{
  "vercy": "1.0-draft",
  "publication": {
    "status": "research-draft",
    "adjudicationStatus": "unreviewed",
    "publishableCanonical": false,
    "generatedAt": "2026-09-12T04:28:23Z",
    "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": "2026-10-05T23:55:00Z",
      "ingestedAt": "2026-10-05T20:51:37+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-Q4116663",
    "registryId": "vr.tr.musculoskeletal-disorder",
    "name": "musculoskeletal disorder",
    "version": "0.2.0-wave.2",
    "entryKind": "thing",
    "family": "Thing Registry",
    "domain": [
      "XCT.STA"
    ],
    "status": "research-draft"
  },
  "canonicalUrl": "https://ver.cy/models/thing/q4116663/",
  "model": {
    "registry_id": "vr.tr.musculoskeletal-disorder",
    "name": "musculoskeletal disorder",
    "purpose": "Let an agent explain musculoskeletal disorders and their categories and causes, relay general information on prevention, assessment and management from health bodies, describe workplace and public health aspects, and route personal medical questions to clinicians.",
    "definition": "Any disease, injury or condition affecting the muscles, bones, joints, tendons, ligaments and related connective tissues, including arthritis, back pain of musculoskeletal origin, tendon and shoulder conditions such as periarthritis, foot pain, fractures, work-related disorders and musculoskeletal neoplasms; musculoskeletal disorders are among the leading causes of disability worldwide and are managed in orthopaedics, rheumatology, physiotherapy and occupational health.",
    "what_it_is_for": "Conditions of muscles, bones, joints and connective tissues.",
    "affordances": [
      "explain categories and causes",
      "relay prevention and management information",
      "describe workplace aspects",
      "route personal questions"
    ],
    "distinguishing_features": [
      "Anatomical system grouping",
      "High disability burden",
      "Work-related forms",
      "Multidisciplinary care"
    ],
    "appearance": "Not physical as a category; pain, stiffness and impaired movement.",
    "visual_identification": [
      "Affects muscles, bones, joints and connective tissue",
      "Arthritis, back pain, tendon disorders, fractures",
      "Neurological disorders affect nerves; skin conditions are separate"
    ],
    "physical_properties": [],
    "families_and_kinds": [
      "arthritis and joint disorders",
      "back and neck pain",
      "tendon, ligament and soft tissue disorders",
      "bone disorders and fractures",
      "musculoskeletal neoplasms"
    ],
    "related_models": [
      {
        "relation": "is a kind of",
        "target": "disease of anatomical entity",
        "why": "category"
      },
      {
        "relation": "is related to",
        "target": "connective tissue",
        "why": "tissues affected"
      },
      {
        "relation": "is related to",
        "target": "Ehlers-Danlos syndrome",
        "why": "a connective tissue disorder"
      },
      {
        "relation": "is related to",
        "target": "symptom",
        "why": "pain and other findings"
      }
    ],
    "identifiers": [],
    "standards_and_regulation": [
      "Clinical guidelines for musculoskeletal conditions",
      "Occupational health regulations on ergonomics",
      "Disability assessment standards"
    ],
    "failure_modes_and_hazards": [
      "Agents giving personal diagnostic or treatment advice",
      "Missing serious causes of back pain",
      "Overuse of imaging and surgery, as noted by guidelines"
    ],
    "in_scope": [],
    "out_of_scope": [],
    "characteristics": [],
    "agent_conduct": {
      "may": [
        "Share reliable general information about musculoskeletal disorders and when to seek care.",
        "Help a clinician or patient keep exercise and symptom records they have agreed to."
      ],
      "must_not": [
        "Diagnose a specific musculoskeletal disorder or prescribe treatment in place of a clinician.",
        "Recommend unproven treatments or exercises that could worsen an injury.",
        "Disclose a person's condition to an employer or insurer without consent.",
        "Dismiss chronic pain as exaggerated."
      ],
      "requires_human": [
        "Decisions on a person's fitness to work or entitlement to disability support.",
        "Prescribing medication, surgery or restrictive equipment."
      ]
    },
    "ethics": {
      "considerations": [
        "Musculoskeletal disorders are a leading cause of disability and lost work, often linked to working conditions.",
        "Chronic pain is frequently disbelieved, especially in women and older people."
