{ "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-12T11:50:05Z", "providers": [ "Codex" ], "breadth": "recalled by Codex without web access - no source was read", "missingProviders": [], "pass": 2, "cost": { "grok": { "seconds": 18.0, "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: 01a09573-1d4c-7672-8d87-ccca43ac356a\n--------\nuser\nDescribe what is already known about one registered thing. Answer as JSON only, no prose around it.\n\nThing: oxycephaly\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": 61.0, "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: 01a09573-1d56-7652-8f7b-1a91d1709a68\n--------\nuser\nYou are drafting a Vercy meta-model for one registered thing. Answer as JSON only, no prose around it.\n\nThing: oxycephaly\nRegistry id: vr.tr.oxycephaly\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": "2026-10-06T08:43:09+00:00", "fields": [ "agent_conduct", "ethics", "failure_modes_and_hazards", "owners", "visual_identification" ] }, "gate": { "passed": true, "version": "1.0", "at": "2026-10-07T10:10:30+00:00", "evidence": [ "completeness 1.00", "sense: Wikidata description", "2 live sources", "review by codex: pass" ] } }, "metaModel": { "id": "THING-Q3813599", "registryId": "vr.tr.oxycephaly", "name": "oxycephaly", "version": "0.1.0-research.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q3813599/", "model": { "registry_id": "vr.tr.oxycephaly", "name": "oxycephaly", "purpose": "Enable an agent to recognise and document oxycephaly, distinguish skull-shape observations from causal diagnoses, and identify what evidence is needed for clinical assessment.", "definition": "Oxycephaly is a cranial deformity characterized by an abnormally high, pointed skull, typically associated with premature fusion of multiple cranial sutures.", "scope_statement": "This model owns oxycephaly as a pointed or conical cranial phenotype and its documented clinical interpretation for vr.tr.oxycephaly, preserving the supplied XCT / XCT.STA placement without treating that placement as a medical classification.", "in_scope": [ "Pointed or conical configuration of the cranial vault", "Source-specific meanings of oxycephaly and overlapping terminology", "Evidence connecting the observed shape to cranial suture abnormalities", "Age, growth history and changes following cranial intervention", "Links to associated diagnoses, functional assessments and clinical decisions" ], "out_of_scope": [ "The complete classification and management of craniosynostosis", "Full models of syndromes in which oxycephaly occurs", "General head-size disorders without the defining shape", "Detailed operative techniques for cranial reconstruction", "Independent diagnosis and treatment of neurological or ophthalmic disorders" ], "distinguishing_features": [ "Require documentation of a pointed or conical cranial contour; the HPO-derived definition describes this shape. [NCBI MedGen: Oxycephaly](https://www.ncbi.nlm.nih.gov/medgen/1634950)", "Distinguish pointedness from increased cranial height alone, while recording terminology overlap: MedGen lists overlapping synonyms under turricephaly. [NCBI MedGen: Turricephaly](https://www.ncbi.nlm.nih.gov/medgen/1726910)", "Record suture findings separately: a shape label alone must not be converted into a confirmed pattern of premature suture fusion.", "Distinguish the cranial phenotype from a syndrome diagnosis; co-occurring findings require their own evidence.", "Separate current appearance from historical appearance when growth or cranial surgery has altered the contour." ], "characteristics": [ { "name": "Cranial apex configuration", "kind": "category", "unit_or_values": "pointed or conical; rounded; indeterminate; examination view recorded", "why_it_matters": "Captures the defining shape observation and the evidence available to judge it." }, { "name": "Cranial dimensions", "kind": "measurement", "unit_or_values": "height, width and length in mm, with landmarks, method and age reference", "why_it_matters": "Supports reproducible description without inventing a diagnostic numerical cutoff." }, { "name": "Head circumference trajectory", "kind": "measurement", "unit_or_values": "cm by examination date and age; percentile or z-score only with a named reference", "why_it_matters": "Records growth separately from pointedness and avoids using size as a substitute for shape." }, { "name": "Suture assessment", "kind": "state", "unit_or_values": "per named suture: patent; partially fused; fused; uncertain; not assessed; method and date required", "why_it_matters": "Keeps anatomical evidence distinct from assumptions based on appearance." }, { "name": "Terminological interpretation", "kind": "category", "unit_or_values": "morphological phenotype; craniosynostosis-associated diagnosis; historical label; unresolved", "why_it_matters": "Prevents records using different meanings of oxycephaly from