{"schema":"https://ver.cy/schemas/card/1.0.0","id":"vr.tr.pain","code":"thing-q81938","url":"https://ver.cy/models/thing/q81938/","name":"pain","alternateNames":["chronic pain","chronic primary pain","chronic cancer related pain","chronic postsurgical or post traumatic pain","chronic neuropathic pain","chronic secondary headache or orofacial pain","chronic secondary visceral pain","chronic secondary musculoskeletal pain","back pain","myofascial pain syndrome","ihtidhar","painful respiration"],"kind":"thing","status":"published","version":"0.2.0-wave.1","language":"en","classifiers":{"family":"Thing Registry","category":"Information and virtual systems","entryKind":"thing","plane":"INF","domain":["INF.KNW"],"industry":[],"navPath":"","tags":[],"facets":{}},"whatItIs":"An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage (IASP), including acute and chronic pain.","purpose":"Let an agent handle pain respectfully as a subjective experience with types and clinical classifications, give only general information, and direct people to care.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["Subjective experience","Acute versus chronic","Chronic primary and secondary pain in ICD-11","Self-report is the primary measure"],"structure":{"bundles":[{"id":"experience","name":"Experience","description":"What is felt.","layers":[{"id":"description","name":"Description","description":"Quality and location.","findings":[{"id":"description-finding","name":"Description","description":"Pain description.","questions":[{"text":"Where is the pain, and what is it like?","kind":"definition"},{"text":"How severe, on a scale?","kind":"measurement"}]}]},{"id":"duration","name":"Duration","description":"Acute or chronic.","findings":[{"id":"duration-finding","name":"Duration","description":"Duration.","questions":[{"text":"How long has it lasted?","kind":"measurement"},{"text":"Is it getting worse?","kind":"measurement"}]}]}]},{"id":"urgency","name":"Urgency","description":"Red flags.","layers":[{"id":"red-flags","name":"Red flags","description":"Warning signs.","findings":[{"id":"red-flags-finding","name":"Red flags","description":"Warning signs.","questions":[{"text":"Are there warning signs such as chest pain or sudden severe headache?","kind":"boundary"},{"text":"Which emergency number applies?","kind":"action"}]}]},{"id":"referral","name":"Referral","description":"Who to see.","findings":[{"id":"referral-finding","name":"Referral","description":"Where to get care.","questions":[{"text":"Who should the person see about this pain?","kind":"action"},{"text":"How soon?","kind":"boundary"}]}]}]},{"id":"management","name":"Management","description":"Care options.","layers":[{"id":"options","name":"Options","description":"Treatments.","findings":[{"id":"options-finding","name":"Options","description":"Treatment options.","questions":[{"text":"What do guidelines say about managing this type of pain?","kind":"provenance"},{"text":"What must the agent not advise?","kind":"boundary"}]}]},{"id":"chronic","name":"Chronic pain","description":"Long-term support.","findings":[{"id":"chronic-finding","name":"Chronic","description":"Chronic pain support.","questions":[{"text":"Where can people with chronic pain get support?","kind":"action"},{"text":"Which services exist?","kind":"action"}]}]}]},{"id":"respect","name":"Respect","description":"Believing people.","layers":[{"id":"validation","name":"Validation","description":"Acknowledgement.","findings":[{"id":"validation-finding","name":"Validation","description":"Acknowledgement.","questions":[{"text":"Does the response take the person pain seriously?","kind":"boundary"},{"text":"Is the language respectful?","kind":"boundary"}]}]},{"id":"privacy","name":"Privacy","description":"Health data.","findings":[{"id":"privacy-finding","name":"Privacy","description":"Data handling.","questions":[{"text":"Is health information handled lawfully?","kind":"boundary"},{"text":"What should not be shared?","kind":"boundary"}]}]}]}]},"agentConduct":{"may":["Share general information about pain from health sources.","Help a person describe their pain to a clinician."],"mustNot":["Recommend medicines or doses for a person's pain in place of a clinician.","Dismiss or doubt a person's reported pain.","Help anyone inflict pain on people or animals."],"requiresHuman":["Advising someone in severe or sudden pain beyond directing them to medical care."]},"ethics":{"considerations":["Pain is undertreated, especially in women, minorities and older people.","Opioid misuse harms many."],"affectedParties":["People in pain","Patients with chronic pain","Animals"]},"owners":{"steward":"Each person experiences their own pain; clinicians treat it.","roles":[],"masterSystems":[]},"relations":[{"target":"Q104776490","type":"parent","note":"registry parent class"},{"target":"Q169872","type":"parent","note":"registry parent class"},{"target":"Q47455774","type":"parent","note":"registry parent class"},{"target":"symptom and perception","type":"related","note":"experience"},{"target":"medicine","type":"related","note":"care"},{"target":"health","type":"related","note":"wellbeing"},{"target":"ICD-11","type":"related","note":"codes"}],"interaction":{"identity":{"applicability":"required","items":["Vercy registry: vr.tr.pain","Wikidata: Q81938 (https://www.wikidata.org/wiki/Q81938)","ICD-11 code: MG30 chronic pain group classification"]},"properties":{"applicability":"not-applicable","items":[]},"recognition":{"applicability":"optional","items":["Self-report and pain scales","ICD-11 chronic pain categories","Behaviour can indicate pain in people who cannot speak","Not visible; reported by the person and inferred from behaviour."]},"capabilities":{"applicability":"required","items":["describe and rate it","assess it clinically","manage it, with professional care","recognise signs that need urgent care"]},"hazards":{"applicability":"required","items":["Dismissing pain","Giving medication advice","Missing red flags such as chest pain"]},"interfaces":{"applicability":"required","items":["IASP definitions","WHO ICD-11","Clinical guidelines on pain management","Controlled drug regulations for opioids"]},"context":{"applicability":"required","items":["Pain warns of harm; chronic pain is a condition in its own right.","acute pain","chronic primary pain","chronic secondary pain: cancer, postsurgical, neuropathic","headache and orofacial pain"]}},"sources":[{"title":"Wikidata item Q81938: pain","url":"https://www.wikidata.org/wiki/Q81938","note":"identity and sense of the item"},{"title":"Wikipedia: Pain","url":"https://en.wikipedia.org/wiki/Pain","note":"general description of the item"}],"openQuestions":["Should pain types be separate entries?","How should agents respond to people in pain?","How should red-flag symptoms be listed reliably?"],"resources":{"spec":"/models/things/publications/thing-q81938/spec.json"},"provenance":{"origin":"thing registry research (pass 2)","builtFrom":["models/things/publications/thing-q81938/spec.json"],"providers":["Claude"],"researchStatus":"unreviewed","generatedAt":"2026-09-11T06:13:09Z","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 2026-10-06T19:52:02+00:00: completeness 1.00; sense: Wikidata description; 2 live sources; review by codex: pass","interaction.properties":"Plane INF: no invented physical properties."},"score":1.0}}