{"schema":"https://ver.cy/schemas/card/1.0.0","id":"vr.tr.operation-3","code":"thing-operation-3","url":"https://ver.cy/models/thing/operation-3/","name":"operation","alternateNames":["abdominoplasty","tummy tuck","catheterization","catheterisation","ablation","extirpation","cutting out","excision","adenoidectomy","adrenalectomy","suprarenalectomy","appendectomy"],"kind":"thing","status":"published","version":"0.1.0-research.1","language":"en","classifiers":{"family":"Thing Registry","category":"Activities and processes","entryKind":"noun.act","plane":"ACT","domain":["ACT.ACT"],"industry":[],"navPath":"","tags":[],"facets":{"substance":"activity","origin":"conceptual","agency":"inert","mobility":"not-applicable","scale":"not-applicable","affordances":["observable"]}},"whatItIs":"An operation, in the specified surgical sense, is a medical intervention involving incision and instrumental manipulation of living tissues to repair damage, remove or modify diseased tissue, or arrest disease.","purpose":"Enable an AI agent to recognise a surgical operation, record its intended repair or disease-control purpose and current state, and identify decisions that require clinical authority.","scope":{"in":["The identity and boundaries of one planned or performed surgical operation","The operative target, indication and intended repair or disease-control result","Incisional access, operative approach and intended tissue changes","Operation-specific authorisation, preparation and accountable clinical roles","The operative course, completion state and immediate postoperative handover"],"out":["Mathematical, computing, military and business senses of operation","Surgery as a discipline, profession or institutional service","The underlying disease or injury as an independently modelled condition","Anaesthesia management as a separate clinical process linked to the operation","Standalone non-incisional treatments and diagnostic investigations","Long-term rehabilitation and the patient's complete care history"],"boundaries":[]},"distinguishingFeatures":["The referent is a medical intervention on a living body, rather than an abstract operation or a postmortem dissection.","The planned or performed intervention includes an incision made with instruments; a generic procedure label alone does not establish this.","Its stated purpose includes repairing damage or arresting disease under this registry definition; purely diagnostic or cosmetic cases require a recorded boundary decision.","The operative action directly addresses a bodily target; anaesthesia, imaging or preparation alone does not constitute the operation.","It identifies a particular operative plan or event, with an accountable team and temporal boundary, rather than surgery in general."],"structure":{"bundles":[{"id":"operative-identity-and-boundaries","name":"Operative identity and boundaries","description":"Establishes what intervention is being represented and what counts as one operation.","layers":[{"id":"surgical-sense","name":"Surgical sense","description":"Tests the intervention against the registry's incisional and therapeutic definition.","findings":[{"id":"incisional-therapeutic-fit","name":"Incisional therapeutic fit","description":"Record evidence for intervention on a living body, incisional access and a repair or disease-control purpose; retain ambiguity explicitly.","questions":[{"text":"What documented incision and intended repair or disease-control action make this an operation under vr.tr.operation-3?","id":"incisional-therapeutic-fit-q01","kind":"definition"},{"text":"Does the case involve a diagnostic, cosmetic or non-incisional purpose that makes its inclusion uncertain?","id":"incisional-therapeutic-fit-q02","kind":"boundary"}]}]},{"id":"operative-event-boundary","name":"Operative event boundary","description":"Separates procedure types, planned instances, operative sessions and repeat interventions.","findings":[{"id":"one-operation-or-related-operations","name":"One operation or related operations","description":"Record the chosen event boundary and links to component procedures, stages and returns to the operating room.","questions":[{"text":"Which procedures belong to this operation, and what convention establishes that grouping?","id":"one-operation-or-related-operations-q01","kind":"boundary"},{"text":"Is this a first intervention, a planned stage, a revision or an unplanned return linked to an earlier operation?","id":"one-operation-or-related-operations-q02","kind":"provenance"}]}]}]},{"id":"indication-target-and-intent","name":"Indication, target and intent","description":"Connects the reason for operating to a specific bodily target and intended result.","layers":[{"id":"operative-indication","name":"Operative indication","description":"Captures the documented problem and the clinical rationale for intervention.","findings":[{"id":"documented-reason-to-operate","name":"Documented reason to operate","description":"Link the operation to its recorded indication, uncertainty and timing rationale without generating a treatment recommendation.","questions":[{"text":"Which damage or disease is this operation