Emergency · LIVE
CSHA Clinical Frailty Scale (Rockwood 2005)
CFS
Return the Rockwood 2005 CSHA Clinical Frailty Scale 1-7 from a caller-assigned integer, with the published Box 1 description.
Markdown: /docs/cfs.md · Canonical: https://magentlab.com/docs/cfs
Not a medical device. Not a diagnosis, dose, or listing recommendation.
What it computes
Return the Rockwood 2005 CSHA Clinical Frailty Scale 1-7 from a caller-assigned integer, with the published Box 1 description.
When to use
When an agent already has a CSHA Clinical Frailty Scale 1-7 as in Rockwood 2005 Box 1 and must not invent the later 9-point CFS or CFS 2.0 labels.
When not to use
- Not a medical device and not a diagnosis. magent does not examine the patient.
- Rockwood 2005 7-point CSHA Clinical Frailty Scale only. magent does not implement the later 9-point CFS (8 very severely frail, 9 terminally ill) or CFS 2.0 label changes.
- The caller assigns cfs 1-7. magent does not interview or examine the patient.
Formula
CSHA Clinical Frailty Scale 1-7 as assigned by the caller (Rockwood 2005 Box 1); not the later 9-point CFS
Citation
- Authors
- Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, Mitnitski A
- Source
- CMAJ. 2005;173(5):489-495
Worked example
CFS 1 very fit
Given:
cfs=1
- cfs 1 → very fit; score 1; max 7
Also searched as
- clinical frailty scale
- CSHA CFS
- Rockwood frailty
- Clinical Frailty Scale
- Rockwood CFS
- CSHA Clinical Frailty Scale
- frailty scale
- Rockwood 2005
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/cfs?cfs=1
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/cfs?cfs=1"
Parameters
| Name | Type | Required | Description |
|---|---|---|---|
cfs |
integer | required | Rockwood 2005 CSHA Clinical Frailty Scale 1-7 as assigned by the caller (1 very fit; 2 well; 3 well, with treated comorbid disease; 4 apparently vulnerable; 5 mildly frail; 6 moderately frail; 7 severely frail, completely dependent or terminally ill). magent does not examine the patient. The later 9-point CFS (8 very severely frail, 9 terminally ill) is not accepted. |
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": [
{
"cfs": "1"
},
{
"cfs": "1"
}
]
}
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/cfs",
"items": [
{
"description": "Very fit — robust, active, energetic, well motivated and fit; these people commonly exercise regularly and are in the most fit group for their age",
"components": [
{
"factor": "cfs",
"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": "Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, Mitnitski A",
"doi": "10.1503/cmaj.050051",
"id": "rockwood-2005",
"pmid": "16129869",
"source": "CMAJ. 2005;173(5):489-495",
"title": "A global clinical measure of fitness and frailty in elderly people"
},
"formula": "cfs",
"formula_expression": "CSHA Clinical Frailty Scale 1-7 as assigned by the caller (Rockwood 2005 Box 1); not the later 9-point CFS",
"max_score": 7,
"score": 1,
"cfs": 1
},
{
"description": "Very fit — robust, active, energetic, well motivated and fit; these people commonly exercise regularly and are in the most fit group for their age",
"components": [
{
"factor": "cfs",
"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": "Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, Mitnitski A",
"doi": "10.1503/cmaj.050051",
"id": "rockwood-2005",
"pmid": "16129869",
"source": "CMAJ. 2005;173(5):489-495",
"title": "A global clinical measure of fitness and frailty in elderly people"
},
"formula": "cfs",
"formula_expression": "CSHA Clinical Frailty Scale 1-7 as assigned by the caller (Rockwood 2005 Box 1); not the later 9-point CFS",
"max_score": 7,
"score": 1,
"cfs": 1
}
]
}
Response
| Field | Type | Description |
|---|---|---|
formula |
string | cfs |
formula_expression |
string | Published 1-7 CSHA 2005 rule |
cfs |
integer | Caller-assigned CSHA Clinical Frailty Scale 1-7 |
score |
integer | Same as cfs |
max_score |
integer | 7 |
description |
string | Rockwood 2005 Box 1 wording for that category |
components |
array | CFS component |
citation |
object | Rockwood 2005 |
disclaimer |
string | Not a medical device |
Example JSON
Machine form of the same example. Frozen fixture. Not a live lookup.
{
"description": "Very fit — robust, active, energetic, well motivated and fit; these people commonly exercise regularly and are in the most fit group for their age",
"components": [
{
"factor": "cfs",
"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": "Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, Mitnitski A",
"doi": "10.1503/cmaj.050051",
"id": "rockwood-2005",
"pmid": "16129869",
"source": "CMAJ. 2005;173(5):489-495",
"title": "A global clinical measure of fitness and frailty in elderly people"
},
"formula": "cfs",
"formula_expression": "CSHA Clinical Frailty Scale 1-7 as assigned by the caller (Rockwood 2005 Box 1); not the later 9-point CFS",
"max_score": 7,
"score": 1,
"cfs": 1
}
Client errors (HTTP 400)
Invalid params return 400 without charge. Shared HTTP 402 and 503 meanings: Payments.
| HTTP | Code | When |
|---|---|---|
| 400 | invalid_cfs |
cfs must be an integer from 1 to 7 (Rockwood 2005 CSHA Clinical Frailty Scale). 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. |
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- Braden Scale — Sum six caller-assigned Bergstrom 1987 Braden Scale subscale points and return at_risk when the total is ≤16.
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.