Neurology · LIVE
BOPS (Hesselgard)
BOPS
Sum three caller-assigned Hesselgard 2007 BOPS integers (0-2) and return the published total (max 6).
Markdown: /docs/bops.md · Canonical: https://magentlab.com/docs/bops
Not a medical device. Not a diagnosis, dose, or listing recommendation.
What it computes
Sum three caller-assigned Hesselgard 2007 BOPS integers (0-2) and return the published total (max 6).
When to use
When an agent has already assigned Hesselgard 2007 0-2 integers for facial expression, verbalization, and body position and needs the published total, not a pain diagnosis, analgesic order, or unpublished intensity cutoff.
When not to use
- Not a medical device and not a pain diagnosis or analgesic order.
- Each of the three items is a caller-assigned integer 0, 1, or 2 from Hesselgard 2007. magent does not observe the child.
- Hesselgard 2007 described postoperative pain measurement in children 1-7 years. magent does not take an age parameter and does not restrict the caller.
- Total is 0-6. magent does not emit an analgesic cutoff; Hesselgard 2007 did not name a ≥3 scoring band.
- Not FLACC. Not Abbey.
Formula
BOPS = facial_expression + verbalization + body_position; each caller-assigned 0-2; max 6
Citation
- Authors
- Hesselgard K, Larsson S, Romner B, Strömblad LG, Reinstrup P
- Source
- Pediatr Crit Care Med. 2007;8(2):102-108
Worked example
All items 0
Given:
body_position=0facial_expression=0verbalization=0
- facial_expression 0 + verbalization 0 + body_position 0
- Score = 0 (max 6)
All items 2
Given:
body_position=2facial_expression=2verbalization=2
- facial_expression 2 + verbalization 2 + body_position 2
- Score = 6 (max 6)
Also searched as
- BOPS
- Behavioural Observational Pain Scale
- Behavioral Observational Pain Scale
- Hesselgard BOPS
- Hesselgard 2007
- postoperative pain children 1-7
- BOPS pediatric pain
Try
Opens the live endpoint. Unpaid browser requests show the paywall; agents should send Accept: application/json.
/api/calc/bops?facial_expression=0&verbalization=0&body_position=0
Full URL: https://api.magentlab.com/api/calc/bops?facial_expression=0&verbalization=0&body_position=0
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/bops?facial_expression=0&verbalization=0&body_position=0"
Parameters
| Name | Type | Required | Description |
|---|---|---|---|
facial_expression |
integer | required | Caller-assigned Hesselgard 2007 BOPS facial expression (integer 0-2): 0 neutral/positive composed; 1 negative/concerned; 2 grimacing/distorted. magent does not observe the child. |
verbalization |
integer | required | Caller-assigned Hesselgard 2007 BOPS verbalization (integer 0-2): 0 normal conversation/laughing/crowing; 1 completely quiet, sobbing, and/or complaining not because of pain; 2 crying, screaming, and/or complaining about pain. magent does not observe the child. |
body_position |
integer | required | Caller-assigned Hesselgard 2007 BOPS body position (integer 0-2): 0 inactive, lying relaxed with all extremities or sitting/walking; 1 restless movements, shifting, and/or touching the wound area; 2 lying rigid and/or drawn up with arms and legs close to the body. magent does not observe the child. |
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": [
{
"body_position": "0",
"facial_expression": "0",
"verbalization": "0"
},
{
"body_position": "0",
"facial_expression": "0",
"verbalization": "0"
}
]
}
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/bops",
"items": [
{
"components": [
{
"value": 0,
"factor": "facial_expression",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "verbalization",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "body_position",
"points": 0,
"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": "Hesselgard K, Larsson S, Romner B, Strömblad LG, Reinstrup P",
"doi": "10.1097/01.PCC.0000257098.32268.aa",
"id": "hesselgard-2007",
"pmid": "17273124",
"source": "Pediatr Crit Care Med. 2007;8(2):102-108",
"title": "Validity and reliability of the Behavioural Observational Pain Scale for postoperative pain measurement in children 1-7 years of age"
},
"formula": "bops",
"formula_expression": "BOPS = facial_expression + verbalization + body_position; each caller-assigned 0-2; max 6",
"max_score": 6,
"score": 0,
"body_position": 0,
"facial_expression": 0,
"verbalization": 0
},
{
"components": [
{
"value": 0,
"factor": "facial_expression",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "verbalization",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "body_position",
"points": 0,
"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": "Hesselgard K, Larsson S, Romner B, Strömblad LG, Reinstrup P",
"doi": "10.1097/01.PCC.0000257098.32268.aa",
"id": "hesselgard-2007",
"pmid": "17273124",
"source": "Pediatr Crit Care Med. 2007;8(2):102-108",
"title": "Validity and reliability of the Behavioural Observational Pain Scale for postoperative pain measurement in children 1-7 years of age"
},
"formula": "bops",
"formula_expression": "BOPS = facial_expression + verbalization + body_position; each caller-assigned 0-2; max 6",
"max_score": 6,
"score": 0,
"body_position": 0,
"facial_expression": 0,
"verbalization": 0
}
]
}
Response
| Field | Type | Description |
|---|---|---|
formula |
string | bops |
formula_expression |
string | Exact expression used |
score |
integer | BOPS points 0-6 |
max_score |
integer | Always 6 |
facial_expression |
integer | Caller-assigned facial expression points 0-2 |
verbalization |
integer | Caller-assigned verbalization points 0-2 |
body_position |
integer | Caller-assigned body position points 0-2 |
components |
array | Per-item caller-assigned points |
citation |
object | Hesselgard et al. Pediatr Crit Care Med 2007 citation |
disclaimer |
string | Not-a-device notice |
Example JSON
Machine form of the same example. Frozen fixture. Not a live lookup.
{
"components": [
{
"value": 0,
"factor": "facial_expression",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "verbalization",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "body_position",
"points": 0,
"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": "Hesselgard K, Larsson S, Romner B, Strömblad LG, Reinstrup P",
"doi": "10.1097/01.PCC.0000257098.32268.aa",
"id": "hesselgard-2007",
"pmid": "17273124",
"source": "Pediatr Crit Care Med. 2007;8(2):102-108",
"title": "Validity and reliability of the Behavioural Observational Pain Scale for postoperative pain measurement in children 1-7 years of age"
},
"formula": "bops",
"formula_expression": "BOPS = facial_expression + verbalization + body_position; each caller-assigned 0-2; max 6",
"max_score": 6,
"score": 0,
"body_position": 0,
"facial_expression": 0,
"verbalization": 0
}
Client errors (HTTP 400)
Invalid params return 400 without charge. Shared HTTP 402 and 503 meanings: Payments.
| HTTP | Code | When |
|---|---|---|
| 400 | invalid_bops |
BOPS inputs must be the three caller-assigned 0-2 Hesselgard 2007 items (facial_expression, verbalization, body_position). 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
- FLACC — Sum five caller-assigned Merkel 1997 FLACC integers (0-2) and return the published total (max 10).
- Abbey Pain Scale — 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.
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.