ACS · LIVE
AUB-HAS2 cardiovascular risk index
AUB-HAS2
Sum the six Dakik 2019 AUB-HAS2 1-point elements and return the integer score with low / intermediate / high bands.
Markdown: /docs/aub-has2.md · Canonical: https://magentlab.com/docs/aub-has2
Not a medical device. Not a diagnosis, dose, or listing recommendation.
What it computes
Sum the six Dakik 2019 AUB-HAS2 1-point elements and return the integer score with low / intermediate / high bands.
When to use
When an agent needs the published AUB-HAS2 point total for noncardiac surgery and must not invent an operative-clearance decision, an RCRI class, or an ACS treatment.
When not to use
- Not a medical device. Not an operative clearance, cancellation, or monitoring order.
- Not RCRI and not ACS treatment. AUB-HAS2 is a noncardiac-surgery 30-day death/MI/stroke index (Dakik 2019 derivation).
- magent does not take a cardiac history or assay hemoglobin. history_of_heart_disease, angina_or_dyspnea, vascular_surgery, and emergency_surgery are caller-assigned.
- The paper writes hemoglobin as mg/dl; this tool uses g/dL (or g/L / 10). Provide hemoglobin_g_dl or hemoglobin_g_l, not both. Hemoglobin <12 g/dL scores 1 (12.0 does not).
- Derivation event rates are published cohort percents by integer score (0 / 0.5 / 2.0 / 5.6 / 15.7), not a patient-level prediction.
Formula
AUB-HAS2 = history_of_heart_disease + angina_or_dyspnea + (age ≥75) + (hemoglobin <12 g/dL) + vascular_surgery + emergency_surgery; each 1; max 6; low 0-1, intermediate 2-3, high >3
Citation
- Authors
- Dakik HA, Chehab O, Eldirani M, Sbeity E, Karam C, Abou Hassan O, Msheik A, Kaspar C, Makki M, Tamim H
- Source
- J Am Coll Cardiol. 2019;73(24):3067-3078
Worked example
Age 50, hemoglobin 13 g/dL, all flags false
Given:
age=50angina_or_dyspnea=falseemergency_surgery=falsehemoglobin_g_dl=13history_of_heart_disease=falsevascular_surgery=false
- Age 50 is not ≥75 → 0; hemoglobin 13 g/dL is not <12 → 0; all flags false → 0
- Score = 0; risk_band low
Age 80, hemoglobin 11 g/dL, flags false
Given:
age=80angina_or_dyspnea=falseemergency_surgery=falsehemoglobin_g_dl=11history_of_heart_disease=falsevascular_surgery=false
- Age 80 ≥75 → 1; hemoglobin 11 g/dL <12 → 1; flags false → 0
- Score = 2; risk_band intermediate
Age 80, hemoglobin 11 g/dL, heart-disease history and angina or dyspnea
Given:
age=80angina_or_dyspnea=trueemergency_surgery=falsehemoglobin_g_dl=11history_of_heart_disease=truevascular_surgery=false
- Age ≥75 → 1; hemoglobin <12 → 1; history_of_heart_disease → 1; angina_or_dyspnea → 1
- Score = 4; risk_band high
Also searched as
- AUB-HAS2
- AUB HAS2
- American University of Beirut HAS2
- Dakik cardiovascular risk index
- HAS2 cardiovascular index
- preoperative cardiovascular risk index
- AUB cardiovascular risk index
Try
Opens the live endpoint. Unpaid browser requests show the paywall; agents should send Accept: application/json.
Full URL: https://api.magentlab.com/api/calc/aub_has2?age=50&hemoglobin_g_dl=13&history_of_heart_disease=false&angina_or_dyspnea=false&vascular_surgery=false&emergency_surgery=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/aub_has2?age=50&hemoglobin_g_dl=13&history_of_heart_disease=false&angina_or_dyspnea=false&vascular_surgery=false&emergency_surgery=false"
Parameters
| Name | Type | Required | Description |
|---|---|---|---|
age |
integer | required | Age in years (18-120). Age ≥75 scores 1 (Dakik 2019). 75 scores; 74 does not. |
hemoglobin_g_dl |
number | optional | Hemoglobin in g/dL (3-22). Provide this or hemoglobin_g_l, not both. Dakik 2019 writes mg/dl; clinical use is g/dL. <12 g/dL scores 1 (11.9 scores; 12.0 does not). magent does not assay hemoglobin. |
hemoglobin_g_l |
number | optional | Hemoglobin in g/L (30-220). Converted as hemoglobin_g_dl = hemoglobin_g_l / 10. Provide this or hemoglobin_g_dl, not both. |
history_of_heart_disease |
boolean | required | History of heart disease as assigned by the caller (Dakik 2019). true or false. magent does not take a cardiac history. 1 point if true. |
angina_or_dyspnea |
boolean | required | Symptoms of angina or dyspnea as assigned by the caller (Dakik 2019). true or false. magent does not take a symptom history. 1 point if true. |
vascular_surgery |
boolean | required | Vascular surgery as assigned by the caller (Dakik 2019). true or false. 1 point if true. |
emergency_surgery |
boolean | required | Emergency surgery as assigned by the caller (Dakik 2019). true or false. 1 point if true. |
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": [
{
"age": "50",
"angina_or_dyspnea": "false",
"emergency_surgery": "false",
"hemoglobin_g_dl": "13",
"history_of_heart_disease": "false",
"vascular_surgery": "false"
},
{
"age": "50",
"angina_or_dyspnea": "false",
"emergency_surgery": "false",
"hemoglobin_g_dl": "13",
"history_of_heart_disease": "false",
"vascular_surgery": "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/aub_has2",
"items": [
{
"components": [
{
"factor": "history_of_heart_disease",
"points": 0,
"present": false
},
{
"factor": "angina_or_dyspnea",
"points": 0,
"present": false
},
{
"value": 50,
"factor": "age_ge_75",
"points": 0,
"present": false
},
{
"value": 13.0,
"factor": "hemoglobin_lt_12",
"points": 0,
"present": false
},
{
"factor": "vascular_surgery",
"points": 0,
"present": false
},
{
"factor": "emergency_surgery",
"points": 0,
"present": 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": "Dakik HA, Chehab O, Eldirani M, Sbeity E, Karam C, Abou Hassan O, Msheik A, Kaspar C, Makki M, Tamim H",
"doi": "10.1016/j.jacc.2019.04.023",
"id": "dakik-2019",
"pmid": "31221255",
"source": "J Am Coll Cardiol. 2019;73(24):3067-3078",
"title": "A New Index for Pre-Operative Cardiovascular Evaluation"
},
"formula": "aub_has2",
"formula_expression": "AUB-HAS2 = history_of_heart_disease + angina_or_dyspnea + (age ≥75) + (hemoglobin <12 g/dL) + vascular_surgery + emergency_surgery; each 1; max 6; low 0-1, intermediate 2-3, high >3",
"age_years": 50,
"max_score": 6,
"score": 0,
"risk_band": "low",
"emergency_surgery": false,
"angina_or_dyspnea": false,
"derivation_event_rate_percent": 0.0,
"hemoglobin_g_dl": 13.0,
"history_of_heart_disease": false,
"vascular_surgery": false
},
{
"components": [
{
"factor": "history_of_heart_disease",
"points": 0,
"present": false
},
{
"factor": "angina_or_dyspnea",
"points": 0,
"present": false
},
{
"value": 50,
"factor": "age_ge_75",
"points": 0,
"present": false
},
{
"value": 13.0,
"factor": "hemoglobin_lt_12",
"points": 0,
"present": false
},
{
"factor": "vascular_surgery",
"points": 0,
"present": false
},
{
"factor": "emergency_surgery",
"points": 0,
"present": 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": "Dakik HA, Chehab O, Eldirani M, Sbeity E, Karam C, Abou Hassan O, Msheik A, Kaspar C, Makki M, Tamim H",
"doi": "10.1016/j.jacc.2019.04.023",
"id": "dakik-2019",
"pmid": "31221255",
"source": "J Am Coll Cardiol. 2019;73(24):3067-3078",
"title": "A New Index for Pre-Operative Cardiovascular Evaluation"
},
"formula": "aub_has2",
"formula_expression": "AUB-HAS2 = history_of_heart_disease + angina_or_dyspnea + (age ≥75) + (hemoglobin <12 g/dL) + vascular_surgery + emergency_surgery; each 1; max 6; low 0-1, intermediate 2-3, high >3",
"age_years": 50,
"max_score": 6,
"score": 0,
"risk_band": "low",
"emergency_surgery": false,
"angina_or_dyspnea": false,
"derivation_event_rate_percent": 0.0,
"hemoglobin_g_dl": 13.0,
"history_of_heart_disease": false,
"vascular_surgery": false
}
]
}
Response
| Field | Type | Description |
|---|---|---|
formula |
string | aub_has2 |
formula_expression |
string | Exact expression used |
score |
integer | AUB-HAS2 points 0-6 |
max_score |
integer | Always 6 |
risk_band |
string | low (0-1), intermediate (2-3), or high (>3 / 4-6) |
derivation_event_rate_percent |
number | Dakik 2019 derivation 30-day death/MI/stroke percent by integer score: 0, 0.5, 2.0, 5.6, or 15.7 (>3) |
age_years |
integer | Age used (years) |
hemoglobin_g_dl |
number | Hemoglobin used in g/dL (g/L inputs converted as g/dL = g/L / 10) |
history_of_heart_disease |
boolean | Caller-assigned history-of-heart-disease flag used |
angina_or_dyspnea |
boolean | Caller-assigned angina-or-dyspnea flag used |
vascular_surgery |
boolean | Caller-assigned vascular-surgery flag used |
emergency_surgery |
boolean | Caller-assigned emergency-surgery flag used |
components |
array | Per-element points |
citation |
object | Dakik 2019 JACC citation |
disclaimer |
string | Not-a-device notice |
Example JSON
Machine form of the same example. Frozen fixture. Not a live lookup.
{
"components": [
{
"factor": "history_of_heart_disease",
"points": 0,
"present": false
},
{
"factor": "angina_or_dyspnea",
"points": 0,
"present": false
},
{
"value": 50,
"factor": "age_ge_75",
"points": 0,
"present": false
},
{
"value": 13.0,
"factor": "hemoglobin_lt_12",
"points": 0,
"present": false
},
{
"factor": "vascular_surgery",
"points": 0,
"present": false
},
{
"factor": "emergency_surgery",
"points": 0,
"present": 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": "Dakik HA, Chehab O, Eldirani M, Sbeity E, Karam C, Abou Hassan O, Msheik A, Kaspar C, Makki M, Tamim H",
"doi": "10.1016/j.jacc.2019.04.023",
"id": "dakik-2019",
"pmid": "31221255",
"source": "J Am Coll Cardiol. 2019;73(24):3067-3078",
"title": "A New Index for Pre-Operative Cardiovascular Evaluation"
},
"formula": "aub_has2",
"formula_expression": "AUB-HAS2 = history_of_heart_disease + angina_or_dyspnea + (age ≥75) + (hemoglobin <12 g/dL) + vascular_surgery + emergency_surgery; each 1; max 6; low 0-1, intermediate 2-3, high >3",
"age_years": 50,
"max_score": 6,
"score": 0,
"risk_band": "low",
"emergency_surgery": false,
"angina_or_dyspnea": false,
"derivation_event_rate_percent": 0.0,
"hemoglobin_g_dl": 13.0,
"history_of_heart_disease": false,
"vascular_surgery": false
}
Client errors (HTTP 400)
Invalid params return 400 without charge. Shared HTTP 402 and 503 meanings: Payments.
| HTTP | Code | When |
|---|---|---|
| 400 | invalid_age |
age must be an integer from 18 to 120 Returned before settlement; you are not charged. |
| 400 | invalid_hemoglobin |
hemoglobin_g_l (30-220) or hemoglobin_g_dl (3-22) is required, not both. 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
- RCRI — Sum the six Lee 1999 revised cardiac risk index factors and return class I–IV.
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.