{
  "vercy": "1.0-draft",
  "publication": {
    "status": "research-draft",
    "adjudicationStatus": "unreviewed",
    "publishableCanonical": false,
    "generatedAt": "2026-09-13T01:04:35Z",
    "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": 3,
    "engine": "claude",
    "enrichment": {
      "pass": 3,
      "engine": "claude",
      "producedAt": "2026-10-06T10:00:00Z",
      "ingestedAt": "2026-10-06T07:03:13+00:00",
      "fields": [
        "agent_conduct",
        "ethics",
        "owners"
      ]
    },
    "gate": {
      "passed": true,
      "version": "1.0",
      "at": "2026-10-06T19:52:02+00:00",
      "evidence": [
        "completeness 1.00",
        "sense: Wikidata description",
        "2 live sources",
        "review by codex: pass"
      ]
    }
  },
  "metaModel": {
    "id": "THING-Q7900883",
    "registryId": "vr.tr.urinary-system-disease",
    "name": "urinary system disease",
    "version": "0.2.0-wave.3",
    "entryKind": "thing",
    "family": "Thing Registry",
    "domain": [
      "XCT.STA"
    ],
    "status": "research-draft"
  },
  "canonicalUrl": "https://ver.cy/models/thing/q7900883/",
  "model": {
    "registry_id": "vr.tr.urinary-system-disease",
    "name": "urinary system disease",
    "purpose": "Let an agent explain urinary system diseases and their categories in general terms from clinical sources, describe common conditions and warning signs, relay prevention and management approaches, and route personal symptoms to clinicians and emergencies to urgent care.",
    "definition": "Any disease of the organs that produce, store and excrete urine, the kidneys, ureters, bladder and urethra, including infections, stones, obstruction, incontinence, congenital and structural abnormalities such as bladder diverticula and fistulas, and neoplasms of the urinary tract including bladder cancer and benign or uncertain urothelial proliferations; urinary diseases are managed by urology and nephrology, and symptoms such as blood in the urine or inability to pass urine need prompt assessment.",
    "what_it_is_for": "Not applicable; a category of diseases.",
    "affordances": [
      "explain categories and conditions",
      "relay warning signs",
      "relay prevention and management",
      "route personal questions"
    ],
    "distinguishing_features": [
      "Organ system category",
      "Infectious, structural and neoplastic forms",
      "Urology and nephrology care",
      "Common warning signs"
    ],
    "appearance": "Not a visible object; conditions of the urinary tract.",
    "visual_identification": [
      "Diseases of kidneys, ureters, bladder and urethra",
      "Infections, stones, obstruction, incontinence, structural and neoplastic disease",
      "Genital diseases are separate though often grouped as genitourinary; kidney disease may be treated as its own category"
    ],
    "physical_properties": [
      {
        "quantity": "bladder cancer new cases",
        "typical_range": "about 600000",
        "unit": "per year worldwide",
        "note": "GLOBOCAN estimates"
      },
      {
        "quantity": "urinary tract infections",
        "typical_range": "about 150 million",
        "unit": "per year worldwide",
        "note": "estimates"
      }
    ],
    "families_and_kinds": [
      "urinary tract infections",
      "urinary stones",
      "obstruction and retention",
      "incontinence and bladder dysfunction",
      "structural conditions such as bladder diverticula and fistulas",
      "urinary tract neoplasms including bladder cancer and benign or uncertain urothelial proliferations",
      "congenital anomalies"
    ],
    "related_models": [
      {
        "relation": "is a kind of",
        "target": "genitourinary system disease",
        "why": "in registry terms"
      },
      {
        "relation": "affects",
        "target": "urinary system",
        "why": "the organ system"
      },
      {
        "relation": "is treated by",
        "target": "urology",
        "why": "and nephrology"
      },
      {
        "relation": "includes",
        "target": "bladder cancer",
        "why": "a major neoplasm"
      }
    ],
    "identifiers": [
      {
        "scheme": "ICD-11",
        "value_or_pattern": "GB and GC chapters",
        "note": "diseases of the urinary system"
      },
      {
        "scheme": "MeSH",
        "value_or_pattern": "D014570",
        "note": "urologic diseases"
      }
    ],
    "standards_and_regulation": [
      "Urology and nephrology clinical guidelines",
      "Cancer screening and treatment guidelines",
      "Occupational rules for bladder carcinogens"
    ],
    "failure_modes_and_hazards": [
      "Missed cancer or obstruction",
      "Agents giving personal medical advice",
      "Antibiotic resistance in urinary infections"
    ],
    "in_scope": [],
    "out_of_scope": [],
    "characteristics": [],
    "agent_conduct": {
      "may": [
        "Explain urinary conditions and official care pathways from medical sources.",
        "Urge urgent care for warning signs such as inability to pass urine or blood in urine."
      ],
      "must_not": [
        "Diagnose a urinary disease or interpret a person's test results as a clinician.",
        "Recommend antibiotics, dosages or home treatments for a suspected infection.",
        "Describe a person's incontinence or catheter use in demeaning terms.",
        "Share urinary or sexual health information without consent."
