{"schema":"https://ver.cy/schemas/card/1.0.0","id":"vr.tr.anemia","code":"thing-q5445","url":"https://ver.cy/models/thing/q5445/","name":"anemia","alternateNames":["refractory anemia","congenital anemia","moderate anemia","spherocytosis","neonatal anemia","macrocytic anemia","anemia secondary to renal failure","hypochromic anemia","cancer-related anemia","anemia of chronic disease","microcytic anemia","normocytic anemia"],"kind":"thing","status":"published","version":"0.2.0-wave.2","language":"en","classifiers":{"family":"Thing Registry","category":"Information and virtual systems","entryKind":"thing","plane":"INF","domain":["INF.KNW"],"industry":[],"navPath":"","tags":[],"facets":{}},"whatItIs":"A condition in which the blood has too few red blood cells or too little haemoglobin to carry adequate oxygen, causing tiredness, breathlessness and pallor, with many causes including iron, vitamin B12 and folate deficiency, chronic disease, blood loss, inherited disorders such as spherocytosis and thalassaemia, and bone marrow conditions; it is diagnosed by blood tests and treated according to cause.","purpose":"Let an agent give general information on anaemia, recognise urgent symptoms, explain causes and diagnosis in general terms, and route people to appropriate care without individual medical advice.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["Low red cells or haemoglobin","Many causes","Classified by cell size and cause","Treatable by cause"],"structure":{"bundles":[{"id":"urgent","name":"Urgent","description":"Warning signs.","layers":[{"id":"emergency","name":"Emergency","description":"Severe symptoms.","findings":[{"id":"emergency-finding","name":"Emergency","description":"Severe symptoms.","questions":[{"text":"Are there severe symptoms such as chest pain, fainting, heavy bleeding or severe breathlessness?","kind":"boundary"},{"text":"Should urgent medical care be sought now?","kind":"action"}]}]},{"id":"assess","name":"Assess","description":"Getting tested.","findings":[{"id":"assess-finding","name":"Assess","description":"Getting tested.","questions":[{"text":"Should the person see a doctor for a blood test rather than self-treat?","kind":"action"},{"text":"Is the user asking about their own results?","kind":"boundary"}]}]}]},{"id":"understand","name":"Understand","description":"Causes and types.","layers":[{"id":"causes","name":"Causes","description":"Why anaemia occurs.","findings":[{"id":"causes-finding","name":"Causes","description":"Causes.","questions":[{"text":"What are the main causes of anaemia, according to health sources?","kind":"provenance"},{"text":"Why does the cause matter for treatment?","kind":"definition"}]}]},{"id":"types","name":"Types","description":"Classification.","findings":[{"id":"types-finding","name":"Types","description":"Types.","questions":[{"text":"How are anaemias classified by cell size and mechanism, in general terms?","kind":"definition"},{"text":"What do the blood test indices mean?","kind":"definition"}]}]}]},{"id":"treat","name":"Treat","description":"Treatment by cause.","layers":[{"id":"options","name":"Options","description":"Treatment types.","findings":[{"id":"options-finding","name":"Options","description":"Treatment types.","questions":[{"text":"Which treatments are used for each cause, such as iron, B12 or treating underlying disease, in general terms?","kind":"provenance"},{"text":"Why is iron not advised without diagnosis?","kind":"provenance"}]}]},{"id":"specialist","name":"Specialist","description":"Referral.","findings":[{"id":"specialist-finding","name":"Specialist","description":"Referral.","questions":[{"text":"When is a haematologist or other specialist involved?","kind":"provenance"},{"text":"Which questions should be asked?","kind":"action"}]}]}]},{"id":"prevent","name":"Prevent","description":"Nutrition and groups.","layers":[{"id":"nutrition","name":"Nutrition","description":"Diet.","findings":[{"id":"nutrition-finding","name":"Nutrition","description":"Diet.","questions":[{"text":"Which foods and habits support iron, B12 and folate intake, according to dietary guidelines?","kind":"provenance"},{"text":"Is