{ "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-12T11:45:50Z", "providers": [ "Codex" ], "breadth": "recalled by Codex without web access - no source was read", "missingProviders": [], "pass": 2, "cost": { "grok": { "seconds": 15.9, "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: 01a0956e-f2c6-7e91-9397-921544f898f1\n--------\nuser\nDescribe what is already known about one registered thing. Answer as JSON only, no prose around it.\n\nThing: ophthalmia\nSense to describe: (none recorded)\nDomain code: XCT.STA\nAlso known as: (none)\n\n\nContext for this batch of 1001 things:\n# Batch 044: 1001 regi", "usd": 0.0, "recall": true }, "codex": { "seconds": 78.8, "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: 01a0956e-f2b7-7601-b23d-1aec27e62b55\n--------\nuser\nYou are drafting a Vercy meta-model for one registered thing. Answer as JSON only, no prose around it.\n\nThing: ophthalmia\nRegistry id: vr.tr.ophthalmia\nPlane / domain: XCT / XCT.STA\nRegistry definition: (none recorded)\nNames folded into this entry: (none)\n\n\nCo" } }, "enrichment": { "pass": 3, "engine": "claude", "producedAt": "2026-10-06T12:00:00Z", "ingestedAt": "2026-10-06T08:39:13+00:00", "fields": [ "agent_conduct", "ethics", "owners" ] }, "gate": { "passed": true, "version": "1.0", "at": "2026-10-07T10:10:29+00:00", "evidence": [ "completeness 1.00", "sense: Wikidata description", "2 live sources", "review by codex: pass" ] } }, "metaModel": { "id": "THING-Q247453", "registryId": "vr.tr.ophthalmia", "name": "ophthalmia", "version": "0.1.0-research.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q247453/", "model": { "registry_id": "vr.tr.ophthalmia", "name": "ophthalmia", "purpose": "Enable an agent to interpret a record labelled ophthalmia, assess the documented ocular inflammatory state, and identify the evidence and clinical review needed before further action.", "definition": "Ophthalmia is a broad, historically used term for inflammation of the eye, often referring to conjunctival inflammation, whose precise anatomical and clinical meaning depends on context.", "scope_statement": "This model owns the recognition and assessment of ophthalmia as a broadly named ocular inflammatory condition under vr.tr.ophthalmia, retaining the supplied XCT / XCT.STA classification provisionally and preserving uncertainty about anatomical site, cause, and narrower diagnosis.", "in_scope": [ "The meaning of ophthalmia in the originating clinical, historical, or terminology source", "Evidence for ocular inflammation and its anatomical distribution", "Eye-specific symptoms, visual function, and examination findings", "Suspected causes, relevant exposures, and diagnostic uncertainty", "Episode progression, documented complications, and clinical review status" ], "out_of_scope": [ "Complete models of narrower disorders such as conjunctivitis, keratitis, uveitis, and sympathetic ophthalmia", "General eye anatomy and normal visual physiology", "Pathogen biology and systemic diseases considered independently of ocular involvement", "Medication prescribing, dosing, and procedural treatment protocols", "Population screening and neonatal prophylaxis programme management" ], "distinguishing_features": [ "Require the source's intended meaning: ophthalmia can designate inflammation of the conjunctiva or eyeball and does not itself identify one anatomical diagnosis.", "Separate a recorded ophthalmia label from evidence of inflammation; redness, discomfort, or discharge alone must not silently become a confirmed diagnosis.", "Do not equate ophthalmia with infection: record inflammatory evidence and infectious attribution separately.", "Preserve modifiers such as neonatorum and sympathetic because they identify narrower clinical meanings rather than interchangeable names for every ophthalmia episode.", "Distinguish active inflammation from residual visual impairment or scarring after an inflammatory episode." ], "characteristics": [ { "name": "Recorded term and intended meaning", "kind": "category", "unit_or_values": "Verbatim term; language; modifier; source-defined meaning; unresolved", "why_it_matters": "Prevents a broad or historical label from being converted into an unsupported modern diagnosis." }, { "name": "Inflammatory evidence status", "kind": "state", "unit_or_values": "Label only; suspected; supported by documented examination; disputed; unknown", "why_it_matters": "Separates what a record calls the condition from what observations establish." }, { "name": "Anatomical involvement", "kind": "category", "unit_or_values": "Conjunctiva; cornea; sclera