{ "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-12T09:15:02Z", "providers": [ "Codex" ], "breadth": "recalled by Codex without web access - no source was read", "missingProviders": [], "pass": 2, "cost": { "grok": { "seconds": 16.1, "error": "Reading additional input from stdin...\nOpenAI Codex v0.153.4\n--------\nworkdir: R:\\02_PROJECTS\\02_Meta_Models_Platforms\\Ver.cy\\current\\thing-registry-backlog\nmodel: gpt-6-astra\nprovider: openai\napproval: never\nsandbox: read-only\nreasoning effort: none\nreasoning summaries: none\nsession id: 01a094e5-00a4-7602-bafc-49e1b2058d2e\n--------\nuser\nDescribe what is already known about one registered thing. Answer as JSON only, no prose around it.\n\nThing: distichia\nSense to describe: (none recorded)\nDomain code: XCT.STA\nAlso known as: (none)\n\n\nContext for this batch of 1001 things:\n# Batch 043: 1001 regis", "usd": 0.0, "recall": true }, "codex": { "seconds": 72.2, "error": "Reading additional input from stdin...\nOpenAI Codex v0.153.4\n--------\nworkdir: R:\\02_PROJECTS\\02_Meta_Models_Platforms\\Ver.cy\\current\\thing-registry-backlog\nmodel: gpt-6-astra\nprovider: openai\napproval: never\nsandbox: read-only\nreasoning effort: none\nreasoning summaries: none\nsession id: 01a094e5-00a4-7f92-b3f7-a7a385fb9467\n--------\nuser\nYou are drafting a Vercy meta-model for one registered thing. Answer as JSON only, no prose around it.\n\nThing: distichia\nRegistry id: vr.tr.distichia\nPlane / domain: XCT / XCT.STA\nRegistry definition: (none recorded)\nNames folded into this entry: (none)\n\n\nCont" } }, "enrichment": { "pass": 3, "engine": "claude", "producedAt": "2026-10-06T11:00:00Z", "ingestedAt": "2026-10-06T08:11:51+00:00", "fields": [ "agent_conduct", "ethics", "failure_modes_and_hazards", "owners", "visual_identification" ] }, "revisions": [ { "at": "2026-10-07T11:07:16+00:00", "engine": "codex", "fields": [ "definition", "distinguishing_features", "in_scope", "purpose", "scope_statement" ], "answering_review": "ec3b07d60b899a79e857d9d43aea160f88f1b505a50f39c73797f0557bcfe182" } ], "gate": { "passed": true, "version": "1.0", "at": "2026-10-07T12:16:28+00:00", "evidence": [ "completeness 1.00", "sense: Wikidata description", "2 live sources", "review by codex: pass" ] } }, "metaModel": { "id": "THING-Q1229478", "registryId": "vr.tr.distichia", "name": "distichia", "version": "0.1.0-research.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q1229478/", "model": { "registry_id": "vr.tr.distichia", "name": "distichia", "purpose": "Enable an agent to explain human distichiasis, record its anatomical features and ocular effects, and support evidence-based clinical review and follow-up.", "definition": "Distichiasis is a human eyelid condition characterised by accessory eyelashes emerging from or near the openings of the meibomian glands along the posterior eyelid margin; these lashes may contact the ocular surface and cause irritation or damage, although the condition can be asymptomatic.", "scope_statement": "This model covers human distichiasis as an eyelid condition, including the distribution of accessory lashes, ocular effects, clinical assessment and management context, while distinguishing the condition from an individual accessory eyelash.", "in_scope": [ "Anatomical evidence supports assessment of human distichiasis.", "The location, number and distribution of accessory lashes characterise the condition.", "Lash characteristics and contact with the ocular surface inform assessment of its effects.", "Symptoms and examination findings describe the condition's clinical impact.", "Management decisions and subsequent observations concern the condition and its ocular effects." ], "out_of_scope": [ "General eyelash anatomy and normal lash variation", "Independent models of trichiasis, ectopic cilia and entropion", "Complete diagnosis and treatment of corneal disease", "Systemic syndromes and genetic disorders associated with distichiasis", "Detailed surgical techniques, medication dosing and anaesthesia protocols" ], "distinguishing_features": [ "Accessory lashes emerge from or near meibomian gland openings along the posterior eyelid margin, and direction toward the eye alone does not establish distichiasis.", "Abnormal lash origin distinguishes distichiasis from trichiasis involving misdirected lashes arising at normal sites.", "Lashes emerging through the palpebral conjunctiva require distinction from the marginal accessory lashes of distichiasis.", "Inward eyelid rotation is distinct from the abnormal lash origin characteristic of distichiasis.", "Human distichiasis can involve a partial additional row of lashes and can occur without ocular symptoms." ], "characteristics": [ { "name": "Host and clinical context", "kind": "relation", "unit_or_values": "Patient reference, species, age at examination and human or veterinary context", "why_it_matters": "Determines which anatomical conventions and clinical evidence apply." }, { "name": "Lash exit location", "kind": "category", "unit_or_values": "Meibomian opening; other eyelid-margin site; palpebral conjunctiva; unresolved", "why_it_matters": "Supports identification and separation