Emergency · LIVE
ASA Physical Status Classification
ASA-PS
Return the caller-assigned ASA Physical Status class 1-6 with optional emergency suffix E and the published class definition (ASA 2014, last amended 2020).
Markdown: /docs/asa-physical-status.md · Canonical: https://magentlab.com/docs/asa-physical-status
Not a medical device. Not a diagnosis, dose, or listing recommendation.
What it computes
Return the caller-assigned ASA Physical Status class 1-6 with optional emergency suffix E and the published class definition (ASA 2014, last amended 2020).
When to use
When an agent already has an ASA Physical Status class 1-6 and whether the case is an emergency, and needs the canonical label (e.g. 1 or 2E) and published definition. magent does not examine the patient or assign the class. Not Gupta MICA and not Mallampati.
When not to use
- Not a medical device. Classification alone does not predict perioperative risk (ASA statement).
- The caller assigns ASA class 1-6 and the emergency flag. magent does not examine the patient. Examples in the ASA table (for example BMI) are not extra scored items.
- Not an anesthetic plan. Not Gupta 2011 MICA (ASA 1-5 only). Not Mallampati.
Formula
Caller-assigned ASA Physical Status class 1-6; append E when emergency is true (ASA House of Delegates 2014, last amended 2020)
Citation
- Authors
- American Society of Anesthesiologists; Committee of Oversight: Economics
- Source
- Approved by the ASA House of Delegates on October 15, 2014, and last amended on December 13, 2020
- DOI
- none
Worked example
ASA 1 not emergency
Given:
asa_class=1emergency=false
- asa_class 1, emergency false → asa_label 1; a normal healthy patient
ASA 2E emergency
Given:
asa_class=2emergency=true
- asa_class 2, emergency true → asa_label 2E; mild systemic disease with E suffix
Also searched as
- ASA physical status
- ASA-PS
- ASA class
- ASA classification
- ASA 1-6
- ASA emergency E
- physical status classification
- ASA 2020
Try
Opens the live endpoint. Unpaid browser requests show the paywall; agents should send Accept: application/json.
/api/calc/asa_physical_status?asa_class=1&emergency=false
Full URL: https://api.magentlab.com/api/calc/asa_physical_status?asa_class=1&emergency=false
Call
Expect HTTP 402 until you retry with PAYMENT-SIGNATURE. Incomplete query params
return HTTP 400 before any quote or charge.
curl -i -H "Accept: application/json" "https://api.magentlab.com/api/calc/asa_physical_status?asa_class=1&emergency=false"
Parameters
| Name | Type | Required | Description |
|---|---|---|---|
asa_class |
integer | required | ASA Physical Status class 1-6 as assigned by the caller (1 a normal healthy patient; 2 mild systemic disease; 3 severe systemic disease; 4 severe systemic disease that is a constant threat to life; 5 moribund, not expected to survive without the operation; 6 declared brain-dead organ donor). Not Gupta 2011 MICA (ASA 1-5). magent does not examine the patient. |
emergency |
boolean | required | true appends E for emergency surgery: delay in treatment of the patient would lead to a significant increase in the threat to life or body part (ASA 2014/2020). Required. Class 6 may still take E. magent does not examine 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.
- 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 (fixture)
{
"items": [
{
"asa_class": "1",
"emergency": "false"
},
{
"asa_class": "1",
"emergency": "false"
}
]
}
Opens a two-item fixture on the API host. Unpaid browsers get the same MetaMask paywall as GET; Pay retries POST with those items.
Example 200 (fixture)
{
"count": 2,
"path": "/api/calc/asa_physical_status",
"items": [
{
"description": "A normal healthy patient",
"emergency": false,
"components": [
{
"value": 1,
"factor": "asa_class",
"met": true
},
{
"factor": "emergency",
"met": false
}
],
"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": "American Society of Anesthesiologists; Committee of Oversight: Economics",
"id": "asa-2020",
"source": "Approved by the ASA House of Delegates on October 15, 2014, and last amended on December 13, 2020",
"title": "ASA Physical Status Classification System"
},
"formula": "asa_physical_status",
"formula_expression": "Caller-assigned ASA Physical Status class 1-6; append E when emergency is true (ASA House of Delegates 2014, last amended 2020)",
"asa_class": 1,
"asa_label": "1"
},
{
"description": "A normal healthy patient",
"emergency": false,
"components": [
{
"value": 1,
"factor": "asa_class",
"met": true
},
{
"factor": "emergency",
"met": false
}
],
"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": "American Society of Anesthesiologists; Committee of Oversight: Economics",
"id": "asa-2020",
"source": "Approved by the ASA House of Delegates on October 15, 2014, and last amended on December 13, 2020",
"title": "ASA Physical Status Classification System"
},
"formula": "asa_physical_status",
"formula_expression": "Caller-assigned ASA Physical Status class 1-6; append E when emergency is true (ASA House of Delegates 2014, last amended 2020)",
"asa_class": 1,
"asa_label": "1"
}
]
}
Response
| Field | Type | Description |
|---|---|---|
formula |
string | asa_physical_status |
formula_expression |
string | Published ASA Physical Status class-plus-E rule |
asa_class |
integer | Caller-assigned class 1-6 |
emergency |
boolean | true when the caller assigns the emergency suffix E |
asa_label |
string | Class as a string; E is appended when emergency is true (e.g. 1 or 2E) |
description |
string | ASA 2014/2020 definition for that class |
components |
array | asa_class and emergency criterion rows |
citation |
object | ASA Physical Status 2014/2020 |
disclaimer |
string | Not a medical device |
Example JSON
Machine form of the same example. Frozen fixture. Not a live lookup.
{
"description": "A normal healthy patient",
"emergency": false,
"components": [
{
"value": 1,
"factor": "asa_class",
"met": true
},
{
"factor": "emergency",
"met": false
}
],
"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": "American Society of Anesthesiologists; Committee of Oversight: Economics",
"id": "asa-2020",
"source": "Approved by the ASA House of Delegates on October 15, 2014, and last amended on December 13, 2020",
"title": "ASA Physical Status Classification System"
},
"formula": "asa_physical_status",
"formula_expression": "Caller-assigned ASA Physical Status class 1-6; append E when emergency is true (ASA House of Delegates 2014, last amended 2020)",
"asa_class": 1,
"asa_label": "1"
}
Client errors (HTTP 400)
Invalid params return 400 without charge. Shared HTTP 402 and 503 meanings: Payments.
| HTTP | Code | When |
|---|---|---|
| 400 | invalid_asa_physical_status |
asa_class must be an integer from 1 to 6 (ASA Physical Status 2014/2020). Do not use Gupta 2011 invalid_asa_class (1-5). Returned before settlement; you are not charged. |
| 400 | invalid_flag |
boolean clinical flags must be true or false Returned before settlement; you are not charged. |
| 400 | invalid_items |
POST body must be a JSON object with only an items array Returned before settlement; you are not charged. |
| 400 | invalid_item_count |
items must be an array of 1 to 25 objects Returned before settlement; you are not charged. |
| 400 | invalid_item |
each items entry must be a JSON object Returned before settlement; you are not charged. |
Related tools
- Mallampati — Return the Samsoon 1987 modified Mallampati class 1-4 from a caller-assigned integer, with a stable label.
- RCRI — Sum the six Lee 1999 revised cardiac risk index factors and return class I–IV.
- Gupta MICA — Compute the Gupta 2011 Table 2 logistic probability of 30-day myocardial infarction or cardiac arrest after surgery from age, ASA class, functional status, creatinine category, and surgery type.
- Aldrete — Compute the Aldrete 1970 postanesthetic recovery score as the sum of five caller-assigned 0-2 signs (activity, respiration, circulation, consciousness, color) and return the 1970 recovery-room band.
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. Unpaid valid requests return HTTP 402 with a base64
PAYMENT-REQUIRED
header. HTTP 503 is not a new quote: retry the same PAYMENT-SIGNATURE. Full handshake
and shared payment errors: Payments.
Stdio MCP: /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.