or episclera; uvea; other specified ocular tissue; multiple sites; unspecified", "why_it_matters": "Localisation determines which narrower condition model and assessment pathway may apply." }, { "name": "Laterality", "kind": "category", "unit_or_values": "Right eye; left eye; bilateral; unknown, with separate findings for each eye", "why_it_matters": "Supports recognition of asymmetry and involvement of the second eye." }, { "name": "Visual acuity", "kind": "measurement", "unit_or_values": "Recorded value and notation, such as Snellen or logMAR, with eye, correction status, method, and time", "why_it_matters": "Makes visual function and change assessable without treating incompatible measurements as equivalent." }, { "name": "Ocular symptom and sign pattern", "kind": "category", "unit_or_values": "Pain; photophobia; redness; discharge; swelling; other documented features, each present, absent, or unassessed", "why_it_matters": "Preserves the observations used for localisation, differential assessment, and urgency review." }, { "name": "Episode timing", "kind": "measurement", "unit_or_values": "Onset date or estimated interval; duration in hours or days; observation timestamps", "why_it_matters": "Supports assessment of progression and temporal relationships to exposures or interventions." }, { "name": "Cause attribution", "kind": "relation", "unit_or_values": "Link to suspected or established infectious, immune-mediated, irritant, traumatic, or other cause, with evidence and attribution status", "why_it_matters": "Prevents a plausible exposure or positive test from automatically becoming the established cause." }, { "name": "Inflammatory course", "kind": "state", "unit_or_values": "Active; improving; worsening; resolved; recurrent; indeterminate", "why_it_matters": "Separates current activity from episode history and persistent sequelae." }, { "name": "Clinical review disposition", "kind": "state", "unit_or_values": "Unassessed; review requested; review scheduled; assessed; follow-up pending, with urgency rationale and responsible clinician", "why_it_matters": "Makes the next clinical assessment and its outstanding dependencies explicit." } ], "affordances": [ "Resolve an ophthalmia label against its source while retaining ambiguous or historical wording.", "Assemble a time-ordered, eye-specific account of inflammatory evidence and visual function.", "Link to a narrower registered condition when documented evidence supports that relationship.", "Identify missing observations that prevent localisation or causal attribution.", "Prepare a clinical review handoff using recorded concerning features and an applicable reviewed pathway.", "Compare follow-up observations with baseline while separating inflammatory resolution from lasting damage." ], "agent_conduct": { "may": [ "Explain the historical and modern uses of the term ophthalmia, noting its vague clinical meaning.", "Advise a person with a red, painful or discharging eye to see a clinician." ], "must_not": [ "Diagnose the cause of a person's eye inflammation.", "Recommend eye drops, ointments or home remedies in place of clinical care.", "Treat a newborn's eye discharge as minor when it may need urgent treatment.", "Map the old term onto a modern diagnosis without evidence." ], "requires_human": [ "Any decision about treating a person's or animal's eye." ] }, "ethics": { "considerations": [ "Untreated eye infections can cause permanent blindness, especially in newborns.", "Historical terms can hide what a record actually describes." ], "affected_parties": [ "Patients", "Newborns and their parents", "Historians reading old records" ] }, "owners": { "steward": "Nobody owns the term; clinicians answer for each patient's care.", "master_systems": [] }, "what_it_is_for": [ "Ophthalmia is encountered in historical medical writing and clinical records as a broad term for ocular inflammation.", "Its interpretation requires the surrounding description to establish the affected eye structures and the suspected cause." ], "standards_and_regulation": [ "The International Classification of Diseases, issued by the World Health Organization, classifies ocular inflammatory disorders according to the documented site and condition." ], "failure_modes_and_hazards": [ "Treating the broad label as a specific diagnosis can delay recognition of a condition that threatens vision.", "Assuming that all ocular inflammation is infectious can lead to inappropriate management.", "An infectious cause may present a transmission risk that the generic label alone does not