{ "model": { "rank": 4858, "code": "thing-q180007", "model_id": "vr.tr.syncope", "name": "syncope", "purpose": "Let an agent explain syncope and its causes, relay evaluation and management from cardiology and emergency guidelines in general terms, route people who have fainted to appropriate care, and distinguish syncope from seizures, drop attacks, dizziness and other alterations of consciousness.", "family": "Thing Registry", "category": "Information and virtual systems", "status": "research-draft", "kind": "thing", "plane": "INF", "domain": "INF.KNW", "industry": "", "version": "", "url": "/models/thing/q180007/", "tier": 2, "score": 72, "payload": { "layer": "wikidata", "aliases": [ "carotid sinus hypersensitivity", "G-LOC", "laughter-induced syncope", "vasovagal response", "drop attack", "cardiac syncope", "Hair-grooming syncope", "cough syncope", "Orthostatic syncope", "Micturition syncope", "Presyncope", "Reflex anoxic seizures", "familial vasovagal syncope", "cryptogenic drop attacks" ], "aliasCount": 14, "merged": 14, "knownIn": 72, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q180007", "url": "https://www.wikidata.org/wiki/Q180007", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T13:03:09Z", "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": 4, "engine": "claude" }, "metaModel": { "id": "THING-Q180007", "registryId": "vr.tr.syncope", "name": "syncope", "version": "0.2.0-wave.4", "entryKind": "thing", "family": "Thing Registry", "domain": [ "INF.KNW" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q180007/", "model": { "registry_id": "vr.tr.syncope", "name": "syncope", "purpose": "Let an agent explain syncope and its causes, relay evaluation and management from cardiology and emergency guidelines in general terms, route people who have fainted to appropriate care, and distinguish syncope from seizures, drop attacks, dizziness and other alterations of consciousness.", "definition": "A brief loss of consciousness and muscle tone caused by a temporary fall in blood flow to the brain, commonly the vasovagal response triggered by pain, emotion or standing, and also from carotid sinus hypersensitivity, orthostatic hypotension, cardiac causes such as arrhythmia, and unusual triggers such as laughter or high acceleration in G-LOC; drop attacks and seizures are distinct. Cardiac syncope can be dangerous, so any unexplained faint, especially with exertion, chest pain or heart disease, needs medical assessment.", "what_it_is_for": "Not applicable; a symptom.", "affordances": [ "route to care", "explain causes and types", "relay evaluation and management", "distinguish related conditions" ], "distinguishing_features": [ "Transient", "Global hypoperfusion", "Rapid recovery", "Benign and dangerous causes" ], "appearance": "Not a visible object; a brief collapse with rapid recovery.", "visual_identification": [ "Brief loss of consciousness from reduced brain blood flow", "Vasovagal, carotid sinus, orthostatic, cardiac, laughter-induced, G-LOC", "Seizures involve abnormal brain activity; drop attacks lack loss of consciousness; dizziness is not loss of consciousness" ], "physical_properties": [ { "quantity": "lifetime incidence", "typical_range": "about 35", "unit": "percent", "note": "estimates" }, { "quantity": "vasovagal share", "typical_range": "about 20-35", "unit": "percent", "note": "of cases" }, { "quantity": "typical duration", "typical_range": "seconds to a minute", "unit": "note", "note": "" } ], "families_and_kinds": [ "reflex syncope including vasovagal, situational and carotid sinus syncope", "orthostatic syncope", "cardiac syncope from arrhythmia or structural disease", "syncope from unusual triggers such as laughter", "G-induced loss of consciousness in aviation", "drop attacks as a distinct category" ], "related_models": [ { "relation": "is a kind of", "target": "short loss of consciousness", "why": "in registry terms" }, { "relation": "is a kind of", "target": "alteration of consciousness", "why": "in registry terms" }, { "relation": "is contrasted with", "target": "epileptic seizure", "why": "from abnormal brain activity" }, { "relation": "is evaluated with", "target": "electrocardiography", "why": "among other tests" } ], "identifiers": [ { "scheme": "ICD-10", "value_or_pattern": "R55", "note": "syncope and collapse" }, { "scheme": "MeSH", "value_or_pattern": "D013575", "note": "Syncope" } ], "standards_and_regulation": [ "ESC and ACC/AHA syncope guidelines", "Driving and aviation medical fitness rules after syncope" ], "failure_modes_and_hazards": [ "Missing cardiac causes", "Agents giving personal medical advice instead of routing", "Confusing syncope with seizures" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "emergency", "name": "Emergency", "description": "After a faint.", "rationale": "Clinical.", "layers": [ { "id": "act", "name": "Act", "description": "Act now.", "findings": [ { "id": "act-finding", "name": "Act", "description": "Act.", "questions": [ { "text": "Does the user describe a faint with chest pain, exertion, injury, known heart disease or failure to recover, which needs emergency care?", "kind": "boundary" }, { "text": "Has the agent directed the user to emergency services or a clinician before anything else?", "kind": "action" } ] } ] }, { "id": "firstaid", "name": "First aid", "description": "First aid.", "findings": [ { "id": "firstaid-finding", "name": "First aid", "description": "First aid.", "questions": [ { "text": "What first aid do authorities recommend for someone who has fainted?", "kind": "action" }, { "text": "Which entry fits first aid?", "kind": "action" } ] } ] } ] }, { "id": "understand", "name": "Understand", "description": "What syncope is.", "rationale": "Clinical.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition and types.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "What is syncope, and how do vasovagal, carotid sinus, orthostatic, cardiac and unusual-trigger forms differ from seizures and drop attacks?", "kind": "definition" }, { "text": "Is the question about the symptom in general or a personal episode needing a clinician?", "kind": "boundary" } ] } ] }, { "id": "mechanism", "name": "Mechanism", "description": "Mechanism.", "findings": [ { "id": "mechanism-finding", "name": "Mechanism", "description": "Mechanism.", "questions": [ { "text": "How does reduced cerebral perfusion cause loss of consciousness, and what is G-LOC?", "kind": "provenance" }, { "text": "Which entry fits the specific cause?", "kind": "action" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Evaluation and management.", "rationale": "Clinical.", "layers": [ { "id": "evaluation", "name": "Evaluation", "description": "Evaluation.", "findings": [ { "id": "evaluation-finding", "name": "Evaluation", "description": "Evaluation.", "questions": [ { "text": "How do guidelines recommend evaluating syncope with history, ECG and further tests?