      ],
      "affected_parties": [
        "Patients and people in pain",
        "Workers in physical jobs",
        "Carers"
      ]
    },
    "owners": {
      "steward": "The person affected; the treating clinician answers for diagnosis and care.",
      "master_systems": [
        "Patient health records",
        "Occupational disease registers where they exist"
      ]
    }
  },
  "sources": [
    {
      "id": "wikidata",
      "title": "Wikidata item Q4116663: musculoskeletal disorder",
      "url": "https://www.wikidata.org/wiki/Q4116663",
      "url_status": "live",
      "what_it_supports": "identity and sense of the item",
      "checked_by": "wikidata-api"
    },
    {
      "id": "wikipedia-en",
      "title": "Wikipedia: Musculoskeletal disorder",
      "url": "https://en.wikipedia.org/wiki/Musculoskeletal_disorder",
      "url_status": "live",
      "what_it_supports": "general description of the item",
      "checked_by": "wikidata-api sitelink"
    }
  ],
  "structure": {
    "bundles": [
      {
        "id": "understand",
        "name": "Understand",
        "description": "What these disorders are.",
        "rationale": "General information.",
        "layers": [
          {
            "id": "categories",
            "name": "Categories",
            "description": "Categories and causes.",
            "findings": [
              {
                "id": "categories-finding",
                "name": "Categories",
                "description": "Categories.",
                "questions": [
                  {
                    "text": "What categories of musculoskeletal disorder exist, and what injuries, degeneration, inflammation and other causes underlie them?",
                    "kind": "definition"
                  },
                  {
                    "text": "Is the user asking about their own symptoms, which need a clinician?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          },
          {
            "id": "burden",
            "name": "Burden",
            "description": "Burden.",
            "findings": [
              {
                "id": "burden-finding",
                "name": "Burden",
                "description": "Burden.",
                "questions": [
                  {
                    "text": "How large is the burden of musculoskeletal disorders worldwide, according to health bodies?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits a specific condition?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "care",
        "name": "Care",
        "description": "Assessment and management.",
        "rationale": "Guidelines.",
        "layers": [
          {
            "id": "assessment",
            "name": "Assessment",
            "description": "Assessment.",
            "findings": [
              {
                "id": "assessment-finding",
                "name": "Assessment",
                "description": "Assessment.",
                "questions": [
                  {
                    "text": "How are musculoskeletal disorders assessed, and which warning signs need urgent attention, according to guidelines?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Is urgent care needed now?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          },
          {
            "id": "management",
            "name": "Management",
            "description": "Management.",
            "findings": [
              {
                "id": "management-finding",
                "name": "Management",
                "description": "Management.",
                "questions": [
                  {
                    "text": "What do guidelines recommend on activity, physiotherapy, medicines and surgery, in general terms?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits physiotherapy?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "prevent",
        "name": "Prevent",
        "description": "Prevention and work.",
        "rationale": "Public health.",
        "layers": [
          {
            "id": "prevention",
            "name": "Prevention",
            "description": "Prevention.",
            "findings": [
              {
                "id": "prevention-finding",
                "name": "Prevention",
                "description": "Prevention.",
                "questions": [
                  {
                    "text": "How can musculoskeletal disorders be prevented through activity, ergonomics and injury prevention, according to health bodies?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits ergonomics?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "work",
            "name": "Work",
            "description": "Work-related disorders.",
            "findings": [
              {
                "id": "work-finding",
                "name": "Work",
                "description": "Work.",
                "questions": [
                  {
                    "text": "How are work-related musculoskeletal disorders regulated and managed by occupational health?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits occupational health?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "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 is under way on musculoskeletal health, and which findings are uncertain?",
                    "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 musculoskeletal health be taught in health education?",
                    "kind": "action"
                  },
                  {
                    "text": "Which misconceptions arise?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  },
  "openQuestions": [
    "Should each category be a separate entry?",
    "How should guidelines be linked?",
    "How should occupational health resources be linked?"
  ],
  "statistics": {
    "bundles": 4,
    "layers": 8,
    "findings": 8,
    "questions": 16
  }
}