      ],
      "requires_human": [
        "Any treatment, catheter or surgical decision."
      ]
    },
    "ethics": {
      "considerations": [
        "Incontinence and catheter care touch dignity closely and are often hidden out of shame.",
        "Untreated obstruction or infection can destroy kidney function quickly."
      ],
      "affected_parties": [
        "Patients",
        "Carers",
        "Older and disabled people in institutional care"
      ]
    },
    "owners": {
      "steward": "Nobody owns a disease; clinicians diagnose and treat it.",
      "master_systems": []
    }
  },
  "sources": [
    {
      "id": "wikidata",
      "title": "Wikidata item Q7900883: urinary system disease",
      "url": "https://www.wikidata.org/wiki/Q7900883",
      "url_status": "live",
      "what_it_supports": "identity and sense of the item",
      "checked_by": "wikidata-api"
    },
    {
      "id": "wikipedia-en",
      "title": "Wikipedia: Urologic disease",
      "url": "https://en.wikipedia.org/wiki/Urologic_disease",
      "url_status": "live",
      "what_it_supports": "general description of the item",
      "checked_by": "wikidata-api sitelink"
    }
  ],
  "structure": {
    "bundles": [
      {
        "id": "help",
        "name": "Help",
        "description": "Getting help first.",
        "rationale": "Safety.",
        "layers": [
          {
            "id": "urgent",
            "name": "Urgent",
            "description": "Urgent signs.",
            "findings": [
              {
                "id": "urgent-finding",
                "name": "Urgent",
                "description": "Urgent.",
                "questions": [
                  {
                    "text": "What urinary symptoms such as inability to pass urine, fever with flank pain or visible blood need urgent care?",
                    "kind": "action"
                  },
                  {
                    "text": "Is the user describing such symptoms, which need prompt medical care?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          },
          {
            "id": "care",
            "name": "Care",
            "description": "Specialist care.",
            "findings": [
              {
                "id": "care-finding",
                "name": "Care",
                "description": "Care.",
                "questions": [
                  {
                    "text": "How do urology and nephrology assess urinary conditions, in general terms?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Is the user asking about their own condition, which needs a clinician?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "understand",
        "name": "Understand",
        "description": "The conditions.",
        "rationale": "Clinical.",
        "layers": [
          {
            "id": "categories",
            "name": "Categories",
            "description": "Categories.",
            "findings": [
              {
                "id": "categories-finding",
                "name": "Categories",
                "description": "Categories.",
                "questions": [
                  {
                    "text": "What categories of urinary disease exist, and what are the common conditions in each?",
                    "kind": "definition"
                  },
                  {
                    "text": "Is the question about the urinary system or the genital system?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          },
          {
            "id": "neoplasms",
            "name": "Neoplasms",
            "description": "Neoplasms.",
            "findings": [
              {
                "id": "neoplasms-finding",
                "name": "Neoplasms",
                "description": "Neoplasms.",
                "questions": [
                  {
                    "text": "What are the urinary tract neoplasms, from benign proliferations to bladder cancer, in general terms?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits the specific condition?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "prevent",
        "name": "Prevent",
        "description": "Prevention and management.",
        "rationale": "Public health.",
        "layers": [
          {
            "id": "prevention",
            "name": "Prevention",
            "description": "Prevention.",
            "findings": [
              {
                "id": "prevention-finding",
                "name": "Prevention",
                "description": "Prevention.",
                "questions": [
                  {
                    "text": "What prevention advice do guidelines give for infections, stones and bladder cancer?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which references are standard?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "management",
            "name": "Management",
            "description": "Management.",
            "findings": [
              {
                "id": "management-finding",
                "name": "Management",
                "description": "Management.",
                "questions": [
                  {
                    "text": "How are common urinary diseases treated, in general terms?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits the specific treatment?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "context",
        "name": "Context",
        "description": "Epidemiology and research.",
        "rationale": "Context.",
        "layers": [
          {
            "id": "epidemiology",
            "name": "Epidemiology",
            "description": "Epidemiology.",
            "findings": [
              {
                "id": "epidemiology-finding",
                "name": "Epidemiology",
                "description": "Epidemiology.",
                "questions": [
                  {
                    "text": "How common are urinary diseases, with sources?",
                    "kind": "measurement"
                  },
                  {
                    "text": "Which sources are cited?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "research",
            "name": "Research",
            "description": "Research.",
            "findings": [
              {
                "id": "research-finding",
                "name": "Research",
                "description": "Research.",
                "questions": [
                  {
                    "text": "What research is advancing diagnosis and treatment, with findings attributed?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which entry fits urology research?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  },
  "openQuestions": [
    "Should bladder cancer and urinary tract infection be separate primary entries?",
    "How should guidelines be linked?",
    "The registry entry has merged aliases naming neoplasm categories and structural conditions; should they be split off?"
  ],
  "statistics": {
    "bundles": 4,
    "layers": 8,
    "findings": 8,
    "questions": 16
  }
}
