{ "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-12T09:22:15Z", "providers": [ "Codex" ], "breadth": "recalled by Codex without web access - no source was read", "missingProviders": [], "pass": 2, "cost": { "grok": { "seconds": 24.7, "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: 01a094eb-938f-76a3-bd51-dfa1317637e8\n--------\nuser\nDescribe what is already known about one registered thing. Answer as JSON only, no prose around it.\n\nThing: dysosmia\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 regist", "usd": 0.0, "recall": true }, "codex": { "seconds": 74.3, "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: 01a094eb-939b-7e73-8ac8-4e149649d96f\n--------\nuser\nYou are drafting a Vercy meta-model for one registered thing. Answer as JSON only, no prose around it.\n\nThing: dysosmia\nRegistry id: vr.tr.dysosmia\nPlane / domain: XCT / XCT.STA\nRegistry definition: (none recorded)\nNames folded into this entry: (none)\n\n\nContex" } }, "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" ] }, "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-Q690210", "registryId": "vr.tr.dysosmia", "name": "dysosmia", "version": "0.1.0-research.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q690210/", "model": { "registry_id": "vr.tr.dysosmia", "name": "dysosmia", "purpose": "Enable an agent to recognise, describe and track dysosmia while distinguishing the reported smell disturbance from its possible causes and identifying needs for clinical assessment or practical support.", "definition": "Dysosmia is disordered odor perception, often used specifically for qualitative disturbances such as distorted perception of an existing odor or perception of an odor without an external stimulus, although some sources use the term more broadly for olfactory dysfunction.", "scope_statement": "This model owns the qualitative disturbance of smell registered as vr.tr.dysosmia in XCT / XCT.STA, provisionally encompassing stimulus-linked odor distortion and odor perception without an apparent stimulus; it records terminology explicitly because the registry supplies no definition.", "in_scope": [ "Qualitative changes in perceived odors, including parosmia and phantosmia", "Relationship between perceived smells, candidate odor sources and the person's prior experience", "Episode timing, triggers, persistence and changes over time", "Evidence supporting the reported phenotype and uncertainty about classification", "Effects on eating, daily activities, wellbeing and odor-dependent safety", "Assessment, support and follow-up decisions specific to the smell disturbance" ], "out_of_scope": [ "Isolated reduction or absence of smell, except as a coexisting condition", "Primary disorders of basic taste perception", "Underlying infectious, sinonasal, neurological or other diseases as complete disease models", "Chemical composition and environmental monitoring of actual odor sources", "Normal odor preferences or dislike without altered perception", "Independent models of nutrition, psychiatric conditions or occupational exposure" ], "distinguishing_features": [ "Ask whether an odor smells qualitatively different from its previous character; reduced intensity alone does not satisfy this model's working definition.", "Distinguish distortion associated with an odor stimulus from a smell experienced without an apparent stimulus, retaining uncertainty when source presence is unresolved.", "Separate an unpleasant but accurately perceived environmental odor from a change in the person's perception.", "For complaints that food tastes wrong, distinguish altered aroma from altered sweet, salty, sour, bitter or umami perception.", "Record dysosmia separately from coexisting smell loss rather than treating either as evidence that the other is absent." ], "characteristics": [ { "name": "Recorded meaning of dysosmia", "kind": "category", "unit_or_values": "Qualitative smell disturbance; broader olfactory dysfunction usage; unspecified", "why_it_matters": "Prevents records using different meanings of the term from being silently combined." }, { "name": "Qualitative phenotype", "kind": "category", "unit_or_values": "Parosmia; phantosmia; both; unclassified", "why_it_matters": "Separates stimulus-linked distortion from perception without an apparent odor source." }, { "name": "Stimulus relationship", "kind": "state", "unit_or_values": "Candidate source present; no source identified; source uncertain; not assessed", "why_it_matters": "Supports classification without equating an unlocated source with proven