being silently merged." }, { "name": "Associated diagnostic context", "kind": "relation", "unit_or_values": "linked craniosynostosis or syndrome assessment with suspected, confirmed, excluded or unresolved status", "why_it_matters": "Connects the phenotype to explanatory models without making a syndrome part of its definition." }, { "name": "Functional assessment status", "kind": "state", "unit_or_values": "for each documented concern: not assessed; no abnormality documented; suspected; confirmed; resolved", "why_it_matters": "Keeps clinical consequences evidence-based rather than inferred from skull shape." }, { "name": "Cranial intervention context", "kind": "relation", "unit_or_values": "linked procedure, date, indication and pre-intervention or post-intervention observation", "why_it_matters": "Makes changes in cranial appearance interpretable over time." } ], "affordances": [ "Classify an observation as compatible, incompatible or insufficiently documented for the stated definition of oxycephaly.", "Compare source terminology while retaining original labels and unresolved synonym mappings.", "Assemble a dated cranial-shape and growth history from examinations and existing reports.", "Identify missing suture or diagnostic evidence before accepting a causal interpretation.", "Prepare a clinician-review summary linking documented functional concerns and existing care instructions.", "Compare pre-intervention and post-intervention appearance using compatible observation methods." ], "agent_conduct": { "may": [ "Explain the skull shape and its causes in general terms from reputable medical sources.", "Suggest that parents worried about a baby's head shape see a paediatrician." ], "must_not": [ "Diagnose craniosynostosis from a photo of a child.", "Mock or comment on a person's head shape.", "Recommend helmets, surgery or other treatment for a specific child.", "Share images of a child's head without parental consent." ], "requires_human": [ "Surgical decisions on the skull." ] }, "ethics": { "considerations": [ "Visible skull differences expose children to staring and bullying.", "Historical skull measurement was used to justify racism; head shape must not be read as a sign of character or worth." ], "affected_parties": [ "Affected children and adults", "Parents", "Siblings" ] }, "owners": { "steward": "Nobody owns the condition; families and clinicians answer for care.", "master_systems": [] }, "visual_identification": [ "A tall, pointed or cone-shaped head, high at the top and short front to back." ], "failure_modes_and_hazards": [ "Raised pressure inside the skull can damage sight and brain development.", "Breathing and feeding problems may occur with related facial changes." ], "what_it_is_for": [ "Oxycephaly is encountered in clinical assessment and documentation of an unusually high, pointed skull.", "The term helps describe cranial shape in craniofacial and neurosurgical settings, while the underlying suture abnormalities require separate assessment." ], "standards_and_regulation": [ "The International Classification of Diseases, Tenth Revision, issued by the World Health Organization, includes oxycephaly under craniosynostosis in category Q75.0." ] }, "sources": [ { "id": "wikidata", "title": "Wikidata item Q3813599: oxycephaly", "url": "https://www.wikidata.org/wiki/Q3813599", "url_status": "live", "what_it_supports": "identity and sense of the item", "checked_by": "wikidata-api" }, { "id": "wikipedia-en", "title": "Wikipedia: Turricephaly", "url": "https://en.wikipedia.org/wiki/Turricephaly", "url_status": "live", "what_it_supports": "general description of the item", "checked_by": "wikidata-api sitelink" } ], "structure": { "bundles": [ { "id": "phenotype-and-terminology", "name": "Phenotype and terminology", "description": "Establish what oxycephaly denotes in the record being interpreted.", "rationale": "Overlapping cranial-shape terms can conceal materially different inclusion criteria.", "layers": [ { "id": "pointed-vault-definition", "name": "Pointed vault definition", "description": "Anchor recognition in the recorded cranial contour.", "findings": [ { "id": "defining-contour-evidence", "name": "Defining contour evidence", "description": "Record whether the vault is described or demonstrated as conical or pointed, retaining the observer and evidence.", "questions": [ { "text": "What observed feature supports calling this cranial vault pointed or conical?", "kind": "definition", "id": "defining-contour-evidence-q01" }, { "text": "Which examination, image or report documents that feature, and at what age?", "kind": "provenance", "id": "defining-contour-evidence-q02" } ] } ] }, { "id": "overlapping-cranial-labels", "name": "Overlapping cranial labels", "description": "Handle acrocephaly and turricephaly without imposing universal synonymy.", "findings": [ { "id": "source-specific-term-mapping", "name": "Source-specific