magent

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• POST/rome_iv_proctalgia_fugax$0.005Rao 2016 Rome IV proctalgia fugax (F2c). rome_iv_proctalgia_fugax is true iff recurrent rectal pain unrelated to defecation, episodes seconds to minutes (max 30 min), no anorectal pain between episodes, other causes excluded, last-3-months criteria, and 6-month onset. magent does not examine the rectum. Not a diagnosis, not levator ani, not unspecified functional anorectal pain.
• POST/kawasaki$0.005AHA 2017 classic/complete Kawasaki disease (McCrindle). Complete when fever_days >= 4 and at least 4 of 5 principal features are true (oral mucosal changes, bilateral conjunctival injection, rash, extremity changes, cervical lymphadenopathy). Does not implement the incomplete-KD lab/echo algorithm or the 3-day clinician exception. magent does not examine the patient or read an echocardiogram. Not a medical device and not a diagnosis.
• POST/pawss$0.005Maldonado 2014 PAWSS. Required 0-point threshold (any alcohol in the last 30 days or positive BAL on admission): if false, score 0 and band outside_window even if other flags are true. If true, ten yes/no items score 1 each (max 10); 0-3 low, >=4 high risk for complicated alcohol withdrawal. Not a diagnosis or prophylaxis order. magent does not interview the patient or measure BAL.
• POST/piro_cap$0.005Rello 2009 PIRO score for ICU community-acquired pneumonia: comorbidities (COPD or immunocompromise count as one feature) + age >70 + multilobar opacities + shock + severe hypoxemia + acute renal failure + bacteremia + ARDS. Each 1; max 8. Bands low 0-2, mild 3, high 4, very high 5-8. Not CURB-65, PSI, or APACHE II. magent does not interpret a chest radiograph. Not a diagnosis.
• POST/t_macs$0.005Body 2016 T-MACS logistic ACS probability from caller-assigned ECG ischaemia, worsening angina, right-arm radiation, vomiting, observed sweating, hypotension (SBP <100), and Roche Elecsys hs-cTnT ng/L. Uses that paper's rounded coefficients. Bands p<0.02 very_low, 0.02<=p<0.05 low, 0.05<=p<0.95 moderate, p>=0.95 high. magent does not interpret ECG or assay troponin. Not original MACS, HEART, EDACS, or Vancouver. Not a diagnosis or medical device.
• POST/travis$0.005Travis 1996 day-3 of intravenous steroids for severe ulcerative colitis. travis_high is true when stools_per_day > 8, or when stools_per_day is 3 to 8 inclusive and crp_mg_l > 45. Stools 8 with CRP 45 is not high. Stools 2 with high CRP is not high. Both parameters are required. Not a colectomy order, not the Ho score, and not Truelove and Witts. magent does not count stools or measure CRP.
• POST/dapt$0.005Yeh 2016 DAPT prediction rule after PCI: exclusive age (<65: 0; 65 to younger than 75: -1; 75 or older: -2) plus MI at presentation, prior MI or PCI, diabetes, stent diameter <3 mm, smoking (current or within past year), and paclitaxel-eluting stent (1 each); CHF or LVEF <30% and vein-graft intervention (2 each). Max 10. Score >=2 high, <2 low. Not a duration order. Not a diagnosis.
• POST/carg_tt$0.005Hurria 2011 Table 5 CARG toxicity: age ≥72 (+2), GI/GU (+2, not inverted), standard dose (+2), polychemotherapy (+2), Hb male <11 or female <10 g/dL (+3), caller-assigned Jelliffe CrCl <34 (+3; magent does not compute Jelliffe), hearing fair/worse (+2), ≥1 fall in 6 months (+3), limited walking 1 block (+2), help with meds (+1), decreased social activity (+1). Max 19. 0-5 low 30%, 6-9 intermediate 52%, 10-19 high 83%. Not the 2016 revision, not CRASH, not a chemo order.
