{ "model": { "rank": 1922, "code": "thing-q40821", "model_id": "vr.tr.surgery", "name": "surgery", "purpose": "Let an agent give general, non-diagnostic information about surgery, informed consent and recovery, routing all decisions to surgeons and care teams.", "family": "Thing Registry", "category": "Information and virtual systems", "status": "research-draft", "kind": "thing", "plane": "INF", "domain": "INF.KNW", "industry": "", "version": "", "url": "/models/thing/q40821/", "tier": 2, "score": 122, "payload": { "layer": "wikidata", "aliases": [ "aesthetic annular keratopigmentation", "Pressurized Intraperitoneal Aerosol Chemotherapy", "surgical science", "plastic surgery", "experimental surgery", "Prison plastic surgery", "mammaplasty", "Facial plastic surgery", "top surgery", "gluteoplasty", "ethnic plastic surgery", "cosmetic surgical procedure", "hand surgery", "cosmetic surgery", "breast augmentation", "body shaping", "brachioplasty", "Buccal fat extraction", "buttock augmentation", "double eyelid surgery", "head and neck surgery", "pediatric plastic surgery", "oncological plastic surgery", "lip augmentation", "pollicization", "Cosmetic surgery in South Korea", "Epicanthoplasty", "Kabera Global", "Cosmetic surgery in China", "Trans-umbilical breast augmentation", "breast implantation", "rib remodeling", "veterinary surgery", "Radiation enteropathy", "gynecological surgery", "Essure", "colpocleisis", "hysterectomy", "Palliative surgery", "RibXcar" ], "aliasCount": 201, "merged": 203, "knownIn": 122, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": "vr.tr.surgery", "source": { "dataset": "wikidata", "item": "Q40821", "url": "https://www.wikidata.org/wiki/Q40821", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-11T08:29:38Z", "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": 1, "engine": "claude" }, "metaModel": { "id": "THING-Q40821", "registryId": "vr.tr.surgery", "name": "surgery", "version": "0.2.0-wave.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "INF.KNW" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q40821/", "model": { "registry_id": "vr.tr.surgery", "name": "surgery", "purpose": "Let an agent give general, non-diagnostic information about surgery, informed consent and recovery, routing all decisions to surgeons and care teams.", "definition": "The branch of medicine that treats injuries, diseases and deformities by operative manual and instrumental techniques, including general, orthopaedic, cardiac, neurosurgery, plastic and minimally invasive surgery.", "what_it_is_for": "Treating conditions that need operative intervention.", "affordances": [ "understand types of surgery in general terms", "prepare questions for the surgical team", "understand informed consent", "follow recovery advice from clinicians" ], "distinguishing_features": [ "Operative treatment", "Many specialties", "Requires informed consent", "Carries risks and recovery time" ], "appearance": "Operating theatres, surgical teams and instruments.", "visual_identification": [ "Specialties such as orthopaedic or cardiac surgery", "Open or minimally invasive approaches", "Cosmetic procedures are regulated separately in some places" ], "physical_properties": [], "families_and_kinds": [ "general surgery", "orthopaedic surgery", "cardiothoracic and neurosurgery", "plastic and reconstructive surgery", "minimally invasive and robotic surgery" ], "related_models": [ { "relation": "is a kind of", "target": "medical procedure and clinical science", "why": "category" }, { "relation": "is performed by", "target": "surgeon", "why": "professional" }, { "relation": "takes place in", "target": "hospital", "why": "facility" }, { "relation": "requires", "target": "informed consent", "why": "ethics" } ], "identifiers": [], "standards_and_regulation": [ "WHO Surgical Safety Checklist", "Informed consent law", "Regulation of cosmetic procedures" ], "failure_modes_and_hazards": [ "Agents advising on whether to have surgery", "Unregulated cosmetic surgery", "Missing warning signs after surgery" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understanding", "name": "Understanding", "description": "General information.", "rationale": "Information must be general.", "layers": [ { "id": "type", "name": "Type", "description": "Specialty and approach.", "findings": [ { "id": "type-finding", "name": "Type", "description": "Surgery type.", "questions": [ { "text": "Which kind of surgery is being asked about, in general terms?", "kind": "definition" }, { "text": "Which specialty performs it?", "kind": "definition" } ] } ] }, { "id": "questions", "name": "Questions", "description": "For the team.", "findings": [ { "id": "questions-finding", "name": "Questions", "description": "Questions to ask.", "questions": [ { "text": "What questions should the person ask their surgical team?", "kind": "action" }, { "text": "Where is reliable patient information?", "kind": "provenance" } ] } ] } ] }, { "id": "consent", "name": "Consent", "description": "Decisions.", "rationale": "Decisions belong to patient and surgeon.", "layers": [ { "id": "informed", "name": "Informed consent", "description": "Rights.", "findings": [ { "id": "informed-finding", "name": "Informed", "description": "Informed