{
  "vercy": "1.0-draft",
  "publication": {
    "status": "research-draft",
    "adjudicationStatus": "unreviewed",
    "publishableCanonical": false,
    "generatedAt": "2026-09-11T23:17:24Z",
    "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": "2026-10-05T23:50:00Z",
      "ingestedAt": "2026-10-05T20:47:34+00:00",
      "fields": [
        "agent_conduct",
        "ethics",
        "owners"
      ]
    },
    "gate": {
      "passed": true,
      "version": "1.0",
      "at": "2026-10-06T19:52:03+00:00",
      "evidence": [
        "completeness 1.00",
        "sense: Wikidata description",
        "2 live sources",
        "review by codex: pass"
      ]
    }
  },
  "metaModel": {
    "id": "THING-Q929737",
    "registryId": "vr.tr.liver-disease",
    "name": "liver disease",
    "version": "0.2.0-wave.2",
    "entryKind": "thing",
    "family": "Thing Registry",
    "domain": [
      "XCT.STA"
    ],
    "status": "research-draft"
  },
  "canonicalUrl": "https://ver.cy/models/thing/q929737/",
  "model": {
    "registry_id": "vr.tr.liver-disease",
    "name": "liver disease",
    "purpose": "Let an agent explain categories of liver disease in general terms, route symptoms to care, describe prevention, diagnosis and treatment with attribution, and support people living with liver disease without individual medical advice.",
    "definition": "Any disease affecting the liver, including viral hepatitis, fatty liver disease, alcohol-related disease, autoimmune and genetic conditions, cirrhosis and liver tumours such as hepatoma and childhood liver neoplasms; liver disease is often silent until advanced, is diagnosed by blood tests, imaging and biopsy, and is managed by treating causes and complications, with transplantation for end-stage disease.",
    "what_it_is_for": "Diseases of the liver.",
    "affordances": [
      "explain categories of liver disease",
      "route symptoms to care",
      "describe prevention and treatment",
      "support patients"
    ],
    "distinguishing_features": [
      "Liver involvement",
      "Diverse causes",
      "Often silent early",
      "Preventable in many cases"
    ],
    "appearance": "Often no visible signs early; later jaundice, swelling and fatigue.",
    "visual_identification": [
      "Affects the liver",
      "Viral, metabolic, alcohol-related, autoimmune, genetic or neoplastic",
      "Gallbladder disease affects an adjacent organ"
    ],
    "physical_properties": [],
    "families_and_kinds": [
      "viral hepatitis",
      "fatty liver disease",
      "alcohol-related liver disease",
      "autoimmune and genetic liver diseases",
      "liver tumours including hepatoma"
    ],
    "related_models": [
      {
        "relation": "is a kind of",
        "target": "hepatobiliary disease",
        "why": "category"
      },
      {
        "relation": "is a kind of",
        "target": "endocrine system disease",
        "why": "category"
      },
      {
        "relation": "includes",
        "target": "liver cirrhosis",
        "why": "an end stage"
      },
      {
        "relation": "is related to",
        "target": "tumor",
        "why": "liver tumours"
      }
    ],
    "identifiers": [],
    "standards_and_regulation": [
      "Hepatology clinical guidelines",
      "Hepatitis vaccination and screening programmes",
      "Alcohol policy and public health guidance"
    ],
    "failure_modes_and_hazards": [
      "Late diagnosis",
      "Agents diagnosing or advising on treatment",
      "Stigma toward patients"
    ],
    "in_scope": [],
    "out_of_scope": [],
    "characteristics": [],
    "agent_conduct": {
      "may": [
        "Explain kinds of liver disease and why it is often silent until late.",
        "Point people to testing and screening services where they are at risk."
      ],
      "must_not": [
        "Diagnose liver disease or recommend treatment for a person.",
        "Blame or stigmatize patients for alcohol use or infection.",
        "Promote unproven liver cleanses or cures.",
        "Disclose a person's hepatitis or transplant status without consent."
      ],
      "requires_human": [
        "Decisions about transplant listing or treatment."
      ]
    },
    "ethics": {
      "considerations": [
        "Stigma keeps people with liver disease from seeking care.",
        "Fair allocation of scarce donor livers is a serious moral question."
