{"schema":"https://ver.cy/schemas/card/1.0.0","id":"vr.tr.hospital-train","code":"thing-q2394194","url":"https://ver.cy/models/thing/q2394194/","name":"hospital train","alternateNames":[],"kind":"thing","status":"published","version":"0.1.0-research.1","language":"en","classifiers":{"family":"Thing Registry","category":"Physical world and living systems","entryKind":"thing","plane":"PHY","domain":["PHY.OBJ"],"industry":[],"navPath":"","tags":[],"facets":{}},"whatItIs":"A hospital train is a railway train equipped and staffed to transport sick or injured people while providing medical care, with some configurations also supporting treatment during stationary deployment.","purpose":"Enable an AI agent to recognise a hospital train, assess its transport and care capabilities, and identify the conditions under which it may receive, move or treat patients.","scope":{"in":["Medical mission and the boundary between evacuation, care during transit and treatment while stationary","Clinical and support functions distributed across railway vehicles","Patient accommodation, accessibility and transfer interfaces","Dependencies between onboard care, utilities, staffing and railway movement","Configuration-specific readiness, operating restrictions and emergency arrangements"],"out":["General locomotive and carriage engineering except where it constrains medical use","Individual patient records, diagnoses and treatment decisions","The operating healthcare organisation and its institutional governance","Railway infrastructure and network dispatch systems","Fixed hospitals and their internal operations","Standalone medical devices and their detailed specifications"],"boundaries":[]},"distinguishingFeatures":["It is a railway consist with an organised patient-care function, rather than an ordinary passenger train that happens to carry sick passengers.","Its medical role is evidenced by its configuration, staffing arrangements or designated care spaces, rather than by a name or livery alone.","It accommodates patients for care or medical transport, rather than merely carrying medical supplies as freight.","A single medical carriage must be distinguished from the hospital-train consist into which it is incorporated.","A stationary rail clinic requires an explicit boundary decision based on whether the registry includes treatment trains that do not carry patients between stops."],"structure":{"bundles":[{"id":"medical-mission-and-identity","name":"Medical mission and identity","description":"Establishes what makes the railway consist a hospital train and which medical role it is configured to perform.","layers":[{"id":"hospital-train-boundary","name":"Hospital-train boundary","description":"Separates the modelled kind from individual vehicles, named services and adjacent transport types.","findings":[{"id":"organised-medical-consist","name":"Organised medical consist","description":"Record evidence that medical care or patient transport is an organised function of the consist.","questions":[{"text":"What configuration or operating designation establishes this as a hospital train?","id":"organised-medical-consist-q01","kind":"definition"},{"text":"Is the subject a complete consist, a medical carriage, a named service or a stationary rail clinic?","id":"organised-medical-consist-q02","kind":"boundary"}]}]},{"id":"mission-and-operating-mode","name":"Mission and operating mode","description":"Relates the declared medical mission to moving and stationary operation.","findings":[{"id":"mode-specific-medical-role","name":"Mode-specific medical role","description":"Record whether patients travel aboard and which care functions are declared for each operating mode.","questions":[{"text":"Does the train evacuate patients, provide care during transport, deliver treatment at stops or combine these roles?","id":"mode-specific-medical-role-q01","kind":"definition"},{"text":"Which documented care functions require the train to be stationary?","id":"mode-specific-medical-role-q02","kind":"boundary"}]}]}]},{"id":"clinical-consist-and-patient-spaces","name":"Clinical consist and patient spaces","description":"Describes how vehicle arrangement and patient accommodation support the declared medical mission.","layers":[{"id":"vehicle-functions-and-connections","name":"Vehicle functions and connections","description":"Maps medical and supporting functions to vehicles and their connections.","findings":[{"id":"care-path-through-consist","name":"Care path through the consist","description":"Record vehicle order, functional dependencies and routes for patients, staff and clinical supplies.","questions":[{"text":"Which vehicles provide patient accommodation, treatment, staff support and essential utilities?","id":"care-path-through-consist-q01","kind":"definition"},{"text":"Where do gangways, doorways or vehicle separation prevent required patient or staff movement?","id":"care-path-through-consist-q02","kind":"boundary"}]}]},{"id":"patient-accommodation-and-access","name":"Patient accommodation and access","description":"Captures usable patient positions and the physical conditions for boarding and movement.","findings":[{"id":"capacity-and-transfer-fit","name":"Capacity and transfer fit","description":"Record capacity by patient configuration together with the dimensions and equipment that constrain access.","questions":[{"text":"How many patient positions of each declared type are usable in the current configuration?","id":"capacity-and-transfer-fit-q01","kind":"measurement"},{"text":"What platform interface, clearances and lifting or ramp equipment are required for the intended patients?","id":"capacity-and-transfer-fit-q02","kind":"measurement"}]}]}]},{"id":"care-delivery-and-clinical-support","name":"Care delivery and clinical support","description":"Connects