consent.", "questions": [ { "text": "What does informed consent involve?", "kind": "definition" }, { "text": "Is the patient able to consent, or is someone else deciding lawfully?", "kind": "boundary" } ] } ] }, { "id": "limits", "name": "Limits", "description": "No advice on decisions.", "findings": [ { "id": "limits-finding", "name": "Limits", "description": "Advice limit.", "questions": [ { "text": "Is the user asking whether they should have an operation?", "kind": "boundary" }, { "text": "How should the agent refer them to their surgeon?", "kind": "action" } ] } ] } ] }, { "id": "recovery", "name": "Recovery", "description": "After surgery.", "rationale": "Recovery needs care.", "layers": [ { "id": "warning", "name": "Warning signs", "description": "Complications.", "findings": [ { "id": "warning-finding", "name": "Warning", "description": "Warning signs.", "questions": [ { "text": "Are there signs such as fever, bleeding or severe pain that need urgent help?", "kind": "boundary" }, { "text": "Who should be contacted?", "kind": "action" } ] } ] }, { "id": "rehab", "name": "Rehabilitation", "description": "Getting better.", "findings": [ { "id": "rehab-finding", "name": "Rehab", "description": "Rehabilitation.", "questions": [ { "text": "What rehabilitation is advised by the team?", "kind": "provenance" }, { "text": "How long does recovery usually take?", "kind": "measurement" } ] } ] } ] }, { "id": "safety", "name": "Safety", "description": "Standards.", "rationale": "Safety systems protect patients.", "layers": [ { "id": "checklist", "name": "Checklist", "description": "Safety standards.", "findings": [ { "id": "checklist-finding", "name": "Checklist", "description": "Surgical safety.", "questions": [ { "text": "Which safety standards does the hospital follow?", "kind": "provenance" }, { "text": "How are outcomes reported?", "kind": "provenance" } ] } ] }, { "id": "cosmetic", "name": "Cosmetic", "description": "Regulated providers.", "findings": [ { "id": "cosmetic-finding", "name": "Cosmetic", "description": "Cosmetic procedures.", "questions": [ { "text": "Is the provider registered and the practitioner qualified?", "kind": "provenance" }, { "text": "What are the risks of travelling abroad for surgery?", "kind": "boundary" } ] } ] } ] } ] }, "openQuestions": [ "Should specialties be separate entries?", "How should consent resources be linked?", "How should cosmetic surgery rules be localised?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "discipline or field of knowledge", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a surgery, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent give general, non-diagnostic information about surgery, informed consent and recovery, routing all decisions to surgeons and care teams.", "characteristics": { "substance": "information", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "read and interpreted" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: aesthetic annular keratopigmentation, Pressurized Intraperitoneal Aerosol Chemotherapy, surgical science, plastic surgery, experimental surgery, Prison plastic surgery, mammaplasty, Facial plastic surgery, top surgery, gluteoplasty, ethnic plastic surgery, cosmetic surgical procedure.", "203 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 122 Wikipedia languages, which is a measure of how widely the thing is known, not of how important it is." ], "openQuestionsForResearch": [ "Which of the bundles below does a real task actually need, and which are ceremony?", "What does this thing have that the facets do not capture at all?", "Which neighbouring kind is most often confused with a surgery, and on what evidence are they told apart?" ], "whatItIsMadeOf": "content that has to be carried by something else", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "read it and act on what it says" ], "howItIsRecognised": [], "relatedModels": [ { "relation": "covers", "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.", "targets": [ "aesthetic annular keratopigmentation", "Pressurized Intraperitoneal Aerosol Chemotherapy", "surgical science", "plastic surgery", "experimental surgery", "Prison plastic surgery", "mammaplasty", "Facial plastic surgery", "top surgery", "gluteoplasty", "ethnic plastic surgery", "cosmetic surgical procedure" ] } ], "standing": "Described in 122 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 203 finer distinctions are held inside this entry as names rather than as separate models.", "structure": { "bundles": [ { "id": "identity-and-classification", "name": "Identity, naming and classification", "description": "How an agent tells one surgery from another, and a surgery from things that resemble it.", "rationale": "Recognition comes before every other claim. Without stable identity nothing else in the model can be trusted to be about the same thing twice.", "layers": [ { "id": "naming-and-identifiers", "name": "Names and identifiers", "description": "The names this thing goes by and the identifiers that survive translation and time.", "findings": [ { "id": "preferred-name-and-aliases", "name": "Preferred name, aliases and local names", "description": "Which name to use, which names mean the same thing, and which merely sound