from neighbouring lash abnormalities." }, { "name": "Eyelid position map", "kind": "relation", "unit_or_values": "Left or right eye, upper or lower lid, annotated location", "why_it_matters": "Allows the same site to be compared across examinations." }, { "name": "Visible abnormal lash count", "kind": "measurement", "unit_or_values": "Integer lashes per specified lid at a dated examination; uncountable or not assessed", "why_it_matters": "Describes distribution without assuming visible shafts equal follicle count." }, { "name": "Lash morphology", "kind": "category", "unit_or_values": "Recorded pigmentation, apparent thickness, flexibility and direction; unknown permitted", "why_it_matters": "Supports comparison of lashes that may differ in their interaction with the eye." }, { "name": "Ocular surface contact", "kind": "state", "unit_or_values": "Observed; not observed; intermittent; uncertain; not assessed", "why_it_matters": "Separates anatomical presence from demonstrated mechanical contact." }, { "name": "Associated ocular findings", "kind": "state", "unit_or_values": "No detected effects; discomfort; redness; discharge; epithelial injury; scarring; unresolved", "why_it_matters": "Records clinical significance while preserving uncertainty about causation." }, { "name": "Post-management lash status", "kind": "state", "unit_or_values": "Present; removed; absent on examination; reappeared at mapped site; newly detected elsewhere; uncertain", "why_it_matters": "Distinguishes immediate removal from sustained absence and subsequent growth." } ], "affordances": [ "Map suspected distichiae to specific eyelids and examination evidence.", "Compare lash origin and eyelid position against neighbouring abnormalities.", "Separate incidental anatomical findings from suspected symptomatic involvement.", "Prepare a clinician-review summary linking lash contact, symptoms and ocular findings.", "Track clinician-selected management and changes at previously mapped lash sites." ], "agent_conduct": { "may": [ "Explain distichia and distichiasis in general terms.", "Encourage a person or animal keeper to see an eye specialist." ], "must_not": [ "Recommend removing eyelashes at home.", "Diagnose a person's eye condition or prescribe treatment.", "Delay care for eye pain or vision changes.", "Share medical information without consent." ], "requires_human": [ "Any treatment, such as electrolysis or surgery." ] }, "ethics": { "considerations": [ "The condition can damage the cornea and threaten vision.", "It occurs in dogs too, so animal welfare matters." ], "affected_parties": [ "Patients", "Pet owners and their animals" ] }, "owners": { "steward": "Each person for their own body; the keeper for an animal.", "master_systems": [] }, "visual_identification": [ "Extra lashes emerging from the inner rim of the eyelid.", "Lashes pointing toward the eye." ], "failure_modes_and_hazards": [ "Corneal abrasion and ulcer from lashes rubbing the eye.", "Chronic irritation and tearing." ], "what_it_is_for": [ "Distichia are encountered during eyelid examinations when accessory eyelashes arise along the posterior eyelid margin.", "Documenting their position and contact with the eye supports clinical assessment of irritation, tearing and corneal injury." ], "standards_and_regulation": [ "The World Health Organization's International Classification of Diseases, Tenth Revision, includes congenital distichiasis under Q10.3, other congenital malformations of the eyelid." ] }, "sources": [ { "id": "wikidata", "title": "Wikidata item Q1229478: distichia", "url": "https://www.wikidata.org/wiki/Q1229478", "url_status": "live", "what_it_supports": "identity and sense of the item", "checked_by": "wikidata-api" }, { "id": "wikipedia-en", "title": "Wikipedia: Distichia", "url": "https://en.wikipedia.org/wiki/Distichia", "url_status": "live", "what_it_supports": "general description of the item", "checked_by": "wikidata-api sitelink" } ], "structure": { "bundles": [ { "id": "lash-identity-and-boundaries", "name": "Lash identity and boundaries", "description": "Resolve what the registered term denotes and what anatomical evidence supports its use.", "rationale": "The registry lacks a definition, and the lash, its associated condition and other lash abnormalities must remain distinguishable.", "layers": [ { "id": "term-and-unit", "name": "Term and unit", "description": "Preserve the distinction between an abnormal lash and a patient-level condition.", "findings": [ { "id": "distichia-referent", "name": "Distichia referent", "description": "Veterinary usage describes distichia as abnormal eyelashes; this supports a provisional lash-level interpretation rather than an abstract-concept model. [Madison Veterinary Specialists](https://www.mvsvets.com/wp-content/uploads/2015/08/Distichia.pdf)", "questions": [ { "text": "Does the registry's originating record denote an individual lash, multiple lashes or the condition distichiasis?", "kind": "definition", "id": "distichia-referent-q01" }, { "text": "Which originating identifier and terminology source support that interpretation?", "kind": "provenance", "id": "distichia-referent-q02" } ] } ] }, { "id": "anatomical-discrimination", "name": "Anatomical