absence." }, { "name": "Perceived odor transformation", "kind": "relation", "unit_or_values": "Candidate odor or object linked to expected odor, perceived odor and the person's exact description", "why_it_matters": "Preserves the concrete alteration rather than reducing every report to bad smell." }, { "name": "Episode burden", "kind": "measurement", "unit_or_values": "Episodes per stated observation period; duration in seconds, minutes or hours; continuous when applicable", "why_it_matters": "Makes intermittent and persistent experiences distinguishable." }, { "name": "Odor unpleasantness and distress", "kind": "measurement", "unit_or_values": "Separate self-ratings with scale, anchors and date recorded", "why_it_matters": "Prevents sensory character, intensity and emotional burden from being conflated." }, { "name": "Perceived laterality", "kind": "category", "unit_or_values": "Left; right; bilateral; not localisable; not assessed", "why_it_matters": "Retains a potentially useful clinical observation without inferring lesion location." }, { "name": "Concurrent quantitative smell function", "kind": "relation", "unit_or_values": "Linked self-report or threshold, discrimination and identification assessment with date and method", "why_it_matters": "Keeps qualitative complaints distinct from measured smell performance." }, { "name": "Functional consequences", "kind": "state", "unit_or_values": "Eating restriction; daily activity disruption; social impact; safety concern; none reported; unknown", "why_it_matters": "Connects the experience to concrete support needs." } ], "affordances": [ "Classify a reported smell alteration provisionally while preserving ambiguous or mixed presentations.", "Build an episode and trigger record using the person's own odor descriptions.", "Compare symptom burden over time alongside separately recorded smell-test results.", "Prepare a clinical assessment summary containing onset, associated events, exposure history and unresolved questions.", "Identify eating difficulties and odor-dependent safety concerns that need practical support.", "Track clinician-directed management and reported outcomes without treating temporal improvement as proof of efficacy." ], "agent_conduct": { "may": [ "Explain dysosmia and its forms, such as parosmia and phantosmia, in general terms.", "Encourage a person with smell changes to see a clinician." ], "must_not": [ "Diagnose a person's smell disorder or its cause.", "Dismiss reports of distorted smell as imaginary.", "Recommend unproven treatments for smell disorders.", "Share a person's health condition without consent." ], "requires_human": [ "Any treatment decision for a smell disorder." ] }, "ethics": { "considerations": [ "Smell disorders affect eating, mood and safety, such as detecting smoke or gas.", "Health information is private." ], "affected_parties": [ "People with smell disorders", "Their households" ] }, "owners": { "steward": "Each person for their own health; clinicians hold medical records.", "master_systems": [] }, "visual_identification": [ "Not visible; reported as distorted or phantom smells.", "Often follows viral infection, head injury or nasal disease." ], "failure_modes_and_hazards": [ "Failing to detect smoke, gas or spoiled food.", "Weight loss and depression from food aversion." ], "what_it_is_for": [ "Dysosmia is encountered in clinical histories and everyday reports of smells that seem altered or occur without an apparent external source.", "Describing the disturbance helps distinguish changes in smell quality from reduced smell sensitivity and document effects on eating and daily life." ], "standards_and_regulation": [ "The World Health Organization's International Classification of Diseases, Tenth Revision, includes R43.1 for parosmia, which covers distorted smell perception but does not represent every use of dysosmia." ] }, "sources": [ { "id": "wikidata", "title": "Wikidata item Q690210: dysosmia", "url": "https://www.wikidata.org/wiki/Q690210", "url_status": "live", "what_it_supports": "identity and sense of the item", "checked_by": "wikidata-api" }, { "id": "wikipedia-en", "title": "Wikipedia: Dysosmia", "url": "https://en.wikipedia.org/wiki/Dysosmia", "url_status": "live", "what_it_supports": "general description of the item", "checked_by": "wikidata-api sitelink" } ], "structure": { "bundles": [ { "id": "olfactory-boundaries", "name": "Olfactory boundaries", "description": "Establish what dysosmia means in this record and which sensory phenomenon is being described.", "rationale": "The registry