establish." ], "facets_not_applicable": { "recognition": "Ophthalmia has no distinctive visual appearance that reliably separates its varied causes from other eye conditions." } }, "sources": [ { "id": "wikidata", "title": "Wikidata item Q247453: ophthalmia", "url": "https://www.wikidata.org/wiki/Q247453", "url_status": "live", "what_it_supports": "identity and sense of the item", "checked_by": "wikidata-api" }, { "id": "wikipedia-en", "title": "Wikipedia: Ophthalmia", "url": "https://en.wikipedia.org/wiki/Ophthalmia", "url_status": "live", "what_it_supports": "general description of the item", "checked_by": "wikidata-api sitelink" } ], "structure": { "bundles": [ { "id": "ophthalmia-meaning-and-boundaries", "name": "Ophthalmia meaning and boundaries", "description": "Establish what the ophthalmia label denotes in this record before interpreting its clinical implications.", "rationale": "The registry supplies no definition, and the unmodified word does not establish a single site or cause.", "layers": [ { "id": "source-specific-meaning", "name": "Source-specific meaning", "description": "Retain the original term and the authority used to interpret it.", "findings": [ { "id": "broad-inflammatory-designation", "name": "Broad inflammatory designation", "description": "A working lexical boundary is inflammation of the conjunctiva or eyeball; this does not by itself specify a cause or narrower disorder. [Merriam-Webster](https://www.merriam-webster.com/dictionary/ophthalmia)", "questions": [ { "text": "What exact term, modifier, and definition does the originating record use?", "kind": "definition", "id": "broad-inflammatory-designation-q01" }, { "text": "Which author, terminology edition, or historical source supports this interpretation?", "kind": "provenance", "id": "broad-inflammatory-designation-q02" } ] } ] }, { "id": "qualified-term-boundaries", "name": "Qualified term boundaries", "description": "Distinguish the umbrella label from terms with more specific clinical meanings.", "findings": [ { "id": "neonatal-meaning", "name": "Neonatal meaning", "description": "Ophthalmia neonatorum denotes neonatal conjunctivitis; it should be preserved as a qualified meaning rather than applied to every ophthalmia record. [MSD Manual](https://www.msdmanuals.com/professional/pediatrics/infections-in-neonates/neonatal-conjunctivitis)", "questions": [ { "text": "Does the source explicitly identify ophthalmia neonatorum or another qualified term?", "kind": "definition", "id": "neonatal-meaning-q01" }, { "text": "Which existing registered model owns the narrower diagnosis, and what relation should this record retain to it?", "kind": "boundary", "id": "neonatal-meaning-q02" } ] } ] } ] }, { "id": "ocular-localisation-and-evidence", "name": "Ocular localisation and evidence", "description": "Locate the inflammatory process and distinguish observations from diagnostic interpretation.", "rationale": "A generic eye-inflammation label cannot support reliable assessment without tissue and eye specificity.", "layers": [ { "id": "affected-tissues-and-eyes", "name": "Affected tissues and eyes", "description": "Record site, laterality, and the limits of the examination.", "findings": [ { "id": "documented-inflammatory-distribution", "name": "Documented inflammatory distribution", "description": "Represent affected tissues separately for each eye, preserving unspecified or unexamined sites.", "questions": [ { "text": "Which ocular tissues are documented as inflamed in each eye?", "kind": "measurement", "id": "documented-inflammatory-distribution-q01" }, { "text": "What examination supports that localisation, and which structures could not be assessed?", "kind": "provenance", "id": "documented-inflammatory-distribution-q02" } ] } ] }, { "id": "observations-and-interpretation", "name": "Observations and interpretation", "description": "Keep symptoms, observed signs, and clinician conclusions distinguishable.", "findings": [ { "id": "inflammation-versus-label", "name": "Inflammation versus label", "description": "An ophthalmia entry should retain whether inflammation was observed, suspected, or merely named in an earlier record.", "questions": [ { "text": "Which findings were reported by the patient, observed during examination, or copied from an earlier diagnosis?", "kind": "provenance", "id": "inflammation-versus-label-q01" }, { "text": "What evidence supports inflammation rather than an alternative explanation for the eye complaint?", "kind": "boundary", "id": "inflammation-versus-label-q02" } ] } ] } ] }, { "id": "causal-context-and-attribution", "name": "Causal