similar.", "questions": [ { "id": "preferred-name-and-aliases-q01", "text": "What identifies and describes the name of a surgery, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "preferred-name-and-aliases-q02", "text": "Who or what asserted this about the name of a surgery, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "preferred-name-and-aliases-q03", "text": "What may an agent decide or do once the name of a surgery is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "stable-identifiers", "name": "Stable identifiers and external keys", "description": "Identifiers that keep pointing at this kind of thing across systems and languages.", "questions": [ { "id": "stable-identifiers-q01", "text": "What identifies and describes an identifier for a surgery, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stable-identifiers-q02", "text": "Who or what asserted this about an identifier for a surgery, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stable-identifiers-q03", "text": "What may an agent decide or do once an identifier for a surgery is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "classification-and-granularity", "name": "Classification and granularity", "description": "Where a surgery sits among kinds, and how finely a task needs to cut it.", "findings": [ { "id": "kind-and-parents", "name": "Kind, parents and neighbouring kinds", "description": "The classes this thing belongs to and the ones it is next to.", "questions": [ { "id": "kind-and-parents-q01", "text": "What identifies and describes the kind of a surgery, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "kind-and-parents-q02", "text": "Who or what asserted this about the kind of a surgery, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "kind-and-parents-q03", "text": "What may an agent decide or do once the kind of a surgery is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "distinguishing-features", "name": "Distinguishing features", "description": "What separates a surgery from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a surgery, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "distinguishing-features-q02", "text": "Who or what asserted this about what distinguishes a surgery, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "distinguishing-features-q03", "text": "What may an agent decide or do once what distinguishes a surgery is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "state-and-lifecycle", "name": "State and lifecycle", "description": "The states a surgery passes through and the events that move it between them.", "rationale": "Most decisions about a thing depend on what state it is in now, which is a claim with a time on it, not a property.", "layers": [ { "id": "lifecycle-stages", "name": "Lifecycle stages", "description": "From coming into existence to ceasing to be one of these.", "findings": [ { "id": "stages-and-transitions", "name": "Stages and transitions", "description": "The stages worth naming and what moves a surgery between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a surgery, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stages-and-transitions-q02", "text": "Who or what asserted this about the lifecycle of a surgery, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stages-and-transitions-q03", "text": "What may an agent decide or do once the lifecycle of a surgery is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "observations-and-status", "name": "Observations and current status", "description": "What is observed about a surgery, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a surgery is recorded so that it can be superseded rather than overwritten.", "questions": [ { "id": "observation-record-q01", "text": "What identifies and describes an observation of a surgery, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "observation-record-q02", "text": "Who or what asserted this about an observation of a surgery, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "observation-record-q03", "text": "What may an agent decide or do once an observation of a surgery is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "content-and-access", "name": "Content, encoding and access", "description": "What a surgery says, how it is encoded and who may read it.", "rationale": "An informational thing carries content that can be copied, versioned and withheld, none of which its physical carrier explains.", "layers": [ { "id": "content-and-encoding", "name": "Content and encoding", "description": "The content itself, its format and its language.", "findings": [ { "id": "content-and-format", "name": "Content, format and language", "description": "What a surgery contains and in what form it is held.", "questions": [ { "id": "content-and-format-q01", "text": "What identifies and describes the content of a surgery, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "content-and-format-q02", "text": "Who or what asserted this about the content of a surgery, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "content-and-format-q03", "text": "What may an agent decide or do once the content of a surgery is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "access-and-rights", "name": "Access, rights and