{
  "vercy": "1.0-draft",
  "publication": {
    "status": "research-draft",
    "adjudicationStatus": "unreviewed",
    "publishableCanonical": false,
    "generatedAt": "2026-09-12T11:48:07Z",
    "providers": [
      "Codex"
    ],
    "breadth": "recalled by Codex without web access - no source was read",
    "missingProviders": [],
    "pass": 2,
    "cost": {
      "grok": {
        "seconds": 18.8,
        "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: 01a09571-5369-7120-9b63-214c01259d99\n--------\nuser\nDescribe what is already known about one registered thing. Answer as JSON only, no prose around it.\n\nThing: oropharynx\nSense to describe: (none recorded)\nDomain code: PHY.OBJ\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": 60.5,
        "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: 01a09571-5375-7cf3-b2d1-ba63fdec9b8d\n--------\nuser\nYou are drafting a Vercy meta-model for one registered thing. Answer as JSON only, no prose around it.\n\nThing: oropharynx\nRegistry id: vr.tr.oropharynx\nPlane / domain: PHY / PHY.OBJ\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": "2026-10-06T08:50:16+00:00",
      "fields": [
        "agent_conduct",
        "ethics",
        "failure_modes_and_hazards",
        "owners",
        "standards_and_regulation",
        "visual_identification"
      ]
    },
    "gate": {
      "passed": true,
      "version": "1.0",
      "at": "2026-10-07T10:10:32+00:00",
      "evidence": [
        "completeness 1.00",
        "sense: Wikidata description",
        "2 live sources",
        "review by codex: pass"
      ]
    }
  },
  "metaModel": {
    "id": "THING-Q645450",
    "registryId": "vr.tr.oropharynx",
    "name": "oropharynx",
    "version": "0.1.0-research.1",
    "entryKind": "thing",
    "family": "Thing Registry",
    "domain": [
      "PHY.OBJ"
    ],
    "status": "research-draft"
  },
  "canonicalUrl": "https://ver.cy/models/thing/q645450/",
  "model": {
    "registry_id": "vr.tr.oropharynx",
    "name": "oropharynx",
    "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.",
    "definition": "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.",
    "scope_statement": "This model owns the oropharynx as an anatomical region of the middle pharynx, including its boundaries, constituent surfaces, shared respiratory and swallowing passage, and locally observed conditions; human anatomy is the default, with species and boundary conventions recorded explicitly.",
    "in_scope": [
      "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_of_scope": [
      "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"
    ],
    "distinguishing_features": [
      "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."
    ],
    "characteristics": [
      {
        "name": "Subject and anatomical context",
        "kind": "relation",
        "unit_or_values": "Subject identifier, species, age context and relevant surgical history",
        "why_it_matters": "Anatomical interpretation depends on the organism, developmental context and alterations to normal landmarks."
      },
      {
        "name": "Regional boundary convention",
        "kind": "category",
        "unit_or_values": "Named anatomical, imaging or clinical convention with explicit superior, inferior and anterior landmarks",
        "why_it_matters": "Prevents incompatible regional definitions from being treated as equivalent."
      },
      {
        "name": "Subsite and laterality",
        "kind": "category",
        "unit_or_values": "Soft palate, tonsillar region, tongue base, posterior wall or lateral wall; left, right, midline or bilateral",
        "why_it_matters": "Locates observations precisely within a region whose surfaces have different relationships."
      },
      {
        "name": "Mucosal appearance",
        "kind": "state",
        "unit_or_values": "Observed colour, surface integrity, ulceration, coating, exudate or bleeding; not assessed",
        "why_it_matters": "Captures visible changes while keeping observations separate from their possible causes."
      },
      {
        "name": "Tissue prominence and symmetry",
        "kind": "state",
        "unit_or_values": "Site-specific enlargement or asymmetry; named grading system if used; not assessed",
        "why_it_matters": "Tonsillar, palatal and tongue-base prominence can affect visibility and available passage."
      },
      {
        "name": "Luminal geometry",
        "kind": "measurement",
        "unit_or_values": "Diameter in mm, area in mm² or volume in mL, with method, posture and respiratory phase",
        "why_it_matters": "The measured space changes with acquisition conditions and cannot be interpreted as a fixed property."
      },
      {
        "name": "Passage behaviour",
        "kind": "state",
        "unit_or_values": "Observed airflow limitation, bolus passage, residue or secretion pooling; assessment method and conditions; not assessed",
        "why_it_matters": "Distinguishes functional evidence from conclusions based only on static anatomy."