intended to address, and which clinical assessment supports that indication?","id":"documented-reason-to-operate-q01","kind":"provenance"},{"text":"What urgency and consequences of delay has the responsible clinician documented?","id":"documented-reason-to-operate-q02","kind":"action"}]}]},{"id":"anatomical-and-therapeutic-scope","name":"Anatomical and therapeutic scope","description":"Defines the intended site and bodily change.","findings":[{"id":"target-and-intended-change","name":"Target and intended change","description":"Record the anatomical target, laterality where relevant, intended tissue action and operation-specific success criteria.","questions":[{"text":"Which structure, site and side are targeted, and how are multiple targets distinguished?","id":"target-and-intended-change-q01","kind":"definition"},{"text":"What observable result would demonstrate the intended repair or disease-control objective, and when can it be assessed?","id":"target-and-intended-change-q02","kind":"measurement"}]}]}]},{"id":"authority-and-operative-readiness","name":"Authority and operative readiness","description":"Records who may decide, what scope is authorised and what preparation evidence is available.","layers":[{"id":"authorised-operative-scope","name":"Authorised operative scope","description":"Connects the proposed intervention to documented authority and accountable decision makers.","findings":[{"id":"authority-and-scope-record","name":"Authority and scope record","description":"Capture the recorded authorisation basis, its limitations and the clinician responsible for resolving discrepancies.","questions":[{"text":"What consent or other stated authority covers this operation, and where are its scope and limitations recorded?","id":"authority-and-scope-record-q01","kind":"provenance"},{"text":"Who must resolve a mismatch between the planned operation and the documented authorised scope?","id":"authority-and-scope-record-q02","kind":"action"}]}]},{"id":"procedure-specific-readiness","name":"Procedure-specific readiness","description":"Tracks preparation requirements selected by the responsible clinical service.","findings":[{"id":"readiness-evidence-and-unresolved-conditions","name":"Readiness evidence and unresolved conditions","description":"Record applicable preparation checks, required resources and unresolved concerns without treating checklist presence as clinical clearance.","questions":[{"text":"Which patient, procedure and site confirmations and operation-specific resources does the treating service require, and what evidence records their status?","id":"readiness-evidence-and-unresolved-conditions-q01","kind":"provenance"},{"text":"Which unresolved conditions require a documented clinician decision before proceeding?","id":"readiness-evidence-and-unresolved-conditions-q02","kind":"action"}]}]}]},{"id":"operative-course-and-material-disposition","name":"Operative course and material disposition","description":"Represents the intervention actually performed and the disposition of tissue and operative materials.","layers":[{"id":"performed-intervention","name":"Performed intervention","description":"Preserves actual access, operative actions and departures from the planned scope.","findings":[{"id":"actual-course-and-deviations","name":"Actual course and deviations","description":"Record the actual approach, significant operative observations, changes in scope and the documented reasons for those changes.","questions":[{"text":"What access and operative actions were actually performed, and which operative record establishes them?","id":"actual-course-and-deviations-q01","kind":"provenance"},{"text":"Was the approach or scope changed, extended or stopped, and what reason and decision maker were recorded?","id":"actual-course-and-deviations-q02","kind":"action"}]}]},{"id":"tissue-specimens-and-devices","name":"Tissue, specimens and devices","description":"Links bodily alterations and material dispositions to the operation.","findings":[{"id":"operative-material-accountability","name":"Operative material accountability","description":"Record what was removed, repaired, implanted or intentionally left in place, with links to specimen and device records where applicable.","questions":[{"text":"What tissue was removed or altered, and which specimen records preserve the source site and identification?","id":"operative-material-accountability-q01","kind":"provenance"},{"text":"Which implants, drains, packing or other materials remain, and what follow-up responsibility is documented for each?","id":"operative-material-accountability-q02","kind":"action"}]}]}]},{"id":"completion-outcomes-and-handover","name":"Completion, outcomes and handover","description":"Separates the end of operative activity from objective attainment and ongoing care obligations.","layers":[{"id":"completion-and-result","name":"Completion and result","description":"Captures the terminal operative state and the evidence available for judging its result.","findings":[{"id":"completion-versus-objective-attainment","name":"Completion versus objective attainment","description":"Record whether the intended intervention