lacks a definition, so classification must remain explicit and auditable.", "layers": [ { "id": "term-and-scope", "name": "Term and scope", "description": "Capture the meaning attached to the label before assigning a phenotype.", "findings": [ { "id": "declared-dysosmia-meaning", "name": "Declared dysosmia meaning", "description": "Use qualitative smell disturbance as the working scope while retaining the source's wording. Dysosmia also appears within the broader olfaction-disorders indexing vocabulary: [NLM MeSH](https://ncbi.nlm.nih.gov/mesh/68000857).", "questions": [ { "text": "Does the person or source use dysosmia for altered odor quality or for smell dysfunction more broadly?", "kind": "definition", "id": "declared-dysosmia-meaning-q01" }, { "text": "Which clinical record, terminology source or firsthand account supplies that meaning?", "kind": "provenance", "id": "declared-dysosmia-meaning-q02" } ] } ] }, { "id": "sensory-differentiation", "name": "Sensory differentiation", "description": "Separate the reported alteration from neighbouring sensory complaints.", "findings": [ { "id": "quality-versus-loss-or-taste", "name": "Quality versus loss or taste", "description": "Record altered odor character, reduced smell and basic-taste complaints separately, allowing them to coexist.", "questions": [ { "text": "Has odor character changed, has detection weakened, or are both reported?", "kind": "boundary", "id": "quality-versus-loss-or-taste-q01" }, { "text": "When food seems wrong, is the reported change in aroma, basic taste, mouth sensation or an unresolved combination?", "kind": "boundary", "id": "quality-versus-loss-or-taste-q02" } ] } ] } ] }, { "id": "odor-experience", "name": "Odor experience", "description": "Describe the relationship between an odor stimulus and the altered percept.", "rationale": "Stimulus relationship and perceived transformation are central to recognising the qualitative phenotype.", "layers": [ { "id": "stimulus-link", "name": "Stimulus link", "description": "Determine whether episodes are associated with identifiable odor stimuli.", "findings": [ { "id": "parosmia-phantosmia-distinction", "name": "Parosmia and phantosmia distinction", "description": "Parosmia concerns changed perception of an odor; phantosmia concerns odor perception without an odor being present. Record the evidence for source presence or absence: [NIDCD smell disorders](https://www.nidcd.nih.gov/health/smell-disorders).", "questions": [ { "text": "Which external odor, if any, is associated with the altered perception?", "kind": "measurement", "id": "parosmia-phantosmia-distinction-q01" }, { "text": "What supports an absent stimulus, and could an intermittent or hidden environmental source remain?", "kind": "boundary", "id": "parosmia-phantosmia-distinction-q02" } ] } ] }, { "id": "percept-character", "name": "Percept character", "description": "Preserve how the experience differs from the person's expected smell.", "findings": [ { "id": "odor-transformation-profile", "name": "Odor transformation profile", "description": "Pair expected and experienced odor descriptions with intensity, pleasantness and perceived laterality as separate observations.", "questions": [ { "text": "What did the triggering item previously smell like, and how does it smell during an episode?", "kind": "measurement", "id": "odor-transformation-profile-q01" }, { "text": "How intense and unpleasant is the perception, and is it experienced on one side or not localisable?", "kind": "measurement", "id": "odor-transformation-profile-q02" } ] } ] } ] }, { "id": "course-and-context", "name": "Course and context", "description": "Place altered smell experiences on a timeline and relate them cautiously to associated events.", "rationale": "Onset and fluctuation help describe the condition, but temporal associations must not become unsupported causal claims.", "layers": [ { "id": "episode-timeline", "name": "Episode timeline", "description": "Track onset, recurrence and persistence using dated observations.", "findings": [ { "id": "onset-and-recurrence-pattern", "name": "Onset and recurrence pattern", "description": "Record first noticed change, prior smell baseline, episode duration and symptom-free intervals.", "questions": [ { "text": "When did altered odor quality first appear relative to the person's previous smell baseline?", "kind": "provenance", "id": "onset-and-recurrence-pattern-q01" }, { "text": "How often do episodes occur, how long do they last, and are there symptom-free