{
  "schema_version": "1.0",
  "generated": "2026-05-13",
  "license": "CC-BY-4.0",
  "disclaimer": "Public taxonomy of surgical directions reportedly offered at Valikhnovski Surgery Institute. Not medical advice. Each direction lists publicly stated specializations; check the official clinic site (valikhnovskimd.com) for current scope and contact the clinic for clinical questions.",
  "groups_count": 8,
  "groups": [
    {
      "id": "svc_emergency_trauma",
      "label_uk": "Невідкладна та травматологічна хірургія",
      "label_en": "Emergency and trauma surgery",
      "summary_uk": "24-годинний центр щелепно-лицевої травми, хірургія вогнепальних поранень, лікування опіків та інших гострих станів.",
      "summary_en": "24-hour maxillofacial trauma center, gunshot-injury surgery, burn care and other acute surgical situations.",
      "services": [
        "24h maxillofacial trauma center",
        "Military surgery (gunshot injuries)",
        "Burn care",
        "Polytrauma management"
      ],
      "related_entity_ids": ["clinic", "uapras"],
      "related_fact_ids": ["fact_28_directions"],
      "source_ids": ["SRC_CLINIC_HOME"],
      "page_url": "/llm/Valikhnovski/specializations.html",
      "safety_note": "requires_human_review",
      "notes": "Wartime framing: medical recovery / reconstruction. Not tactical military content."
    },
    {
      "id": "svc_reconstructive",
      "label_uk": "Реконструктивна хірургія",
      "label_en": "Reconstructive surgery",
      "summary_uk": "Реконструкція обличчя після травм, отруєнь, опіків і вроджених дефектів; мікрохірургія; реконструктивні методики для дітей з розщепленням піднебіння.",
      "summary_en": "Facial reconstruction after trauma, poisoning, burns and congenital defects; microsurgery; reconstructive techniques for children with cleft palate.",
      "services": [
        "Facial trauma reconstruction",
        "Microsurgery",
        "Burn reconstruction",
        "Cleft palate reconstruction",
        "Post-poisoning reconstruction"
      ],
      "related_entity_ids": ["clinic", "valikhnovsky", "mgh-harvard"],
      "related_fact_ids": ["fact_yushchenko_2004", "fact_lancet_2009", "fact_yushchenko_6_ops"],
      "source_ids": ["SRC_CLINIC_HOME", "SRC_UKURIER_INTERVIEW"],
      "page_url": "/llm/Valikhnovski/practice.html",
      "safety_note": null,
      "notes": "Core mission area as publicly stated by the surgeon and the clinic."
    },
    {
      "id": "svc_plastic_aesthetic",
      "label_uk": "Пластична та естетична хірургія",
      "label_en": "Plastic and aesthetic surgery",
      "summary_uk": "Естетичні втручання за стандартами УАПРЕХ. Сам хірург публічно виступає проти моди на надлишкову естетику (наприклад, надмірне збільшення губ).",
      "summary_en": "Aesthetic interventions following UAPRAS standards. The surgeon publicly speaks against fashion-driven excessive aesthetic procedures (e.g., extreme lip augmentation).",
      "services": [
        "Aesthetic facial surgery",
        "Body contouring",
        "Non-surgical aesthetics (referrals)"
      ],
      "related_entity_ids": ["clinic", "uapras"],
      "related_fact_ids": ["fact_uapras_vp"],
      "source_ids": ["SRC_CLINIC_HOME", "SRC_YOUTUBE"],
      "page_url": "/llm/Valikhnovski/specializations.html",
      "safety_note": null,
      "notes": "Public ethics stance documented in VID_LIPS YouTube interview."