      ],
      "affected_parties": [
        "Patients",
        "Transplant candidates",
        "Families"
      ]
    },
    "owners": {
      "steward": "The patient's clinicians; transplant bodies keep waiting lists.",
      "master_systems": [
        "Organ transplant waiting lists"
      ]
    }
  },
  "sources": [
    {
      "id": "wikidata",
      "title": "Wikidata item Q929737: liver disease",
      "url": "https://www.wikidata.org/wiki/Q929737",
      "url_status": "live",
      "what_it_supports": "identity and sense of the item",
      "checked_by": "wikidata-api"
    },
    {
      "id": "wikipedia-en",
      "title": "Wikipedia: Liver disease",
      "url": "https://en.wikipedia.org/wiki/Liver_disease",
      "url_status": "live",
      "what_it_supports": "general description of the item",
      "checked_by": "wikidata-api sitelink"
    }
  ],
  "structure": {
    "bundles": [
      {
        "id": "care",
        "name": "Care",
        "description": "Symptoms and routing.",
        "rationale": "Assessment.",
        "layers": [
          {
            "id": "symptoms",
            "name": "Symptoms",
            "description": "When to seek care.",
            "findings": [
              {
                "id": "symptoms-finding",
                "name": "Symptoms",
                "description": "Symptoms.",
                "questions": [
                  {
                    "text": "Which symptoms, such as jaundice, abdominal swelling, confusion or bleeding, warrant assessment or urgent care, according to guidance?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Is there an emergency now?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          },
          {
            "id": "tests",
            "name": "Tests",
            "description": "Liver tests.",
            "findings": [
              {
                "id": "tests-finding",
                "name": "Tests",
                "description": "Tests.",
                "questions": [
                  {
                    "text": "What do liver function tests and imaging show, in general terms?",
                    "kind": "definition"
                  },
                  {
                    "text": "Is the user asking about their own results, which needs a clinician?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "understand",
        "name": "Understand",
        "description": "Kinds of liver disease.",
        "rationale": "General information.",
        "layers": [
          {
            "id": "types",
            "name": "Types",
            "description": "Categories.",
            "findings": [
              {
                "id": "types-finding",
                "name": "Types",
                "description": "Categories.",
                "questions": [
                  {
                    "text": "What are the main categories of liver disease, and how do their causes differ?",
                    "kind": "definition"
                  },
                  {
                    "text": "Which entry fits a specific disease?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "tumours",
            "name": "Tumours",
            "description": "Liver tumours.",
            "findings": [
              {
                "id": "tumours-finding",
                "name": "Tumours",
                "description": "Tumours.",
                "questions": [
                  {
                    "text": "What are benign and malignant liver tumours, including hepatoma and childhood liver neoplasms, in general terms?",
                    "kind": "provenance"
                  },
                  {
                    "text": "How are they detected?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "manage",
        "name": "Manage",
        "description": "Prevention and treatment.",
        "rationale": "Attribution.",
        "layers": [
          {
            "id": "prevent",
            "name": "Prevent",
            "description": "Prevention.",
            "findings": [
              {
                "id": "prevent-finding",
                "name": "Prevent",
                "description": "Prevention.",
                "questions": [
                  {
                    "text": "How can liver disease be prevented through vaccination, alcohol guidance, weight and hepatitis screening, according to health bodies?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which screening exists here?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "treatment",
            "name": "Treatment",
            "description": "Treatment approaches.",
            "findings": [
              {
                "id": "treatment-finding",
                "name": "Treatment",
                "description": "Treatment.",
                "questions": [
                  {
                    "text": "Which management approaches do guidelines describe for this category, including transplantation for end-stage disease, in general terms?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Which support organisations exist?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "learn",
        "name": "Learn",
        "description": "Research and teaching.",
        "rationale": "Context.",
        "layers": [
          {
            "id": "research",
            "name": "Research",
            "description": "Research.",
            "findings": [
              {
                "id": "research-finding",
                "name": "Research",
                "description": "Research.",
                "questions": [
                  {
                    "text": "What are current research directions in liver disease?",
                    "kind": "provenance"
                  },
                  {
                    "text": "How can patients participate in research?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          },
          {
            "id": "teach",
            "name": "Teach",
            "description": "Teaching.",
            "findings": [
              {
                "id": "teach-finding",
                "name": "Teach",
                "description": "Teaching.",
                "questions": [
                  {
                    "text": "How can liver disease be taught within hepatology?",
                    "kind": "action"
                  },
                  {
                    "text": "Which misconceptions arise?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  },
  "openQuestions": [
    "Should each liver disease be a separate entry?",
    "How should guidelines be linked?",
    "How should screening programmes be localised?"
  ],
  "statistics": {
    "bundles": 4,
    "layers": 8,
    "findings": 8,
    "questions": 16
  }
}