• POST/easi$0.005Hanifin 2001 EASI from four regions. Each region: area 0-6 and erythema, edema/papulation, excoriation, and lichenification 0-3. Region score = (sum of signs) × area × adult weight (head/neck 0.1, upper extremities 0.2, trunk 0.3, lower extremities 0.4). Total max 72. Adult weights only. magent does not examine the skin. No IGA or later severity bands. Not a diagnosis.
• POST/pasi$0.005Fredriksson 1978 PASI from four regions. Each region: area 0-6 and erythema, induration, and scaling 0-4. Region score = (sum of three signs) × area × adult weight (head 0.1, upper extremities 0.2, trunk 0.3, lower extremities 0.4). Total max 72. Adult weights only. magent does not examine the skin. No IGA or later severity bands. Not a diagnosis. Not EASI.
• POST/mhs$0.005Marburg Heart Score (Bösner 2010 Table 3): five 1-point determinants (age/sex, known vascular disease, patient assumes cardiac origin, pain worse with exercise, pain not reproducible by palpation), max 5. Returns the published discrimination cut-off: positive (3-5) or negative (<=2). Primary-care chest-pain rule only; not an ED ACS rule-out, diagnosis, or admission order. magent does not interview the patient.
• POST/psad$0.005Benson 1992 PSA density: psa_ng_ml / prostate volume (ml). Volume is length_cm × width_cm × depth_cm × 0.5 (D1×D2×D3×1/2), not π/6. Provide PSA with prostate_volume_ml (1-500) or three dimensions (1-20 cm each), not both. Reports dimensionless psad to 3 decimals and retrospective bands <=0.05, 0.05-0.10, >=0.10. magent does not measure the gland or diagnose cancer. Not a medical device.
• POST/pediatric_nihss$0.005Ichord 2011 Pediatric NIH Stroke Scale (PedNIHSS): 15 caller-assigned NINDS NIHSS integers with left and right motor arm and leg (each 0-4). Visual 0-3. Extinction, not Brott neglect. No pupillary response or plantar reflex. Sum 0-42. magent does not examine the child. No total-score severity bands in Ichord 2011; later 5/15/20 website cutoffs are not applied. Not Brott 1989 15-item NIHSS (max 37), not mNIHSS, not a tPA order, not a diagnosis, and not a medical device.
• POST/wisconsin_criteria$0.005Sitzman 2011 Wisconsin Criteria. Meets criteria if any one of five caller-assigned findings is true: bony step-off or instability, periorbital swelling or contusion, GCS < 14, malocclusion, or tooth absence. All five false does not meet. Returns meets_criteria and criteria_present (0–5). Not a diagnosis, not an imaging order, and not NEXUS, PECARN head, or Canadian CT Head. magent does not examine the face or assign GCS.
• POST/rai$0.005Rai 1975 original CLL staging (stages 0-IV). Returns rai_stage 0-4 from caller-assigned lymphadenopathy, hepatosplenomegaly (spleen or liver or both), anemia (Hb <11 g/dL), and thrombocytopenia (platelets <100,000/mm3). Highest applicable: thrombocytopenia 4, else anemia 3, else organomegaly 2, else nodes 1, else 0 (lymphocytosis only). Not a CLL diagnosis; magent does not examine the patient or read a CBC. Not modified Rai. Not Binet (Binet C is Hb <10).
• POST/wat_1$0.005Franck 2008 WAT-1 (Withdrawal Assessment Tool-1). Eleven caller-assigned integers: ten 0/1 signs plus time_to_calm 0-2. Sum 0-12. Cutoff WAT-1 ≥3 vs NRS ≥4. magent does not observe the child. Pediatric iatrogenic opioid/benzodiazepine withdrawal monitoring only. Not a diagnosis, not NAS, not COWS, not CIWA-Ar, and not a medical device.
