{"schema":"https://ver.cy/schemas/card/1.0.0","id":"vr.tr.birthing-center","code":"thing-q1752787","url":"https://ver.cy/models/thing/q1752787/","name":"birthing center","alternateNames":[],"kind":"thing","status":"published","version":"0.2.0-wave.4","language":"en","classifiers":{"family":"Thing Registry","category":"Physical world and living systems","entryKind":"thing","plane":"PHY","domain":["PHY.BLT"],"industry":[],"navPath":"","tags":[],"facets":{}},"whatItIs":"A health care facility, often freestanding or attached to a hospital, where people with low-risk pregnancies give birth under the care of midwives in a home-like setting, with emergency transfer arrangements to a hospital obstetric unit when complications arise; birth centres are regulated and accredited differently across countries and research compares their outcomes with hospital and home births. People in labour with warning signs should seek emergency care.","purpose":"Let an agent explain birth centres, relay models of care, eligibility, safety evidence and regulation from midwifery, obstetric and health authority sources with attribution, describe freestanding and alongside units, and distinguish birth centres from hospital labour wards and home birth, without giving personal medical advice.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["Midwife-led","Low-risk focus","Home-like","Transfer arrangements"],"structure":{"bundles":[{"id":"understand","name":"Understand","description":"What a birth centre is.","layers":[{"id":"definition","name":"Definition","description":"Definition.","findings":[{"id":"definition-finding","name":"Definition","description":"Definition.","questions":[{"text":"What is a birth centre, and how does it differ from a hospital labour ward and home birth?","kind":"definition"},{"text":"Is someone in labour with heavy bleeding, severe pain or other warning signs, which needs emergency care now?","kind":"boundary"}]}]},{"id":"kinds","name":"Kinds","description":"Kinds.","findings":[{"id":"kinds-finding","name":"Kinds","description":"Kinds.","questions":[{"text":"What are freestanding, alongside and community birth centres?","kind":"definition"},{"text":"Which entry fits the specific kind?","kind":"action"}]}]}]},{"id":"care","name":"Care","description":"Model of care.","layers":[{"id":"midwifery","name":"Midwifery","description":"Midwifery care.","findings":[{"id":"midwifery-finding","name":"Midwifery","description":"Midwifery.","questions":[{"text":"What care do midwives provide in birth centres, and what is not available there?","kind":"provenance"},{"text":"Which references are standard?","kind":"provenance"}]}]},{"id":"transfer","name":"Transfer","description":"Transfer.","findings":[{"id":"transfer-finding","name":"Transfer","description":"Transfer.","questions":[{"text":"How do transfer arrangements work when complications arise?","kind":"provenance"},{"text":"Which sources are cited?","kind":"provenance"}]}]}]},{"id":"evidence","name":"Evidence","description":"Evidence and regulation.","layers":[{"id":"outcomes","name":"Outcomes","description":"Outcomes.","findings":[{"id":"outcomes-finding","name":"Outcomes","description":"Outcomes.","questions":[{"text":"What do studies such as Birthplace in England report about outcomes, with findings attributed?","kind":"provenance"},{"text":"Is the presentation attributed and neutral?","kind":"boundary"}]}]},{"id":"regulation","name":"Regulation","description":"Regulation.","findings":[{"id":"regulation-finding","name":"Regulation","description":"Regulation.","questions":[{"text":"How are birth centres licensed and accredited?","kind":"provenance"},{"text":"Which entry fits midwifery regulation?","kind":"action"}]}]}]},{"id":"context","name":"Context","description":"History.","layers":[{"id":"history","name":"History","description":"History.","findings":[{"id":"history-finding","name":"History","description":"History.","questions":[{"text":"How did birth centres develop as an alternative to hospital births?","kind":"provenance"},{"text":"Which entry fits the history of childbirth?","kind":"action"}]}]},{"id":"access","name":"Access","description":"Access.","findings":[{"id":"access-finding","name":"Access","description":"Access.","questions":[{"text":"How do people find information on birth settings from health services?","kind":"provenance"},{"text":"Which entry fits maternity care?","kind":"action"}]}]}]}]},"agentConduct":{"may":["Explain birth centres, their care model and regulation, citing health sources.","Point expectant parents to their midwife or doctor for choices."],"mustNot":["Advise a specific person on where to give birth.","Delay or discourage transfer to hospital when complications arise.","Present one side of the birth setting debate as settled.","Disclose a person's pregnancy or birth details."],"requiresHuman":["Any decision about a specific person's birth plan or transfer."]},"ethics":{"considerations":["Birth setting affects safety of parent and baby and is deeply personal.","Respecting choice must not cost timely emergency care."],"affectedParties":["Birthing parents","Newborns","Midwives"]},"owners":{"steward":"The operator of the centre, under health authority regulation.","roles":[],"masterSystems":["Health facility registers"]},"relations":[{"target":"Q4260475","type":"parent","note":"registry parent class"},{"target":"medical facility","type":"related","note":"in registry terms"},{"target":"midwife","type":"related"},{"target":"labour ward","type":"related","note":"obstetric-led"},{"target":"home birth","type":"related"}],"interaction":{"identity":{"applicability":"required","items":["Vercy registry: vr.tr.birthing-center","Wikidata: Q1752787 (https://www.wikidata.org/wiki/Q1752787)"]},"properties":{"applicability":"required","items":["eligibility: low-risk pregnancies note","UK Birthplace study: 2011 year - compared settings","US accreditation: Commission for the Accreditation of Birth Centers note"]},"recognition":{"applicability":"required","items":["Midwife-led facility for low-risk births","Freestanding birth centres, alongside midwifery units","Hospital labour wards provide obstetric care; home birth happens at home","Home-like birth rooms with birthing pools and beds."]},"capabilities":{"applicability":"required","items":["explain the model of care","relay evidence and regulation","describe kinds","distinguish related settings"]},"hazards":{"applicability":"required","items":["Agents giving personal birth-planning advice","Delayed transfer in emergencies","Partisan framing of birth setting debates"]},"interfaces":{"applicability":"required","items":["National licensing and accreditation standards","NICE intrapartum care guidance and similar guidelines"]},"context":{"applicability":"required","items":["Midwife-led care for low-risk births.","freestanding birth centres","alongside or hospital-attached midwifery units","community birth centres","birth centres in different national systems"]}},"sources":[{"title":"Wikidata item Q1752787: birthing center","url":"https://www.wikidata.org/wiki/Q1752787","note":"identity and sense of the item"},{"title":"Wikipedia: Birthing center","url":"https://en.wikipedia.org/wiki/Birthing_center","note":"general description of the item"}],"openQuestions":["Should alongside midwifery unit be a separate entry?","How should health authority sources be linked?","How should outcome evidence be presented?"],"resources":{"spec":"/models/things/publications/thing-q1752787/spec.json"},"provenance":{"origin":"thing registry research (pass 2)","builtFrom":["models/things/publications/thing-q1752787/spec.json"],"providers":["Claude"],"researchStatus":"unreviewed","generatedAt":"2026-09-13T18:15:16Z","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":"filled","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 2026-10-06T19:51:55+00:00: completeness 1.00; sense: Wikidata description; 2 live sources; review by codex: pass"},"score":1.0}}