# AMT-10 abbreviated mental test (Hodkinson)

AMT-10

Status: LIVE
Price: $0.005 USDC
`GET /api/calc/amt_10`
HTML: https://magentlab.com/docs/amt-10
Markdown: https://magentlab.com/docs/amt-10.md

Not a medical device. Not a diagnosis, dose, or listing recommendation.

## What it computes

Sum the ten Hodkinson 1972 AMT-10 items from caller-assigned correct/incorrect flags and return the 0–10 total. Hodkinson 1972 did not publish a diagnostic cutoff.

## When to use

When an agent already has AMT-10 items assigned as correct or incorrect and needs the published 0–10 total, not a dementia diagnosis, not an invented cutoff, and not Swain 1997 AMT-4.

## When not to use

- Not a medical device and not a dementia diagnosis. magent does not interview the patient.
- Each item is a caller-assigned boolean. This API does not collect an age, date of birth, place name, year, address, or monarch name.
- Hodkinson 1972 abbreviated the 26-item test to 10 questions and did not publish a diagnostic cutoff. This tool returns the 0–10 sum only.
- This is Hodkinson 1972 AMT-10 only. It is not Swain 1997 AMT-4.

## Formula

```
AMT-10 = age_correct + time_correct + address_recall_correct + year_correct + place_correct + two_persons_correct + dob_correct + world_war_start_correct + monarch_correct + count_backwards_20_correct; each 1 if true; max 10 (Hodkinson 1972)
```

## Citation

[Evaluation of a mental test score for assessment of mental impairment in the elderly](https://doi.org/10.1093/ageing/1.4.233)
Hodkinson HM
Age Ageing. 1972;1(4):233-238
DOI: [10.1093/ageing/1.4.233](https://doi.org/10.1093/ageing/1.4.233)

## Worked example

### All ten items correct

Given: `address_recall_correct=true, age_correct=true, count_backwards_20_correct=true, dob_correct=true, monarch_correct=true, place_correct=true, time_correct=true, two_persons_correct=true, world_war_start_correct=true, year_correct=true`

1. all ten caller-assigned flags are true
2. Score = 10 (max 10); Hodkinson 1972 does not publish a cutoff


### Date of birth incorrect, other items correct

Given: `address_recall_correct=true, age_correct=true, count_backwards_20_correct=true, dob_correct=false, monarch_correct=true, place_correct=true, time_correct=true, two_persons_correct=true, world_war_start_correct=true, year_correct=true`

1. dob_correct false → 0; the other nine items true → 1 each
2. Score = 9 (max 10)


## Also searched as

- AMT-10
- Abbreviated Mental Test 10
- Hodkinson AMT-10
- AMT10
- ten-item abbreviated mental test
- Hodkinson 1972 AMT
- abbreviated mental test score
- AMT-10 cognitive screen
- Hodkinson mental test

## Parameters

- `age_correct` (boolean, required): Caller-assigned flag: age stated correctly (Hodkinson 1972 AMT-10). true scores 1; false scores 0. magent does not interview the patient and does not collect an age.
- `time_correct` (boolean, required): Caller-assigned flag: time to the nearest hour stated correctly (Hodkinson 1972 AMT-10). true scores 1; false scores 0. magent does not collect a clock time.
- `address_recall_correct` (boolean, required): Caller-assigned flag: address recall at the end of the test (Hodkinson 1972 AMT-10; the classic 42 West Street prompt is assigned by the caller). true scores 1; false scores 0. magent does not collect an address.
- `year_correct` (boolean, required): Caller-assigned flag: current year stated correctly (Hodkinson 1972 AMT-10). true scores 1; false scores 0. magent does not collect a year.
- `place_correct` (boolean, required): Caller-assigned flag: name of place / hospital stated correctly (Hodkinson 1972 AMT-10). true scores 1; false scores 0. magent does not collect a place name.
- `two_persons_correct` (boolean, required): Caller-assigned flag: recognition of two persons (Hodkinson 1972 AMT-10). true scores 1; false scores 0. magent does not interview the patient.
- `dob_correct` (boolean, required): Caller-assigned flag: date of birth stated correctly (Hodkinson 1972 AMT-10). true scores 1; false scores 0. magent does not collect a date of birth.
- `world_war_start_correct` (boolean, required): Caller-assigned flag: year the First World War started stated correctly (Hodkinson 1972 AMT-10). true scores 1; false scores 0. magent does not collect a year.
- `monarch_correct` (boolean, required): Caller-assigned flag: name of the present monarch stated correctly (Hodkinson 1972 AMT-10). true scores 1; false scores 0. magent does not collect a monarch name.
- `count_backwards_20_correct` (boolean, required): Caller-assigned flag: count backwards from 20 to 1 (Hodkinson 1972 AMT-10). true scores 1; false scores 0. magent does not interview 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/amt_10`
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": [
    {
      "address_recall_correct": "true",
      "age_correct": "true",
      "count_backwards_20_correct": "true",
      "dob_correct": "true",
      "monarch_correct": "true",
      "place_correct": "true",
      "time_correct": "true",
      "two_persons_correct": "true",
      "world_war_start_correct": "true",
      "year_correct": "true"
    },
    {
      "address_recall_correct": "true",
      "age_correct": "true",
      "count_backwards_20_correct": "true",
      "dob_correct": "true",
      "monarch_correct": "true",
      "place_correct": "true",
      "time_correct": "true",
      "two_persons_correct": "true",
      "world_war_start_correct": "true",
      "year_correct": "true"
    }
  ]
}
```

Human paywall (two-item fixture): https://api.magentlab.com/paywall/bulk/amt-10

Example 200:

```json
{
  "count": 2,
  "path": "/api/calc/amt_10",
  "items": [
    {
      "components": [
        {
          "factor": "age_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "time_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "address_recall_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "year_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "place_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "two_persons_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "dob_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "world_war_start_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "monarch_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "count_backwards_20_correct",
          "points": 1,
          "present": true
        }
      ],
      "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": "Hodkinson HM",
        "doi": "10.1093/ageing/1.4.233",
        "id": "hodkinson-1972",
        "pmid": "4669880",
        "source": "Age Ageing. 1972;1(4):233-238",
        "title": "Evaluation of a mental test score for assessment of mental impairment in the elderly"
      },
      "formula": "amt_10",
      "formula_expression": "AMT-10 = age_correct + time_correct + address_recall_correct + year_correct + place_correct + two_persons_correct + dob_correct + world_war_start_correct + monarch_correct + count_backwards_20_correct; each 1 if true; max 10 (Hodkinson 1972)",
      "max_score": 10,
      "score": 10
    },
    {
      "components": [
        {
          "factor": "age_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "time_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "address_recall_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "year_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "place_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "two_persons_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "dob_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "world_war_start_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "monarch_correct",
          "points": 1,
          "present": true
        },
        {
          "factor": "count_backwards_20_correct",
          "points": 1,
          "present": true
        }
      ],
      "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": "Hodkinson HM",
        "doi": "10.1093/ageing/1.4.233",
        "id": "hodkinson-1972",
        "pmid": "4669880",
        "source": "Age Ageing. 1972;1(4):233-238",
        "title": "Evaluation of a mental test score for assessment of mental impairment in the elderly"
      },
      "formula": "amt_10",
      "formula_expression": "AMT-10 = age_correct + time_correct + address_recall_correct + year_correct + place_correct + two_persons_correct + dob_correct + world_war_start_correct + monarch_correct + count_backwards_20_correct; each 1 if true; max 10 (Hodkinson 1972)",
      "max_score": 10,
      "score": 10
    }
  ]
}
```

## Response fields

- `formula` (string): amt_10
- `formula_expression` (string): Exact expression used
- `score` (integer): AMT-10 points 0-10 (Hodkinson 1972)
- `max_score` (integer): Always 10
- `components` (array): Per-item points
- `citation` (object): Hodkinson 1972 Age Ageing citation
- `disclaimer` (string): Not-a-device notice

## Example JSON

Frozen fixture. Not a live lookup.

```json
{
  "components": [
    {
      "factor": "age_correct",
      "points": 1,
      "present": true
    },
    {
      "factor": "time_correct",
      "points": 1,
      "present": true
    },
    {
      "factor": "address_recall_correct",
      "points": 1,
      "present": true
    },
    {
      "factor": "year_correct",
      "points": 1,
      "present": true
    },
    {
      "factor": "place_correct",
      "points": 1,
      "present": true
    },
    {
      "factor": "two_persons_correct",
      "points": 1,
      "present": true
    },
    {
      "factor": "dob_correct",
      "points": 1,
      "present": true
    },
    {
      "factor": "world_war_start_correct",
      "points": 1,
      "present": true
    },
    {
      "factor": "monarch_correct",
      "points": 1,
      "present": true
    },
    {
      "factor": "count_backwards_20_correct",
      "points": 1,
      "present": true
    }
  ],
  "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": "Hodkinson HM",
    "doi": "10.1093/ageing/1.4.233",
    "id": "hodkinson-1972",
    "pmid": "4669880",
    "source": "Age Ageing. 1972;1(4):233-238",
    "title": "Evaluation of a mental test score for assessment of mental impairment in the elderly"
  },
  "formula": "amt_10",
  "formula_expression": "AMT-10 = age_correct + time_correct + address_recall_correct + year_correct + place_correct + two_persons_correct + dob_correct + world_war_start_correct + monarch_correct + count_backwards_20_correct; each 1 if true; max 10 (Hodkinson 1972)",
  "max_score": 10,
  "score": 10
}
```

## Errors

- HTTP 400 `invalid_flag`: boolean clinical flags must be true or false 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

- [AMT-4](https://magentlab.com/docs/amt-4) — Sum the four Swain 1997 AMT-4 items from caller-assigned correct/incorrect flags and return whether the score is less than 4 (impaired).
- [4AT](https://magentlab.com/docs/4at) — Sum the Bellelli 2014 4AT items and return unlikely (0), possible cognitive impairment (1–3), or possible delirium (≥4).
- [CAM-ICU](https://magentlab.com/docs/cam-icu) — Apply the Ely 2001 CAM-ICU algorithm and return whether delirium is present from four caller-assigned features.

## 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.