declared care functions to staffing, equipment and patient-separation arrangements.","layers":[{"id":"supported-care-functions","name":"Supported care functions","description":"Defines care capability through available resources and operating limitations.","findings":[{"id":"staffed-and-equipped-capability","name":"Staffed and equipped capability","description":"Record the personnel, equipment and consumables required for each declared function without assuming universal hospital facilities.","questions":[{"text":"What staffing, equipment and consumables substantiate each claimed care function?","id":"staffed-and-equipped-capability-q01","kind":"provenance"},{"text":"Which patient requirements exceed the supported capability for the proposed journey?","id":"staffed-and-equipped-capability-q02","kind":"boundary"}]}]},{"id":"patient-separation-and-cleaning","name":"Patient separation and cleaning","description":"Addresses how shared railway spaces support separation, hygiene and turnover.","findings":[{"id":"clinical-zoning-in-connected-cars","name":"Clinical zoning in connected cars","description":"Record patient-separation arrangements and how circulation, ventilation, cleaning and waste handling affect them.","questions":[{"text":"What patient-separation capability is documented, and what limitations arise from shared air or passageways?","id":"clinical-zoning-in-connected-cars-q01","kind":"boundary"},{"text":"What cleaning and waste-removal steps must be completed before the affected spaces receive another patient group?","id":"clinical-zoning-in-connected-cars-q02","kind":"action"}]}]}]},{"id":"rail-operation-and-clinical-utilities","name":"Rail operation and clinical utilities","description":"Connects railway movement and onboard service continuity to medical use.","layers":[{"id":"route-and-movement-constraints","name":"Route and movement constraints","description":"Records railway compatibility and restrictions affecting patients and onboard procedures.","findings":[{"id":"medical-mission-route-fit","name":"Medical mission route fit","description":"Link consist compatibility, permitted movement and clinical operating restrictions to a proposed route.","questions":[{"text":"What railway compatibility evidence supports operation over the proposed route?","id":"medical-mission-route-fit-q01","kind":"provenance"},{"text":"What documented movement, vibration or operating restrictions constrain care during travel?","id":"medical-mission-route-fit-q02","kind":"boundary"}]}]},{"id":"utility-continuity-and-replenishment","name":"Utility continuity and replenishment","description":"Tracks essential services across travel, stops, external connections and supply interruptions.","findings":[{"id":"care-support-autonomy","name":"Care-support autonomy","description":"Record applicable power, water, sanitation, environmental-control and medical-gas dependencies, including backup and replenishment.","questions":[{"text":"How long can each essential service support the declared patient load without external supply?","id":"care-support-autonomy-q01","kind":"measurement"},{"text":"What care restrictions and replenishment actions follow loss of each essential service?","id":"care-support-autonomy-q02","kind":"action"}]}]}]},{"id":"deployment-handover-and-contingencies","name":"Deployment, handover and contingencies","description":"Establishes readiness for a specified mission and arrangements for patient transfer or interrupted operation.","layers":[{"id":"mission-release-and-handover","name":"Mission release and handover","description":"Connects readiness evidence to boarding, departure and receiving-care arrangements.","findings":[{"id":"joint-readiness-and-receiving-interface","name":"Joint readiness and receiving interface","description":"Record railway and clinical readiness decisions, unresolved restrictions and the organisations accepting patient transfers.","questions":[{"text":"Who confirms railway and clinical readiness, and what evidence supports the current mission status?","id":"joint-readiness-and-receiving-interface-q01","kind":"provenance"},{"text":"What must be confirmed about transfer equipment, receiving capacity and clinical handover before patients are accepted?","id":"joint-readiness-and-receiving-interface-q02","kind":"action"}]}]},{"id":"interrupted-journey-and-evacuation","name":"Interrupted journey and evacuation","description":"Addresses patient care when the train is immobilised, a vehicle becomes unusable or evacuation is required.","findings":[{"id":"dependent-patient-contingency","name":"Dependent-patient contingency","description":"Record contingency arrangements that account for patients unable to walk or requiring continuous clinical support.","questions":[{"text":"How can care continue if the train stops between accessible transfer locations?","id":"dependent-patient-contingency-q01","kind":"action"},{"text":"What arrangements support evacuation of non-ambulatory patients while maintaining their required clinical support?","id":"dependent-patient-contingency-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 hospital train 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 hospital train 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 hospital train this model covers, and on what evidence?","id":"evidence-identifiers-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 hospital train this model covers, and on what evidence?","id":"evidence-real-world-use-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 hospital train 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 hospital train 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 hospital train this model covers, and on what evidence?","id":"evidence-neighbours-q01","kind":"provenance"}]}]}]}]},"agentConduct":{"may":["Report a hospital train's configuration, capacity and readiness from the operator's records.","Help plan logistics, supplies and crew rosters for a deployment on the operator's instruction."],"mustNot":["Direct patient movement or triage decisions.","Publish patients' identities, conditions or the train's position during a conflict or disaster.","Use or display the protective medical emblem for anything other than genuine medical transport.","Move a train carrying patients outside the dispatcher's authorization and safety rules."],"requiresHuman":["Any decision about loading, triage or onward transfer of patients.","Releasing information about routes or patients in an active emergency."]