      },
      {
        "name": "Palatal and pharyngeal movement",
        "kind": "state",
        "unit_or_values": "Observed excursion and symmetry during a specified task; limited view; not assessed",
        "why_it_matters": "Movement provides context for local function without independently establishing a neurological diagnosis."
      },
      {
        "name": "Observation coverage",
        "kind": "category",
        "unit_or_values": "Direct oral inspection, endoscopic examination or imaging; subsites seen, obscured or outside coverage",
        "why_it_matters": "An unobserved tongue base or wall must not be represented as normal."
      }
    ],
    "affordances": [
      "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."
    ],
    "agent_conduct": {
      "may": [
        "Describe the oropharynx and its role in breathing and swallowing in clear language.",
        "Support authorized clinicians with documentation of examinations or imaging."
      ],
      "must_not": [
        "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."
      ],
      "requires_human": [
        "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."
      ],
      "affected_parties": [
        "Patients",
        "People with swallowing disorders",
        "Carers"
      ]
    },
    "owners": {
      "steward": "Nobody: part of a person's body; clinicians answer for its care.",
      "master_systems": []
    },
    "visual_identification": [
      "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."
    ],
    "failure_modes_and_hazards": [
      "Swallowed objects or food can block the airway here.",
      "Swelling from infection or allergy can obstruct breathing."
    ],
    "standards_and_regulation": [
      "Terminologia Anatomica, Federative International Programme for Anatomical Terminology."
    ],
    "what_it_is_for": [
      "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": [
    {
      "id": "wikidata",
      "title": "Wikidata item Q645450: oropharynx",
      "url": "https://www.wikidata.org/wiki/Q645450",
      "url_status": "live",
      "what_it_supports": "identity and sense of the item",
      "checked_by": "wikidata-api"
    },
    {
      "id": "wikipedia-en",
      "title": "Wikipedia: Oropharynx",
      "url": "https://en.wikipedia.org/wiki/Oropharynx",
      "url_status": "live",
      "what_it_supports": "general description of the item",
      "checked_by": "wikidata-api sitelink"
    }
  ],
  "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.",
        "rationale": "Oropharyngeal observations are easily misassigned to the oral cavity, nasopharynx or laryngopharynx when landmarks and conventions are implicit.",
        "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?",
                    "kind": "definition",
                    "id": "regional-landmarks-q01"
                  },
                  {
                    "text": "Where does the observation cross into the oral cavity, nasopharynx or laryngopharynx?",
                    "kind": "boundary",
                    "id": "regional-landmarks-q02"
                  }
                ]
              }
            ]
          },
          {
            "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?",
                    "kind": "provenance",
                    "id": "declared-regional-extent-q01"
                  },
                  {
                    "text": "Have surgery or anatomical variation changed the landmarks used to delimit the region?",
                    "kind": "boundary",
                    "id": "declared-regional-extent-q02"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "oropharyngeal-surfaces-and-tissues",
        "name": "Oropharyngeal surfaces and tissues",
        "description": "Organises observations of the palate, tonsillar region, tongue base and pharyngeal walls.",
        "rationale": "A regional label alone cannot distinguish a tonsillar observation from a tongue-base or wall observation, or describe how local tissue affects the passage.",
        "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?",
                    "kind": "boundary",
                    "id": "surface-and-laterality-q01"
                  },
                  {
                    "text": "Does the observation remain within one subsite or extend across adjacent surfaces?",
                    "kind": "boundary",
                    "id": "surface-and-laterality-q02"
                  }
                ]
              }
            ]
          },
          {
            "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?",
                    "kind": "measurement",
                    "id": "local-tissue-observation-q01"
                  },
                  {
                    "text": "If tonsillar size or asymmetry is graded, which scale and examination conditions support the recorded grade?",
                    "kind": "provenance",
                    "id": "local-tissue-observation-q02"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "shared-air-and-swallowing-passage",
        "name": "Shared air and swallowing passage",
        "description": "Represents oropharyngeal space and behaviour during breathing and swallowing.",
        "rationale": "The oropharynx is a dynamic shared passage whose functional state cannot be inferred reliably from one static view.",
        "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?",
                    "kind": "measurement",
                    "id": "condition-dependent-patency-q01"
                  },
                  {
                    "text": "What were the posture, respiratory phase and wakefulness or sedation conditions during assessment?",
                    "kind": "provenance",
                    "id": "condition-dependent-patency-q02"
                  }
                ]
              }
            ]
          },
          {
            "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?",