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "management", "name": "Management", "description": "Management.", "findings": [ { "id": "management-finding", "name": "Management", "description": "Management.", "questions": [ { "text": "How are reflex, orthostatic and cardiac syncope managed, in general terms?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Rules and research.", "rationale": "Context.", "layers": [ { "id": "rules", "name": "Rules", "description": "Driving and aviation.", "findings": [ { "id": "rules-finding", "name": "Rules", "description": "Rules.", "questions": [ { "text": "What rules govern driving and flying after syncope, and how is G-LOC prevented in aviation?", "kind": "provenance" }, { "text": "Which entry fits aviation medicine?", "kind": "action" } ] } ] }, { "id": "research", "name": "Research", "description": "Research.", "findings": [ { "id": "research-finding", "name": "Research", "description": "Research.", "questions": [ { "text": "What research addresses syncope diagnosis and prevention?", "kind": "provenance" }, { "text": "Which entry fits cardiology?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should vasovagal syncope and cardiac syncope be separate primary entries?", "How should guideline sources be linked?", "The registry entry has merged aliases naming causes and a distinct condition; should they be split off?" ], "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 syncope, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain syncope and its causes, relay evaluation and management from cardiology and emergency guidelines in general terms, route people who have fainted to appropriate care, and distinguish syncope from seizures, drop attacks, dizziness and other alterations of consciousness.", "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: carotid sinus hypersensitivity, G-LOC, laughter-induced syncope, vasovagal response, drop attack, cardiac syncope, Hair-grooming syncope, cough syncope, Orthostatic syncope, Micturition syncope, Presyncope, Reflex anoxic seizures.", "14 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 72 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 syncope, 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": [ "carotid sinus hypersensitivity", "G-LOC", "laughter-induced syncope", "vasovagal response", "drop attack", "cardiac syncope", "Hair-grooming syncope", "cough syncope", "Orthostatic syncope", "Micturition syncope", "Presyncope", "Reflex anoxic seizures" ] } ], "standing": "Described in 72 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 14 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 syncope from another, and a syncope 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 syncope, 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 syncope, 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 syncope 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 syncope, 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 syncope, 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 syncope 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 syncope 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 syncope, 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 syncope, 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 syncope 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 syncope from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a syncope, 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 syncope, 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 syncope 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 syncope 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 syncope between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a syncope, 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 syncope, 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 syncope 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 syncope, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a syncope 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 syncope, 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 syncope, 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 syncope 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 syncope 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 syncope contains and in what form it is held.", "questions": [ { "id": "content-and-format-q01", "text": "What identifies and describes the content of a syncope, 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 syncope, 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 syncope 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 syncope and the period it survives.", "questions": [ { "id": "access-rules-q01", "text": "What identifies and describes access to a syncope, 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 syncope, 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 syncope 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 syncope 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 syncope 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 syncope 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 syncope 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 syncope 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 syncope, 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 syncope 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 syncope and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a syncope, 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 syncope, 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 syncope 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 syncope is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a syncope, 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 syncope, 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 syncope 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 } } } }