term mapping", "description": "Preserve each source's definition and distinguish an explicit equivalence from an inferred mapping.", "questions": [ { "text": "Does this source use oxycephaly interchangeably with acrocephaly or turricephaly, or distinguish them?", "kind": "definition", "id": "source-specific-term-mapping-q01" }, { "text": "Would a tall but rounded vault meet this source's criteria?", "kind": "boundary", "id": "source-specific-term-mapping-q02" } ] } ] } ] }, { "id": "cranial-form-and-course", "name": "Cranial form and course", "description": "Describe pointedness, proportions and their development over time.", "rationale": "A single label cannot establish the extent, reproducibility or persistence of the shape.", "layers": [ { "id": "contour-and-proportions", "name": "Contour and proportions", "description": "Separate visible apex configuration from cranial dimensions and head size.", "findings": [ { "id": "reproducible-shape-description", "name": "Reproducible shape description", "description": "Retain views, landmarks and measurement methods so observations can be compared.", "questions": [ { "text": "Which views and landmarks demonstrate the location and extent of the pointed contour?", "kind": "measurement", "id": "reproducible-shape-description-q01" }, { "text": "Do the recorded dimensions describe cranial height, breadth, length or circumference, and which reference was used?", "kind": "measurement", "id": "reproducible-shape-description-q02" } ] } ] }, { "id": "developmental-and-treatment-course", "name": "Developmental and treatment course", "description": "Locate shape observations within growth and intervention history.", "findings": [ { "id": "dated-contour-trajectory", "name": "Dated contour trajectory", "description": "Distinguish first recognition, subsequent progression and treatment-related changes.", "questions": [ { "text": "When was the pointed contour first documented, and what earlier observations are available?", "kind": "provenance", "id": "dated-contour-trajectory-q01" }, { "text": "Were changes observed during growth or after a cranial procedure, using comparable methods?", "kind": "measurement", "id": "dated-contour-trajectory-q02" } ] } ] } ] }, { "id": "suture-and-diagnostic-context", "name": "Suture and diagnostic context", "description": "Connect the phenotype to independently documented anatomical and diagnostic findings.", "rationale": "Recognising oxycephaly does not by itself establish a particular suture pattern or syndrome.", "layers": [ { "id": "suture-evidence", "name": "Suture evidence", "description": "Record the assessed state of each relevant cranial suture.", "findings": [ { "id": "fusion-pattern-confidence", "name": "Fusion pattern confidence", "description": "Retain named sutures, laterality where applicable, assessment method and uncertainty.", "questions": [ { "text": "Which sutures were assessed, and what evidence supports the reported state of each?", "kind": "provenance", "id": "fusion-pattern-confidence-q01" }, { "text": "Is craniosynostosis documented independently, or merely inferred from the oxycephaly label?", "kind": "boundary", "id": "fusion-pattern-confidence-q02" } ] } ] }, { "id": "isolated-or-associated-presentation", "name": "Isolated or associated presentation", "description": "Represent diagnostic context without expanding this entry into a syndrome model.", "findings": [ { "id": "associated-diagnosis-status", "name": "Associated diagnosis status", "description": "Link relevant assessments and distinguish confirmed diagnoses from differentials or incomplete evaluation.", "questions": [ { "text": "What associated findings prompted a syndromic assessment, and what conclusion was documented?", "kind": "provenance", "id": "associated-diagnosis-status-q01" }, { "text": "Does 'isolated' reflect a completed assessment or only the absence of additional information?", "kind": "boundary", "id": "associated-diagnosis-status-q02" } ] } ] } ] }, { "id": "functional-state-and-clinical-action", "name": "Functional state and clinical action", "description": "Keep appearance, functional findings and clinician-directed actions separately traceable.", "rationale": "An agent must recognise when the record supports clinical follow-up without deriving treatment from a shape label.", "layers": [ { "id": "functional-evidence", "name": "Functional evidence", "description": "Link relevant pressure, visual and developmental assessments when documented.", "findings": [ { "id": "documented-functional-concerns", "name": "Documented functional concerns", "description": "Represent each concern with its assessment date, evidence and attribution status; missing assessment is not a normal result.", "questions": [ { "text": "What pressure-related, ophthalmic or developmental concerns have actually been assessed, and with what