{"schema":"https://ver.cy/schemas/card/1.0.0","id":"vr.tr.oropharynx","code":"thing-q645450","url":"https://ver.cy/models/thing/q645450/","name":"oropharynx","alternateNames":[],"kind":"thing","status":"published","version":"0.1.0-research.1","language":"en","classifiers":{"family":"Thing Registry","category":"Physical world and living systems","entryKind":"thing","plane":"PHY","domain":["PHY.OBJ"],"industry":[],"navPath":"","tags":[],"facets":{}},"whatItIs":"The oropharynx is the middle region of the pharynx, posterior to the oral cavity, extending from the soft palate to approximately the upper border of the epiglottis and serving as a shared passage for air and swallowed material.","purpose":"Enable an AI agent to identify the oropharynx, record its anatomical and functional state, and support decisions about observation or referral without inferring a diagnosis from appearance alone.","scope":{"in":["Anatomical extent and continuity with the oral cavity, nasopharynx and laryngopharynx","Oropharyngeal surfaces and subsites, including the soft palate, palatine tonsillar region, tongue base and pharyngeal walls","Local passage of air, food, liquid and secretions","Observed mucosal integrity, tissue enlargement, asymmetry and luminal narrowing","Local sensory and muscular participation in swallowing and protective responses","Observation methods, visibility limitations and changes over time"],"out":["The oral cavity as a whole, including teeth and the anterior tongue","The nasopharynx and nasal cavity","The larynx, vocal folds and laryngopharynx as independently modelled regions","Complete models of swallowing, breathing and speech","Disease classifications, cancer staging and treatment protocols","Detailed models of individual muscles, nerves, vessels and lymph nodes"],"boundaries":[]},"distinguishingFeatures":["Occupies the pharyngeal region posterior to the oral cavity and communicates with it through the oropharyngeal isthmus; it is not the mouth itself.","Lies inferior to the soft palate, distinguishing it from the nasopharynx above.","Includes the tongue-base and palatine-tonsillar regions, distinguishing its subsites from the anterior tongue and other oral-cavity structures.","Continues inferiorly into the laryngopharynx; its lower boundary must be interpreted using an explicitly recorded anatomical or clinical convention.","Forms part of a shared passage for air and swallowed material, while the laryngeal inlet and vocal folds belong to the neighbouring larynx."],"structure":{"bundles":[{"id":"regional-identity-and-boundaries","name":"Regional identity and boundaries","description":"Establishes which anatomical region is being represented and how its limits are determined.","layers":[{"id":"pharyngeal-position","name":"Pharyngeal position","description":"Places the region relative to the mouth and adjacent pharyngeal divisions.","findings":[{"id":"regional-landmarks","name":"Regional landmarks","description":"Record the landmarks used to identify the region posterior to the oral cavity and inferior to the soft palate.","questions":[{"text":"Which visible or imaged landmarks identify this region as the oropharynx?","id":"regional-landmarks-q01","kind":"definition"},{"text":"Where does the observation cross into the oral cavity, nasopharynx or laryngopharynx?","id":"regional-landmarks-q02","kind":"boundary"}]}]},{"id":"extent-and-anatomical-context","name":"Extent and anatomical context","description":"Makes boundary conventions and altered anatomy explicit.","findings":[{"id":"declared-regional-extent","name":"Declared regional extent","description":"Record the chosen inferior boundary and any developmental or surgical changes affecting regional identification.","questions":[{"text":"Which reference or clinical convention defines the inferior extent in this record?","id":"declared-regional-extent-q01","kind":"provenance"},{"text":"Have surgery or anatomical variation changed the landmarks used to delimit the region?","id":"declared-regional-extent-q02","kind":"boundary"}]}]}]},{"id":"oropharyngeal-surfaces-and-tissues","name":"Oropharyngeal surfaces and tissues","description":"Organises observations of the palate, tonsillar region, tongue base and pharyngeal walls.","layers":[{"id":"subsite-localisation","name":"Subsite localisation","description":"Assigns each observation to a specific surface and side.","findings":[{"id":"surface-and-laterality","name":"Surface and laterality","description":"Locate a finding using named subsites, laterality and relationships to nearby landmarks.","questions":[{"text":"Is the observation on the soft palate, palatine tonsillar region, tongue base or a pharyngeal wall, and on which side?","id":"surface-and-laterality-q01","kind":"boundary"},{"text":"Does the observation remain within one subsite or extend across adjacent surfaces?","id":"surface-and-laterality-q02","kind":"boundary"}]}]},{"id":"surface-integrity-and-prominence","name":"Surface integrity and prominence","description":"Describes visible mucosa and tissue configuration without assigning an unverified cause.","findings":[{"id":"local-tissue-observation","name":"Local tissue observation","description":"Capture mucosal changes, tonsillar or tongue-base prominence and asymmetry with an explicit observation method.","questions":[{"text":"What surface changes or tissue prominence are directly observed, and which subsites could not be assessed?","id":"local-tissue-observation-q01","kind":"measurement"},{"text":"If tonsillar size or asymmetry is graded, which scale and examination conditions support the recorded grade?","id":"local-tissue-observation-q02","kind":"provenance"}]}]}]},{"id":"shared-air-and-swallowing-passage","name":"Shared