up to 20" } ], "families_and_kinds": [ "paucibacillary and multibacillary leprosy", "tuberculoid, borderline and lepromatous forms", "leprosy reactions including erythema nodosum leprosum", "leprosy caused by Mycobacterium lepromatosis", "historical terms such as alphos" ], "related_models": [ { "relation": "is a kind of", "target": "primary bacterial infectious disease", "why": "in registry terms" }, { "relation": "is caused by", "target": "Mycobacterium leprae", "why": "and M. lepromatosis" }, { "relation": "is treated with", "target": "multidrug therapy", "why": "rifampicin, dapsone and clofazimine" }, { "relation": "is a", "target": "neglected tropical disease", "why": "per WHO" } ], "identifiers": [ { "scheme": "ICD-11", "value_or_pattern": "1B20", "note": "" }, { "scheme": "MeSH", "value_or_pattern": "D007918", "note": "" } ], "standards_and_regulation": [ "WHO leprosy guidelines and global strategy", "National elimination programmes", "UN principles on eliminating discrimination against persons affected by leprosy" ], "failure_modes_and_hazards": [ "Stigma and discriminatory language", "Delayed diagnosis and disability", "Agents giving personal medical advice", "Confusing historical and modern uses of the term" ], "in_scope": [], "out_of_scope": [], "characteristics": [], "agent_conduct": { "may": [ "Give general information about the disease, its treatment and its history from health sources.", "Correct the false belief that it is highly contagious or a punishment.", "Point a person with symptoms towards medical assessment." ], "must_not": [ "Use words such as leper for a person affected by the disease.", "Recommend treatment or doses in place of a clinician.", "Disclose a person's diagnosis, past or present, without their consent, except for legally required or permitted public health reporting authorized by a responsible human.", "Support segregation, isolation or exclusion of people affected by it." ], "requires_human": [ "Reporting a case to public health authorities.", "Any decision affecting a person's work, housing or family because of the disease." ] }, "ethics": { "considerations": [ "Stigma has cost people their families, work and freedom for centuries, and still does.", "The disease is curable, yet late diagnosis leaves lasting disability." ], "affected_parties": [ "People affected by the disease", "Their families", "Communities in affected regions" ] }, "owners": { "steward": "Each patient owns their health data; national programmes and health authorities answer for care.", "master_systems": [] } }, "sources": [ { "id": "wikidata", "title": "Wikidata item Q36956: leprosy", "url": "https://www.wikidata.org/wiki/Q36956", "url_status": "live", "what_it_supports": "identity and sense of the item", "checked_by": "wikidata-api" }, { "id": "wikipedia-en", "title": "Wikipedia: Leprosy", "url": "https://en.wikipedia.org/wiki/Leprosy", "url_status": "live", "what_it_supports": "general description of the item", "checked_by": "wikidata-api sitelink" } ], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "The disease.", "rationale": "Clinical.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition and classification.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "What is leprosy, and how is it classified?", "kind": "definition" }, { "text": "Is the question about the modern disease or historical uses of the term?", "kind": "boundary" } ] } ] }, { "id": "illness", "name": "Illness", "description": "Symptoms and transmission.", "findings": [ { "id": "illness-finding", "name": "Illness", "description": "Illness.", "questions": [ { "text": "What are the signs, and how is leprosy transmitted, in general terms?", "kind": "definition" }, { "text": "Is the user describing personal symptoms, which need a clinician?", "kind": "boundary" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Treatment and prevention.", "rationale": "Public health.", "layers": [ { "id": "treatment", "name": "Treatment", "description": "Treatment.", "findings": [ { "id": "treatment-finding", "name": "Treatment", "description": "Treatment.", "questions": [ { "text": "How is leprosy treated with multidrug therapy, and how are reactions managed, per guidelines?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "prevention", "name": "Prevention", "description": "Prevention and elimination.", "findings": [ { "id": "prevention-finding", "name": "Prevention", "description": "Prevention.", "questions": [ { "text": "What prevention measures and elimination strategies exist, including post-exposure prophylaxis?", "kind": "provenance" }, { "text": "Which entry fits neglected tropical diseases?", "kind": "action" } ] } ] } ] }, { "id": "where", "name": "Where", "description": "Epidemiology.", "rationale": "Sources.", "layers": [ { "id": "distribution", "name": "Distribution", "description": "Distribution.", "findings": [ { "id": "distribution-finding", "name": "Distribution", "description": "Distribution.", "questions": [ { "text": "Where does leprosy occur today, and what are the case numbers, from WHO?", "kind": "measurement" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] }, { "id": "disability", "name": "Disability", "description": "Disability and rehabilitation.", "findings": [ { "id": "disability-finding", "name": "Disability", "description": "Disability.", "questions": [ { "text": "How is leprosy-related disability prevented and rehabilitated?", "kind": "provenance" }, { "text": "Which entry fits rehabilitation?", "kind": "action" } ] } ] } ] }, { "id": "history", "name": "History", "description": "History and stigma.", "rationale": "Attribution.", "layers": [ { "id": "history", "name": "History", "description": "History.", "findings": [ { "id": "history-finding", "name": "History", "description": "History.", "questions": [ { "text": "How has leprosy been understood and treated historically, including leprosaria and Hansen discovery?", "kind": "provenance" }, { "text": "Which entry fits the history of medicine?", "kind": "action" } ] } ] }, { "id": "stigma", "name": "Stigma", "description": "Stigma and rights.", "findings": [ { "id": "stigma-finding", "name": "Stigma", "description": "Stigma.", "questions": [ { "text": "How have stigma and discrimination affected people with leprosy, and what rights frameworks exist, with attribution?", "kind": "provenance" }, { "text": "Is the language respectful and person-first?", "kind": "boundary" } ] } ] } ] } ] }, "openQuestions": [ "Should leprosy reactions be a separate entry?", "How should WHO guidance be linked?", "The registry entry has merged aliases naming forms and a historical term; should they be split off?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }