{"schema":"https://ver.cy/schemas/card/1.0.0","id":"vr.tr.deformity","code":"thing-q1182746","url":"https://ver.cy/models/thing/q1182746/","name":"deformity","alternateNames":["NEK9-related lethal skeletal dysplasia","acquired nose deformity","acropectorovertebral dysplasia","congenitally short costocoracoid ligament","thoracolaryngopelvic dysplasia","Thoracomelic dysplasia","shoulder and thorax deformity-congenital heart disease syndrome","ossification anomalies-psychomotor developmental delay syndrome","deformity of chest and rib","syndromic diaphragmatic or thoracic malformation","macrodactylia of toes","acquired deformities of the ear"],"kind":"thing","status":"published","version":"0.2.0-wave.3","language":"en","classifiers":{"family":"Thing Registry","category":"Cross-cutting context","entryKind":"thing","plane":"XCT","domain":["XCT.STA"],"industry":[],"navPath":"","tags":[],"facets":{}},"whatItIs":"A congenital or acquired major abnormality in the shape of a body part or organ, including changes associated with injury, disease or growth disturbance; minor variations alone are outside this sense. Malformation, dysplasia and anomaly have distinct medical meanings and are not interchangeable substitutes for deformity. Management may include monitoring, orthotics, surgery and support.","purpose":"Let an agent explain structural anomalies in general terms with respectful language, distinguish congenital from acquired forms and the terms used in medicine, relay assessment and treatment information from clinical sources, and route personal questions to clinicians.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["The defining feature is a major structural abnormality rather than a functional disturbance alone.","Forms can be congenital or acquired.","Severity and functional effects vary within the scope of major structural abnormalities.","Terminology matters for respect and precision."],"structure":{"bundles":[{"id":"understand","name":"Understand","description":"What structural anomalies are.","layers":[{"id":"definition","name":"Definition","description":"Definition and terms.","findings":[{"id":"definition-finding","name":"Definition","description":"Definition.","questions":[{"text":"What counts as a structural anomaly, and which terms do clinicians prefer?","kind":"definition"},{"text":"Is the user asking about their own or a child condition, which needs a clinician?","kind":"boundary"}]}]},{"id":"causes","name":"Causes","description":"Causes.","findings":[{"id":"causes-finding","name":"Causes","description":"Causes.","questions":[{"text":"What causes congenital and acquired anomalies, in general terms?","kind":"definition"},{"text":"Which entry fits a specific condition?","kind":"action"}]}]}]},{"id":"assess","name":"Assess","description":"Assessment.","layers":[{"id":"screening","name":"Screening","description":"Screening and diagnosis.","findings":[{"id":"screening-finding","name":"Screening","description":"Screening.","questions":[{"text":"How are anomalies detected and assessed, from prenatal screening to imaging?","kind":"provenance"},{"text":"Which entry fits newborn screening?","kind":"action"}]}]},{"id":"classification","name":"Classification","description":"Classification.","findings":[{"id":"classification-finding","name":"Classification","description":"Classification.","questions":[{"text":"How are anomalies classified in ICD and specialist systems?","kind":"provenance"},{"text":"Which references are standard?","kind":"provenance"}]}]}]},{"id":"treat","name":"Treat","description":"Treatment and support.","layers":[{"id":"treatment","name":"Treatment","description":"Treatment.","findings":[{"id":"treatment-finding","name":"Treatment","description":"Treatment.","questions":[{"text":"What treatments exist, from orthotics to surgery, in general terms?","kind":"provenance"},{"text":"Is the presentation free of personal treatment advice?","kind":"boundary"}]}]},{"id":"support","name":"Support","description":"Support and rights.","findings":[{"id":"support-finding","name":"Support","description":"Support.","questions":[{"text":"What support, rights and organisations exist for affected people?","kind":"provenance"},{"text":"Which entry fits disability rights?","kind":"action"}]}]}]},{"id":"society","name":"Society","description":"Language and history.","layers":[{"id":"language","name":"Language","description":"Respectful language.","findings":[{"id":"language-finding","name":"Language","description":"Language.","questions":[{"text":"What language do disability organisations and clinicians recommend?","kind":"provenance"},{"text":"Is the language used