air and swallowing passage","description":"Represents oropharyngeal space and behaviour during breathing and swallowing.","layers":[{"id":"air-passage-and-geometry","name":"Air passage and geometry","description":"Records airway space and observed narrowing under specified conditions.","findings":[{"id":"condition-dependent-patency","name":"Condition-dependent patency","description":"Describe the location and extent of narrowing alongside posture, wakefulness and respiratory phase where known.","questions":[{"text":"Where is the oropharyngeal passage narrowed, and what measurement or dynamic observation supports that description?","id":"condition-dependent-patency-q01","kind":"measurement"},{"text":"What were the posture, respiratory phase and wakefulness or sedation conditions during assessment?","id":"condition-dependent-patency-q02","kind":"provenance"}]}]},{"id":"bolus-and-secretion-transit","name":"Bolus and secretion transit","description":"Connects local movement and material passage to the broader swallowing assessment.","findings":[{"id":"observed-transit-and-residue","name":"Observed transit and residue","description":"Record local bolus passage, residue, secretion pooling and observed palatal or pharyngeal movement without treating them as a complete swallowing diagnosis.","questions":[{"text":"During which task and with which material were passage, residue, secretion pooling or movement assessed?","id":"observed-transit-and-residue-q01","kind":"measurement"},{"text":"Which observations concern the oropharynx itself, and which require linked assessment of the larynx or other swallowing structures?","id":"observed-transit-and-residue-q02","kind":"boundary"}]}]}]},{"id":"examination-evidence-and-follow-up","name":"Examination evidence and follow-up","description":"Preserves what an examination actually establishes and what remains unresolved.","layers":[{"id":"visibility-and-evidence","name":"Visibility and evidence","description":"Tracks the method, coverage and limitations of each regional observation.","findings":[{"id":"subsite-observation-coverage","name":"Subsite observation coverage","description":"Distinguish seen and assessed surfaces from obscured or unexamined subsites.","questions":[{"text":"Which oropharyngeal subsites were visualised by direct inspection, endoscopy or imaging?","id":"subsite-observation-coverage-q01","kind":"provenance"},{"text":"What limits confidence in assessing the tongue base, tonsillar recesses or pharyngeal walls?","id":"subsite-observation-coverage-q02","kind":"measurement"}]}]},{"id":"change-and-clinical-handoff","name":"Change and clinical handoff","description":"Connects local observations over time and records the next justified assessment.","findings":[{"id":"unresolved-local-change","name":"Unresolved local change","description":"Track new or persistent local abnormalities, associated reported symptoms and clinician-directed follow-up while keeping diagnostic claims separate.","questions":[{"text":"Has the same subsite changed across comparable observations, and over what interval?","id":"unresolved-local-change-q01","kind":"measurement"},{"text":"What further examination or clinical review has been recommended for an unresolved lesion, asymmetry or passage concern?","id":"unresolved-local-change-q02","kind":"action"}]}]}]},{"id":"evidence-and-external-alignment","name":"Evidence and external alignment","description":"What the world already says about this thing, gathered so the model can be checked against it.","layers":[{"id":"reported-evidence","name":"Reported evidence","description":"Findings from the breadth pass, kept separate from the structural claims.","findings":[{"id":"evidence-confidence-notes","name":"Check these first","description":"Recalled without web access and unsourced; every item is a lead to verify.","questions":[{"text":"Which of these check these first hold for the sense of oropharynx this model covers, and on what evidence?","id":"evidence-confidence-notes-q01","kind":"provenance"}]},{"id":"evidence-identifiers","name":"Identifiers and schemes","description":"Recalled without web access and unsourced; every item is a lead to verify.","questions":[{"text":"Which of these identifiers and schemes hold for the sense of oropharynx this model covers, and on what evidence?","id":"evidence-identifiers-q01","kind":"provenance"}]},{"id":"evidence-real-world-use","name":"Real-world use","description":"Recalled without web access and unsourced; every item is a lead to verify.","questions":[{"text":"Which of these real-world use hold for the sense of oropharynx this model covers, and on what evidence?","id":"evidence-real-world-use-q01","kind":"provenance"}]},{"id":"evidence-failure-modes-and-hazards","name":"Failure modes and hazards","description":"Recalled without web access and unsourced; every item is a lead to verify.","questions":[{"text":"Which of these failure modes and hazards hold for the sense of oropharynx this model covers, and on what evidence?","id":"evidence-failure-modes-and-hazards-q01","kind":"provenance"}]},{"id":"evidence-neighbours","name":"Neighbouring kinds and how to tell them apart","description":"Recalled without web access and unsourced; every item is a lead to verify.","questions":[{"text":"Which of these neighbouring kinds and how to tell them apart hold for the sense of oropharynx this model covers, and on what evidence?","id":"evidence-neighbours-q01","kind":"provenance"}]}]}]}]},"agentConduct":{"may":["Describe the oropharynx and its role in breathing and swallowing in clear language.","Support authorized clinicians with documentation of examinations or imaging."],"mustNot":["Place instruments, tubes or objects into a person's throat without a qualified clinician.","Diagnose throat cancer, infection or swallowing disorders from a description alone.","Share images or records of a patient's throat examination without consent."],"requiresHuman":["Any procedure involving the airway, such as suctioning or intubation.","Advice on swallowing safety for a person with a known disorder."]