discrimination", "description": "Identify the observed lash exit site independently of its direction.", "findings": [ { "id": "exit-site-evidence", "name": "Exit-site evidence", "description": "Human clinical descriptions locate distichiasis lashes at meibomian gland openings; examination evidence should establish the relevant anatomy for the host. [University of Iowa atlas](https://webeye.ophth.uiowa.edu/eyeforum/atlas/pages/distichiasis/)", "questions": [ { "text": "Where does the shaft emerge relative to the meibomian openings and normal lash-bearing region?", "kind": "measurement", "id": "exit-site-evidence-q01" }, { "text": "What observed anatomy supports distichia rather than trichiasis, ectopic cilia or entropion?", "kind": "boundary", "id": "exit-site-evidence-q02" } ] } ] } ] }, { "id": "lash-map-and-development", "name": "Lash map and development", "description": "Describe the distribution of abnormal lashes and the evidence for their history.", "rationale": "Location and dated observations are needed to distinguish persistent sites, newly detected lashes and uncertain onset.", "layers": [ { "id": "lid-distribution", "name": "Lid distribution", "description": "Locate visible shafts within an explicit examination area.", "findings": [ { "id": "mapped-lash-burden", "name": "Mapped lash burden", "description": "Record counts and annotated positions per eyelid, including examination limitations and any multiple shafts seen at one opening.", "questions": [ { "text": "How many abnormal shafts are visible on each examined eyelid, and where are they?", "kind": "measurement", "id": "mapped-lash-burden-q01" }, { "text": "Which magnification, images and examiner observations support the count and site map?", "kind": "provenance", "id": "mapped-lash-burden-q02" } ] } ] }, { "id": "onset-and-context", "name": "Onset and context", "description": "Separate first detection from supported developmental or acquired origin.", "findings": [ { "id": "origin-confidence", "name": "Origin confidence", "description": "Human distichiasis is described as congenital or acquired; an agent should preserve the evidence behind any origin assignment rather than infer it from the current appearance. [University of Iowa atlas](https://webeye.ophth.uiowa.edu/eyeforum/atlas/pages/distichiasis/)", "questions": [ { "text": "What earlier examinations or histories establish when the abnormal lashes were first present?", "kind": "provenance", "id": "origin-confidence-q01" }, { "text": "Does the available evidence justify a congenital or acquired designation, or only an unknown onset?", "kind": "boundary", "id": "origin-confidence-q02" } ] } ] } ] }, { "id": "ocular-contact-and-effects", "name": "Ocular contact and effects", "description": "Connect lash mechanics to observed ocular findings without assuming causation.", "rationale": "An abnormal lash can be incidental, so anatomical identification and clinical impact require separate judgments.", "layers": [ { "id": "contact-mechanics", "name": "Contact mechanics", "description": "Observe how the shaft interacts with the eye.", "findings": [ { "id": "shaft-surface-interaction", "name": "Shaft-surface interaction", "description": "Document shaft direction, apparent stiffness and contact during the observed examination conditions.", "questions": [ { "text": "Does the lash touch the cornea or conjunctiva, and does contact vary with blinking or eyelid position?", "kind": "measurement", "id": "shaft-surface-interaction-q01" }, { "text": "Which lash characteristics and examination conditions support the contact assessment?", "kind": "provenance", "id": "shaft-surface-interaction-q02" } ] } ] }, { "id": "clinical-attribution", "name": "Clinical attribution", "description": "Evaluate symptoms and surface injury alongside alternative explanations.", "findings": [ { "id": "lash-related-effects", "name": "Lash-related effects", "description": "Veterinary guidance reports both asymptomatic cases and cases with irritation or corneal injury; record observed effects separately from attribution to the lash. [Madison Veterinary Specialists](https://www.mvsvets.com/wp-content/uploads/2015/08/Distichia.pdf)", "questions": [ { "text": "What discomfort, discharge, redness or ocular surface damage was reported or demonstrated?", "kind": "measurement", "id": "lash-related-effects-q01" }, { "text": "What evidence links those findings to the mapped lash, and what competing causes remain?", "kind": "boundary", "id": "lash-related-effects-q02" } ] } ] } ] }, { "id": "management-and-reassessment", "name": "Management and reassessment", "description": "Support clinician-directed decisions and evaluate outcomes at identified lash sites.", "rationale": "The relevant outcome includes both lash status and ocular comfort or healing.", "layers": [ { "id": "management-basis", "name": "Management basis", "description": "Make the evidence behind observation or intervention reviewable.", "findings": [ { "id": "clinician-selected-response", "name": "Clinician-selected response", "description": "Record the clinician's decision, target lashes and expected