magent

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• POST/calc/pediatric_sirs$0.005Goldstein 2005 pediatric SIRS from age-group HR, RR, WBC, and core temperature. Present when ≥2 of 4 Table 3 criteria include abnormal temperature (>38.5 or <36 C) or leukocyte. Sepsis is SIRS plus suspected infection; severe sepsis and septic shock use caller-assigned organ-dysfunction flags. magent does not measure vitals or assay WBC. Not Bone 1992 adult SIRS and not Phoenix 2024. Not a medical device and not a diagnosis or sepsis order.
• POST/calc/schwab_england$0.005Schwab and England ADL (1969): caller-assigned integer 0, 10, 20, 30, 40, 50, 60, 70, 80, 90, or 100 (completely independent; independent with some slowness; independent in most chores; not completely independent; some dependency; more dependent; very dependent; few chores with effort; nothing alone; totally dependent; vegetative). Returns score, max 100, and a stable label. 0% vegetative is scored. Not Hoehn and Yahr and not Karnofsky. magent does not observe the patient. Not a medical device.
• POST/calc/mallampati$0.005Samsoon 1987 modified Mallampati: caller-assigned integer class 1-4 (I: soft palate, fauces, uvula, pillars; II: soft palate, fauces, uvula; III: soft palate, base of uvula; IV: soft palate not visible). Returns score, max 4, and a stable class label. Not original Mallampati 1985 three-class and not a Cormack-Lehane grade; magent does not look in the mouth or assign an intubation order.
• POST/calc/improvedd$0.005Gibson 2017 IMPROVEDD VTE score: Spyropoulos 2011 7-factor IMPROVE items (previous VTE 3, known thrombophilia 2, lower-limb paralysis 2, current cancer 2, immobilized >=7 days 1, ICU/CCU 1, age >60 1) plus 2 if caller-assigned D-dimer >=2x ULN. Max 14. low 0-1 vs high >=2 (heightened VTE through 77 days when >=2). Not a VTE diagnosis or prophylaxis order. Not the 4-factor admission model. Not Padua or Caprini. magent does not assay D-dimer.
• POST/calc/acr_eular_gout$0.005ACR/EULAR 2015 gout classification (Neogi). MSU crystals classify without score ≥8; else score ≥8 (max 23). Pattern 0/1/2, characteristics 0–3, time course 0/1/2, tophus 4, urate −4 to 4, MSU-negative −2, imaging 4+4. Not a diagnosis. Not Janssens 2010. magent does not examine joints or polarizing microscopy.
• POST/calc/rome_iv_nbs$0.005Keefer 2016 Rome IV NBS (D2). rome_iv_nbs is true iff chronic or frequently recurring abdominal pain on narcotics, pain not explained by a GI diagnosis, at least two of three NBS features, last-3-months criteria, and 6-month onset. nbs_features_met is 0-3. Caller assigns seven flags. ~75 mg oral morphine equivalent is copy-only. magent does not examine the patient or judge opioid dose. Not a diagnosis, not CAPS, not opioid-induced constipation.
• POST/calc/improve_vte$0.005Spyropoulos 2011 7-factor associative IMPROVE VTE score during hospitalization: previous VTE 3, known thrombophilia 2, lower-limb paralysis 2, current cancer 2, immobilized >=7 days 1, ICU/CCU stay 1, age >60 1. Max 12. Bands: 0-1; 2-3 (observed VTE 1.5%); >=4 (observed VTE 5.7%). Not a VTE diagnosis or prophylaxis order. Not the 4-factor admission predictive model. Not IMPROVEDD. magent does not examine the patient.
• POST/calc/score2$0.005ESC 2021 SCORE2 10-year fatal plus non-fatal CVD percent for age 40-69 from sex, current smoking, systolic BP, non-HDL cholesterol, and European geographic risk region (low, moderate, high, very_high). Published sex-specific coefficients and region scale1/scale2. Not SCORE2-OP, not SCORE2-Diabetes, not 2013 PCE, not Reynolds, not a diagnosis or statin order. magent does not assay lipids.