context and attribution", "description": "Represent candidate causes and the evidence connecting them to this ocular episode.", "rationale": "The ophthalmia label alone cannot establish infection, mechanism, or the relevance of an exposure.", "layers": [ { "id": "ocular-exposure-history", "name": "Ocular exposure history", "description": "Capture relevant antecedents without treating temporal proximity as proof.", "findings": [ { "id": "episode-linked-antecedents", "name": "Episode-linked antecedents", "description": "Record clinician-considered antecedents such as ocular injury, surgery, contact-lens use, chemical or ultraviolet exposure, and neonatal context where applicable.", "questions": [ { "text": "Which potentially relevant exposures or procedures preceded onset, and by what interval?", "kind": "provenance", "id": "episode-linked-antecedents-q01" }, { "text": "Which antecedents are supported as causal, merely associated, or of uncertain relevance?", "kind": "boundary", "id": "episode-linked-antecedents-q02" } ] } ] }, { "id": "cause-support-and-alternatives", "name": "Cause support and alternatives", "description": "Track the basis and uncertainty of infectious and noninfectious interpretations.", "findings": [ { "id": "attribution-evidence", "name": "Attribution evidence", "description": "Attach causal claims to the relevant clinical assessment, specimen result, or other evidence while retaining unresolved alternatives.", "questions": [ { "text": "What evidence supports each proposed cause, including specimen site and collection time where testing occurred?", "kind": "provenance", "id": "attribution-evidence-q01" }, { "text": "Which competing causes remain plausible, and what additional assessment would distinguish them?", "kind": "action", "id": "attribution-evidence-q02" } ] } ] } ] }, { "id": "visual-impact-and-review-priority", "name": "Visual impact and review priority", "description": "Record functional impact and the evidence used to determine clinical review priority.", "rationale": "The broad label must not hide visual deterioration or leave review decisions unsupported.", "layers": [ { "id": "eye-specific-visual-function", "name": "Eye-specific visual function", "description": "Establish baseline and current function for each eye.", "findings": [ { "id": "visual-change", "name": "Visual change", "description": "Retain measured acuity and reported visual change with their methods, timing, and comparability limits.", "questions": [ { "text": "What is the visual acuity of each eye, using which notation and correction status?", "kind": "measurement", "id": "visual-change-q01" }, { "text": "How does current vision compare with the documented baseline, and what limits that comparison?", "kind": "measurement", "id": "visual-change-q02" } ] } ] }, { "id": "review-trigger-assessment", "name": "Review trigger assessment", "description": "Make concerning observations and the clinical pathway used to interpret them explicit.", "findings": [ { "id": "documented-escalation-basis", "name": "Documented escalation basis", "description": "Capture whether visual decline, pain, photophobia, corneal findings, neonatal presentation, or other observations triggered escalation under a reviewed clinical pathway.", "questions": [ { "text": "Which potentially concerning features are present, absent, or unassessed?", "kind": "measurement", "id": "documented-escalation-basis-q01" }, { "text": "Which clinician or applicable clinical pathway determines review urgency, and what assessment remains pending?", "kind": "action", "id": "documented-escalation-basis-q02" } ] } ] } ] }, { "id": "episode-course-and-care-response", "name": "Episode course and care response", "description": "Follow inflammatory activity, documented care, and residual impairment over time.", "rationale": "A record must distinguish an active episode from recurrence, treatment response, and lasting consequences.", "layers": [ { "id": "inflammatory-trajectory", "name": "Inflammatory trajectory", "description": "Track onset, progression, recurrence, and changes in anatomical distribution.", "findings": [ { "id": "serial-ocular-state", "name": "Serial ocular state", "description": "Compare dated observations separately for each eye, including any newly documented tissue involvement.", "questions": [ { "text": "When did symptoms begin, and how have inflammatory findings changed across examinations?", "kind": "measurement", "id": "serial-ocular-state-q01" }, { "text": "Does the record support persistence, resolution followed by