outcome in the applicable human or veterinary context.", "questions": [ { "text": "What examination findings support observation, symptom management or lash-directed intervention?", "kind": "action", "id": "clinician-selected-response-q01" }, { "text": "Which clinician selected the approach, and which mapped sites and clinical effects does it address?", "kind": "provenance", "id": "clinician-selected-response-q02" } ] } ] }, { "id": "site-specific-follow-up", "name": "Site-specific follow-up", "description": "Compare subsequent lash and ocular findings with baseline observations.", "findings": [ { "id": "persistence-and-outcome", "name": "Persistence and outcome", "description": "Veterinary guidance notes possible regrowth after cryotherapy; follow-up should distinguish reappearance at a treated site, newly detected lashes and persistent symptoms. [Madison Veterinary Specialists](https://www.mvsvets.com/wp-content/uploads/2015/08/Distichia.pdf)", "questions": [ { "text": "At reassessment, which previously mapped sites contain visible lashes, and how have ocular findings changed?", "kind": "measurement", "id": "persistence-and-outcome-q01" }, { "text": "Do persistent symptoms, new injury or lash reappearance require further clinician review under the recorded care plan?", "kind": "action", "id": "persistence-and-outcome-q02" } ] } ] } ] }, { "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.", "rationale": "A model that cannot be lined up against existing standards, identifiers and practice cannot be adopted by anyone who already uses them.", "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.", "evidence": [ "The registry supplies no sense; the ophthalmic interpretation should be checked against the originating record, particularly because Distichia is also a botanical genus.", "Accessory lashes may be asymptomatic; injury depends on their contact with the ocular surface.", "This account is recalled knowledge, without source verification." ], "questions": [ { "id": "evidence-confidence-notes-q01", "text": "Which of these check these first hold for the sense of distichia this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-kinds", "name": "Kinds and varieties", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ "Congenital distichiasis", "Acquired distichiasis" ], "questions": [ { "id": "evidence-kinds-q01", "text": "Which of these kinds and varieties hold for the sense of distichia this model covers, and on what evidence?", "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.", "evidence": [ "Recognition during human ophthalmic and veterinary eye examinations.", "Assessment of accessory eyelashes as a cause of ocular irritation or corneal injury." ], "questions": [ { "id": "evidence-real-world-use-q01", "text": "Which of these real-world use hold for the sense of distichia this model covers, and on what evidence?", "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.", "evidence": [ "Contact with the ocular surface can cause irritation, tearing and a foreign-body sensation.", "Corneal contact can cause abrasions or ulceration.", "Accessory lashes may recur after removal." ], "questions": [ { "id": "evidence-failure-modes-and-hazards-q01", "text": "Which of these failure modes and hazards hold for the sense of distichia this model covers, and on what evidence?", "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.", "evidence": [ { "name": "Distichiasis", "difference": "Distichia denotes the accessory lashes; distichiasis denotes the condition of having them." }, { "name": "Trichiasis", "difference": "Trichiasis involves lashes directed toward the eye from their ordinary positions; distichia arise at an abnormal posterior location." }, { "name": "Entropion", "difference": "Entropion is inward turning of the eyelid margin, rather than the presence of accessory eyelashes." }, { "name": "Lymphedema-distichiasis syndrome", "difference": "This inherited syndrome combines distichiasis with a predisposition to lymphedema; isolated distichia do not establish the syndrome." }, { "name": "Distichia", "difference": "The capitalized botanical name denotes a genus in the rush family, Juncaceae, rather than an eyelash abnormality." } ], "questions": [ { "id": "evidence-neighbours-q01", "text": "Which of these neighbouring kinds and how to tell them apart hold for the sense of distichia this model covers, and on what evidence?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Does the originating registry record intend the individual abnormal lash or use distichia as a synonym for distichiasis?", "Why is this entry classified under XCT / XCT.STA, and does its source evidence warrant a different classification?", "Which diagnostic boundaries and terminology conventions should be shared across human and veterinary contexts, and which require species-specific treatment?", "What reproducible examination method best captures fine lashes, intermittent contact and uncertainty in counts?", "Does an existing Vercy world model already cover this concept, requiring a link instead of a separate publication?" ], "statistics": { "bundles": 5, "layers": 9, "findings": 13, "questions": 21 } }