{
  "vercy": "1.0-draft",
  "publication": {
    "status": "research-draft",
    "adjudicationStatus": "unreviewed",
    "publishableCanonical": false,
    "generatedAt": "2026-09-11T11:26:49Z",
    "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": "2026-10-05T16:30:00Z",
      "ingestedAt": "2026-10-05T13:31:22+00:00",
      "fields": [
        "agent_conduct",
        "ethics",
        "owners"
      ]
    },
    "gate": {
      "passed": true,
      "version": "1.0",
      "at": "2026-10-06T19:52:00+00:00",
      "evidence": [
        "completeness 1.00",
        "sense: Wikidata description",
        "2 live sources",
        "review by codex: pass"
      ]
    }
  },
  "metaModel": {
    "id": "THING-Q47912",
    "registryId": "vr.tr.lung-cancer",
    "name": "lung cancer",
    "version": "0.2.0-wave.1",
    "entryKind": "thing",
    "family": "Thing Registry",
    "domain": [
      "XCT.STA"
    ],
    "status": "research-draft"
  },
  "canonicalUrl": "https://ver.cy/models/thing/q47912/",
  "model": {
    "registry_id": "vr.tr.lung-cancer",
    "name": "lung cancer",
    "purpose": "Let an agent explain lung cancer in general terms, point to screening, specialist care, stop-smoking and support services, without diagnosis or treatment advice.",
    "definition": "Cancer that begins in the lungs, mainly non-small cell and small cell lung cancer, strongly linked to smoking and also to radon, air pollution and occupational exposures; treatment and outlook depend on type and stage and are decided by specialist teams.",
    "what_it_is_for": "A serious health topic requiring accurate information and support.",
    "affordances": [
      "explain lung cancer types in general terms",
      "find screening programmes where offered",
      "find stop-smoking and radon information",
      "find patient and carer support"
    ],
    "distinguishing_features": [
      "Cancer starting in the lung",
      "Strong link to smoking",
      "Screening in some countries",
      "Specialist multidisciplinary care"
    ],
    "appearance": "Symptoms may include persistent cough, coughing blood, breathlessness and weight loss; diagnosis needs medical tests.",
    "visual_identification": [
      "Non-small cell and small cell types",
      "Diagnosed by imaging and biopsy",
      "Lung metastases come from cancers elsewhere"
    ],
    "physical_properties": [],
    "families_and_kinds": [
      "non-small cell lung cancer",
      "small cell lung cancer",
      "neuroendocrine tumours of the lung",
      "radon-related lung cancer"
    ],
    "related_models": [
      {
        "relation": "is a kind of",
        "target": "respiratory system cancer",
        "why": "category"
      },
      {
        "relation": "is linked to",
        "target": "smoking and radon",
        "why": "risk factors"
      },
      {
        "relation": "is treated by",
        "target": "oncology",
        "why": "specialty"
      },
      {
        "relation": "is related to",
        "target": "occupational disease",
        "why": "exposure"
      }
    ],
    "identifiers": [
      {
        "scheme": "ICD-11",
        "value_or_pattern": "2C25",
        "note": "malignant neoplasms of bronchus or lung"
      }
    ],
    "standards_and_regulation": [
      "National lung cancer screening programmes",
      "Tobacco control law",
      "Radon action levels"
    ],
    "failure_modes_and_hazards": [
      "Agents diagnosing or predicting outcomes",
      "Blaming patients",
      "Unproven cure claims"
    ],
    "in_scope": [],
    "out_of_scope": [],
    "characteristics": [],
    "agent_conduct": {
      "may": [
        "Give general, sourced information on lung cancer types, screening and treatment.",
        "Point people to smoking cessation and screening services."
      ],
      "must_not": [
        "Diagnose lung cancer or interpret scans in place of specialists.",
        "Recommend unproven remedies in place of treatment.",
        "State an individual prognosis.",
        "Blame or shame patients for smoking."
      ],
      "requires_human": [
        "Discussing treatment options or outlook with a patient.",
        "Enrolling a patient in screening or a clinical trial."
      ]
    },
    "ethics": {
      "considerations": [
        "Stigma around smoking can deter people from seeking care.",
        "Occupational and environmental exposures place responsibility on employers and authorities as well."