• POST/heart_pathway$0.005Mahler 2015 HEART Pathway for emergency chest pain. early_discharge_candidate is true only when the caller-assigned HEART score is 0-3 and both 0-hour and 3-hour troponin flags are not elevated (above the 99th percentile). HEART items are not assigned here. magent does not read an ECG or assay a troponin. Does not order a stress test or angiogram. High-risk features do not mandate a test. Not a medical device and not a diagnosis.
• POST/alvarado$0.005Alvarado 1986 MANTRELS score from caller-assigned findings, temperature, WBC, and neutrophil percent (max 10). Bands 0-4, 5-6, and 7-10. Deterministic published score with citation; not a diagnosis or operating-room protocol. magent does not examine the abdomen.
• POST/has_bled$0.005HAS-BLED score from discrete clinical flags. Use for bleeding-risk arithmetic in atrial fibrillation. Deterministic published score with citation.
• POST/wpss$0.005Malcovati 2007 WPSS for MDS: WHO category (RA/RARS/5q- 0, RCMD/RCMD-RS 1, RAEB-1 2, RAEB-2 3), IPSS karyotype (good 0, intermediate 1, poor 2; caller assigns the three-group class), regular RBC transfusion 1 (at least one every 8 weeks over 4 months); max 6. very_low 0 through very_high 5–6. Not IPSS-R, not IPSS 1997, not DIPSS. magent does not karyotype or assign WHO category.
• POST/atria_stroke$0.005Singer 2013 ATRIA stroke risk score (not Fang 2011 ATRIA bleed). Age x prior stroke Table 3: <65 0/8, 65-74 3/7, 75-84 5/7, >=85 6/9 without/with prior stroke. Plus 1 each: female, diabetes, heart failure, hypertension, proteinuria, eGFR<45 or ESRD. Max 15 (12 without prior stroke). 0-5 low, 6 moderate, 7-15 high. Not a stroke diagnosis or anticoagulation order. Not CHA2DS2-VASc. magent does not assay eGFR or urine.
• POST/shock_index$0.005Shock index as heart rate in bpm divided by cuff systolic pressure in mm Hg (Allgöwer and Burri 1967). Returns the original ratio rounded to two decimals. Not a shock diagnosis, treatment target, or cutoff, and does not use MAP or diastolic pressure.
• POST/rads$0.005Oh 2012 radiologist's score (RADS) on one 1-cm axial chest CT slice. Four quadrants (not eight). Each quadrant worst finding: normal 0, interstitial 1, ground_glass 2, consolidation 3. Score 0-12; high when score > 8. Caller-assigned findings only; magent does not interpret CT. Not a diagnosis of inhalation injury. Not a bronchoscopy substitute. Not Endorf AIS inhalation grade. Not Yamamura bronchial wall thickness.
• POST/ohfrs$0.005Ottawa Heart Failure Risk Scale (OHFRS; Stiell 2013 derivation). Ten caller-assigned flags (stroke/TIA 1, intubation 2, arrival HR >=110 2, arrival SaO2 <90% 1, walk-test HR >=110 or unable 1, new ischemic ECG 2, urea >=12 mmol/L 1, CO2 >=35 mmol/L 2, troponin at MI level 2, NT-proBNP >=5000 ng/L 1); integer points, max 15. Derivation SAE risk 2.8% to 89.0%. Not a medical device, not a disposition or discharge order, not EHMRG. magent does not walk the patient or read the ECG.
• POST/canrisk$0.005Robinson 2011 Table 3 pCANRISK (not eCANRISK). Age 0/7/13/15; male 6; BMI 0/4/9/14; waist 0/4/6 by sex; inactivity 1; no daily fruit/veg 2; high BP 4; high glucose 14; macrosomia 1 (women); family first-degree categories ×2; caller-assigned ethnicity White 0 Aboriginal 3 Black 5 East Asian 10 South Asian 11; education 5/1/0. Max 81 F/86 M. Cutoffs 21, 29, 32, 33, 43. Not a diagnosis.

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