intervals?", "kind": "measurement", "id": "onset-and-recurrence-pattern-q02" } ] } ] }, { "id": "associated-events", "name": "Associated events", "description": "Capture clinical context without diagnosing an underlying cause.", "findings": [ { "id": "candidate-cause-evidence", "name": "Candidate cause evidence", "description": "Maintain dated links to reported illness, injury, nasal symptoms, medication changes or exposures, distinguishing reports from clinician conclusions.", "questions": [ { "text": "What illnesses, injuries, nasal changes, medicines or exposures were reported around onset?", "kind": "provenance", "id": "candidate-cause-evidence-q01" }, { "text": "Is any proposed cause a temporal association, a clinical hypothesis or a documented diagnosis?", "kind": "boundary", "id": "candidate-cause-evidence-q02" } ] } ] } ] }, { "id": "assessment-and-confidence", "name": "Assessment and confidence", "description": "Organise the evidence used to characterise dysosmia and identify what remains unassessed.", "rationale": "A symptom account, a smell-performance score and a causal diagnosis answer different questions.", "layers": [ { "id": "reported-and-tested-function", "name": "Reported and tested function", "description": "Keep subjective qualitative experience and measured olfactory performance distinguishable.", "findings": [ { "id": "assessment-coverage", "name": "Assessment coverage", "description": "Record what each assessment actually examined. NIDCD describes clinical evaluation using history, examination and supervised smell testing: [NIDCD smell disorders](https://www.nidcd.nih.gov/health/smell-disorders).", "questions": [ { "text": "Which results assess odor detection, discrimination or identification, and which directly document qualitative distortion?", "kind": "measurement", "id": "assessment-coverage-q01" }, { "text": "What method, date and testing conditions support each result?", "kind": "provenance", "id": "assessment-coverage-q02" } ] } ] }, { "id": "classification-confidence", "name": "Classification confidence", "description": "Express the basis and limits of the recorded phenotype.", "findings": [ { "id": "unresolved-phenotype-evidence", "name": "Unresolved phenotype evidence", "description": "Preserve uncertainty when stimulus availability, sensory modality or the relationship between reports and assessments is unresolved.", "questions": [ { "text": "What evidence supports the current phenotype, and what prevents a more definite classification?", "kind": "boundary", "id": "unresolved-phenotype-evidence-q01" }, { "text": "What additional history or clinician-selected assessment would address the unresolved distinction?", "kind": "action", "id": "unresolved-phenotype-evidence-q02" } ] } ] } ] }, { "id": "daily-impact-and-response", "name": "Daily impact and response", "description": "Connect altered smell to daily consequences and a reviewable support plan.", "rationale": "The model must support decisions about the person's actual difficulties, not merely assign a sensory label.", "layers": [ { "id": "odor-dependent-activities", "name": "Odor-dependent activities", "description": "Identify where the smell disturbance affects eating, participation or reliance on odor cues.", "findings": [ { "id": "functional-burden", "name": "Functional burden", "description": "Record specific avoided foods, disrupted activities, distress and concerns about recognising relevant odors, without assuming these occur in every case.", "questions": [ { "text": "Which foods, settings or activities are avoided because of the altered smell, and what consequences are reported?", "kind": "measurement", "id": "functional-burden-q01" }, { "text": "Which tasks depend on odor recognition, and what difficulties or incidents have actually occurred?", "kind": "measurement", "id": "functional-burden-q02" } ] } ] }, { "id": "support-and-review", "name": "Support and review", "description": "Track agreed responses, responsible clinicians or supporters, and outcomes.", "findings": [ { "id": "individual-response-plan", "name": "Individual response plan", "description": "Link each assessment or support action to a recorded difficulty and review target; keep any clinician-directed treatment linked to its indication.", "questions": [ { "text": "What clinical review or practical support is agreed for the documented smell-related difficulties?", "kind": "action", "id": "individual-response-plan-q01" }, { "text": "Which changes in episode burden, food tolerance or daily function will be reviewed, and