      ],
      "affected_parties": [
        "Lung cancer patients",
        "Families and carers",
        "Workers exposed at work"
      ]
    },
    "owners": {
      "steward": "The treating team answers for care; the patient decides on treatment.",
      "master_systems": [
        "Cancer registries"
      ]
    }
  },
  "sources": [
    {
      "id": "wikidata",
      "title": "Wikidata item Q47912: lung cancer",
      "url": "https://www.wikidata.org/wiki/Q47912",
      "url_status": "live",
      "what_it_supports": "identity and sense of the item",
      "checked_by": "wikidata-api"
    },
    {
      "id": "wikipedia-en",
      "title": "Wikipedia: Lung cancer",
      "url": "https://en.wikipedia.org/wiki/Lung_cancer",
      "url_status": "live",
      "what_it_supports": "general description of the item",
      "checked_by": "wikidata-api sitelink"
    }
  ],
  "structure": {
    "bundles": [
      {
        "id": "care",
        "name": "Care",
        "description": "Seeing a doctor.",
        "rationale": "Clinicians diagnose.",
        "layers": [
          {
            "id": "symptoms",
            "name": "Symptoms",
            "description": "When to seek advice.",
            "findings": [
              {
                "id": "symptoms-finding",
                "name": "Symptoms",
                "description": "Seeking advice.",
                "questions": [
                  {
                    "text": "Are there persistent symptoms such as coughing blood that need prompt medical assessment?",
                    "kind": "boundary"
                  },
                  {
                    "text": "How can an appointment be made?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "diagnosis",
            "name": "Diagnosis",
            "description": "No self-diagnosis.",
            "findings": [
              {
                "id": "diagnosis-finding",
                "name": "Diagnosis",
                "description": "Diagnosis limit.",
                "questions": [
                  {
                    "text": "Is the user asking the agent to diagnose or predict outcome?",
                    "kind": "boundary"
                  },
                  {
                    "text": "How should they discuss it with their specialist team?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "prevention",
        "name": "Prevention",
        "description": "Risk reduction.",
        "rationale": "Risks can be reduced.",
        "layers": [
          {
            "id": "smoking",
            "name": "Smoking",
            "description": "Stop-smoking help.",
            "findings": [
              {
                "id": "smoking-finding",
                "name": "Smoking",
                "description": "Stop smoking.",
                "questions": [
                  {
                    "text": "Which free stop-smoking services exist here?",
                    "kind": "provenance"
                  },
                  {
                    "text": "How can they be contacted?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "radon",
            "name": "Radon",
            "description": "Home testing.",
            "findings": [
              {
                "id": "radon-finding",
                "name": "Radon",
                "description": "Radon.",
                "questions": [
                  {
                    "text": "Is this area affected by radon, according to official maps?",
                    "kind": "provenance"
                  },
                  {
                    "text": "How can a home be tested?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "screening",
        "name": "Screening",
        "description": "Programmes.",
        "rationale": "Screening is targeted.",
        "layers": [
          {
            "id": "programme",
            "name": "Programme",
            "description": "Eligibility.",
            "findings": [
              {
                "id": "programme-finding",
                "name": "Programme",
                "description": "Screening programmes.",
                "questions": [
                  {
                    "text": "Is lung cancer screening offered here, and who is eligible?",
                    "kind": "provenance"
                  },
                  {
                    "text": "How is an invitation arranged?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "trials",
            "name": "Trials",
            "description": "Clinical trials.",
            "findings": [
              {
                "id": "trials-finding",
                "name": "Trials",
                "description": "Clinical trials.",
                "questions": [
                  {
                    "text": "Where can official clinical trial registries be searched?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Should the specialist team be consulted first?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "support",
        "name": "Support",
        "description": "Patients and carers.",
        "rationale": "Support matters.",
        "layers": [
          {
            "id": "organisations",
            "name": "Organisations",
            "description": "Charities.",
            "findings": [
              {
                "id": "organisations-finding",
                "name": "Organisations",
                "description": "Support organisations.",
                "questions": [
                  {
                    "text": "Which lung cancer charities offer support here?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Do they have helplines?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "stigma",
            "name": "Stigma",
            "description": "Non-judgemental.",
            "findings": [
              {
                "id": "stigma-finding",
                "name": "Stigma",
                "description": "Stigma.",
                "questions": [
                  {
                    "text": "Does the language avoid blaming patients?",
                    "kind": "boundary"
                  },
                  {
                    "text": "Is support offered regardless of smoking history?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  },
  "openQuestions": [
    "Should subtypes be separate entries?",
    "How should screening programmes be localised?",
    "How should alias lists be curated?"
  ],
  "statistics": {
    "bundles": 4,
    "layers": 8,
    "findings": 8,
    "questions": 16
  }
}