results?", "kind": "provenance", "id": "documented-functional-concerns-q01" }, { "text": "Which findings are clinically attributed to the cranial condition, and which remain unexplained or independently diagnosed?", "kind": "boundary", "id": "documented-functional-concerns-q02" } ] } ] }, { "id": "review-and-follow-up", "name": "Review and follow-up", "description": "Translate the documented assessment into bounded information-handling and follow-up actions.", "findings": [ { "id": "evidence-linked-next-action", "name": "Evidence-linked next action", "description": "Record the responsible clinician's plan, outstanding evidence and specified reassessment criteria.", "questions": [ { "text": "What specialist review or follow-up has been recommended, by whom, and for which documented finding?", "kind": "action", "id": "evidence-linked-next-action-q01" }, { "text": "What missing evidence prevents a firmer classification or management decision?", "kind": "action", "id": "evidence-linked-next-action-q02" }, { "text": "What changes does the existing clinical plan identify as requiring earlier reassessment?", "kind": "action", "id": "evidence-linked-next-action-q03" } ] } ] } ] }, { "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": [ "Terminology overlaps across historical and contemporary sources, especially oxycephaly, acrocephaly and turricephaly.", "Descriptions of the involved sutures vary; a fixed suture pattern should not be inferred from the name alone.", "This is a recall-based description; coding details should be checked against the intended ICD edition and national modification." ], "questions": [ { "id": "evidence-confidence-notes-q01", "text": "Which of these check these first hold for the sense of oxycephaly this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-identifiers", "name": "Identifiers and schemes", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ { "scheme": "ICD-10", "value_or_pattern": "Q75.0", "note": "The WHO category for craniosynostosis includes oxycephaly; it is broader than oxycephaly alone." } ], "questions": [ { "id": "evidence-identifiers-q01", "text": "Which of these identifiers and schemes hold for the sense of oxycephaly 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": [ "Describing skull morphology during assessment of craniosynostosis.", "Supporting communication among craniofacial surgeons, neurosurgeons, radiologists and clinical geneticists." ], "questions": [ { "id": "evidence-real-world-use-q01", "text": "Which of these real-world use hold for the sense of oxycephaly 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": [ "Associated craniosynostosis may cause raised intracranial pressure.", "Raised intracranial pressure can damage vision.", "The skull-shape label alone does not establish which sutures are fused or whether an underlying syndrome is present." ], "questions": [ { "id": "evidence-failure-modes-and-hazards-q01", "text": "Which of these failure modes and hazards hold for the sense of oxycephaly 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": "craniosynostosis", "difference": "Craniosynostosis denotes premature cranial-suture fusion; oxycephaly describes a particular skull shape that can result." }, { "name": "acrocephaly", "difference": "Often used synonymously with oxycephaly; any intended distinction requires checking the author's terminology." }, { "name": "turricephaly", "difference": "Emphasizes a tall, tower-shaped skull, whereas oxycephaly emphasizes a pointed summit; usage overlaps." }, { "name": "scaphocephaly", "difference": "Describes an elongated, narrow skull, typically associated with sagittal-suture synostosis, rather than a high, pointed skull." }, { "name": "acrocephalosyndactyly", "difference": "Denotes conditions combining a high skull with fused digits; oxycephaly alone implies neither digit abnormalities nor a specific syndrome." } ], "questions": [ { "id": "evidence-neighbours-q01", "text": "Which of these neighbouring kinds and how to tell them apart hold for the sense of oxycephaly this model covers, and on what evidence?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Should the registry adopt the morphological phenotype meaning of oxycephaly, a narrower craniosynostosis-associated meaning, or explicitly support both?", "Which authoritative terminology mappings distinguish oxycephaly from acrocephaly and turricephaly, and how should conflicting mappings be represented?", "Are there validated, age-specific criteria for cranial pointedness that improve agreement beyond qualitative assessment?", "Under narrower clinical definitions, which suture patterns and developmental courses are required rather than merely associated?", "Which evidence-based assessment and follow-up criteria apply specifically to oxycephaly rather than being inherited from a broader craniosynostosis diagnosis?" ], "statistics": { "bundles": 5, "layers": 9, "findings": 13, "questions": 22 } }