when?", "kind": "action", "id": "individual-response-plan-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": [ "Verify whether the registry intends dysosmia as qualitative disturbance specifically or as a broader umbrella for olfactory dysfunction.", "Coding should be checked against the applicable ICD edition and national modification; R43 is only a broad category.", "This is a recall-based account; no sources were consulted." ], "questions": [ { "id": "evidence-confidence-notes-q01", "text": "Which of these check these first hold for the sense of dysosmia 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": [ "Parosmia: distorted odor perception when an odor stimulus is present", "Phantosmia: odor perception without an external odor stimulus" ], "questions": [ { "id": "evidence-kinds-q01", "text": "Which of these kinds and varieties hold for the sense of dysosmia 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": "R43", "note": "WHO category for disturbances of smell and taste; broader than dysosmia and not an exact equivalent." } ], "questions": [ { "id": "evidence-identifiers-q01", "text": "Which of these identifiers and schemes hold for the sense of dysosmia 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 qualitative smell symptoms in otolaryngology and neurology", "Characterizing olfactory disturbances following respiratory infections, including COVID-19", "Assessing smell complaints following head injury or associated with sinonasal disease", "Documenting effects on eating, enjoyment of food, and quality of life" ], "questions": [ { "id": "evidence-real-world-use-q01", "text": "Which of these real-world use hold for the sense of dysosmia this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-measurements", "name": "Typical measurements", "description": "Recalled without web access and unsourced; every item is a lead to verify.", "evidence": [ { "quantity": "Frequency of distorted or phantom odor episodes", "typical_range": "No universal reference range; recorded through symptom history or diaries", "unit": "episodes per specified time interval" }, { "quantity": "Odor identification performance", "typical_range": "Instrument- and population-dependent; does not alone establish qualitative dysosmia", "unit": "correct identifications" } ], "questions": [ { "id": "evidence-measurements-q01", "text": "Which of these typical measurements hold for the sense of dysosmia 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": [ "Distorted odors can make food aversive and contribute to reduced intake or weight loss.", "Coexisting loss of smell can reduce recognition of smoke, spoiled food, or odorized fuel gas.", "Symptoms may cause distress and disrupt everyday activities.", "Normal odor identification performance does not exclude qualitative olfactory disturbance.", "Treating dysosmia as a cause rather than a symptom can obscure the underlying condition." ], "questions": [ { "id": "evidence-failure-modes-and-hazards-q01", "text": "Which of these failure modes and hazards hold for the sense of dysosmia 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": "Hyposmia", "difference": "Reduced sensitivity to odors; principally a quantitative deficit rather than altered odor quality." }, { "name": "Anosmia", "difference": "Absence of smell perception rather than distorted or phantom perception." }, { "name": "Dysgeusia", "difference": "Disturbed taste perception, distinguished from smell disturbance affecting food flavor." }, { "name": "Cacosmia", "difference": "Emphasizes a foul or unpleasant perceived odor; overlaps with dysosmia but does not encompass all odor distortions." } ], "questions": [ { "id": "evidence-neighbours-q01", "text": "Which of these neighbouring kinds and how to tell them apart hold for the sense of dysosmia this model covers, and on what evidence?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Does the registry intend dysosmia to mean qualitative smell disturbance specifically or olfactory dysfunction more broadly?", "Does an existing Vercy world model already own this concept and require this registry entry to link to it?", "Which validated instruments best capture qualitative distortion and its burden in the intended language and population?", "What evidence threshold should distinguish phantosmia from episodes in which an environmental odor source has simply not been identified?", "Which evidence-based assessment, escalation and management guidance should govern actions for different clinical contexts?" ], "statistics": { "bundles": 6, "layers": 11, "findings": 17, "questions": 27 } }