{ "model": { "rank": 1618, "code": "thing-q81938", "model_id": "vr.tr.pain", "name": "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.", "family": "Thing Registry", "category": "Information and virtual systems", "status": "research-draft", "kind": "thing", "plane": "INF", "domain": "INF.KNW", "industry": "", "version": "", "url": "/models/thing/q81938/", "tier": 2, "score": 135, "payload": { "layer": "wikidata", "aliases": [ "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", "cancer pain", "chronic musculoskeletal pain", "Amplified musculoskeletal pain syndromes", "childhood chronic pain", "chronic primary visceral pain", "skin pain", "abdominal tenderness", "abdominal pain", "abdominal cramps", "musculoskeletal pain", "allodynia", "hyperpathia", "severe backache", "Facet syndrome", "coccydynia", "pain in spine", "low backache", "middle back pain", "Bohler's sign", "gas pain", "body ache", "painful lymph glands", "parotid pain", "acute painful vision loss", "retrobulbar pain", "colicky pain", "loin pain", "radiating pain" ], "aliasCount": 179, "merged": 179, "knownIn": 135, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": "vr.tr.pain-cognition", "source": { "dataset": "wikidata", "item": "Q81938", "url": "https://www.wikidata.org/wiki/Q81938", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-11T06:13:09Z", "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": 1, "engine": "claude" }, "metaModel": { "id": "THING-Q81938", "registryId": "vr.tr.pain", "name": "pain", "version": "0.2.0-wave.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "INF.KNW" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q81938/", "model": { "registry_id": "vr.tr.pain", "name": "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.", "definition": "An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage (IASP), including acute and chronic pain.", "what_it_is_for": "Pain warns of harm; chronic pain is a condition in its own right.", "affordances": [ "describe and rate it", "assess it clinically", "manage it, with professional care", "recognise signs that need urgent care" ], "distinguishing_features": [ "Subjective experience", "Acute versus chronic", "Chronic primary and secondary pain in ICD-11", "Self-report is the primary measure" ], "appearance": "Not visible; reported by the person and inferred from behaviour.", "visual_identification": [ "Self-report and pain scales", "ICD-11 chronic pain categories", "Behaviour can indicate pain in people who cannot speak" ], "physical_properties": [], "families_and_kinds": [ "acute pain", "chronic primary pain", "chronic secondary pain: cancer, postsurgical, neuropathic", "headache and orofacial pain" ], "related_models": [ { "relation": "is a kind of", "target": "symptom and perception", "why": "experience" }, { "relation": "is treated by", "target": "medicine", "why": "care" }, { "relation": "relates to", "target": "health", "why": "wellbeing" }, { "relation": "is classified in", "target": "ICD-11", "why": "codes" } ], "identifiers": [ { "scheme": "ICD-11 code", "value_or_pattern": "MG30 chronic pain group", "note": "classification" } ], "standards_and_regulation": [ "IASP definitions", "WHO ICD-11", "Clinical guidelines on pain management", "Controlled drug regulations for opioids" ], "failure_modes_and_hazards": [ "Dismissing pain", "Giving medication advice", "Missing red flags such as chest pain" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "experience", "name": "Experience", "description": "What is felt.", "rationale": "Self-report comes first.", "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.", "rationale": "Some pain needs urgent care.", "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.", "rationale": "Management belongs with clinicians.", "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.", "rationale": "Respect matters.", "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" } ] } ] } ] } ] }, "openQuestions": [ "Should pain types be separate entries?", "How should agents respond to people in pain?", "How should red-flag symptoms be listed reliably?" ], "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 pain, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent handle pain respectfully as a subjective experience with types and clinical classifications, give only general information, and direct people to care.", "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: 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.", "179 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 135 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 pain, 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": [ "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" ] } ], "standing": "Described in 135 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 179 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 pain from another, and a pain 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 pain, 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 pain, 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 pain 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 pain, 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 pain, 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 pain 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 pain 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 pain, 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 pain, 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 pain 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 pain from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a pain, 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 pain, 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 pain 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 pain 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 pain between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a pain, 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 pain, 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 pain 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 pain, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a pain 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 pain, 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 pain, 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 pain 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 pain 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 pain contains and in what form it is held.", "questions": [ { "id": "content-and-format-q01", "text": "What identifies and describes the content of a pain, 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 pain, 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 pain 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 pain and the period it survives.", "questions": [ { "id": "access-rules-q01", "text": "What identifies and describes access to a pain, 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 pain, 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 pain 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 pain 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 pain 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 pain 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 pain 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 pain 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 pain, 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 pain 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 pain and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a pain, 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 pain, 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 pain 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 pain is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a pain, 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 pain, 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 pain 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 } } } }