                    "kind": "measurement",
                    "id": "observed-transit-and-residue-q01"
                  },
                  {
                    "text": "Which observations concern the oropharynx itself, and which require linked assessment of the larynx or other swallowing structures?",
                    "kind": "boundary",
                    "id": "observed-transit-and-residue-q02"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "examination-evidence-and-follow-up",
        "name": "Examination evidence and follow-up",
        "description": "Preserves what an examination actually establishes and what remains unresolved.",
        "rationale": "Routine oral inspection may provide incomplete oropharyngeal coverage, and visible changes require contextual interpretation and appropriate follow-up.",
        "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?",
                    "kind": "provenance",
                    "id": "subsite-observation-coverage-q01"
                  },
                  {
                    "text": "What limits confidence in assessing the tongue base, tonsillar recesses or pharyngeal walls?",
                    "kind": "measurement",
                    "id": "subsite-observation-coverage-q02"
                  }
                ]
              }
            ]
          },
          {
            "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?",
                    "kind": "measurement",
                    "id": "unresolved-local-change-q01"
                  },
                  {
                    "text": "What further examination or clinical review has been recommended for an unresolved lesion, asymmetry or passage concern?",
                    "kind": "action",
                    "id": "unresolved-local-change-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 precise inferior boundary varies between anatomical descriptions and clinical classification systems; verify the convention required for the intended model.",
                  "No numerical dimensions are supplied because they depend on age, posture, respiratory phase and measurement method.",
                  "This description is recalled anatomical knowledge; no sources or identifier records were consulted."
                ],
                "questions": [
                  {
                    "id": "evidence-confidence-notes-q01",
                    "text": "Which of these check these first hold for the sense of oropharynx 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": "Terminologia Anatomica",
                    "value_or_pattern": "Pars oralis pharyngis",
                    "note": "Latin anatomical name for the oral part of the pharynx."
                  }
                ],
                "questions": [
                  {
                    "id": "evidence-identifiers-q01",
                    "text": "Which of these identifiers and schemes hold for the sense of oropharynx 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": [
                  "Conducts air between the upper airway and the lower pharynx.",
                  "Participates in swallowing by conveying food and liquid toward the hypopharynx.",
                  "Contains palatine and lingual tonsillar tissue involved in immune surveillance.",
                  "Provides a site for clinical examination, specimen collection and airway management."
                ],
                "questions": [
                  {
                    "id": "evidence-real-world-use-q01",
                    "text": "Which of these real-world use hold for the sense of oropharynx 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": [
                  "Airway narrowing or obstruction from soft-tissue collapse, swelling, enlarged tonsils or masses.",
                  "Infection and inflammation, including pharyngitis, tonsillitis and peritonsillar abscess.",
                  "Impaired swallowing with possible entry of food or liquid into the airway.",
                  "Oropharyngeal squamous cell carcinoma, including HPV-associated disease.",
                  "Traumatic or thermal injury to the mucosa."
                ],
                "questions": [
                  {
                    "id": "evidence-failure-modes-and-hazards-q01",
                    "text": "Which of these failure modes and hazards hold for the sense of oropharynx 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": "pharynx",
                    "difference": "The pharynx is the larger anatomical passage; the oropharynx is its middle subdivision."
                  },
                  {
                    "name": "oral cavity",
                    "difference": "The oral cavity lies anterior to the oropharynx and communicates with it through the oropharyngeal isthmus."
                  },
                  {
                    "name": "nasopharynx",
                    "difference": "The nasopharynx lies above the soft palate, behind the nasal cavity."
                  },
                  {
                    "name": "hypopharynx",
                    "difference": "The hypopharynx lies below the oropharynx, behind and alongside the larynx, and continues toward the oesophagus."
                  },
                  {
                    "name": "larynx",
                    "difference": "The larynx is the cartilaginous airway organ containing the vocal folds; the oropharynx is a shared respiratory and digestive passage above it."
                  }
                ],
                "questions": [
                  {
                    "id": "evidence-neighbours-q01",
                    "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?",
                    "kind": "provenance"
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  },
  "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?"
  ],
  "statistics": {
    "bundles": 5,
    "layers": 9,
    "findings": 13,
    "questions": 21
  }
}