was completed and distinguish immediate observations from outcomes awaiting later assessment.","questions":[{"text":"Was the operation completed, partially performed or stopped, and which intended components remain undone?","id":"completion-versus-objective-attainment-q01","kind":"measurement"},{"text":"Which evidence supports objective attainment, and which results remain pending or uncertain?","id":"completion-versus-objective-attainment-q02","kind":"measurement"}]}]},{"id":"immediate-care-transfer","name":"Immediate care transfer","description":"Connects the operative record to the receiving team's responsibilities.","findings":[{"id":"operative-consequences-and-handover","name":"Operative consequences and handover","description":"Record reported adverse events, relevant operative consequences, pending results and clinician-issued follow-up instructions.","questions":[{"text":"What adverse events or unexpected observations were documented, and is any claimed relationship to the operation established or still under review?","id":"operative-consequences-and-handover-q01","kind":"provenance"},{"text":"What operation-specific instructions, pending results and escalation responsibilities were handed to which receiving team?","id":"operative-consequences-and-handover-q02","kind":"action"}]}]}]},{"id":"evidence-and-external-alignment","name":"Evidence and external alignment","description":"What the world already says about this thing, gathered so the model can be checked against it.","layers":[{"id":"reported-evidence","name":"Reported evidence","description":"Findings from the breadth pass, kept separate from the structural claims.","findings":[{"id":"evidence-confidence-notes","name":"Check these first","description":"Recalled without web access and unsourced; every item is a lead to verify.","questions":[{"text":"Which of these check these first hold for the sense of operation this model covers, and on what evidence?","id":"evidence-confidence-notes-q01","kind":"provenance"}]},{"id":"evidence-kinds","name":"Kinds and varieties","description":"Recalled without web access and unsourced; every item is a lead to verify.","questions":[{"text":"Which of these kinds and varieties hold for the sense of operation this model covers, and on what evidence?","id":"evidence-kinds-q01","kind":"provenance"}]},{"id":"evidence-identifiers","name":"Identifiers and schemes","description":"Recalled without web access and unsourced; every item is a lead to verify.","questions":[{"text":"Which of these identifiers and schemes hold for the sense of operation this model covers, and on what evidence?","id":"evidence-identifiers-q01","kind":"provenance"}]},{"id":"evidence-standards-and-regulation","name":"Standards and regulation","description":"Recalled without web access and unsourced; every item is a lead to verify.","questions":[{"text":"Which of these standards and regulation hold for the sense of operation this model covers, and on what evidence?","id":"evidence-standards-and-regulation-q01","kind":"provenance"}]},{"id":"evidence-real-world-use","name":"Real-world use","description":"Recalled without web access and unsourced; every item is a lead to verify.","questions":[{"text":"Which of these real-world use hold for the sense of operation this model covers, and on what evidence?","id":"evidence-real-world-use-q01","kind":"provenance"}]},{"id":"evidence-measurements","name":"Typical measurements","description":"Recalled without web access and unsourced; every item is a lead to verify.","questions":[{"text":"Which of these typical measurements hold for the sense of operation this model covers, and on what evidence?","id":"evidence-measurements-q01","kind":"provenance"}]},{"id":"evidence-failure-modes-and-hazards","name":"Failure modes and hazards","description":"Recalled without web access and unsourced; every item is a lead to verify.","questions":[{"text":"Which of these failure modes and hazards hold for the sense of operation this model covers, and on what evidence?","id":"evidence-failure-modes-and-hazards-q01","kind":"provenance"}]},{"id":"evidence-regional-variation","name":"Regional variation","description":"Recalled without web access and unsourced; every item is a lead to verify.","questions":[{"text":"Which of these regional variation hold for the sense of operation this model covers, and on what evidence?","id":"evidence-regional-variation-q01","kind":"provenance"}]},{"id":"evidence-neighbours","name":"Neighbouring kinds and how to tell them apart","description":"Recalled without web access and unsourced; every item is a lead to verify.","questions":[{"text":"Which of these neighbouring kinds and how to tell them apart hold for the sense of operation this model covers, and on what evidence?","id":"evidence-neighbours-q01","kind":"provenance"}]}]}]}]},"agentConduct":{"may":["Explain in general terms what a named operation involves, with sources.","Support the surgical team with checklists, records and scheduling when authorized.","Help a patient prepare the questions they want to ask before consenting."],"mustNot":["Perform, guide or direct any surgical step.","Obtain or substitute for a patient's informed consent.","Share operative records, images or video that identify a patient without consent.","Promise an outcome or minimize the risks of an operation."],"requiresHuman":["Any decision to operate, to continue or to stop.","Consent, anaesthesia and any change to the planned procedure."]