recurrence, or a separate episode?", "kind": "boundary", "id": "serial-ocular-state-q02" } ] } ] }, { "id": "care-response-and-sequelae", "name": "Care response and sequelae", "description": "Relate documented interventions to subsequent observations without assuming causation.", "findings": [ { "id": "response-and-residual-damage", "name": "Response and residual damage", "description": "Keep clinician-directed care, observed response, adverse effects, and residual ocular damage distinct from current inflammatory activity.", "questions": [ { "text": "What care was documented, and what subsequent changes or adverse effects were observed?", "kind": "provenance", "id": "response-and-residual-damage-q01" }, { "text": "What evidence separates ongoing inflammation from residual damage, and what follow-up has the clinician specified?", "kind": "action", "id": "response-and-residual-damage-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": [ "No sense is recorded: check whether the registry intends broad ocular inflammation or the narrower historical use for conjunctivitis.", "The listed kinds are established compound terms with different mechanisms and anatomical sites, not a uniform modern classification.", "This description is based on recall; no sources were consulted, and no diagnostic code is assigned to the ambiguous umbrella term." ], "questions": [ { "id": "evidence-confidence-notes-q01", "text": "Which of these check these first hold for the sense of ophthalmia 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": [ "Ophthalmia neonatorum", "Sympathetic ophthalmia", "Photo-ophthalmia" ], "questions": [ { "id": "evidence-kinds-q01", "text": "Which of these kinds and varieties hold for the sense of ophthalmia 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": [ "Interpretation of historical medical records describing eye inflammation.", "Ophthalmia neonatorum denotes conjunctivitis occurring during the first month of life.", "Sympathetic ophthalmia denotes bilateral granulomatous uveitis following penetrating injury or surgery to one eye.", "Photo-ophthalmia describes ocular inflammation caused by ultraviolet exposure, particularly photokeratitis." ], "questions": [ { "id": "evidence-real-world-use-q01", "text": "Which of these real-world use hold for the sense of ophthalmia 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": [ "Treating ophthalmia as a single diagnosis can obscure the affected tissue and underlying cause.", "Some infectious forms of neonatal conjunctivitis can rapidly damage the cornea and threaten vision.", "Sympathetic ophthalmia can threaten vision in both eyes.", "Historical uses of the term may not map reliably to a modern diagnosis." ], "questions": [ { "id": "evidence-failure-modes-and-hazards-q01", "text": "Which of these failure modes and hazards hold for the sense of ophthalmia 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": "Conjunctivitis", "difference": "Specifically involves inflammation of the conjunctiva; ophthalmia is broader and context dependent." }, { "name": "Keratitis", "difference": "Specifically involves inflammation of the cornea." }, { "name": "Uveitis", "difference": "Specifically involves inflammation of the uveal tract; sympathetic ophthalmia is a particular form." }, { "name": "Endophthalmitis", "difference": "Denotes inflammation involving the internal ocular cavities, usually associated with infection, rather than unspecified eye inflammation." } ], "questions": [ { "id": "evidence-neighbours-q01", "text": "Which of these neighbouring kinds and how to tell them apart hold for the sense of ophthalmia this model covers, and on what evidence?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Does vr.tr.ophthalmia intend a broad ocular inflammatory condition, a predominantly conjunctival meaning, or a historical diagnostic label?", "Does an existing world model already own this concept, requiring a registry link instead of a separate publication?", "How should the supplied XCT / XCT.STA placement relate to a clinical condition interpretation without changing registry classification by inference?", "Which terminology sources establish the relationships between unmodified ophthalmia and qualified terms such as sympathetic ophthalmia, ophthalmia neonatorum, and historical ophthalmia names?", "Which reviewed clinical standards should supply anatomical assessment conventions, inflammatory activity measures, and escalation criteria for the intended deployment setting?" ], "statistics": { "bundles": 6, "layers": 11, "findings": 15, "questions": 25 } }