respectful?","kind":"boundary"}]}]},{"id":"history","name":"History","description":"History.","findings":[{"id":"history-finding","name":"History","description":"History.","questions":[{"text":"How have attitudes and treatment changed historically?","kind":"provenance"},{"text":"Which entry fits the history of medicine?","kind":"action"}]}]}]}]},"agentConduct":{"may":["Explain kinds of structural body differences using respectful medical terms.","Relay information on management options from recognised health sources.","Suggest seeing a clinician for assessment, especially in children."],"mustNot":["Use stigmatising language about people's bodies.","Give personal medical advice in place of a clinician.","Share images of a person's body without consent.","Present a body difference as something a person must have corrected."],"requiresHuman":["Any treatment or surgery decision."]},"ethics":{"considerations":["People with visible differences face stigma and discrimination.","Decisions about correcting a body difference belong to the person or their guardians."],"affectedParties":["People with body differences","Children and their families","Clinicians"]},"owners":{"steward":"The person, with their clinicians.","roles":[],"masterSystems":[]},"relations":[{"target":"Q2057971","type":"parent","note":"registry parent class"},{"target":"Q567555","type":"parent","note":"registry parent class"},{"target":"anomaly","type":"related","note":"a structural anomaly"},{"target":"health problem","type":"related","note":"in registry terms"},{"target":"skeletal dysplasia","type":"related","note":"a group of conditions"},{"target":"orthopaedics","type":"related","note":"and other specialties"}],"interaction":{"identity":{"applicability":"required","items":["Vercy registry: vr.tr.deformity","Wikidata: Q1182746 (https://www.wikidata.org/wiki/Q1182746)","ICD-10: Q00-Q99 and M chapters congenital and acquired","ICD-11: LA and FA chapters"]},"properties":{"applicability":"not-applicable","items":[]},"recognition":{"applicability":"optional","items":["The defining feature is a major abnormality in the shape of a body part or organ.","The abnormality can be congenital or acquired.","Functional disorders without structural change are different conditions.","Varies widely; an altered shape of a limb, spine, face or other structure."]},"capabilities":{"applicability":"required","items":["explain kinds and causes in general terms","explain preferred terminology","relay assessment and treatment information","route personal questions to clinicians"]},"hazards":{"applicability":"required","items":["Stigmatising language","Missed early treatment","Agents giving personal medical advice"]},"interfaces":{"applicability":"required","items":["Clinical guidelines by condition","Disability rights and accommodation law","Newborn screening programmes"]},"context":{"applicability":"required","items":["Not applicable; a category of medical condition.","congenital malformations of limbs and spine","craniofacial anomalies","skeletal dysplasias","acquired deformities from injury, disease or surgery","postural and developmental deformities such as scoliosis"]}},"sources":[{"title":"Wikidata item Q1182746: deformity","url":"https://www.wikidata.org/wiki/Q1182746","note":"identity and sense of the item"},{"title":"Wikipedia: Deformity","url":"https://en.wikipedia.org/wiki/Deformity","note":"general description of the item"}],"openQuestions":["Should congenital and acquired forms be separate entries?","How should guidelines be linked by condition?","The registry entry has merged aliases naming rare syndromes; should they be split off?"],"resources":{"spec":"/models/things/publications/thing-q1182746/spec.json"},"provenance":{"origin":"thing registry research (pass 2)","builtFrom":["models/things/publications/thing-q1182746/spec.json"],"providers":["Claude"],"researchStatus":"unreviewed","generatedAt":"2026-09-12T21:34:02Z","builder":"tools/build_cards.py@1.0.0"},"completeness":{"sections":{"classifiers":"filled","whatItIs":"filled","purpose":"filled","distinguishingFeatures":"filled","structure":"filled","agentConduct":"filled","ethics":"filled","owners":"filled","relations":"filled","interaction.identity":"filled","interaction.properties":"not-applicable","interaction.recognition":"filled","interaction.capabilities":"filled","interaction.hazards":"filled","interaction.interfaces":"filled","interaction.context":"filled","sources":"filled"},"notes":{"_gate":"Published through the thing publication gate 1.0 on 2026-10-07T10:10:25+00:00: completeness 1.00; sense: Wikidata description; 2 live sources; review by codex: pass","interaction.properties":"Plane XCT: no invented physical properties."},"score":1.0}}