},"ethics":{"considerations":["Consent must be informed and free; pressure or optimism undermines it.","Wrong-site and wrong-patient surgery causes irreversible harm."],"affectedParties":["Patients","Families","Surgical and anaesthetic teams"]},"owners":{"steward":"The operating surgeon and the hospital; health regulators oversee surgical practice.","roles":[],"masterSystems":["Hospital operative records"]},"relations":[{"target":"oewn-01026334-n","type":"parent","note":"registry parent class"}],"interaction":{"identity":{"applicability":"required","items":["Vercy registry: vr.tr.operation-3","Open English WordNet: oewn-00672594-n"]},"properties":{"applicability":"not-applicable","items":["Procedure identity: Recorded procedure name; terminology system, code and version when available","Operated subject: Link to the patient or other living subject record","Operative target: Anatomical structure, site, laterality and linked lesion where applicable","Indication and intended result: Linked damage or disease; documented repair or disease-control objective","Operative approach: Documented access route, incision and approach; planned and actual values recorded separately","Urgency: Treating service's urgency category with its definition and assignment time","Operation state: Proposed, scheduled, deferred, cancelled, underway, completed or stopped before intended completion","Authorisation status: Documented consent or other stated authority, scope, unresolved conditions and responsible reviewer","Operative duration: Minutes, with explicitly named start and end events","Objective attainment: Not assessed, achieved, partly achieved, not achieved or uncertain; assessor and assessment time"]},"recognition":{"applicability":"optional","items":["Identified by the operating record and consent form, not by what is observed in theatre."]},"capabilities":{"applicability":"required","items":["Classify a documented intervention against the registry's surgical sense and flag unresolved boundary cases.","Assemble a traceable view of the operative target, purpose, approach and responsible clinical team.","Compare planned, authorised and performed scope and route discrepancies for clinical review.","Track preparation evidence, unresolved prerequisites and decisions by authorised clinicians.","Record operative changes, tissue or device dispositions and immediate handover requirements.","Identify missing evidence and unanswered outcome questions without independently authorising or directing surgery."]},"hazards":{"applicability":"required","items":["Wrong site, wrong patient or retained instruments cause serious harm.","Infection, bleeding and anaesthetic complications after surgery."]},"interfaces":{"applicability":"required","items":["Surgical Safety Checklist, World Health Organization."]},"context":{"applicability":"required","items":["A surgical operation is performed in a clinical setting equipped for the intervention, such as a hospital operating room or an outpatient surgical facility.","It is used to repair injury, remove or modify diseased tissue, or control disease through direct intervention in living tissues.","Care records describe its indication, intended outcome and progress so that authorized clinical teams can coordinate treatment."]}},"sources":[{"title":"Open English WordNet 2024, synset oewn-00672594-n","url":"https://en-word.net/id/oewn-00672594-n","note":"sense and gloss of the concept"},{"title":"Wiktionary: operation","url":"https://en.wiktionary.org/wiki/operation","note":"word senses and usage"}],"openQuestions":["Does the existing Vercy catalogue already contain a world model for this surgical sense that should serve as its single source of truth?","How should the registry's repair-or-disease-control definition handle incisional operations performed solely for diagnosis, cosmetic change, prevention or donation?","Does this entry cover veterinary operations as well as human operations, given its reference to a living body?","Which convention should distinguish one operation from multiple procedures during one anaesthetic session, staged surgery and repeat intervention?","Which authoritative clinical terminology and perioperative documentation sources should ground the proposed categories, event boundaries and assessment criteria?"],"resources":{"spec":"/models/things/publications/thing-operation-3/spec.json"},"provenance":{"origin":"thing registry research (pass 2)","builtFrom":["models/things/publications/thing-operation-3/spec.json"],"providers":["Codex"],"researchStatus":"unreviewed","generatedAt":"2026-09-07T11:09:03Z","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 2026-10-07T12:16:27+00:00: completeness 1.00; sense: WordNet gloss; 2 live sources; review by codex: pass","interaction.properties":"Plane ACT: no invented physical properties."},"score":1.0}}