retention", "description": "Who may read, copy or change it, and for how long it is kept.", "findings": [ { "id": "access-rules", "name": "Access rules and retention", "description": "The permissions attached to a surgery and the period it survives.", "questions": [ { "id": "access-rules-q01", "text": "What identifies and describes access to a surgery, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "access-rules-q02", "text": "Who or what asserted this about access to a surgery, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "access-rules-q03", "text": "What may an agent decide or do once access to a surgery is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "subject-and-method", "name": "Subject matter and method", "description": "What surgery studies and how it establishes anything.", "rationale": "A field is identified by its questions and its methods, and those are what distinguish it from the fields next to it.", "layers": [ { "id": "subject", "name": "Subject matter", "description": "The questions it takes as its own.", "findings": [ { "id": "subject-record", "name": "Questions and objects of study", "description": "What it is about, stated so a neighbouring field can be told apart.", "questions": [ { "id": "subject-record-q01", "text": "What questions and objects does surgery take as its own?", "kind": "definition" }, { "id": "subject-record-q02", "text": "Which questions does it share with a neighbouring field, and who claims them?", "kind": "boundary" } ] } ] }, { "id": "method", "name": "Method and evidence", "description": "How claims are established and what counts as evidence.", "findings": [ { "id": "method-record", "name": "Methods and standards of evidence", "description": "The methods used and what they are taken to establish.", "questions": [ { "id": "method-record-q01", "text": "By what methods does surgery establish claims, and what counts as sufficient evidence?", "kind": "provenance" }, { "id": "method-record-q02", "text": "What kind of claim can this field not settle, and where should an agent look instead?", "kind": "action" } ] } ] } ] }, { "id": "institutions-and-classification", "name": "Institutions and classification", "description": "Where surgery is practised and how catalogues place it.", "rationale": "The institutional footprint is the evidence that a field exists as a field rather than as a topic.", "layers": [ { "id": "institutions", "name": "Institutional markers", "description": "Societies, journals, degrees and departments.", "findings": [ { "id": "institution-record", "name": "Bodies and venues", "description": "Where the field organises itself.", "questions": [ { "id": "institution-record-q01", "text": "Which societies, journals or degrees mark surgery as an established field?", "kind": "provenance" }, { "id": "institution-record-q02", "text": "What would show that it is emerging or dissolving rather than established?", "kind": "boundary" } ] } ] }, { "id": "classification", "name": "Classification schemes", "description": "Where library and research classifications put it.", "findings": [ { "id": "classification-record", "name": "Codes and their disagreements", "description": "The classification codes that place it, and where they differ.", "questions": [ { "id": "classification-record-q01", "text": "Which classification schemes place surgery, under what codes?", "kind": "definition" }, { "id": "classification-record-q02", "text": "Where do those schemes disagree about its scope?", "kind": "boundary" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a surgery came from and when it held.", "rationale": "A claim without a source and a time cannot be superseded, only overwritten, and an agent that overwrites loses the ability to explain itself.", "layers": [ { "id": "source-and-authority", "name": "Source and authority", "description": "Who said it, on what evidence, and how strongly.", "findings": [ { "id": "claim-provenance", "name": "Claim provenance and confidence", "description": "The authority behind each claim about a surgery and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a surgery, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "claim-provenance-q02", "text": "Who or what asserted this about a claim about a surgery, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "claim-provenance-q03", "text": "What may an agent decide or do once a claim about a surgery is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "time-and-versions", "name": "Time, versions and supersession", "description": "When a claim was true, when it was learnt, and what replaced it.", "findings": [ { "id": "validity-and-supersession", "name": "Validity period and supersession", "description": "How an old claim about a surgery is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a surgery, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "validity-and-supersession-q02", "text": "Who or what asserted this about the validity of a claim about a surgery, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "validity-and-supersession-q03", "text": "What may an agent decide or do once the validity of a claim about a surgery is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 6, "layers": 12, "findings": 14, "questions": 38 } } } }