XR clinical skills exam platform • Evidence-gated encounter factory
OpenClinXR is a Step 2 CS-inspired XR clinical skills exam platform for building, reviewing, and running timed clinical encounters from blueprint to runtime. It includes an encounter factory, clinical asset commons, capability arenas, and local/offline plus connected Azure deployment modes. OpenClaw is the build operating model behind the platform.
Scenario authors define encounters, learners run timed stations, faculty reviews trace/replay evidence, and admins manage review gates.
Current work is deterministic UI-XR runtime evidence consumer + peds/ED materialization. Gates remain false until committed artifacts prove more.
Evidence is scoped to the committed artifacts and current runtime gates. OpenClaw keeps the build process disciplined; it is not the product promise.
Platform overview
Reviewed encounter specifications (scenarios, actors, dialogue, emotion, traces, rubrics, asset needs) drive generated runtime, publication, launch selection, review packets, persistence, and evidence. Case definitions drive scenes; hand-built one-off rooms do not.
Generated or approved assets such as rooms, floors, nurses, equipment, clothing, humanoids, animation clips, and provenance records can be reused across encounters instead of regenerated each time.
Candidate technologies such as TTS, speech recognition, humanoid generation, IWSDK sidecars, and provider adapters compete in repeatable cage matches before production promotion.
Recent factory progress • Q1 + Q5
Case ed_chest_pain_priority_v2:patient_ed_chest_pain_v1 + phenotype.garmentLayers = ["hospital_gown"] now drives real garment region (324 faces, deformsWithBreathing, weighted to clavicle/upper_arm/chest/spine/neck, visibleDeformingSleeves, hasVisibleVolume, hasSeamFoldHints).
ed_chest_pain_patient_real_garment_v1 candidate with promotionStatus + realismGrade B + notEvidenceFor list.cagematch/anny-real-garment/ed-real-garment-phenotype-expansion-2026-06-07/.
UI-XR now has first-class ed_anny_real_garment_patient (ed_chest_pain_priority_v* scenarios, ed bay framing):
/cagematch/anny-real-garment/current/ed_chest_pain_patient_real_garment.glb (test expects it).gown|hospital.*gown|ed_gown + openclinxr_real_garment) + post-load traverse sets frustumCulled=false, visible, openClinXrSleeveDeformEvidence, cyan emissive, garmentGeometry.sleeveDeform, promotion userData.main.ts (ed_anny support ~6267, 6572, 7709) • Capture (ED paths)
Promotion fields (promotionStatus, realismGrade, realAnnyWeightsUsed, notEvidenceFor, realGarmentRegionFromPhenotype with claimScope) wired into reports, rigging, provenance, UI-XR evidence types/userData.
Skeptic re-assess: visible in MV cagematch reports + code + ed-branch evidence (dual delta: MV can reference ED candidate/glb; UI-XR can traverse ed_anny for surfaces). Sizable 3-role collaborative vertical (skeptic + asset + xr).
Evidence branches: .openclinxr/evidence/ed-seed-humanoid-case-def/2026-06-08-ed-real-garment-seed-v1/ (ed_real_garment_sleeve_deform pngs + inspection) + cagematch ed- subdir. Full canonical dual volume + actual pheno gown geo targeted in next slice.
Honest posture: Latest internal dev evidence from closed ed-real-garment-phenotype-expansion (Q1+Q5). Reports claim hospital_gown + 324f deforms; current branched GLB still uses prior tshirt geometry (synthetic in reports). Full skeptic-visible 3D gown volume/motion in both MV cagematch visuals and UI-XR ed bay (with updated report captureEvidence + canonical paths) is the target of the in-flight ed-gown-geo-reorchestrate slice. No overclaims.
Captured from the UI-XR sample scene (ed_chest_pain_priority_v2 + ed_anny_real_garment_patient comparator). The code extensions (gown-aware detection, post-load garment traverse for cyan emissive deforming volume, garmentGeometry.sleeveDeform, openClinXr* userData, frustumCulled=false, ed bay framing, adaptive capture) are exercised. These images + the ui-xr-ed-seed-inspection.json (asserting garmentDeformEvidence surfaces + promotion for the ed_anny load) provide the WebXR runtime scene evidence for the phenotype-driven real garment.
View full ui-xr-ed-seed-inspection.json (confirms ed_anny_real_garment_patient traverse exercised cyan/frustumCulled=false/openClinXrSleeveDeformEvidence/garmentGeometry + promotion + ed bay + real garment loaded).
To run live: start pnpm --filter ui-xr dev, load with ?openclinxrScenarioId=ed_chest_pain_priority_v2&humanoidSourceComparator=ed_anny_real_garment_patient&capture=mouth-gaze-pose-body-motion-garment-sleeve-deform (once ED glb in current/ for full demo).
Evidence gates
Full evidence + current snapshots (UI-XR consumer, peds materialization, 05-28) in docs/openclinxr/.
Run pnpm pages:sync-evidence-links and pnpm pages:validate to keep snapshots current. Rehydrate via snapshots in state files.
Deployment modes
Local/offline mode is the default development and validation path, using deterministic providers and preconfigured assets wherever possible. Connected mode can use approved provider/API adapters behind explicit gates. Azure is a target for API, orchestration, review, and deployment surfaces, while heavy local generation and capability cage matches stay separate until promoted.
Current: blueprint factory (case-def drives runtime/review/persist/assets). See snapshots in PROJECT/AUTONOMOUS/worker-backlog for active lanes.
How we build it
Repo-native OpenClaw is the build operating model, not an external daemon and not the product itself. It supports long-running, token-efficient autonomous work.
Persistent indexed memory in agents/** + .agent-factory/. Snapshots + Efficiency Quick Refs in state files for low-token rehydration. Lease, drift/alignment guards, focused verification. Full iteration loop reserved for plateau/synthesis.
Live subagents or local role consultation. Always record in canonical state only.
Live snapshots
Current evidence in docs/openclinxr/ (05-28 peds/UI-XR). Active in root snapshots + Efficiency Quick Ref. Run pnpm pages:sync-evidence-links && pnpm pages:validate.
Current posture
Current (per snapshots): UI-XR consumer (operator-selectable to guarded + projections) + materialization for peds_asthma_parent_anxiety_v1 and an ED seed. All gates false; raw hidden; M1 Max 64GB target; Quest evidence requires a disconnected-headset re-run. No overclaims and no exam-equivalence or clinical-validity claim.