the user asking for dietary advice for a medical condition?","kind":"boundary"}]}]},{"id":"groups","name":"Groups","description":"At-risk groups.","findings":[{"id":"groups-finding","name":"Groups","description":"At-risk groups.","questions":[{"text":"Which groups are at higher risk, such as pregnant women, infants and people with chronic disease?","kind":"provenance"},{"text":"Which screening programmes exist?","kind":"provenance"}]}]}]}]},"agentConduct":{"may":["Give general information on anaemia, its common causes and how it is diagnosed, citing health authorities.","Point out symptoms that need urgent care, such as fainting, chest pain or heavy bleeding."],"mustNot":["Diagnose anaemia in a person or tell them which type they have.","Recommend iron, vitamin or other supplements to a specific person without a clinician's assessment.","Tell someone that tiredness or pallor is nothing to worry about.","Share a person's blood test results or diagnosis beyond those they authorized."],"requiresHuman":["Any decision on testing, treatment or transfusion for a person.","Interpreting an individual's blood results."]},"ethics":{"considerations":["Self-treatment can mask serious causes such as hidden bleeding or cancer.","Anaemia falls hardest on women, children and poor communities, and is often overlooked."],"affectedParties":["People with anaemia","Pregnant women and children","Clinicians who rely on accurate history"]},"owners":{"steward":"The patient and their clinician; public health bodies set screening guidance.","roles":[],"masterSystems":[]},"relations":[{"target":"Q246147","type":"parent","note":"registry parent class"},{"target":"cytopenia","type":"related","note":"category"},{"target":"blood test","type":"related","note":"method"},{"target":"health care","type":"related","note":"services"},{"target":"inflammatory bowel diseases","type":"related","note":"a cause of anaemia"}],"interaction":{"identity":{"applicability":"required","items":["Vercy registry: vr.tr.anemia","Wikidata: Q5445 (https://www.wikidata.org/wiki/Q5445)"]},"properties":{"applicability":"not-applicable","items":[]},"recognition":{"applicability":"optional","items":["Low haemoglobin on a blood test","Tiredness, pallor and breathlessness","Tiredness alone has many other causes","Not physical; diagnosed from blood counts."]},"capabilities":{"applicability":"required","items":["explain symptoms and types","recognise urgent warning signs","explain diagnosis and treatment by cause in general terms","support prevention through nutrition information"]},"hazards":{"applicability":"required","items":["Self-treating with iron without diagnosis","Missing serious underlying causes such as bleeding","Agents giving individual medical advice"]},"interfaces":{"applicability":"required","items":["WHO haemoglobin thresholds","Clinical guidelines on iron deficiency and other anaemias"]},"context":{"applicability":"required","items":["A common blood condition needing diagnosis of its cause.","iron deficiency anaemia","vitamin B12 and folate deficiency anaemia","anaemia of chronic disease","inherited anaemias such as thalassaemia, sickle cell and spherocytosis","bone marrow related anaemias"]}},"sources":[{"title":"Wikidata item Q5445: anemia","url":"https://www.wikidata.org/wiki/Q5445","note":"identity and sense of the item"},{"title":"Wikipedia: Anemia","url":"https://en.wikipedia.org/wiki/Anemia","note":"general description of the item"}],"openQuestions":["Should each anaemia type be a separate entry?","How should guidelines be linked?","How should nutrition guidance be localised?"],"resources":{"spec":"/models/things/publications/thing-q5445/spec.json"},"provenance":{"origin":"thing registry research (pass 2)","builtFrom":["models/things/publications/thing-q5445/spec.json"],"providers":["Claude"],"researchStatus":"unreviewed","generatedAt":"2026-09-11T19:39:11Z","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 2026-10-06T19:52:00+00:00: completeness 1.00; sense: Wikidata description; 2 live sources; review by codex: pass","interaction.properties":"Plane INF: no invented physical properties."},"score":1.0}}