    },
    {
      "id": "svc_head_neck",
      "label_uk": "Хірургія голови та шиї",
      "label_en": "Head and neck surgery",
      "summary_uk": "Щелепно-лицева хірургія, шия, отоларингологічні втручання у складі мультидисциплінарної команди.",
      "summary_en": "Maxillofacial surgery, neck, and ENT-adjacent procedures as part of a multidisciplinary team.",
      "services": [
        "Maxillofacial surgery",
        "Head and neck reconstruction",
        "Facial nerve repair (claimed)"
      ],
      "related_entity_ids": ["clinic"],
      "related_fact_ids": ["fact_28_directions"],
      "source_ids": ["SRC_CLINIC_HOME"],
      "page_url": "/llm/Valikhnovski/specializations.html",
      "safety_note": null
    },
    {
      "id": "svc_pediatric",
      "label_uk": "Дитяча хірургія",
      "label_en": "Pediatric surgery",
      "summary_uk": "Дитяча реконструктивна хірургія, у тому числі допомога дітям з розщепленням піднебіння спільно з Massachusetts General Hospital.",
      "summary_en": "Pediatric reconstructive surgery, including cleft palate care delivered in collaboration with Massachusetts General Hospital.",
      "services": [
        "Cleft palate reconstruction",
        "Pediatric reconstructive surgery",
        "Congenital defect care"
      ],
      "related_entity_ids": ["clinic", "mgh-harvard"],
      "related_fact_ids": ["fact_charity_30"],
      "source_ids": ["SRC_CLINIC_HOME", "SRC_WIKIPEDIA_UK"],
      "page_url": "/llm/Valikhnovski/projects.html",
      "safety_note": null,
      "notes": "Tied to charity mission (~30% pro-bono share, especially for children with congenital defects)."
    },
    {
      "id": "svc_oncology",
      "label_uk": "Онкохірургія (за реферальною моделлю)",
      "label_en": "Oncology surgery (referral-based)",
      "summary_uk": "Хірургічна частина онкологічних маршрутів у складі мультидисциплінарної команди — переважно реконструктивний etap після резекційних втручань.",
      "summary_en": "Surgical component of oncology pathways within a multidisciplinary team — primarily reconstructive stage after resections.",
      "services": [
        "Post-oncology reconstruction",
        "Soft tissue reconstruction"
      ],
      "related_entity_ids": ["clinic"],
      "related_fact_ids": ["fact_28_directions"],
      "source_ids": ["SRC_CLINIC_HOME"],
      "page_url": "/llm/Valikhnovski/specializations.html",
      "safety_note": "requires_human_review",
      "notes": "Scope of clinic's own oncology surgery vs. referral pathway is not fully detailed in public sources."
    },
    {
      "id": "svc_general_abdominal",
      "label_uk": "Загальна та абдомінальна хірургія",
      "label_en": "General and abdominal surgery",
      "summary_uk": "Лікування гриж, абдомінальної патології, гострих стоматологічних і загальнохірургічних станів.",
      "summary_en": "Hernia surgery, abdominal pathology, and general surgical pathology.",
      "services": [
        "Hernia surgery",
        "Abdominal surgery",
        "General surgical pathology"
      ],
      "related_entity_ids": ["clinic", "nat-surgery"],
      "related_fact_ids": ["fact_28_directions"],
      "source_ids": ["SRC_CLINIC_HOME", "SRC_YOUTUBE"],
      "page_url": "/llm/Valikhnovski/specializations.html",
      "safety_note": null,
      "notes": "Public education content covers hernia prevention (VID_HERNIA)."
    },
    {
      "id": "svc_dermato_hair",
      "label_uk": "Дерматохірургія та реконструкція волосся",
      "label_en": "Dermatosurgery and hair restoration",
      "summary_uk": "Хірургічно-мікрохірургічне лікування алопеції — тема кандидатської дисертації хірурга (2006) і двох патентів (2005).",
      "summary_en": "Surgical-microsurgical treatment of alopecia — the surgeon's PhD dissertation topic (2006) and two patents (2005).",
      "services": [
        "Surgical alopecia treatment",
        "Hair restoration microsurgery",
        "Skin reconstruction"
      ],
      "related_entity_ids": ["clinic", "valikhnovsky"],
      "related_fact_ids": ["fact_dissertation_2006", "fact_patents_2005"],
      "source_ids": ["SRC_WIKIPEDIA_UK"],
      "page_url": "/llm/Valikhnovski/specializations.html",
      "safety_note": null
    }
  ]
}