The research behind oDIX8

Published, and open to scrutiny

Every framework and finding behind oDIX8 is in the public record. These are the core works; the full list is on ORCID 0000-0002-6273-8014.

Peer-reviewed and published, open access: Misaligned by design: evaluating and deploying generative AI for the real-world conditions of primary care, Scandinavian Journal of Primary Health Care, 2026.
arXiv · 2026

Ontology-Aware Design Patterns for Clinical AI Systems

Seven Gang-of-Four-style patterns for building clinical-AI pipelines resilient to ontological distortion: Ontological Checkpoint, Dormancy-Aware Pipeline, Drift Sentinel, Dual-Ontology Layer, Reification Circuit Breaker, Terminology Version Gate, Regulatory Compliance Adapter.

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Cambridge Open Engage · 2026

Artificial Epidemiology

How self-evolving clinical AI can manufacture disease prevalence from administrative coding artifacts, and a formal measure of the divergence between administrative and clinical prevalence.

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Cambridge Open Engage · 2026

Cascade Amplification in Administrative AI Pipelines

When several AI tools share one workflow, feedback loops turn small additive errors into system-level failures, the chain-level risk most single-tool assessments never test.

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Cambridge Open Engage · 2026

The Pipeline Gap

Why the EU AI Act, the Product Liability Directive and the Medical Device Regulation do not reach multi-tool clinical-AI pipelines. Posted fourteen days before Healthwatch England reported the same failure mode in NHS AI scribes.

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Cambridge Open Engage · 2026

The Cost of Ontological Drift

A health-economic analysis of how coding distortion propagates through clinical-AI systems and where it becomes expensive.

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Cambridge Open Engage · 2026

The Ontological Attack Surface

Measured distortion channels reframed as adversarial primitives, the security view of clinical-AI data integrity.

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SSRN · 2026

The Symptom and the Billing Code

How minimal medical data sets are constructed through negotiation among clinical, billing and documentation pressures. Introduces the reification feedback loop, demonstrated in the German FDZ Gesundheit.

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SSRN · 2026

Feedback-Loop Amplified Operational Risk in Clinical AI Pipelines

Correlated failure risk across clinical-AI pipelines, and why standard operational-risk models under Basel II/III and Solvency II understate it.

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Research Square · 2026

Preserve, Don’t Prune

Why strategic dormancy is an architectural necessity for clinical-AI governance: pruning rare vocabulary severs the diagnostic pathways that rare conditions depend on.

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arXiv · 2026 · research prototype

Enhanced Mycelium of Thought (EMoT)

A bio-inspired hierarchical reasoning architecture combining strategic thought dormancy with reactivation and mnemonic memory encoding. An experimental research prototype, strongest on cross-domain synthesis.

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These are the core works. The complete record, including peer-reviewed journal articles, a monograph, a book chapter and further preprints, is on ORCID 0000-0002-6273-8014.