{ "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T06:32:40Z", "providers": [ "Claude" ], "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify", "pass": 2, "wave": 3, "engine": "claude", "enrichment": { "pass": 3, "engine": "claude", "producedAt": "2026-10-06T10:00:00Z", "ingestedAt": "2026-10-06T07:09:03+00:00", "fields": [ "agent_conduct", "ethics", "owners" ] }, "gate": { "passed": true, "version": "1.0", "at": "2026-10-06T19:52:01+00:00", "evidence": [ "completeness 1.00", "sense: Wikidata description", "2 live sources", "review by codex: pass" ] } }, "metaModel": { "id": "THING-Q629444", "registryId": "vr.tr.dyskinesia", "name": "dyskinesia", "version": "0.2.0-wave.3", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q629444/", "model": { "registry_id": "vr.tr.dyskinesia", "name": "dyskinesia", "purpose": "Let an agent explain dyskinesia and its forms in neutral clinical terms, relay causes, mechanisms and management in general from neurology sources, describe drug-induced and congenital forms, and route people with symptoms to neurologists.", "definition": "A category of movement disorders involving involuntary, abnormal or impaired voluntary movements, including drug-induced forms such as levodopa-induced dyskinesia in Parkinson s disease and tardive dyskinesia from antipsychotics, chorea, dystonia and athetosis, synkinesis in which unintended movements accompany voluntary ones as after facial nerve injury, mirror movements including familial congenital mirror movements, and broader motor debility; dyskinesias arise from basal ganglia and neural pathway dysfunction and are managed by adjusting medication and other therapies.", "what_it_is_for": "Not applicable; a category of disorders.", "affordances": [ "explain forms and mechanisms", "relay causes and management", "describe specific syndromes", "route to specialists" ], "distinguishing_features": [ "Involuntary movement", "Basal ganglia involvement", "Drug-induced forms", "Congenital forms" ], "appearance": "Not a visible object as a category; involuntary or abnormal movements.", "visual_identification": [ "Involuntary or impaired movements", "Levodopa-induced dyskinesia, tardive dyskinesia, synkinesis, mirror movements, dyskinetic syndromes, motor debility", "Tremor and tics are classified separately; ataxia is incoordination; paralysis is loss of movement" ], "physical_properties": [ { "quantity": "levodopa-induced dyskinesia", "typical_range": "about half of patients after 5 years", "unit": "note", "note": "estimates" }, { "quantity": "tardive dyskinesia", "typical_range": "about 20-30", "unit": "percent", "note": "of long-term antipsychotic users, estimates" }, { "quantity": "congenital mirror movements gene", "typical_range": "DCC and RAD51", "unit": "list", "note": "" } ], "families_and_kinds": [ "levodopa-induced dyskinesia", "tardive dyskinesia", "chorea, dystonia and athetosis as dyskinetic syndromes", "synkinesis after nerve injury", "mirror movement disorders including familial congenital mirror movements", "paroxysmal dyskinesias", "dyskinetic cerebral palsy" ], "related_models": [ { "relation": "is a kind of", "target": "movement disorders", "why": "in registry terms" }, { "relation": "is caused by", "target": "levodopa", "why": "in Parkinson s disease treatment" }, { "relation": "involves", "target": "basal ganglia", "why": "dysfunction" }, { "relation": "is contrasted with", "target": "tremor", "why": "a rhythmic movement disorder" } ], "identifiers": [ { "scheme": "ICD-11", "value_or_pattern": "8A0", "note": "movement disorders codes" }, { "scheme": "MeSH", "value_or_pattern": "D020820", "note": "dyskinesias" } ], "standards_and_regulation": [ "Neurology guidelines on Parkinson s disease and tardive dyskinesia", "Drug safety monitoring for antipsychotics and levodopa" ], "failure_modes_and_hazards": [ "Agents giving personal medication advice", "Confusing dyskinesia types", "Stigma toward visible movement disorders" ], "in_scope": [], "out_of_scope": [], "characteristics": [], "agent_conduct": { "may": [ "Explain the types of dyskinesia, including drug-induced forms, in general terms.", "Point people to a clinician when they notice new involuntary movements." ], "must_not": [ "Tell a person to stop, change or reduce medicines such as levodopa or antipsychotics.", "Diagnose a movement disorder from a description or video.", "Confuse dyskinesia with other movement disorders without saying so.", "Mock or film people with visible involuntary movements without consent." ], "requires_human": [ "Any decision on a patient's medication or diagnosis." ] }, "ethics": { "considerations": [ "Visible movement disorders attract stigma that isolates people.", "Drug-induced dyskinesia arises from treatment, so honest information about side effects matters." ], "affected_parties": [ "People with movement disorders", "Patients on antipsychotic or Parkinson medicines", "Carers" ] }, "owners": { "steward": "The treating clinician for each patient.", "master_systems": [] } }, "sources": [ { "id": "wikidata", "title": "Wikidata item Q629444: dyskinesia", "url": "https://www.wikidata.org/wiki/Q629444", "url_status": "live", "what_it_supports": "identity and sense of the item", "checked_by": "wikidata-api" }, { "id": "wikipedia-en", "title": "Wikipedia: Dyskinesia", "url": "https://en.wikipedia.org/wiki/Dyskinesia", "url_status": "live", "what_it_supports": "general description of the item", "checked_by": "wikidata-api sitelink" } ], "structure": { "bundles": [ { "id": "help", "name": "Help", "description": "Care first.", "rationale": "Safety.", "layers": [ { "id": "symptoms", "name": "Symptoms", "description": "Symptoms.", "findings": [ { "id": "symptoms-finding", "name": "Symptoms", "description": "Symptoms.", "questions": [ { "text": "Why do new or worsening involuntary movements, especially on medication, need assessment by a clinician or neurologist?", "kind": "action" }, { "text": "Is the user asking about their own movements or medication, which needs a clinician?", "kind": "boundary" } ] } ] }, { "id": "support", "name": "Support", "description": "Support.", "findings": [ { "id": "support-finding", "name": "Support", "description": "Support.", "questions": [ { "text": "What support organisations exist for people with Parkinson s disease and movement disorders?", "kind": "provenance" }, { "text": "Which entry fits the specific organisation?", "kind": "action" } ] } ] } ] }, { "id": "understand", "name": "Understand", "description": "The disorders.", "rationale": "Clinical.", "layers": [ { "id": "forms", "name": "Forms", "description": "Forms.", "findings": [ { "id": "forms-finding", "name": "Forms", "description": "Forms.", "questions": [ { "text": "What are levodopa-induced and tardive dyskinesia, synkinesis, mirror movements and other dyskinetic syndromes?", "kind": "definition" }, { "text": "Is the question about dyskinesia, tremor, tics or ataxia?", "kind": "boundary" } ] } ] }, { "id": "mechanisms", "name": "Mechanisms", "description": "Mechanisms.", "findings": [ { "id": "mechanisms-finding", "name": "Mechanisms", "description": "Mechanisms.", "questions": [ { "text": "How do basal ganglia circuits and nerve miswiring produce dyskinesias, in general terms?", "kind": "definition" }, { "text": "Which entry fits the specific mechanism?", "kind": "action" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Diagnosis and management.", "rationale": "Clinical.", "layers": [ { "id": "diagnosis", "name": "Diagnosis", "description": "Diagnosis.", "findings": [ { "id": "diagnosis-finding", "name": "Diagnosis", "description": "Diagnosis.", "questions": [ { "text": "How are dyskinesias diagnosed and rated by neurologists?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "management", "name": "Management", "description": "Management.", "findings": [ { "id": "management-finding", "name": "Management", "description": "Management.", "questions": [ { "text": "How are dyskinesias managed by medication adjustment, VMAT2 inhibitors, deep brain stimulation and therapy, in general terms?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Genetics and research.", "rationale": "Context.", "layers": [ { "id": "genetics", "name": "Genetics", "description": "Congenital forms.", "findings": [ { "id": "genetics-finding", "name": "Genetics", "description": "Genetics.", "questions": [ { "text": "What causes familial congenital mirror movements and other inherited dyskinesias?", "kind": "provenance" }, { "text": "Which entry fits mirror movement disorder?", "kind": "action" } ] } ] }, { "id": "research", "name": "Research", "description": "Research.", "findings": [ { "id": "research-finding", "name": "Research", "description": "Research.", "questions": [ { "text": "What research addresses prevention and treatment of drug-induced dyskinesia, with findings attributed?", "kind": "provenance" }, { "text": "Which entry fits movement disorder research?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should tardive dyskinesia and mirror movements be separate primary entries?", "How should neurology sources be linked?", "The registry entry has merged aliases naming distinct syndromes; should they be split off?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }