# Abbey Pain Scale Abbey Pain Scale Status: LIVE Price: $0.005 USDC `GET /api/calc/abbey` HTML: https://magentlab.com/docs/abbey Markdown: https://magentlab.com/docs/abbey.md Not a medical device. Not a diagnosis, dose, or listing recommendation. ## What it computes Sum six caller-assigned Abbey 2004 observational integers (0-3) and return the published total (max 18) and that paper's none/mild/moderate/severe bands. ## When to use When an agent has already assigned Abbey 2004 0-3 integers for vocalization, facial expression, change in body language, behavioural change, physiological change, and physical changes and needs the published total and bands, not a pain diagnosis, analgesic order, or a PAINAD score. ## When not to use - Not a medical device and not a pain diagnosis or analgesic order. - Each of the six items is a caller-assigned integer 0 (absent), 1 (mild), 2 (moderate), or 3 (severe) from Abbey 2004. magent does not observe the patient. - Abbey 2004 published total bands 0-2 none, 3-7 mild, 8-13 moderate, and 14+ severe. magent does not add an acute versus chronic classification from those six integers; that tick is not a function of the score. - Not PAINAD (Warden 2003 items are 0-2). ## Formula ``` Abbey = vocalization + facial_expression + change_in_body_language + behavioural_change + physiological_change + physical_changes; each caller-assigned 0-3 (absent/mild/moderate/severe); max 18; Abbey 2004 bands 0-2 none, 3-7 mild, 8-13 moderate, 14+ severe ``` ## Citation [The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia](https://doi.org/10.12968/ijpn.2004.10.1.12013) Abbey J, Piller N, De Bellis A, Esterman A, Parker D, Giles L, Lowcay B Int J Palliat Nurs. 2004;10(1):6-13 DOI: [10.12968/ijpn.2004.10.1.12013](https://doi.org/10.12968/ijpn.2004.10.1.12013) ## Worked example ### All items 0 Given: `behavioural_change=0, change_in_body_language=0, facial_expression=0, physical_changes=0, physiological_change=0, vocalization=0` 1. vocalization 0 + facial_expression 0 + change_in_body_language 0 + behavioural_change 0 + physiological_change 0 + physical_changes 0 2. Score = 0 (max 18); severity none ### All items 3 Given: `behavioural_change=3, change_in_body_language=3, facial_expression=3, physical_changes=3, physiological_change=3, vocalization=3` 1. vocalization 3 + facial_expression 3 + change_in_body_language 3 + behavioural_change 3 + physiological_change 3 + physical_changes 3 2. Score = 18 (max 18); severity severe ## Also searched as - Abbey Pain Scale - Abbey scale - APS dementia pain - Abbey 2004 - observational pain dementia - end-stage dementia pain - Abbey pain assessment ## Parameters - `vocalization` (integer, required): Caller-assigned Abbey 2004 vocalization (integer 0-3): 0 absent; 1 mild; 2 moderate; 3 severe. Paper examples: whimpering, groaning, crying. magent does not observe the patient. - `facial_expression` (integer, required): Caller-assigned Abbey 2004 facial expression (integer 0-3): 0 absent; 1 mild; 2 moderate; 3 severe. Paper examples: looking tense, frowning, grimacing, looking frightened. magent does not observe the patient. - `change_in_body_language` (integer, required): Caller-assigned Abbey 2004 change in body language (integer 0-3): 0 absent; 1 mild; 2 moderate; 3 severe. Paper examples: fidgeting, rocking, guarding part of body, withdrawn. magent does not observe the patient. - `behavioural_change` (integer, required): Caller-assigned Abbey 2004 behavioural change (integer 0-3): 0 absent; 1 mild; 2 moderate; 3 severe. Paper examples: increased confusion, refusing to eat, alteration in usual patterns. magent does not observe the patient. - `physiological_change` (integer, required): Caller-assigned Abbey 2004 physiological change (integer 0-3): 0 absent; 1 mild; 2 moderate; 3 severe. Paper examples: temperature, pulse or blood pressure outside normal limits, perspiring, flushing or pallor. magent does not observe the patient. - `physical_changes` (integer, required): Caller-assigned Abbey 2004 physical changes (integer 0-3): 0 absent; 1 mild; 2 moderate; 3 severe. Paper examples: skin tears, pressure areas, arthritis, contractures, previous injuries. magent does not observe the patient. ## Bulk (POST) POST the same path with a JSON items array. The first item is the GET unit; each additional item is $0.002. Invalid items return HTTP 400 before settlement. Method: `POST /api/calc/abbey` Max items: 25 Price: unit_amount + extra_item_amount * (n - 1) (unit 5000 atomic, extra 2000 atomic) Status: PREVIEW - 1 to 25 items. Each