},"ethics":{"considerations":["Choking and airway obstruction here can kill within minutes.","Cancers of the oropharynx carry stigma linked to their causes."],"affectedParties":["Patients","People with swallowing disorders","Carers"]},"owners":{"steward":"Nobody: part of a person's body; clinicians answer for its care.","roles":[],"masterSystems":[]},"relations":[{"target":"Q112826975","type":"parent","note":"registry parent class"},{"target":"Q66544644","type":"parent","note":"registry parent class"}],"interaction":{"identity":{"applicability":"required","items":["Vercy registry: vr.tr.oropharynx","Wikidata: Q645450 (https://www.wikidata.org/wiki/Q645450)"]},"properties":{"applicability":"required","items":["Subject and anatomical context: Subject identifier, species, age context and relevant surgical history","Regional boundary convention: Named anatomical, imaging or clinical convention with explicit superior, inferior and anterior landmarks","Subsite and laterality: Soft palate, tonsillar region, tongue base, posterior wall or lateral wall; left, right, midline or bilateral","Mucosal appearance: Observed colour, surface integrity, ulceration, coating, exudate or bleeding; not assessed","Tissue prominence and symmetry: Site-specific enlargement or asymmetry; named grading system if used; not assessed","Luminal geometry: Diameter in mm, area in mm² or volume in mL, with method, posture and respiratory phase","Passage behaviour: Observed airflow limitation, bolus passage, residue or secretion pooling; assessment method and conditions; not assessed","Palatal and pharyngeal movement: Observed excursion and symmetry during a specified task; limited view; not assessed","Observation coverage: Direct oral inspection, endoscopic examination or imaging; subsites seen, obscured or outside coverage"]},"recognition":{"applicability":"required","items":["Seen through the open mouth beyond the soft palate, with the tonsils at its sides.","The back wall of the throat visible when the tongue is depressed."]},"capabilities":{"applicability":"required","items":["Locate an observation on a named oropharyngeal subsite and distinguish it from an adjacent-region observation.","Record examination or imaging evidence with visibility, posture and task conditions.","Compare local appearance, tissue prominence and passage geometry across compatible observations.","Associate observed passage or movement abnormalities with the relevant swallowing or airway assessment.","Identify missing observations and route unresolved findings for assessment by an appropriately qualified clinician."]},"hazards":{"applicability":"required","items":["Swallowed objects or food can block the airway here.","Swelling from infection or allergy can obstruct breathing."]},"interfaces":{"applicability":"required","items":["Terminologia Anatomica, Federative International Programme for Anatomical Terminology."]},"context":{"applicability":"required","items":["The oropharynx forms a shared passage for air and swallowed material behind the mouth.","It is examined in oral, throat, airway and swallowing assessments to document anatomy and changes requiring clinical interpretation.","Its location is used to distinguish findings in the middle pharynx from those in the oral cavity, nasopharynx and lower pharynx."]}},"sources":[{"title":"Wikidata item Q645450: oropharynx","url":"https://www.wikidata.org/wiki/Q645450","note":"identity and sense of the item"},{"title":"Wikipedia: Oropharynx","url":"https://en.wikipedia.org/wiki/Oropharynx","note":"general description of the item"}],"openQuestions":["Which anatomical or clinical reference should govern the inferior oropharyngeal boundary and subsite ownership in Vercy?","Does the registry intend human anatomy exclusively, or must this entry support species-specific oropharyngeal definitions?","Which existing registry or world models already own the soft palate, palatine tonsils, tongue base and pharynx, and how should this regional model reference them?","Which examination scales and imaging measurements are sufficiently reproducible for the intended use, and under which acquisition conditions?","Which evidence-backed clinical pathways should govern follow-up of local lesions, asymmetry and suspected passage impairment?"],"resources":{"spec":"/models/things/publications/thing-q645450/spec.json"},"provenance":{"origin":"thing registry research (pass 2)","builtFrom":["models/things/publications/thing-q645450/spec.json"],"providers":["Codex"],"researchStatus":"unreviewed","generatedAt":"2026-09-12T11:48:07Z","builder":"tools/build_cards.py@1.0.0"},"completeness":{"sections":{"classifiers":"filled","whatItIs":"filled","purpose":"filled","distinguishingFeatures":"filled","structure":"filled","agentConduct":"filled","ethics":"filled","owners":"filled","relations":"filled","interaction.identity":"filled","interaction.properties":"filled","interaction.recognition":"filled","interaction.capabilities":"filled","interaction.hazards":"filled","interaction.interfaces":"filled","interaction.context":"filled","sources":"filled"},"notes":{"_gate":"Published through the thing publication gate 1.0 on 2026-10-07T10:10:32+00:00: completeness 1.00; sense: Wikidata description; 2 live sources; review by codex: pass"},"score":1.0}}