• POST/calc/circ$0.005Garibaldi 2020 CIRC day-2/4/7 probability of severe disease or death from admission age, nursing-home residence, caller-assigned race term, Charlson CCI, BMI, symptoms, vitals, and listed laboratories. Appendix Table 1 coefficients on the printed reference cumulative incidences. Not a diagnosis, triage order, or the death-only Appendix Table 2 model.
• POST/calc/metroticket_2$0.005Mazzaferro 2018 Metroticket 2.0 AFP-adjusted-to-HCC-size 70% 5-year HCC-specific survival criteria. meets_70pct_hcc_specific_survival is true iff AFP <200 ng/mL and tumor_count + largest_cm <=7, or 200<=AFP<400 and sum <=5, or 400<=AFP<=1000 and sum <=4. AFP >1000 never meets. Not Milan, UCSF, Metroticket 1.0 contours, or competing-risk survival percents. magent does not interpret imaging or assay AFP. Not a medical device or transplant listing.
• POST/calc/modified_fisher$0.005Frontera 2006 modified Fisher CT grades 0-4 for subarachnoid hemorrhage as assigned from CT by the caller. Returns the published grade and description (0 no SAH or IVH; 1 focal or diffuse thin SAH, no IVH; 2 thin SAH with IVH; 3 thick SAH, no IVH; 4 thick SAH with IVH). Not Fisher 1980 original groups 1-4. Not a diagnosis; magent does not read the CT or invent a millimetre cutoff or vasospasm percentage.
• POST/calc/must$0.005Stratton 2004 Malnutrition Universal Screening Tool (MUST) for adults. Three additive scores, max 6: BMI (>20 → 0, 18.5–20 → 1 including 20.0, <18.5 → 2); unplanned weight loss % last 3–6 months (<5 → 0, 5–10 → 1 including 10%, >10 → 2); acute disease no nutritional intake >5 days → 2. Risk 0 low, 1 medium, ≥2 high. Caller supplies BMI and weight-loss percent. Not a malnutrition diagnosis, diet order, or MUAC. magent does not weigh the patient.
• POST/calc/kfre$0.005Tangri 2011 4-variable Kidney Failure Risk Equation: 2- and 5-year risk of dialysis or transplant from age, male, eGFR, and urine ACR (mg/g). Risk = 1 - S0^exp(LP) with that paper's 4-variable coefficients. Caller supplies eGFR; magent does not compute CKD-EPI or assay ACR. Not the 8-variable model, not Tangri 2016 country S0, no race. Not a dialysis or transplant order. Not a medical device.
• GET/codes/search$0.005Map a natural-language drug, diagnosis, or lab phrase to a current RxNorm, ICD-10-CM, or LOINC code. Use when an agent must not hallucinate or invent a billing/pharmacy code.
• POST/calc/gout_rule$0.005Janssens 2010 diagnostic rule for acute gouty arthritis without joint fluid: male 2, previous arthritis attack 2, onset within 1 day 0.5, joint redness 1, MTP1 2.5, hypertension or CVD 1.5, uric acid >5.88 mg/dL or >350 µmol/L 3.5; max 13. Low ≤4, intermediate 4.5–7.5, high ≥8. uric_acid_mg_dl or uric_acid_umol_l, not both. Deterministic published score; not a gout diagnosis; magent does not examine joints or replace synovial crystal analysis.
• POST/calc/interchest$0.005Aerts 2017 INTERCHEST: six equally weighted predictors for CAD in primary-care chest pain (age ≥55 male or ≥65 female +1; physician suspected serious +1; history of CAD +1; pain on exertion +1; pressure quality +1; pain reproducible on palpation −1). Range −1 to 5. CAD considered absent iff score <2. Published CAD probability 2.1% (95% CI 1.1–3.9) when <2 and 43.0% (35.8–50.4) when ≥2 in the 13.2% prevalence setting. Not HEART, not EDACS. magent does not examine the chest.
• POST/calc/asas_axial_spa$0.005ASAS 2009 axial SpA classification (Rudwaleit set 3a / fig 2). Required: chronic back pain ≥3 months and age at onset <45. Imaging arm: MRI or modified New York sacroiliitis plus ≥1 of 11 SpA features. Clinical arm: HLA-B27 plus ≥2 other features (HLA-B27 does not count toward those two). Not a diagnosis. Not peripheral ASAS 2011. Not modified New York AS-only. magent does not read films or assay HLA-B27.
• POST/calc/4c$0.005Knight 2020 ISARIC 4C Mortality Score: age (<50→0, 50–59→2, 60–69→4, 70–79→6, ≥80→7) + male 1 + comorbidity_count (0/1/≥2 → 0/1/2; caller-assigned Charlson-plus-obesity count) + RR (<20→0, 20–29→1, ≥30→2) + room-air SpO2 (<92→2) + GCS (<15→2) + urea (<7→0, 7–14→1, >14→3 mmol/L; or BUN/2.8) + CRP (<50→0, 50–99→1, ≥100→2). Max 21. Table 5: low 0–3, intermediate 4–8, high 9–14, very high ≥15. Not a COVID-19 diagnosis or treatment order.
• POST/calc/chalice$0.005CHALICE (Dunning 2006). CT required in children 0-15 if any history, exam, or mechanism criterion is present; else low risk. GCS <14, or GCS <15 if age <1 year. Bruise/swelling/laceration >5 cm only if age <1 year. Mechanism is caller-assigned (paper: high-speed RTA >40 mph as occupant/pedestrian/cyclist; fall >3 m; high-speed projectile or object). NAI is caller-assigned. Not PECARN, CATCH, or Canadian CT Head. magent does not examine the child. Not a diagnosis or medical device.
• POST/calc/cows$0.005Wesson 2003 Clinical Opiate Withdrawal Scale (COWS). Eleven caller-assigned appendix integers (pulse 0/1/2/4, GI 0/1/2/3/5, sweating 0-4, tremor 0/1/2/4, restlessness 0/1/3/5, yawning 0/1/2/4, pupils 0/1/2/5, anxiety 0/1/2/4, aches 0/1/2/4, gooseflesh 0/3/5, rhinorrhea/tearing 0/1/4). Max 48. Severity 5-12 mild, 13-24 moderate, 25-36 moderately severe, >36 severe; 0-4 below mild (none). magent does not observe the patient. Not a buprenorphine induction protocol.
• POST/calc/hfa_icos_vegf$0.005Lyon 2020 HFA-ICOS baseline CV risk before VEGF inhibitors or VEGF TKIs. Very high if heart failure/cardiomyopathy or arterial vascular disease. High if venous thrombosis, LVEF <50%, QTc >=480 ms, age >=75, hypertension, prior anthracycline, or >=5 medium points. Medium if 2-4 medium points. Guide <2% / 2-9% / 10-19% / >=20%. Not a device or treatment order.
• POST/calc/spesi$0.005sPESI (simplified Pulmonary Embolism Severity Index) from Jiménez 2010: 1 point each for age >80, cancer, chronic cardiopulmonary disease (one combined item), heart rate ≥110, systolic BP <100 mm Hg, and SpO2 <90%; max 6. Score 0 is low risk; ≥1 is high risk. Only for already diagnosed acute PE as in the paper. Not a diagnosis, not an outpatient-treatment protocol, and not original PESI classes.
• POST/calc/curb65$0.005CURB-65 pneumonia severity from age and discrete clinical flags. Deterministic published score with citation; not a treatment recommendation.
• POST/calc/hfa_icos_raf_mek$0.005Lyon 2020 HFA-ICOS baseline CV risk before combination RAF and MEK inhibitors. Very high if heart failure or cardiomyopathy; High if MI/CABG, stable angina, severe valvular disease, prior anthracycline, or ≥5 medium points; Medium if 2-4 medium points; Low if 0-1. Age ≥65 is Medium 1 only. LVEF 50-54 is Medium 2; this table has no printed LVEF <50 High row. Expert-opinion cardiotoxicity guide <2% / 2-9% / 10-19% / ≥20%. Not a treatment order.
• POST/calc/hark$0.005Sohal 2007 HARK: four caller-assigned yes/no flags (humiliation, afraid, rape, kick), 1 point each, max 4. Screen-positive when score ≥1 (ROC-optimal cut-off in Sohal 2007). Deterministic published score with citation; not a diagnosis of intimate partner violence and not a medical device. magent does not interview the patient. Not HITS 1-5 scoring. Not the AAS pregnancy item (HARK removed it).

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