item uses the same keys as the GET query parameters. - POST of 1 item costs the same as GET. Lists longer than 25: chunk into multiple POSTs. Extra items still execute; do not pad dummy rows. - The first invalid item fails the whole request (index in the 400 JSON). You are not charged. - HTTP 200 is {count, path, items}. Each items[i] is the GET 200 body for that row. - Catalog misses (empty matches, found=false) stay paid 200s inside that slot. - x402 resource URL is this path plus n and body_sha256. Browsers that prefer text/html get the same paywall as GET; Pay retries POST with the same items. Example request: ```json { "items": [ { "behavioural_change": "0", "change_in_body_language": "0", "facial_expression": "0", "physical_changes": "0", "physiological_change": "0", "vocalization": "0" }, { "behavioural_change": "0", "change_in_body_language": "0", "facial_expression": "0", "physical_changes": "0", "physiological_change": "0", "vocalization": "0" } ] } ``` Human paywall (two-item fixture): https://api.magentlab.com/paywall/bulk/abbey Example 200: ```json { "count": 2, "path": "/api/calc/abbey", "items": [ { "components": [ { "value": 0, "factor": "vocalization", "points": 0, "present": true }, { "value": 0, "factor": "facial_expression", "points": 0, "present": true }, { "value": 0, "factor": "change_in_body_language", "points": 0, "present": true }, { "value": 0, "factor": "behavioural_change", "points": 0, "present": true }, { "value": 0, "factor": "physiological_change", "points": 0, "present": true }, { "value": 0, "factor": "physical_changes", "points": 0, "present": true } ], "severity": "none", "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.", "citation": { "authors": "Abbey J, Piller N, De Bellis A, Esterman A, Parker D, Giles L, Lowcay B", "doi": "10.12968/ijpn.2004.10.1.12013", "id": "abbey-2004", "pmid": "14966439", "source": "Int J Palliat Nurs. 2004;10(1):6-13", "title": "The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia" }, "formula": "abbey", "formula_expression": "Abbey = vocalization + facial_expression + change_in_body_language + behavioural_change + physiological_change + physical_changes; each caller-assigned 0-3 (absent/mild/moderate/severe); max 18; Abbey 2004 bands 0-2 none, 3-7 mild, 8-13 moderate, 14+ severe", "max_score": 18, "score": 0 }, { "components": [ { "value": 0, "factor": "vocalization", "points": 0, "present": true }, { "value": 0, "factor": "facial_expression", "points": 0, "present": true }, { "value": 0, "factor": "change_in_body_language", "points": 0, "present": true }, { "value": 0, "factor": "behavioural_change", "points": 0, "present": true }, { "value": 0, "factor": "physiological_change", "points": 0, "present": true }, { "value": 0, "factor": "physical_changes", "points": 0, "present": true } ], "severity": "none", "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.", "citation": { "authors": "Abbey J, Piller N, De Bellis A, Esterman A, Parker D, Giles L, Lowcay B", "doi": "10.12968/ijpn.2004.10.1.12013", "id": "abbey-2004", "pmid": "14966439", "source": "Int J Palliat Nurs. 2004;10(1):6-13", "title": "The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia" }, "formula": "abbey", "formula_expression": "Abbey = vocalization + facial_expression + change_in_body_language + behavioural_change + physiological_change + physical_changes; each caller-assigned 0-3 (absent/mild/moderate/severe); max 18; Abbey 2004 bands 0-2 none, 3-7 mild, 8-13 moderate, 14+ severe", "max_score": 18, "score": 0 } ] } ``` ## Response fields - `formula` (string): abbey - `formula_expression` (string): Exact expression used - `score` (integer): Abbey points 0-18 - `max_score` (integer): Always 18 - `severity` (string): Abbey 2004 published bands: none (0-2), mild (3-7), moderate (8-13), severe (14+). Not a pain diagnosis. - `components` (array): Per-item caller-assigned points - `citation` (object): Abbey et al. Int J Palliat Nurs 2004 citation - `disclaimer` (string): Not-a-device notice ## Example JSON Frozen fixture. Not a live lookup. ```json { "components": [ { "value": 0, "factor": "vocalization", "points": 0, "present": true }, { "value": 0, "factor": "facial_expression", "points": 0, "present": true }, { "value": 0, "factor": "change_in_body_language", "points": 0, "present": true }, { "value": 0, "factor": "behavioural_change", "points": 0, "present": true }, { "value": 0, "factor": "physiological_change", "points": 0, "present": true }, { "value": 0, "factor": "physical_changes", "points": 0, "present": true } ], "severity": "none", "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.", "citation": { "authors": "Abbey J, Piller N, De Bellis A, Esterman A, Parker D, Giles L, Lowcay B", "doi": "10.12968/ijpn.2004.10.1.12013", "id": "abbey-2004", "pmid": "14966439", "source": "Int J Palliat Nurs. 2004;10(1):6-13", "title": "The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia" }, "formula": "abbey", "formula_expression": "Abbey = vocalization + facial_expression + change_in_body_language + behavioural_change + physiological_change + physical_changes; each caller-assigned 0-3 (absent/mild/moderate/severe); max 18; Abbey 2004 bands 0-2 none, 3-7 mild, 8-13 moderate, 14+ severe", "max_score": 18, "score": 0 } ``` ## Errors - HTTP 400 `invalid_abbey`: Abbey pain-scale inputs must be the six caller-assigned 0-3 observational items from Abbey 2004. Returned before settlement; you are not charged. - HTTP 400 `invalid_items`: POST body must be a JSON object with only an items array Returned before settlement; you are not charged. - HTTP 400 `invalid_item_count`: items must be an array of 1 to 25 objects Returned before settlement; you are not charged. - HTTP 400 `invalid_item`: each items entry must be a JSON object Returned before settlement; you are not charged. Shared HTTP 402 and 503: https://magentlab.com/docs/payments ## Related tools - [PAINAD](https://magentlab.com/docs/painad) — Sum five caller-assigned Warden 2003 PAINAD integers (0-2) and return the published total (max 10). ## Payment Unpaid requests return HTTP 402 even if query parameters or POST items are missing or invalid, so CDP and agents can index the path. After a PAYMENT-SIGNATURE, invalid params return HTTP 400 JSON before settlement. magent does not charge. Fix the params, then request a new 402 quote for that complete URL. Catalog misses (empty matches, found=false) are valid paid 200s. - GET the tool with Accept: application/json (do not send Accept: text/html unless you want the human paywall). - HTTP 402 means you have not paid. Decode the base64 PAYMENT-REQUIRED header. HTTP 503 is not a new quote. - Sign accepts[0] (exact, EIP-3009) with validBefore = now + maxTimeoutSeconds (600 seconds), or accepts[1] (batch-settlement deposit/voucher) on product GET. Ping and POST {items} stay exact. Magent retries transient facilitator 429/5xx before answering. - Retry the same URL with PAYMENT-SIGNATURE (base64 JSON of accepted and payload). Magent attaches canonical extensions.bazaar on CDP verify/settle; echoing 402 bazaar is optional. - Success is HTTP 200 JSON plus PAYMENT-RESPONSE. exact settles before the tool. batch-settlement verifies (and deposit-settles) before the tool and commits the charge after HTTP 2xx. HTTP 503: retry the same PAYMENT-SIGNATURE. Mint a new exact nonce only after a new HTTP 402. - offered `exact` on eip155:8453: Fixed-price USDC on Base. The buyer authorizes the advertised amount (EIP-3009). magent settles before the tool runs (paymentFlow upfront). extra.assetTransferMethod=eip3009 extra.paymentFlow=upfront. - offered `batch-settlement` on eip155:8453: Payment-channel vouchers claimed later in batches. Exact stays accepts[0]. Same-path POST {items} is still exact. extra.assetTransferMethod=eip3009 extra.paymentFlow=authorization. - not offered `upto`: Not offered. Usage-based: buyer authorizes a ceiling, seller settles the actual amount after work. Reserved for a future metered tool. Not for current calculators or code search. Same-path POST {items} is still scheme exact: one EIP-3009 authorization for GET unit plus $0.002 per extra item. That is not x402 batch-settlement (payment channels / vouchers). Shared HTTP 402 and 503 table: https://magentlab.com/docs/payments Stdio MCP (one process per host): https://magentlab.com/docs/mcp ## Guarantees - HTTP 402 is unpaid, including a missing query. After PAYMENT-SIGNATURE, invalid parameters return HTTP 400 before settlement. You are not charged. HTTP 402 never includes the tool JSON. - exact: settlement finishes before the tool (paymentFlow upfront). batch-settlement: verify/deposit before the tool; chargedCumulativeAmount commits after HTTP 2xx. Uncertain or failed settlement fails closed (HTTP 503). Retry the same PAYMENT-SIGNATURE. - HTTP 402 is unpaid only. Do not sign a second authorization because of a 503. - Execution is timeout-bounded and concurrency-capped. - Calculator inputs are stored encrypted for allowlisted operators (Magent Console). They are not in public logs, SSH lookups, catalog, or rollups. Request logs store path without query.