},"ethics":{"considerations":["Patients in transit are wholly dependent on the crew and cannot leave.","Medical transports are protected under humanitarian law, and misuse endangers all of them.","Location information about a medical train can make it a target."],"affectedParties":["Patients on board","Medical and rail crews","Families awaiting news"]},"owners":{"steward":"The operating authority, usually a health service, military medical service or relief organization.","roles":[],"masterSystems":["National rolling stock registers","Health service asset records"]},"relations":[{"target":"Q1308737","type":"parent","note":"registry parent class"}],"interaction":{"identity":{"applicability":"required","items":["Vercy registry: vr.tr.hospital-train","Wikidata: Q2394194 (https://www.wikidata.org/wiki/Q2394194)"]},"properties":{"applicability":"required","items":["Medical mission: patient evacuation | care during transport | stationary treatment | combined | unresolved","Consist composition: ordered relationships to clinical, accommodation, utility, logistics and traction vehicles","Care capability by operating mode: documented clinical functions available while stationary and while moving","Usable patient capacity: patients, separated by seated, stretcher, bed and other declared care configurations","Patient transfer interface: documented door, platform, ramp, lift and stretcher-transfer arrangements","Railway compatibility: compatible track gauge, loading envelope, braking, coupling and traction arrangements","Clinical utility autonomy: hours for each essential utility under a stated patient load and operating mode","Clinical staffing coverage: required roles and available qualified personnel by care function and duty period","Deployment readiness: unassessed | ready for declared mission | restricted | unavailable"]},"recognition":{"applicability":"required","items":["Carriage interiors may contain patient beds or secured stretchers alongside medical equipment.","Wide loading entrances or dedicated boarding equipment may support the transfer of patients on stretchers.","Medical markings and designated treatment carriages can support identification, although exterior markings alone do not confirm medical capability."]},"capabilities":{"applicability":"required","items":["Classify a candidate consist by its medical mission and identify ambiguous boundary cases.","Compare a proposed patient load with accommodation, care capability and staffing.","Check whether a proposed route and its transfer stops support the configured train.","Identify missing vehicles, supplies or utilities that prevent a declared care function.","Determine which capabilities remain available when movement or a utility is interrupted.","Prepare evidence-based readiness and handover checks for authorised railway and clinical personnel."]},"hazards":{"applicability":"required","items":["Deterioration of patients where care on board is interrupted.","Attack or obstruction of the train despite its protected status.","Infection spread in crowded carriages during mass casualty transport."]},"interfaces":{"applicability":"required","items":["Geneva Convention I of 1949 on the protection of medical transports, International Committee of the Red Cross as custodian."]},"context":{"applicability":"required","items":["Hospital trains transport sick or injured patients while supporting medical care during rail journeys.","They are used in evacuation, disaster response and deployments where railway access can connect patients with treatment facilities.","Some configurations provide healthcare while stationary at a railway location."]}},"sources":[{"title":"Wikidata item Q2394194: hospital train","url":"https://www.wikidata.org/wiki/Q2394194","note":"identity and sense of the item"},{"title":"Wikipedia: Hospital train","url":"https://en.wikipedia.org/wiki/Hospital_train","note":"general description of the item"}],"openQuestions":["Does the registry intend hospital train to include stationary treatment trains, ambulance trains and a single medical carriage operating within a mixed consist?","Which primary sources establish a defensible minimum medical configuration for this kind across historical and contemporary uses?","Which railway, clinical, accessibility and fire-safety requirements apply in each jurisdiction and operating context?","What sourced examples establish capacity, access dimensions and utility autonomy without implying universal specifications?","Under what documented conditions, if any, does a particular hospital train have a protected legal status, and how should that status relate to this physical-object model?"],"resources":{"spec":"/models/things/publications/thing-q2394194/spec.json"},"provenance":{"origin":"thing registry research (pass 2)","builtFrom":["models/things/publications/thing-q2394194/spec.json"],"providers":["Codex"],"researchStatus":"unreviewed","generatedAt":"2026-09-12T10:19:14Z","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 2026-10-09T07:30:01+00:00: completeness 1.00; sense: Wikidata description; 2 live sources; review by codex: pass"},"score":1.0}}