{ "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-11T12:34:41Z", "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": "2026-10-05T17:00:00Z", "ingestedAt": "2026-10-05T13:29:21+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-Q41861", "registryId": "vr.tr.arterial-hypertension", "name": "arterial hypertension", "version": "0.2.0-wave.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "INF.KNW" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q41861/", "model": { "registry_id": "vr.tr.arterial-hypertension", "name": "arterial hypertension", "purpose": "Let an agent route possible hypertensive emergencies to urgent care, give general sourced information on blood pressure, measurement and prevention, and refer individual questions to clinicians.", "definition": "A long-term condition in which blood pressure in the arteries is persistently raised, commonly defined as 140/90 mmHg or higher in many guidelines and 130/80 mmHg or higher in some, and a major risk factor for stroke, heart disease and kidney disease; it often has no symptoms. Pulmonary hypertension is a different condition.", "what_it_is_for": "A common health condition relevant to prevention and public health.", "affordances": [ "recognise emergency warning signs", "measure blood pressure correctly at home", "find official guidance on lifestyle and screening", "prepare questions for a clinician" ], "distinguishing_features": [ "Often symptomless", "Major cardiovascular risk factor", "Diagnosed by repeated measurements", "Thresholds differ between guidelines" ], "appearance": "Usually invisible; detected by blood pressure measurement.", "visual_identification": [ "Readings shown as systolic over diastolic in mmHg", "Home and clinic monitors", "Low blood pressure is hypotension" ], "physical_properties": [ { "quantity": "common diagnostic threshold", "typical_range": "140/90 or 130/80", "unit": "mmHg", "note": "depends on the guideline" } ], "families_and_kinds": [ "primary (essential) hypertension", "secondary hypertension", "gestational hypertension and pre-eclampsia", "resistant hypertension", "white coat hypertension" ], "related_models": [ { "relation": "is a kind of", "target": "artery disease", "why": "category" }, { "relation": "is measured by", "target": "sphygmomanometer", "why": "instrument" }, { "relation": "increases risk of", "target": "stroke", "why": "complication" }, { "relation": "is confused with", "target": "pulmonary hypertension", "why": "different condition" } ], "identifiers": [], "standards_and_regulation": [ "WHO guideline on pharmacological treatment of hypertension", "ESH and ACC/AHA hypertension guidelines", "Validation standards for blood pressure monitors" ], "failure_modes_and_hazards": [ "Ignoring very high readings with symptoms", "Inaccurate home measurement", "Stopping medicines without advice", "Agents giving personal treatment advice" ], "in_scope": [], "out_of_scope": [], "characteristics": [], "agent_conduct": { "may": [ "Explain hypertension, its risks and the thresholds used by named guidelines.", "Explain how to measure blood pressure accurately at home and when readings need urgent care." ], "must_not": [ "Give personal treatment advice or adjust a person's medicines.", "Tell a person to stop or change blood pressure medicines without their clinician.", "Dismiss very high readings with symptoms such as chest pain or confusion.", "Share a person's readings without consent." ], "requires_human": [ "Any change to a person's treatment.", "Deciding whether a reading needs emergency care when the person is unsure." ] }, "ethics": { "considerations": [ "Hypertension is silent and common; missed or ignored readings lead to strokes and heart attacks.", "Access to diagnosis and treatment is unequal across income and ethnicity." ], "affected_parties": [ "People with high blood pressure", "Families and carers" ] }, "owners": { "steward": "The person themselves; their clinician answers for diagnosis and treatment.", "master_systems": [] } }, "sources": [ { "id": "wikidata", "title": "Wikidata item Q41861: arterial hypertension", "url": "https://www.wikidata.org/wiki/Q41861", "url_status": "live", "what_it_supports": "identity and sense of the item", "checked_by": "wikidata-api" }, { "id": "wikipedia-en", "title": "Wikipedia: Hypertension", "url": "https://en.wikipedia.org/wiki/Hypertension", "url_status": "live", "what_it_supports": "general description of the item", "checked_by": "wikidata-api sitelink" } ], "structure": { "bundles": [ { "id": "emergency", "name": "Emergency", "description": "Urgent signs.", "rationale": "Safety comes first.", "layers": [ { "id": "crisis", "name": "Crisis", "description": "Very high readings.", "findings": [ { "id": "crisis-finding", "name": "Crisis", "description": "Hypertensive emergency.", "questions": [ { "text": "Is a very high reading accompanied by chest pain, severe headache, confusion or vision loss?", "kind": "boundary" }, { "text": "Should emergency services be called now?", "kind": "action" } ] } ] }, { "id": "stroke", "name": "Stroke", "description": "Stroke signs.", "findings": [ { "id": "stroke-finding", "name": "Stroke", "description": "Stroke signs.", "questions": [ { "text": "Are there sudden face drooping, arm weakness or speech problems?", "kind": "boundary" }, { "text": "Should emergency services be called immediately?", "kind": "action" } ] } ] } ] }, { "id": "measurement", "name": "Measurement", "description": "Readings.", "rationale": "Correct technique matters.", "layers": [ { "id": "home", "name": "Home", "description": "Home monitoring.", "findings": [ { "id": "home-finding", "name": "Home", "description": "Home measurement.", "questions": [ { "text": "How should blood pressure be measured at home, according to guidelines?", "kind": "provenance" }, { "text": "Is the monitor clinically validated?", "kind": "provenance" } ] } ] }, { "id": "readings", "name": "Readings", "description": "Understanding numbers.", "findings": [ { "id": "readings-finding", "name": "Readings", "description": "Readings.", "questions": [ { "text": "What do systolic and diastolic numbers mean in general terms?", "kind": "definition" }, { "text": "Is the user asking what their own reading means for them?", "kind": "boundary" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Clinicians.", "rationale": "Clinicians guide treatment.", "layers": [ { "id": "referral", "name": "Referral", "description": "Seeing a clinician.", "findings": [ { "id": "referral-finding", "name": "Referral", "description": "Referral.", "questions": [ { "text": "Should the person arrange a check with a doctor or pharmacist?", "kind": "action" }, { "text": "Where are free checks available?", "kind": "provenance" } ] } ] }, { "id": "medicines", "name": "Medicines", "description": "Treatment questions.", "findings": [ { "id": "medicines-finding", "name": "Medicines", "description": "Medicine questions.", "questions": [ { "text": "Is the user considering stopping or changing a medicine?", "kind": "boundary" }, { "text": "How should the agent refer them to their prescriber?", "kind": "action" } ] } ] } ] }, { "id": "prevention", "name": "Prevention", "description": "Public health.", "rationale": "Prevention works.", "layers": [ { "id": "lifestyle", "name": "Lifestyle", "description": "Risk factors.", "findings": [ { "id": "lifestyle-finding", "name": "Lifestyle", "description": "Lifestyle factors.", "questions": [ { "text": "Which lifestyle factors do health authorities link to blood pressure?", "kind": "provenance" }, { "text": "How strong is the evidence?", "kind": "boundary" } ] } ] }, { "id": "pregnancy", "name": "Pregnancy", "description": "Gestational hypertension.", "findings": [ { "id": "pregnancy-finding", "name": "Pregnancy", "description": "Pregnancy.", "questions": [ { "text": "Is the person pregnant with high blood pressure or symptoms such as severe headache?", "kind": "boundary" }, { "text": "Should they contact their maternity service urgently?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should types of hypertension be separate entries?", "How should guideline thresholds be recorded?", "How should validated monitors be linked?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }